Understanding Neck Traction and EMG: Addressing Discomfort and Concerns
Electromyography & Cervical Traction Thank you for your previous response, Doctor. I would like to ask you again about the cervical traction. That night, I yawned and later experienced a sensation that changed from itching to soreness and numbness. The next day, I also felt s...
Dr. Yin Xinbei reply Rehabilitation
Tightness can indeed lead to discomfort during the traction process. The needle used in electromyography (EMG) has a double-layer structure and is connected as a cylindrical unit, making it quite difficult to break. The area where you were punctured at the back of your neck corre...[Read More] Understanding Neck Traction and EMG: Addressing Discomfort and Concerns
Understanding Needle EMG: Safety, Durability, and Common Concerns
Needle electromyography (EMG) Hello, doctor. I would like to ask if the needles used for electromyography (EMG) are sturdy and if there is a concern about needle breakage. I had the test done at Mackay Memorial Hospital. Do doctors usually check for needle breakage when they remo...
Dr. Yin Xinbei reply Rehabilitation
The needle used in electromyography (EMG) is designed as a dual-layer structure, making it less prone to breakage compared to standard injection needles. If a break occurs during needle withdrawal, it is usually quite noticeable. The needles are typically imported, and there is n...[Read More] Understanding Needle EMG: Safety, Durability, and Common Concerns
Understanding Foot Dorsum Pain: Causes and Treatment Options
Sometimes there is a sharp pain in the dorsum of the foot? Hello, doctor. I've been experiencing sharp pain on the dorsum of my foot for the past two to three months. I visited a major hospital where the doctor mentioned it might be due to nerve compression and prescribed me...
Dr. Yin Xinbei reply Rehabilitation
The situation you described does indeed seem like intermetatarsal neuroma. Since medication has been ineffective, you may consider consulting a neurosurgeon.[Read More] Understanding Foot Dorsum Pain: Causes and Treatment Options
Understanding Nerve Compression: Recovery Insights and Rehabilitation Tips
Nerve compression Hello Doctor, I experienced numbness in my right hand and difficulty lifting it high after performing squats and deadlifts on February 8th. That evening, I visited a rehabilitation clinic where the doctor took X-rays and diagnosed me with nerve compression and m...
Dr. Yin Xinbei reply Rehabilitation
1. If there is a strain in the neck muscles, cervical traction may cause further discomfort; however, if there is cervical nerve compression, cervical traction is a necessary treatment. Please discuss this with your physician. 2. If the "cracking" sound is not accompani...[Read More] Understanding Nerve Compression: Recovery Insights and Rehabilitation Tips
Is Neck Traction Safe for Nerve Compression? Expert Insights
Cervical traction Hello Doctor, I would like to ask about my current situation. An MRI has shown that my cervical disc is slightly compressing a nerve. If I undergo cervical traction (6 kg for a body weight of 50 kg), is there a risk of injury? Could cervical traction potentially...
Dr. Yin Xinbei reply Rehabilitation
A weight of 6 kilograms for cervical traction is just the starting weight and generally does not cause injury. A slight itch in the neck is not a symptom of injury; it is more likely a sensitivity of the skin to pressure or the material in contact with it. If there are no abnorma...[Read More] Is Neck Traction Safe for Nerve Compression? Expert Insights
Understanding EMG Needle Procedures and Safety Protocols in Rehabilitation
Intramuscular electromyography needle Hello Doctor, this morning I went to Tamsui Mackay Memorial Hospital for an electromyography (EMG) test. I have a concern regarding the use of needles. During the billing process, it was indicated that the needles were self-paid, but I am uns...
Dr. Yin Xinbei reply Rehabilitation
Electromyography (EMG) needles are individually packaged (one needle per package) and are typically opened in front of the patient. After use, they are disposed of in designated sharps containers. However, standard operating procedures (SOP) vary among hospitals, including whethe...[Read More] Understanding EMG Needle Procedures and Safety Protocols in Rehabilitation
Post-Bicycle Accident: Assessing Chest Pain and Internal Injuries
Car accident fall? Yesterday, I fell while riding my bike and hit my left chest. Now I have pain in my left chest, waist, and abdomen. Should I only get an X-ray to check for fractures, or should I also check for internal organ rupture or internal bleeding? Or can I just observe ...
