Understanding Lumbar Stenosis: Causes, Symptoms, and Rehabilitation Tips
Lumbar spinal stenosis, occasional lower back pain? Hello, Dr. Wang. I usually have a habit of exercising, riding a Ubike for 1.5 hours three times a week, and occasionally hiking for 2 hours. This is moderate exercise (heart rate above 130 bpm). Once, I carried a load while clim...
Dr. Wang Zhaomin Reply:
Sciatica refers to pain caused by compression or injury to the sciatic nerve. Many factors can lead to inflammation in the legs, presenting with noticeable symptoms of redness, swelling, heat, and pain, which are less related to lumbar spine or neurological issues. Instead, they ...[Read More] Understanding Lumbar Stenosis: Causes, Symptoms, and Rehabilitation Tips
Understanding Inner Ankle Pain After Running: Causes and Solutions
Pain on the inner side of the ankle after running? I have a personal preference for running. After a long-distance training session, I experienced swelling and pain on the inner side of my ankle, which also appeared slightly bruised. After a medical examination, I was diagnosed w...
Dr. Wang Zhaomin Reply:
Discomfort in the ankle and foot is often related to local tissue issues such as tendonitis, ligament strains, or even stress fractures, gout, or congenital flatfoot. A professional physician should evaluate these conditions and arrange appropriate examinations, such as X-rays or...[Read More] Understanding Inner Ankle Pain After Running: Causes and Solutions
Ankle Pain and Swelling: When to See a Specialist for Recovery
Ankle soreness and swelling on the dorsum of the foot? I have ankle pain, and I am unable to bend my little toe and ring toe (there is pain along the toes to the outer side of the ankle). The sole of my foot cannot touch the ground without pain (I can lightly place it down, but c...
Dr. Li Yanheng Reply:
You can visit the rehabilitation department, and it is necessary to consider whether it is a metabolic disease such as gout.[Read More] Ankle Pain and Swelling: When to See a Specialist for Recovery
Which Specialist to See for Pain and Swelling in the Heel?
If you are experiencing heat, swelling, and pain in your ankle, you should consult an orthopedic specialist or a podiatrist? My father suddenly got up at night to take painkillers, saying that his foot hurts. The area around the heel is slightly swollen, and he says it feels hot....
Dr. Lin Ruixiang Reply:
Hello Ms. Cai: Based on the symptoms you described, the pain accompanied by redness and swelling is characteristic of chemical pain, commonly referred to as inflammation. Administering analgesics is the correct approach, and typically, medication is given for about 3 to 5 days, d...[Read More] Which Specialist to See for Pain and Swelling in the Heel?
Understanding Foot Pain: Causes and Remedies for Painful Steps
Pain on the dorsum of the foot, especially during the first few steps while walking? Hello, doctor. I have been experiencing intermittent pain on the dorsum of my right foot for about three weeks. The pain is located approximately on the outer midsection of the dorsum, extending ...
Dr. Li Yanheng Reply:
It could be gout or ligament/tendon inflammation, and blood tests and ultrasound examinations are acceptable.[Read More] Understanding Foot Pain: Causes and Remedies for Painful Steps
Persistent Ankle Swelling: Seeking Solutions After One Year of Discomfort
Swelling and fluid accumulation in the right ankle that has persisted for nearly a year, seeking help! I have been suffering from swelling in my right ankle for almost a year (my left ankle is normal)!!! I have seen various traditional and Western medicine practitioners, undergon...
Dr. Zhou Jianwen Reply:
It is recommended to follow up with a rheumatologist for monitoring and evaluating treatment.[Read More] Persistent Ankle Swelling: Seeking Solutions After One Year of Discomfort
Understanding Foot Pain and Swelling: Causes and Solutions
Swelling and pain in the dorsum of the foot? I have been experiencing pain on the upper part of my left foot for over two months, localized to a small area and slightly swollen, which has caused difficulty in mobility. I have consulted a neurologist, but they could not determine ...
