Understanding Arm Pain: Neck Issues and Rehabilitation Insights
Arm pain Hello, doctor! Last week, I experienced severe pain in my right arm, almost to the point of paralysis. I visited a rehabilitation specialist nearby, had an X-ray taken, and the doctor informed me that there is a narrowing of the spaces between my cervical vertebrae and s...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Bone spurs may develop in the cervical spine, lumbar spine, and knee joints. 2. Generally, cervical traction starts at 1/7 of body weight and can gradually increase to 1/4 of body weight. Therefore,...[Read More] Understanding Arm Pain: Neck Issues and Rehabilitation Insights
Chronic Shoulder and Neck Pain: Finding the Right Specialist for Relief
Shoulder and neck pain? Hello, I have been experiencing pain in my left shoulder and neck for 4-5 years. I have consulted many doctors, but the cause of my pain has not been identified, and I have not received effective treatment. I have seen an orthopedic specialist (who said th...
Dr. Pan Yingda Reply:
Are you just asking me which department to consult? Of course, I would say that rehabilitation medicine is sometimes not just about which specialty to see, but about finding the right person. I think you've already seen the appropriate specialists, and since you're stil...[Read More] Chronic Shoulder and Neck Pain: Finding the Right Specialist for Relief
Understanding Neck Stiffness in Young Children: When to Seek Help
Children's neck stiffness (wry neck) Hello Dr. Su: My son is almost five years old. He has been experiencing frequent neck stiffness since he was around three years old. Sometimes it resembles the symptoms of a stiff neck, but it is not caused by sleeping. Is it normal for h...
Dr. Su Hongci Reply:
In medical terms, "wry neck" is referred to as acute cervical spondyloarthritis, which is characterized by stiffness and pain in the neck that occurs after sleep. The primary symptom is waking up in the morning with neck pain, which may be accompanied by limited range o...[Read More] Understanding Neck Stiffness in Young Children: When to Seek Help
Understanding Spine Correction Braces: Materials, Costs, and Comfort
Spine I would like to inquire about the materials used in spinal correction braces. Additionally, if possible, could you provide an approximate price or places where I can find this information? A family member is currently wearing one, but due to the material, prolonged use has ...
Dr. Jian Jincheng Reply:
1. The general price range is between 4,000 and 7,000. 2. The materials are primarily aluminum alloy; iron models are heavier, and titanium alloy options are usually more expensive, typically exceeding 10,000. 3. You can inquire with the Rehabilitation Medicine Association.[Read More] Understanding Spine Correction Braces: Materials, Costs, and Comfort
Understanding Sacral Pain: Causes, Treatment, and Prevention Tips
Coccydynia Dear Doctor: I have previously fallen while skiing and also while canyoning, both of which injured my coccyx. I underwent rehabilitation for a period of time, but now I occasionally experience pain in my sacrum. Does this mean that my injury was not fully treated? What...
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. Falls generally transmit force upward, which can injure the lumbar spine and directly impact the ischium and coccyx. 2. It is advisable to enhance deep thermal therapy, such as shortwave diathermy ...[Read More] Understanding Sacral Pain: Causes, Treatment, and Prevention Tips
Is Knee Osteoarthritis Always Treated with Joint Replacement Surgery?
Degenerative arthritis Is it necessary to undergo joint replacement surgery for knee osteoarthritis, or is rehabilitation therapy an option? Thank you!
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. Generally speaking, the indications for knee joint replacement surgery are as follows: A. Severe pain that affects daily life. B. Increased pain wh...[Read More] Is Knee Osteoarthritis Always Treated with Joint Replacement Surgery?
Understanding Frozen Shoulder: Symptoms, Diagnosis, and Treatment Options
Do you have frozen shoulder? I have recently been experiencing pain in my shoulder and armpit, which radiates down to my forearm. Medication and acupuncture have not been effective. Could I have frozen shoulder? What treatment options are available?
