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Understanding Herniated Discs: Symptoms, Treatment, and Recovery

Herniated disc Hello, at the beginning of the year, I suddenly started experiencing lower back pain, which is accompanied by pain in the back of my right thigh and buttock. Initially, the pain was most severe in the morning, making it very difficult to get out of bed. At night, I...


Dr. Xu Zhenrong reply Rehabilitation
1. The imaging you provided shows herniation of the intervertebral discs at the L4/L5 and L5/S1 levels, with the former being more severe. In addition to obtaining more cross-sectional images, medical imaging must be correlated with clinical symptoms and physical examination find...

[Read More] Understanding Herniated Discs: Symptoms, Treatment, and Recovery


Updating Disability Handbook for Children with Thalassemia: A Guide

Disability Handbook A six-year-old child has an expired health booklet from September of this year, diagnosed with severe thalassemia and receiving regular blood transfusions. The mental health department has approved a note in the booklet regarding cognitive assessment, which wi...


Dr. Xu Zhenrong reply Rehabilitation
Mediterranean anemia itself does not fall under the category of physical and mental disabilities. However, if this condition leads to physical weakness, one can apply for special education student status evaluation.

[Read More] Updating Disability Handbook for Children with Thalassemia: A Guide


Could Poor Posture Be the Cause of Your Clavicle Pain?

Could clavicular swelling and pain be due to poor posture? Hello, doctor. Could the pain and swelling in my clavicle be caused by poor posture? Initially, it was noted that my clavicle was lax, and I have seen both orthopedic and hematology-oncology specialists. I underwent many ...


Dr. Xu Zhenrong reply Rehabilitation
If there is poor posture or injuries from exercise or work, swelling and pain typically occur at the joints at both ends of the clavicle (sternoclavicular joint, acromioclavicular joint). Nuclear medicine and biopsy examinations can help rule out causes such as bone marrow issues...

[Read More] Could Poor Posture Be the Cause of Your Clavicle Pain?


Understanding Knee Pain After Injury: Recovery Insights and Management

Foot pain issues? Hello, at the beginning of September, I had a knee abrasion on my left knee due to a car accident. After the abrasion improved, I noticed that my knee hurts when I squat, and after squatting for a while, I experience pain behind my knee when standing up. The doc...


Dr. Xu Zhenrong reply Rehabilitation
X-ray examinations are often inadequate for detecting injuries to soft tissues such as cartilage, ligaments, or tendons. When necessary, ultrasound or magnetic resonance imaging (MRI) should be performed. The symptoms described by the user may indicate injuries to the ligaments (...

[Read More] Understanding Knee Pain After Injury: Recovery Insights and Management


Understanding Rehabilitation Challenges After Elbow and Neck Injuries

Rehabilitation issues Hello, doctor. I accidentally slipped and fell backward at the end of August, hitting my elbow. A few days later, I started experiencing stiffness and soreness in my neck and shoulders. After treatment, I still have a few questions: (1) Regarding my elbow:...


Dr. Xu Zhenrong reply Rehabilitation
1. Persistent tenderness at the elbow prominence (olecranon) after trauma, in the absence of fractures, may indicate traumatic olecranon bursitis as a common complication, in addition to local contusions. Treatment must be tailored based on the underlying causes and conditions. ...

[Read More] Understanding Rehabilitation Challenges After Elbow and Neck Injuries


Managing Cervical Spine Issues: Home Care Tips for Nerve Compression Relief

Cervical spine issues Hello, recently I have been experiencing soreness under my right shoulder and some numbness and pain in my right hand. After an X-ray, the doctor mentioned that there is nerve compression around the 3rd and 4th vertebrae, along with some calcification. What ...


Dr. Xu Zhenrong reply Rehabilitation
It is advisable to first confirm whether the shoulder pain and right hand numbness are caused by compression of the right cervical nerve root. In addition to clinical examination and X-ray imaging, electrophysiological tests (nerve conduction studies and electromyography) can als...

[Read More] Managing Cervical Spine Issues: Home Care Tips for Nerve Compression Relief


Post-Surgery Rehabilitation for Humerus Fractures: Common Concerns and Solutions

Questions about rehabilitation after humeral fracture surgery! Dear Dr. Hsu/Director, My spouse underwent surgery for a fracture, and it has been nearly four months since starting rehabilitation in March. However, there are still some issues that we cannot overcome, and I would ...


