Understanding Shoulder and Neck Pain: Seeking the Right Treatment Options
Pain, soreness, and numbness? Hello, four years ago I experienced soreness and numbness in my shoulder, neck, and arm. After a doctor's diagnosis, I underwent surgery on cervical vertebrae 4-7. Recently, for the past six months, I have been experiencing constant tightness an...
Dr. Pan Yingda Reply:
Hello, I apologize for being busy lately and almost forgetting to reply. If surgery is not being considered (which is generally unnecessary), then definitely consult a rehabilitation specialist! My recommendations are: 1. Posture: Keep your head extended upward to lengthen the ne...[Read More] Understanding Shoulder and Neck Pain: Seeking the Right Treatment Options
Should You Consider Rehabilitation for Herniated Discs?
Should I go for rehabilitation for a herniated disc? Hello, Doctor: I apologize for the lengthy message and multiple questions, but I hope you can provide me with some advice. In mid-October, I experienced severe lower back pain while exercising (the pain was so intense that I co...
Dr. Pan Yingda Reply:
Hello, I apologize for the late response as I've been quite busy recently. Regarding your questions: 1. You should go to a hospital for rehabilitation. As for recommended exercises, forward bending movements are generally not suitable. It's important to avoid maintain...[Read More] Should You Consider Rehabilitation for Herniated Discs?
Understanding Persistent Pain: Seeking Answers for Neck and Nerve Injuries
Injury can feel very helpless? Hello, doctor. I sustained an injury in mid-August while undergoing chiropractic treatment (pulling my neck while lying in bed, with one person pulling my legs and another pulling my neck). Initially, I visited an orthopedic specialist and had X-ray...
Dr. Chen Xianchang Reply:
1. Further magnetic resonance imaging (MRI) should be performed to visualize the cartilage and spinal cord, as well as nerve conduction studies and electromyography (EMG) to assess for nerve compression. 2. There may be a possibility of a herniated disc compressing the cervical ...[Read More] Understanding Persistent Pain: Seeking Answers for Neck and Nerve Injuries
Understanding Sudden Limb Numbness: Is It a Stroke?
Numbness in the hands and feet? Hello Director Chen! I consulted you about the same issue last Sunday (10/8), but I haven't received a response yet. I'm not sure if my email got lost. I apologize for that! I really want to know your expert opinion, so I'm sending i...
Dr. Chen Xianchang Reply:
(1) It may be due to poor circulation; wearing socks and long sleeves while sleeping, keeping warm, and soaking your feet before bed can help. (2) Calcium deficiency can also worsen the condition; drinking warm milk before bed may be beneficial. (3) Nerve root compression in the ...[Read More] Understanding Sudden Limb Numbness: Is It a Stroke?
Why Is My Neck Rehab Taking So Long? Understanding Chronic Pain and Recovery
Neck rehabilitation has not improved for a long time? Hello, Doctor. Last year, I experienced numbness in my hands and feet. After seeing a traditional Chinese medicine practitioner and getting an X-ray, I was told that bone spurs were pressing on my nerves. I underwent physical ...
Dr. Li Weiqiang Reply:
Hello! Last year, I experienced numbness in my hands and feet. After seeing a traditional Chinese medicine practitioner and getting an X-ray, I was told that bone spurs were compressing my nerves. I underwent rehabilitation for three months and improved, but it seems to have recu...[Read More] Why Is My Neck Rehab Taking So Long? Understanding Chronic Pain and Recovery
Understanding and Managing Shoulder Blade Pain: Causes and Solutions
Shoulder blade pain? Hello, Doctor: Recently, I have been experiencing persistent pain in my left scapula, which prevents me from sleeping. It is very uncomfortable to turn over or move my head. I can't tolerate a pillow that is even slightly too high; I can only sleep with ...
Dr. Chen Xianchang Reply:
1. Lifting heavy objects with the hands or using improper posture. 2. Compression of the fifth and sixth cervical nerves, leading to prolonged muscle tension. 3. Heat therapy can be applied at home, or deep heat therapy at a rehabilitation clinic is recommended for better results...[Read More] Understanding and Managing Shoulder Blade Pain: Causes and Solutions
Understanding Wrist Pain: When to Seek Medical Advice
Wrist issues I have been experiencing some issues with my right wrist for quite some time. I can't recall exactly when it started, but whenever I extend my right wrist backward, I feel a slight pain. My left wrist does not have this problem. For instance, when I support myse...
