Shoulder, Family Medicine FAQ

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Understanding Back Pain: When to Seek Medical Attention

Back pain Hello, I am a male, and I noticed about two days ago that I experience significant pain in the middle area below my shoulder blade when I take a deep breath. I also feel pain when I rotate my body to the left or right. I would like to know what the issue might be and wh...


Dr. Cai Dongqi Reply:
Hello Sam: For injuries to the scapular ligament or muscle fibers, please consult a rehabilitation specialist or an orthopedic doctor.

[Read More] Understanding Back Pain: When to Seek Medical Attention


Understanding Chest Tightness and Breathing Issues: When to Seek Help

Chest tightness and shortness of breath? Hello doctor, I have been staying up late frequently, usually sleeping around 5 to 7 hours, with a bedtime around 4 AM. I had a similar issue last October and sought medical attention. At that time, my electrocardiogram, blood tests, and X...


Dr. Liu Hongxiang Reply:
Hello J: You are experiencing chest tightness and some shortness of breath. Your previous physical examination was normal, but it has been over six months, so it is advisable to seek medical attention again. You can choose to see either a family medicine physician or a pulmonolog...

[Read More] Understanding Chest Tightness and Breathing Issues: When to Seek Help


Understanding Left Upper Back Pain: Causes and When to Seek Help

Pain and swelling in the upper left back? Hello Dr. Chen, I am inquiring on behalf of my father. He is 60 years old and has recently started experiencing pain in his upper left back over the past few days. Last night, I asked him to describe the pain, and he said it feels similar...


Dr. Chen Bozhang Reply:
Could you please ask the current neurologist to assist in the evaluation and refer or arrange for examinations as needed based on the patient's condition? Thank you.

[Read More] Understanding Left Upper Back Pain: Causes and When to Seek Help


Which Medical Specialty Should You Consult for Chest Pain and Numbness?

Which specialty should I see? Experiencing tightness in the neck and shoulders, along with severe stabbing pain in the left chest, left arm numbness and weakness, difficulty breathing with a feeling of pressure, nausea, cold sweats, and pallor when turning the body to the left an...


Dr. Liu Hongxiang Reply:
Hello Ms. Chun, based on the symptom analysis, there are issues related to muscles and nerves that may be causing your condition. It is recommended that you visit the orthopedic or neurology department at the hospital for an evaluation of your physical condition. Wishing you good...

[Read More] Which Medical Specialty Should You Consult for Chest Pain and Numbness?


Understanding Unexplained Body Pain: A Comprehensive Guide

Unexplained body pain? Hello Dr. Tsai, I have been experiencing discomfort in my jaw joint for about 8 years. My teeth feel weak, and my upper and lower left teeth keep clenching together, causing more pain. When I blow air into my left cheek, I can hear a sound of fascia moving,...


Dr. Cai Dongqi Reply:
Hello CSH: It is likely that you are experiencing myofascial pain, which can be difficult to diagnose with instruments. It is advisable to consult a rehabilitation specialist for further evaluation.

[Read More] Understanding Unexplained Body Pain: A Comprehensive Guide


Monkey Scratch Injury: What You Need to Know About Rabies and Tetanus

Injured by a monkey bite? Hello Doctor, I was attacked by a wild monkey in Shoushan, Kaohsiung on December 29, resulting in scratches. The wounds are small; I have two red marks on my shoulder without open wounds but with mild pain, and I suspect I may have a scrape on the back o...


Dr. Lin Zhebin Reply:
Hello: 1. Although Taiwan is currently considered a rabies-endemic area, the outbreak is limited to wild animals such as ferrets and civets, and the likelihood of monkeys in Taiwan contracting rabies is very low. 2. Most injuries from monkey bites primarily require a tetanus vacc...

[Read More] Monkey Scratch Injury: What You Need to Know About Rabies and Tetanus


Understanding Finger Issues: When to Seek Medical Help for Numbness

Finger issues One day, I woke up and suddenly noticed that my right hand's middle finger, ring finger, and little finger felt a bit stiff when trying to bend them, accompanied by a sensation like a "pop." I also felt some tingling at the tips of these three fingers...


Dr. Xiao Yongxun Reply:
Dear Ms. Xiao, Based on your limited description, clinical considerations should include cervical nerve compression, ulnar or median nerve pathology, peripheral vascular disease, ulnar collateral ligament inflammation, and shoulder muscle and ligament inflammation, among others...

