Understanding Leg Swelling: Causes and Solutions for Discomfort
Swollen feet? Hello Dr. Chen! Since elementary school, every time I sit down for a class, my left calf always feels swollen and uncomfortable. After sitting all day, my calf becomes swollen and hard, and it hasn't improved until now. Is this due to poor blood circulation? Wh...
Dr. Chen Xianchang Reply:
(1) Elevate your legs with a pillow while sleeping. (2) Perform repetitive movements of bending and straightening your toes and calves. (3) Soak your feet in warm water (up to the knees). (4) If ineffective, consider visiting a rehabilitation specialist for treatment.[Read More] Understanding Leg Swelling: Causes and Solutions for Discomfort
Am I Experiencing Bow Legs? Understanding and Addressing Leg Curvature
Unsure if it is bow-legged (genu varum)? My legs are straight from the thigh to the knee, but they curve outward from the knee down. For example: │ this represents the thigh) and this represents the calf. So when my knees and ankles are together, my calves form this shape: (). Th...
Dr. Chen Jiali Reply:
Dear Snuffle: To determine if you have bowlegs (O-shaped legs), you can consult an orthopedic specialist or a rehabilitation physician. However, most cases of bowlegs are normal variations, similar to the differences in height and weight among individuals. They typically do not p...[Read More] Am I Experiencing Bow Legs? Understanding and Addressing Leg Curvature
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
Rehabilitation Tips for ACL Reconstruction: What to Expect in Week Two
What are the rehabilitation methods after a complete tear of the anterior cruciate ligament (ACL) surgery? Due to long-term instability in my knee, I initially thought it was rheumatic pain. It wasn't until last month, when I could hardly put weight on my leg while walking, ...
Dr. Zheng Shunping Reply:
In response to your question: Due to the various methods of anterior cruciate ligament (ACL) reconstruction surgery and the differing degrees of rehabilitation progress, it is recommended that you discuss this in detail with your attending physician. Below is a response regarding...[Read More] Rehabilitation Tips for ACL Reconstruction: What to Expect in Week Two
Improving Mobility After Knee Replacement: Tips for Rehabilitation
Artificial joint Hello Director Chen, A friend of mine underwent bilateral knee replacement surgery over three years ago, but is still experiencing difficulty walking. What remedies are available? Is it too late for improvement? Thank you! Jimmy
Dr. Chen Xianchang Reply:
(1) After knee joint surgery, rehabilitation exercises and therapy are necessary. (2) You can visit a nearby rehabilitation department for enhanced treatments such as ultrasound and laser therapy, as well as to strengthen the thigh muscles.[Read More] Improving Mobility After Knee Replacement: Tips for Rehabilitation
Understanding Knee Pain: Causes, Solutions, and Care Tips
Knee pain Dear Director Chen, I have been experiencing unexplained pain in my right knee recently, to the point where I cannot put weight on my foot or walk. Could you please advise on the possible causes and how to address this issue? Additionally, what are some recommended car...
Dr. Chen Xianchang Reply:
(1) It may be an acute condition of patellar tendonitis or ligament inflammation. (2) Ice therapy can be applied within the first 24 hours, followed by heat therapy and topical analgesics; rest and avoid movement. (3) Once pain subsides, strengthen muscle training should be initi...[Read More] Understanding Knee Pain: Causes, Solutions, and Care Tips
Essential Care Tips for Knee Cartilage Removal Recovery
Nursing Care for Knee Cartilage Resection Thank you for the nursing information provided at the Hong Kong airport. I have some additional questions; please email me when you have the time. Thank you! Ah Miao (Lai Miao Lian)
Dr. Li Weiqiang Reply:
Hello: Welcome to contact us via the email [email protected]. This is Dr. Li Wei-Chiang from the Department of Rehabilitation.[Read More] Essential Care Tips for Knee Cartilage Removal Recovery
Understanding Shifting Back Pain: Causes and Treatment Options
Lower back pain? Dear Dr. Pan, On June 12, I fell off my motorcycle, landing on my right side. That evening, I felt soreness in my right lower back, and of course, my buttocks were also painful. I had a bruise on my right thigh near the knee. After work that night, I went to a t...
Dr. Pan Yingda Reply:
A-Zheng: Hello, the pain can move around, and the most common reason for this is compensatory. Compensatory means that when one part of our body is injured and we avoid using it due to pain, the load or daily activities shift to other areas. As a result, areas that were originall...[Read More] Understanding Shifting Back Pain: Causes and Treatment Options
Understanding Recovery After ACL Injury: Common Concerns and Solutions
Rehabilitation Hello Doctor: At the end of January this year, I suffered a torn anterior cruciate ligament and a fracture in my right knee due to a car accident. I had a metal plate inserted, and the doctor advised me to keep it immobilized for a month without bending or putting ...
Dr. Chen Xianchang Reply:
(1) Generally, at one month post-injury, weight-bearing should be limited to 1/4 to 1/3 of body weight. The popping sound in the knee indicates ligament laxity, and strength training is necessary, focusing on both the anterior and posterior thigh muscles (important). (2) Rehabili...[Read More] Understanding Recovery After ACL Injury: Common Concerns and Solutions
Understanding Isokinetic Training for Fracture Rehabilitation
Fracture rehabilitation issues? Hello Dr. Chen: I previously asked you about rehabilitation for fractures, and you suggested that I use isokinetic exercise training. Could you please explain what isokinetic exercise training is?
