Understanding Fatigue After a Fall: When to Seek Medical Attention
Fatigue after an injury? Hello, doctor. My wife fell while walking on the evening of the 15th of this month, landing face-first on the ground. She sustained a laceration above the bridge of her nose, creating a "V-shaped" wound, which bled profusely and required emergen...
Dr. Chen Wayda Reply:
Hello, sir: Based on your description of the symptoms, it appears that your wife has not exhibited any signs of central nervous system injury. Essentially, the brain should be largely unharmed. However, since she did sustain a direct impact to the forehead, there is a possibility...[Read More] Understanding Fatigue After a Fall: When to Seek Medical Attention
Understanding Leg Pain and Weakness in Seniors: Causes and Solutions
Mom often experiences soreness in her calves and knees? Hello Dr. Jian... My mother has been experiencing discomfort in her calves and knees due to long hours of standing and walking as a result of her business. She often feels weakness in both legs and has almost fallen several ...
Dr. Jian Jincheng Reply:
Hello Ivy: Your mother may be suffering from osteoarthritis (knee). Symptoms include weakness in the legs, bilateral leg weakness, increased risk of falls, and knee pain. X-rays and blood tests can be performed for differential diagnosis, such as rheumatoid arthritis, among other...[Read More] Understanding Leg Pain and Weakness in Seniors: Causes and Solutions
Can Swimming Help with Frozen Shoulder Recovery?
Can I swim with frozen shoulder? Hello, Doctor! I have been undergoing rehabilitation for frozen shoulder at a large hospital for over four months, and there has been significant improvement compared to my initial condition. Aside from some limitations in raising my arm and bendi...
Dr. Zhou Jianwen Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: Frozen shoulder, or adhesive capsulitis, is a condition that occurs in the shoulder joint capsule, where inflammation leads to varying degrees of reduced should...[Read More] Can Swimming Help with Frozen Shoulder Recovery?
Overcoming Stuttering: Seeking Help from Rehabilitation Specialists
Severe stuttering occurs when speaking? Hello! I have a bad habit of stuttering when I speak. I did some research online, and some people suggested that I should see a rehabilitation specialist, so I hope I chose the right field. This issue has been with me for several decades, a...
Dr. Jian Jincheng Reply:
Stuttering may be due to psychological factors or oral structural issues. Therefore, a consultation with an otolaryngologist, dentist, psychiatrist, and rehabilitation specialist is necessary for a detailed examination to reach a diagnosis. You can first visit the Rehabilitation ...[Read More] Overcoming Stuttering: Seeking Help from Rehabilitation Specialists
Understanding Treatment Options for Bedridden Patients in Nursing Homes
Treatment in nursing homes? The family member is elderly and has been living in a nursing home for a long time, with limited mobility and spending most of the time in bed. They require assistance from medical staff to turn from side to side. According to the medical staff, the fa...
Dr. Yin Xinbei Reply:
Medical restraints are implemented to prevent agitated patients from pulling out their tubes (such as nasogastric tubes or IV lines), which is a necessary measure. Typically, patients are fitted with restraint gloves that have fabric straps, which are then tied to the bed rails. ...[Read More] Understanding Treatment Options for Bedridden Patients in Nursing Homes
Understanding Wrist Pain in Dancers: Causes and Solutions
I have pain in my left wrist. Details..? I am a college student, and my interest is dancing, specifically in the style of breaking. However, about six months ago, while practicing some moves, I fell and tried to catch myself with my left hand. As a result, I injured my left wrist...
Dr. Lai Yanting Reply:
Wrist pain caused by trauma (on the side of the little finger) should raise suspicion for 1. triangular fibrocartilage complex (TFCC) tear, 2. wrist arthritis, or 3. ligament sprain. Recommendations include 1. visiting a hospital (orthopedics or rehabilitation department) for fur...[Read More] Understanding Wrist Pain in Dancers: Causes and Solutions
Choosing the Right Knee Brace for Post-Fracture Recovery: A Guide
Knee brace selection Hello Doctor: I was in a car accident in January of this year, which resulted in a fracture of my left tibia near the knee. Since the injury was between being operable or being treated with a cast, I chose the cast option to allow for natural healing. It has ...