Dr. Jian Jincheng Reply:
Pain in the shoulder and armpit that radiates down to the lower arm may be indicative of cervical spine disease or frozen shoulder combined with cervical spine issues. It is recommended to visit a hospital for X-ray examinations and nerve conduction studies for a definitive diagn...[Read More] Understanding Frozen Shoulder: Symptoms, Diagnosis, and Treatment Options
Understanding Ankylosing Spondylitis: Exercise and Rehabilitation Options
Ankylosing Spondylitis I often have trouble getting out of bed in the early morning. Initially, I thought it might be due to the cold weather, and then I considered that playing basketball too vigorously might have caused stiffness in my lower back and spine. Recently, I was diag...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Ankylosing spondylitis is an immune-related condition, and it may be necessary to learn how to manage it. 2. Treatment should differentiate between the acute and chronic phases. If there is signi...[Read More] Understanding Ankylosing Spondylitis: Exercise and Rehabilitation Options
Understanding Lower Back and Hip Pain: Causes and Recovery Time
Lower back and hip pain? I have been doing heavy lifting work every day, and while I didn't experience any issues when I was younger, after a few years, I often have pain in my lower back, hips, and thighs. Sometimes the pain feels like a knife cutting, and other times it fe...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, you can undergo X-rays, CT scans, MRI, and electromyography at the rehabilitation department. 2. If there are no severe compressive fractures or lumbar spondylolisthesis, cons...[Read More] Understanding Lower Back and Hip Pain: Causes and Recovery Time
Understanding Elbow and Back Pain: Seeking Clarity in Rehabilitation
Elbow and back pain? Hello, three years ago, I started experiencing pain in my elbow and some discomfort in my back due to the weight of the cymbals (a percussion instrument) and excessive practice. I later visited an orthopedic doctor who diagnosed me with tennis elbow. I underw...
Dr. Pan Yingda Reply:
Why is there such a significant difference between the diagnoses made by Western medicine and those from traditional martial arts clinics? It's not surprising! Different systems have different points of observation, which leads to varying interpretations. Even among differen...[Read More] Understanding Elbow and Back Pain: Seeking Clarity in Rehabilitation
Relieving Shoulder Blade Pain: Simple Exercises for Soft Tissue Issues
Shoulder blade pain? Hello, Director! The shoulder blade often aches to the point where I can't sleep on my side, mostly on the right side, especially after typing for half an hour in front of the computer. The area close to the spine is particularly painful, and I can feel ...
Dr. Pan Yingda Reply:
It is unlikely to be cartilage; it is most likely tight muscles. As for what exercises to do, it's difficult to explain in words, and it's also unclear exactly where the described location is. However, there are a few points you should pay attention to: 1. Be mindful of...[Read More] Relieving Shoulder Blade Pain: Simple Exercises for Soft Tissue Issues
Is Inverted Hanging on a Bar Effective for Lumbar Disc Herniation?
Inverted hanging on a pull-up bar? I've heard that hanging upside down on a pull-up bar is good for the lumbar spine and can treat disc herniation. Is this true? What is your opinion?
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: Generally speaking, lumbar traction in rehabilitation is more effective for treating disc herniation. This is because hanging upside down does not allow the muscles ...[Read More] Is Inverted Hanging on a Bar Effective for Lumbar Disc Herniation?
Understanding Hip Joint Injuries: Causes, Symptoms, and Recovery Tips
Hip joint injury Hello Dr. Pan, I was playing basketball when I jumped and got pushed in the air. To avoid falling, I landed with my legs spread apart, which resulted in an injury to my left foot. Initially, it was very painful whenever I moved it, but now it’s more uncomfortable...
Dr. Pan Yingda Reply:
It has been several months, and I believe it is no longer just a simple strain! Possible reasons include: 1. A certain muscle is in a tense state, which may cause pulling or even compressing the sciatic nerve when moved. 2. Insufficient strength in a particular muscle. 3. Ligamen...[Read More] Understanding Hip Joint Injuries: Causes, Symptoms, and Recovery Tips
Managing Recurrent Injuries: When to Seek Rehabilitation After Falls
Bruise A year ago, I fell several times while skiing, but the pain disappeared after applying a medicated patch. Six months ago, I slipped while canyoning and was in so much pain that I had to be taken to the emergency room, where an X-ray showed no fractures. After resting for a...
