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Understanding Right Shoulder Pain Before Menstruation: Causes and Solutions

Right shoulder pain that prevents sleep? Hello Doctor, I have been experiencing discomfort in my right shoulder for the past six months, starting two days before my menstrual period. The pain ranges from a strained sensation to severe cramping, and it worsens at night. Even the s...


Dr. Li Yanheng reply Rehabilitation
It is recommended to consult a rehabilitation specialist for a musculoskeletal ultrasound examination.

[Read More] Understanding Right Shoulder Pain Before Menstruation: Causes and Solutions


Understanding Chronic Back Pain: The Impact of Poor Posture on Muscle Health

Pain in the muscles of the lower shoulder blade area? Hello Dr. Li, about 20 years ago during my university years, I had to use a bulky CRT monitor that was positioned diagonally to the right to save desk space. As a result, for about a semester, I consistently tilted my head to ...


Dr. Li Yanheng reply Rehabilitation
It is recommended to undergo ultrasound and X-ray examinations in the rehabilitation department to determine if there is any nerve compression.

[Read More] Understanding Chronic Back Pain: The Impact of Poor Posture on Muscle Health


Managing Trapezius Muscle Pain from Long Hours of Riding

Trapezius muscle neck and shoulder pain? I recently started working part-time delivering food on a motorcycle for 2-4 hours at a time. A few days ago, I began experiencing soreness in my trapezius muscle (similar to post-exercise muscle soreness). I initially thought it would imp...


Dr. Li Yanheng reply Rehabilitation
It is recommended to rest, stretch, and apply heat. If symptoms do not improve, it is advised to visit a rehabilitation clinic for consultation.

[Read More] Managing Trapezius Muscle Pain from Long Hours of Riding


Choosing Between Traditional and Western Medicine for Back Pain Relief

Lumbar issues? Hello, doctor. I would like to ask about an old injury in my lower back. It has improved a lot, but I still feel some discomfort when I get too tired. Applying heat helps a lot. Which specialty should I see for this? Is traditional Chinese medicine or Western medic...


Dr. Li Yanheng reply Rehabilitation
It is recommended to visit the rehabilitation department for X-ray and musculoskeletal ultrasound examinations.

[Read More] Choosing Between Traditional and Western Medicine for Back Pain Relief


Understanding Cubital Tunnel Syndrome: Symptoms, Treatment, and Rehab Options

Cubital tunnel syndrome Hello Doctor, recently I woke up from sleep feeling numbness in my hand, particularly in my ring and little fingers. I also experience some pain in my elbow when bending it or when resting my arm on the desk while using the computer. After researching onli...


Dr. Li Yanheng reply Rehabilitation
It is recommended to visit the rehabilitation department for diagnosis and rehabilitation. Many clinics now also offer ultrasound examinations.

[Read More] Understanding Cubital Tunnel Syndrome: Symptoms, Treatment, and Rehab Options


Recovering from Left Ankle Injury: Pain Management and Rehabilitation Tips

Injury to the tendons and ligaments inside the left ankle? Due to a previous injury where I twisted my left foot, I sustained a hairline fracture in the bones inside. A few weeks ago, I went to a major hospital for an X-ray, and the orthopedic doctor said that the fractured area ...


Dr. Li Yanheng reply Rehabilitation
1. To assess the severity of ligament injuries, it is essential to perform the correct rehabilitation exercises. 2. The occurrence of pain serves as a warning from the body; if ligament strength is restored, the pain will decrease. 3. It is recommended to undergo musculoskele...

[Read More] Recovering from Left Ankle Injury: Pain Management and Rehabilitation Tips


Persistent Thumb Pain After Injury: Seeking Effective Rehabilitation Solutions

The right thumb has been injured while eating a radish. Despite receiving an injection and undergoing rehabilitation for three months, there has been no improvement? Hello Doctor, Since early May, I injured the joint connecting my right thumb to my palm (not the wrist) while pl...


