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?
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
Understanding Spinal Fusion Surgery: Key Insights and FAQs
What is spinal fusion surgery? Hello, I am the one with the lumbar disc herniation at L2-L4. I have received your response, thank you! May I ask: 1. Why is it best not to get pregnant? 2. It has been over two years since the surgery, but my body still feels very weak, and I exper...
Dr. Li Weiqiang Reply:
Dear Ms. Chuang, Hello! Due to a herniated disc (L2-L4) compressing the nerves, I underwent surgery. The doctor advised against pregnancy. It has been over two years since the surgery, and although I have been diligently undergoing rehabilitation, my body still feels weak, and I...[Read More] Understanding Spinal Fusion Surgery: Key Insights and FAQs
Understanding Post-Surgery Risks and Complications of Lumbar Disc Herniation
Due to a herniated disc (L2-L4) compressing the nerve, surgery was performed. I would like to know if there is a need for surgery if there are new lesions at L1, L3, or L5, what postoperative sequelae may occur, and how high is the risk for a second surgery? I am a 34-year-old fe...
Dr. Li Weiqiang Reply:
Ms. Chuang: Hello! Due to a herniated disc (L2-L4) compressing the nerves, I underwent surgery, and the doctor advised against pregnancy. It has been over two years since the surgery, and I have been diligently doing rehabilitation, but my body still feels very weak, and I experi...[Read More] Understanding Post-Surgery Risks and Complications of Lumbar Disc Herniation
Effective Rehabilitation Strategies for Ankle Sprains: Expert Insights
Ankle sprain Dr. Li: Hello! I sprained my ankle on July 11 while using an escalator. Initially, the orthopedic doctor diagnosed me with periosteal bleeding. I started with ice therapy, and now I soak my foot in hot water every night and elevate my leg while sleeping. I feel bette...
Dr. Li Weiqiang Reply:
Hello: It has been 2 months since your injury. Generally, soft tissue injuries require 4-6 weeks for recovery, and it seems that the injured area has not yet fully healed. I recommend seeking evaluation from a specialist (such as a rehabilitation physician or orthopedic surgeon) ...[Read More] Effective Rehabilitation Strategies for Ankle Sprains: Expert Insights
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 Rehabilitation Help with Chronic Leg Swelling After Cancer Surgery?
Lower extremity swelling Dear Director Chen, Twelve years ago, I underwent a hysterectomy due to cervical cancer. Since then, I have experienced gradual swelling in my lower limbs. I consulted a gynecologist who mentioned that post-surgery lymphatic obstruction could lead to swe...
Dr. Chen Xianchang Reply:
1. If the lymphatic system is affected, it can lead to edema in the lower extremities. 2. If cellulitis occurs, medications should be used to suppress the inflammation. 3. After the acute phase, one can undergo circulatory therapy in the rehabilitation department and elevate the ...[Read More] Can Rehabilitation Help with Chronic Leg Swelling After Cancer Surgery?
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
Understanding Persistent Pain and Weakness After Spinal Surgery: Key Insights
excuse me? Several years ago, I underwent surgery for a lumbar vertebra fracture due to a car accident. One year post-surgery, I began experiencing pain and weakness in my legs, accompanied by fatigue. Initially, physical therapy alleviated the symptoms, but gradually, neither me...
Dr. Li Weiqiang Reply:
Hello: The weakness in my lower body is getting worse, and I'm not sure if it is becoming more serious. Generally, performing rehabilitation correctly under the guidance of a professional therapist should not cause harm. Could you take some time to return to the outpatient c...[Read More] Understanding Persistent Pain and Weakness After Spinal Surgery: Key Insights
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
Managing Chronic Pain from Old Injuries: Rehabilitation Insights
Old injury pain? Hello Dr. Chen: About 12 years ago, I fell off my motorcycle and my right leg was heavily crushed by the bike, resulting in severe bruising and a depression in the tibia. Even now, the area remains sunken. While the cosmetic aspect is secondary, the main issue is...
Dr. Chen Xianchang Reply:
1. There may be damage to the periosteum; if overused, pain may recur. 2. You can go to the rehabilitation department for electrical therapy, ultrasound, or laser treatment to improve circulation. 3. Apply heat at home and use a blanket to keep the lower legs warm while sleeping.[Read More] Managing Chronic Pain from Old Injuries: 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
Severe Foot Pain After Rhabdomyolysis: Seeking Answers and Relief
Severe pain in the soles and dorsum of the feet after rhabdomyolysis? Hello, my brother suffered from heat stroke in early August this year, which led to rhabdomyolysis. He was hospitalized for 16 days and underwent emergency dialysis treatment. After all his indicators returned ...
Dr. Zheng Shunping Reply:
In response to your question: Based on your description, the muscle symptoms of rhabdomyolysis generally improve gradually after the acute phase, with pain and weakness typically recovering over time. However, some individuals may develop compartment syndrome, which occurs due to...[Read More] Severe Foot Pain After Rhabdomyolysis: Seeking Answers and Relief
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
Managing Sciatica: Can Physical Therapy Provide Relief?
Sciatica Hello, Dr. Chen! I often experience pain that radiates from my buttocks down to the sides or back of my legs, even reaching my feet and toes. In addition to the pain, I also have sensations of numbness, weakness, swelling, and coldness. These discomforting feelings worse...
Dr. Chen Xianchang Reply:
(1) It may be caused by a herniated intervertebral disc compressing the sciatic nerve. (2) Rehabilitation can include heat therapy, interferential current therapy, and lumbar traction treatment, with about 70-80% improvement expected. (3) If ineffective, consider surgery (consult...[Read More] Managing Sciatica: Can Physical Therapy Provide Relief?
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
Understanding Post-Hip Surgery: Pain, Leg Length Discrepancy, and Recovery
Postoperative hip surgery Hello, Doctor! My family member underwent hip surgery a month and a half ago. After returning home, they followed the doctor's advice to put weight on the leg and walk outside, but they are experiencing pain and discomfort. They have also noticed a ...
Dr. Chen Xianchang Reply:
(1) In the first week after hip joint surgery, it is advisable to focus on strengthening lower limb muscle strength. (2) The patient should gradually progress in weight-bearing from 1/4 to 1/3 to 1/2, until achieving full weight-bearing. (3) Progression should be made from using ...[Read More] Understanding Post-Hip Surgery: Pain, Leg Length Discrepancy, and Recovery
Effective Hip and Waist Support Gear for Injury Prevention
Lumbar and pelvic support equipment? Good day, Doctor. I often experience numbness in my legs, along with back pain and discomfort in my lower back. I came across a report from the China Times that mentioned Johnson's rehabilitation equipment introducing a new hip joint supp...
Dr. Chen Xianchang Reply:
(1) Waist and hip protective pants may reduce the impact force during falls. (2) The drawbacks include being too hot and uncomfortable, and they may also affect joint mobility. (3) They can be considered for elderly individuals with dementia.[Read More] Effective Hip and Waist Support Gear for Injury Prevention
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