Understanding Lymphatic Obstruction: Causes and Treatment Options
Lymphatic obstruction? Hello Director Chen! My thigh is swollen down to my calf, and the muscles always feel tight and very sore to the touch. Could this be due to lymphatic congestion? Is it treatable? Thank you, Lily.
Dr. Chen Xianchang Reply:
(1) Poor circulation; the lymphatic system has valves to help push lymph fluid back, but its function declines with age. (2) You can visit a rehabilitation department for deep heat therapy and circulatory compression lymphatic treatment to enhance circulation. (3) You can perform...[Read More] Understanding Lymphatic Obstruction: Causes and Treatment Options
Can Physical Therapy Help with Leg Length Discrepancy Issues?
Leg length discrepancy Hello Dr. Chen: My uncle has a leg length discrepancy, which has become more severe. He walks with his body leaning to one side. Can rehabilitation therapy help? Does he need surgery?
Dr. Chen Xianchang Reply:
1. Actual measurement of leg length is required to determine if there is true leg length discrepancy or if it is caused by scoliosis. 2. If the scoliosis is less than 20 degrees, rehabilitation is recommended. If it is between 20 and 40 degrees, a Milwaukee brace along with reha...[Read More] Can Physical Therapy Help with Leg Length Discrepancy Issues?
Understanding Neck Pain: Seeking Answers for Persistent Symptoms
Doctor, please help me? Hello, Director Pan. In mid-August, I went for folk therapy and ended up getting injured, resulting in swelling of my jaw and a feeling of dizziness, along with difficulty focusing on near objects. Initially, I didn't think much of it, so I just visit...
Dr. Pan Yingda Reply:
Basically, if what you described is accurate, I think it’s quite serious. When I say "if," I mean that some symptoms are very subjective. For example, I had a case where a patient complained of chest pain, and after seeing multiple doctors without relief, she ended up i...[Read More] Understanding Neck Pain: Seeking Answers for Persistent Symptoms
Is Physical Therapy Necessary After ACL Reconstruction Surgery?
Anterior cruciate ligament reconstruction surgery Hello, Doctor! My family member underwent anterior cruciate ligament reconstruction surgery last week. The doctor advised that they can lie flat and elevate their leg, and gradually start using a cane to lightly touch the ground w...
Dr. Chen Xianchang Reply:
1. Rehabilitation therapy should be included to accelerate recovery. 2. Anterior cruciate ligament reconstruction should be monitored using ultrasound and magnetic resonance imaging, as X-rays cannot visualize ligaments. 3. Rehabilitation with electrical stimulation and deep ...[Read More] Is Physical Therapy Necessary After ACL Reconstruction Surgery?
Sudden Leg Weakness in Elderly: Causes and Rehabilitation Tips
Calf numbness and weakness in standing? Hello: My father is 87 years old and in good health; he can walk around independently. Recently, he has had a cold and cough for a week. Yesterday morning, he suddenly experienced weakness in both legs and was unable to stand. He was urgent...
Dr. Chen Xianchang Reply:
1. You may first consult a neurologist or a rehabilitation specialist. Possible causes include: (1) posterior cerebral artery embolism, (2) peripheral neuropathy, (3) Guillain-Barré syndrome, (4) diabetic neuropathy, among others. 2. Physical examination: muscle strength, deep ...[Read More] Sudden Leg Weakness in Elderly: Causes and Rehabilitation Tips
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?
Effective Rehabilitation Strategies After Patellar Fracture Recovery
Patellar injury? Hello, Director Chen! I injured my left knee patella due to a fall and had it in a cast for 6 weeks. After the cast is removed, what would be the best way to rehabilitate? Thank you!
Dr. Chen Xianchang Reply:
1. If the wound is not healed, laser and ultrasound therapy (from the outside) can be used initially, along with strengthening exercises for the thigh muscles. 2. Once the wound has healed, hydrotherapy can be added to improve flexibility, gradually increasing weight-bearing on t...[Read More] Effective Rehabilitation Strategies After Patellar Fracture Recovery
How to Safely Assist Your Grandmother with Home Rehabilitation
How to do rehabilitation exercises at home? My grandmother accidentally injured her spine when she was young, apparently at the end of her spine. She has undergone surgery, and she mentioned that the doctor removed some damaged black tissue from the junction and then repaired it....
Dr. Jian Jincheng Reply:
After surgery, the patient experiences weakness in the leg and a limping gait, which may be due to nerve compression or other causes. A detailed examination is necessary to confirm the diagnosis. It is recommended to undergo an MRI (Magnetic Resonance Imaging) or CT (Computed Tom...[Read More] How to Safely Assist Your Grandmother with Home Rehabilitation
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
Can Frog Legs Cause Leg and Back Pain During Exercise?
Frog legs Hello, Dr. Hsu! I would like to ask if frog legs can cause soreness in the legs and lower back? I exercise quite often, but I find that my legs get sore after walking or shopping for a short period. Please help me with this question. Thank you!
Dr. Xu Zhenrong Reply:
Hello: The condition commonly referred to as "frog legs" is known as gluteal fibrosis, also called gluteal contracture syndrome. It is usually caused by repeated intramuscular injections in the gluteal muscle during childhood, particularly with antibiotics such as penic...[Read More] Can Frog Legs Cause Leg and Back Pain During Exercise?
Effective Treatments for Leg Swelling and Poor Circulation
Leg swelling? Hello, Director Chen! I have poor blood circulation in my legs. Whenever I sit for an hour, my legs swell significantly, and the longer I sit, the harder they become, almost like iron legs. I have tried using elastic bandages, but the results were still unsatisfacto...
