Understanding Nerve Compression: Treatment Options for Cervical Spine Issues
Nerve compression Previously, an MRI was performed with the following report: **Summary of Imaging Findings:** Multiplanar multisequence MRI of the cervical spine without contrast enhancement shows: - **Alignment:** Grade I retrolisthesis at the C4-5 and C5-6 levels. - **Bony St...
Dr. Wang Zhaomin Reply:
Please continue with your current rehabilitation treatment and maintain good posture. Avoid prolonged periods of looking down to prevent worsening of your condition.[Read More] Understanding Nerve Compression: Treatment Options for Cervical Spine Issues
Managing Chronic Lower Back Pain: Rehabilitation Tips and Exercises
Lower back pain? I would like to consult a physician regarding my lower back pain, which has persisted for about a month. It is particularly noticeable when I wake up, and occasionally occurs after prolonged sitting or sneezing, but not every time. Currently, I do not experience ...
Dr. Wang Zhaomin Reply:
This is a consultation platform and cannot provide diagnoses or treatment methods. Each individual's condition is different and cannot be generalized. Generally, patients with myofascial pain syndrome can engage in basic stretching and gentle exercises. Jogging and core musc...[Read More] Managing Chronic Lower Back Pain: Rehabilitation Tips and Exercises
Managing Disc Herniation: Core Exercises vs. Surgery Dilemma
Lumbar disc herniation Hello Doctor: Due to lower back pain and leg numbness, I visited an orthopedic doctor and underwent an MRI. The orthopedic doctor applied for health insurance coverage for a fixation device. During this time, I have been doing core exercises and traction, a...
Dr. Wang Zhaomin Reply:
If symptoms improve, rehabilitation can be continued, and subsequent changes should be monitored. If the rehabilitation outcomes are acceptable, conservative treatment may be adopted initially, delaying surgery. However, if there is still dissatisfaction with the improvement of s...[Read More] Managing Disc Herniation: Core Exercises vs. Surgery Dilemma
Understanding One-Sided Leg Cramps: When to Seek Medical Attention
Fixed unilateral muscle cramp? Hello Doctor: I often experience cramps at night, specifically in my left leg. It starts with cramps in the calf and then moves to the sole of the foot. Additionally, when I press on the sole of my foot, my left foot involuntarily twitches rapidly, ...
Dr. Wang Zhaomin Reply:
You should keep warm and avoid direct exposure to air conditioning or fans on your feet. Regularly perform stretching exercises and adequately replenish electrolytes. If symptoms persist, you should consult an orthopedic specialist, neurologist, or rehabilitation physician.[Read More] Understanding One-Sided Leg Cramps: When to Seek Medical Attention
Understanding Patellar Malalignment: Concerns and Management Strategies
Patellar valgus related issues? Hello, doctor. I was previously diagnosed with patellar malalignment by a rehabilitation physician, who advised me to avoid squatting and kneeling. I used to use squat toilets when going out, but since my knee started to hurt, I can only use sittin...
Dr. Wang Zhaomin Reply:
1 & 2. Short-term squatting should not cause significant effects, but it is advisable to incorporate thigh strength training and use assistive devices to enhance knee joint stability and alleviate symptoms. 3. Pregnancy may lead to increased joint laxity, resulting in exacerb...[Read More] Understanding Patellar Malalignment: Concerns and Management Strategies
Effective Rehabilitation Strategies for Herniated Discs: A Patient's Guide
Rehabilitation issues related to herniated discs? Hello Doctor, my current condition involves herniation of the L4, L5, and S1 intervertebral discs. I experience tingling and pain in the soles of both feet, with the left foot being more severe, and there is also numbness in the d...
Dr. Wang Zhaomin Reply:
If increasing the traction weight causes discomfort, it can be paused, maintaining the current weight for continued traction. The effectiveness of caudal epidural injections varies and should be assessed by the treating physician. Patients with herniated discs are not suitable fo...[Read More] Effective Rehabilitation Strategies for Herniated Discs: A Patient's Guide
Understanding Cervical Spine and Carpal Tunnel Syndrome Rehabilitation
Cervical Spine and Carpal Tunnel Syndrome Hello, doctor. I have recently been experiencing cervical spine issues and carpal tunnel syndrome. I am undergoing rehabilitation in the rehabilitation department. The numbness in my hand hasn't improved much, but I haven't need...
