Back, Rehabilitation FAQ - Page 23

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Understanding Disc Herniation: Can Rehabilitation Lead to Recovery?

Disc herniation Hello, Doctor. I would like to ask you something. I have been diagnosed with lumbar disc herniation, and this is my second episode. During the first episode, I underwent rehabilitation for about two months and experienced no discomfort afterward. However, this tim...


Dr. Yin Xinbei Reply:
Hello: Have you undergone a spinal CT scan or MRI? Typically, evaluating the condition of the herniated disc through imaging can help estimate the success rate of rehabilitation. It is undeniable that rehabilitation has its limits; if the herniation is severe or if the disc has r...

[Read More] Understanding Disc Herniation: Can Rehabilitation Lead to Recovery?


Understanding Tight and Painful Muscles: Causes and Solutions

Muscles are tight and painful? I have the following situation: I can walk normally and go up and down stairs, but for the past two weeks, whenever I squat down, I am unable to stand up directly afterward. I feel tightness and pain in the muscles and tendons at the back of my righ...


Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, you may be experiencing inflammation of the biceps femoris tendon, and you should seek medical attention for examination and treatment immediately. 2. Ultrasound and electrical ...

[Read More] Understanding Tight and Painful Muscles: Causes and Solutions


Chronic Shoulder and Neck Pain: Finding the Right Specialist for Relief

Shoulder and neck pain? Hello, I have been experiencing pain in my left shoulder and neck for 4-5 years. I have consulted many doctors, but the cause of my pain has not been identified, and I have not received effective treatment. I have seen an orthopedic specialist (who said th...


Dr. Pan Yingda Reply:
Are you just asking me which department to consult? Of course, I would say that rehabilitation medicine is sometimes not just about which specialty to see, but about finding the right person. I think you've already seen the appropriate specialists, and since you're stil...

[Read More] Chronic Shoulder and Neck Pain: Finding the Right Specialist for Relief


Can Physical Therapy Help Relieve My Lower Back Pain?

Lower back pain In recent days, I have been experiencing frequent soreness in my lower back, particularly in the lumbar region. Even small daily activities, such as brushing my teeth, washing my face, or showering, cause pain whenever I bend slightly. Applying a medicated patch h...


Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, during the acute phase of back pain, even bending over can be very painful. At this time, analgesics or topical ointments can be used. Additionally, adhesive patches and ice th...

[Read More] Can Physical Therapy Help Relieve My Lower Back Pain?


Understanding Left Shoulder Pain: Causes and Treatment Options

Left shoulder pain? I have recently been experiencing sharp pain in my left shoulder, accompanied by numbness. The pain worsens when I bend backward, and it wakes me up at night. What could be the issue?


Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Your symptoms may be due to a combination of two conditions, as numbness and pain can be caused by the following: A. Compression of the cervical nerve roots, which may lead to pain radiating down ...

[Read More] Understanding Left Shoulder Pain: Causes and Treatment Options


Understanding Knee Pain: Causes and Solutions for Rehabilitation Issues

Knee pain I have been experiencing continuous pain on the outer side of my right knee for a week. When I wake up in the morning, I cannot fully straighten my leg, and if I try to walk, I feel sharp pain in the back of my knee. Sometimes, the muscles around my knee and in my thigh...


Dr. Chen Xianchang Reply:
Hello, Miss: I would like to respond to your question and provide the following suggestions: 1. The location you described could indicate two possibilities: A. Biceps tendonitis B. Lateral collateral ligament inflammation 2. It would be effective to visit a rehabilitation special...

[Read More] Understanding Knee Pain: Causes and Solutions for Rehabilitation Issues


How to Manage Sudden Lower Back Muscle Pain Before Exercise

Lower back muscle pain? Hello, doctor! This morning, while preparing to exercise, I suddenly experienced severe pain in the lower left side of my back, to the point where I could barely walk on my left leg. Following that, my entire lower back felt uncomfortable. How should I han...


