Understanding Parkinson's Disease: Symptoms, Diagnosis, and Treatment Options
Parkinson's disease Hello Doctor: I have an elderly relative whose hands are constantly trembling, and there seems to be some muscle atrophy. The middle finger, ring finger, and little finger are also unable to move independently. Could this be Parkinson's disease? If s...
Dr. Pan Yingda reply Rehabilitation
Common symptoms of Parkinson's disease include a masked face (expressionless face), generalized rigidity, difficulty initiating movement, shuffling gait, propulsive gait, and tremors. Therefore, it is difficult to diagnose Parkinson's disease based solely on the presenc...[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Treatment Options
Understanding Chronic Lower Back Pain: Causes and Management Strategies
Lower lumbar spine pain? The pain sensation is not quite like typical muscle soreness; there is a specific angle at which exertion causes a particular point to be especially tender, and the soreness radiates to the lumbar and lower back regions. This phenomenon has persisted for ...
Dr. Pan Yingda reply Rehabilitation
It is likely still a muscle issue, specifically involving a particular muscle. If the assessment is correct, acupuncture or injection of the trigger point in that muscle should yield good results. Additionally, it is important to correct exercise and movement posture to prevent r...[Read More] Understanding Chronic Lower Back Pain: Causes and Management Strategies
Can Rehabilitation Correct Bow Legs? Age Impact on Treatment Duration
bow legs I have bow legs due to genetic factors, so I would like to ask if it is possible to correct them through rehabilitation methods, and whether age will affect the duration of the correction process. Thank you.
Dr. Pan Yingda reply Rehabilitation
This is probably quite difficult, and there aren't many good methods (perhaps my personal knowledge is limited). If there are no symptoms, don't worry too much about it. Would you be willing to undergo surgery for cosmetic reasons? Personally, I do not recommend it.[Read More] Can Rehabilitation Correct Bow Legs? Age Impact on Treatment Duration
Understanding Pain and Discomfort Near the Spine and Tailbone
Pain, tingling, or inflammation may occasionally occur near the spine close to the buttocks? Hello Dr. Kang, I am 25 years old and have been experiencing pain, tingling, or inflammation in my lower back near the sacrum for the past two to three years. The frequency of the pain ...
Dr. Pan Yingda reply Rehabilitation
Based on your description, I suspect it may be an issue with the sacroiliac (SI) joint (the area you referred to as the two bones in the upper buttocks). If the pain is worst upon waking and improves with movement, it could indicate inflammation of the sacroiliac joint, and you s...[Read More] Understanding Pain and Discomfort Near the Spine and Tailbone
Understanding Foot Arch Pain: Causes and Rehabilitation Strategies
The fascia on the sole of my foot is painful..? This has been happening for a long time, and it usually occurs more frequently in winter. There is a point at the apex of the arch on the sole of my foot where the tendon feels like it is about to tear. After walking a short distanc...
Dr. Pan Yingda reply Rehabilitation
People often ask about the effects of flat feet, and your current issue is probably the most common one! Do you have flat feet? Here are two methods: 1. Stretching, including the calves; while sitting, keep your knees straight, lean your body forward, and gently pull your toes wi...[Read More] Understanding Foot Arch Pain: Causes and Rehabilitation Strategies
Managing Scoliosis: Tips for Daily Life and Pain Relief
Scoliosis Hello Dr. Kang: About a month ago, I was diagnosed with scoliosis at the Veterans General Hospital, with a curvature of approximately 10 degrees. Generally, I feel fine, but I experience severe pain in my neck and shoulders every morning upon waking. I have not been abl...
Dr. Pan Yingda reply Rehabilitation
A spinal curvature of 10 degrees is unlikely to have any adverse effects, especially if it is functional scoliosis (caused by posture or habits). If you feel particularly uncomfortable in the morning, pay attention to your mattress and pillow (especially the height). Maintaining ...[Read More] Managing Scoliosis: Tips for Daily Life and Pain Relief
Chronic Pain and Inflammation: Understanding Shoulder and Neck Issues
Inflammation Hello, doctor... I would like to ask a few questions... My shoulders and neck have been sore for many years (I can't even count), and my arms down to my fingers often feel numb and occasionally twitch lightly. I struggle to exert strength, and the pain on both s...