Dr. Zhang Zhixiang Reply:
If you experience itching during the treatment, it is advisable to pause this therapy. As for the symptoms of carpal tunnel syndrome, if they persist without improvement, it is recommended to visit a hospital and discuss with your physician for further evaluation and management.[Read More] Understanding Cervical Spine and Carpal Tunnel Syndrome Rehabilitation
Understanding Elbow Bumps: When to See an Orthopedist or Rehab Specialist
Elbow joint Hello doctor, after extending my arm, there is a protrusion behind the elbow joint that feels soft to the touch. It does not hurt when pressed, and it does not affect movement. Could this be bursitis or something similar? Which specialty should I see, orthopedics or r...
Dr. Li Weiqiang Reply:
Q: After extending my arm, there is a protrusion behind the elbow joint that feels soft to the touch, does not hurt when pressed, and does not affect movement. Could this be bursitis or something similar? A: Bursitis typically causes pain, especially during movement. It may be so...[Read More] Understanding Elbow Bumps: When to See an Orthopedist or Rehab Specialist
Post-Surgery Muscle Weakness: Understanding Recovery After Spinal Surgery
Postoperative muscle weakness after spinal surgery? Hello Dr. Wang! I have rheumatoid arthritis and underwent lumbar spondylolisthesis surgery in July 2022, but it became loose. I had another surgery in February this year. I no longer experience nerve pain, but I still have soren...
Dr. Wang Zhaomin Reply:
Post-operative soreness, weakness, and the need for assistive devices for walking may be influenced by the original condition, may result from soft tissue damage caused by the surgery, or may be due to a lack of rehabilitation treatment after the procedure. Each individual's...[Read More] Post-Surgery Muscle Weakness: Understanding Recovery After Spinal Surgery
Understanding Muscle Pain from Prolonged Postures: Causes and Solutions
Maintaining a single posture for too long can easily lead to limb discomfort? Hello Doctor, here’s what happened: Yesterday at work, I sat on the floor for about ten to twenty minutes, not in a cross-legged position, just with my thighs bent. When I got up, my lower body felt sor...
Dr. Zhang Zhixiang Reply:
Based on your description, it could be tendinitis or a fascia issue. It is advisable not to maintain the same position for too long, such as sitting for extended periods. If possible, I recommend visiting the rehabilitation department at a hospital for further examination and ass...[Read More] Understanding Muscle Pain from Prolonged Postures: Causes and Solutions
Understanding Post-Injection Discomfort in Rehabilitation Therapy
Injection issues? Hello Doctor: Recently, I have been experiencing a sensation of catching or slight soreness in my right wrist when performing rotational movements (such as using a key to open a door) and when picking up objects. After consulting with a rehabilitation specialist...
Dr. Wang Zhaomin Reply:
After injection therapy, there may be swelling and soreness. If there are no significant discomforts, rehabilitation treatment can be accepted. However, if there is no improvement after three to five days or if the condition worsens, you should seek medical attention to discuss a...[Read More] Understanding Post-Injection Discomfort in Rehabilitation Therapy
Understanding Shoulder and Arm Pain: Causes and Treatment Options
Shoulder and arm pain? Hello, doctor. I have been experiencing pain in both shoulders, neck, and arms for the past two years. After X-rays at an orthopedic and rehabilitation clinic, it was determined that I have a straight cervical spine and slightly reduced intervertebral disc ...
Dr. Lin Jianzhong Reply:
Hello Ms. Hsieh: 1. If the symptoms persist and do not improve, it may be considered to rearrange relevant examinations such as physical examination, musculoskeletal ultrasound, electromyography, X-rays, or MRI at an appropriate time based on your medical history to determine the...[Read More] Understanding Shoulder and Arm Pain: Causes and Treatment Options
Effective Home Remedies for Neck Pain and Headaches from Computer Use
Neck pain and headache? Hello, I previously consulted with a rehabilitation specialist who mentioned that I have a condition known as "turtle neck." Recently, due to prolonged computer use without adequate breaks, I have developed symptoms including right shoulder pain,...
Dr. Lin Jianzhong Reply:
Dear Mr. Anonymous, 1. If you continue to experience pain, numbness, or weakness, it is advisable to seek further examination at a medical facility as soon as possible. 2. If you are unable to change your current work situation, it is recommended to take breaks every 30 minutes ...[Read More] Effective Home Remedies for Neck Pain and Headaches from Computer Use
Post-Fracture Recovery: Managing Left Hip and Lower Back Pain After Hiking
After recovering from a wrist fracture due to a fall while hiking, there is now pain radiating from the left lower back to the upper buttock? Hello, Doctor. My mother is 64 years old. After recovering from a wrist fracture due to a fall while hiking last year, she resumed the sam...
