Understanding Muscle Weakness and Pain: Causes and Solutions
Weakness and soreness in the limbs? Hello, doctor. Recently, I've been experiencing soreness and weakness in my right wrist, muscles, as well as in my right thigh, knee, and ankle. My right arm feels tight, and my wrist is not very flexible. Could this condition be caused by...
Dr. Wang Huijun Reply:
Hello, Chen: After reviewing your question, I find it difficult to provide an answer due to the limited information provided. I will analyze based on your thoughts, but it is essential for you to observe your condition or seek assistance from a physician. 1. Is it due to prolong...[Read More] Understanding Muscle Weakness and Pain: Causes and Solutions
Managing Muscle Soreness and Swelling After Knee Replacement Surgery
Postoperative soreness and swelling after knee replacement surgery? Dear Vice President Wang, My mother is 69 years old and underwent bilateral knee replacement surgery at Taipei Veterans General Hospital in early March. She had her stitches removed three days ago. Although she ...
Dr. Wang Huijun Reply:
Dear Ms. Hsu, Your mother's symptoms are common after surgery, and your current management approach is correct. Typically, the resolution of symptoms occurs gradually. Considering that it has been about a month since your mother's surgery, the fact that she only experi...[Read More] Managing Muscle Soreness and Swelling After Knee Replacement Surgery
Understanding Piriformis Syndrome: Pain Management and Injection Therapy
Gluteal pain radiating to tightness and pain in the calf, making walking difficult? Hello, Doctor: I was diagnosed with piriformis syndrome in the rehabilitation department (the pain is in my left buttock, not in the lumbar region). I had my first injection in mid-December last y...
Dr. Zhou Jianwen Reply:
After the injection, there are many contents, and the text does not specify what type of medication it is. It is recommended to follow up with a rehabilitation or pain management clinic for further treatment.[Read More] Understanding Piriformis Syndrome: Pain Management and Injection Therapy
Understanding Mild Back Numbness: Is It a Sign of Inactivity?
Mild tingling in the lower back? I have very little physical activity. Last week, I walked for 2 hours and felt quite tired. After sitting down, I experienced a slight tingling sensation in my left lower back, which lasted for about ten seconds before disappearing. I tend to slou...
Dr. Li Weiqiang Reply:
Hello, based on your description, it seems that you may be experiencing a lack of physical activity. The distance you walked last week may have exceeded your usual physical capacity. After some rest, you should be able to return to your original condition without the need for tre...[Read More] Understanding Mild Back Numbness: Is It a Sign of Inactivity?
Understanding O-Shaped Legs: Causes, Symptoms, and Treatment Options
Correction of Bow Legs Hello, doctor. I would like to ask some questions regarding my O-shaped legs. Since childhood, I have been told that I have slightly O-shaped legs and an outward foot position. I didn't pay much attention to it and it didn't affect me much, but af...
Dr. Li Weiqiang Reply:
Hi: Hello, Q1: I was told as a child that I had slightly O-shaped legs and a tendency for external rotation. I didn't pay much attention to it and it didn't affect me much, but now that I'm in high school (17 years old), I often experience unusual leg soreness, esp...[Read More] Understanding O-Shaped Legs: Causes, Symptoms, and Treatment Options
Rehabilitation Challenges After Femur Fracture: Knee Flexibility Issues
Rehabilitation Issues After Femoral Fracture and Knee Recovery Hello, doctor. I was involved in a car accident at the end of July, which resulted in a closed fracture of the left femoral shaft. It has been about three months since my surgery, but my knee still cannot bend normall...
Dr. Li Weiqiang Reply:
Hi: Q1: When bending the knee to a certain degree, it feels very tight and there is a noticeable swelling above the left knee compared to the right. Is the inability to improve the angle related to this? A1: It is uncertain if there is a connection; further examination is needed....[Read More] Rehabilitation Challenges After Femur Fracture: Knee Flexibility Issues
Understanding Lumbar Disc Herniation: Causes of Persistent Pain and Symptoms
Herniated disc Hello Doctor, a while ago, the rehabilitation specialist told me that I have an L5/S1 herniated disc, and an electromyography test confirmed that there is compression. I have been following the doctor's advice for rehabilitation, reporting almost daily for the...
