Understanding Cold Sensation in Post-Surgery Hand Rehabilitation
After surgery for a hand fracture (after the insertion of metal pins), the hand may feel cold? Hello Dr. Chen, My mother, who is currently 65 years old, underwent surgery eight years ago for a fracture in her left hand (commonly referred to as pinning with metal screws) at a maj...
Dr. Chen Wayda Reply:
1. There should be no temperature difference between both hands under normal conditions. 2. The hand that underwent surgery is colder; rehabilitation should continue along with complementary traditional Chinese medicine treatment.[Read More] Understanding Cold Sensation in Post-Surgery Hand Rehabilitation
Should I Continue Neck Traction Therapy for My Slightly Misaligned Neck?
Neck misalignment and the use of cervical traction devices? Hello Dr. Chen, my neck is slightly tilted to the right. It does not affect my daily life, and I can move my neck freely. Recently, I visited a rehabilitation clinic for cervical traction therapy and have been taking mus...
Dr. Chen Wayda Reply:
If daily life is not affected and the neck can move freely, rehabilitation may not be necessary. However, if rehabilitation is conducted under the guidance of a professional, it should be safe![Read More] Should I Continue Neck Traction Therapy for My Slightly Misaligned Neck?
Effective Exercise Recommendations for Seniors with Knee Pain and Obesity
excuse me? Hello Director Su, My mother had lumbar spine surgery over a year ago, and now she is experiencing knee degeneration pain and has varicose veins. What kind of exercises can she do? P.S. My mother is currently unable to stand or sit for long periods, and her walking ...
Dr. Su Hongci Reply:
Hello: If the knee joints have shown significant degeneration or if one is getting older, it is advisable to adjust the level of physical activity or consider alternative exercises, such as reducing the amount of jogging and substituting it with brisk walking. Additionally, activ...[Read More] Effective Exercise Recommendations for Seniors with Knee Pain and Obesity
Effective Rehabilitation Techniques for Stiff and Swollen Toes
How to rehabilitate the toes? Last October, I was involved in a car accident that resulted in fractures of the right big toe and the fourth and fifth toe, as well as a distal fibula fracture on the right side. The metal pins were removed on January 2nd of this year, but my toes a...
Dr. Li Weiqiang Reply:
Dear Xiao Lai: You can soak your feet in warm water at around 40 degrees Celsius, and then gently help your toes move. If you can massage on your own, it can help reduce swelling; otherwise, please visit a nearby rehabilitation clinic to seek assistance from a physical therapist....[Read More] Effective Rehabilitation Techniques for Stiff and Swollen Toes
Understanding Post-ACL Reconstruction: Addressing Knee Discomfort and Sounds
Knee Hello Doctor: After undergoing reconstruction of the left knee anterior cruciate ligament, I have been experiencing discomfort in my knee five months post-surgery. I have been diligent with my rehabilitation exercises for thigh strength, but I still occasionally hear a crack...
Dr. Chen Wayda Reply:
After undergoing reconstruction of the left knee anterior cruciate ligament, there has been persistent discomfort in the knee five months post-surgery. Although rehabilitation exercises for thigh strength have been diligently performed, there are still occasional audible popping ...[Read More] Understanding Post-ACL Reconstruction: Addressing Knee Discomfort and Sounds
Safe Exercise Options for Patients with Hip Replacements
Artificial hip joint issues Hello, Doctor! About five years ago, I underwent hip replacement surgery, and my doctor advised against engaging in vigorous exercise. I used to enjoy running, but I stopped exercising because of this. However, as I age, I have noticed an increasing nu...
Dr. Su Hongci Reply:
Hello: 1. It is advisable to continue rehabilitation exercises post-surgery, especially standing side leg raises, which are particularly important. 2. Avoid prolonged sitting for 6 to 8 weeks. Showers or using a bath chair are recommended for bathing. 3. Driving can be resumed af...[Read More] Safe Exercise Options for Patients with Hip Replacements
Understanding Neck and Back Pain: Causes, Treatment, and Recovery
Discomfort in the shoulders, neck, and back? Dear Dr. Lai, I am currently writing a thesis and often need to use the computer for long periods. Recently, I experienced discomfort in my shoulders, neck, and back (muscle soreness), so I went to the hospital for an examination. The...
