Is Surgery Inevitable for Meniscus Injuries? Exploring Rehab Options
Meniscus injury Hello, Doctor! When walking, I feel like there is a foreign object stuck in my knee joint, especially when bending the knee. The pain is so severe that I am afraid to put weight on my thigh, particularly on the outer joint surface, and there is swelling. I consult...
Dr. Chen Xianchang Reply:
(1) An ultrasound or MRI of the joint can be performed first to assess the condition of the meniscal cartilage injury. (2) If the tear is severe, orthopedic surgery should be considered, followed by rehabilitation. (3) If there is mild damage, conservative treatment with rehabili...[Read More] Is Surgery Inevitable for Meniscus Injuries? Exploring Rehab Options
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
Understanding Intermittent Claudication: Is It Joint Degeneration or Stroke?
Suspected foot stroke? Hello Director Chen! I am experiencing intermittent claudication, where I feel leg pain after walking about 100 to 200 meters and need to rest. Sometimes, my leg cramps suddenly and wakes me up in pain. Although massaging helps slightly, the soreness persis...
Dr. Chen Xianchang Reply:
1. The most common cause is spinal stenosis compressing the sciatic nerve, followed by poor circulation in the legs. The term "leg stroke" refers to vascular occlusion, which is more dangerous but has a lower incidence. 2. Spinal stenosis can be diagnosed using X-rays o...[Read More] Understanding Intermittent Claudication: Is It Joint Degeneration or Stroke?
Choosing the Right Desk and Chair Height to Alleviate Pain
Appropriate desk and chair height? Hello, doctor. I am currently pursuing a master's degree and spend long hours sitting at my desk studying every day. Although I take a 10-minute break every 50 minutes, I tend to unconsciously tense my shoulders while studying. As a result,...
Dr. Pan Yingda Reply:
Perform some stretching exercises; this part is difficult to describe, so you may want to look it up online. Additionally, avoid tensing your shoulders (the table may be too high). Rather than focusing on the height of the furniture, the posture of your body is more important. In...[Read More] Choosing the Right Desk and Chair Height to Alleviate Pain
Understanding Knee Joint Issues: Causes, Symptoms, and Treatment Options
Suspected knee joint issues? Hello, Director Chen. About 5 to 6 years ago, I noticed that after intense exercise involving my right leg, approximately half an hour later, I would feel a dislocation at the junction of my tibia and femur (prior to this, I would experience slight cr...
Dr. Chen Xianchang Reply:
1. It may be chronic inflammation of the biceps tendon, with recurrent episodes and knee ligament strain syndrome. 2. You can try drinking sports drinks (for electrolyte replenishment) and applying heat. 3. This is a phenomenon of sports injury and electrolyte loss (calcium, sodi...[Read More] Understanding Knee Joint Issues: Causes, Symptoms, and Treatment Options
Correct Stretching Techniques for Rehabilitation: Expert Insights
Stretching exercises Hello, Doctor: On September 23, the United Daily News introduced stretching exercises such as forward bending to touch the toes, straight knee forward bending to touch the toes, and raising the legs backward. Trainer Zhang Shiqing from Beitou Sports Center po...
Dr. Chen Xianchang Reply:
1. This health stretching exercise is well designed. 2. When performing stretching exercises, it is important to stabilize the proximal joints first before stretching the distal joints or muscles, as this is the correct approach. 3. The best indicator of whether pain is exces...[Read More] Correct Stretching Techniques for Rehabilitation: Expert Insights
Can Flat Feet in Teens Be Corrected? Insights on Pediatric Foot Rehabilitation
Foot rehabilitation Hello, Director Chen! There is a golden period for correcting pediatric flatfoot or in-toeing and out-toeing. Unfortunately, my daughter only started to show noticeable in-toeing after entering junior high school, and her toes almost touch each other when she ...
