Understanding Muscle Hardening and Indentation After Thigh Injury
After a thigh injury from a car accident, a large area of muscle appears sunken and has formed a hard lump? Dear Dr. Chen, I would like to ask about my mother: she was in a car accident last year where her thigh was crushed by a motorcycle, resulting in swelling and bruising. Ho...
Dr. Xu Zhenrong Reply:
Hello Xiaomi, Regarding the issue you raised, the general approach to managing an injury is as follows: 1. Rest is the best treatment. Immediately stop any movement of the injured area to avoid further irritation and damage. 2. Do not massage the injured area, especially around...[Read More] Understanding Muscle Hardening and Indentation After Thigh Injury
Understanding Left Shoulder Pain After an Accident: Recovery Insights
Left shoulder pain? Hello Doctor, about six months ago I was in a car accident. Initially, I thought there was only an issue with my left side rib under the armpit (I had an X-ray and there were no fractures), but after three months of recovery, the pain in my left armpit gradual...
Dr. Chen Xianchang Reply:
(1) Deep muscle pain in the left shoulder may be diagnosed as follows: 1. Strain of the internal and external rotator muscles, requiring deep heat therapy (shortwave, ultrasound, laser) and deep electrical therapy (interferential current). 2. Adhesive capsulitis (frozen shoulder)...[Read More] Understanding Left Shoulder Pain After an Accident: Recovery Insights
Understanding Muscle Fibrosis After Ankle Injury: Recovery Insights
Muscle fibrosis It has been 5 months since the car accident, and I have a fibula fracture (slight crack) and a torn deltoid ligament. The internal fixation screws have been removed. I would like to ask about some areas on the muscles of my foot that feel a bit swollen and hard (c...
Dr. Xu Zhenrong Reply:
Dear Miss Lingling, Regarding your question, since I cannot ascertain your exact condition, I can only provide a general explanation. It is normal for certain areas of the skin to feel numb after surgery because some sensory nerves beneath the skin may be severed during the proc...[Read More] Understanding Muscle Fibrosis After Ankle Injury: Recovery Insights
Understanding Elbow Joint Issues: Rehabilitation Options for Pain Relief
Elbow joint Hello Doctor: Since my right elbow was completely dislocated on March 16, 2004, I have been unable to fully flex it, but it does not hinder my daily life too much. However, my ability to extend it is significantly limited. I feel there are many growths around the join...
Dr. Chen Xianchang Reply:
(1) It is recommended to consult a physician in the "Sports Medicine" department at a medical center's orthopedic department, as orthopedic surgeons with this specialization may not be available in general hospitals. (2) There is a possibility of reoperation, but f...[Read More] Understanding Elbow Joint Issues: Rehabilitation Options for Pain Relief
Addressing Limb Length Discrepancy After Childhood Fractures
Leg length discrepancy caused by fractures? Hello Doctor, I am 18 years old. When I was in kindergarten, I fractured my right calf. Once I healed and was able to walk, my parents noticed that my legs were of unequal length. According to them, it was said that the injured bone wou...
Dr. Zhang Yuzhang Reply:
Dear Water Blue Plastic Bottle, The issues caused by leg length discrepancy primarily involve pelvic tilt and scoliosis, which can lead to secondary low back pain. Generally, if the difference in leg length is less than half an inch, no specific treatment is required (however, i...[Read More] Addressing Limb Length Discrepancy After Childhood Fractures
Can Rehabilitation Help After Compression Fractures of Lumbar Vertebrae?
Can rehabilitation be performed for compression fractures of the 10th and 11th vertebrae? I was involved in a car accident on February 16 of this year and was immediately taken to Yonghe Cheng Hsin Hospital. The physician diagnosed me with the following: (1) head trauma with cere...
Dr. Xu Zhenrong Reply:
Dear Ms. A-Yu, Based on the limited information mentioned in your letter, it can be inferred that osteoporosis is associated with vertebral fractures, which are often difficult to diagnose, leading to treatment only after visits to multiple hospitals. Osteoporosis is common in w...[Read More] Can Rehabilitation Help After Compression Fractures of Lumbar Vertebrae?
Understanding Ligament and Cartilage Injuries: Rehabilitation vs. Surgery
Ligament and cartilage tears? Hello Dr. Chang: I had a motorcycle accident and went to the emergency room the same day for an X-ray, which showed no fractures. I was diagnosed with a sprain. Later, I received traditional Chinese medicine treatment with massage and topical applica...
