Understanding Lymphatic Obstruction: Causes and Treatment Options
Lymphatic obstruction? Hello Director Chen! My thigh is swollen down to my calf, and the muscles always feel tight and very sore to the touch. Could this be due to lymphatic congestion? Is it treatable? Thank you, Lily.
Dr. Chen Xianchang Reply:
(1) Poor circulation; the lymphatic system has valves to help push lymph fluid back, but its function declines with age. (2) You can visit a rehabilitation department for deep heat therapy and circulatory compression lymphatic treatment to enhance circulation. (3) You can perform...[Read More] Understanding Lymphatic Obstruction: Causes and Treatment Options
Understanding MRI Results: What to Do When Symptoms Persist Despite a Negative Report
MRI Examination Report Hello, Director Pan. Recently, the doctor found that my reflexes in my hands and feet were abnormally strong, so I was scheduled for an MRI. The results came back negative, but the doctor mentioned that there might be slight compression on the C4 nerve root...
Dr. Pan Yingda Reply:
First of all, congratulations on your normal MRI results, so you can rest assured that there are at least no "major" issues. Problems with the C1 to C4 nerve roots primarily manifest as pain and discomfort in the head and neck area, but since the MRI has been done, ther...[Read More] Understanding MRI Results: What to Do When Symptoms Persist Despite a Negative Report
Can Sit-Ups Help with Back Pain After an Accident?
Can I do sit-ups if I have back pain? My mother is 58 years old and had a car accident in February of this year. She was hospitalized for two weeks and has been experiencing lower back pain since then. Although she has been returning for regular follow-ups, the results have not b...
Dr. Xu Zhenrong Reply:
Hello, Hero: In outpatient clinics, we often encounter patients who have previously received treatment at other hospitals. Some patients bring referral documents, while others only provide verbal descriptions of the examinations or treatments they have undergone. The evaluation...[Read More] Can Sit-Ups Help with Back Pain After an Accident?
To Surgery or Not: Managing Lumbar Spondylolisthesis in Rehab
Is surgery necessary? Hello Director Chen: My father often lifts heavy objects and currently experiences frequent lower back pain that radiates to his right thigh. The doctor diagnosed him with lumbar spondylolisthesis. Some doctors suggest surgery, while others recommend physica...
Dr. Chen Xianchang Reply:
1. In cases of lumbar spondylolisthesis classified as Grade I (with slippage less than one-quarter), if there are no accompanying symptoms, rehabilitation is recommended. However, if the slippage is Grade II or higher and there are the following symptoms, surgical fixation is nec...[Read More] To Surgery or Not: Managing Lumbar Spondylolisthesis in Rehab
Understanding Chronic Myofascial Pain: When Sleep Disrupts Your Life
If I don't get a full 8 hours of sleep, my back hurts so much that I can't sleep at all..? I started experiencing pain after running at the playground last Friday. After going to bed, I noticed that I would wake up in the middle of the night due to pain, and lying flat ...
Dr. Pan Yingda Reply:
Sorry for the late response! I didn't check online to see if anyone had questions. Basically, "myofascial pain syndrome" does not typically present this way; I think it might be a slight postural strain. The most common area affected is the junction between the rib...[Read More] Understanding Chronic Myofascial Pain: When Sleep Disrupts Your Life
Understanding Neck Pain: Seeking Answers for Persistent Symptoms
Doctor, please help me? Hello, Director Pan. In mid-August, I went for folk therapy and ended up getting injured, resulting in swelling of my jaw and a feeling of dizziness, along with difficulty focusing on near objects. Initially, I didn't think much of it, so I just visit...
Dr. Pan Yingda Reply:
Basically, if what you described is accurate, I think it’s quite serious. When I say "if," I mean that some symptoms are very subjective. For example, I had a case where a patient complained of chest pain, and after seeing multiple doctors without relief, she ended up i...[Read More] Understanding Neck Pain: Seeking Answers for Persistent Symptoms
Understanding Shoulder and Neck Pain: Seeking the Right Treatment Options
Pain, soreness, and numbness? Hello, four years ago I experienced soreness and numbness in my shoulder, neck, and arm. After a doctor's diagnosis, I underwent surgery on cervical vertebrae 4-7. Recently, for the past six months, I have been experiencing constant tightness an...