Dr. Zhou Jianwen Reply:
It may be possible that you have intermetatarsal neuroma. It is recommended to seek further evaluation from a rehabilitation or neurology specialist, and to avoid wearing tight shoes.[Read More] Understanding Foot Pain and Swelling: Causes and Solutions
Is Gout Arthritis Always Sudden and Severe? Understanding the Symptoms
Is arthritis caused by gout always sudden and severe? Is arthritis caused by gout always sudden and severe? If the pain is gradual, does that mean it is not gout? (The patient is a 47-year-old male) Thank you!
Dr. Lai Yanting Reply:
Hello: The presentation of gouty arthritis is typically characterized by sudden and severe pain, with the affected joint becoming red, swollen, hot, and painful. If left untreated, the intense pain can last for 12 to 24 hours, after which it gradually subsides. If the pain develo...[Read More] Is Gout Arthritis Always Sudden and Severe? Understanding the Symptoms
Can Rehabilitation Therapy Help During Gout Flare-Ups?
Gout Can rehabilitation therapy be utilized during a gout attack? Thank you!
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: 1. It is advisable to apply ice packs and take colchicine and anti-inflammatory pain relievers. 2. Rest and avoid putting weight on the joint; elevate the affected area. 3. Drink plenty of water to...[Read More] Can Rehabilitation Therapy Help During Gout Flare-Ups?
Managing Finger Joint Pain in Seniors: Rehabilitation Options
Finger joint pain Hello, doctor! My mother is 62 years old, and she has been experiencing swelling and pain in the joints of her fingers for the past 4 to 5 years. She says it's only occasional pain and that most of the time she feels fine. However, recently the swelling and...
Dr. Chen Xianchang Reply:
Hello Sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. First, identify the possible causes, such as osteoarthritis, rheumatoid arthritis, or gouty arthritis, and treat them accordingly. 2. During the acute phas...[Read More] Managing Finger Joint Pain in Seniors: Rehabilitation Options
Understanding Foot Fasciitis: Symptoms, Diagnosis, and Treatment Options
Plantar fasciitis? Hello Dr. Pan, About a month ago, I consulted you regarding a sensation in my feet that feels like electric shocks when walking, to the point where it becomes nearly impossible to walk. Although I have stopped wearing shoes, I still frequently experience soren...
Dr. Pan Yingda Reply:
I'm sorry, but I may not be able to solve your problem! Is there a specific name for this condition? I believe the focus should be on what to do and how to treat it, rather than what disease I have. It's a strange phenomenon that in outpatient settings, when patients ar...[Read More] Understanding Foot Fasciitis: Symptoms, Diagnosis, and Treatment Options
Understanding Plantar Fasciitis: Causes, Symptoms, and Treatment Options
Confusing plantar fasciitis? Hello Doctor: For the past decade or so, I have been accustomed to walking barefoot in muddy areas (not on concrete). A week before the Lunar New Year, I wore leather shoes, which led to pain in the joints of my big toes. After that, I switched back t...
Dr. Pan Yingda Reply:
Hello Mr. Zhang! That's a big question! I'm afraid I can't answer your inquiry! From your message, I can't determine what the issue is! Are you still experiencing pain? 1. I cannot confirm whether your symptoms are indicative of plantar fasciitis. If this is...[Read More] Understanding Plantar Fasciitis: Causes, Symptoms, and Treatment Options
Understanding Knee Discomfort: Causes and Solutions for Young Adults
Knee pain Hello, doctor: Since elementary and middle school, I have been experiencing unexplained knee soreness. As I get older, this situation has become more frequent. However, I don't recall any injuries, and it's not due to walking or exercising that causes leg sore...
Dr. Zheng Shunping Reply:
In response to your question: Based on your symptom description, it is possible that you have patellofemoral pain syndrome, which often causes discomfort in the knee when bending, especially when going down stairs. Typically, gout rarely presents initially in the knee. I recommen...[Read More] Understanding Knee Discomfort: Causes and Solutions for Young Adults
Understanding Finger Joint Pain: Rehabilitation Options for Relief
Finger joint pain Hello, doctor! My finger joints often hurt to the point that I can't straighten them, and both hands are affected. I'm not sure if it's gout or trigger finger. Can I undergo rehabilitation? Thank you!
