Dr. Pan Yingda reply Rehabilitation Question - Page 3

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Fitness Assessment Strategies for Stroke Patients with Limited Mobility

Physical fitness in stroke patients? Hello Dr. Pan, I am currently working at an organization for individuals with disabilities. The current fitness assessments are primarily designed for ages 6-65. How should we conduct assessments for stroke patients who can only move one side ...


Dr. Pan Yingda reply Physical Fitness
Fitness assessments are primarily designed for healthy populations. Initially, they were created for large-scale research, selecting simple evaluation items to facilitate data collection for statistical analysis. However, these tests do not accurately reflect an individual's...

[Read More] Fitness Assessment Strategies for Stroke Patients with Limited Mobility


Understanding Weakness in Hands and Feet: When to See a Specialist

Weakness in the limbs? My uncle has recently developed a strange illness with weakness in his fingers and toes. What could be the issue? Which specialty should he see?


Dr. Pan Yingda reply Rehabilitation
I cannot determine the specific issue your uncle is facing based on this description. I recommend starting with a consultation in either the Rehabilitation Medicine or Neurology department.

[Read More] Understanding Weakness in Hands and Feet: When to See a Specialist


Understanding Leg Numbness: Causes and When to Seek Help

Whether sitting or standing, the calves often experience numbness? The individual usually has a habit of playing tennis and walking for exercise, but since the beginning of this year, they have occasionally experienced a tingling sensation in the right calf. Initially, this sensa...


Dr. Pan Yingda reply Rehabilitation
I usually exercise, but my right calf feels numb whether I'm standing or sitting, and it's getting worse. Based on your description alone, I cannot determine the exact issue. It could be related to lumbar nerve issues, peripheral nerve problems, or even calf muscle issu...

[Read More] Understanding Leg Numbness: Causes and When to Seek Help


Can Physical Therapy Alone Manage Ankylosing Spondylitis Symptoms?

Ankylosing Spondylitis The doctor diagnosed ankylosing spondylitis and prescribed some steroids and pain relief medication, as well as recommended physical therapy. After a period of treatment, the pain has decreased. However, due to concerns about the long-term side effects of m...


Dr. Pan Yingda reply Rehabilitation
Yes, but rehabilitation is not just about heat therapy and electrical stimulation; the key aspect is performing the correct exercises. Some studies indicate that autoimmune issues may be related to macromolecular proteins, so it might be helpful to reduce the intake of dairy prod...

[Read More] Can Physical Therapy Alone Manage Ankylosing Spondylitis Symptoms?


Assessing Fitness: Understanding Your Results and Improving Endurance

I'm ready to assist you Non-smoker; exercises more than three times a week. Height: 151 cm, Weight: 42 kg, BMI: 18.42 (normal). Flexibility: 28 (good), Muscle strength: 35 (good), Cardiovascular endurance: 28.13 (poor) ------ (the above is the online assessment result) -----...


Dr. Pan Yingda reply Physical Fitness
What would you like to ask? For an 11-year-old boy, if he exercises three times a week, it might be beneficial to vary the activities to enhance cardiovascular fitness. This means engaging in exercises that elevate the heart rate and maintain that intensity for more than 30 minut...

[Read More] Assessing Fitness: Understanding Your Results and Improving Endurance


Best Aerobic Exercises for Parents Over 60 Beyond Walking

Aerobic exercise For parents around 60 years old, in addition to their regular morning walks, other suitable aerobic exercises include swimming, cycling, low-impact aerobics, and dancing. These activities are gentle on the joints while still providing cardiovascular benefits. It&...


Dr. Pan Yingda reply Rehabilitation
Aerobic exercise can sometimes be difficult to quantify. Essentially, I tell my patients to walk briskly, feel their heart rate increase, and sweat for a duration of 30 minutes. For a more precise measurement, they can monitor their heart rate. For a 60-year-old individual, when ...

[Read More] Best Aerobic Exercises for Parents Over 60 Beyond Walking


Should You Consider Rehabilitation After Tendon Surgery?

Should I undergo rehabilitation? My uncle was injured at work when a machine crushed his hand. The orthopedic surgeon diagnosed him with a tendon rupture. It has been four weeks since the surgery, but his left hand's middle finger and fourth and fifth fingers still do not mo...


Dr. Pan Yingda reply Rehabilitation
Rehabilitation is necessary for various reasons, and without proper examination, it can be difficult to determine the exact cause. It is advisable to promptly seek a qualified rehabilitation physician for assessment and treatment.