Dr. Yin Xinbei reply Rehabilitation
For more severe accidental injuries, please go to the emergency department. The emergency physician will determine if further examinations are necessary based on physical examinations, blood tests, X-rays, and other results. The emergency records will also facilitate future insur...[Read More] Post-Bicycle Accident: Assessing Chest Pain and Internal Injuries
Understanding Infant Development: When to Seek Early Intervention
Baby Growth and Development Hello Doctor: For over seven months, my baby's left hand has been contracted, and we went to a neurologist who performed a brain ultrasound and EEG, both of which showed no issues (the left hand is now more flexible). Currently, at nine months, my...
Dr. Yin Xinbei reply Rehabilitation
Both physicians are correct. The first physician found no abnormalities in the neuromuscular system, while the second noted that the child's motor function development is slower. Providing more stimulation to the toddler can promote development. The hospital's early int...[Read More] Understanding Infant Development: When to Seek Early Intervention
Understanding Thumb Injuries: Recovery from Impact and Nerve Sensitivity
A contusion to the thumb caused by being struck by a rebounding object? Hello Doctor, last month while cutting objects at work, I accidentally got hit on the tip of my thumb due to a rebound from the object, resulting in an open wound on the nail and nail bed at that moment. Addi...
Dr. Yin Xinbei reply Rehabilitation
It is possible that the wound has caused damage to the epidermal nerves (being severed). The third and fourth issues are caused by the same reason. We need to wait for the adjacent nerves to grow and compensate, which will take at least three to four months. Since these are perip...[Read More] Understanding Thumb Injuries: Recovery from Impact and Nerve Sensitivity
Post-Spinal Surgery Leg Weakness: Can Laser Therapy Help?
Postoperative leg weakness after spinal surgery? Hello, Director Yin! I am a patient with rheumatoid arthritis who underwent surgery for L4-L5 lumbar spondylolisthesis (and had a second surgery due to recurrence) over 10 months ago. My right foot remains stiff and I still cannot ...
Dr. Yin Xinbei reply Rehabilitation
1. Lower limb weakness caused by spondylolisthesis is classified as a central nervous system injury. Modern medicine still lacks a definitive effective treatment. Endovenous laser therapy is considered an energy-based treatment, and its effectiveness varies from person to person....[Read More] Post-Spinal Surgery Leg Weakness: Can Laser Therapy Help?
Should My 72-Year-Old Mother Choose Rehab or Surgery for Rotator Cuff Tear?
Rotator cuff tear Hello, Dr. Yin. My mother has a rotator cuff tear in her shoulder. She has seen two doctors at two different hospitals, and both performed ultrasounds. They mentioned that the tear is quite large and there is some fluid accumulation. One doctor suggested startin...
Dr. Yin Xinbei reply Rehabilitation
The shoulder rotator cuff is composed of four muscles, and the rupture of one of these muscles can affect the range of motion and strength of the shoulder, but it is not usually severe. Unless the individual is an athlete with specific needs, surgical repair or fixation is genera...[Read More] Should My 72-Year-Old Mother Choose Rehab or Surgery for Rotator Cuff Tear?
Post-Tibial Fracture: Managing Pain and Mobility After Hardware Removal
Right lower leg tibial fracture, removal of metal screws? On March 9, 2021, I was involved in a car accident and fractured my right tibia. On July 6, 2022, I returned to have the metal screws removed. When getting out of bed, my right leg feels very tight and painful, and I have ...
Dr. Yin Xinbei reply Rehabilitation
If the surgical wound shows no signs of redness, swelling, or heat, local heat therapy can be applied for 15-20 minutes at a time. After heat therapy, it is important to perform joint mobility exercises, aiming to achieve the same range of motion as the left leg. If there is sign...[Read More] Post-Tibial Fracture: Managing Pain and Mobility After Hardware Removal
Can Flat Feet Cause Hunchback Issues in Children?
Can flat feet also lead to hunchback issues? Hello Doctor, my child was recently diagnosed with flat feet, accompanied by occasional plantar fasciitis or Achilles tendinitis. However, my child also has a slight hunchback issue, which has become more pronounced since turning 10. X...
Dr. Yin Xinbei reply Rehabilitation
Hello, the question you asked involves complex human biomechanics. I recommend referring to Dr. Bao's article at https://drbao.org/flatfoot/#Q6_xiao_peng_you_bian_ping_zu_rong_yi_zao_cheng_tuo_bei. Generally speaking, unless there is a severe and irreversible issue, surgery ...[Read More] Can Flat Feet Cause Hunchback Issues in Children?
Understanding the Need for Electromyography After Hand Injury
I would like to inquire about electromyography (EMG)? On May 25, I was involved in a car accident that resulted in my inability to lift my right arm. However, I was still able to ride my bike at that time. After an emergency examination, the bones were found to be intact, and I w...
