Understanding Cervical Spine Issues: Diagnosis, Treatment, and Rehabilitation Options
Cervical spine issues Hello Dr. Lin, I am the person who asked question #208515. I would like to ask if an X-ray can determine the severity of my cervical disc herniation and bone spurs. Are these the causes of my neck and back pain? Can rehabilitation alone improve or cure my co...
Dr. Lin Ruixiang reply Rehabilitation
Hello: Before interpreting X-rays, it is essential to clarify some basic concepts. The causes of neck pain can be categorized into four main types: 1. Muscles 2. Ligaments 3. Facet joints 4. Nerves and intervertebral discs. X-rays primarily highlight bones and are not very detail...[Read More] Understanding Cervical Spine Issues: Diagnosis, Treatment, and Rehabilitation Options
Understanding Right Leg Pain: Seeking Effective Treatment Options
Pain in the right leg from the lower back to the knee? I often feel tightness in the inner side of the right foot's arch while standing, and my knee is very uncomfortable. I can sense tightness in the area behind the knee, towards the left. When sitting, I experience discomf...
Dr. Lin Ruixiang reply Rehabilitation
Hello: Your issues include three points: 1. Tightness in the fascial spiral lines, 2. Snapping hip, 3. Prolonged sitting. It is essential to consider gluteus medius dysfunction, which often coexists with iliopsoas tightness. It is advisable to address the first two points initial...[Read More] Understanding Right Leg Pain: Seeking Effective Treatment Options
Understanding Cervical Spine Issues: Treatment Options and X-ray Insights
Cervical spine issues Hello Doctor, I recently visited an orthopedic specialist due to neck and back pain. The doctor mentioned that my cervical spine is somewhat compressed and recommended heat therapy, electrical stimulation, and traction. I would like to ask the doctor to revi...
Dr. Lin Ruixiang reply Rehabilitation
Hello Chang: Your question can be divided into two aspects. 1. Regarding neck pain, if there is no associated limb weakness, it is clinically classified as a minimal lesion. For pain management, modalities such as electrical therapy, heat application, and traction are appropria...[Read More] Understanding Cervical Spine Issues: Treatment Options and X-ray Insights
Understanding Swallowing Difficulties: Causes and Rehabilitation Options
Dysphagia I would like to inquire about an issue I have been experiencing since September of last year. After working out, I suddenly noticed a sensation of something being stuck while swallowing, which has gradually worsened over time. Currently, I am unable to engage in any phy...
Dr. Lin Ruixiang reply Rehabilitation
Hello: From the perspective of fascial lines, swallowing falls within the range of the "anterior deep line," which can indeed be influenced by resistance training, considering the deep fascia. In terms of the joints, insufficient mobility of the thoracic spine and ribs ...[Read More] Understanding Swallowing Difficulties: Causes and Rehabilitation Options
Understanding Rehabilitation for Disc Herniation and Osteoarthritis
Regarding rehabilitation issues related to intervertebral disc herniation, degenerative arthritis, and patellar valgus? Hello Doctor: I have been experiencing physical discomfort and in March of this year, I was diagnosed by a physician with stage 1 approaching stage 2 lumbar dis...
Dr. Lin Ruixiang reply Rehabilitation
Hello: First of all, congratulations on the improvement of your pain due to rehabilitation. To get to the point, your concerns are valid. Any exercise (including resistance training) can become less effective over time due to the familiarity with the movement technique (what you ...[Read More] Understanding Rehabilitation for Disc Herniation and Osteoarthritis
Understanding Rheumatoid Arthritis: Symptoms, Diagnosis, and Treatment Options
Rheumatoid Arthritis Last year, I experienced unexplained pain in the joint near the nail of my right big toe, which persisted for some time. Later, I noticed that bending it caused pain, and the joint became red and painful. After visiting an orthopedic specialist, I underwent l...
Dr. Lin Ruixiang reply Rehabilitation
Hello: Based on your description, this is not a localized issue but rather a systemic problem. It is advisable to initially investigate the symptoms from a rheumatological and immunological perspective. Hualien Hospital, Ministry of Health and Welfare, cares about your health.[Read More] Understanding Rheumatoid Arthritis: Symptoms, Diagnosis, and Treatment Options
Understanding Arm Numbness: Causes and Rehabilitation Insights
Numbness and tingling in the arm? About 8-9 years ago, I experienced pain in my left arm and numbness in my left fingers, which led to an MRI examination. The report indicated disc compression at the C3-4-5-6 levels. I subsequently underwent rehabilitation therapy and recovered a...
