Managing Recurrent Injuries: When to Seek Rehabilitation After Falls
Bruise A year ago, I fell several times while skiing, but the pain disappeared after applying a medicated patch. Six months ago, I slipped while canyoning and was in so much pain that I had to be taken to the emergency room, where an X-ray showed no fractures. After resting for a...
Dr. Chen Xianchang Reply:
Hello, thank you for your inquiry. Here are my responses and recommendations: 1. Generally speaking, when it comes to injuries from falls, there are two main considerations: the first is inflammation at the site of impact, which may include periosteal reaction; the second is th...[Read More] Managing Recurrent Injuries: When to Seek Rehabilitation After Falls
Neck Brace Duration: Enhancing Recovery After a Car Accident
Cervical collar Hello, Doctor! After the car accident, I was advised by the physician to wear a cervical collar for at least 1.5 months. I would like to know if rehabilitation therapy would be more effective during this period. Thank you!
Dr. Su Hongci Reply:
A cervical collar is a simple cervical spine stabilization device used to prevent more severe neurological tissue damage caused by cervical spine injuries or instability. It is typically used in the following situations: 1. Trauma, such as sports injuries, car accidents, or falls...[Read More] Neck Brace Duration: Enhancing Recovery After a Car Accident
Effective Exercises for Herniated Discs: Can You Swim?
Herniated disc Hello, Director Su! I have been undergoing rehabilitation for a herniated disc for 3 months. What exercises can I do? Is swimming allowed? Thank you!
Dr. Su Hongci Reply:
Patients should engage in gentle stretching exercises or aquatic rehabilitation in addition to medication and physical therapy. It is essential to warm up before exercising and to avoid high-impact activities such as basketball and tennis, as well as heavy lifting and twisting mo...[Read More] Effective Exercises for Herniated Discs: Can You Swim?
Understanding Your Toddler's Bouncing Walk: When to Seek Rehab Help
Walking with a hop? My niece is three years old, and she walks with a hopping gait and often walks on her tiptoes. She frequently falls down, and I'm not sure what the issue might be. How should we seek medical attention?
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, it is advisable to first consult a rehabilitation specialist for an examination to determine if there is any tightness in the Achilles tend...[Read More] Understanding Your Toddler's Bouncing Walk: When to Seek Rehab Help
Effective Strategies to Alleviate Muscle Pain from Prolonged Sitting or Standing
soreness Hello, doctor! My mother says that after standing for a while (about 30 minutes), her legs feel sore, and after sitting for a long time, she experiences back pain. When lying down for an extended period, unless she falls asleep, she still feels uncomfortable. What can be...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. This is a phenomenon of muscle aging and shortening, caused by maintaining the same posture for an extended period, which leads to the constriction of local small blood vessels and insufficient bloo...[Read More] Effective Strategies to Alleviate Muscle Pain from Prolonged Sitting or Standing
Effective Home Recovery Tips for Coccyx Injury Rehabilitation
Coccyx injury Hello, Director Su! I would like to ask how a patient with a coccyx injury can recover quickly during the rehabilitation treatment period at home. Thank you for your response!
Dr. Su Hongci Reply:
Treatment for coccygodynia generally falls into conservative and surgical methods. Conservative treatment typically involves the use of analgesics to reduce pain, supplemented by donut-shaped cushions or gel seat pads to alleviate pressure and irritation on the coccyx. Additional...[Read More] Effective Home Recovery Tips for Coccyx Injury Rehabilitation
Can Osteoporosis in Seniors Cause Digestive Issues and Impact Mobility?
Osteoporosis Hello Director Chen! Do elderly individuals with osteoporosis experience gastrointestinal discomfort symptoms such as constipation and bloating? Is it advisable for them to go out for exercise and take slow walks? Thank you!
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses to your questions and some recommendations: 1. Elderly individuals with osteoporosis should avoid rapid movements such as playing sports and weight-bearing activities like lifting objects and standing on one leg. Howe...[Read More] Can Osteoporosis in Seniors Cause Digestive Issues and Impact Mobility?
