Understanding Numbness in Hands and Legs: Causes and Solutions
Issues related to the hands and legs? Hello Doctor, I would like to ask you some questions: Current situation: Two days ago, after doing a warm-up exercise, I didn't continue exercising due to time constraints. Shortly after, I started feeling a tingling sensation near my le...
Dr. Lin Jianzhong Reply:
Dear Mr. Anonymous, It would be helpful to have your medical history and to know if you experienced any symptoms before performing the warm-up exercises two days ago for a better assessment. If the symptoms you described have improved since completing the warm-up exercises, it i...[Read More] Understanding Numbness in Hands and Legs: Causes and Solutions
Understanding Straight Neck Syndrome: Treatment Options and Recovery
The cervical spine has lost its physiological curvature and has become straight? Is it okay to leave the straight cervical spine as described in the main text untreated, or is rehabilitation or even surgery necessary? Can the cervical spine return to its original curvature?
Dr. Wang Zhaomin Reply:
It is important to avoid maintaining prolonged incorrect postures such as looking down while using a computer, studying, or playing on a mobile phone. Instead, one should maintain good posture by keeping the head up, chest out, and chin tucked. If discomfort persists, it is advis...[Read More] Understanding Straight Neck Syndrome: Treatment Options and Recovery
Can Weather-Related Pain in Ankylosing Spondylitis Be Cured?
Can the pain caused by sudden weather changes in patients with sacroiliitis (ankylosing spondylitis) be completely cured? Hello Dr. Lin, I am a patient with ankylosing spondylitis (20 years old), and I have been experiencing symptoms for 3.5 years. Currently, under the treatment ...
Dr. Lin Jianzhong Reply:
Hello Mr. Yang: 1. While a complete cure may not be possible, physical therapy can help alleviate the symptoms of your sacroiliac joint pain and reduce the frequency of pain medication usage. It is recommended that you visit the rehabilitation department to arrange appropriate ...[Read More] Can Weather-Related Pain in Ankylosing Spondylitis Be Cured?
Managing Sacroiliac Joint Pain in Ankylosing Spondylitis During Weather Changes
What should be done for pain in the sacroiliac joint due to sudden weather changes in patients with ankylosing spondylitis? Hello Dr. Wang, I am a patient with ankylosing spondylitis (20 years old), and I have been experiencing symptoms for 3 years. Currently, under the care of a...
Dr. Wang Zhaomin Reply:
Patients with ankylosing spondylitis may experience recurrent pain in the sacroiliac joints, which can currently only be managed with medication and rehabilitation therapy to alleviate pain. Related exercise training can also help reduce discomfort. It is recommended to adopt a c...[Read More] Managing Sacroiliac Joint Pain in Ankylosing Spondylitis During Weather Changes
Optimal Intervals for Systemic Steroid Injections in Rehabilitation
The interval between systemic corticosteroid injections? How long should I wait between systemic steroid injections (not topical)? Is a dosage of Mepron 40ml/vial considered a high dose? Currently, I have injections scheduled for this Thursday, next Wednesday, and next Friday. Is...
Dr. Wang Zhaomin Reply:
Generally, intravenous steroid injections are not used to treat common shoulder and neck pain or mild nerve injuries; however, each individual's condition is different, and it is not possible to make a blanket statement. Please discuss your condition with your treating physi...[Read More] Optimal Intervals for Systemic Steroid Injections in Rehabilitation
Restoring Cervical Spine Curvature: Effective Rehabilitation Techniques Explained
The cervical spine has lost its normal physiological curvature and has become straight? I have seen two orthopedic doctors at the Keelung Hospital under the Ministry of Health and Welfare. One said there was no issue, while the other suggested relying on rehabilitation. I went to...
Dr. Wang Zhaomin Reply:
It is recommended to continue rehabilitation therapy and incorporate exercises such as chin tucks, which should gradually improve the discomfort symptoms.[Read More] Restoring Cervical Spine Curvature: Effective Rehabilitation Techniques Explained
Understanding Finger Numbness and Shoulder Pain: A Guide to Rehabilitation
Numbness and pain in the fingers? Hello, doctor. Recently, I've been experiencing numbness in my fingers and shoulder pain. I've been undergoing rehabilitation for two weeks, but I haven't felt any improvement. I recently had an MRI done at the neurology department...