Dr. Lin Ruixiang reply Rehabilitation
Hello: Based on your description, your symptoms range from subclinical to clinical (intermittent), which we categorize as minor symptoms. If the symptoms persist, we will start with physical therapy and monitor the subsequent response. However, it is concerning that the affected ...[Read More] Understanding Arm Numbness: Causes and Rehabilitation Insights
Addressing Knee Deformities: Rehabilitation Options for Your Loved One
Knee problems My mother-in-law's knees are deformed, with both knees angling outward. What should I do? Which specialist should I take her to see? Thank you.
Dr. Lin Ruixiang reply Rehabilitation
Hello, Winnie: You can schedule an appointment with orthopedics for further evaluation. Hualien Hospital, Ministry of Health and Welfare, cares about your health.[Read More] Addressing Knee Deformities: Rehabilitation Options for Your Loved One
Understanding Lumbar and Cervical Spine Issues: Symptoms and Concerns
Lumbar and cervical spine issues? About ten years ago, an MRI diagnosed me with cervical disc herniation causing compression, which resulted in pain in my left upper arm and forearm, along with numbness in my left fingers. After about a year of rehabilitation, my symptoms improve...
Dr. Lin Ruixiang reply Rehabilitation
Hello, based on your symptoms, they are consistent with nerve compression, which is supported by MRI and X-ray findings, aligning with both clinical and diagnostic criteria. It should still be considered as nerve compression. Additionally, your clinical symptoms do not resemble t...[Read More] Understanding Lumbar and Cervical Spine Issues: Symptoms and Concerns
Addressing Pain in the Clavicle and Tailbone: Rehabilitation Insights
Issues with the muscles on the right side of the coccyx and below the clavicle? Hello Doctor, I have two issues that have been bothering me for a long time. I visited a physical therapist in mid-July and saw an orthopedic doctor last week, but the problems remain unresolved. Th...
Dr. Lin Ruixiang reply Rehabilitation
Hello, based on your description, your symptoms are very similar to anterior humeral translation. Performing these stretching exercises is generally appropriate and should not pose any issues. Additionally, for the clavicle pain, it is important to consider the possibility of sub...[Read More] Addressing Pain in the Clavicle and Tailbone: Rehabilitation Insights
Persistent Left Arm Pain: Seeking Treatment Options for Recovery
Left arm pain? Hello, Doctor: At the beginning of the year, I woke up one day with pain in my left arm. I usually sleep on my side (but I do switch sides), so I thought it was due to pressure from sleeping and didn't pay much attention to it. Later, I found that I couldn...
Dr. Lin Ruixiang reply Rehabilitation
Hello Tan: This issue is a bit complex. The structure of the shoulder includes the scapula, clavicle, humerus, and their associated muscular structures, which require careful evaluation. In terms of incidence, shoulder impingement syndrome should be the primary consideration, and...[Read More] Persistent Left Arm Pain: Seeking Treatment Options for Recovery
Chronic Neck and Shoulder Pain: When to Seek Specialized Care?
Neck and shoulder pain for several months? Hello Doctor, I have been experiencing pain in my right shoulder that prevents me from raising my arm. I visited a rehabilitation clinic, and the doctor diagnosed it as a rotator cuff strain. After rehabilitation, my condition improved, ...
Dr. Lin Ruixiang reply Rehabilitation
Hello Lucy035: Based on your description, it appears to be nerve root compression. If rehabilitation treatment is ineffective and the pain is unbearable, it is recommended to go to a major hospital for further examination. Additionally, for neck pain, if treatment with three diff...[Read More] Chronic Neck and Shoulder Pain: When to Seek Specialized Care?
Managing Knee Osteoarthritis and Disc Herniation: Tips for Relief and Rehabilitation
Knee osteoarthritis and intervertebral disc herniation? Hello Doctor: I have been experiencing discomfort in my knees, so I visited an orthopedic clinic. After an X-ray, the doctor informed me that I have early-stage osteoarthritis in both knees. I was prescribed pain relief and ...
Dr. Lin Ruixiang reply Rehabilitation
Hello Ms. Chen: Based on your description, placing something under your knees is not a major issue, as it can simultaneously alleviate lower back pain and knee pain. The main principle is that both the lower back and knees should not be suspended in the air; in this position, the...[Read More] Managing Knee Osteoarthritis and Disc Herniation: Tips for Relief and Rehabilitation
Understanding Shoulder Pain in Runners: Causes and Solutions
Shoulder joint pain while running? Hello, Director: I run about 4 to 5 times a week in the mornings, covering approximately 15 kilometers each time, and sometimes I participate in full marathon races. Over the past one to two years, I often experience soreness in my left shoulder...
