Rehabilitation Strategies for Thigh Muscle Atrophy After Knee Injury
Rehabilitation issues related to thigh atrophy? Hello doctor, I fractured my right patella over a month ago. I did not undergo surgery and currently have a cast that extends from about halfway up my thigh to two-thirds of my foot, leaving only my toes exposed. However, my thigh h...
Dr. Lai Yanting Reply:
1. Non-displaced fractures of the patella can be treated conservatively by immobilizing the knee in a straight position with a cast for 4 to 6 weeks. Since the patella does not bear weight, there are generally no weight-bearing restrictions (but you should consult your physician)...[Read More] Rehabilitation Strategies for Thigh Muscle Atrophy After Knee Injury
Understanding Stiff Neck: Causes, Symptoms, and Rehabilitation Options
Stiffness in the posterior neck? Since August or September of last year, I have been experiencing stiffness in my neck, making it difficult to turn my head from side to side. I visited a rehabilitation department at a major hospital, where I underwent X-rays and ultrasound of my ...
Dr. Lai Yanting Reply:
Your question -- There are many causes of neck stiffness, including: 1. Incorrect sleeping posture or sudden neck movements leading to neck strain. 2. Life stress --> This can cause neck muscles to tighten, resulting in stiffness. 3. Cervical spine injuries, such as those from...[Read More] Understanding Stiff Neck: Causes, Symptoms, and Rehabilitation Options
Navigating the Barthel Index: Stroke Rehabilitation Challenges in Taiwan
Barthel Index My mother has been paralyzed from a stroke for over ten years and needs to have a Barthel Index assessment every three years. This year, Cathay General Hospital stated that they are a regional hospital and cannot perform the assessment. The Catholic Keng Hsin Hospit...
Dr. Li Weiqiang Reply:
Hello, the Hsinchu Hospital can assist you with this. Please call Hsinchu Hospital for inquiries and arrangements. Wishing you safety and health. Sincerely, Dr. Li Wei-Chiang, Director of the Rehabilitation Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Navigating the Barthel Index: Stroke Rehabilitation Challenges in Taiwan
Does MRI Position Affect Results for Rehabilitation Patients?
Magnetic Resonance Imaging (MRI) Does the position of the body affect the results of an MRI? I mostly experience numbness in my legs when walking or sitting, but an MRI is performed while lying down. I'm not sure if this will impact the results.
Dr. Lin Shuhuan Reply:
Hello: Lumbar spine MRI is performed while lying down and will not affect the interpretation of the results.[Read More] Does MRI Position Affect Results for Rehabilitation Patients?
Understanding Brachial Plexus Injury: Diagnosis, Rehabilitation, and Disability Benefits
Brachial plexus injury What examinations are necessary to confirm a brachial plexus injury? Is daily rehabilitation required, and if rehabilitation is not performed regularly, will muscle atrophy occur? Can a diagnosis be made, and is it possible to obtain a disability certificat...
Dr. Lin Shuhuan Reply:
Hello: Brachial plexus injury can be assessed for severity using nerve conduction studies and electromyography. If damage is confirmed, it is advisable to consult with the neurosurgery department at a medical center for further management, and to arrange rehabilitation therapy wi...[Read More] Understanding Brachial Plexus Injury: Diagnosis, Rehabilitation, and Disability Benefits
Stroke Recovery: Understanding Rehabilitation and Cognitive Challenges
Stroke sequelae Hello, doctor. My mother is 62 years old. At the end of April, she underwent surgery for a hemorrhagic stroke due to hypertension (the report indicated a hemorrhage in the left thalamus and hydrocephalus). She is currently experiencing paralysis in her right hand ...
Dr. Chen Wayda Reply:
First: Is there a chance for rehabilitation to enable walking? ANS: There is still a chance, but it depends on the effort put in! Second: My mother sometimes engages in fluent conversations and recognizes the names of family and friends when she is in good spirits, but at other...[Read More] Stroke Recovery: Understanding Rehabilitation and Cognitive Challenges
Relief Strategies for Finger Joint Pain from Typing
Finger joint pain I work as a typist, typing for 9 to 12 hours a day, with an average speed of about 70 to 80 words per minute. I take one day off a week, and after a year and a half, I've started to feel pain in my finger joints, especially in the joints of my ring and litt...