Dr. Chen Xianchang Reply:
(1) General exercise includes "isometric" exercises (muscle contraction without joint movement) and "isotonic" exercises (knee extension exercises where the joint moves). The new generation includes "isokinetic" exercises, which determine force based...[Read More] Understanding Isokinetic Training for Fracture Rehabilitation
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
Which Specialist to Consult for Chronic Back and Joint Pain?
If you are experiencing lower back pain, you should consult a specialist in orthopedics or a chiropractor. Additionally, a visit to a physical medicine and rehabilitation specialist may also be beneficial for managing pain and improving function? Hello Doctor: I have been experie...
Dr. Gao Zhenling Reply:
Hello Cindy: Your symptoms of back pain resemble those of ankylosing spondylitis; however, the knee pain and heel pain may not be related to this condition. I recommend that you visit the rehabilitation department for a thorough examination and rehabilitation treatment. Thank you...[Read More] Which Specialist to Consult for Chronic Back and Joint Pain?
Effective Exercises to Correct O-Shaped Legs Without Surgery
Bow legs Hello Dr. Cheng, I seem to have an issue with bow legs, approximately three centimeters! I would like to ask if there are exercises that can correct this. Additionally, I have noticed that the bones in my lower leg and thigh do not connect in a straight line at the knee...
Dr. Zheng Shunping Reply:
In response to your question: Based on your description and age, it appears that male skeletal development is typically complete by the age of 18-19, making it difficult to improve the issue of bowlegs through exercise. If you are not experiencing any discomfort, you may not need...[Read More] Effective Exercises to Correct O-Shaped Legs Without Surgery
Post-Operative Rehabilitation and Care for Knee Replacement Surgery
Rehabilitation and Maintenance After Total Knee Replacement Surgery Hello Dr. Cheng, my mother is scheduled to undergo knee replacement surgery this week. I am unclear about the rehabilitation process after the surgery. Is there a need to control her diet? I would appreciate your...
Dr. Zheng Shunping Reply:
In response to your question: After total knee arthroplasty, there will be swelling and pain postoperatively, which must be managed with medication. Simultaneously, passive range of motion exercises for the knee joint should be gradually initiated, and a Continuous Passive Motion...[Read More] Post-Operative Rehabilitation and Care for Knee Replacement Surgery
Understanding Knee Contusions: Risks of Muscle Atrophy and Spasms
Knee contusion A car accident occurred a month and a half ago, and the doctor said it was a knee contusion. A friend mentioned that there might be a risk of post-traumatic contracture and atrophy of the thigh muscles in the future. Is this really possible?
Dr. Zheng Shunping Reply:
In response to your question: For a knee contusion, if the external injury is nearly healed, you should begin applying heat and perform quadriceps stretching and strengthening exercises. If rehabilitation is done properly, there typically will be no lasting effects.[Read More] Understanding Knee Contusions: Risks of Muscle Atrophy and Spasms
Recovering from ACL Injury: Effective Rehab Strategies for Knee Pain
I have a torn anterior cruciate ligament (ACL) in my knee, and my knee is swollen? Hello Dr. Cheng, Last October, I fell off my motorcycle, resulting in a neck fracture of my left femur. At the time of the fall, my leg was straight, so my knee was also injured. However, when I w...
Dr. Zheng Shunping Reply:
In response to your question: Based on your description of the condition, the fracture should be nearly healed. It is important to actively engage in rehabilitation exercises, focusing on strengthening the hip joint's flexion and abduction. As for applying ointments, this is...[Read More] Recovering from ACL Injury: Effective Rehab Strategies for Knee Pain
Unexplained Outer Knee Pain: Causes and Treatment Options
Unexplained pain on the outer side of both knees? For more than a year, I have often noticed pain on the outer side of my knees (both legs) upon waking up, particularly severe when bending. However, the pain usually gradually subsides after a day, and I feel almost no discomfort ...
Dr. Zheng Shunping Reply:
In response to your question: Based on your symptom description and the absence of any history of trauma, it appears to be a type of arthritis. It is recommended that you seek medical attention as soon as possible, and you may consider scheduling an appointment with a rheumatolog...[Read More] Unexplained Outer Knee Pain: Causes and Treatment Options
Post-ACL Surgery: Essential Do's and Don'ts for Recovery
Doctor, may I ask you something? Hello, I previously suffered a torn anterior cruciate ligament (ACL) while playing basketball. I would like to ask the doctor if there are any contraindications or precautions after surgery? I am very concerned and afraid it might happen again! Th...
Dr. Pan Yingda Reply:
Have you already had the surgery? After the surgery, the first thing to pay attention to is the range of motion in the joint (most people are afraid of pain or damaging it, which leads to joint stiffness) and strength training. For the first three months, you should wear an adjus...[Read More] Post-ACL Surgery: Essential Do's and Don'ts for Recovery