Understanding Bone Density Issues: Factors Behind Fractures in Seniors
Bone density issues? Hello, Director Chen! My mother is 65 years old and has always had a habit of walking and taking good care of herself. She has been taking supplements like calcium and vitamin D without missing any. Earlier this year, she had a bone density test, and there wa...
Dr. Chen Xianchang Reply:
Hello: Thank you for your inquiry. Here is my response to your question along with an analysis: 1. Possible factors include: 1. Cerebral atrophy and poor balance 2. Osteoporosis 3. Degeneration of the hip and knee joints 4. Muscle insufficiency. 2. Bone densit...[Read More] Understanding Bone Density Issues: Factors Behind Fractures in Seniors
Understanding Leg Fatigue: Causes and Solutions for Your Mom's Discomfort
Leg soreness? Hello, Dr. Chen! My mother has been experiencing leg fatigue for the past six months. She often complains of soreness after standing for a short while, feels tired after walking for just ten minutes, and her calves are particularly sore. What should we do, doctor? T...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: 1. It may be due to lactic acid accumulation after exercise, or it could be degenerative arthritis of the lumbar spine with sciatic nerve compression. 2. For the former, you can soak your calves in...[Read More] Understanding Leg Fatigue: Causes and Solutions for Your Mom's Discomfort
Relieving Sciatica Pain: Effective Solutions for Office Workers
Sciatica? Hello Director Chen! I sit for 8 hours a day at work, and for many years I have often experienced lower back pain. A friend mentioned that I might have issues with my sciatic nerve. What would be the best way to address this troublesome issue? Thank you!
Dr. Chen Xianchang Reply:
Hello: Thank you for your inquiry. Here are my responses and recommendations: 1. Sciatic nerve pain can cause numbness in the lower limbs; during the acute phase, it is advisable to apply ice and take pain relief medication. 2. You may visit a rehabilitation specialist for evalua...[Read More] Relieving Sciatica Pain: Effective Solutions for Office Workers
Understanding Spinal Disc Herniation: Treatment Options and Recovery Tips
Spinal disc herniation? Hello, doctor! I have been experiencing persistent pain in my left lower back for a long time. It worsens after even slight physical activity or poor posture, lasting for several days. Today, I visited Kaohsiung Municipal United Hospital for an X-ray, and ...
Dr. Su Hongci Reply:
Hello: I believe your issue is "lumbar disc herniation." Between the vertebrae, there are intervertebral discs that serve as cushioning support. When these discs are subjected to excessive force or undergo degeneration due to aging, they can herniate, potentially compre...[Read More] Understanding Spinal Disc Herniation: Treatment Options and Recovery Tips
Do I Have Uneven Legs? Understanding Footwear Wear Patterns and Solutions
Do I have leg length discrepancy? Hello, thank you for taking the time to answer my question. My issue is that when I used to wear high heels, I noticed that the heel of my right shoe was worn down unevenly, slanting to the right, but I didn't think much of it. Recently, I&#...
Dr. Pan Yingda Reply:
Hello, I apologize for missing your question. Your issue may not necessarily be due to leg length discrepancy, but it is certain that there is some imbalance between the two sides. Determining if you have a leg length discrepancy is simple; you can measure it with a tape measure....[Read More] Do I Have Uneven Legs? Understanding Footwear Wear Patterns and Solutions
Understanding Lower Back Pain: Is It a Lumbar Injury?
Lower back pain? Recently, I have been experiencing frequent pain in the area below my back and above my buttocks. Sometimes, when I lie on my back while sleeping, I feel even more discomfort due to pressure. Additionally, when I sit up straight, it feels like there is pressure o...
Dr. Pan Yingda Reply:
I apologize for missing your question. The most common cause of your issue is likely due to poor posture, and I believe it is not significantly related to your injury from two years ago (if it were, you would likely be experiencing ongoing pain rather than recent onset; even with...[Read More] Understanding Lower Back Pain: Is It a Lumbar Injury?
Understanding Herniated Discs: Causes, Connections, and Insurance Challenges
excuse me? Hello, doctor. I was hospitalized recently due to a herniated disc caused by moving a flower pot, and I would like to file an insurance claim. However, I am facing difficulties because my previous medical history mentions degenerative joint disease of the spine. I have...