Dr. Zheng Shunping Reply:
In response to your question: If the pain in your right wrist and fingers is located at the joints and there is no history of trauma, it is important to consider the possibility of some form of arthritis. If the pain is near the tendons or ligaments, it may indicate tendonitis or...[Read More] Understanding Wrist Pain: When to Seek Medical Advice
Exploring Yuanlu Therapy: A New Approach to Pain Relief in Rehabilitation
Distal Acupuncture Therapy Hello, Doctor! Currently, there is a new treatment method in Taiwan called "Distant Meridian Therapy," which combines the principles of Traditional Chinese Medicine (TCM) meridians with scientific validation from Western medicine. Using just t...
Dr. Chen Xianchang Reply:
(1) The principles of distant therapy are similar to those of acupressure. (2) When a part of the body is in pain, there is a corresponding area on the opposite side of the body. (3) In addition to conditions such as physical weakness, cancer, and unstable blood pressure, it can ...[Read More] Exploring Yuanlu Therapy: A New Approach to Pain Relief in Rehabilitation
Understanding Muscle Pain: Causes, Symptoms, and Relief Strategies
Muscle pain Hello, doctor! Occasionally, I experience muscle cramps and pain in my arms and legs, which feels like millions of needles stabbing into the muscles. Sometimes the pain seems to move around erratically. I can see a tangled appearance in my arms and the back of my hand...
Dr. Chen Xianchang Reply:
(1) It may be a case of radiculopathy, which can have various causes, including cervical and lumbar osteophytes and intervertebral disc herniation. Peripheral neuropathy and diabetic neuropathy are also potential causes. (2) You can consult a neurologist or a rehabilitation speci...[Read More] Understanding Muscle Pain: Causes, Symptoms, and Relief Strategies
Understanding Elbow Joint Issues: Rehabilitation Tips for Aging Hands
Elbow joint Dr. Chen, greetings! In my younger years, I worked hard and managed the household, like a candle burning at both ends. After work, I would pick up the children and handle household chores, fearing that a crying child might cause a hernia. I would carry them on my back...
Dr. Chen Xianchang Reply:
(1) Glucosamine strengthens the cartilage, while calcium supplements, milk, and small dried fish are used to support the hard bone. Both are not mutually exclusive. (2) It is best to undergo a nerve conduction study for the wrist to determine the location and severity before trea...[Read More] Understanding Elbow Joint Issues: Rehabilitation Tips for Aging Hands
Can Sensory Integration Therapy Help Adults with Coordination Issues?
Sensory integration Hello Dr. Chen: Since I was young, I have always dropped things, regardless of their size. Once I take something in my hands, it inevitably falls. As a result, I often got scolded by my father, who thought I was doing it on purpose or was inattentive and unwil...
Dr. Chen Xianchang Reply:
(1) There may be sensory integration issues and poor fine motor coordination. (2) In adulthood, if sensory integration is ineffective, occupational therapy is typically pursued, but the results may be limited. Coordination training can be practiced at home, such as exercises invo...[Read More] Can Sensory Integration Therapy Help Adults with Coordination Issues?
Three Minutes of Mindful Rest After Waking to Prevent Stroke Risks
Sleeping in for three extra minutes is good for your health? Hello, Dr. Chen! I received the following article from a friend and would like to ask for your professional opinion. I apologize for taking up your time! Thank you for your expertise! After waking up, taking three min...
Dr. Chen Xianchang Reply:
1. It is best to move your hands and feet a little after waking up before getting out of bed. Sit for about three minutes before standing up. 2. For hypertension medication, you can ask your physician to adjust the timing to ensure effective blood pressure control; it is not al...[Read More] Three Minutes of Mindful Rest After Waking to Prevent Stroke Risks
Understanding Hip Pain: Causes, Treatments, and Relief Strategies
Hip pain Hello, Doctor: Thank you very much for your enthusiastic response and for taking the time to give me advice. I really appreciate it! My hip pain has been a significant source of distress for me, so I have been reading some articles on the topic. Last time you asked how l...
Dr. Pan Yingda Reply:
Hello: 1. Therefore, the pain does not occur immediately upon sitting, which rules out the possibility of bursitis being compressed. Given your situation, I believe the most likely issue is related to posture. You can focus on this aspect by adjusting your sitting, standing, an...[Read More] Understanding Hip Pain: Causes, Treatments, and Relief Strategies
Understanding Pain and Recovery in Calf Rehabilitation After Injury
Rehabilitation for Ligament and Tibial Fractures in the Lower Leg 1. I would like to inquire about the pain I experience in my right knee after performing calf raises on the rehabilitation machine. After completing the exercise, when I attempt to extend my calf upwards, I feel a ...
