EMG, Rehabilitation FAQ - Page 2

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Understanding Thigh Pain and Weakness: A Guide to Rehabilitation

Thigh pain and weakness? Hello, doctor. I would like to ask you about something. Around the time of the Lunar New Year, I started feeling a heavy sensation in my thighs at night, similar to the feeling after exercising. After a night's sleep, it would return to normal, so I ...


Dr. Chen Wayda Reply:
Consult a neurologist.

[Read More] Understanding Thigh Pain and Weakness: A Guide to Rehabilitation


Exploring Rehabilitation Options for Carpal Tunnel Syndrome Patients

Questions regarding rehabilitation therapy? Dear Dr. Chen, I have been diagnosed with Carpal Tunnel Syndrome and previously consulted at Chang Gung Memorial Hospital. In addition to the injury to my median nerve, I suspect there may be damage to other nerves due to the emergence...


Dr. Chen Wayda Reply:
You can undergo rehabilitation at our hospital, but please bring the electromyography and nerve conduction study reports with you.

[Read More] Exploring Rehabilitation Options for Carpal Tunnel Syndrome Patients


Understanding Foot Pain After Play: When to Seek Rehab Help

The leg was pulled..? I was playing around with my classmates today, and now my foot hurts so much that I can't lift it up.


Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and recommendations: 1. It may be a muscle strain or even a nerve injury. 2. It is advisable to visit a nearby hospital's rehabilitation department for an examination to confirm the diagnosis, as it is important ...

[Read More] Understanding Foot Pain After Play: When to Seek Rehab Help


Post-Surgery Numbness and Pain: Understanding Carpal Tunnel Syndrome

Persistent numbness and pain after surgery? I have numbness and weakness in my left hand. The doctor diagnosed me with carpal tunnel syndrome and I had surgery a month ago. However, I am still experiencing numbness and pain after the surgery. What could be the reason for this?


Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. You may consider undergoing a "nerve conduction study and electromyography" (NCS/EMG) to determine the location and severity of nerve compression. 2. If there is cervical nerve compress...

[Read More] Post-Surgery Numbness and Pain: Understanding Carpal Tunnel Syndrome


Understanding Hand Numbness: Causes and When to Seek Help

Numbness in the hands? I often experience numbness in my left hand, starting from the fingertips and then spreading to the entire palm. It occasionally occurs while riding a motorcycle, and when I sit in a certain position, my hand goes numb. Additionally, when I sleep on my left...


Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your questions and provide the following suggestions: 1. The sources of nerve issues often include cervical nerve compression and median nerve compression (carpal tunnel syndrome). 2. Peripheral neuropathy can b...

[Read More] Understanding Hand Numbness: Causes and When to Seek Help


Understanding Shoulder Blade Pain: Causes and Prevention Tips

Shoulder blade pain? My mother often complains about pain in her scapula. She visited an orthopedic doctor who mentioned something about cartilage protrusion. Why does the cartilage in that area protrude, and how can it be prevented? Thank you for your response!


Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: 1. The area near the scapula is governed by the nerve roots of the fifth and sixth cervical vertebrae. 2. A definitive diagnosis requires a CT scan and electromyography (EMG) examination. 3. Pay at...

[Read More] Understanding Shoulder Blade Pain: Causes and Prevention Tips


Understanding Thigh Cramps: Causes and Treatment Options

Thigh cramp? I have been experiencing cramping pain on the inner side of my right thigh for the past three days, feeling like an electric shock, radiating from the groin down to the knee. I can visibly see the muscle twitching. Initially, I thought it was due to sitting in front ...


Dr. Chen Xianchang Reply:
Hello, Sir: I would like to respond to your questions and provide the following suggestions: 1. Muscle cramps may be caused by the following factors: A. Muscle pathology (myopathy, electrolyte imbalance) or overuse of the muscles. However, since you are experiencing a sensa...

[Read More] Understanding Thigh Cramps: Causes and Treatment Options


Understanding Neck Stiffness and Dizziness: Could It Be Myofascial Pain?

Stiff neck and dizziness? Since experiencing dizziness a year ago, I have been feeling dizzy for over a year, accompanied by a sensation of pressure in my head, neck stiffness, and facial rigidity. I have undergone various examinations at different clinics (neurology, otolaryngol...


Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your questions and make the following suggestions: 1. Generally speaking, myofascial pain syndrome is characterized by multiple tender points and muscle spasms, but it does not cause dizziness or facial stiffness....

[Read More] Understanding Neck Stiffness and Dizziness: Could It Be Myofascial Pain?


Understanding Nighttime Hand Numbness: Causes and Solutions

Numbness in the hands? For the past two weeks, I have been waking up every day with numbness in my left hand, which continues to wake me up repeatedly until dawn. The numbness is primarily in my palm, and at times it feels like pins and needles. I would like to ask the doctor: wh...


Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your question. I would like to address your inquiry, which can be divided into three parts: 1. The nerves of the palm are primarily innervated by the median and ulnar nerves. Given your young age, the likelihood of poor circulation is low; it may be due...

[Read More] Understanding Nighttime Hand Numbness: Causes and Solutions


Managing Pain and Recovery After a Fall: Tips for Rehabilitation

Bruise Hello, doctor! Today I went canyoning and fell, hitting the right side of my lower back against a rock. The pain was so intense that I couldn't get up. The emergency room doctor reviewed the X-rays and said there was no major injury, but I believe I have injured my co...


Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and recommendations: 1. It is important to consider the impact point of the force <magnitude and area of force> and the conduction of the force <up to which lumbar vertebra>, so the management can be div...

[Read More] Managing Pain and Recovery After a Fall: Tips for Rehabilitation


Understanding Hand Numbness and Muscle Atrophy: Diagnosis and Treatment

Numbness in the back of the hand and muscle atrophy? I have numbness in the back of my left hand, and there is muscle atrophy between my thumb and index finger. It feels very sore when I hold a newspaper or chopsticks, and I even drop them. How should I be examined and treated?


Dr. Chen Xianchang Reply:
Hello, thank you for your question. Here are my responses and suggestions: 1. The muscles on the back of the hand and between the thumb and index finger are innervated by the radial nerve. The compression point may originate from the sixth cervical nerve root or from the radial ...

[Read More] Understanding Hand Numbness and Muscle Atrophy: Diagnosis and Treatment


Rehabilitation or Surgery: Choosing the Best Treatment for Disc Herniation

Rehabilitation or surgery? I often experience numbness and sharp pain in my right foot. An MRI showed a herniated disc at the fourth and fifth lumbar vertebrae. Some doctors have recommended surgery, while others suggest rehabilitation. What should I do?


Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following recommendations: 1. The conditions for surgery are as follows: A. Decreased muscle strength in the toes or foot when bending and straightening B. Severe pain that ...

[Read More] Rehabilitation or Surgery: Choosing the Best Treatment for Disc Herniation


Understanding Facial Nerve Palsy: Symptoms, Causes, and Solutions

Facial nerve paralysis Dear Director Chen: My friend often stays up late using the computer, and recently they have been experiencing involuntary twitching at the corners of their eyes and mouth. Some friends mentioned it might be facial nerve paralysis. Is that the case? What sh...


Dr. Chen Xianchang Reply:
Hello: Thank you for your inquiry. Here are my responses to your questions and some recommendations: 1. You should consult a "Rehabilitation Medicine" or "Neurology" specialist for an examination. Possible causes include: A. Facial nerve issues, includin...

[Read More] Understanding Facial Nerve Palsy: Symptoms, Causes, and Solutions


Understanding Finger Numbness: Causes and Rehabilitation Insights

Finger numbness Hello Doctor: My father has been working in a tea plantation for a long time, and his fingers often feel numb after harvesting tea leaves, to the point where he loses sensation. He underwent surgery at the end of last year, but he is still unsure about the exact d...


Dr. Chen Xianchang Reply:
Hello Sir: Thank you for your inquiry. Here are my responses and recommendations: 1. Your father may be experiencing carpal tunnel syndrome, which is caused by compression of the median nerve in the arm due to thickened ligaments and tendons, leading to numbness and even atrophy ...

[Read More] Understanding Finger Numbness: Causes and Rehabilitation Insights


Understanding Discomfort After Lumbar Stretching: Causes and Solutions

Lower back pain Hello Director Chen! I have been undergoing rehabilitation for over four months now, and I have noticed significant benefits from interferential current therapy and shortwave therapy. However, I am struggling with lumbar stretching; for the past two weeks, I have ...


Dr. Chen Xianchang Reply:
Hello, thank you for your inquiry. Here is a response to your question along with some suggestions: 1. It may be due to muscle stiffness in the lower back and excessive traction force. If it lasts only for three to four days, it is generally not a concern; however, if it persis...

[Read More] Understanding Discomfort After Lumbar Stretching: Causes and Solutions


Understanding Hand Numbness: Causes and Solutions for Rehabilitation

Numbness in both hands? Hello, Director Chen! Recently, I've experienced sudden numbness in my right palm that lasts for a few seconds and then disappears. I haven't been doing any heavy household chores. Sometimes, after my right hand goes numb, my left hand also exper...


Dr. Chen Xianchang Reply:
Hello Ms. Kiwi: Here are a few suggestions: 1. It may be carpal tunnel syndrome, caused by prolonged overuse of the flexor muscles in the palm, leading to inflammation or swelling that compresses the median nerve; this often results in waking up with numbness during the night. 2....

[Read More] Understanding Hand Numbness: Causes and Solutions for Rehabilitation


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


Facial Spasms: Can Rehabilitation Help After Failed Treatments?

Facial spasms Director Chen: Three weeks ago, the patient experienced facial spasms several times a day. Traditional Chinese medicine and acupuncture have not been effective. Is it possible to proceed with rehabilitation?


Dr. Chen Xianchang Reply:
(1) Facial twitching should first be evaluated by a rehabilitation specialist with an electromyography (EMG) test at a regional hospital to determine if it is due to a central or peripheral nerve disorder. (2) If it is a peripheral nerve disorder, the physician may administer bot...

[Read More] Facial Spasms: Can Rehabilitation Help After Failed Treatments?


Persistent Inner Thigh Pain: Exploring Treatment Options Beyond Traditional Methods

Numbness and pain in the inner thigh? If you have been experiencing numbness and pain on the inner thigh for over six months despite treatment from both Western and traditional Chinese medicine, it may indicate an underlying issue that has not been addressed. Possible causes coul...


Dr. Chen Xianchang Reply:
1. An electromyography (EMG) of the lower extremities and magnetic resonance imaging (MRI) of the lumbar spine should be performed first to determine if there are any lesions, including intervertebral disc herniation, sciatica, or spinal tumors. 2. If there is frequent hiking o...

[Read More] Persistent Inner Thigh Pain: Exploring Treatment Options Beyond Traditional Methods


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?


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