Dr. Li Yanheng reply Rehabilitation Question - Page 8

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Is Prolotherapy Safe After Knee Surgery? Understanding Infection Risks

Does hyperplasia treatment lead to infection or osteomyelitis? Hello Doctor: My knee was injured in a car accident, resulting in a lateral meniscus tear and a tibial avulsion fracture (anterior cruciate ligament tear). The surgical procedures included meniscus repair and fixation...


Dr. Li Yanheng reply Rehabilitation
If there are sutures inside the knee and there is concern about the risk of infection, it is recommended not to perform regenerative treatment. Even with thorough disinfection, there is still a possibility that trace bacteria on the skin could enter the joint through the needle t...

[Read More] Is Prolotherapy Safe After Knee Surgery? Understanding Infection Risks


Understanding Neck Pain and Breathing Issues During Back Rehabilitation

When bending at the waist, I feel pain in my neck as if it is being pulled, and I have difficulty breathing? I strained my lower back while walking. Following my doctor's advice, I underwent rehabilitation for my back injury. However, during the sessions, I constantly feel p...


Dr. Li Yanheng reply Rehabilitation
To determine if there is a misalignment of the thoracic vertebrae, a physical examination is necessary.

[Read More] Understanding Neck Pain and Breathing Issues During Back Rehabilitation


Understanding Sudden Knee Pain: Causes and Treatment Options

Sudden sharp pain in the knee? Sudden sharp pain in the knee occurs, but it lasts for a very short duration, not exceeding one minute. The episodes are infrequent; sometimes they happen once a day, and at other times, there may be consecutive sharp pains within a short period. Du...


Dr. Li Yanheng reply Rehabilitation
It is recommended to follow up with the rehabilitation department for a knee ultrasound to determine if there is any effusion. If there is no swelling in the knee, it may be due to muscle imbalance leading to patellofemoral syndrome (also known as chondromalacia patellae), and it...

[Read More] Understanding Sudden Knee Pain: Causes and Treatment Options


Understanding Rehabilitation After Metatarsal Fractures: Common Concerns

Questions about rehabilitation for fractures of the second, third, and fourth metatarsals? Hello Dr. Lee, two months ago I injured my foot, resulting in multiple fractures of the 2nd, 3rd, and 4th metatarsals. After six weeks of being in a cast, I have now completed two weeks of ...


Dr. Li Yanheng reply Rehabilitation
1. The pain is likely caused by instability due to soft tissue injuries such as ligament and tendon damage after starting to practice walking. Once the bones have healed, you may undergo prolotherapy for the ligaments and tendons to enhance stability. 2. Whether or not you can ...

[Read More] Understanding Rehabilitation After Metatarsal Fractures: Common Concerns


Understanding Leg Cramps, Varicose Veins, and Numbness in Seniors

Calf cramps, varicose veins, elderly age, numbness in the feet? Hello, Dr. Lee! I would like to ask a question on behalf of my grandmother, who is 73 years old. She has hypertension and has been waking up frequently in the mornings due to calf cramps, especially if she has been u...


Dr. Li Yanheng reply Rehabilitation
It is advisable to first check the cardiovascular system, and it is recommended to schedule an appointment with a cardiology specialist.

[Read More] Understanding Leg Cramps, Varicose Veins, and Numbness in Seniors


Understanding Knee Pain After Injury: Causes and Recovery Tips

Knee sharp pain Six months ago, I had a motorcycle accident. The external injuries have healed, but my knee still feels sharp pain when I bump it lightly or hit it. If I hit it harder, the pain becomes unbearable. Climbing stairs, walking too much, or standing for too long causes...


Dr. Li Yanheng reply Rehabilitation
It may be that the internal bones or ligaments of the knee have not healed; consider scheduling an appointment with a rehabilitation specialist for an MRI examination.

[Read More] Understanding Knee Pain After Injury: Causes and Recovery Tips


Managing Pain Relief: Safe Use of Anti-Inflammatory Medications

Consultation on anti-inflammatory and analgesic medications? Hello, Doctor. I have been experiencing tightness and pain in my neck, so I visited a rehabilitation specialist who prescribed Solaxin and Acemet Retard capsules. However, taking this anti-inflammatory pain medication c...