Dr. Zheng Shunping Reply:
In response to your question: The causes of lumbar disc herniation in younger individuals are mostly due to external forces or poor posture. In middle-aged and older adults, it may be due to spinal degeneration leading to loss of disc elasticity, which can result in disc herniati...[Read More] Understanding Herniated Discs: Causes, Connections, and Insurance Challenges
Effective Self-Care Strategies for Shoulder Blade Pain Relief
Shoulder blade pain? Hello, Dr. Chen! I have been experiencing pain in my left scapula for a long time, and it has previously been so severe that I couldn't move my left arm down to the elbow. After undergoing rehabilitation, it improved, but recently, after performing some ...
Dr. Chen Xianchang Reply:
1. It may be due to cervical nerve compression (the left scapula corresponds to the fifth and sixth cervical segments; the left arm to the elbow joint corresponds to the seventh cervical and first thoracic nerve root compression). In addition to electrical therapy, cervical tract...[Read More] Effective Self-Care Strategies for Shoulder Blade Pain Relief
Understanding Numbness Along the Spine: Causes and Treatment Options
The entire muscle on the right side of the spine is "numb." The following areas have been experiencing numbness for the past 1-2 months: 1. The muscle on the right side of the spine - starting from the shoulder and extending down to the right hip, including the outer si...
Dr. Xu Zhenrong Reply:
Hello Athena readers, peripheral nerve compression can lead to symptoms such as pain, tingling, or burning sensations, and may sometimes be accompanied by muscle atrophy and the absence of tendon reflexes. The sensations of pain and tingling are subjective experiences that can va...[Read More] Understanding Numbness Along the Spine: Causes and Treatment Options
Understanding Abnormal Reflexes and Related Symptoms in Rehabilitation
Abnormality Hello, Director Pan. Continuing from the previous question, the reflexes in my upper and lower limbs are different in strength. The doctor said my hand reflexes are fine, but my knee reflexes are quite pronounced. Is this considered normal? However, he mentioned that ...
Dr. Pan Yingda Reply:
How did you come to think of prostatitis? It's not common in young people! Is the "abnormal" condition you described only occurring after an injury? The evidence you mentioned seems rather weak. If the bones are fine, the chances of injuring the spinal cord are low...[Read More] Understanding Abnormal Reflexes and Related Symptoms in Rehabilitation
Persistent Inner Thigh Pain: Exploring Treatment Options Beyond Traditional Methods
Numbness and pain in the inner thigh? If you have been experiencing numbness and pain on the inner thigh for over six months despite treatment from both Western and traditional Chinese medicine, it may indicate an underlying issue that has not been addressed. Possible causes coul...
Dr. Chen Xianchang Reply:
1. An electromyography (EMG) of the lower extremities and magnetic resonance imaging (MRI) of the lumbar spine should be performed first to determine if there are any lesions, including intervertebral disc herniation, sciatica, or spinal tumors. 2. If there is frequent hiking o...[Read More] Persistent Inner Thigh Pain: Exploring Treatment Options Beyond Traditional Methods
Exploring Treatment Options for Neck Pain: From MRI to Craniosacral Therapy
Wishing for good health? Hello, Director. Today I underwent electromyography and nerve conduction studies, and it was found that the C4 nerve root is slightly compressed. The doctor said it is not serious, but due to my neck muscle condition, I cannot undergo traction therapy. I ...
Dr. Pan Yingda Reply:
I'm glad to hear that your issue has a preliminary solution. However, due to my neck muscle condition, I cannot use traction, which I don't understand. I believe there are considerations behind it; traction is merely a symptomatic treatment. It's important to pay a...[Read More] Exploring Treatment Options for Neck Pain: From MRI to Craniosacral Therapy
Understanding Chronic Myofascial Pain: When Sleep Disrupts Your Life
If I don't get a full 8 hours of sleep, my back hurts so much that I can't sleep at all..? I started experiencing pain after running at the playground last Friday. After going to bed, I noticed that I would wake up in the middle of the night due to pain, and lying flat ...
Dr. Pan Yingda Reply:
Sorry for the late response! I didn't check online to see if anyone had questions. Basically, "myofascial pain syndrome" does not typically present this way; I think it might be a slight postural strain. The most common area affected is the junction between the rib...[Read More] Understanding Chronic Myofascial Pain: When Sleep Disrupts Your Life
Understanding Neck Pain: Seeking Answers for Persistent Symptoms
Doctor, please help me? Hello, Director Pan. In mid-August, I went for folk therapy and ended up getting injured, resulting in swelling of my jaw and a feeling of dizziness, along with difficulty focusing on near objects. Initially, I didn't think much of it, so I just visit...
