Post-Surgery Muscle Weakness: Understanding Recovery After Spinal Surgery
Postoperative muscle weakness after spinal surgery? Hello Dr. Wang! I have rheumatoid arthritis and underwent lumbar spondylolisthesis surgery in July 2022, but it became loose. I had another surgery in February this year. I no longer experience nerve pain, but I still have soren...
Dr. Wang Zhaomin reply Rehabilitation
Post-operative soreness, weakness, and the need for assistive devices for walking may be influenced by the original condition, may result from soft tissue damage caused by the surgery, or may be due to a lack of rehabilitation treatment after the procedure. Each individual's...[Read More] Post-Surgery Muscle Weakness: Understanding Recovery After Spinal Surgery
Understanding Post-Injection Discomfort in Rehabilitation Therapy
Injection issues? Hello Doctor: Recently, I have been experiencing a sensation of catching or slight soreness in my right wrist when performing rotational movements (such as using a key to open a door) and when picking up objects. After consulting with a rehabilitation specialist...
Dr. Wang Zhaomin reply Rehabilitation
After injection therapy, there may be swelling and soreness. If there are no significant discomforts, rehabilitation treatment can be accepted. However, if there is no improvement after three to five days or if the condition worsens, you should seek medical attention to discuss a...[Read More] Understanding Post-Injection Discomfort in Rehabilitation Therapy
Understanding Cervical Disc Herniation: Rehabilitation and Recovery Tips
Herniated disc Doctor, will a cervical disc herniation not heal? I'm currently doing neck traction, but I'm unsure whether to go every day or every other day. Some say going every day is better for recovery, while others suggest every other day to allow the muscles to r...
Dr. Wang Zhaomin reply Rehabilitation
If there is no discomfort after traction, treatment can be administered more frequently (such as daily traction). As symptoms gradually improve, the interval between treatments can be extended. Once symptoms are completely resolved and the patient is in a stable condition, consid...[Read More] Understanding Cervical Disc Herniation: Rehabilitation and Recovery Tips
Understanding Sciatica and Piriformis Syndrome: Causes and Treatment Options
Weakness and pain in the legs? Hello, Doctor: In 2021, I was diagnosed with possible sciatica (only through X-ray). After continuous rehabilitation, I improved for a while, but occasionally my lower back would still feel sore, yet I could live normally. Before April 20, 2023, my ...
Dr. Wang Zhaomin reply Rehabilitation
Based on the description, it is possible that symptoms related to piriformis syndrome may not necessarily be triggered by prolonged sitting; rather, changing positions could potentially cause pain due to the strain on the affected areas. The severity and duration of the pain can ...[Read More] Understanding Sciatica and Piriformis Syndrome: Causes and Treatment Options
Understanding Sesamoiditis and Tendonitis: Treatment Options and Insights
Regarding osteochondritis and tendinitis? Hello, doctor. I know I have a slight issue with stability in my feet, as sometimes the inner side cannot grip the ground. After one deep squat session, I felt discomfort near the protruding bone under my left big toe. When I massage the ...
Dr. Wang Zhaomin reply Rehabilitation
Treatment for plantar inflammation typically includes oral medications, local injections, and rehabilitation therapy. Adequate rest and the selection of appropriate insoles and supportive devices are also important. At home, heat therapy, soaking in warm water, and strengthening ...[Read More] Understanding Sesamoiditis and Tendonitis: Treatment Options and Insights
Understanding ACL Injuries: Symptoms, Recovery, and Rehabilitation Tips
Cruciate ligament Hello, doctor. About two months ago, I felt my right knee shift during a jumping movement. After that, my legs felt weak and I couldn't stand up, but I didn't experience any pain at that time. I went to the emergency room and had a cast applied. After ...
Dr. Wang Zhaomin reply Rehabilitation
This is a consultation platform and cannot provide a diagnosis. External forces causing knee joint injuries may lead to muscle strains, meniscus injuries, and ligament or tendon damage. Please visit an orthopedic or rehabilitation specialist for an accurate diagnosis and appropri...[Read More] Understanding ACL Injuries: Symptoms, Recovery, and Rehabilitation Tips
Understanding Disc Herniation: Can McKenzie Exercises Help with Spinal Stenosis?
Herniated disc Hello, doctor. I previously had a herniated disc and completed rehabilitation, but recently I've started experiencing some numbness in my feet and discomfort in my lower back. I did some research and recalled the McKenzie exercises (disc repositioning) that th...