Dr. Chen Xianchang Reply:
1. This is due to insufficient strength of the primary extensor muscle (quadriceps), leading to overuse of the secondary muscles and even the medial ligaments. 2. It is advisable to hold for about five to ten seconds (ten seconds is preferable for younger individuals, but if it i...[Read More] Understanding Pain and Recovery in Calf Rehabilitation After Injury
Understanding Back Pain: Causes, Rehabilitation, and Self-Care Tips
Back pain 1. I experience pain when I press on the center of my back, but it doesn't hurt when I'm not pressing. I had a massage therapist work on it, and it felt better afterward, but the next day, pressing on that spot still causes pain. What could be the issue? I don...
Dr. Xu Zhenrong Reply:
Dear Ms. Chen, Based on your description and the nature of your work, it is likely that you are experiencing a muscle strain in your lower back due to frequently lifting heavy objects. This is not uncommon in activities or jobs that require regular lifting. In addition to managi...[Read More] Understanding Back Pain: Causes, Rehabilitation, and Self-Care Tips
Understanding Lumbar Spondylolisthesis: Symptoms, Treatment, and Exercises
Lumbosacral spondylolisthesis of the fourth and fifth lumbar vertebrae? Hello, Doctor! For the past two to three months, I have been experiencing some discomfort in the lower part of my back, particularly when I bend over for a prolonged period. Sometimes, I feel a bit of pain in...
Dr. Xu Zhenrong Reply:
Hello JC: Based on the description of your X-ray, it is suspected that you have spondylolisthesis at the fourth and fifth lumbar vertebrae. It is recommended that you consult a professional physical therapist to guide you in appropriate exercises. 1. Pulling up on a bar functio...[Read More] Understanding Lumbar Spondylolisthesis: Symptoms, Treatment, and Exercises
Understanding Side Hip Pain: Causes and Rehabilitation Options
The outer sides of the left and right buttocks often experience soreness? Hello Doctor: Recently, I have been experiencing soreness in the outer sides of my hips (the area where my hands hang down when standing) and in the lower back near the hips. Whenever I sit for a while, I s...
Dr. Xu Zhenrong Reply:
Hello: Based on the symptoms you described, it is likely that they are caused by weakness and excessive tension in the muscles of the lower back. I recommend that you develop proper posture habits, use chairs with back support, and ideally use a lumbar cushion to enhance support....[Read More] Understanding Side Hip Pain: Causes and Rehabilitation Options
Supporting Your Child with Developmental Delays: A Guide for Parents
My baby is developmentally delayed? Dear Dr. Chen, My son was born with a ventricular septal defect and patent ductus arteriosus, which prevented him from feeding at that time. Due to a doctor's oversight in not promptly informing us and delaying the transfer to another hos...
Dr. Chen Jiali Reply:
Hello Kelly: First, congratulations on your baby boy starting to learn how to write! This skill is not easy for most children with developmental delays, as it requires the simultaneous development of fine motor strength, coordination, and spatial awareness to perform such precise...[Read More] Supporting Your Child with Developmental Delays: A Guide for Parents
Understanding Shoulder Pain: Causes and Rehabilitation Insights
Shoulder issues Hello Doctor: I have been experiencing pain in my left shoulder for the past few years. Whenever I carry a backpack for more than 20 minutes, my shoulder starts to hurt, and it feels like it might dislocate. In high school, I often carried heavy items to school, a...
Dr. Xu Zhenrong Reply:
Hello, Ms. Shui: The shoulder joint consists of four joints, with the glenohumeral joint having the greatest range of motion. Its dynamic stability is provided by muscles, ligaments, and the glenoid cavity. Due to your long-term habit of carrying a heavy bag on your left shoulde...[Read More] Understanding Shoulder Pain: Causes and Rehabilitation Insights
Understanding Muscle Tone in Pediatric Rehabilitation: Signs and Types of Cerebral Palsy
Muscle tone In children, insufficient control of muscle tone during the early stages can manifest as hypotonia, which may present as decreased resistance to passive movement, poor posture, and difficulty in achieving motor milestones. The movement patterns may include delayed gro...
Dr. Xu Zhenrong Reply:
Dear Yang, Cerebral palsy is a non-progressive neurological disorder of the brain and is the most common chronic neurological condition in children, primarily characterized by motor impairments. This condition arises from damage to the cerebral cortex and its downstream neural n...[Read More] Understanding Muscle Tone in Pediatric Rehabilitation: Signs and Types of Cerebral Palsy