Dr. Chen Xianchang Reply:
1. Partial correction is still possible. First, assess whether the muscles around the hip joint are overly tight, and then check if there is any inward bending of the knee joint. Initially, ultrasound or muscle stretching can be used to address these issues. 2. Consider using arc...[Read More] Can Flat Feet in Teens Be Corrected? Insights on Pediatric Foot Rehabilitation
Understanding Muscle Atrophy: Causes and Rehabilitation Solutions
Muscle atrophy Hello Dr. Chen: I am experiencing muscle atrophy in my legs, and I have to press down on my knees to stand up. Additionally, my legs feel weak. What should I do? Thank you very much for your guidance! Lan Shan
Dr. Chen Xianchang Reply:
1. You need to see a neurologist or a rehabilitation specialist for an initial examination, which may include blood tests to determine the cause of the atrophy. 2. If it is myositis or progressive muscle atrophy, anti-inflammatory and pain relief medications may be necessary du...[Read More] Understanding Muscle Atrophy: Causes and Rehabilitation Solutions
Managing Lower Back Pain: Rehabilitation and Home Care Tips
Lower back pain? Hello, Doctor! My aunt often experiences lower back pain after sitting, standing, or lying down for extended periods. The pain frequently radiates down to both sides of her buttocks or lower limbs, and sometimes she experiences numbness, weakness, or decreased re...
Dr. Chen Xianchang Reply:
1. There may be lumbar nerve compression syndrome, which can cause numbness and weakness in the lower limbs. 2. At home, you can perform knee-to-chest exercises while lying on your back to stretch and soften the back muscles. 3. You can visit a rehabilitation department for d...[Read More] Managing Lower Back Pain: Rehabilitation and Home Care Tips
Understanding Knee Fractures in Seniors: Recovery and Rehabilitation Insights
Patellar fracture Hello, Doctor! My friend's 66-year-old mother suddenly fractured her right leg at the knee while walking last Tuesday. She was rushed to the hospital, where they inserted pins for stabilization, and she was discharged after three days. She is worried about ...
Dr. Chen Xianchang Reply:
1. There may be several possibilities including simple fractures, osteoporosis, knee ligament damage, and bone cancer. 2. Three days post-surgery, you can schedule an appointment with the rehabilitation department for laser therapy or other phototherapy, and receive health educ...[Read More] Understanding Knee Fractures in Seniors: Recovery and Rehabilitation Insights
Understanding Knee Joint Issues: Causes and Care for Runners
Knee joint Hello, Doctor! I have been jogging for about 4 years, running 4 to 5 kilometers each time. I do warm-up exercises before running and stretch afterward to eliminate some lactic acid. Recently, I've been experiencing a grinding sound in my left knee joint when walki...
Dr. Chen Xianchang Reply:
1. It may be a phenomenon of knee joint degeneration. 2. The dosage of glucosamine is approximately 3 tablets per day (totaling 1000 mg), and calcium supplements are about 800 mg. 3. It is necessary to perform more leg elevation exercises to increase thigh muscle strength and...[Read More] Understanding Knee Joint Issues: Causes and Care for Runners
Understanding Ankle Sprain Recovery: Addressing Persistent Pain Issues
Ankle sprain Hello Dr. Chen! I sprained my right ankle, and after it healed, I have been experiencing pain in the muscles along the side of my leg from the ankle to the knee for over a month. The pain is particularly severe when walking. I consulted an orthopedic doctor who infor...
Dr. Chen Xianchang Reply:
(1) It is possible that the injury is to the peroneus longus muscle on the lateral side of the calf, caused by a sprained ankle at the time of injury and compensatory gait to avoid pain. (2) Alternating hot and cold baths for the calf can be used, with the method being to soak in...[Read More] Understanding Ankle Sprain Recovery: Addressing Persistent Pain Issues
Understanding Anterior Cruciate Ligament Injuries and Rehabilitation Strategies
Anterior cruciate ligament injury Could you please clarify whether the ligament reconstruction you underwent was for the anterior cruciate ligament (ACL) or the posterior cruciate ligament (PCL)? For the left leg, the sounds near the joint are primarily caused by muscle strength ...
Dr. Pan Yingda Reply:
1. Cycling is better than jogging at the beginning. 2. It is not a failure of arthroscopy, but rather the surgical reconstruction cannot match the original condition. During surgery, the tension of the ligaments can be controlled to be either a bit loose or a bit tight, but the h...[Read More] Understanding Anterior Cruciate Ligament Injuries and Rehabilitation Strategies
Managing Piriformis Syndrome: Home Exercises and Specialist Guidance
Piriformis syndrome Hello Dr. Hsu, If someone is suffering from piriformis syndrome, what exercises can be done at home to relieve pain? Which department should I visit for an outpatient consultation? Thank you for your response.
