Back, Rehabilitation FAQ

Effective Solutions for Persistent Shoulder Pain: A Rehabilitation Guide

Shoulder pain? Hello Doctor: I have been suffering from pain in my shoulder and upper back for the past two years. I have consulted a traditional Chinese medicine practitioner for acupuncture, but the results have been limited; sometimes it helps, but the pain recurs after 2 to 3...

Dr. Zhang Yuzhang Reply:
Based on the symptoms you described, it seems more like a muscular issue. It could be caused by long-term poor posture or overuse of muscles (such as prolonged computer use, reading, or working), leading to myofascial pain syndrome. In this case, it is essential to address the un...

Understanding Kyphosis: Treatment Options and When to Seek Help

Hunchback issue Hello Dr. Li, I have a question I would like to ask you. I have been dealing with a hunchback issue for 8 years, since middle school. My classmates say it looks really serious, and it's quite obvious from the side. I have tried standing against a wall, but ...

Dr. Li Weiqiang Reply:
Hello! I apologize for the delayed response. You have had a hunchback for 8 years since middle school, and I assume you are currently in your twenties, correct? At this age, your spine should be fully developed, and there shouldn't be any severe deterioration. However, for s...

Persistent Knee Pain: Seeking Solutions After Injury and Treatment

Knee About five years ago, I fell while playing a game and hit my knee. At that time, I experienced swelling and pain. I then consulted a traditional Chinese medicine practitioner who performed tui na (Chinese therapeutic massage), but it was ineffective. I subsequently saw an or...

Dr. Pan Yingda Reply:
It’s a bit tricky, but there shouldn’t be any issues with the bones. Do you experience pain when going up and down stairs or squatting? If the massage pressure isn’t very strong and it causes swelling, it’s evident that there are still parts of the soft tissue that haven’t healed...

Rehabilitation vs. Acupuncture: Which is More Effective for Back Pain?

Inquiry Hello, Director Hsu! I would like to ask a question and hope you can take the time to respond. Thank you! 1. In high school, I injured my spine by hitting the edge of a blackboard, which caused significant pain. To this day, I still experience pain when pressure is appl...

Dr. Xu Zhenrong Reply:
Back pain is a common issue. In younger patients, it may be due to muscle strains, sports injuries, or intervertebral disc problems. It is recommended to undergo both rehabilitation therapy and acupuncture simultaneously. Additionally, it is important to perform exercises that st...

Understanding Thigh Pain: Rehabilitation Insights and Home Remedies

Thigh pain Hello, Director Zheng! I have a troubling issue to consult you about: I have a habit of jogging, and about a year ago, after running about seven or eight laps, I started experiencing pain in my left leg below the hip. To this day, that area sometimes hurts when I walk ...

Dr. Zheng Shunping Reply:
Hello: In response to your questions. 1. Based on the current description, it is not possible to make a definitive diagnosis or provide a treatment plan. It is recommended to first visit an outpatient clinic for evaluation and then discuss with a physician. 2. There is no obvious...

Understanding Chronic Lower Back Pain: Causes and Solutions

Lower back pain? Hello, before my military service (in 1999), I was involved in a motorcycle accident where I was hit by a car while riding home from work. At that time, I felt dizzy but was conscious. I went to the hospital for an examination and rested for a night, thinking eve...

Dr. Pan Yingda Reply:
I believe it might be a muscle issue, likely related to decreased activity after work. Generally, muscle problems can be addressed from two aspects: 1. Flexibility and 2. Strength. Take some time to engage in exercises that enhance both areas. I hope you can consult a specialist ...

Understanding the Causes of Lower Back Pain: A Rehabilitation Perspective

How does lower back pain occur? I am currently studying Rehabilitation Medicine. However, I have a question to ask. We have a report where we can freely choose a topic. My classmate chose low back pain and asked me to help her research it, but I haven't had any luck finding ...