Dr. Chen Xianchang Reply:
Hello, thank you for your inquiry. Here are my responses and recommendations: 1. The symptoms resemble sciatica, which may radiate to the lower limbs; it is also possible that both conditions are present (lumbar muscle inflammation combined with sciatica). 2. You should consul...

[Read More] How to Manage Sudden Lower Back Muscle Pain Before Exercise


Understanding Heat Stroke: Symptoms, Prevention, and Recovery Tips

Heat stroke On May 9th, it was particularly hot and humid, with outdoor temperatures around 33 degrees Celsius. While driving at 3 PM, I felt drowsy. In the past, I would sweat profusely at around 32 degrees, but that day was unusual as I couldn't sweat at all. I had someone...


Dr. Chen Xianchang Reply:
Hello Sir: Thank you for your inquiry. Here are my responses and suggestions: 1. It may be a case of heat exhaustion or heat syncope, characterized by an inability to sweat. Traditional Chinese Medicine (TCM) treatment involves gua sha on the shoulders and back (along the Gover...

[Read More] Understanding Heat Stroke: Symptoms, Prevention, and Recovery Tips


Understanding Neck and Back Pain After Weightlifting: A Rehab Perspective

Consultation regarding medical condition? Hello, I regularly exercise, specifically using weightlifting equipment at the gym. I'm not sure if my injuries are related to my workouts, but I've been experiencing a tight sensation in my neck and a painful feeling in the ner...


Dr. Pan Yingda Reply:
I apologize! I was away for a course last week, so I missed your question! If you have been exercising for a long time, it should not be related to exercise unless there have been recent changes in your workout routine or intensity! Many everyday situations can also cause the sym...

[Read More] Understanding Neck and Back Pain After Weightlifting: A Rehab Perspective


Understanding Plantar Fasciitis: Causes, Symptoms, and Treatment Options

Confusing plantar fasciitis? Hello Doctor: For the past decade or so, I have been accustomed to walking barefoot in muddy areas (not on concrete). A week before the Lunar New Year, I wore leather shoes, which led to pain in the joints of my big toes. After that, I switched back t...


Dr. Pan Yingda Reply:
Hello Mr. Zhang! That's a big question! I'm afraid I can't answer your inquiry! From your message, I can't determine what the issue is! Are you still experiencing pain? 1. I cannot confirm whether your symptoms are indicative of plantar fasciitis. If this is...

[Read More] Understanding Plantar Fasciitis: Causes, Symptoms, and Treatment Options


Can Physical Therapy Help Relieve Postherpetic Neuralgia Pain?

Neuropathic pain? My mom said she inexplicably developed shingles, with pain radiating from the left back of her neck to her lower back. She has seen a dermatologist and has been taking medication for 7 days, but she is afraid to continue taking the medication. Now it seems the p...


Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. Herpes zoster is a viral infection, and antiviral medication should be taken for 10-14 days to completely eliminate the virus and prevent it from becoming ...

[Read More] Can Physical Therapy Help Relieve Postherpetic Neuralgia Pain?


Non-Surgical Options for Treating Lumbar Spondylolisthesis

Is surgery avoidable? My uncle is a laborer who often experiences back pain. He once visited an orthopedic doctor who diagnosed him with grade I spondylolisthesis and recommended surgery. However, he is afraid and does not want to undergo surgery. Are there options for rehabilita...


Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: 1. Whether to proceed with surgery or rehabilitation for grade I lumbar spondylolisthesis depends on the structural (anatomical) and functional (nerve compression) assessment. 2. If there is stru...

[Read More] Non-Surgical Options for Treating Lumbar Spondylolisthesis


Understanding Thigh Pain: Is It Nerve or Muscle Related?

Dull pain I've been experiencing sharp pain just above the back of my right thigh while walking in the early mornings. It's so intense that I can barely continue walking. When I drive and press the accelerator, my right leg feels very heavy. I noticed some bruising when...


Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. I would like to respond to your questions and provide the following suggestions: 1. Generally speaking, you may have a coagulation issue, which could be due to low platelet count or problems with clotting factors. It is advisable to visit ...