Dr. Pan Yingda Reply:
Hello, I apologize for being busy lately and almost forgetting to reply. If surgery is not being considered (which is generally unnecessary), then definitely consult a rehabilitation specialist! My recommendations are: 1. Posture: Keep your head extended upward to lengthen the ne...[Read More] Understanding Shoulder and Neck Pain: Seeking the Right Treatment Options
Should You Consider Rehabilitation for Herniated Discs?
Should I go for rehabilitation for a herniated disc? Hello, Doctor: I apologize for the lengthy message and multiple questions, but I hope you can provide me with some advice. In mid-October, I experienced severe lower back pain while exercising (the pain was so intense that I co...
Dr. Pan Yingda Reply:
Hello, I apologize for the late response as I've been quite busy recently. Regarding your questions: 1. You should go to a hospital for rehabilitation. As for recommended exercises, forward bending movements are generally not suitable. It's important to avoid maintain...[Read More] Should You Consider Rehabilitation for Herniated Discs?
Post-Surgery Exercise Guidelines for Disc Herniation Recovery
Postoperative Exercise after Disc Surgery Hello, doctor. I had surgery for a herniated disc in October last year, and it has been over a year since the operation. Occasionally, I lift things, but I pay attention to my posture and do less bending at the waist. I no longer play spo...
Dr. Jian Jincheng Reply:
It is uncertain whether the angle of elevation caused by your exercise can be assessed for its impact. It is recommended to consult your surgeon for an evaluation.[Read More] Post-Surgery Exercise Guidelines for Disc Herniation Recovery
Understanding Sacroiliac Joint Dysfunction: Rehabilitation Options Explained
Sacroiliitis Hello, Dr. Chen! I have lower back pain that comes and goes. The most difficult part is that after sitting for a long time, I can hardly get up due to the pain. I also experience pain when turning over in bed and after walking for a while. A doctor mentioned it could...
Dr. Chen Xianchang Reply:
1. It may also be due to lumbar intervertebral disc herniation accompanied by muscle stiffness. 2. A thorough examination should be conducted (X-rays and electromyography or further magnetic resonance imaging) to identify the underlying cause. 3. If the disc herniation is severe,...[Read More] Understanding Sacroiliac Joint Dysfunction: Rehabilitation Options Explained
Can Rehabilitation Help Relieve Chronic Lower Back Pain?
Lower back pain Hello, Dr. Chen! I often play basketball, and one time I experienced severe pain in my lower back that made it impossible to stand. A friend took me for several sessions of massage therapy, and after applying some medicated patches for a few days, it seemed to imp...
Dr. Chen Xianchang Reply:
(1) Causes of lower back pain include muscle strains and lumbar intervertebral disc herniation. (2) Massage therapy can relax muscles and reduce pain, but it only has localized effects. (3) A thorough examination (such as X-rays, CT scans, or electromyography) should be conducted...[Read More] Can Rehabilitation Help Relieve Chronic Lower Back Pain?
Understanding William's Exercises for Taekwondo Injury Prevention
Taekwondo Sports Injuries Hello Director Chen! Thank you for your response! 【It is advisable to perform Williams exercises and strength training before exercising.】 May I ask: what are Williams exercises? Thank you! Rosey
Dr. Chen Xianchang Reply:
1. Williams exercises are strengthening exercises for the lumbar muscles and stretching exercises for the back muscles. 2. (1) For example, lying down and hugging the knees to the chest (hold for ten seconds), alternating knee hugs, and simultaneously hugging both knees. (2) Pe...[Read More] Understanding William's Exercises for Taekwondo Injury Prevention
Revolutionizing Rehabilitation: The Benefits of Horse Riding Machines
Horse riding machine Hello Director Chen! According to a report by Central News Agency on November 17, Miaoli Daqian Hospital has introduced a horseback riding simulator as a rehabilitation tool, specifically targeting patients with spinal injuries, strokes, or autism, creating a...
Dr. Chen Xianchang Reply:
1. The purpose of the horse riding machine is to train balance and strengthen the muscles of the lower back; however, its effectiveness for spinal injuries and stroke has not yet been confirmed. 2. Our hospital currently has no plans to purchase this equipment. 3. Autism and deve...[Read More] Revolutionizing Rehabilitation: The Benefits of Horse Riding Machines
Effective Treatments for Taekwondo-Related Injuries: Focus on Ankles and Back
Sports injuries Hello, Director Chen! I have been practicing Taekwondo for 10 years without any major issues. I understand that Taekwondo involves a lot of kicking, which can lead to sports injuries, particularly in the ankles, knees, or lower back. After all, even a normal perso...