Dr. Li Yanheng reply Rehabilitation
If you have reached the point of experiencing black stools from taking Acemet, it is advisable to stop using non-steroidal anti-inflammatory drugs (NSAIDs) and consider physical therapy or other medications to alleviate your symptoms.

[Read More] Managing Pain Relief: Safe Use of Anti-Inflammatory Medications


Understanding Post-Fracture Foot Pain: Insights on Rehabilitation and Treatment

Plantar pain due to tibial and fibular fractures? Hello Dr. Lee, on February 10, I fractured my left tibia and fibula, and subsequently underwent open reduction and internal fixation surgery. A bone plate and screws were placed in the fibula, and another bone plate and screws wer...


Dr. Li Yanheng reply Rehabilitation
1. It is recommended to continue the current rehabilitation and prolotherapy, but consideration should be given to treating additional related areas to enhance joint stability. 2. With complete wound healing and the absence of specific infectious factors, along with adequate disi...

[Read More] Understanding Post-Fracture Foot Pain: Insights on Rehabilitation and Treatment


Understanding Herniated Discs: Symptoms, Diagnosis, and Treatment Options

Herniated disc Hello Doctor, at the beginning of this month, I experienced lower back pain due to bending over to lift cargo for work. I went to a nearby hospital for an examination, and the doctor told me that I had a muscle strain and prescribed pain relievers and muscle relaxa...


Dr. Li Yanheng reply Rehabilitation
Based on the patient's description, it appears to be an acute herniated disc. It is recommended to follow the original physician's advice for further examination and rest.

[Read More] Understanding Herniated Discs: Symptoms, Diagnosis, and Treatment Options


Understanding Severe Hip and Tailbone Pain: Causes and Treatment Options

Severe pain in the buttocks with coccyx pain radiating to the groin and right knee pain? Hello Doctor, my brother is 67 years old. Since he underwent knee arthroscopy (without joint replacement) last August, he has been experiencing gradually worsening pain in his right hip and c...


Dr. Li Yanheng reply Rehabilitation
Your pain issue has become chronic, affecting central nervous system pain and neuromuscular regulation. It is recommended that you visit a specialized pain rehabilitation clinic for a comprehensive examination and treatment.

[Read More] Understanding Severe Hip and Tailbone Pain: Causes and Treatment Options


Overcoming Stiffness After Fracture: Tips for Effective Rehabilitation

Fracture adhesion Hello, doctor. I fractured my humerus last June and have been in rehabilitation for over six months! Every time I stretch my stiff and tight joint, the angle improves a bit, but after two hours, it returns to its original state... This constant cycle is really d...


Dr. Li Yanheng reply Rehabilitation
1. Given your age, there is a high chance of restoring normal range of motion with active rehabilitation and appropriate treatment. It is recommended to continue with active rehabilitation. 2. Each patient's strength training focus is different; it is advisable to provide gu...

[Read More] Overcoming Stiffness After Fracture: Tips for Effective Rehabilitation


Understanding Discomfort in the Left Shoulder Blade and Neck Area

Discomfort at the junction of the left scapula and the lower neck near the shoulder? In mid-December, I engaged in weight training, and the next day I felt discomfort in the area of my left scapula, as if a point was being pressed down. I also experienced shoulder soreness and so...


Dr. Li Yanheng reply Rehabilitation
Hello, the symptoms you described are quite nonspecific, and it is difficult to determine the issue based on a written description. I recommend visiting a general hospital for a comprehensive examination.

[Read More] Understanding Discomfort in the Left Shoulder Blade and Neck Area


Understanding Neck Pain After Spinal Surgery: Causes and Solutions

Neck pain Hello Dr. Lee, I underwent a lumbar decompression surgery with laminectomy and spinal fusion with internal fixation for the L4-L5 vertebrae on November 21, 2019. Since being discharged on November 29, 2019, I have been experiencing stiffness and pain in my neck and shou...


Dr. Li Yanheng reply Rehabilitation
Based on the description, you belong to a group with a longer neck, and considering your young age, the neck and shoulder pain may stem from fascial issues or poor neck control. It is advisable to consult with a rehabilitation specialist or a neurosurgeon to check for any nerve c...

