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Effective Exercises for Lumbar Spinal Stenosis and Sciatica Relief

What exercises should be performed if the fifth lumbar vertebra is causing narrowing and compression of the sciatic nerve? Hello, I have been experiencing aching and cramping pain in my left leg for the past six months, occasionally accompanied by numbness and swelling. I recentl...


Dr. Pan Yingda reply Rehabilitation
Due to Dr. Pan's departure, he is unable to respond. Please consult with another physician. We apologize for any inconvenience this may cause. Ministry of Health and Welfare Taitung Hospital cares about you.

[Read More] Effective Exercises for Lumbar Spinal Stenosis and Sciatica Relief


Understanding Myofascial Pain: Insights on Neck and Shoulder Issues

Cervical shoulder myofascial pain syndrome Hello, doctor. For many years, I have been experiencing frequent soreness in my left shoulder and neck (mainly the neck), which I believe is due to poor posture and long hours of computer work. I feel sore almost every day. During a coup...


Dr. Pan Yingda reply Rehabilitation
I apologize for missing your question! The issues you described (fibrous nodules, head tilt) are mostly effects rather than causes! Even surgery cannot resolve the underlying problem; you are still young, and if the root issue is not addressed, you may face significant troubles i...

[Read More] Understanding Myofascial Pain: Insights on Neck and Shoulder Issues


Can People with O-Legs Practice Tai Chi Safely?

Are individuals with bow legs or those who have an outward knee alignment suitable for practicing Tai Chi? Hello, I have noticed that when my toes are pointed forward, my knees naturally tilt inward instead of aligning with my toes. There is a noticeable bony prominence on the ou...


Dr. Pan Yingda reply Rehabilitation
Practicing Tai Chi is perfectly fine! It's correct to align your knees with your toes! As long as you pay attention to these key points while practicing, your muscles will gradually loosen up naturally; if you find it difficult, focus on your waist and hips! You're stil...

[Read More] Can People with O-Legs Practice Tai Chi Safely?


Understanding Chronic Lower Right Back Pain: Causes and Treatment Options

Right lower back pain? 1. I am 175 cm tall and weigh 76 kg. I have been experiencing deep muscle pain in my lower right back for over six months, which sometimes radiates to my right buttock. 2. During this time, I have consulted with both Western and traditional Chinese medicin...


Dr. Pan Yingda reply Rehabilitation
Without seeing the patient, it is impossible to make a judgment.

[Read More] Understanding Chronic Lower Right Back Pain: Causes and Treatment Options


Persistent Pain After Frog Swimming: Is It a Permanent Injury?

A 16-year-old has been experiencing a sports injury from frog swimming since March, and it has not yet healed? Hello, in March, while swimming the frog stroke, I suddenly experienced severe pain at the junction of the inner thighs and the bottom of the scrotum. I felt it was a st...


Dr. Pan Yingda reply Rehabilitation
I apologize for the delay in responding due to issues with the communication system! Your description is quite unusual; it sounds like a muscle strain. The symptoms you mentioned, such as the frog position and the pain points, clearly indicate a strain of the adductor muscle grou...

[Read More] Persistent Pain After Frog Swimming: Is It a Permanent Injury?


Ultrasound and Interferential Therapy for Tennis Elbow: Frequency and Safety

Ultrasound and interferential current therapy frequency? Hello, Dr. Pan. I would like to ask about the use of ultrasound and interferential current therapy for tennis elbow. Is it possible to perform these treatments daily or even twice a day? Are there any side effects associate...


Dr. Pan Yingda reply Rehabilitation
To assess the actual situation, each individual varies.

[Read More] Ultrasound and Interferential Therapy for Tennis Elbow: Frequency and Safety


Why Is My Ankle Swelling Again After Rehabilitation?

Ligament injury rehabilitation but swelling occurs! Hello Doctor: Three weeks ago, I sprained my ankle while playing badminton. I visited three hospitals for examination, and the results showed no fractures, but rather a ligament injury. During the first week, there was significa...


Dr. Pan Yingda reply Rehabilitation
It's difficult for me to answer this question because I haven't seen your situation and I'm not aware of how their rehabilitation is being conducted. However, one thing is certain: you can stop taking the medication! Generally, if a sprain hasn't healed after ...

[Read More] Why Is My Ankle Swelling Again After Rehabilitation?