Dr. Chen Xianchang Reply:
1. In the acute phase, apply ice and rest. 2. In the subacute phase, heat therapy, electrical stimulation, and shortwave or laser treatments can be initiated. 3. It is advisable to perform Williams exercises and strength training before engaging in physical activity.[Read More] Effective Treatments for Taekwondo-Related Injuries: Focus on Ankles and Back
Can Frog Legs Cause Leg and Back Pain During Exercise?
Frog legs Hello, Dr. Hsu! I would like to ask if frog legs can cause soreness in the legs and lower back? I exercise quite often, but I find that my legs get sore after walking or shopping for a short period. Please help me with this question. Thank you!
Dr. Xu Zhenrong Reply:
Hello: The condition commonly referred to as "frog legs" is known as gluteal fibrosis, also called gluteal contracture syndrome. It is usually caused by repeated intramuscular injections in the gluteal muscle during childhood, particularly with antibiotics such as penic...[Read More] Can Frog Legs Cause Leg and Back Pain During Exercise?
Effective Rehabilitation Strategies for Managing Lower Back Pain
Low back pain Hello Director Chen, after experiencing lower back pain, the traditional Chinese medicine practitioner recommended acupuncture treatment and advised to avoid excessive pressure on the lumbar spine and surrounding areas, maintain good posture, and reduce carrying hea...
Dr. Chen Xianchang Reply:
1. If there is lower back pain without sciatica symptoms, you can apply heat therapy at home, and rehabilitation may include thermotherapy and electrotherapy. 2. If sciatica is present and radiates to the lower limbs, lumbar traction should be added. 3. Reduce heavy lifting a...[Read More] Effective Rehabilitation Strategies for Managing Lower Back Pain
Understanding Muscle Strains: Symptoms, Causes, and Rehab Options
Where is the strain? Hello Director Chen! Recently, when lifting objects, even something as light as a bucket of water or a backpack, I feel a sense of weakness at certain angles, and my muscles feel immediately fatigued. A slight touch causes significant pain, which is localized...
Dr. Chen Xianchang Reply:
1. It may be a tendon strain, and pulling or exerting force may cause pain. 2. Avoid lifting heavy objects for the time being, and consider visiting a rehabilitation department for deep heat therapy such as shortwave, ultrasound, or laser treatments.[Read More] Understanding Muscle Strains: Symptoms, Causes, and Rehab Options
Are Park Exercise Equipment Safe for Spinal Rehabilitation?
Exercise equipment? Hello, Dr. Chen! It is common to see fixed tires in parks. Many people consider them to be the best equipment for supporting the body and correcting or maintaining spinal health, and they are eager to try them out! However, they are hesitant to proceed without...
Dr. Chen Xianchang Reply:
1. Lying on a tire allows for stretching of the back muscles, but it does not provide specific benefits for the spine. 2. It is better to visit a rehabilitation department to obtain educational pamphlets or consult a rehabilitation physician on how to perform exercises for the ...[Read More] Are Park Exercise Equipment Safe for Spinal Rehabilitation?
Effective Solutions for Herniated Discs and Nerve Compression
Herniated disc Hello Dr. Chen! A herniated disc is compressing the nerves, causing numbness and tingling in the calf and foot. A friend suggested doing pull-ups to recover, but I have my doubts. What is the best way to address this issue? Thank you, Doctor! Best regards, Chao-Min...
Dr. Chen Xianchang Reply:
1. Performing pull-ups requires significant arm strength, and the lumbar muscles must be completely relaxed to achieve proper form. 2. It is advisable to visit a rehabilitation department for heat therapy, electrical stimulation, and lumbar traction, as these treatments yield b...[Read More] Effective Solutions for Herniated Discs and Nerve Compression
Understanding Knee Pain and Fever After Spinal Surgery: A Rehab Perspective
Meteorological Station vs. Knee Can Also Experience Fever Hello Dr. Pan, it has been a while since I last asked a question. After undergoing my third surgery for herniated disc (HIVD) last year, my recovery went well, and I seemed to have no complications. However, in February of...
Dr. Pan Yingda Reply:
I'm glad to hear that you are recovering well after your surgery. Currently, my rehabilitation physician is quite conservative with my treatment, probably out of fear of being sued! Haha! Generally, for those who have undergone multiple surgeries and are still uncomfortable,...[Read More] Understanding Knee Pain and Fever After Spinal Surgery: A Rehab Perspective