Dr. Chen Wayda Reply:
This is inflammation of the finger joints due to cumulative strain. Soaking in warm water can be helpful. It is recommended to seek treatment from a rehabilitation specialist.[Read More] Relief Strategies for Finger Joint Pain from Typing
Struggling to Squat: Understanding Short Achilles Tendon Issues
Difficulty squatting down may suggest a shortened Achilles tendon? Hello Doctor, I discovered in middle school that I am unable to squat down with both heels on the ground, and I tend to fall backward. After consulting an orthopedic doctor, I learned that I have frog legs, but I ...
Dr. Lin Shuhuan Reply:
Hello: Based on your description (squatting with knees together without falling backward) and the diagnosis of frog legs (gluteus maximus spasm) made by an orthopedic physician, it is likely unrelated to a shorter Achilles tendon (most clinical manifestations of a shorter Achille...[Read More] Struggling to Squat: Understanding Short Achilles Tendon Issues
Managing Flat Feet in Young Children: When to Seek Help and Solutions
Flatfoot in infants Hello Doctor: My son is currently 6 and a half years old and has flat feet. When viewed from behind, he seems to walk with a slight inward toeing. Last year, we went to Chang Gung Children's Hospital for a bone assessment, and the doctor said his skeletal...
Dr. Lai Yanting Reply:
1. Based on your description, your child likely has physiological flatfoot (it is recommended to have a professional physician confirm this). This condition is caused by ligament laxity and typically only presents as flatfoot when weight-bearing. Most children with this condition...[Read More] Managing Flat Feet in Young Children: When to Seek Help and Solutions
Injury Above the Elbow: Understanding Pain and Recovery Tips
The area above the elbow was struck..? Hello, doctor. This afternoon after class, I was writing with my elbow resting on the desk when a classmate playfully hit me hard about 3 centimeters above my elbow joint. It was very painful at that moment, and later I felt heaviness in tha...
Dr. Lai Yanting Reply:
Based on your description, it seems that the affected hand has suffered from ulnar nerve neuropraxia, which can recover in a range of hours to several months, with most cases achieving complete recovery. If you are still concerned, you may want to consult a rehabilitation special...[Read More] Injury Above the Elbow: Understanding Pain and Recovery Tips
Understanding Congenital Torticollis: Treatment Options and Disability Benefits
Congenital torticollis Hello, doctor. I am 30 years old this year! I have had congenital torticollis (tilting to the right) since birth. My parents took me for surgery to remove the muscle when I was three years old, but I did not undergo rehabilitation for correction. As a resul...
Dr. Lai Yanting Reply:
1. Severe scoliosis greater than 40 degrees should be considered for surgical treatment—please consult an orthopedic surgeon for evaluation. 2. Lower back pain can be improved with good posture and rehabilitation therapy. 3. It is not possible to apply for a disability certif...[Read More] Understanding Congenital Torticollis: Treatment Options and Disability Benefits
Understanding Plantar Fasciitis and Chronic Pain Management
Plantar fasciitis and other pain-related issues? Hello Dr. Lai, About five years ago, I started experiencing knee pain. After seeing a doctor, I was diagnosed with "osteoarthritis" and have been taking related supplements such as glucosamine and other joint health prod...
Dr. Lai Yanting Reply:
1. Plantar fasciitis: In the acute phase, management includes ice therapy, rest, and the use of anti-inflammatory and analgesic medications; in the chronic phase, treatment involves wearing shoes with arch support and good shock absorption, local heat therapy, stretching exercise...[Read More] Understanding Plantar Fasciitis and Chronic Pain Management
Botox Treatment for Stroke-Related Spasticity: Is It Effective?
Botulinum toxin improves post-stroke spasticity? I recently read in the newspaper that botulinum toxin can improve post-stroke spasticity and prevent ankle joint varus deformity. Does your hospital offer this botulinum toxin treatment? If my mother has had a stroke for three year...
Dr. Lai Yanting Reply:
1. Currently, our rehabilitation department does not offer botulinum toxin injections for post-stroke muscle hypertonicity. 2. If ankle joint valgus deformity is caused by muscle spasms, botulinum toxin injections can be beneficial; however, if the deformity is due to weakness ...[Read More] Botox Treatment for Stroke-Related Spasticity: Is It Effective?
