Rehabilitation Strategies for Elderly Patients with Osteoporosis
Elderly rehabilitation Hello, doctor. My grandmother is currently 93 years old and has osteoporosis. Last year, she underwent a vertebroplasty, but due to unsatisfactory results, she can only lie in bed now and is unable to get up, although she can still turn herself. However, th...
Dr. Xu Zhenrong Reply:
Hello, Li Li's online friend: Based on your description, your grandmother has osteoporosis and has been bedridden for a long time. Regarding osteoporosis, it is generally understood that bone density begins to gradually decline after the age of 35, with a significant loss oc...[Read More] Rehabilitation Strategies for Elderly Patients with Osteoporosis
Understanding Hand Pain: When to See a Rehabilitation or Orthopedic Specialist
Hand pain Hello, Director Hsu. I have been experiencing this phenomenon for over a month. I have seen a neurologist and undergone electromyography. The doctor mentioned that there is no significant nerve compression, so I was prescribed anti-inflammatory medication and steroids. ...
Dr. Xu Zhenrong Reply:
Dear Mr. Huang, According to your letter, you are experiencing pain in the fourth and fifth fingers of your left hand, which prevents you from fully gripping or extending them. The possible considerations include: 1. Neurological issues, 2. Muscular issues (tendons or ligaments)...[Read More] Understanding Hand Pain: When to See a Rehabilitation or Orthopedic Specialist
Rehabilitation for Herniated Discs: Strength Training and Pain Prevention
Rehabilitation for herniated discs? Regarding rehabilitation issues related to herniated discs, thank you for your detailed response! Today, I would like to ask again: 1. During the acute phase, is it advisable to perform strength training for the back muscles and lower abdominal...
Dr. Xu Zhenrong Reply:
Hello, A-Dong: During the course of a herniated disc, it is still possible to perform strength training to enhance the abdominal and back muscles, but this should be done progressively. If the initial pain is severe, isometric exercises that do not involve movement of the lumbar ...[Read More] Rehabilitation for Herniated Discs: Strength Training and Pain Prevention
Correcting Hunchback: Effective Solutions for Posture Improvement
About Kyphosis Dear Doctor, I have a question regarding my boyfriend's hunchback. He is 25 years old, and I believe he has had this habit since childhood. Whenever he walks, he tends to have a hunched posture, and even when he tries to stand up straight, his neck still appe...
Dr. Xu Zhenrong Reply:
Dear Miss Hsiao-Yu, Generally speaking, the causes of kyphosis can be divided into functional kyphosis and structural kyphosis. Functional kyphosis, also known as postural kyphosis, is mostly caused by long-term poor posture. This type of kyphosis is relatively easier to correct...[Read More] Correcting Hunchback: Effective Solutions for Posture Improvement
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 EMG Results: How Muscle Location Affects Diagnosis
Questions related to electromyography (EMG)? Dr. Pan, I am writing to inquire about some issues I have been experiencing. Recently, I have been feeling extremely unwell, not related to the local injection question from our last correspondence, but rather due to persistent lower b...
Dr. Pan Yingda Reply:
The MRI shows issues at L1/2, L3/4, and L5/S1, while L4/5 appears to be fine. Based on your symptoms, it seems that the problem is related to L1/2 (when you mention above the knee, you are referring to the front of the thigh, right? If it's the back of the thigh, then it rel...[Read More] Understanding EMG Results: How Muscle Location Affects Diagnosis
Understanding Local Spinal Injections: Addressing Pain Concerns and Side Effects
Questions related to spinal local injections? Could you please ask Dr. Pan if local spinal injections could lead to the following symptoms: "Initially, my leg pain was only temporary, but about an hour after the injection, I noticed the pain became more pronounced, and it ha...
Dr. Pan Yingda Reply:
Let me clarify a few questions: 1. Previously, what did the doctor say about the pain? What is the issue? Is it related to muscles, nerves, or joints? Is there any history of injury? How long has the pain lasted? 2. What type of injection was administered—local anesthetic, cortic...[Read More] Understanding Local Spinal Injections: Addressing Pain Concerns and Side Effects
Effective Self-Rehabilitation Strategies for Tennis Shoulder Injuries
Tennis shoulder injuries I have been experiencing shoulder pain since I didn't warm up before exercising. It's not severe enough that I can't lift my arm above 90 degrees, but I can't use it too much. What can I do for self-rehabilitation? If I go to the hospi...
Dr. Chen Xianchang Reply:
(1) Shoulder injuries from sports are mostly tendon or ligament sprains. Self-rehabilitation: 1. Massage the Ba Xie points, as well as the junctions of the metacarpals and fingers. 2. Perform pendulum exercises with the arm hanging down (for about ten minutes). 3. Perform isometr...[Read More] Effective Self-Rehabilitation Strategies for Tennis Shoulder Injuries
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 Flat Feet: Concerns and Solutions for Better Foot Health
Flatfoot and pes planus? Hello, Dr. Hsu. I am 179 cm tall and weigh 90 kg, and I have hereditary flat feet, as both my grandmother and grandfather had the same condition. I would like to ask you: 1. If I do not use any aids or corrective measures but frequently walk long distan...
