Understanding Swallowing Difficulties: Causes and Rehabilitation Options
Dysphagia I would like to inquire about an issue I have been experiencing since September of last year. After working out, I suddenly noticed a sensation of something being stuck while swallowing, which has gradually worsened over time. Currently, I am unable to engage in any phy...
Dr. Lin Ruixiang Reply:
Hello: From the perspective of fascial lines, swallowing falls within the range of the "anterior deep line," which can indeed be influenced by resistance training, considering the deep fascia. In terms of the joints, insufficient mobility of the thoracic spine and ribs ...[Read More] Understanding Swallowing Difficulties: Causes and Rehabilitation Options
Understanding Lumbar and Cervical Spine Issues: Symptoms and Concerns
Lumbar and cervical spine issues? About ten years ago, an MRI diagnosed me with cervical disc herniation causing compression, which resulted in pain in my left upper arm and forearm, along with numbness in my left fingers. After about a year of rehabilitation, my symptoms improve...
Dr. Lin Ruixiang Reply:
Hello, based on your symptoms, they are consistent with nerve compression, which is supported by MRI and X-ray findings, aligning with both clinical and diagnostic criteria. It should still be considered as nerve compression. Additionally, your clinical symptoms do not resemble t...[Read More] Understanding Lumbar and Cervical Spine Issues: Symptoms and Concerns
Understanding Upper Back Pain and Neck Stiffness: Causes and Treatments
Shoulder and neck pain? Hello Dr. Lin, my current symptoms include soreness in the upper back and stiffness and pain in the shoulders and neck that extend to the upper arms. These symptoms only occur when I am standing; they do not appear when I am lying down. I am currently unde...
Dr. Lin Ruixiang Reply:
Hello Alen: Based on your description, it appears to be a posture-related issue. According to the theory of fascial lines, this falls under the deep back arm line. In principle, treatment and diagnosis should start with the fascia to keep it as simple as possible. If further exam...[Read More] Understanding Upper Back Pain and Neck Stiffness: Causes and Treatments
Managing Muscle Inflammation and Pain After Elderly Falls
Elderly falls. Muscle inflammation? Hello Doctor: Regarding my grandmother's fall in the bathroom during the New Year, which resulted in a compression fracture. She subsequently underwent vertebroplasty. However, she is now unable to get out of bed due to inflammation of the...
Dr. Jian Jincheng Reply:
If the patient has bone marrow edema, there may be signs of muscle inflammation, which can be treated with ice therapy. Rehabilitation therapy can also be considered.[Read More] Managing Muscle Inflammation and Pain After Elderly Falls
Non-Surgical Recovery from ACL Tears: Tips for Athletes
Non-surgical treatment for anterior cruciate ligament (ACL) tear? Hello, doctor! I would like to ask you about my situation. At the beginning of June this year, I injured my left anterior cruciate ligament while exercising. After an MRI, the doctor advised me not to undergo surge...
Dr. Su Hongci Reply:
Hello: The anterior cruciate ligament (ACL) is an important structure that maintains the stability of the knee joint, primarily functioning to restrict the forward movement of the tibia. ACL tears commonly occur due to sports injuries, motorcycle accidents, and falls. The mechani...[Read More] Non-Surgical Recovery from ACL Tears: Tips for Athletes
Managing Lower Back Weakness: Effective Treatments and Care Tips
Weakness in the lower back, difficulty getting up? About six years ago, I started experiencing weakness in my lower back, making it difficult to get up. Currently, I am undergoing regular massage and electrical stimulation rehabilitation, and I take glucosamine supplements. I als...
Dr. Zhou Jianwen Reply:
Hello: Based on your age and the medical history mentioned in your letter, it is recommended that you transition from lying down to sitting up by first turning onto your side and then rising slowly. It is advisable to use a walking stick for support while walking, as this provide...[Read More] Managing Lower Back Weakness: Effective Treatments and Care Tips
Understanding Frequent Falls in Toddlers: Coordination and Rehabilitation Insights
Toddlers often fall down? Hello Doctor: My daughter is four years old and has been diagnosed with tightness in her calf muscles, which sometimes causes her to walk on her toes. The doctor advised occasional stretching. Now, she frequently falls while running and sometimes trips o...