Dr. Chen Xianchang Reply:
Hello: Thank you for your inquiry. Here are my responses and recommendations: 1. Gout typically causes "redness, swelling, heat, and pain," and there will be an elevated uric acid level in the blood. During an acute phase, it is advisable to apply ice, rest, and take ...[Read More] Understanding Finger Joint Pain: Rehabilitation Options for Relief
Managing Gout: Can Rehabilitation Help Relieve Joint Pain?
Gout Hello Director Chen: I read on a website explaining gout that the uric acid (UA) level for women should not exceed 6. My UA level from last week's health check was 6.2, with the reference range being 2.6-7.6 mg/dL. I'm unsure if I'm overreacting, as I sometime...
Dr. Chen Xianchang Reply:
Hello, thank you for your inquiry. Here are my responses and suggestions: 1. Before menopause, female hormones help in the excretion of uric acid, which is why women generally experience gout less frequently. By paying attention to diet, uric acid levels in urine can be reduced....[Read More] Managing Gout: Can Rehabilitation Help Relieve Joint Pain?
Rehabilitation Options for Old Thumb Injuries: A Guide
Old injury of the thumb Hello, Dr. Chen! Several years ago, my mother fractured her right big toe when she missed a step while going down the stairs. She was taken to a plastic surgery hospital where the doctor performed a meticulous suturing surgery. After more than a decade, sh...
Dr. Chen Xianchang Reply:
Hello Ms. Wen-Juan: 1. In response to your question, if you have been experiencing pain for over a decade, it could potentially be due to rheumatic pain or gouty arthritis, and a differential diagnosis is necessary. For the latter, a blood test can be conducted to check the uri...[Read More] Rehabilitation Options for Old Thumb Injuries: A Guide
Understanding Gout: How Irregular Sleep Affects Your Condition
The last time? I would like to learn more about my mild gout. Recently, my sleep schedule has been irregular. Could this be affecting my condition? Thank you, doctor.
Dr. Zheng Shunping Reply:
In general, gout commonly affects the toe joints or other joints in the limbs, and it is very rare for it to occur in peripheral areas such as the armpits.[Read More] Understanding Gout: How Irregular Sleep Affects Your Condition
Can Thumb Valgus Be Rehabilitated? Expert Insights on Treatment Options
Hallux valgus Hello Dr. Chen! I have had hallux valgus for quite a long time and have never paid much attention to it. Recently, it seems to be getting worse. May I ask professionally: can rehabilitation for hallux valgus help restore it? Thank you!
Dr. Chen Xianchang Reply:
1. There are many causes of hallux valgus, including deformities caused by gout, the gradual flattening of the foot arch, and improper weight-bearing positions of the foot. 2. Rehabilitation involves ultrasound and electrical therapy to reduce inflammation, as well as teaching ...[Read More] Can Thumb Valgus Be Rehabilitated? Expert Insights on Treatment Options
Understanding Foot Tendon Inflammation: Causes, Treatments, and Concerns
Achilles tendonitis The patient is a 35-year-old male who experiences foot pain severe enough to prevent walking. This pain typically occurs a few days after consuming beer. He consulted a traditional Chinese medicine practitioner who diagnosed him with tendonitis in the foot, bu...
Dr. Chen Xianchang Reply:
1. It may be gouty arthritis (not a stroke); a blood test to check uric acid levels can confirm this. Gout attacks can cause swelling and make it difficult to walk. 2. Limit alcohol consumption, as it is detrimental to uric acid excretion. 3. If the diagnosis is confirmed, ur...[Read More] Understanding Foot Tendon Inflammation: Causes, Treatments, and Concerns
Can Gout Be Cured? Rehabilitation Options for Effective Treatment
Gout Hello Dr. Chen! My friend frequently experiences gout attacks, during which he is unable to walk, and he still limps for several days afterward. He has tried traditional Chinese medicine, but it has not been effective. He is concerned that Western medications may harm his li...
Dr. Chen Xianchang Reply:
(1) Gout should be managed through diet and exercise; a low-purine diet is recommended (resources available online). (2) Engage in moderate exercise, drink plenty of water, and elevate the feet. (3) If there are more than five episodes in a year, it is advisable to use colchicine...[Read More] Can Gout Be Cured? Rehabilitation Options for Effective Treatment