Dr. Chen Xianchang Reply:
Hello, thank you for your inquiry. Here are my responses and recommendations: 1. Generally speaking, when it comes to injuries from falls, there are two main considerations: the first is inflammation at the site of impact, which may include periosteal reaction; the second is th...[Read More] Managing Recurrent Injuries: When to Seek Rehabilitation After Falls
Understanding Palm Pain After Injury: Possible Causes and Next Steps
Palm pain or tingling in the palm? Hello Doctor, I would like to ask you about my friend who is 40 years old. She accidentally fell while riding a bike and injured her left side, specifically her left shoulder and left foot. After a week or two, she started experiencing a tinglin...
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. Generally speaking, when a fall occurs, cervical spine sprains are often overlooked, leading to symptoms such as intervertebral disc herniation, which may...[Read More] Understanding Palm Pain After Injury: Possible Causes and Next Steps
Understanding Back Pain After a Fall: Rehabilitation Insights for Seniors
Lower back pain? My mother slipped and fell two weeks ago, suffering severe injuries to her back and lower back. She is a 72-year-old elderly woman. After the fall, she visited a rehabilitation department where she received heat therapy and electrical stimulation, and was prescri...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. To answer your question, the indication for Fosamax (Alendronate) is osteoporosis. It can enhance the sensitivity of estrogen receptors in women and promot...[Read More] Understanding Back Pain After a Fall: Rehabilitation Insights for Seniors
Which Specialist to Consult for Back Pain with Family History of Ankylosing Spondylitis?
Given the family history of ankylosing spondylitis and current symptoms of back pain with an uncertain cause, you should consult a rheumatologist? Hello Doctor: My current condition is that I tested positive for HLA-B27 (diagnosed around the age of 23 at the Veterans General Hosp...
Dr. Pan Yingda Reply:
Basically, ankylosing spondylitis (AS) is not considered a hereditary disease. There may be genetic and constitutional factors involved, but which chronic disease does not have some underlying predisposition? The purpose of testing is simply to confirm whether or not it is AS, ri...[Read More] Which Specialist to Consult for Back Pain with Family History of Ankylosing Spondylitis?
Understanding Knee Pain: Causes, Treatment, and Dietary Tips for Seniors
Knee pain My mother is currently 62 years old and has been experiencing pain in her left knee for the past three years. Initially, the symptoms were occasional and brief, not affecting her ability to walk. She started taking glucosamine, calcium supplements, and collagen-rich pro...
Dr. Chen Xianchang Reply:
Hello Sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. In reality, the increased frequency of your mother's knee pain, which affects her ability to get out of bed, may indicate cartilage wear and tear. Ther...[Read More] Understanding Knee Pain: Causes, Treatment, and Dietary Tips for Seniors
Understanding Neck Pain: Causes and Relief for Cervical Discomfort
Bilateral neck pain? I feel discomfort right below the back of my head, and I often experience a feeling of pressure and pain on both sides of my cervical spine, especially after bending my head down to do something. The pressure and pain can become almost unbearable. I can relie...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, it may be due to cervical disc herniation or cervical degenerative joint disease, which can cause compression of the cervical nerves when the neck is flexed. However, it could al...[Read More] Understanding Neck Pain: Causes and Relief for Cervical Discomfort
Understanding Upper Back and Right Leg Pain in Older Women
Lower back muscle pain? My mother has been experiencing pain in the muscles on the upper right side of her back near the ribs, as well as soreness in the outer side of her right calf. She has been living normally and did not fall, and she does not think it is serious, so she has ...
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, the "erector spinae" muscles located in the lower back and along the rib cage are the most common sources of back pain, which may be caused by poor posture or heavy ...[Read More] Understanding Upper Back and Right Leg Pain in Older Women