Dr. Su Hongci Reply:
Motor development is the foundation for a child's future physical fitness, exploration of the environment, and the beginning of cognitive development and confidence building. If a child consistently falls behind, it may impact subsequent learning. There are many factors that...[Read More] Understanding Frequent Falls in Toddlers: Coordination and Rehabilitation Insights
Understanding Plantar Fasciitis and Chronic Pain Management
Plantar fasciitis and other pain-related issues? Hello Dr. Lai, About five years ago, I started experiencing knee pain. After seeing a doctor, I was diagnosed with "osteoarthritis" and have been taking related supplements such as glucosamine and other joint health prod...
Dr. Lai Yanting Reply:
1. Plantar fasciitis: In the acute phase, management includes ice therapy, rest, and the use of anti-inflammatory and analgesic medications; in the chronic phase, treatment involves wearing shoes with arch support and good shock absorption, local heat therapy, stretching exercise...[Read More] Understanding Plantar Fasciitis and Chronic Pain Management
Understanding Cognitive Assessment Results in Rehabilitation: A Parent's Guide
Intelligence Test Hello, doctor: I would like to ask about my daughter. Last September, she underwent a comprehensive assessment at your hospital, and the results of her intelligence tests were VIQ=72, PIQ=65, and FIQ=67, indicating mild intellectual disability. Subsequently, she...
Dr. Chen Wayda Reply:
The assessment of intelligence tests is conducted once a year as a principle. Moreover, her condition seems to be improving.[Read More] Understanding Cognitive Assessment Results in Rehabilitation: A Parent's Guide
Understanding Leg Pain and Weakness in Seniors: Causes and Solutions
Mom often experiences soreness in her calves and knees? Hello Dr. Jian... My mother has been experiencing discomfort in her calves and knees due to long hours of standing and walking as a result of her business. She often feels weakness in both legs and has almost fallen several ...
Dr. Jian Jincheng Reply:
Hello Ivy: Your mother may be suffering from osteoarthritis (knee). Symptoms include weakness in the legs, bilateral leg weakness, increased risk of falls, and knee pain. X-rays and blood tests can be performed for differential diagnosis, such as rheumatoid arthritis, among other...[Read More] Understanding Leg Pain and Weakness in Seniors: Causes and Solutions
Understanding Unexplained Falls: Potential Causes and When to Seek Help
Unexplained falls? About four or five years ago, one night while I was sleeping, my phone rang. I wanted to get up to answer it, but for some reason, even though my feet should have had sensation, when I stepped onto the floor to walk, one of my feet suddenly felt completely weak...
Dr. Lai Yanting Reply:
1. Based on your description, it may be helpful to recall if you took any sleeping pills or sedatives in the days leading up to the fall. This could potentially explain why you experienced a deep sleep and may have had insufficient reaction time when suddenly waking up, or it cou...[Read More] Understanding Unexplained Falls: Potential Causes and When to Seek Help
Understanding Unexplained Falls: Causes and When to Seek Help
Unexplained falls? About four or five years ago, one night while I was sleeping, my phone rang. I wanted to get up to answer it, but for some reason, even though my feet should have had sensation, when I stepped onto the floor to walk, one of my feet suddenly felt completely weak...
Dr. Lai Yanting Reply:
1. Based on your description, it may be helpful to recall if you took any sleeping pills or sedatives in the days leading up to the fall. This could potentially explain why you might have been in a deep sleep and suddenly got up during the night, leading to insufficient reaction ...[Read More] Understanding Unexplained Falls: Causes and When to Seek Help
Understanding Rehabilitation Challenges in Patients with Tracheostomy
Rehabilitation patients Hello, Doctor! My nephew suddenly fell ill due to a persistent high fever. It has been over two years since he stabilized after emergency treatment. He is unable to speak due to a tracheostomy and often stares wide-eyed at people, leaving us unsure if he u...