Dr. Lin Ruixiang Reply:
Hello Jayen288: 1. It is essential to return for a follow-up appointment. An MRI is only a diagnostic tool; outpatient visits are necessary to discuss clinical treatment, which needs to be adjusted based on symptom changes and other examinations. 2. There is a presence of her...[Read More] Understanding Finger Numbness and Shoulder Pain: A Guide to Rehabilitation
Recovering from Metatarsal Injury: PRP vs. Shockwave Therapy for Runners
Metatarsal injury Hello, Doctor. About five months ago (November 2022), I kicked the threshold of my bathroom with the bottom of my foot. It hurt a lot at the time, but I thought it was just a bruise and assumed it would heal in a few days, so I didn't pay much attention to ...
Dr. Wang Zhaomin Reply:
Both PRP injections and extracorporeal shock wave therapy have their respective benefits, but they may not be suitable for everyone or every condition. Each patient's situation is unique, and it is not possible to make a blanket statement. Please discuss with your treating p...[Read More] Recovering from Metatarsal Injury: PRP vs. Shockwave Therapy for Runners
Understanding Toe Injury Recovery: Healing Time and Symptoms Explained
Toe injury Two months ago, I injured my toe in a motorcycle accident and received two stitches. An X-ray showed no joint damage. Now my toe feels a bit stiff and red, and it still hurts when I bend it. Is this normal? How long will it take to heal?
Dr. Wang Zhaomin Reply:
After a toe injury, reduced activity due to pain or wound factors may lead to joint stiffness, and in severe cases, even contractures. It is important to enhance joint mobility after the wound has healed to promote recovery. Generally, if there are no specific issues, recovery sh...[Read More] Understanding Toe Injury Recovery: Healing Time and Symptoms Explained
Understanding Lower Back Pain from Poor Posture: When to Seek Rehab
Poor posture while sitting can lead to back pain? Hello, doctor. About two months ago, I experienced significant pain in my lower back, which I suspect was due to poor posture (though I'm not entirely sure of the exact cause). It even became difficult for me to bend over, an...
Dr. Lin Ruixiang Reply:
Hello, based on your description, the force of the injury does not seem to be significant. If your pain boundaries are difficult to define and span several nerve roots, dura pain should be considered first. Generally, taking pain relievers combined with wearing a lumbar support w...[Read More] Understanding Lower Back Pain from Poor Posture: When to Seek Rehab
Chest Pain After Running: Is It a Muscle Strain?
Chest pain from a strain? I haven't run in a long time, and recently when I started running, I've been feeling chest pain. However, the pain only occurs when I lie down and turn at certain angles. Could this be due to a muscle strain? How can I alleviate it and recover?
Dr. Zhang Zhixiang Reply:
There are many factors that can cause chest pain, so it is advisable to go to the hospital for further examination. Warming up before running and stretching afterward are both very important. A rehabilitation clinic can arrange for a musculoskeletal ultrasound to check for any mu...[Read More] Chest Pain After Running: Is It a Muscle Strain?
Understanding Triangular Fibrocartilage Complex Injuries and Treatment Options
Triangular fibrocartilage complex (TFCC) injury Hello Dr. Chang: I have been experiencing a sprain-like sensation in my left hand intermittently for about a year. At the end of February this year, I suddenly felt pain from my left pinky to my wrist, making it difficult to exert s...
Dr. Zhang Zhixiang Reply:
If you experience any discomfort during physical therapy, you should communicate with your therapist or physician. For wrist pain, it is advisable to visit a hospital for a thorough evaluation.[Read More] Understanding Triangular Fibrocartilage Complex Injuries and Treatment Options
Understanding the Discomfort at the Tian Tu Acupoint: Causes and Solutions
There is a feeling of pressure at the location of the Tian Tu (Ren 22) acupoint on the neck? Hello, Director Wang. Last year, I suddenly felt some difficulty in breathing and noticed a sensation at the Tian Tu acupoint, as if something was pressing against it. Over the past three...
Dr. Wang Zhaomin Reply:
Symptoms related to the cervical spine may indeed be associated with the condition, and if they are not severe, they should gradually improve with attention to posture and appropriate exercise. Remaining symptoms should first rule out any pathological issues in the throat, neck, ...[Read More] Understanding the Discomfort at the Tian Tu Acupoint: Causes and Solutions
Understanding Arm Weakness and Pain: Is It ALS or Something Else?