Dr. Lai Yanting Reply:
Hello: Thank you for your inquiry. (1) Are the discomforts in the shoulders, neck, and back all caused by cervical spine abnormalities, poor posture, or could there be other underlying causes? The most common reason for shoulder, neck, and back pain is poor posture. However, the ...[Read More] Understanding Neck and Back Pain: Causes, Treatment, and Recovery
Rehabilitation for Knee Flexibility: Is Forceful Bending Necessary?
Is it necessary to apply strong force to bend the knee during rehabilitation treatment when it cannot flex normally? In early July of this year, I suffered a comminuted closed fracture of the tibia below the knee due to a car accident. I began rehabilitation and had my cast remov...
Dr. Lai Yanting Reply:
Hello Mr. Chen: Thank you for your questions. (1) During rehabilitation, is it necessary to forcefully bend the knee if it cannot flex normally? This often leads to inflammation and swelling. If the fracture has healed well, knee flexion can be improved through rehabilitation tec...[Read More] Rehabilitation for Knee Flexibility: Is Forceful Bending Necessary?
Stiff Toes and Foot Pain: Seeking Relief from Discomfort
The toes on both feet feel stiff like they are cramping, and the foot arch seems to be inflamed? I'm sorry to hear about your ongoing discomfort. As a busy person, it can be challenging to deal with stiff toes that feel like they're cramping. It sounds like you might be...
Dr. Lai Yanting Reply:
Hello: Thank you for your inquiry. Your issue may be due to chronic inflammation in the foot (either tendons or ligaments), but it is advisable to consult a specialist in physical medicine and rehabilitation for further evaluation. I recommend trying a suitable pair of shoes firs...[Read More] Stiff Toes and Foot Pain: Seeking Relief from Discomfort
Essential Rehabilitation Equipment for Stroke Recovery: Hand Stabilizers
Rehabilitation equipment? The commonly used device for hand immobilization (to stabilize the wrist joint) in rehabilitation rooms is called a "wrist splint" or "wrist brace." You can purchase this equipment at medical supply stores, pharmacies, or online retai...
Dr. Li Weiqiang Reply:
Dear Dongling: You can find it at a medical supply store; if you can't find it, you can ask a physical therapist. If you live near Taoyuan Hospital, we can assist you. Wishing you safety and health. Sincerely, Director of the Rehabilitation Department, Taoyuan Hospital, Depa...[Read More] Essential Rehabilitation Equipment for Stroke Recovery: Hand Stabilizers
Understanding Trigger Finger: Non-Surgical Options for Relief
Trigger finger surgery I have received two steroid injections for trigger finger. The doctor mentioned that if there is no improvement, I will need to undergo surgery to release the pulley (the doctor said that after the surgery, it will not regrow). If I do not opt for the surge...
Dr. Zhou Jianwen Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following recommendations regarding trigger finger treatment if it is mild and infrequent: 1. Rest the affected area for six weeks and reduce repetitive gripping motions. 2. A rehab...[Read More] Understanding Trigger Finger: Non-Surgical Options for Relief
Understanding Speech Disorders in Children: When to See a Rehabilitation Specialist
Language barrier It is possible that the stuttering observed in the child since early childhood, which has persisted into middle school, could be related to physiological factors such as neural connections or conduction issues. It would be appropriate to refer the child directly ...
Dr. Chen Wayda Reply:
It cannot be said with certainty whether it is possible or not; you can directly visit the rehabilitation department, or you may first see a neurologist. The hospital will assist you with the evaluation.[Read More] Understanding Speech Disorders in Children: When to See a Rehabilitation Specialist
Do You Need Surgery for Cartilage Repair? Key Questions Answered
I'm sorry, but I need specific content to translate. Please Does cartilage tissue need repair? Can X-rays show cartilage damage? Is arthroscopic surgery necessary for the hip joint? How can one determine if surgery is needed?
Dr. Chen Wayda Reply:
In Taiwan, microscopic surgery of the hip joint is not a mandatory specialty training in rehabilitation medicine. Since this is not my area of expertise, I am unable to answer related questions. I apologize for any inconvenience. Other orthopedic surgeons may specialize in this t...[Read More] Do You Need Surgery for Cartilage Repair? Key Questions Answered
Understanding Forefoot Pain: Causes and Relief Strategies
Pain at the anterior edge of the sole? Hello Doctor: I am currently serving in the military and need to stand for long periods. Every morning when I get out of bed, I often feel pain at the front edge of my foot, but after 5-10 minutes, the pain gradually eases. What could be the...