Dr. Pan Yingda Reply:
This is a profound question that cannot be answered in just a few words. I recommend you purchase a book, such as "Goodbye to Back Pain," authored by Dr. Hsieh Lin-Fen, the Director of the Rehabilitation Department at Shin Kong Hospital. It is very well written and wort...

Understanding Post-Accident Pain: Back, Shoulder, and Pelvic Issues Explained

I'm sorry, but it seems that your message is unclear? Hello: Since the two car accidents last year (one involved a direct impact to the lower back, and the other caused the hip to hit the ground first, both with significant force), I have been experiencing frequent soreness ...

Dr. Zheng Shunping Reply:
Hello: In response to your question, the soreness in your lower back and difficulty sleeping after the car accident warrants an X-ray examination to rule out any skeletal issues. Additionally, fatigue in the right shoulder can lead to soreness in the right side of the neck and ev...

Understanding Post-Accident Pain: Back, Shoulder, and Pelvic Issues Explained

I'm sorry, but it seems that there is no content provided Hello: Since the two car accidents last year (one involved a direct impact to the lower back, and the other involved the hip hitting the ground first, both with significant force), I have been experiencing frequent so...

Dr. Pan Yingda Reply:
1. You can take an X-ray to rule out any bone injuries; additionally, pelvic displacement is also a possibility, which needs to be assessed in person with some simple examinations. 2. The issue with your right shoulder may be related to long-term poor posture, so it's import...

Understanding Post-Accident Pain: Is It Pelvic Misalignment or Something Else?

I'm sorry, but it seems there was an error in your Hello: Since the two car accidents last year (one involved a direct impact to the lower back, and the other involved the hip hitting the ground first, both with significant force), I have been experiencing frequent soreness ...

Dr. Zhang Yuzhang Reply:
Your condition is more likely caused by an injury to the muscles and ligaments in your back. Typically, during an injury, muscles will reflexively contract strongly for self-protection, but this can also lead to muscle strains and inflammation. If adequate rest and rehabilitation...

Navigating Unrequited Love: A Journey in Rehabilitation and Self-Discovery

Ah! It should also be considered a form of rehabilitation—psychological rehabilitation? Hello Director Hsu: I was very touched by your last sentence, "Welcome to the rehabilitation team," when I consulted you last time. In fact, I am facing a dilemma: I want to become a...

Dr. Xu Zhenrong Reply:
Mr. Xiao Jie, this is not a question I should be answering, as it is not my area of expertise. However, after some consideration, I will attempt to respond. The development of feelings between individuals typically begins with initial attraction and admiration, progressing to a s...

Understanding Muscle Contractures: What You Need to Know

There are still questions? Spasm refers to a sudden, involuntary contraction of a muscle or group of muscles. It can cause pain and discomfort and may occur in various parts of the body, such as the legs, back, or abdomen. Spasms

Dr. Zhang Yuzhang Reply:
1. Leg length discrepancy does not necessarily accompany muscle atrophy; it depends on the underlying cause of the discrepancy. 2. Regarding your question about whether the lengths of both legs can be corrected to be the same, since your condition is clubfoot (talipes equinovaru...

Understanding ACL Strains: Treatment Options and Rehabilitation Tips

Anterior cruciate ligament (ACL) sprain? Due to playing basketball, I have sustained a knee injury with pain in both the front and back of the knee. I consulted a traditional Chinese medicine practitioner who diagnosed it as a cruciate ligament strain. I have tried acupuncture, b...

Dr. Pan Yingda Reply:
1. It is important to first determine if there is an issue with the anterior cruciate ligament (ACL), as the knee also commonly experiences problems with the medial and lateral collateral ligaments and the meniscus. 2. The force of the injury and the degree of swelling afterward ...