Dr. Xu Zhenrong reply Rehabilitation
Without knowing the specific fracture site and surgical method for Mr. Xiao Bi, I can only provide a general response. It is common to experience tightness or numbness in the area post-surgery while the fracture is healing properly, often due to soft tissue scarring and adhesions...

[Read More] Post-Surgery Rehabilitation for Humerus Fractures: Common Concerns and Solutions


How to Restore Left Chest Muscle Shape After Workout Imbalance?

Left pectoral muscle split? I usually work out, and after one session of bench pressing, I noticed that the left pectoral muscle near the armpit was protruding, but there was no pain. Later, I realized that the activation of my left chest during training was significantly reduced...


Dr. Xu Zhenrong reply Rehabilitation
It is recommended to undergo ultrasound or magnetic resonance imaging (MRI) to confirm whether there is a muscle or tendon (partial) tear before further discussing treatment options.

[Read More] How to Restore Left Chest Muscle Shape After Workout Imbalance?


Understanding Lower Back Pain and Leg Numbness: When to Seek Further Care

Inflammation of the lower back and hips, with numbness in the lower extremities? I had been standing for long periods and lifting heavy objects, and about a month and a half ago, I started experiencing lumbar pain that made it difficult to bend. The symptoms disappeared after res...


Dr. Xu Zhenrong reply Rehabilitation
The most common causes of low back pain due to prolonged standing or heavy lifting are intervertebral disc herniation and lumbar muscle strain (especially the quadratus lumborum). However, lumbar muscle strain rarely causes pain that radiates to the calf, while the piriformis mus...

[Read More] Understanding Lower Back Pain and Leg Numbness: When to Seek Further Care


Can You Return to Heavy Work After Two Years Post Distal Radius Fracture?

Distal radius fracture After a fracture surgery, two years later, can the wrist joint perform heavy work, or is it limited to lighter tasks? This is important for calculating labor impairment, so I would like to consult a doctor. Thank you!


Dr. Xu Zhenrong reply Rehabilitation
Hello, thank you for your inquiry: In cases of distal radius fractures that do not involve the articular surface of the radius, appropriate rehabilitation treatment post-surgery typically allows for a good recovery of grip strength and joint range of motion. However, if there are...

[Read More] Can You Return to Heavy Work After Two Years Post Distal Radius Fracture?


Understanding Chest and Back Pain: Insights from Rehabilitation Experts

Chest and back pain Hello, Doctor Hsu. I would like to ask for your advice. Initially, I felt pain in the left side of my chest that lasted for three months. The chest pain felt like it was not localized. Later, I also experienced pain in my left upper back, specifically in the a...


Dr. Xu Zhenrong reply Rehabilitation
If there are symptoms such as chest pain, it is essential to first consult with a thoracic specialist and a cardiologist to rule out significant conditions affecting the heart (including the aorta) and thoracic cavity. Subsequently, based on the user's complaint of pain in t...

[Read More] Understanding Chest and Back Pain: Insights from Rehabilitation Experts


Understanding Foot Pain: Causes and Solutions for Overexertion

Foot pain issues? Walking for too long causes pain in the soles of my feet, and my calves feel uncomfortable or weak. For instance, after walking up a steep hill at school, my feet feel sore and my calves feel weak. I generally don't enjoy walking, and during a school event ...


Dr. Xu Zhenrong reply Rehabilitation
Based on your description, plantar fasciitis is a common cause, but issues such as ankle joint pathology and vascular circulation problems cannot be ruled out. If it is plantar fasciitis, in addition to local physical therapy and selecting appropriate footwear, we will also instr...

[Read More] Understanding Foot Pain: Causes and Solutions for Overexertion


Effective Rehabilitation Strategies for Ankle Pain and Discomfort

Foot pain Last week, I had an accident and injured my ankle, which has a wound. My foot hurts when I walk, and sometimes I experience cramping pain in my calf. My lower back feels very sore (without any wounds). I consulted an orthopedic doctor, but he said my bones are normal. W...


Dr. Xu Zhenrong reply Rehabilitation
Hello, Ms. SUE. First of all, thank you for your inquiry. Ankle sprains are common sports or accidental injuries that often do not involve fractures or bone issues, and X-ray examinations may appear normal. This is usually a soft tissue injury (including tendons, bursae, ligament...

[Read More] Effective Rehabilitation Strategies for Ankle Pain and Discomfort


Is Lumbar Traction Safe for Sciatica and Herniated Discs?

Lumbar traction Dear Doctor: I have sciatica that radiates to my left lower limb, and it has been occurring frequently lately. I've heard that stretching the lower back can be effective. However, I have a hernia; is it safe for me to stretch my lower back?