Dr. Xu Zhenrong Reply:
Hello, the piriformis syndrome requires rest during acute pain, and the duration of rest and the need for anti-inflammatory pain medications depend on the severity of the condition. Physical therapy (such as transcutaneous electrical nerve stimulation, ultrasound, low-level laser...[Read More] Managing Piriformis Syndrome: Home Exercises and Specialist Guidance
Effective Treatments for Osteoarthritis: Do They Really Work?
Degenerative arthritis Hello, Director Chen! My grandmother is suffering from degenerative arthritis, and the doctor has suggested joint replacement, but she is hesitant. She has tried acupuncture, corticosteroid injections, and collagen supplements, but none of these remedies ha...
Dr. Chen Xianchang Reply:
(1) Chondroitin and glucosamine are covered by health insurance only when there is a certain degree of bone damage. (2) Hyaluronic acid is primarily used in the knee joint to provide lubrication and reduce pain. (3) Please strengthen muscle training.[Read More] Effective Treatments for Osteoarthritis: Do They Really Work?
Understanding Knee Noises After ACL Reconstruction: Risks and Recovery
Anterior cruciate ligament reconstruction Hello, doctor. I previously underwent arthroscopic surgery, and now my knee makes sounds when I walk, but there is no pain. I would like to ask if the presence of sound in the knee will affect my ability to exercise. Is it also likely to ...
Dr. Pan Yingda Reply:
Could you please clarify whether your ligament reconstruction was for the anterior cruciate ligament (ACL) or the posterior cruciate ligament (PCL)? Generally, the sounds near the joint are caused by imbalances in muscle strength and flexibility. As long as there is no pain, it i...[Read More] Understanding Knee Noises After ACL Reconstruction: Risks and Recovery
Understanding Piriformis Syndrome: Pain Management and Stretching Techniques
Hip pain Hello, Doctor: I previously inquired online about my hip pain, and I appreciate your advice despite your busy schedule. I am experiencing symptoms of Piriformis syndrome and Myofascial Pain, and I have undergone physical therapy (including heat therapy, interferential cu...
Dr. Pan Yingda Reply:
Hello, I still remember your points: 1. The focus is not on whether you are suitable for the knee-to-chest position, but rather on how you perform it. When stretching, it should be a gentle stretch, not a forceful one. During the knee-to-chest position, the pelvis and spine sho...[Read More] Understanding Piriformis Syndrome: Pain Management and Stretching Techniques
Post-Surgery Rehabilitation: Essential for Hip Surgery Recovery?
Postoperative rehabilitation Hello, doctor! A family member has recently undergone hip surgery and is currently resting at home. Does she need to undergo rehabilitation therapy? Will there be any long-term mobility issues? Please respond! Thank you! LoLo
Dr. Chen Xianchang Reply:
1. Rehabilitation is required, starting with deep heat therapy and strength training. 2. Avoid excessive flexion and adduction of the hip joint. 3. A pillow can be placed between the knees to prevent the aforementioned undesirable movements.[Read More] Post-Surgery Rehabilitation: Essential for Hip Surgery Recovery?
Exploring Pilates Equipment for Rehabilitation and Core Strength
About Pilates equipment? Hello Director Chen! In our busy modern urban life, many people have areas that require mild rehabilitation. For instance, many office workers experience shoulder and neck tension due to prolonged sitting and computer use, leading to discomfort in the sho...
Dr. Chen Xianchang Reply:
(1) Pilates exercises are indeed beneficial for strengthening the core muscle groups, allowing patients to progressively control muscles from distal to proximal, which can lead to increased strength and stability. (2) Whether it can achieve aesthetic curves remains uncertain. (3)...[Read More] Exploring Pilates Equipment for Rehabilitation and Core Strength
Understanding Leg Pain: Causes, Treatments, and When to See a Doctor
Frequent foot pain? Hello Doctor: I am 30 years old, unmarried, 160 cm tall, and weigh 80 kg. Whenever it rains or when I am exposed to a fan or air conditioning, my feet become very sore, to the point where I feel like I need to squat down. My knees also hurt. Sometimes, even wi...
Dr. Chen Xianchang Reply:
(1) It may be degenerative arthritis or soft tissue rheumatism. (2) You can consult a rehabilitation specialist or a rheumatologist. (3) It is important to keep the legs warm and to strengthen muscle and flexibility training. (4) Foods rich in collagen, such as beef tendons, can ...[Read More] Understanding Leg Pain: Causes, Treatments, and When to See a Doctor