[Read More] Should You Consider Rehabilitation After Tendon Surgery?


Is the Definition of Obesity Too Strict? Rethinking BMI Standards

The definition of obesity seems to be too strict? The Department of Health defines the ideal BMI range as 18.5 to 24. A BMI greater than 27 is classified as obesity. However, why do you consider the standard for obesity to be around a BMI of 24?


Dr. Pan Yingda reply Physical Fitness
There is no specific reason; you could set it at 25, 26, or even 30. I feel that Taiwan's criteria are quite lenient. The WHO defines obesity as a BMI greater than 27, and the Asia-Pacific region once held a conference to set it at greater than 23. I don't understand wh...

[Read More] Is the Definition of Obesity Too Strict? Rethinking BMI Standards


Is Flatfoot the Real Cause of My Daughter's Walking Issues?

Is it really all caused by flat feet? My daughter is ten years old. When she was three, she couldn't walk well and would cry from foot pain after walking for a while. She often fell down, and her walking posture was strange. After undergoing various assessments in early inte...


Dr. Pan Yingda reply Rehabilitation
I apologize for the delay in responding due to the consecutive holidays. My child is in second grade. When he was in kindergarten, a rehabilitation department from a nearby hospital screened for flatfoot at his school, and my son was diagnosed with flat feet. His teacher, knowing...

[Read More] Is Flatfoot the Real Cause of My Daughter's Walking Issues?


Dealing with Finger Injuries: When to See a Specialist for Recovery

The finger was hit by a ball? Hello, doctor. Two months ago, I was hit on my little finger while playing basketball. I purchased a topical anti-inflammatory gel from the pharmacy, but it hasn't been effective. I then went to a traditional Chinese medicine clinic for a month,...


Dr. Pan Yingda reply Rehabilitation
Generally, a sprain takes about two weeks to heal, while a more severe one should heal within a month; two months is a bit long. Since you have already tried traditional Chinese medicine, I think it would be best to consult a rehabilitation specialist! (Orthopedics would likely o...

[Read More] Dealing with Finger Injuries: When to See a Specialist for Recovery


Do I Have Uneven Legs? Understanding Footwear Wear Patterns and Solutions

Do I have leg length discrepancy? Hello, thank you for taking the time to answer my question. My issue is that when I used to wear high heels, I noticed that the heel of my right shoe was worn down unevenly, slanting to the right, but I didn't think much of it. Recently, I&#...


Dr. Pan Yingda reply Rehabilitation
Hello, I apologize for missing your question. Your issue may not necessarily be due to leg length discrepancy, but it is certain that there is some imbalance between the two sides. Determining if you have a leg length discrepancy is simple; you can measure it with a tape measure....

[Read More] Do I Have Uneven Legs? Understanding Footwear Wear Patterns and Solutions


Understanding Lower Back Pain: Is It a Lumbar Injury?

Lower back pain? Recently, I have been experiencing frequent pain in the area below my back and above my buttocks. Sometimes, when I lie on my back while sleeping, I feel even more discomfort due to pressure. Additionally, when I sit up straight, it feels like there is pressure o...


Dr. Pan Yingda reply Rehabilitation
I apologize for missing your question. The most common cause of your issue is likely due to poor posture, and I believe it is not significantly related to your injury from two years ago (if it were, you would likely be experiencing ongoing pain rather than recent onset; even with...

[Read More] Understanding Lower Back Pain: Is It a Lumbar Injury?


Comparing Treadmill Walking and Outdoor Walking for Weight Loss

Brisk walking exercise 1. I would like to know if walking briskly on a treadmill for half an hour is as effective for weight loss as walking briskly on flat ground (such as a track)? 2. Which is more effective for weight loss: cycling on a stationary bike (like in a gym) or wal...


Dr. Pan Yingda reply Rehabilitation
Hello: "May I ask if I want to utilize....." So it's just in the planning stage and hasn't started yet? First, I would like to ask for your height and weight. What is your BMI and body fat percentage? If these are within the normal range, you should not focus ...

[Read More] Comparing Treadmill Walking and Outdoor Walking for Weight Loss


Understanding Flat Feet: Seeking Treatment and Specialist Recommendations

I might have a bit of flatfoot? Recently, I've been experiencing frequent numbness in my feet. When I previously visited a doctor for my ankle sprains, they mentioned that my feet are not suitable for exercise and that I have low arches. My left foot often rolls over, and ev...