[Read More] Understanding Finger Issues: When to Seek Medical Help for Numbness


Overcoming Chronic Pain and Anxiety: A Path to Normal Life

Long-term pain in the hands, feet, waist, and neck, along with anxiety and psychosomatic issues, how can one return to a normal life? Hello doctor, I have been suffering from various ailments for 5 years and have not worked for 3 years. It started with numbness in my left leg due...


Dr. Lin Zhebin Reply:
Hello: Here are some personal suggestions regarding the issues you raised: 1. Anxiety disorder + hypochondriasis + autonomic nervous system dysregulation with palpitations + left-sided headache and numbness: - It is recommended to continue taking psychiatric medications to alle...

[Read More] Overcoming Chronic Pain and Anxiety: A Path to Normal Life


Understanding Unexplained Internal Itching: Seeking Answers for Your Symptoms

Itching sensation in the body? Hello doctor, I often feel an itch deep within my muscles and nerves (not on the skin surface), which makes me want to move and stretch in unnatural positions to alleviate this sensation, but it only provides temporary relief. This significantly aff...


Dr. Chen Bozhang Reply:
It is recommended to seek evaluation from a neurologist or a sleep clinic. Thank you.

[Read More] Understanding Unexplained Internal Itching: Seeking Answers for Your Symptoms


Understanding Upper Left Chest Pain: Causes and Concerns

Pain in the upper left chest? There is a painful spot in the upper left chest that hurts when pressed, and there is also a dull pain even without touching it. The same spot on the right chest is painful when pressed, but it does not hurt when not touched. What could this conditio...


Dr. Cai Dongqi Reply:
Hello: It is possible that you have costochondritis, which can cause intermittent pain that persists over a long period. It is advisable to consult an orthopedic specialist. Cardiac or pulmonary issues would typically present with symptoms such as cold sweats, shortness of breath...

[Read More] Understanding Upper Left Chest Pain: Causes and Concerns


Understanding Shoulder and Back Pain After Alcohol and Spicy Food Consumption

Inquiring about shoulder and upper back pain issues? Hello, Doctor: Recently, whenever I consume a large amount of alcohol, I experience significant soreness in my shoulders and back, which takes about 6-8 hours to alleviate. Yesterday, after eating spicy hot pot, I began to feel...


Dr. Ye Qianyu Reply:
Hello! Based on your description, it may be referred pain or exacerbation of an existing condition. I recommend that you first consult a gastroenterologist or a hepatobiliary specialist.

[Read More] Understanding Shoulder and Back Pain After Alcohol and Spicy Food Consumption


Understanding Chest Pain, Shortness of Breath, and Dizziness in Young Adults

Chest pain, chest tightness, difficulty breathing, and dizziness? Hello doctor, I am 21 years old. Every morning when I wake up, I almost always experience chest tightness, and sometimes I feel sharp pain in the left side of my chest or in the center. Even when I am sitting still...


Dr. Xiao Yongxun Reply:
Dear Mr. Yang: 1. When a clinician addresses the issue of chest pain, the first four critical conditions to rule out are myocardial infarction, pulmonary embolism, pneumothorax, and aortic dissection. If none of these conditions are present, differential diagnoses should be cons...

[Read More] Understanding Chest Pain, Shortness of Breath, and Dizziness in Young Adults


Understanding Left Chest and Arm Pain: When to Seek Medical Advice

Back pain with tingling in the inner side of the left arm and palm? I have been experiencing pain in the upper middle back for three months. I have consulted a traditional Chinese medicine practitioner who performed acupuncture and suggested it might be related to my shoulder pai...


Dr. Liao Yaopan Reply:
Hello, based on your description, if the cardiology specialist examination has ruled out cardiovascular issues, it may be related to bone joints or soft tissues. It is advisable to seek further evaluation from a rheumatologist. Please note that online consultations are not equiva...

[Read More] Understanding Left Chest and Arm Pain: When to Seek Medical Advice


Understanding Cold Sensation in the Left Arm: Causes and Concerns

Coldness in the left arm and other areas? Last night before bed, I suddenly experienced mild pain on the outer side of my left chest, which gradually extended to my armpit, accompanied by a sensation of soreness. Then, my left arm felt cold, as if the coldness was radiating from ...