Understanding Right Shoulder Pain and Weakness: Treatment Options and Self-Care
Right shoulder tightness and weakness in the entire right arm? Hello: Several years ago, I had a minor strain in my right shoulder, but I did not experience any discomfort until the end of last year when I developed severe pain in my right shoulder. Initially, it was just pain an...
Dr. Lai Yanting Reply:
Hello: There are many causes of right shoulder pain. If the pain radiates down the entire arm causing soreness and weakness, it is important to consider the possibility of cervical radiculopathy (due to herniated disc compression). It is advisable to seek further evaluation from ...[Read More] Understanding Right Shoulder Pain and Weakness: Treatment Options and Self-Care
Exploring Rehabilitation Options for Carpal Tunnel Syndrome Patients
Questions regarding rehabilitation therapy? Dear Dr. Chen, I have been diagnosed with Carpal Tunnel Syndrome and previously consulted at Chang Gung Memorial Hospital. In addition to the injury to my median nerve, I suspect there may be damage to other nerves due to the emergence...
Dr. Chen Wayda Reply:
You can undergo rehabilitation at our hospital, but please bring the electromyography and nerve conduction study reports with you.[Read More] Exploring Rehabilitation Options for Carpal Tunnel Syndrome Patients
Understanding Knee Pain After Injury: Causes and Treatment Options
Knee joint pain Hello Doctor, I would like to ask about my father. He previously slipped and injured the ligaments and tendons in his knee. He went to see a doctor and had an X-ray, which confirmed that there were no issues with the bones. His condition has improved significant...
Dr. Chen Wayda Reply:
I previously slipped and injured the ligaments and tendons around my knee joint. I later consulted a doctor and had an X-ray, which confirmed that there were no issues with the bones. However, I experience sudden pain that wakes me up during the night, and I also feel slight disc...[Read More] Understanding Knee Pain After Injury: Causes and Treatment Options
Home Rehabilitation Tips for Pelvic Injury Recovery After Years
Pelvic fracture Hello Dr. Pan, I would like to ask a question. I have a friend who suffered a severe injury while skiing at the age of 23/24. However, since he did not feel any abnormalities afterward, he neglected it. Now, nearly 40 years old, he has noticed that after walking f...
Dr. Pan Yingda Reply:
I feel a contradiction: a severe fall, but afterwards, I didn't feel any abnormalities. If I were truly injured, there would be some signs; since there are no signs, there is naturally no need for special treatment! (What would there be to treat?) There is a saying in Japan:...[Read More] Home Rehabilitation Tips for Pelvic Injury Recovery After Years
Understanding Persistent Foot Pain: Insights for Effective Rehabilitation
Plantar fasciitis The patient has been suffering for about five years and has not been diagnosed with plantar fasciitis (no doctor has made such a determination). They have consulted numerous practitioners in both traditional Chinese medicine and Western medicine (across many spe...
Dr. Chen Wayda Reply:
Based on your description, it is difficult to make an accurate diagnosis. Please come to the clinic for an evaluation.[Read More] Understanding Persistent Foot Pain: Insights for Effective Rehabilitation
Understanding Cognitive Assessment Results in Rehabilitation: A Parent's Guide
Intelligence Test Hello, doctor: I would like to ask about my daughter. Last September, she underwent a comprehensive assessment at your hospital, and the results of her intelligence tests were VIQ=72, PIQ=65, and FIQ=67, indicating mild intellectual disability. Subsequently, she...
Dr. Chen Wayda Reply:
The assessment of intelligence tests is conducted once a year as a principle. Moreover, her condition seems to be improving.[Read More] Understanding Cognitive Assessment Results in Rehabilitation: A Parent's Guide
Dietary Guidelines and Rehabilitation Tips for Hemorrhagic Stroke Patients
Foods for Elderly Patients with Hemorrhagic Stroke 1. What foods should be avoided for elderly patients with hemorrhagic stroke? 2. What foods are most beneficial for elderly patients with hemorrhagic stroke? 3. How can mobility be restored for the left arm and leg, which are...
Dr. Chen Wayda Reply:
1. What dietary restrictions should elderly patients with hemorrhagic stroke follow? ANS: Avoid high-sodium and high-fat foods. 2. What foods are most beneficial for elderly patients with hemorrhagic stroke? ANS: A balanced diet; it is best to have a nutritionist tailor a meal ...[Read More] Dietary Guidelines and Rehabilitation Tips for Hemorrhagic Stroke Patients