Dr. Wang Zhaomin reply Rehabilitation
L4/5 spinal stenosis and foraminal stenosis are not exactly the same, and each individual's condition varies, making it impossible to generalize. Please discuss your condition with your treating physician and choose an appropriate treatment plan along with an exercise regime...[Read More] Understanding Disc Herniation: Can McKenzie Exercises Help with Spinal Stenosis?
Understanding Straight Neck Syndrome: Treatment Options and Recovery
The cervical spine has lost its physiological curvature and has become straight? Is it okay to leave the straight cervical spine as described in the main text untreated, or is rehabilitation or even surgery necessary? Can the cervical spine return to its original curvature?
Dr. Wang Zhaomin reply Rehabilitation
It is important to avoid maintaining prolonged incorrect postures such as looking down while using a computer, studying, or playing on a mobile phone. Instead, one should maintain good posture by keeping the head up, chest out, and chin tucked. If discomfort persists, it is advis...[Read More] Understanding Straight Neck Syndrome: Treatment Options and Recovery
Managing Sacroiliac Joint Pain in Ankylosing Spondylitis During Weather Changes
What should be done for pain in the sacroiliac joint due to sudden weather changes in patients with ankylosing spondylitis? Hello Dr. Wang, I am a patient with ankylosing spondylitis (20 years old), and I have been experiencing symptoms for 3 years. Currently, under the care of a...
Dr. Wang Zhaomin reply Rehabilitation
Patients with ankylosing spondylitis may experience recurrent pain in the sacroiliac joints, which can currently only be managed with medication and rehabilitation therapy to alleviate pain. Related exercise training can also help reduce discomfort. It is recommended to adopt a c...[Read More] Managing Sacroiliac Joint Pain in Ankylosing Spondylitis During Weather Changes
Optimal Intervals for Systemic Steroid Injections in Rehabilitation
The interval between systemic corticosteroid injections? How long should I wait between systemic steroid injections (not topical)? Is a dosage of Mepron 40ml/vial considered a high dose? Currently, I have injections scheduled for this Thursday, next Wednesday, and next Friday. Is...
Dr. Wang Zhaomin reply Rehabilitation
Generally, intravenous steroid injections are not used to treat common shoulder and neck pain or mild nerve injuries; however, each individual's condition is different, and it is not possible to make a blanket statement. Please discuss your condition with your treating physi...[Read More] Optimal Intervals for Systemic Steroid Injections in Rehabilitation
Restoring Cervical Spine Curvature: Effective Rehabilitation Techniques Explained
The cervical spine has lost its normal physiological curvature and has become straight? I have seen two orthopedic doctors at the Keelung Hospital under the Ministry of Health and Welfare. One said there was no issue, while the other suggested relying on rehabilitation. I went to...
Dr. Wang Zhaomin reply Rehabilitation
It is recommended to continue rehabilitation therapy and incorporate exercises such as chin tucks, which should gradually improve the discomfort symptoms.[Read More] Restoring Cervical Spine Curvature: Effective Rehabilitation Techniques Explained
Recovering from Metatarsal Injury: PRP vs. Shockwave Therapy for Runners
Metatarsal injury Hello, Doctor. About five months ago (November 2022), I kicked the threshold of my bathroom with the bottom of my foot. It hurt a lot at the time, but I thought it was just a bruise and assumed it would heal in a few days, so I didn't pay much attention to ...
Dr. Wang Zhaomin reply Rehabilitation
Both PRP injections and extracorporeal shock wave therapy have their respective benefits, but they may not be suitable for everyone or every condition. Each patient's situation is unique, and it is not possible to make a blanket statement. Please discuss with your treating p...[Read More] Recovering from Metatarsal Injury: PRP vs. Shockwave Therapy for Runners
Understanding Toe Injury Recovery: Healing Time and Symptoms Explained
Toe injury Two months ago, I injured my toe in a motorcycle accident and received two stitches. An X-ray showed no joint damage. Now my toe feels a bit stiff and red, and it still hurts when I bend it. Is this normal? How long will it take to heal?
Dr. Wang Zhaomin reply Rehabilitation
After a toe injury, reduced activity due to pain or wound factors may lead to joint stiffness, and in severe cases, even contractures. It is important to enhance joint mobility after the wound has healed to promote recovery. Generally, if there are no specific issues, recovery sh...[Read More] Understanding Toe Injury Recovery: Healing Time and Symptoms Explained
Understanding the Discomfort at the Tian Tu Acupoint: Causes and Solutions
There is a feeling of pressure at the location of the Tian Tu (Ren 22) acupoint on the neck? Hello, Director Wang. Last year, I suddenly felt some difficulty in breathing and noticed a sensation at the Tian Tu acupoint, as if something was pressing against it. Over the past three...