Dr. Li Yanheng reply Rehabilitation
Based on the above description, your treatment has shown progress. If the PRP injection is effective but does not meet your expectations, it is generally recommended to wait one month before administering another dose. The repair of musculoskeletal injuries and the efficacy of PR...

[Read More] Persistent Thumb Pain After Injury: Seeking Effective Rehabilitation Solutions


Understanding Patellar Malalignment: Key Questions and Answers for Patients

Consultation regarding patellar valgus? Hello, doctor. My knee has had pain issues since fifteen years ago when I suddenly experienced severe pain while rushing up the stairs one day in college. The pain has been recurring; sometimes it’s fine, but other times, going up the stair...


Dr. Li Yanheng reply Rehabilitation
Patellar valgus is merely a sign and may not necessarily be the cause of pain. It is recommended to undergo more detailed examinations and diagnoses before proceeding with treatment and appropriate exercises.

[Read More] Understanding Patellar Malalignment: Key Questions and Answers for Patients


Understanding Wrist Flexibility: Is It Genetic or a Rehab Issue?

Wrist extension towards the forearm? Is it normal for my left hand to be able to rotate 90 degrees vertically while my right hand can only rotate about 45 degrees when both hands are turned backward at a 90-degree angle towards the arm? This has been the case since birth, and I d...


Dr. Li Yanheng reply Rehabilitation
If there is no history of injury, it is possible that there is a congenital limitation in the angle, which could be due to various factors, such as neuromuscular issues.

[Read More] Understanding Wrist Flexibility: Is It Genetic or a Rehab Issue?


Managing Herniated Discs and Nerve Compression During Pregnancy

Pregnancy-related herniated disc compressing nerves? Hello Doctor, I am currently 17 weeks pregnant and experiencing severe pain due to nerve compression, making it difficult to walk or sit, so I can only stay in bed at home. I underwent an MRI, which confirmed a herniated disc i...


Dr. Li Yanheng reply Rehabilitation
It is generally advised that pregnant women should not undergo lumbar traction.

[Read More] Managing Herniated Discs and Nerve Compression During Pregnancy


Can Cervical and Lumbar Traction Be Done in the Same Therapy Session?

Cervical and lumbar traction? Hello Dr. Li, I would like to ask if cervical traction and lumbar traction can be performed in the same treatment session?


Dr. Li Yanheng reply Rehabilitation
I would like to see each physician's perspective; personally, I am not in favor of traction on the same day (but alternating within the same treatment regimen should be acceptable).

[Read More] Can Cervical and Lumbar Traction Be Done in the Same Therapy Session?


Understanding Fascia Adhesions: Treatment Options for Chronic Pain Relief

Regarding extensive fascial degeneration, adhesion, or fibrosis? Hello Doctor, I have been experiencing unexplained hip joint pain for over ten years. After ten years of examinations, no issues were found until recently when abnormal nerve conduction signals were detected. The do...


Dr. Li Yanheng reply Rehabilitation
It is recommended that if there are issues with pain and joint mobility, one should first consult a physician to address the pain and joint mobility concerns. If the pain and joint mobility issues are manageable, it is advisable to engage in multi-joint exercises under the superv...

[Read More] Understanding Fascia Adhesions: Treatment Options for Chronic Pain Relief


Understanding Body Tingling: When to Seek Medical Help

Tingling sensation in the body? Hello, doctor. About six months ago, I was diagnosed with a herniated disc, specifically at the C1-C2 level. It wasn't severe, and the doctor advised me to maintain good posture. However, tonight I suddenly experienced numbness all over my bod...


Dr. Li Yanheng reply Rehabilitation
This may not fall within the scope of rehabilitation medicine; it is recommended to consult a neurologist.

[Read More] Understanding Body Tingling: When to Seek Medical Help


Understanding Persistent Left Shoulder Blade Pain: Causes and Concerns

Left scapular pain? Hello Doctor, I have been experiencing these symptoms for a month. During this time, I visited both a neurologist and a family physician. The neurological examination showed no issues, and I have been consistently taking muscle relaxants and pain relievers, bu...