Effective Recovery Tips for Inner Thigh Strain in Athletes

Pain in the inner thigh muscles? I am on the track and field team, and last week during practice, it seems I strained the muscles on the inner side of my thigh. It has been a week, and it still hurts. I would like to ask if there are any methods to help it heal faster. Thank you!


Dr. Pan Yingda reply Rehabilitation
For a general muscle strain, it is recommended to apply heat, massage, and perform stretching exercises. If you have done all these and it hasn't improved after another week, you should consult a rehabilitation physician nearby. Wishing you a speedy recovery!

[Read More] Effective Recovery Tips for Inner Thigh Strain in Athletes


Rehabilitation After Elbow Dislocation: Key Questions Answered

Elbow dislocation Hello, doctor. Thank you for taking the time to answer my question amidst your busy schedule. I am asking on behalf of my friend, who dislocated his elbow while playing basketball by landing on his hand. He went to the emergency room, and the doctor was able to ...


Dr. Pan Yingda reply Rehabilitation
1. You can start now! Generally, the earlier you begin, the better, but be extra cautious! It's already been a month, which is a bit late, so hurry up and get started! 2. Yes, try to stay active; in addition to the elbows, pay attention to the shoulders and wrists as well....

[Read More] Rehabilitation After Elbow Dislocation: Key Questions Answered


Unexplained Lower Back Pain: Causes and Rehabilitation Insights

The reason for the symptoms? Unexplained pain on both sides of the lower back—there was no intense exercise or strain. Initially, when sitting, there was a feeling of pressure and discomfort in the lower back on both sides, which persisted for three days. After that, the pain in ...


Dr. Pan Yingda reply Rehabilitation
Based on the symptoms you described, it is likely due to chronic fatigue of the back muscles. This is commonly seen with poor posture or prolonged periods of time spent reading, watching television, or using a computer, which can lead to muscle stiffness and spasms resulting in p...

[Read More] Unexplained Lower Back Pain: Causes and Rehabilitation Insights


Strengthening Your Lower Back: Tips to Alleviate Muscle Soreness

Lower back muscle soreness? Hello Doctor: I have noticed that recently, after exercising, my lower back becomes very sore. Even while washing dishes, I experience significant soreness, similar to the soreness I feel after running 1500 meters. I don't often run 1500 meters, b...


Dr. Pan Yingda reply Rehabilitation
Based on your description, it seems that there is insufficient strength in your lower back. My recommendations are to strengthen: 1. Core muscle strength 2. Lumbar and abdominal muscle strength 3. Flexibility 4. Posture. All of these require in-person guidance, as it's diffi...

[Read More] Strengthening Your Lower Back: Tips to Alleviate Muscle Soreness


Discomfort in Left Leg When Fully Extended: Possible Causes and Solutions

There is discomfort when extending the left leg? Hello Dr. Pan: Recently, I've been experiencing some discomfort in my left leg when I stretch it out straight, but it's not exactly pain (I'm not quite sure). I suspect it might be related to playing basketball more ...


Dr. Pan Yingda reply Rehabilitation
Generally, tight muscles are related to recent physical activity. The best approach is to stretch the muscles, perform warm-up exercises before working out, and remember to cool down after exercising! If there is no improvement within a week, it's advisable to see a doctor.

[Read More] Discomfort in Left Leg When Fully Extended: Possible Causes and Solutions


Home Rehabilitation Tips for Pelvic Injury Recovery After Years

Pelvic fracture Hello Dr. Pan, I would like to ask a question. I have a friend who suffered a severe injury while skiing at the age of 23/24. However, since he did not feel any abnormalities afterward, he neglected it. Now, nearly 40 years old, he has noticed that after walking f...


Dr. Pan Yingda reply Rehabilitation
I feel a contradiction: a severe fall, but afterwards, I didn't feel any abnormalities. If I were truly injured, there would be some signs; since there are no signs, there is naturally no need for special treatment! (What would there be to treat?) There is a saying in Japan:...

[Read More] Home Rehabilitation Tips for Pelvic Injury Recovery After Years


Understanding Fitness Assessment: Key Components and Guidelines for Children

Physical fitness Dear Sir/Madam, I would like to inquire whether the components of physical fitness are fixed at four items. Can other physical performance tests be included in the assessment? How can normative data be obtained? (It seems to start from age 7.) What physical fitn...