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. Brain injury falls under the category of damage above the neurons, which can lead to abnormal muscle tone. Prolonged bed rest can cause tendon shortening. 2...[Read More] Understanding Rehabilitation Challenges in Patients with Tracheostomy
Understanding Trigger Finger in Young Children: Causes and Concerns
Trigger finger My daughter is only 4 years old, but she cannot bend her right thumb. Could this be trigger thumb in a young child? Thank you!
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. I would like to address your question and provide the following suggestions: 1. Trigger finger is rare in children; it is advisable to visit a nearby hospital's rehabilitation department or pediatric orthopedic clinic to check for sym...[Read More] Understanding Trigger Finger in Young Children: Causes and Concerns
Effective Rehabilitation Strategies for Chronic Left Ankle Sprains
Left ankle sprain? Hello, doctor. I have experienced multiple sprains in my left ankle. After a sprain three years ago, I have been unable to stand for long periods or walk frequently without experiencing soreness and pain. I have undergone physical therapy intermittently, but th...
Dr. Pan Yingda Reply:
Hello, I had trouble connecting to this website before, so I’m responding late! I'm not familiar with shockwave therapy, so I can't provide any advice on that. I just feel that using a sledgehammer to crack a nut is unnecessary; a sprain is not a major issue and will he...[Read More] Effective Rehabilitation Strategies for Chronic Left Ankle Sprains
Understanding Falls: Assessing Potential Spine Injuries and Rehab Options
Fall Hello, Dr. Chen! I fell in the bathroom and bruised my hip, making it difficult to sit or turn over while sleeping. Could this potentially injure my spine? Is it advisable to see a rehabilitation specialist? Thank you!
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your question. Here are my responses and suggestions: 1. During the acute phase, it can be difficult to make a diagnosis. You should start with ice therapy and take analgesics and anti-inflammatory medications, while also ensuring plenty of rest. 2. If ...[Read More] Understanding Falls: Assessing Potential Spine Injuries and Rehab Options
Morning Finger Weakness: Understanding Your Symptoms and Solutions
Problems with the fingers? Every morning when I wake up, I feel that my ten fingers are weak and cannot bend. Whatever I try to hold, it just falls. It takes some time before I can function normally. What could be wrong with me? Thank you!
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. I would like to address your question and provide the following suggestions: Generally, the possible reasons are as follows: a. If consciousness is not fully alert, it is normal for hand muscle strength to be temporarily insufficient or fo...[Read More] Morning Finger Weakness: Understanding Your Symptoms and Solutions
Understanding Muscle Strain: When to See a Rehabilitation Specialist
Back muscle pain? My mother sells fruits and has to move boxes of fruits every day. She often complains about muscle pain in her back. The day before yesterday, she tried folk remedies, but she is still in pain. Can she see a rehabilitation specialist for a muscle strain? Thank y...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: 1. Muscle strains are indeed a medical condition that falls within the scope of rehabilitation professionals. 2. In addition to muscle strains, there is also the possibility of intervertebral dis...[Read More] Understanding Muscle Strain: When to See a Rehabilitation Specialist
Understanding Unexplained Bruising: When to Seek Medical Advice
Bruise Hello! My hands and feet often have unexplained bruises without any impact or falls, and I find it particularly puzzling that even the middle joint of my right ring finger has bruising and pain when touched. I previously underwent blood tests at Chang Gung Memorial Hospita...
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, although your platelet count is low, it is still within the normal range compared to three years ago and last year. However, you should continue to consult with a hematologist t...[Read More] Understanding Unexplained Bruising: When to Seek Medical Advice
Understanding Sacral Pain: Causes, Treatment, and Prevention Tips
Coccydynia Dear Doctor: I have previously fallen while skiing and also while canyoning, both of which injured my coccyx. I underwent rehabilitation for a period of time, but now I occasionally experience pain in my sacrum. Does this mean that my injury was not fully treated? What...
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. Falls generally transmit force upward, which can injure the lumbar spine and directly impact the ischium and coccyx. 2. It is advisable to enhance deep thermal therapy, such as shortwave diathermy ...[Read More] Understanding Sacral Pain: Causes, Treatment, and Prevention Tips