Dr. Lai Yanting Reply:
Your issue is suspected to be metatarsalgia (but it is recommended to consult a military doctor). The cause may be due to excessive walking or wearing shoes that are too rigid. Treatment options include rest, ice therapy, taking anti-inflammatory medications, and selecting approp...[Read More] Understanding Forefoot Pain: Causes and Relief Strategies
Essential Tips for Managing Neck and Knee Degeneration at Home
Regarding bone degeneration issues? Hello Dr. Lai: I would like to ask about what to pay attention to regarding cervical and knee degeneration. My father experienced dizziness and went to the hospital for an X-ray, which revealed degeneration in the bones of his right cervical sp...
Dr. Lai Yanting Reply:
Cervical and knee degeneration --> Everyone will experience degeneration --> Consider treatment only if symptoms arise! 1. Rehabilitation for knee osteoarthritis: - For those with limited time: Leg raises (sitting on a chair, extend the leg [hold for 1-2 seconds] --> ...[Read More] Essential Tips for Managing Neck and Knee Degeneration at Home
Managing Lactic Acid Buildup: Prevention and Treatment for Muscle Pain
Excessive lactic acid accumulation? Hello, Doctor: 1. How can I avoid and prevent lactic acid accumulation that causes soreness in my calves and thighs after exercise? 2. If I have long-term lactic acid accumulation that causes pain even when pressing on my legs, how should I...
Dr. Chen Wayda Reply:
1. How to avoid and prevent lactic acid accumulation after exercise, which causes soreness in the calves and thighs: (1) The type of exercise: If the activity is too intense, such as sprinting, the muscle energy source is carbohydrates through anaerobic respiration, which can eas...[Read More] Managing Lactic Acid Buildup: Prevention and Treatment for Muscle Pain
Effective Treatment Options for Arm Muscle Inflammation
Arm muscle inflammation Hello Doctor: My mother has been working in the restaurant industry for a long time, and she frequently uses her hands. Now, she experiences significant pain when lifting heavy objects. Does she need to undergo long-term rehabilitation to improve, or would...
Dr. Chen Wayda Reply:
Repetitive use of limbs can lead to pain due to long-term accumulation. Long-term rehabilitation is necessary for recovery. Wearing a wrist brace is also important. Please make sure to visit the rehabilitation department for professional treatment. Sincerely, Dr. Wei-Da Chen, Reh...[Read More] Effective Treatment Options for Arm Muscle Inflammation
Do Kids Need Speech Therapy for Pronunciation Issues? Expert Insights
Speech therapy Hello, Doctor: My child is currently 3 years and 8 months old and is in preschool. The teacher mentioned that my child's pronunciation of the sound "ㄙ" is not good; for example, he pronounces "three" as "one." The teacher suggeste...
Dr. Lai Yanting Reply:
Hello: 1. Generally, a 3-year-old should be able to articulate the sounds: b, p, m, f, d, t, n, l, g, k, h. By age 4, they should be able to produce the sounds: j, q, x, z. By age 5, they should be able to articulate the sounds: c, s, and the retroflex sounds: zh, ch, sh, r, etc....[Read More] Do Kids Need Speech Therapy for Pronunciation Issues? Expert Insights
Effective Treatments for Left Hand Numbness and Neck Tension
excuse me? If you are experiencing numbness in your left hand and feel tightness in your neck, which has persisted for several months, it is advisable to consult a healthcare professional. You may consider seeing a neurologist to evaluate potential nerve issues or a physical ther...
Dr. Lai Yanting Reply:
Is the left hand numbness due to weakness or a tingling sensation? Did the tightness in the neck and hand numbness occur simultaneously? Common causes include myofascial pain syndrome or nerve compression. It is recommended to consult a rehabilitation specialist for further evalu...[Read More] Effective Treatments for Left Hand Numbness and Neck Tension
Understanding Bone Displacement: Recovery After Injury and Rehabilitation
Bone displacement I fell while playing basketball and was taken to the hospital by ambulance. After examination, I found out that I had multiple fractures in my foot. The doctor mentioned that it seemed to involve bones that are used for walking, so surgery was necessary. After t...
Dr. Chen Wayda Reply:
I apologize for the delayed response as I just returned from abroad. Based on your description of symptoms, it seems that your walking has improved significantly, indicating good progress in rehabilitation. Please continue to work hard on your rehabilitation, and you will surely ...[Read More] Understanding Bone Displacement: Recovery After Injury and Rehabilitation