Dr. Xu Zhenrong reply Rehabilitation
Dear Mr. Confused, I am pleased to receive your letter and happy to provide you with answers. A hernia occurs due to a weakness or tear in the abdominal wall, leading to the protrusion of fatty tissue or organs, such as the intestines, through this defect. This is especially not...

[Read More] Is Lumbar Traction Safe for Sciatica and Herniated Discs?


Can Speech Impediments Be Treated? A Guide to Rehabilitation Options

Is there a way to treat a speech impediment? Hello Doctor: I have been troubled by my speech impediment, specifically a lisp. I would like to ask how this condition can be treated. Which department should I visit at the hospital? For example, which hospital in Tainan offers relev...


Dr. Xu Zhenrong reply Rehabilitation
Miss Xiao Li is very happy to receive your letter and is willing to help answer your questions. The term commonly referred to as "big tongue" generally denotes an articulation disorder, which is characterized by unclear speech during communication. There are several pot...

[Read More] Can Speech Impediments Be Treated? A Guide to Rehabilitation Options


Is It Muscle Atrophy? Understanding Hand Muscle Changes in Teens

Is it muscular dystrophy? Two days ago, I took my niece to see a traditional Chinese medicine doctor due to irregular menstruation. During the pulse diagnosis, the doctor noticed some muscle atrophy in the area between her index finger and thumb (the thenar eminence). In a normal...


Dr. Xu Zhenrong reply Rehabilitation
Hello, Ms. Phoebe. The peripheral nervous system typically consists of both motor and sensory components. When nerves are damaged, symptoms may include muscle atrophy (motor component) and sensory deficits such as numbness or tingling (sensory component). Your niece's thenar...

[Read More] Is It Muscle Atrophy? Understanding Hand Muscle Changes in Teens


Establishing Fitness Norms for Seniors Over 65 in Taiwan

Norms for Physical Fitness in the Elderly Is there an established fitness norm for seniors aged 65 and older in Taiwan, given that the online fitness norms currently extend only up to 65 years of age? Thank you for your response.


Dr. Xu Zhenrong reply Physical Fitness
Regarding your question, there is currently no normative data on physical fitness for the population aged 65 and older from the Sports Administration or the Ministry of Education. It is recommended that older adults engage in low-impact cardiovascular exercises such as brisk walk...

[Read More] Establishing Fitness Norms for Seniors Over 65 in Taiwan


Best Rehabilitation Options for Stroke Recovery in Kaohsiung

Stroke rehabilitation Hello. My colleague's brother had a mild stroke and is currently in a general ward. The doctors at the hospital have requested that he be transferred to a private room; otherwise, he won't be able to schedule rehabilitation therapy with a therapist...


Dr. Xu Zhenrong reply Rehabilitation
Stroke is one of the top ten causes of death in Taiwan and a significant cause of disability. Patients who experience a mild stroke can receive rehabilitation in the hospital or outpatient rehabilitation after discharge. Rehabilitation services include physical therapy (PT) and o...

[Read More] Best Rehabilitation Options for Stroke Recovery in Kaohsiung


Do I Need a Medical Check-Up for My Fitness Concerns?

Do I need to go to the hospital for an examination? Non-smoker; irregular exercise habits; suffers from allergic rhinitis, which has been neglected; experienced chest pain during inactivity; has lost balance or consciousness due to dizziness; has other discomforts related to acti...


Dr. Xu Zhenrong reply Physical Fitness
Hello, after your three-minute step test, your heart rates were recorded as 49, 34, and 42. The significant decrease in your second heart rate is concerning, as normal heart rates should gradually decrease with increased rest time. It is possible that there was an error in calcul...

[Read More] Do I Need a Medical Check-Up for My Fitness Concerns?


Understanding Buttock Pain: Symptoms and When to Seek Help

Pain in the buttocks? My mom has recently mentioned that she experiences pain below her buttocks, which sometimes extends to her thigh muscles and causes soreness. What could this be a symptom of, and which department should she visit? Thank you.


Dr. Xu Zhenrong reply Rehabilitation
Hello, A-Ling. Regarding your inquiry about your mother's pain originating from the lower back and radiating to the thigh muscles, if the pain is in the posterior thigh muscles, it may be early-stage lumbar spondylosis compressing the sciatic nerve, leading to sciatica. Addi...

[Read More] Understanding Buttock Pain: Symptoms and When to Seek Help


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