Dr. Li Weiqiang Reply:
Hello, if the electromyography (EMG) examination has confirmed nerve compression, it is recommended to continue rehabilitation until symptoms are reduced to 20% before stopping. Stability is defined as maintaining this improvement for six months without the reappearance of sympto...[Read More] Understanding Lumbar Disc Herniation: Causes of Persistent Pain and Symptoms
Post-ACL Surgery: Struggling with Leg Raises and Rehab Tips
Unable to lift the leg after anterior cruciate ligament surgery? Hello Doctor, I underwent anterior cruciate ligament reconstruction surgery on June 2nd. According to the doctor's instructions, I have currently achieved a bending angle of 70 degrees. However, the doctor ment...
Dr. Su Hongci Reply:
The cruciate ligaments are the primary ligaments that provide strong stability in the anterior-posterior direction of the knee joint. Therefore, after an injury, the decision to perform ligament reconstruction or rehabilitation will depend on the extent of the tear, as well as th...[Read More] Post-ACL Surgery: Struggling with Leg Raises and Rehab Tips
Understanding Lower Back Pain and Leg Numbness: When to Seek Further Care
Inflammation of the lower back and hips, with numbness in the lower extremities? I had been standing for long periods and lifting heavy objects, and about a month and a half ago, I started experiencing lumbar pain that made it difficult to bend. The symptoms disappeared after res...
Dr. Xu Zhenrong Reply:
The most common causes of low back pain due to prolonged standing or heavy lifting are intervertebral disc herniation and lumbar muscle strain (especially the quadratus lumborum). However, lumbar muscle strain rarely causes pain that radiates to the calf, while the piriformis mus...[Read More] Understanding Lower Back Pain and Leg Numbness: When to Seek Further Care
Inner Elbow Pain After Volleyball Practice: Causes and Solutions
Sharp pain on the inner side of the elbow after playing sports? Hello, doctor. I am a member of the school volleyball team and have been training professionally since junior high school. During my time in the A team, I never experienced this kind of issue after practice. In colle...
Dr. Li Weiqiang Reply:
Hello, since I started playing basketball in middle school, I may have sustained injuries due to overuse, and because of insufficient rest, I haven't been able to fully recover. I can undergo physical therapy and then engage in strength training to enhance my power. Wishing ...[Read More] Inner Elbow Pain After Volleyball Practice: Causes and Solutions
Understanding Gluteal Muscle Injuries: Diagnosis and Rehabilitation Options
Gluteus maximus injury Hello, doctor. I am currently a university student. In May 2016, I sustained an injury while playing basketball. Over the past year, I have undergone various treatments and received different diagnoses from multiple physicians, but my condition has not impr...
Dr. Yin Xinbei Reply:
A muscle ultrasound can be performed to check for swelling or inflammation in the gluteus maximus or piriformis muscle.[Read More] Understanding Gluteal Muscle Injuries: Diagnosis and Rehabilitation Options
Understanding Symptoms: Can Tendonitis Cause Nerve Compression?
Confused about the symptoms in my body? Hello Doctor: In mid-April of this year, I visited an orthopedic clinic. At that time, my symptoms included pain in my buttocks after sitting for too long, pain in my left leg after walking for extended periods (sometimes my calf would also...
Dr. Yin Xinbei Reply:
The symptoms indeed suggest a suspicion of sciatic nerve compression, but it is also possible that the compression is caused by a herniated disc affecting the lumbosacral nerves or by the piriformis muscle compressing the sciatic nerve (which originates from the lumbosacral nerve...[Read More] Understanding Symptoms: Can Tendonitis Cause Nerve Compression?
Understanding Disc Herniation Rehab: Is Pain During Lumbar Traction Normal?
Questions about rehabilitation for herniated discs and lumbar traction? Hello, doctor. I have a herniated disc at the L4-L5 level and need rehabilitation. When I stretch my lower back, the affected leg becomes numb and feels almost devoid of sensation. When I touch it with the ot...
Dr. Yin Xinbei Reply:
Discomfort during lumbar traction may be due to posture issues or the inability of the lumbar and back muscles to withstand the pulling force. In such cases, the severity of the discomfort should be assessed to determine the appropriate response. For instance, if pain persists af...[Read More] Understanding Disc Herniation Rehab: Is Pain During Lumbar Traction Normal?
Navigating Rehabilitation After a Fracture: Key Questions and Concerns
Rehabilitation issues On December 19, 2016, I was involved in a car accident resulting in a comminuted fracture of the right navicular bone. On December 21, I underwent surgery for internal fixation with a self-funded plate. On February 25, during a follow-up visit, the orthopedi...