[Read More] Understanding Neck Pain After Spinal Surgery: Causes and Solutions


How to Address Nighttime Leg Cramps in Older Adults: Expert Advice

Family member experiences leg cramps at night? My family member is 59 years old and has been experiencing leg cramps almost every night for the past few months. What can be done to resolve this issue? Which specialist should be consulted?


Dr. Li Yanheng reply Rehabilitation
There are many causes of muscle cramps in the elderly, and it is recommended to first consult a neurologist.

[Read More] How to Address Nighttime Leg Cramps in Older Adults: Expert Advice


Understanding Persistent Chest Pain: Causes and When to Seek Help

There are no significant abnormalities in the body, but there is pain whenever the area around the chest is touched? Hello Dr. Lee: I haven't experienced any severe health issues recently, but I have been having pain in my chest whenever I touch it. I'm not sure what co...


Dr. Li Yanheng reply Rehabilitation
It may be shingles; it is recommended to consult a neurologist first.

[Read More] Understanding Persistent Chest Pain: Causes and When to Seek Help


Understanding Chronic Back Pain: When to Seek Medical Help

Back pain issues? Hello Doctor: I have been experiencing upper back pain for over eight years. During this time, I have visited traditional Chinese medicine clinics for herbal treatments and acupuncture, but the pain returns after the effects wear off. Initially, I had pain in my...


Dr. Li Yanheng reply Rehabilitation
Based on the symptoms, it is necessary to rule out issues related to the immune system and nerve compression. Consider visiting a rehabilitation medicine clinic or a rheumatology and immunology clinic.

[Read More] Understanding Chronic Back Pain: When to Seek Medical Help


Understanding Shoulder Rotator Cuff Tears: Treatment Options and Recovery

Rotator cuff tear Hello, here is my right shoulder MRI report. The pain has been present for 4-5 months. I am currently in the United States. An orthopedic physician previously administered a local corticosteroid injection, but it caused more pain afterward. It took about a week ...


Dr. Li Yanheng reply Rehabilitation
1. According to current medical research, there is no need for surgery in this situation. 2. In addition to regular rehabilitation, it is recommended to reduce the use of anti-inflammatory medications, as they can affect the healing of tendons and ligaments. 3. The source of ...

[Read More] Understanding Shoulder Rotator Cuff Tears: Treatment Options and Recovery


Addressing Hunchback Issues: Can Posture Be Corrected at Any Age?

Some questions about kyphosis? Hello, I have had a habit of slouching since childhood. I didn't pay much attention to it before, but recently I suddenly realized it looks unattractive and would like to consult a doctor: 1. At my current age, has my posture already become f...


Dr. Li Yanheng reply Rehabilitation
1. Reversible; assessing the tightness of the thoracolumbar fascia can help select appropriate exercises for improvement. 2. Related to poor posture, which may cause tightness in the neck muscles, leading to compression of the occipital nerve. Neural decompression injections or...

[Read More] Addressing Hunchback Issues: Can Posture Be Corrected at Any Age?


Understanding Foot Pain: Causes and Remedies for Painful Steps

Pain on the dorsum of the foot, especially during the first few steps while walking? Hello, doctor. I have been experiencing intermittent pain on the dorsum of my right foot for about three weeks. The pain is located approximately on the outer midsection of the dorsum, extending ...


Dr. Li Yanheng reply Rehabilitation
It could be gout or ligament/tendon inflammation, and blood tests and ultrasound examinations are acceptable.

[Read More] Understanding Foot Pain: Causes and Remedies for Painful Steps


Common Rehabilitation Concerns: Ankle, Hand, and Collarbone Issues

Comprehensive issues? Thank you, doctor, for taking the time to answer my questions. 1. Regarding my ankle issue, I had surgery a year ago due to ankle instability and ligament laxity. Currently, my ankle is slightly swollen; is this normal? What exercises or rehabilitation shou...


Dr. Li Yanheng reply Rehabilitation
Hello, Ms. Hong, thank you for your inquiry. 1. Post-operative swelling from ligament laxity may be due to the ligament not fully healing yet (since ligaments have no blood supply, recovery can be slower without a structured exercise plan). It is recommended to undergo an ultra...

[Read More] Common Rehabilitation Concerns: Ankle, Hand, and Collarbone Issues


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