Dr. Chen Xianchang Reply:
1. The rehabilitation department has a "circulator" that can treat this type of issue; it is a device for upper and lower limb lymphatic compression that aids in lymphatic return. 2. When sleeping, elevate the legs and perform pumping exercises, tightening and contrac...[Read More] Effective Treatments for Leg Swelling and Poor Circulation
Flat Feet in Toddlers: Rehabilitation and Custom Insole Solutions
Flatfoot in children Hello Director Chen! I have a 3-year-old child with flat feet who dislikes walking. Is rehabilitation an option? Should we consider custom orthotics for her? Thank you! Tina
Dr. Chen Xianchang Reply:
1. If a child is still flat-footed at three years old, rehabilitation treatment is necessary. 2. You can go to the assistive device center in your area to order "arch supports," and then check if the hip joints are too tight and if the leg muscle strength is normal, fo...[Read More] Flat Feet in Toddlers: Rehabilitation and Custom Insole Solutions
Rehabilitation for Calf Muscle Atrophy After Cast Removal
Rehabilitation for Calf Muscle Atrophy Hello Dr. Chen! After a prolonged period of having a cast on my lower leg, I noticed muscle atrophy due to lack of movement once the cast was removed. I feel weakness when standing and walking. How long does rehabilitation therapy typically ...
Dr. Chen Xianchang Reply:
1. You can undergo electrical muscle stimulation in the rehabilitation department to prevent further atrophy. 2. Hydrotherapy or shortwave therapy can enhance circulation and flexibility. 3. Strength training is the most important, and it generally takes about 2-3 months to c...[Read More] Rehabilitation for Calf Muscle Atrophy After Cast Removal
Understanding Unexplained Hip Pain: Causes and Solutions
Unknown pain Hello, I have a few questions regarding some pain issues. The pain is located in my buttocks, which the doctor said might be related to the gluteus medius muscle. Let me describe my pain situation briefly. The pain is in my buttocks, and currently, it hurts when I wa...
Dr. Pan Yingda Reply:
Hello, this is indeed an unusual issue. If it were me, I would ask: 1. How long has it been? 2. How did it happen - what was the cause? 3. Have you sustained any injuries? Did you fall? Experiencing the most pain in the morning is often indicative of inflammation, and waking up i...[Read More] Understanding Unexplained Hip Pain: Causes and Solutions
Do You Need Surgery for a Fibula Fracture Near the Ankle?
Fracture of the fibula? Hello, Director Chen! Does a fracture of the small bone in the lower leg near the ankle require surgery? Or is a cast necessary? Can an ankle brace suffice? Is rehabilitation needed? What can be done to walk normally in a short period of time? Thank you fo...
Dr. Chen Xianchang Reply:
1. Fibula fractures typically require little surgical intervention, as they only account for 10-15% of the load-bearing capacity. Casting or splinting is usually sufficient. 2. Engaging in rehabilitation can help alleviate pain more quickly, improve circulation, and enhance mus...[Read More] Do You Need Surgery for a Fibula Fracture Near the Ankle?
Understanding Hip Joint Pain: Causes, Treatments, and Rehabilitation Insights
Hip joint pain Hello Director Chen! I have severe hip pain and often try self-massage, heat therapy, and topical ointments, but nothing seems to alleviate the pain. Could it be due to hip dislocation? Is there a possibility of leg length discrepancy? Can rehabilitation therapy he...
Dr. Chen Xianchang Reply:
1. The most common conditions are inflammation of the piriformis muscle or gluteus minimus, followed by hip joint inflammation or avascular necrosis (the most severe). 2. It is recommended to visit an orthopedic or rehabilitation specialist for an X-ray to rule out avascular necr...[Read More] Understanding Hip Joint Pain: Causes, Treatments, and Rehabilitation Insights
Patellofemoral Pain Syndrome: Can Rehab Therapy Help?
Patellofemoral pain syndrome Hello, Director Chen! I have been jogging and playing badminton for a long time. For the past six months, whenever I sit for extended periods or go downhill or down stairs, I experience a dull pain in my knee joint, and occasionally my legs feel weak....
Dr. Chen Xianchang Reply:
1. Rehabilitation can be initiated to enhance deep heat therapy and electrical stimulation, while also increasing thigh muscle strength. 2. Supplementation with glucosamine and chondroitin, commonly known as "joint support," can be beneficial. 3. When descending hil...[Read More] Patellofemoral Pain Syndrome: Can Rehab Therapy Help?
Managing Lateral Foot Pain After Ankle Injury: Rehabilitation Insights
Pain on the outer side of the foot? Hello, Director Chen! Sorry to bother you! Three months ago, I sprained my ankle while running, and on the same day, I inexplicably felt pain in the sole of my left foot while walking home. I consulted a traditional Chinese medicine practitione...
Dr. Chen Xianchang Reply:
(1) Apply heat therapy at home frequently, and gently stretch the hamstrings (including the Achilles tendon and the medial and lateral aspects of the ankle) when there is no pain. (2) You may visit a rehabilitation department for deep heat therapy (shortwave, ultrasound) and stre...[Read More] Managing Lateral Foot Pain After Ankle Injury: Rehabilitation Insights
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 Rickets: Causes, Symptoms, and Treatment Options for Children
Chondropathy Hello Dr. Chen! My granddaughter, who just started walking, relies on adults for support and is unsteady, often falling and getting bruised. Her legs are noticeably bowed outward, and the doctor mentioned a deficiency in vitamin D. He suggested that in addition to me...
Dr. Chen Xianchang Reply:
1. The incidence of chondropathy is low; generally, supplementation with calcium and vitamin D can improve the condition. 2. It is advisable to consult an endocrinologist to check for parathyroid hormone deficiency, which may lead to poor calcium absorption, and medication can be...[Read More] Understanding Rickets: Causes, Symptoms, and Treatment Options for Children