Dr. Li Yanheng reply Rehabilitation
It may be caused by cervical spine issues; it is recommended to visit a rehabilitation department for a cervical X-ray and rehabilitation therapy.

[Read More] Understanding Persistent Left Shoulder Blade Pain: Causes and Concerns


Should You See a Rehab Specialist for Persistent Left Hip Pain?

Unilateral hip pain that prevents prolonged sitting and bending forward may warrant a visit to a rehabilitation specialist? Hello Doctor, I have been experiencing pain at the junction of my left hip and thigh for over three weeks. The pain is primarily located at the left ischial...


Dr. Li Yanheng reply Rehabilitation
It is recommended to visit the rehabilitation department for imaging-assisted examinations to determine the cause of the condition.

[Read More] Should You See a Rehab Specialist for Persistent Left Hip Pain?


Managing Swelling and Pain in the Left Thumb: Next Steps for Recovery

Swelling and pain around the interphalangeal joint of the left thumb. I would like to inquire about the subsequent management options? Nine days ago, my left thumb's interphalangeal joint suddenly became swollen and painful without any external force. It feels hard when pres...


Dr. Li Yanheng reply Rehabilitation
Due to the inability to visualize the ultrasound images, a definitive diagnosis cannot be confirmed. It is advisable to consult the attending physician regarding subsequent treatment options. If the condition recurs, consideration may be given to follow-up treatment with a rheuma...

[Read More] Managing Swelling and Pain in the Left Thumb: Next Steps for Recovery


Recovery Timeline for Hip Bruises and Sacral Fractures After a Minor Accident

Recovery period for bruised hip and sacral fracture after a car accident? 1. Regarding the medical evidence obtained two months after the accident, it may be challenging to definitively link the symptoms of lower back pain and leg numbness to the initial incident. Physicians typi...


Dr. Li Yanheng reply Rehabilitation
1. Issues related to insurance and settlements should be coordinated with your attending physician, as each individual's situation is different and cannot be generalized. 2. The recovery from a fracture depends on the severity of the injury and requires collaboration with ...

[Read More] Recovery Timeline for Hip Bruises and Sacral Fractures After a Minor Accident


Understanding Thumb Joint Pain: Causes, Treatments, and Prevention

Pain in the interphalangeal joint of the thumb? I would like to inquire about pain in the interphalangeal joint of my right thumb. Sometimes it hurts when it comes into contact with hard objects (specifically on the nail side), for example, when the handle of scissors hits the jo...


Dr. Li Yanheng reply Rehabilitation
A thumb brace can be used for protection and to reduce usage, in conjunction with rehabilitation and medication treatment for approximately 3-6 weeks. If pain persists, other treatment options such as injection therapy may be considered.

[Read More] Understanding Thumb Joint Pain: Causes, Treatments, and Prevention


Managing Sciatica Pain During Pregnancy: Safe Relief Options

Pregnancy-related sciatica with numbness? Doctor, I was diagnosed with compression at the fourth and fifth lumbar vertebrae by an orthopedic specialist a long time ago. Usually, I only experience mild lower back pain, but for the past three to four months, I've been having p...


Dr. Li Yanheng reply Rehabilitation
If the fetus and placenta are stable, and with the consent of the obstetrician, consideration may be given to receiving high-concentration glucose proliferation injections containing only glucose and saline (without the addition of steroids or local anesthetics). Additionally, pr...

[Read More] Managing Sciatica Pain During Pregnancy: Safe Relief Options


Understanding Thumb Joint Pain: Causes, Treatment, and Prevention

Pain in the interphalangeal joint of the thumb? I would like to inquire about the interphalangeal joint of my right thumb, which sometimes hurts when it comes into contact with hard objects (the pain is on the nail side). For example, when the handle of scissors hits the joint (i...


Dr. Li Yanheng reply Rehabilitation
A thumb brace can be used for protection and to reduce usage, in conjunction with rehabilitation and medication treatment for approximately 3 to 6 weeks. If pain persists, other treatment options such as injection therapy may be considered.

[Read More] Understanding Thumb Joint Pain: Causes, Treatment, and Prevention


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