Dr. Yin Xinbei Reply:
It is unclear whether the distal right peroneal nerve lesion is located at the foot or near the knee in the calf. The nerve conduction study report should indicate: 1. The orthopedic department is not yet aware of your nerve damage, so rehabilitation progress will naturally depen...[Read More] Navigating Rehabilitation After a Fracture: Key Questions and Concerns
Understanding Calf Muscle Tightness: Causes and Rehabilitation Tips
Calf muscle tightness? Hello, Doctor: I am the patient from the previous question. I visited the rehabilitation department on Saturday morning. The doctor examined me and mentioned that the inability to fully extend my left calf might be due to tightness in the calf muscles. They...
Dr. Yin Xinbei Reply:
Is it possible that tight muscles or tendons could cause tightness in the calf muscles? >> The muscles and tendons (commonly referred to as "jin") are interconnected, so if one is tight, it naturally affects the other. Would continuing heat therapy, elevating the ...[Read More] Understanding Calf Muscle Tightness: Causes and Rehabilitation Tips
Struggling with Recovery: When Will I Walk Normally Again?
It has been a month, and I still cannot walk normally... I'm worried? Hello Doctor, After the Lunar New Year, in early February, I underwent surgery to remove a Baker's cyst (approximately 2 cm) from the back of my left knee. The doctor explained that due to the depth...
Dr. Yin Xinbei Reply:
Please proceed to the rehabilitation department for further evaluation and treatment.[Read More] Struggling with Recovery: When Will I Walk Normally Again?
How to Correct In-Toeing: Tips for Rehabilitation and Improvement
Internal rotation of the feet (also known as "in-toeing" or "pigeon-toed Hello, doctor. I have had an inward toeing issue since childhood, but my parents said it was due to my walking habits and that it would improve as I grew up. However, now that I am older, I fi...
Dr. Su Hongci Reply:
During fetal development, the lower limbs gradually flex to adapt to the confined space of the uterus. Generally, the calves exhibit noticeable internal rotation and bending, while the hips are in a flexed and externally rotated position. After birth, as long as the pressure is r...[Read More] How to Correct In-Toeing: Tips for Rehabilitation and Improvement
Understanding Your Symptoms: Disc Herniation vs. Piriformis Syndrome
I would like to inquire whether it is a herniated disc or piriformis syndrome? Hello, doctor. My symptoms started in early October. Initially, I felt tightness in the left side of my lower back and hip joint. One day, I did some stretching and leg lifts while lying down, and I&#x...
Dr. Yin Xinbei Reply:
Is it a herniated disc or piriformis syndrome? Both are possible. An electromyography (EMG) test with needle insertion may help differentiate between the two, but if the nerve root is not injured, it may not provide a clear distinction. MRI is more expensive, and physicians may h...[Read More] Understanding Your Symptoms: Disc Herniation vs. Piriformis Syndrome
Assessing Nerve Damage After L5-S1 Disc Surgery: Rehabilitation Insights
Nerve injury after herniated disc surgery? Hello Doctor, I underwent endoscopic surgery for my L5-S1 intervertebral disc at the beginning of August. During the procedure, I experienced nerve damage, which resulted in weakness in my right leg below the calf, and I am unable to lif...
Dr. Yin Xinbei Reply:
The condition and extent of nerve damage can be assessed through electromyography (EMG), which requires needle insertion. As long as the hospital has this equipment, both departments can order the test. However, once the injury has occurred, understanding the extent and nature of...[Read More] Assessing Nerve Damage After L5-S1 Disc Surgery: Rehabilitation Insights
Understanding Knee Pain: Is It Just Tight Muscles or Something More?
The tendons behind the knee are very tight? Hello, doctor. I would like to inquire about the pain behind my knee that occurs with certain specific movements. Is this just tightness in the muscles, or could it indicate a potential issue? Here are some examples: 1. When I do a forw...
Dr. Yin Xinbei Reply:
Based on the description, it is likely that the muscle is too tight. You can apply pressure to that muscle while in a relaxed state; if there is no significant pain, there is no need to worry. However, you can perform stretching exercises (applying heat before stretching can enha...[Read More] Understanding Knee Pain: Is It Just Tight Muscles or Something More?