Dr. Pan Yingda reply Rehabilitation
I personally believe it is a cervical spine issue, possibly related to your injury, and likely less connected to your fractured arm. Testing the tendon reflexes (like how doctors tap the patient's knee on TV...) can indicate if there is an increase in reflexes, which may sug...[Read More] Chronic Pain and Inflammation: Understanding Shoulder and Neck Issues
Understanding the Risks of Neck Surgery: What You Need to Know
What is the level of risk? Dr. Kang: After undergoing an MRI, it has been confirmed that the intervertebral discs at my sixth and seventh cervical vertebrae are compressing the nerves. The rehabilitation specialist has advised me twice to consider surgical treatment from a neuros...
Dr. Pan Yingda reply Rehabilitation
If a herniated disc is confirmed and the symptoms have not lasted long (no more than six months), surgery may be quite effective. Our concern is not the risks of surgery (which are minimal with current techniques), but rather the fear of undergoing surgery without improvement. If...[Read More] Understanding the Risks of Neck Surgery: What You Need to Know
When to See a Rehabilitation Specialist vs. an Orthopedic Doctor?
When should you see a rehabilitation specialist? When should you see a rehabilitation specialist? When should you see an orthopedic specialist?
Dr. Pan Yingda reply Rehabilitation
When you don't want to undergo surgery, you can consult a rehabilitation specialist, who can be considered an orthopedic specialist from a certain perspective.[Read More] When to See a Rehabilitation Specialist vs. an Orthopedic Doctor?
Managing Bone Spurs: Treatment and Care for Lower Back Pain
Bone spur My father is nearly 60 years old and has recently complained of lower back pain. After seeing a doctor, he was diagnosed with mild bone spurs. Can this be treated? What kind of care should he follow? Thank you.
Dr. Pan Yingda reply Rehabilitation
*Bone spurs are quite common, especially among older individuals (similar to gray hair and wrinkles), but they do not necessarily cause discomfort. If they are not severe, they can be managed (bone spurs won't disappear, but the pain may improve). It's important to pay ...[Read More] Managing Bone Spurs: Treatment and Care for Lower Back Pain
Understanding Lower Back Pain: Causes, Treatments, and Prevention Tips
Low back pain Hello Dr. Kang, I usually have a habit of exercising, and bending over is not an issue for me. I often swim in the summer without any problems. However, two months ago, after swimming the butterfly stroke, I seemed to have strained my lower back. In the following d...
Dr. Pan Yingda reply Rehabilitation
It really seems like a herniated disc. First, to answer your questions: 1. Prolonged use of a lumbar support can lead to stiffness in the lumbar spine and weakness in the back muscles, making it harder to tolerate prolonged sitting or standing; therefore, it should not be used fo...[Read More] Understanding Lower Back Pain: Causes, Treatments, and Prevention Tips
Understanding the Psychological and Behavioral Traits of Cerebral Palsy
Psychological, Behavioral, and Learning Characteristics of Cerebral Palsy I would like to ask for your guidance.
Dr. Pan Yingda reply Rehabilitation
This is a significant question, and there are specialized books available for reference. You can search online or consult a teacher (I apologize, as this is not my area of expertise).[Read More] Understanding the Psychological and Behavioral Traits of Cerebral Palsy
Understanding Muscle Pain in the Upper Right Arm: Causes and Solutions
Muscle soreness The upper half of the right hand, including both the dorsal and palmar surfaces, experiences soreness due to work-related activities (manual screen printing). Please help me with a diagnosis. Thank you.
Dr. Pan Yingda reply Rehabilitation
Adjust your work posture and methods to align with ergonomics, which means using the most relaxed, least strenuous, and most efficient way. In addition to muscle issues, pay attention to the cervical spine (C4-C6). It cannot be overstated how important proper posture is. Take car...[Read More] Understanding Muscle Pain in the Upper Right Arm: Causes and Solutions
Understanding Flat Feet: Impact on Movement and Exercise
Flatfoot I would like to ask what kinds of obstacles flat feet present in sports or how they affect general mobility. I often experience bruising and pain in my toes while exercising; could this be related to my flat feet? Additionally, is it true that individuals with flat feet ...