Post-Surgery Challenges: Managing Clubfoot Rehabilitation and Pain

Many years after bunion surgery? Hello Doctor: I am a patient who has undergone surgery for clubfoot (this term is from my health check-up report). I am not familiar with what clubfoot is; I only know that I had a right foot inversion as a child and underwent surgery, but I do no...

Dr. Pan Yingda Reply:
To respond effectively, the focus should be on stretching and strength training. 1. Is there any pain? This needs to be addressed first. 2. Stretching; stretch the areas that are tight. If there is a joint locking issue, it may be more challenging. 3. Muscles are used or lost; if...

Can Spinal Alignment Help with Back Pain and Nerve Issues?

Spinal correction Dear Dr. Pan: Can the spine be corrected? I often experience lower back strains, and my friends suggested that I see a chiropractor. Is this the right approach? Does hiking have any negative effects on the spine? Is there a connection between spinal injuries and...

Dr. Pan Yingda Reply:
1. Spinal adjustments have their indications; your issues may be better addressed by adjusting your posture and movement patterns, which could be more direct. Otherwise, what is referred to as spinal correction may only provide temporary relief of symptoms, and the underlying iss...

Concerns About Steroid Injections for Chronic Back Pain Management

Back pain My mother has been receiving steroid injections every three months at Hsiu-Chuan Hospital in Changhua City due to back pain. I am very concerned about the potential side effects, as she has already had several injections. Could you please provide an answer via email? Th...

Dr. Chen Xianchang Reply:
1. Back pain is generally managed primarily with physical rehabilitation therapy. 2. Steroid injections should typically be limited to three times, and additional injections should be avoided unless necessary. (Receiving injections once every three months is acceptable.) 3. It is...

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

Pain in the upper right flank? Hello Doctor, for the past six months, I have occasionally felt pain in the upper right side of my lower back, similar to a bruise, but I don't recall any injury. Recently, the pain seems to have worsened. I'm not sure what the issue might...

Dr. Pan Yingda Reply:
Is there a correlation between pain and posture or movement? 1. If so, it may be related to the muscular or skeletal system, and you could consult a rehabilitation specialist or an orthopedic doctor. 2. If not, the most likely cause could be kidney stones, and you should see a ur...

Exploring Treatment and Rehabilitation Options for Ischemic Myelitis

What are the treatment and rehabilitation options for ischemic myelitis? In addition to the condition described on July 24, my spouse had a pre-existing issue with a herniated disc (between lumbar vertebrae 4 and 5) prior to the onset of her current illness. This condition had pr...

Dr. Pan Yingda Reply:
Ischemic and hemorrhagic conditions are different (although the outcomes may be quite similar). If there is a blood clot compressing the spinal cord for over six months, the prognosis is not optimistic. If the compression is on the nerve roots (or the cauda equina), the chances a...

Understanding Cervical Bone Spurs: Symptoms, Treatment, and Management

Cervical osteophyte Hello, my profession is a teacher. I have cervical osteophytes causing: 1. soreness in the back of my neck, 2. pain in my left shoulder, and 3. numbness in my left hand. Although I have undergone cervical traction, there has been no improvement. Initially, onl...

Dr. Pan Yingda Reply:
Hello: Based on your symptoms, it is likely that bone spurs are compressing the nerves. 1. You can continue with traction; during traction, make sure to keep your spine straight, lift your head slightly, tuck your chin in, and lean your body forward slightly (about 15 degrees). D...

Understanding Shoulder Injuries from Baseball: Causes and Treatments

Sports injuries When I was younger, I played baseball as a pitcher. At that time, I didn't understand the importance of proper care, so now I experience pain in my shoulder, particularly during lateral movements (with my palm facing down). Please explain in detail what kind ...

Dr. Pan Yingda Reply:
The most common issue is inflammation of the supraspinatus muscle. The inflammation can occur due to (1) improper use (or overuse) and (2) shoulder instability, where the muscle gets impinged by the bone. Therefore, treatment should address the aforementioned causes: 1. Improve...

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