Dr. Pan Yingda Reply:
Basically, if what you described is accurate, I think it’s quite serious. When I say "if," I mean that some symptoms are very subjective. For example, I had a case where a patient complained of chest pain, and after seeing multiple doctors without relief, she ended up i...[Read More] Understanding Neck Pain: Seeking Answers for Persistent Symptoms
Understanding Cervical Spondylosis: Treatment Options for Vertebral Artery Type
Cervical spondylosis Doctor, it seems that cervical spine disorders have many types, and among them, the vertebral artery type is treated differently in rehabilitation medicine. Given my age, it might be caused by a small facet joint dislocation due to a history of trauma, right?...
Dr. Chen Xianchang Reply:
1. You can be referred to our Rehabilitation Department for an MRI. 2. X-rays of the facet joints should be able to reveal the condition. 3. For cervical spine disorders, the same treatment includes heat therapy and electrical stimulation. Whether traction and manual therapy ...[Read More] Understanding Cervical Spondylosis: Treatment Options for Vertebral Artery Type
Understanding Shoulder and Neck Pain: Seeking the Right Treatment Options
Pain, soreness, and numbness? Hello, four years ago I experienced soreness and numbness in my shoulder, neck, and arm. After a doctor's diagnosis, I underwent surgery on cervical vertebrae 4-7. Recently, for the past six months, I have been experiencing constant tightness an...
Dr. Pan Yingda Reply:
Hello, I apologize for being busy lately and almost forgetting to reply. If surgery is not being considered (which is generally unnecessary), then definitely consult a rehabilitation specialist! My recommendations are: 1. Posture: Keep your head extended upward to lengthen the ne...[Read More] Understanding Shoulder and Neck Pain: Seeking the Right Treatment Options
Should You Consider Rehabilitation for Herniated Discs?
Should I go for rehabilitation for a herniated disc? Hello, Doctor: I apologize for the lengthy message and multiple questions, but I hope you can provide me with some advice. In mid-October, I experienced severe lower back pain while exercising (the pain was so intense that I co...
Dr. Pan Yingda Reply:
Hello, I apologize for the late response as I've been quite busy recently. Regarding your questions: 1. You should go to a hospital for rehabilitation. As for recommended exercises, forward bending movements are generally not suitable. It's important to avoid maintain...[Read More] Should You Consider Rehabilitation for Herniated Discs?
How to Safely Assist Your Grandmother with Home Rehabilitation
How to do rehabilitation exercises at home? My grandmother accidentally injured her spine when she was young, apparently at the end of her spine. She has undergone surgery, and she mentioned that the doctor removed some damaged black tissue from the junction and then repaired it....
Dr. Jian Jincheng Reply:
After surgery, the patient experiences weakness in the leg and a limping gait, which may be due to nerve compression or other causes. A detailed examination is necessary to confirm the diagnosis. It is recommended to undergo an MRI (Magnetic Resonance Imaging) or CT (Computed Tom...[Read More] How to Safely Assist Your Grandmother with Home Rehabilitation
Can Muscle Strain Affect Cervical Spine Curvature Recovery?
Cervical spine hyperlordosis caused by a muscle strain? Hello doctor, I have a strain on the right side of my neck. An X-ray examination showed that I have a straightening of the cervical spine. If my muscle strain recovers, is there a chance that my cervical spine can return to ...
Dr. Chen Xianchang Reply:
1. A neck muscle strain may cause slight spasms, which is generally a temporary phenomenon that can be improved and relaxed through heat therapy and electrical stimulation. 2. If accompanied by a herniated disc, cervical traction or surgery may be necessary. 3. Long-term muscle s...[Read More] Can Muscle Strain Affect Cervical Spine Curvature Recovery?
Effective Rehabilitation Strategies for Managing Lower Back Pain
Low back pain Hello Director Chen, after experiencing lower back pain, the traditional Chinese medicine practitioner recommended acupuncture treatment and advised to avoid excessive pressure on the lumbar spine and surrounding areas, maintain good posture, and reduce carrying hea...
Dr. Chen Xianchang Reply:
1. If there is lower back pain without sciatica symptoms, you can apply heat therapy at home, and rehabilitation may include thermotherapy and electrotherapy. 2. If sciatica is present and radiates to the lower limbs, lumbar traction should be added. 3. Reduce heavy lifting a...[Read More] Effective Rehabilitation Strategies for Managing Lower Back Pain