Dr. Pan Yingda Reply:
I apologize for the delay in responding due to my vacation! Essentially, you are still young, so you should not have issues with poor bone healing! The soreness you are currently experiencing is often not due to the bones but rather the surrounding soft tissues! Especially after ...[Read More] Choosing the Right Knee Brace for Post-Fracture Recovery: A Guide
Understanding Flat Feet in Children: When to Seek Treatment and Guidance
Flatfoot issues in children? Hello Doctor: My child is almost four years old and has had a slight outward turning of the feet since birth. This condition persists now that he is four. Recently, I took him to a general orthopedic clinic, and the doctor diagnosed him with flat feet...
Dr. Lai Yanting Reply:
Based on your description, your child likely has physiological flatfoot (it is recommended to have a professional physician confirm this). The condition is caused by ligament laxity and typically only presents as flatfoot when weight-bearing. Most children with this condition do ...[Read More] Understanding Flat Feet in Children: When to Seek Treatment and Guidance
Understanding Hip Dysplasia: Rehabilitation and Support Options for Your Child
Hip Dysplasia Hello Dr. Lai, my daughter was diagnosed with developmental dysplasia of the hip and femoral dislocation at just over one year old. She underwent surgical reduction at the age of two, and since then, we have been consistently following up with the hospital for three...
Dr. Lai Yanting Reply:
It is recommended to first discuss with the original surgeon. Generally, rehabilitation training for the hip muscles can be considered. Thank you for your question![Read More] Understanding Hip Dysplasia: Rehabilitation and Support Options for Your Child
Understanding Thoracic Scoliosis: Symptoms, Treatment, and Care Tips
Thoracic scoliosis Hello Dr. Lee, I had an X-ray during a recent company health check, and the report indicated that I have thoracic scoliosis. I did not have this condition in previous years, so I am unsure why it has developed this year. I would like to ask you, Dr. Lee, what i...
Dr. Li Weiqiang Reply:
Dear Tony, What is scoliosis of the thoracic spine? Simply put, it is a condition where the spine is not straight, which can be easily observed in a frontal X-ray (as attached). What symptoms might it have? Mild spinal curvature typically does not present symptoms unless it is a...[Read More] Understanding Thoracic Scoliosis: Symptoms, Treatment, and Care Tips
Finding Language Therapy Options After Brain Surgery in San Chong
Speech therapy Hello Dr. Jian, I would like to ask which hospital offers speech therapy after my brother's surgery for intracranial hemorrhage (right brain) due to a car accident. I live in Sanchong City. My brother, who is 37 years old, was discharged a month ago, and I w...
Dr. Jian Jincheng Reply:
Hello LKF: Speech therapy may have a waiting list of several months, but if there are no specific time slots requested for rehabilitation, it should be easier to schedule. Self-directed speech rehabilitation can start with reading phonetic symbols. Sometimes, patients with brain ...[Read More] Finding Language Therapy Options After Brain Surgery in San Chong
Understanding Unexplained Falls: Potential Causes and When to Seek Help
Unexplained falls? About four or five years ago, one night while I was sleeping, my phone rang. I wanted to get up to answer it, but for some reason, even though my feet should have had sensation, when I stepped onto the floor to walk, one of my feet suddenly felt completely weak...
Dr. Lai Yanting Reply:
1. Based on your description, it may be helpful to recall if you took any sleeping pills or sedatives in the days leading up to the fall. This could potentially explain why you experienced a deep sleep and may have had insufficient reaction time when suddenly waking up, or it cou...[Read More] Understanding Unexplained Falls: Potential Causes and When to Seek Help
Understanding Unexplained Falls: Causes and When to Seek Help
Unexplained falls? About four or five years ago, one night while I was sleeping, my phone rang. I wanted to get up to answer it, but for some reason, even though my feet should have had sensation, when I stepped onto the floor to walk, one of my feet suddenly felt completely weak...
Dr. Lai Yanting Reply:
1. Based on your description, it may be helpful to recall if you took any sleeping pills or sedatives in the days leading up to the fall. This could potentially explain why you might have been in a deep sleep and suddenly got up during the night, leading to insufficient reaction ...[Read More] Understanding Unexplained Falls: Causes and When to Seek Help
Managing Knee Effusion: Effective Rehabilitation and Treatment Options
Knee effusion Last year, I experienced knee pain and underwent an MRI, which confirmed that I had knee effusion. After a month of rehabilitation that included hydrotherapy and electrotherapy, I recovered. Recently, due to excessive exercise, the issue has recurred. Can the doctor...