Dr. Wang Zhaomin reply Rehabilitation
Symptoms related to the cervical spine may indeed be associated with the condition, and if they are not severe, they should gradually improve with attention to posture and appropriate exercise. Remaining symptoms should first rule out any pathological issues in the throat, neck, ...[Read More] Understanding the Discomfort at the Tian Tu Acupoint: Causes and Solutions
Understanding Arm Weakness and Pain: Is It ALS or Something Else?
Arm soreness and weakness? Hello Dr. Wang, I would like to ask about my left arm. For the past week, it has suddenly felt weak, but I can still lift heavy objects; it just feels strange, and when I squeeze it, it feels sore and painful. I'm wondering if it could possibly be ...
Dr. Wang Zhaomin reply Rehabilitation
Amyotrophic lateral sclerosis (ALS) requires a professional diagnosis; please do not make assumptions or speculations on your own. There are many causes for arm pain, numbness, and weakness, including issues with tendons, ligaments, soft tissues, or the cervical spine and upper a...[Read More] Understanding Arm Weakness and Pain: Is It ALS or Something Else?
Managing Left Chest Pain After a Fall: When to Seek Further Help
After falling, there is pain in the left chest and occasional tightness? Hello doctor, I fell last Tuesday and went to see an orthopedic specialist. They took an X-ray of my foot and said it was fine, but I have some pain in my left chest and occasional tightness. They did not ta...
Dr. Wang Zhaomin reply Rehabilitation
Please follow the doctor's instructions, take your medication on time, and apply heat therapy. If there is no improvement, please return for a consultation to obtain an accurate diagnosis and arrange appropriate treatment.[Read More] Managing Left Chest Pain After a Fall: When to Seek Further Help
Alternative Methods for Scar Tissue Management in the Central Nervous System
Methods for Scar Resolution in the Central Nervous System Dr. Wang, since the scar tissue in the central nervous system cannot be eliminated using ultrasound-guided injection, are there any other viable recommendations?
Dr. Wang Zhaomin reply Rehabilitation
Medications and rehabilitation therapy may help alleviate related symptoms, but if further intervention is considered, please consult a neurosurgeon.[Read More] Alternative Methods for Scar Tissue Management in the Central Nervous System
Post-Rehabilitation Ankle Issues: What to Do After a Sprain?
Abnormalities in the ankle after rehabilitation? Hello, Director. About a week ago, I sprained my ankle and after visiting a nearby rehabilitation clinic, the doctor diagnosed me with a mild ligament strain and slight joint inflammation. Today is my third session of rehabilitatio...
Dr. Wang Zhaomin reply Rehabilitation
Generally, heat therapy can be started 24 to 48 hours after an injury. However, if there is noticeable swelling after heat application, intermittent ice therapy may be used. If there are no obvious external injuries or discomfort on the skin, topical patches or ointments can be a...[Read More] Post-Rehabilitation Ankle Issues: What to Do After a Sprain?
Can Ultrasound-Guided Injections Alleviate Post-Surgery Nerve Scarring?
Postoperative nerve scarring Hello Dr. Wang, I underwent a brain tumor resection surgery in June 2021, and postoperatively, I experienced facial numbness, trigeminal nerve issues, diplopia, and tinnitus. I would like to know if ultrasound-guided injection could improve the sympto...
Dr. Wang Zhaomin reply Rehabilitation
Central nervous system lesions cannot be treated with ultrasound-guided injection therapy and can only address issues related to peripheral nerves and soft tissues of the muscles.[Read More] Can Ultrasound-Guided Injections Alleviate Post-Surgery Nerve Scarring?
Understanding the Risks of Manual Therapy for C6-C7 Disc Herniation
C6-C7 intervertebral disc herniation worsened with manual therapy? Hello, doctor. I previously had an MRI that confirmed a herniation at cervical vertebrae C6 and C7. The doctor indicated that the condition is moderate, about 60% severity, but surgery is not necessarily required....
Dr. Wang Zhaomin reply Rehabilitation
Manual therapy may lead to an inflammatory response, and symptoms may alleviate after the inflammation subsides. However, improper manual therapy can also worsen symptoms. It is advisable to consult an orthopedic specialist, a neurosurgeon, or a rehabilitation physician for a tho...[Read More] Understanding the Risks of Manual Therapy for C6-C7 Disc Herniation