Dr. Lin Jianzhong Reply:
Hello Ms. Chen: 1. If the X-ray results are normal but symptoms persist, it may be worth considering further evaluation, such as an MRI. 2. It is advisable to clarify the underlying issue before determining whether the planned exercise is appropriate. Dr. Lin Jianzhong, Rehabilit...[Read More] Post-Fracture Recovery: Managing Left Hip and Lower Back Pain After Hiking
Understanding Calf Pain: When to Seek Medical Attention for Recovery
Muscle pain issues? Hello Doctor, I am #196067. My hands and feet have improved, but my left calf has started to hurt after the initial two days of slight numbness. The specific area of pain is in the gastrocnemius muscle (the more prominent part of the calf). I would like to kno...
Dr. Lin Jianzhong Reply:
Hello Mr. Anonymous: 1. If your calf pain does not improve after three days of medication and local heat application, it is advisable to see a doctor. 2. If the pain is severe, please see a doctor immediately. Dr. Lin Jianzhong, Department of Rehabilitation, Nantou Hospital.[Read More] Understanding Calf Pain: When to Seek Medical Attention for Recovery
Understanding Cervical Disc Herniation: Rehabilitation and Recovery Tips
Herniated disc Doctor, will a cervical disc herniation not heal? I'm currently doing neck traction, but I'm unsure whether to go every day or every other day. Some say going every day is better for recovery, while others suggest every other day to allow the muscles to r...
Dr. Wang Zhaomin Reply:
If there is no discomfort after traction, treatment can be administered more frequently (such as daily traction). As symptoms gradually improve, the interval between treatments can be extended. Once symptoms are completely resolved and the patient is in a stable condition, consid...[Read More] Understanding Cervical Disc Herniation: Rehabilitation and Recovery Tips
Understanding Sciatica and Piriformis Syndrome: Causes and Treatment Options
Weakness and pain in the legs? Hello, Doctor: In 2021, I was diagnosed with possible sciatica (only through X-ray). After continuous rehabilitation, I improved for a while, but occasionally my lower back would still feel sore, yet I could live normally. Before April 20, 2023, my ...
Dr. Wang Zhaomin Reply:
Based on the description, it is possible that symptoms related to piriformis syndrome may not necessarily be triggered by prolonged sitting; rather, changing positions could potentially cause pain due to the strain on the affected areas. The severity and duration of the pain can ...[Read More] Understanding Sciatica and Piriformis Syndrome: Causes and Treatment Options
Understanding Sesamoiditis and Tendonitis: Treatment Options and Insights
Regarding osteochondritis and tendinitis? Hello, doctor. I know I have a slight issue with stability in my feet, as sometimes the inner side cannot grip the ground. After one deep squat session, I felt discomfort near the protruding bone under my left big toe. When I massage the ...
Dr. Wang Zhaomin Reply:
Treatment for plantar inflammation typically includes oral medications, local injections, and rehabilitation therapy. Adequate rest and the selection of appropriate insoles and supportive devices are also important. At home, heat therapy, soaking in warm water, and strengthening ...[Read More] Understanding Sesamoiditis and Tendonitis: Treatment Options and Insights
Understanding ACL Injuries: Symptoms, Recovery, and Rehabilitation Tips
Cruciate ligament Hello, doctor. About two months ago, I felt my right knee shift during a jumping movement. After that, my legs felt weak and I couldn't stand up, but I didn't experience any pain at that time. I went to the emergency room and had a cast applied. After ...
Dr. Wang Zhaomin Reply:
This is a consultation platform and cannot provide a diagnosis. External forces causing knee joint injuries may lead to muscle strains, meniscus injuries, and ligament or tendon damage. Please visit an orthopedic or rehabilitation specialist for an accurate diagnosis and appropri...[Read More] Understanding ACL Injuries: Symptoms, Recovery, and Rehabilitation Tips
Understanding Disc Herniation: Can McKenzie Exercises Help with Spinal Stenosis?
Herniated disc Hello, doctor. I previously had a herniated disc and completed rehabilitation, but recently I've started experiencing some numbness in my feet and discomfort in my lower back. I did some research and recalled the McKenzie exercises (disc repositioning) that th...
Dr. Wang Zhaomin Reply:
L4/5 spinal stenosis and foraminal stenosis are not exactly the same, and each individual's condition varies, making it impossible to generalize. Please discuss your condition with your treating physician and choose an appropriate treatment plan along with an exercise regime...[Read More] Understanding Disc Herniation: Can McKenzie Exercises Help with Spinal Stenosis?