Dr. Li Weiqiang Reply:
Dear Ah Yuan: To assess the current condition of fluid accumulation, if you are still feeling unwell, it may be due to the fluid buildup. Please return for a follow-up appointment. (It may be necessary to perform a drainage!) Wishing you safety and health. Sincerely, Dr. Li Wei-C...[Read More] Managing Knee Effusion: Effective Rehabilitation and Treatment Options
Understanding Swallowing Difficulties: Causes, Symptoms, and Solutions
Dysphagia Hello Dr. Lai, I have been experiencing difficulty swallowing for five years, but it has recently worsened to the point where I can only eat porridge (previously, I could manage solid and fibrous foods with water). A few months ago, I visited the Rehabilitation Departme...
Dr. Lai Yanting Reply:
1. Definition of dysphagia: It is referred to as dysphagia when there are issues perceived in the process of food moving from the mouth to the stomach. 2. There are many causes of oropharyngeal dysphagia: - Iatrogenic (e.g., chemotherapy, postoperative complications) - I...[Read More] Understanding Swallowing Difficulties: Causes, Symptoms, and Solutions
Understanding Frozen Shoulder: Treatment Options and Recovery Insights
Frozen shoulder issue? Hello Dr. Chou, I have been suffering greatly from frozen shoulder, and I have resorted to seeking treatment from various places in desperation. I've tried rehabilitation, traditional Chinese medicine, chiropractic care, and massages—anything that som...
Dr. Zhou Jianwen Reply:
Hello, thank you for your inquiry. I would like to respond to your question and provide the following advice: it may not necessarily be frozen shoulder; it could also be chronic tendonitis. Please consult with a rehabilitation or orthopedic specialist for further evaluation and d...[Read More] Understanding Frozen Shoulder: Treatment Options and Recovery Insights
Understanding Chest Muscle Pain: Causes and Treatment Options
Chest muscle pain I have sharp, localized pain in the left side of my chest near the ribs. I visited a nearby clinic, and they diagnosed it as myofascial pain syndrome. I received electrotherapy and infrared treatment. The doctor prescribed medication, but I haven't taken it...
Dr. Yin Xinbei Reply:
Have you previously experienced any bruising or strain in your chest? Is there localized tenderness at the site of the ribs? Does it hurt when you cough at that specific rib area? How frequent is the pain? If there are no issues and the pain is infrequent, it is usually not a cau...[Read More] Understanding Chest Muscle Pain: Causes and Treatment Options
Persistent Pain and Indentation in Calf: Should You See a Rehab Specialist?
The calf injury feels indented to the touch? Due to a previous car accident where I injured the inner side of my calf, I initially only felt pain and thought it was just a soft tissue injury. However, now more than a year has passed, and the injured area still hurts when touched,...
Dr. Lai Yanting Reply:
Was there bruising and swelling in the calf at the time of the injury a year ago? -- If there was bruising and swelling, it may indicate a tear in the muscles on the inner side of the calf, resulting in a depression in the leg. -- If there was no bruising or swelling, the depress...[Read More] Persistent Pain and Indentation in Calf: Should You See a Rehab Specialist?
Understanding Muscle Fiber Changes After Spinal Cord Injury
Spinal cord injury Why do slow oxidative muscle fibers (Type I) decrease in size or even disappear after spinal cord injury?
Dr. Li Weiqiang Reply:
Hello, due to the phenomenon where muscles lose their ability to contract without neural stimulation following spinal cord injury. Wishing you safety and health. Sincerely, Dr. Li Wei-Chiang, Director of the Rehabilitation Department, Taoyuan General Hospital, Ministry of Health ...[Read More] Understanding Muscle Fiber Changes After Spinal Cord Injury
Can Ultrasound or MRI Detect Ligament Damage in Old Shoulder Injuries?
Old shoulder strain I am a baseball coach and I strained my right shoulder while demonstrating a pitch. However, after six months and multiple visits to traditional Chinese medicine clinics, I still haven't recovered. Can an ultrasound or MRI show if there is any damage to t...
Dr. Lai Yanting Reply:
1. Ultrasound or MRI can detect tears or inflammation in muscles and tendons. 2. However, to assess whether there is any damage to the shoulder ligaments, especially if the injury occurred more than six months ago, it may not be possible to determine if there was a previous injur...[Read More] Can Ultrasound or MRI Detect Ligament Damage in Old Shoulder Injuries?