Can In-Toeing in Children Be Corrected? Insights for Parents
Outward toeing while walking? Hello, Director! A 4-year-old girl walks with an inward toeing gait. It looks abnormal. Can this inward toeing be corrected? Is it too late? Thank you!
Dr. Su Hongci Reply:
Aside from a few cases of in-toeing caused by congenital structural or neurological issues, most instances of in-toeing are physiological and are common among children, varying in severity and duration of resolution. As children grow older and begin to walk, most cases of in-toei...[Read More] Can In-Toeing in Children Be Corrected? Insights for Parents
Understanding Osteoporosis: Treatment Options and Safe Activities for Seniors
Bone loss Hello, doctor! My mother recently underwent a bone density test, but she couldn't clarify how much percentage of bone loss she has. She only knows that the doctor advised her to take Fosamax (Alendronate) at her own expense, one tablet per week, and that it may imp...
Dr. Chen Xianchang Reply:
Hello, thank you for your inquiry. Here are my responses and suggestions: 1. Bone density test results include the Z-score (compared to age-matched peers) and T-score (compared to young adults). By looking at the percentage, you can determine the extent of osteoporosis. 2. After...[Read More] Understanding Osteoporosis: Treatment Options and Safe Activities for Seniors
Frequent Falls in Young Children: When to Seek Medical Help?
Frequent falls while walking? Dear Director Chen: My son is five years and ten months old. He often falls while walking, and it happens every day. He also grips his pencil with a fist and draws lines that are not straight. What should I do to seek medical attention? Which departm...
Dr. Chen Xianchang Reply:
Hello: Thank you for your inquiry. Here are my responses and suggestions: 1. Your child may have sensory integration issues or a mild brain injury, which can manifest as coordination problems, including both gross and fine motor skills, as well as difficulties with attention and ...[Read More] Frequent Falls in Young Children: When to Seek Medical Help?
Is Flatfoot the Real Cause of My Daughter's Walking Issues?
Is it really all caused by flat feet? My daughter is ten years old. When she was three, she couldn't walk well and would cry from foot pain after walking for a while. She often fell down, and her walking posture was strange. After undergoing various assessments in early inte...
Dr. Pan Yingda Reply:
I apologize for the delay in responding due to the consecutive holidays. My child is in second grade. When he was in kindergarten, a rehabilitation department from a nearby hospital screened for flatfoot at his school, and my son was diagnosed with flat feet. His teacher, knowing...[Read More] Is Flatfoot the Real Cause of My Daughter's Walking Issues?
Effective Treatment Options for Chronic Buttock Pain: Is Radiofrequency Ablation the Answer?
Hip pain Hello Dr. Su, I have been experiencing pain in my buttocks for over a year. The pain occurs only when sitting and is absent when I am not sitting. I have been diagnosed with Myofascial Pain and have undergone all forms of physical therapy, including heat therapy, tractio...
Dr. Su Hongci Reply:
Myofascial Pain Syndrome (MPS) is simply defined as the phenomenon of muscle pain in the skeletal muscles due to "overuse," along with various accompanying clinical symptoms. However, this condition is not an inflammatory response of the muscle itself; rather, it is cau...[Read More] Effective Treatment Options for Chronic Buttock Pain: Is Radiofrequency Ablation the Answer?
Post-Total Knee Replacement: Can Rehab Help with Pain Management?
Artificial knee joint Hello, Doctor! My mother underwent joint replacement surgery a week ago. Someone suggested a cocktail pain management therapy, but she is hesitant to try it. May I ask the expert if such a patient can see a rehabilitation specialist? Thank you!
Dr. Chen Xianchang Reply:
Hello, thank you for your inquiry. I would like to address your questions and provide some recommendations: 1. Total joint replacement surgery, aside from pain relief, emphasizes the importance of subsequent rehabilitation exercises, including hydrotherapy, range of motion exerci...[Read More] Post-Total Knee Replacement: Can Rehab Help with Pain Management?