Dr. Pan Yingda reply Rehabilitation
Hello, I suggest you see a rehabilitation specialist. Your issue is not significantly related to flat feet, as flat feet have likely been present since childhood. The main problem stems from not properly rehabilitating after an ankle sprain, which has led to subsequent issues. Th...

[Read More] Understanding Flat Feet: Seeking Treatment and Specialist Recommendations


Should You Wear Knee Braces During Rehabilitation? Expert Insights

Knee brace issues? Hello Dr. Pan: I previously purchased two knee braces. My condition is that I have undergone reconstruction of the posterior cruciate ligament and lateral collateral ligament in my right knee, and the surgery is complete. I am now preparing to start some muscle...


Dr. Pan Yingda reply Rehabilitation
Your considerations are correct. How long has it been since your surgery? Generally, after more than three months, the strength of the surgically repaired tissue should be adequate. Braces are designed to protect our injured or vulnerable tissues and provide support to muscles th...

[Read More] Should You Wear Knee Braces During Rehabilitation? Expert Insights


Understanding Abnormal Reflexes and Related Symptoms in Rehabilitation

Abnormality Hello, Director Pan. Continuing from the previous question, the reflexes in my upper and lower limbs are different in strength. The doctor said my hand reflexes are fine, but my knee reflexes are quite pronounced. Is this considered normal? However, he mentioned that ...


Dr. Pan Yingda reply Rehabilitation
How did you come to think of prostatitis? It's not common in young people! Is the "abnormal" condition you described only occurring after an injury? The evidence you mentioned seems rather weak. If the bones are fine, the chances of injuring the spinal cord are low...

[Read More] Understanding Abnormal Reflexes and Related Symptoms in Rehabilitation


Understanding Floating Sensation While Walking After Spinal Injury

There is a feeling of sinking while walking? Hello, Director Pan. I recently suffered a spinal injury from a fall, but there are no fractures. I've noticed a sensation of instability while walking, and my erections are not firm. The doctor also observed that the knee and ank...


Dr. Pan Yingda reply Rehabilitation
Basically, the diagnosis of spinal cord compression primarily relies on symptoms and physical examination. Evoked potentials and imaging studies serve only to confirm our previous hypotheses. The "floating sensation while walking" is a subjective feeling; I am not entir...

[Read More] Understanding Floating Sensation While Walking After Spinal Injury


Understanding MRI Results: What to Do When Symptoms Persist Despite a Negative Report

MRI Examination Report Hello, Director Pan. Recently, the doctor found that my reflexes in my hands and feet were abnormally strong, so I was scheduled for an MRI. The results came back negative, but the doctor mentioned that there might be slight compression on the C4 nerve root...


Dr. Pan Yingda reply Rehabilitation
First of all, congratulations on your normal MRI results, so you can rest assured that there are at least no "major" issues. Problems with the C1 to C4 nerve roots primarily manifest as pain and discomfort in the head and neck area, but since the MRI has been done, ther...

[Read More] Understanding MRI Results: What to Do When Symptoms Persist Despite a Negative Report


Exploring Treatment Options for Neck Pain: From MRI to Craniosacral Therapy

Wishing for good health? Hello, Director. Today I underwent electromyography and nerve conduction studies, and it was found that the C4 nerve root is slightly compressed. The doctor said it is not serious, but due to my neck muscle condition, I cannot undergo traction therapy. I ...


Dr. Pan Yingda reply Rehabilitation
I'm glad to hear that your issue has a preliminary solution. However, due to my neck muscle condition, I cannot use traction, which I don't understand. I believe there are considerations behind it; traction is merely a symptomatic treatment. It's important to pay a...

[Read More] Exploring Treatment Options for Neck Pain: From MRI to Craniosacral Therapy


Understanding Chronic Myofascial Pain: When Sleep Disrupts Your Life

If I don't get a full 8 hours of sleep, my back hurts so much that I can't sleep at all..? I started experiencing pain after running at the playground last Friday. After going to bed, I noticed that I would wake up in the middle of the night due to pain, and lying flat ...


Dr. Pan Yingda reply Rehabilitation
Sorry for the late response! I didn't check online to see if anyone had questions. Basically, "myofascial pain syndrome" does not typically present this way; I think it might be a slight postural strain. The most common area affected is the junction between the rib...

[Read More] Understanding Chronic Myofascial Pain: When Sleep Disrupts Your Life


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