Arm soreness and weakness? Hello Dr. Wang, I would like to ask about my left arm. For the past week, it has suddenly felt weak, but I can still lift heavy objects; it just feels strange, and when I squeeze it, it feels sore and painful. I'm wondering if it could possibly be ...
Dr. Wang Zhaomin Reply:
Amyotrophic lateral sclerosis (ALS) requires a professional diagnosis; please do not make assumptions or speculations on your own. There are many causes for arm pain, numbness, and weakness, including issues with tendons, ligaments, soft tissues, or the cervical spine and upper a...[Read More] Understanding Arm Weakness and Pain: Is It ALS or Something Else?
Understanding Neck Issues: When to See a Specialist for Relief
Cervical spine issues Hello, doctor. Recently, I visited an orthopedic specialist and had an X-ray that showed a straightening of my cervical spine. Additionally, the muscles in the left side of my neck are very tight. When I palpate the muscles just below the ears on both sides,...
Dr. Lin Ruixiang Reply:
Hello, this is indeed a cervical stiffness issue, often associated with cervical spine alignment conditions (such as your straightened cervical spine). In principle, a rehabilitation specialist should perform an ultrasound diagnosis or rule out other causes. Additionally, if mult...[Read More] Understanding Neck Issues: When to See a Specialist for Relief
Alternative Methods for Scar Tissue Management in the Central Nervous System
Methods for Scar Resolution in the Central Nervous System Dr. Wang, since the scar tissue in the central nervous system cannot be eliminated using ultrasound-guided injection, are there any other viable recommendations?
Dr. Wang Zhaomin Reply:
Medications and rehabilitation therapy may help alleviate related symptoms, but if further intervention is considered, please consult a neurosurgeon.[Read More] Alternative Methods for Scar Tissue Management in the Central Nervous System
Post-Rehabilitation Ankle Issues: What to Do After a Sprain?
Abnormalities in the ankle after rehabilitation? Hello, Director. About a week ago, I sprained my ankle and after visiting a nearby rehabilitation clinic, the doctor diagnosed me with a mild ligament strain and slight joint inflammation. Today is my third session of rehabilitatio...
Dr. Wang Zhaomin Reply:
Generally, heat therapy can be started 24 to 48 hours after an injury. However, if there is noticeable swelling after heat application, intermittent ice therapy may be used. If there are no obvious external injuries or discomfort on the skin, topical patches or ointments can be a...[Read More] Post-Rehabilitation Ankle Issues: What to Do After a Sprain?
Understanding the Risks of Manual Therapy for C6-C7 Disc Herniation
C6-C7 intervertebral disc herniation worsened with manual therapy? Hello, doctor. I previously had an MRI that confirmed a herniation at cervical vertebrae C6 and C7. The doctor indicated that the condition is moderate, about 60% severity, but surgery is not necessarily required....
Dr. Wang Zhaomin Reply:
Manual therapy may lead to an inflammatory response, and symptoms may alleviate after the inflammation subsides. However, improper manual therapy can also worsen symptoms. It is advisable to consult an orthopedic specialist, a neurosurgeon, or a rehabilitation physician for a tho...[Read More] Understanding the Risks of Manual Therapy for C6-C7 Disc Herniation
Understanding High-Level Herniated Discs: Symptoms and Treatment Options
High lumbar disc herniation (T12-L1, L1-L2) In June 2022, I visited the hospital due to severe pain in the left posterior hip and mild numbness, along with pain in the left lower back. After an X-ray, the doctor mentioned that it was unusual for someone in their twenties to have ...
Dr. Wang Zhaomin Reply:
Pain triggered by backward bending is not exclusive to spondylolisthesis; other spinal disorders or lower back issues may also cause similar symptoms. Conservative treatment options have generally been attempted, and it is advisable to continue with the aforementioned therapies. ...[Read More] Understanding High-Level Herniated Discs: Symptoms and Treatment Options
Best Pillows for Herniated Discs: Finding Comfort and Support
What type of pillow is recommended for herniated discs? Hello, Dr. Wang. I have had issues with cervical disc herniation for 18 years. Back then, I experienced pain even while awake, but after a year of rehabilitation, the pain disappeared. I have been very attentive to my daily ...
Dr. Wang Zhaomin Reply:
When choosing a pillow, it is important to select one that meets your individual needs; a higher-priced option may not necessarily be the best fit for you, nor is any specific material guaranteed to be the best. This is a consultation platform and cannot provide direct recommenda...[Read More] Best Pillows for Herniated Discs: Finding Comfort and Support