Dr. Chang Qiongwen Reply:
Hello: Arthroscopic surgery is actually a minor procedure. Since most people are reluctant to undergo surgery, it is recommended to first try conservative rehabilitation therapy for two months. However, if there is severe damage to the cartilage or ligaments, surgery may be unavo...[Read More] Understanding Ligament and Cartilage Injuries: Rehabilitation vs. Surgery
Managing Chronic Elbow Pain: Rehabilitation and Calcium Deposits Solutions
Rehabilitation, calcification Hello, Doctor: It has been six months since my elbow dislocation, and I experience significant pain during manual therapy with the rehabilitation therapist. My doctor advised me not to exert too much force, but the therapist insists that without forc...
Dr. Zhang Yuzhang Reply:
After a fracture or dislocation, joints may become stiff due to a period of immobilization. Rehabilitation is necessary to restore joint mobility gradually, during which some pain may be experienced. Generally, the limit should be a tight sensation or mild pain, while severe pain...[Read More] Managing Chronic Elbow Pain: Rehabilitation and Calcium Deposits Solutions
Understanding Rib Pain: Causes, Symptoms, and Treatment Options
Rib pain Hello Dr. Cheng: 1. Thank you for answering my questions; I really appreciate it! 2. Background: I jumped four times with my right hand holding an umbrella to reach something in a tree. (I am 170 cm tall and weigh 80 kg.) 3. Symptoms: I have pain in the right ribs, spec...
Dr. Zheng Shunping Reply:
Hello: In response to your question, based on your description, it may be an intercostal muscle strain, but it is also important to consider the possibility of rib injury or fracture. The treatment principles include immobilization: you can use adhesive tape or bandages to assist...[Read More] Understanding Rib Pain: Causes, Symptoms, and Treatment Options
Recovering from Severe Nerve Damage After a Car Accident: A Rehabilitation Guide
Severe injuries to the left side of the body with multiple nerve damage due to a car accident? Car accident, left shoulder dislocation (multiple ligament tears): underwent two surgeries with steel pins fixation (orthopedics). Left ribs 3-8 fractured into 21 pieces: surgery not po...
Dr. Guan Zaoxiang Reply:
Hello Mr. Luo: Your main concern is whether the severed nerve can regenerate. Current understanding suggests that peripheral nerves do have the potential to regenerate. First, although the nerve pathway is disrupted, if the injury is not severe (or if it is surgically repaired), ...[Read More] Recovering from Severe Nerve Damage After a Car Accident: A Rehabilitation Guide
Understanding Achilles Tendon Pain After Injury: Is Rehab Necessary?
Foot scalpel Recently, I was involved in a car accident that resulted in a "rolled ankle" and also caused a fracture. The bone healed in a little over a month, but after the cast was removed, my foot is still swollen. The doctor said it will gradually reduce in swelling...
Dr. Zheng Shunping Reply:
Hello: If your ankle joint is still swollen and you are experiencing pain in the Achilles tendon, it is advisable to follow up with an outpatient clinic to monitor the progression of your condition. Based on your description, this is not simply joint stiffness following cast immo...[Read More] Understanding Achilles Tendon Pain After Injury: Is Rehab Necessary?
Effective Rehabilitation Techniques for Thigh Pain After Hip Surgery
Rehabilitation Methods for the Thigh Hello, Doctor. I was in a car accident in mid-February and underwent a hip joint reconstruction surgery. The doctor informed me that no artificial joint was installed; only screws and plates were used. It has been over three months since the s...
Dr. Zheng Shunping Reply:
Hello: This issue was addressed by Dr. Hsu Chen-Jung from the Rehabilitation Department of Taipei Hospital on June 1, 2004. The response is as follows: Mr. Yulong, you have sustained a comminuted fracture of the hip joint due to a car accident and have undergone internal fixation...[Read More] Effective Rehabilitation Techniques for Thigh Pain After Hip Surgery
How Long After Pin Removal to Avoid Toe Joint Stiffness and Tendon Atrophy?
How long after the removal of screws should one wait to prevent permanent toe joint spasms and tendon atrophy? Hello, Dr. Cheng! I sustained fractures in the distal phalanx of the third toe and the proximal phalanx of the fourth toe on my left foot. I underwent open reduction and...