Dr. Yin Xinbei reply Rehabilitation
Although the movements and sensations are generally normal, there may still be persistent tingling or electric shock sensations, and even pain. It is still acceptable to undergo examinations. If there is a fear of needles, an electromyography (EMG) and nerve conduction study can ...[Read More] Understanding the Need for Electromyography After Hand Injury
Post-TFCC Surgery Care: Can I Use Heat Therapy with a Splint?
Triangular fibrocartilage complex (TFCC) tear surgery and wrist synovitis? Dear Doctor: I had TFCC surgery two weeks ago and had my stitches removed. The doctor advised me to continue wearing the splint for about four more weeks, but I can apply heat. Can I remove the splint for ...
Dr. Yin Xinbei reply Rehabilitation
Yes, you can apply a hot compress and then put it on. Please note that some splints may deform when exposed to heat and should not be heated.[Read More] Post-TFCC Surgery Care: Can I Use Heat Therapy with a Splint?
Why Does My 6-Month-Old Baby's Head Tilt to the Left?
A six-month-old baby frequently tilts their head to the left side? Hello, Doctor! Since my baby was born, she tends to tilt her head to the left while lying down, with her face facing right. The doctor examined her and said there was no torticollis, just a matter of head shape, s...
Dr. Yin Xinbei reply Rehabilitation
Two physicians diagnosed that there is no torticollis, possibly because the clinical examination of the neck muscles showed no significant lumps or stiffness. However, you observed that the head tilts to the left and there is asymmetry in the eyes and nostrils (perhaps there is a...[Read More] Why Does My 6-Month-Old Baby's Head Tilt to the Left?
Understanding Severe Lower Back Pain During Coughing and Sneezing
Lower back issues? Hello doctor: May I ask what could be the reason for severe pain in the lower back when coughing or sneezing forcefully?
Dr. Yin Xinbei reply Rehabilitation
Coughing and sneezing can cause the muscles in the lower back to contract, which increases pressure on the lumbar spine. This can lead to injuries or inflammation of the back muscles, or conditions such as lumbar disc herniation, which may result in severe pain. If symptoms do no...[Read More] Understanding Severe Lower Back Pain During Coughing and Sneezing
Understanding Lumbar Disc Herniation: Symptoms, Diagnosis, and Treatment
Could my symptoms be caused by a herniated lumbar disc compressing the nerve root? Hello Dr. Yin, I may have experienced a lumbar disc herniation last year, and I have some questions regarding the treatment process. I would appreciate your guidance: In 2013, I suddenly experienc...
Dr. Yin Xinbei reply Rehabilitation
Q1: Posture can indeed alter nerve compression conditions. Based on the distribution of dermatomes, pain in the gluteus medius and gluteus maximus may still be caused by compression of the fourth nerve root. Q2: Your treatment history has demonstrated that lumbar traction is inef...[Read More] Understanding Lumbar Disc Herniation: Symptoms, Diagnosis, and Treatment
Understanding Fibromyalgia: Is My Pain Really Fibromyalgia?
Questions regarding a diagnosis of fibromyalgia? Hello, Doctor. Let me describe my condition: I am deeply troubled by long-term pain in the lower right side of my body and the left shoulder and neck. Sometimes the condition improves, and I feel no pain, but it comes and goes. 1...
Dr. Yin Xinbei reply Rehabilitation
Fibromyalgia is diagnosed by excluding other possible causes. Your symptoms could certainly be related to issues with the cervical and lumbar spine. It is recommended that you seek further evaluation, including physical examination and X-rays, to rule out any problems with the ce...[Read More] Understanding Fibromyalgia: Is My Pain Really Fibromyalgia?
Plantar Fasciitis and Bone Spurs: When to Consider Surgery?
Plantar fasciitis with bone spur? I have been suffering from plantar fasciitis in my left foot for over two years, which has recently improved slightly, but now I am experiencing severe pain in my right heel, sometimes radiating to the side. Medications, topical treatments, and p...
Dr. Yin Xinbei reply Rehabilitation
If medications, topical patches, and rehabilitation are ineffective, shockwave therapy or localized injections such as prolotherapy can be considered. For more details, please refer to https://www.elite-r.com.tw/index.php/zh-tw/guardian-articles/309-about-plantar-fasciitis. Surge...[Read More] Plantar Fasciitis and Bone Spurs: When to Consider Surgery?