Dr. Lin Zhebin Reply:
Hello: The coldness and pain in your left chest, left shoulder, and left arm, accompanied by arrhythmia, may indicate a cardiac issue. It is recommended that you see a cardiologist for further evaluation.

[Read More] Understanding Cold Sensation in the Left Arm: Causes and Concerns


Understanding Neck and Shoulder Stiffness: Finding the Right Specialist

Shoulder and neck stiffness with an unconscious tendency to hunch the body, feeling of restricted blood flow? Hello Doctor, a few months ago I started experiencing a tingling sensation in one of my eyes, as if blood flow was not very smooth, and I occasionally saw "stars&quo...


Dr. Lin Zhebin Reply:
Hello: Indeed, issues related to the cervical spine can be addressed by various specialties, including Physical Medicine and Rehabilitation, Neurology, Neurosurgery, Pain Management, and Orthopedics. Although these specialties are diverse, the choice depends on what specific aspe...

[Read More] Understanding Neck and Shoulder Stiffness: Finding the Right Specialist


Unexplained Chest Pain and Neck Tightness: Seeking Answers

Chest pain and neck tightness with no identifiable cause? Hello Doctor: I sincerely apologize for the lengthy message, but this issue has been troubling me for over a year... Let me briefly describe my symptoms. Since June of last year, I have been experiencing unexplained tightn...


Dr. Lin Zhebin Reply:
Hello: Your symptoms of left chest pain, palpitations, left shoulder pain, neck tightness, shortness of breath, dizziness, and headaches raise concerns about potential cardiac issues. There is a possibility of acute arrhythmia; however, if you do not experience an episode during ...

[Read More] Unexplained Chest Pain and Neck Tightness: Seeking Answers


Understanding Head and Neck Pain: Possible Causes and Solutions

Pain in the zygomatic bone, brow bone, temples, and occipital region? Hello doctor, recently I've been experiencing pain on both sides of the back of my head, extending to my neck and temples. The pain on the sides of my head occurs when I shake my head, and when I lie down,...


Dr. Lin Zhebin Reply:
Hello: 1. The pain you are experiencing on the sides of your nose, cheekbones, and brow bones may be due to allergic rhinitis, sinusitis, gingivitis, trigeminal neuralgia, among others. 2. The pain in your temples, back of the head, and neck may be related to tension headaches, m...

[Read More] Understanding Head and Neck Pain: Possible Causes and Solutions


Understanding Night Sweats: When to Seek Medical Help for Fatigue

Night sweats? Since this summer, my physical condition has noticeably worsened. I have to wear long sleeves and long pants to sleep even with the air conditioning set at 27°C. About two months ago, I occasionally woke up at night sweating from my shoulders, neck, chest, and back....


Dr. Cai Dongqi Reply:
Hello, I hope you are well. It is important to adjust your lifestyle (which is currently not normal) by avoiding staying up late and the habit of eating late-night snacks. The causes of night sweats may include menopause, hyperthyroidism, diabetes, and autonomic nervous system di...

[Read More] Understanding Night Sweats: When to Seek Medical Help for Fatigue


Understanding Occipital Headaches: Causes and Remedies

Occipital headache issues? Hello! Last night around 9 PM, I had instant noodles for dinner and stayed up late working on a report. At that time, I started to feel a slight throbbing pain at the back of my head, which felt cool and pulsating but was bearable. I thought it might be...


Dr. Lin Zhebin Reply:
Hello: Your headache may be caused by fatigue or a viral infection. Additionally, it could be a side effect of B vitamins. However, if this is your first experience with such severe headaches accompanied by vomiting, it is advisable to go to the emergency department for further e...

[Read More] Understanding Occipital Headaches: Causes and Remedies


Managing Osteoarthritis in Elderly: Hyaluronic Acid Injections for Pain Relief

My father is experiencing pain in both his ankle and shoulder joints, diagnosed with osteoarthritis. He also has weakness in his legs and is considering receiving hyaluronic acid injections? Hello Doctor: I found a similar article on your website <a href="https://adoctor....


Dr. Chen Bozhang Reply:
Dear Wesley online user, In your message, you mentioned that your 93-year-old father is experiencing degenerative arthritis in multiple joints. Regarding treatment options beyond medication, I recommend taking your father to an orthopedic or rehabilitation clinic (preferably one...

[Read More] Managing Osteoarthritis in Elderly: Hyaluronic Acid Injections for Pain Relief


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