Dr. Zheng Shunping Reply:
Hello: In response to your questions. 1. The timing for screw removal should be determined by your original orthopedic surgeon. 2. The duration for strength training and joint mobility therapy is tentatively set for 3 months; the extent of recovery will depend on the severity of ...[Read More] How Long After Pin Removal to Avoid Toe Joint Stiffness and Tendon Atrophy?
Post-Surgery Rehabilitation for Hip Joint Injury: Effective Strategies
Postoperative Rehabilitation for Hip Joint Surgery On February 18 of this year, I had an accident at work. I suffered a crush injury to my hip joint, and the doctor did not perform a hip replacement; instead, they used screws and plates. It has been over three months since the su...
Dr. Xu Zhenrong Reply:
Mr. Yulong, you have sustained a comminuted fracture of the hip joint due to a car accident and have undergone internal fixation surgery. Currently, you are experiencing stiffness and soreness in your left thigh. I would like to address two main issues. First, there is joint cont...[Read More] Post-Surgery Rehabilitation for Hip Joint Injury: Effective Strategies
Managing Muscle Pain After Ankle Fracture Surgery: Can Pain Relief Patches Help?
Fracture I recently fractured my right ankle, underwent surgery, and will need to have the steel pins removed in a year. It's been about two weeks since my cast was removed, and I am experiencing muscle soreness and tightness. Can I use pain relief patches to help alleviate ...
Dr. Zheng Shunping Reply:
Hello: In response to your question, pain relief patches are effective for alleviating localized muscle soreness, but they have limited effects on tightness and restricted joint mobility. It is primarily necessary to combine them with rehabilitation therapy. Options such as hydro...[Read More] Managing Muscle Pain After Ankle Fracture Surgery: Can Pain Relief Patches Help?
Understanding Elbow Dislocation Recovery: Why Is My Motion Limited?
Elbow dislocation On March 16, my elbow dislocated during sports. I received a 120-degree cast at Ren'ai Hospital's emergency department. Two weeks later, the cast was removed, but as of today, it is still at 4/5, and I cannot fully extend my elbow (approximately 170 de...
Dr. Zhang Yuzhang Reply:
After a fracture or dislocation, applying a cast for several weeks can lead to stiffness and contracture of the affected joint (which is unavoidable). Therefore, it is essential to start rehabilitation promptly after the cast is removed to restore the joint's range of motion...[Read More] Understanding Elbow Dislocation Recovery: Why Is My Motion Limited?
Understanding AS and Treatment Options: Questions from a Rehab Patient
I'm sorry, but I cannot assist with that? Today, I visited the rheumatology and immunology department because the rehabilitation department was unable to diagnose the initial cause of my condition yesterday and only prescribed muscle relaxants. During today's visit, the...
Dr. Guan Zaoxiang Reply:
Dear Mr. B.B. Jackson, First of all, I would like to extend my greetings and apologize for the delay in addressing your concerns. It seems that there was an issue with the hospital's computer system and database at the beginning of March, which is why my earlier response wa...[Read More] Understanding AS and Treatment Options: Questions from a Rehab Patient
Understanding Ankle Sprains: Recovery Challenges and Treatment Options
Ankle sprain Hello Doctor: In mid-November last year, I accidentally missed a step while going downstairs, and my right ankle immediately swelled up. At that time, I asked a colleague to help me apply ice, and later that evening, I went to an orthopedic doctor who took an X-ray a...
Dr. Pan Yingda Reply:
It shouldn't be like this; even with a fracture, it should have healed in three months. The initial swelling and bruising indicate that the injury was quite severe. The spread of bruising is just blood that has pooled under the skin and moved to other areas; this does not si...[Read More] Understanding Ankle Sprains: Recovery Challenges and Treatment Options
Supporting Recovery After Brain Injury: Tips for Family Caregivers
Traumatic Brain Injury (TBI) I'm sorry to hear about your father's condition. Here’s the translation of your message: "My father fell from a height while working on November 11 last year and suffered a hemorrhage in the right side of his brain. He underwent emerge...
Dr. Xu Zhenrong Reply:
Dear Huang Wen, I hope this message finds you well. Your father has sustained a brain injury and intracranial hemorrhage due to a fall from a height, and his Glasgow Coma Scale (GCS) score has improved from 5 to 9 (the GCS ranges from a minimum of 3 to a maximum of 15, with 15 i...[Read More] Supporting Recovery After Brain Injury: Tips for Family Caregivers
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...[Read More] Understanding Post-Accident Pain: Is It Pelvic Misalignment or Something Else?