Dr. Pan Yingda reply Rehabilitation
*Basically, flat feet do not cause movement disorders (some athletes also have flat feet). *During exercise, there may be bruising and pain in the toes, which is more related to the shoes and exercise technique (force concentrated on certain points). *As for whether one should en...[Read More] Understanding Flat Feet: Impact on Movement and Exercise
Post-Surgery Rehabilitation: Essential Exercises for Disc Herniation Recovery
Is rehabilitation necessary after surgery? Hello Dr. Kang: I am a patient with a herniated disc. After unsuccessful conservative treatment, I underwent surgery in May of this year, and the soreness, numbness, and pain have decreased postoperatively. Since I work in education, sta...
Dr. Pan Yingda reply Rehabilitation
**Absolutely necessary.** Correct posture is important, but very few people can achieve it. Generally, individuals tend to have an anterior pelvic tilt, causing the upper body to lean backward (especially when holding a child, this posture is easily adopted). If your English is s...[Read More] Post-Surgery Rehabilitation: Essential Exercises for Disc Herniation Recovery
Best Hospitals for Treating Flatfoot Deformity in Tainan
Flatfoot with valgus deformity My mother is 51 years old and has been experiencing pain in her left foot. After visiting several hospitals, the doctors suspected she has flatfoot with valgus. They recommended seeking treatment at another hospital. We have visited multiple hospita...
Dr. Pan Yingda reply Rehabilitation
Nearby Tainan, there are National Cheng Kung University and Chi Mei Medical Center! You can try using insoles to support the arch of your foot (if it is indeed flatfoot with eversion).[Read More] Best Hospitals for Treating Flatfoot Deformity in Tainan
Understanding Foot Swelling: When to See a Doctor for Pain Relief
My foot is swollen! Hello! I am a 39-year-old female, married, with no children. I am 165 cm tall and weigh 52 kg, working full-time as a secretary. I usually exercise 2 to 3 times a week at the gym with "non-strenuous" activities. About three weeks ago, I started exper...
Dr. Pan Yingda reply Rehabilitation
I just saw your question; I hope your issue has been resolved. Let's clarify a few things: 1. Are you injured? 2. Is the swelling severe or is the pain more intense? Based on your description, it seems that "swelling" is the primary concern, which could be approach...[Read More] Understanding Foot Swelling: When to See a Doctor for Pain Relief
Understanding Shoulder Pain: Causes, Symptoms, and Relief Strategies
Shoulder pain? Hello, Dr. Pan! After noon one day, I noticed that the muscles in both shoulders became stiff and gradually started to ache. This continued until around 10:00 PM, after which I took a shower and felt somewhat relieved. I also applied a topical ointment called "...
Dr. Pan Yingda reply Rehabilitation
"Redness, swelling, heat, and pain" are signs of inflammation. If there has been no exercise or heavy lifting, and both shoulders are affected, it is difficult to determine if it is "tendinitis." Bilateral shoulder involvement is commonly seen after exercise, ...[Read More] Understanding Shoulder Pain: Causes, Symptoms, and Relief Strategies
Can You Use Heat Therapy for Fractures? Risks and Alternatives Explained
Fracture Is it true that fractures should not be treated with heat? Can infrared therapy be used? Are there any potential side effects? Thank you.
Dr. Pan Yingda reply Rehabilitation
*Pay attention to the timing; when there is redness, swelling, heat, and pain, it is not advisable to apply heat (ice packs should be used to suppress the inflammatory response). Afterward, heat can be applied, but it should not be too hot. Theoretically, a temperature of 43 degr...[Read More] Can You Use Heat Therapy for Fractures? Risks and Alternatives Explained
Understanding Trigger Finger: Causes, Treatment, and Rehabilitation Tips
Trigger point Your friend's fingers make a cracking sound, which is often referred to as "crepitus." When he visited a traditional Chinese medicine doctor, he was told it is due to "trigger finger." Trigger finger occurs when the tendons in the fingers be...
Dr. Pan Yingda reply Rehabilitation
*Not sure where this popping sound is coming from? If it's from the joints, it's commonly the sound of tendons or cartilage rubbing against each other, rather than trigger finger. If it is trigger finger, it typically gets stuck when bending or straightening the finger,...[Read More] Understanding Trigger Finger: Causes, Treatment, and Rehabilitation Tips