Dr. Lin Ruixiang reply Rehabilitation
Hello, Kochien: This is indeed a significant question. It can be simply divided into two parts: local issues and kinetic chain issues. From a local perspective, most problems arise when the center of gravity of the head is too far in front of the body's center of gravity, le...[Read More] Understanding Shoulder Pain in Runners: Causes and Solutions
Understanding Upper Back Pain and Neck Stiffness: Causes and Treatments
Shoulder and neck pain? Hello Dr. Lin, my current symptoms include soreness in the upper back and stiffness and pain in the shoulders and neck that extend to the upper arms. These symptoms only occur when I am standing; they do not appear when I am lying down. I am currently unde...
Dr. Lin Ruixiang reply Rehabilitation
Hello Alen: Based on your description, it appears to be a posture-related issue. According to the theory of fascial lines, this falls under the deep back arm line. In principle, treatment and diagnosis should start with the fascia to keep it as simple as possible. If further exam...[Read More] Understanding Upper Back Pain and Neck Stiffness: Causes and Treatments
Understanding Finger Numbness and Shoulder Pain: A Guide to Rehabilitation
Numbness and pain in the fingers? Hello, doctor. Recently, I've been experiencing numbness in my fingers and shoulder pain. I've been undergoing rehabilitation for two weeks, but I haven't felt any improvement. I recently had an MRI done at the neurology department...
Dr. Lin Ruixiang reply Rehabilitation
Hello Jayen288: 1. It is essential to return for a follow-up appointment. An MRI is only a diagnostic tool; outpatient visits are necessary to discuss clinical treatment, which needs to be adjusted based on symptom changes and other examinations. 2. There is a presence of her...[Read More] Understanding Finger Numbness and Shoulder Pain: A Guide to Rehabilitation
Understanding Trigger Finger: Post-Steroid Injection Pain and Recovery
Trigger finger Hello, doctor. I visited the orthopedic outpatient clinic on April 21, and the doctor diagnosed me with trigger finger. I received a steroid injection around 8 PM, but immediately after the injection, I experienced swelling and pain. It is now 3 AM, and I am still ...
Dr. Lin Ruixiang reply Rehabilitation
Hello, regarding steroid injections, about 2%-5% of patients may experience increased pain. The reasons include: 1. Crystallization of the steroid, and 2. Additives in the anesthetic can cause inflammatory reactions. The usual management is to apply cold compresses, and improveme...[Read More] Understanding Trigger Finger: Post-Steroid Injection Pain and Recovery
Understanding Upper Abdominal and Back Pain: Causes and Treatment Options
Pain in the upper abdomen and back? Hello Doctor: I previously performed reverse crunches and pull-ups, and as a result, I have been experiencing soreness near my left upper abdomen close to the ribs (it seems to be in the area between the external oblique and rectus abdominis ac...
Dr. Lin Ruixiang reply Rehabilitation
Hello, Xiao Fu: Based on the pain process you described (X-ray, timeline), oral medications and electrical therapy should be the simplest and quickest options. If these are ineffective, further treatment will be necessary. This can be divided into two levels: local symptom manage...[Read More] Understanding Upper Abdominal and Back Pain: Causes and Treatment Options
Understanding Lower Back Pain from Poor Posture: When to Seek Rehab
Poor posture while sitting can lead to back pain? Hello, doctor. About two months ago, I experienced significant pain in my lower back, which I suspect was due to poor posture (though I'm not entirely sure of the exact cause). It even became difficult for me to bend over, an...
Dr. Lin Ruixiang reply Rehabilitation
Hello, based on your description, the force of the injury does not seem to be significant. If your pain boundaries are difficult to define and span several nerve roots, dura pain should be considered first. Generally, taking pain relievers combined with wearing a lumbar support w...[Read More] Understanding Lower Back Pain from Poor Posture: When to Seek Rehab
Managing Post-Work Pain: Safe Exercise Tips for Seniors
Post-work-related sequelae leading to exercise discomfort? Hello, Doctor. I previously had to bend and squat for long periods due to work, which has led to frequent pain in my knees and lower back. After recently retiring, I followed my son's advice that I should exercise mo...
Dr. Lin Ruixiang reply Rehabilitation
Hello Ms. Wu: For individuals who do not exercise regularly, it typically requires a preparation period of about six months to resume physical activity. Given your lifestyle, there is a high possibility of lower cross syndrome. You can search online for related exercises and star...[Read More] Managing Post-Work Pain: Safe Exercise Tips for Seniors