Dr. Xu Zhenrong Reply:
Hello Mr. Hulk: Individuals with flat feet experience eversion of the forefoot due to the collapse of the arch, resulting in a wider foot because of the loss of the transverse arch. During walking, the pressure is often more medially distributed compared to the average person, le...[Read More] Understanding Flat Feet: Concerns and Solutions for Better Foot Health
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
Effective Strategies to Prevent Hip Joint Degeneration
How to prevent further degeneration of the hip joint? To prevent further degeneration of the hip joint, is taking Weiguli effective? Some doctors recommend walking, but the pain occurs in less than ten minutes. Other doctors suggest cycling. Besides reducing squatting, what other...
Dr. Guan Zaoxiang Reply:
Hello Mr. Wang: The hip joint is a weight-bearing joint, and it experiences load during standing and walking, which can lead to pain. However, squatting increases the burden on the hip joint, and since squatting is not a necessary movement in daily life, I would advise you to avo...[Read More] Effective Strategies to Prevent Hip Joint Degeneration
Preventing Further Degeneration of Hip Joints: Effective Strategies
How can we prevent further degeneration of the hip joint? Since July and August of last year, I have experienced nerve compression at the S4-S5 level of my spine, resulting in pain near my hip joint, including the front, sides, and back of my buttocks. I have consulted various do...
Dr. Guan Zaoxiang Reply:
Hello Mr. Wang: Based on your description, you may have already undergone X-rays of your lumbar spine and hip joints, and you might have also had a CT scan or MRI (otherwise, how would you know about nerve compression? However, I believe you meant to refer to the L4 and L5 nerve ...[Read More] Preventing Further Degeneration of Hip Joints: Effective Strategies
Essential Tips for Knee Rehabilitation: Nutrition, Exercise, and Care
Knee rehabilitation Hello: My father sustained a knee injury from running about five to six years ago, and he has been experiencing increasing pain over the past one to two years. I would like to ask: 1. What fruits or foods can help supplement collagen and calcium? 2. Do nutriti...
Dr. Guan Zaoxiang Reply:
Hello: First, the cause of your father's knee pain is not clearly described in your message. The most likely cause is osteoarthritis, but it could also be due to soft tissue or ligament injuries. Different causes require different management, so I recommend visiting an ortho...[Read More] Essential Tips for Knee Rehabilitation: Nutrition, Exercise, and Care
Understanding Calf Muscle Pain: When to See a Specialist
Calf muscle pain? Hello Doctor: My mother is 54 years old and has been experiencing muscle soreness in her calves for the past month or two. She walks normally, but experiences significant pain when going up and down stairs or squatting. There is no joint pain. What could be the ...
Dr. Zhang Yuzhang Reply:
Dear Ms. Lin, Based on your description, it is possible that the calf muscle has been overused or strained. However, I recommend that you take her to a medical facility for evaluation, as some conditions require a physical examination for proper differentiation. Additionally, si...[Read More] Understanding Calf Muscle Pain: When to See a Specialist
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 Disc Herniation and Ankylosing Spondylitis: A Patient's Journey
Herniated disc and ankylosing spondylitis (AS) I'm sorry to hear about your discomfort. Here's the translation: I have been experiencing discomfort in my lower back for six months. Initially, it started with sudden pain on the left side of my lower back, so I went to t...
Dr. Chang Qiongwen Reply:
Hello Mr. Jackson: Based on the situation you described, I will provide a brief summary and inference. Since you have been experiencing symptoms for six months and have undergone relevant examinations, including taking immunomodulators (were they MTX or other medications?), it i...[Read More] Understanding Disc Herniation and Ankylosing Spondylitis: A Patient's Journey
Common Concerns for Polio Survivors: Health, Relationships, and Longevity
Questions regarding patients with poliomyelitis? Hello: I am a polio patient and have a few questions for Dr. Li. 1. Can polio patients transmit the virus to others? Many people are afraid to be around me. 2. Is it suitable for polio patients to get married as adults? 3. Will pol...
Dr. Li Weiqiang Reply:
Hello: 1. Poliomyelitis has been eradicated in Taiwan, meaning it is not contagious. Please rest assured; any concerns about transmission stem from a lack of understanding. I encourage you to confirm your own health and not worry about others' opinions. 2. Of course, individ...[Read More] Common Concerns for Polio Survivors: Health, Relationships, and Longevity
Effective Rehabilitation Strategies for Prolonged Ligament Injuries
Ligament injury I have been suffering from a dislocated elbow and wrist injury from a car accident for seven months. I have seen both traditional Chinese medicine and Western medicine for over a month. The Western doctors performed a CT scan and MRI, determining that I have a wri...
Dr. Xu Zhenrong Reply:
The letter mentions that a car accident resulted in an elbow dislocation and wrist injury seven months ago. Imaging studies show no skeletal issues, only a wrist ligament injury. Ligaments are specialized soft tissues that connect joints. After the injury, in addition to medicati...[Read More] Effective Rehabilitation Strategies for Prolonged Ligament Injuries
Neck Pain and Stiffness: Finding the Best Rehabilitation Strategy
Neck When I turn my neck to a certain angle, I feel discomfort and it seems like I can't turn it fully. The doctor mentioned that I might have bone spurs and recommended physical therapy. However, after a few sessions, I felt even more uncomfortable. When I reported this to ...
Dr. Pan Yingda Reply:
At a young age, even if you have bone spurs, it shouldn't be too serious, so don't worry! If the symptoms have persisted for a long time (over 3 months), you need to pay attention to your posture. If it's a recent issue, I believe it could be a problem with the fac...[Read More] Neck Pain and Stiffness: Finding the Best Rehabilitation Strategy