Rehabilitation Options for Stroke Patients with Cerebral Palsy Symptoms
Stroke patients Hello Director Chen: My father has had two strokes over the past seven years, and now he walks as if he has cerebral palsy, with his arms and legs flailing. He does not use a cane and I am very worried about him having an accident. Can such a patient undergo rehab...
Dr. Chen Xianchang Reply:
1. Rehabilitation should be conducted by a rehabilitation specialist, and it is advisable to correct gait patterns. 2. Use a cane; do not avoid using it out of concern for appearance, as maintaining a proper gait is more important for safety and preventing falls, thereby avoiding...[Read More] Rehabilitation Options for Stroke Patients with Cerebral Palsy Symptoms
Should Stroke Patients Use Canes? Expert Advice on Rehabilitation
Stroke Hello, Director: My father had a sudden stroke two months ago and was immediately sent for rehabilitation. In recent days, he has been able to walk somewhat unsteadily, but he refuses to use a cane, believing that relying on it will hinder his progress. He says we are not ...
Dr. Chen Xianchang Reply:
1. Walking with a cane has its benefits: (1) increased safety, reducing the risk of falls. (2) improved gait. (3) decreased spasticity. 2. If a patient experiences limb spasticity that does not worsen with walking and has a good gait, then consideration can be given to walking wi...[Read More] Should Stroke Patients Use Canes? Expert Advice on Rehabilitation
Understanding Knee Issues: Rehabilitation for Seniors After Injury
Knee issues Hello, Dr. Chen! My mother is 67 years old. Six months ago, she fell while walking and fractured her right leg at the knee. Was this caused by severe bone loss? The orthopedic surgeon provided appropriate surgical treatment but did not replace her knee with a prosthet...
Dr. Chen Xianchang Reply:
1. Decreased balance, muscle atrophy, and osteoporosis in the elderly are the main causes of falls. 2. It is recommended to visit a rehabilitation department for deep heat therapy and electrical stimulation, as well as to train thigh muscle strength for quicker recovery. 3. It is...[Read More] Understanding Knee Issues: Rehabilitation for Seniors After Injury
Understanding Nighttime Shoulder Pain: Causes and Solutions for Seniors
The shoulder joints only started to hurt before sleeping, but they do not hurt at all during the day? Dear Vice Dean Zheng, My mother-in-law (75 years old) has been experiencing persistent shoulder joint pain for the past few months. Interestingly, the pain only starts at night ...
Dr. Zheng Shunping Reply:
In response to your inquiry: Based on your symptom description, it may be rotator cuff tendinitis or shoulder joint pathology causing her discomfort. It is recommended to apply heat therapy regularly, for twenty minutes in the morning and evening. If there is no improvement, a th...[Read More] Understanding Nighttime Shoulder Pain: Causes and Solutions for Seniors
Can Physical Therapy Heal Your Ankle Ligament Injury?
Ligament injury Hello Dr. Chen: After falling on the floor, my ankle ligaments have frequently been problematic for the past six months, especially when walking, which is very bothersome! Can rehabilitation help me recover? Thank you! Wang Tian
Dr. Chen Xianchang Reply:
1. In rehabilitation, start with deep heat therapy to improve circulation. 2. Begin with stretching and joint mobility exercises. 3. Then proceed to isokinetic strength training, gradually increasing the loading. 4. Practice figure-eight running to train joint torque and prevent ...[Read More] Can Physical Therapy Heal Your Ankle Ligament Injury?
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
Effective Hip and Waist Support Gear for Injury Prevention
Lumbar and pelvic support equipment? Good day, Doctor. I often experience numbness in my legs, along with back pain and discomfort in my lower back. I came across a report from the China Times that mentioned Johnson's rehabilitation equipment introducing a new hip joint supp...
Dr. Chen Xianchang Reply:
(1) Waist and hip protective pants may reduce the impact force during falls. (2) The drawbacks include being too hot and uncomfortable, and they may also affect joint mobility. (3) They can be considered for elderly individuals with dementia.[Read More] Effective Hip and Waist Support Gear for Injury Prevention