[Read More] Understanding Thigh Pain: Is It Nerve or Muscle Related?


Understanding Swelling and Numbness in Extremities: Causes and Solutions

Numbness and swelling in the hands and feet? When the weather is hot, my fingers and the thighs of my legs swell and feel very uncomfortable. Whether I am standing or sitting, sometimes my feet even swell to the point of numbness. Could this be poor circulation? How can I resolve...


Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, it may be due to poor peripheral circulation. Since you are still young, you might consider performing pumping exercises for your hands and feet, which involve gradually tight...

[Read More] Understanding Swelling and Numbness in Extremities: Causes and Solutions


Is It Time to See a Rehabilitation Specialist for My Lower Back Pain?

Lower back pain I have been experiencing lower back pain for several days. I initially thought it was caused by a cold and consulted an internal medicine doctor. However, after the pain medication wore off, the pain returned to the point where I can't sleep. I would like to ...


Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to address your question and provide the following suggestions: 1. Generally speaking, your back issues may not be solely muscular; there could be structural problems, including spinal curvature or slippage, degeneration or her...

[Read More] Is It Time to See a Rehabilitation Specialist for My Lower Back Pain?


Can't Move My Neck After Waking Up: Causes and Solutions

Woke up with neck stiffness? I woke up this morning and found that I couldn't move my neck, and the area is also painful. What should I do? This happens to me frequently; how should I seek medical attention?


Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, it is possible that you are experiencing a stiff neck due to inflammation of the sternocleidomastoid muscle; however, the pain in the area may be caused by the rhomboid muscle o...

[Read More] Can't Move My Neck After Waking Up: Causes and Solutions


Effective Strategies for Managing Shoulder Blade Pain and Discomfort

Shoulder blade pain? I often experience pain in my scapula that prevents me from sleeping or doing tasks, and it feels like there is a soft cartilage protrusion. What should I do when I have pain in my scapula? Please advise! Thank you!


Dr. Chen Xianchang Reply:
Hello, thank you for your inquiry. Here are my responses and recommendations: 1. Generally, this may be related to the rhomboid muscles in the upper back or a protrusion of the thoracic vertebrae cartilage. 2. I recommend applying a hot compress or taking a warm shower to alle...

[Read More] Effective Strategies for Managing Shoulder Blade Pain and Discomfort


Understanding Ankylosing Spondylitis: Exercise and Rehabilitation Options

Ankylosing Spondylitis I often have trouble getting out of bed in the early morning. Initially, I thought it might be due to the cold weather, and then I considered that playing basketball too vigorously might have caused stiffness in my lower back and spine. Recently, I was diag...


Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Ankylosing spondylitis is an immune-related condition, and it may be necessary to learn how to manage it. 2. Treatment should differentiate between the acute and chronic phases. If there is signi...

[Read More] Understanding Ankylosing Spondylitis: Exercise and Rehabilitation Options


Can Horseback Riding Therapy Help Children with Developmental Delays?

Developmental delay My son experienced developmental delays and at the age of 2, he was still babbling and not speaking. I have made great efforts to take him for speech therapy and sensory integration therapy. Over the past three years, while his verbal expression is still not o...


Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. Hippotherapy is a treatment that has been introduced from abroad and is used for children with "cerebral palsy," "attention deficit," &q...

[Read More] Can Horseback Riding Therapy Help Children with Developmental Delays?


Quick Relief Tips for Sudden Lower Back Pain After Lifting

Lower back pain? If you suddenly experience a sharp pain in your lower back while lifting something and find it difficult to stand up straight, here are some steps you can take to help yourself stand up: 1. **Stay Calm**: Take a moment to breathe deeply and try to relax your bod...


Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, if you have strained your lower back, do not stand up straight immediately. First, apply ice for ten minutes, use a pain relief patch, and rest as much as possible. 2. You may ma...

[Read More] Quick Relief Tips for Sudden Lower Back Pain After Lifting


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