Dr. Pan Yingda reply Physical Fitness
The four components you mentioned are: Body Mass Index (BMI), muscular strength and endurance, flexibility, and cardiorespiratory fitness, right? Currently, the definition of physical fitness encompasses these four aspects. The first component is quite fixed and undisputed; howev...

[Read More] Understanding Fitness Assessment: Key Components and Guidelines for Children


Choosing the Right Knee Brace for Post-Fracture Recovery: A Guide

Knee brace selection Hello Doctor: I was in a car accident in January of this year, which resulted in a fracture of my left tibia near the knee. Since the injury was between being operable or being treated with a cast, I chose the cast option to allow for natural healing. It has ...


Dr. Pan Yingda reply Rehabilitation
I apologize for the delay in responding due to my vacation! Essentially, you are still young, so you should not have issues with poor bone healing! The soreness you are currently experiencing is often not due to the bones but rather the surrounding soft tissues! Especially after ...

[Read More] Choosing the Right Knee Brace for Post-Fracture Recovery: A Guide


Correcting Uneven Shoe Wear to Prevent Foot and Spine Issues

The shoes are tilted to one side while walking? Hello, I have a question: When shoes are worn for a long time, the heel part tends to wear down unevenly, with a difference of up to one centimeter. Over time, I feel discomfort in my feet, and even when standing normally, my feet u...


Dr. Pan Yingda reply Rehabilitation
It is generally not related to scoliosis! Correction mainly relies on adjusting the distribution of weight while standing, which must be done by oneself; it is unlikely to be improved by others or tools. This phenomenon is quite common and should not be overly concerning!

[Read More] Correcting Uneven Shoe Wear to Prevent Foot and Spine Issues


Latest ACSM Guidelines for Adult Physical Activity Recommendations

The latest recommendations for adult physical activity published by the ACSM (American College of Sports Medicine) suggest that adults should engage in at least 150 minutes of moderate-intensity aerobic exercise or 75 minutes of vigorous-intensity aerobic exercise each week, comb...


Dr. Pan Yingda reply Physical Fitness
Hello! I don't have that information on hand! I'm not sure which year the latest version was published; the ones we've seen or referenced are from 1990 and 1995. I suggest you search online! The principle is to accumulate at least 30 minutes of moderate-intensity e...

[Read More] Latest ACSM Guidelines for Adult Physical Activity Recommendations


Can You Stretch and Strengthen Core Muscles with Sciatica Pain?

Is it advisable to perform stretching exercises to strengthen the abdominal and back muscles during sciatica? Is it advisable to perform stretching or yoga exercises to strengthen the abdominal and back muscles during sciatica? If pain occurs while doing these exercises, should o...


Dr. Pan Yingda reply Rehabilitation
1. Can I perform strengthening exercises for the abdominal and back muscles or yoga poses when experiencing sciatica? Yes, but you need to know how to do them properly; otherwise, it may worsen the condition. Some movements are permissible, while others are not! Sciatica has many...

[Read More] Can You Stretch and Strengthen Core Muscles with Sciatica Pain?


Chronic Lower Back and Leg Pain: Understanding Causes and Treatment Options

Chronic low back and leg pain? The patient is a 46-year-old male. 1. Initially, he experienced lower back pain, which later extended to his thigh. The pain is localized to a specific point on the right side of the lower back and involves the entire posterior muscle of the right l...


Dr. Pan Yingda reply Rehabilitation
1. Can tendonitis cause pain for such a long time? It's possible! However, I don't think it resembles tendonitis! If bending forward is more uncomfortable, I suspect it might be a herniated disc! 2. The most likely reason is that his condition is worsening! Injections ...

[Read More] Chronic Lower Back and Leg Pain: Understanding Causes and Treatment Options


How to Safely Improve Flexibility for Beginners

How to train flexibility? If you don't exercise regularly and have noticed that you can touch your knees while bending over, and you want to start training on your own, it's important to proceed cautiously to avoid any potential spinal injuries. Here are some steps to h...


Dr. Pan Yingda reply Physical Fitness
If it were up to me, I would suggest: don't focus on "training" yourself just yet; the term "training" seems to carry a sense of compulsion that can easily lead to hesitation and potential injury! Instead, I believe it's better to start exercising an...

[Read More] How to Safely Improve Flexibility for Beginners


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