Spine, Rehabilitation FAQ

Understanding Post-Injury Pain: When to See an Orthopedist or Rehab Specialist

Could you please provide the content you would like me to translate? I would like to ask, I was injured in a car accident before, but X-rays showed no issues. However, since then, I occasionally experience brief sharp pains, and sometimes when I stand up, my thigh feels weak and ...

Dr. Chen Xianchang Reply:
1. Possible lumbar nerve root compression. 2. X-rays of the lumbar spine and nerve conduction studies should be performed first. If compression is confirmed, consider rehabilitation for moderate cases; for severe compression, surgical intervention is indicated.

Are Park Exercise Equipment Safe for Spinal Rehabilitation?

Exercise equipment? Hello, Dr. Chen! It is common to see fixed tires in parks. Many people consider them to be the best equipment for supporting the body and correcting or maintaining spinal health, and they are eager to try them out! However, they are hesitant to proceed without...

Dr. Chen Xianchang Reply:
1. Lying on a tire allows for stretching of the back muscles, but it does not provide specific benefits for the spine. 2. It is better to visit a rehabilitation department to obtain educational pamphlets or consult a rehabilitation physician on how to perform exercises for the ...

Effective Recovery Strategies for Coccyx Injuries After a Fall

Coccygeal contusion Hello Doctor! I had a motorcycle accident that caused my coccyx to hit the asphalt. I have been experiencing a persistent tingling sensation around the coccyx area. I went to the hospital for an X-ray, and the doctor diagnosed it as a coccygeal contusion, reco...

Dr. Chen Xianchang Reply:
1. It may be a coccygeal contusion combined with a lumbar-sacral disc herniation, with the former causing coccygeal pain and the latter leading to numbness. 2. Massage is not recommended; rehabilitation with heat therapy, ultrasound, and laser treatment on the coccyx is advisable...

Understanding Sudden Limb Numbness: Is It a Stroke?

Numbness in the hands and feet? Hello Director Chen! I consulted you about the same issue last Sunday (10/8), but I haven't received a response yet. I'm not sure if my email got lost. I apologize for that! I really want to know your expert opinion, so I'm sending i...

Dr. Chen Xianchang Reply:
(1) It may be due to poor circulation; wearing socks and long sleeves while sleeping, keeping warm, and soaking your feet before bed can help. (2) Calcium deficiency can also worsen the condition; drinking warm milk before bed may be beneficial. (3) Nerve root compression in the ...

Understanding Knee Pain and Fever After Spinal Surgery: A Rehab Perspective

Meteorological Station vs. Knee Can Also Experience Fever Hello Dr. Pan, it has been a while since I last asked a question. After undergoing my third surgery for herniated disc (HIVD) last year, my recovery went well, and I seemed to have no complications. However, in February of...

Dr. Pan Yingda Reply:
I'm glad to hear that you are recovering well after your surgery. Currently, my rehabilitation physician is quite conservative with my treatment, probably out of fear of being sued! Haha! Generally, for those who have undergone multiple surgeries and are still uncomfortable,...

Revolutionary Electric Air Cushions for Better Sleep and Recovery

Electric air cushion pillow Hello Director Chen, modern people are under a lot of stress, and many are troubled by insomnia and poor sleep. A Japanese company has developed various stress-relief bedding and sleep aids. The mattress allows for movement during sleep, with eight ele...

Dr. Chen Xianchang Reply:
1. There are many types of ergonomic pillows, health pillows, and memory foam pillows available on the market, but the selection method is as follows (requires two people to participate): (1) Lie flat on your back, while the other person inserts their hand under your neck. A good...

Choosing the Right Desk and Chair Height to Alleviate Pain

Appropriate desk and chair height? Hello, doctor. I am currently pursuing a master's degree and spend long hours sitting at my desk studying every day. Although I take a 10-minute break every 50 minutes, I tend to unconsciously tense my shoulders while studying. As a result,...

Dr. Pan Yingda Reply:
Perform some stretching exercises; this part is difficult to describe, so you may want to look it up online. Additionally, avoid tensing your shoulders (the table may be too high). Rather than focusing on the height of the furniture, the posture of your body is more important. In...

Understanding Post-Surgery Risks and Complications of Lumbar Disc Herniation

Due to a herniated disc (L2-L4) compressing the nerve, surgery was performed. I would like to know if there is a need for surgery if there are new lesions at L1, L3, or L5, what postoperative sequelae may occur, and how high is the risk for a second surgery? I am a 34-year-old fe...

Dr. Li Weiqiang Reply:
Ms. Chuang: Hello! Due to a herniated disc (L2-L4) compressing the nerves, I underwent surgery, and the doctor advised against pregnancy. It has been over two years since the surgery, and I have been diligently doing rehabilitation, but my body still feels very weak, and I experi...

Managing Bone Spurs: Rehabilitation vs. Traditional Chinese Medicine Options

Bone spur Hello, Dr. Chen! My brother has bone spurs on his spine, and the surgeon recommended surgery, which scared him. He is also worried about potential side effects, so he decided to consult traditional Chinese medicine instead. The TCM treatment for bone spurs involves reha...

Dr. Chen Xianchang Reply:
(1) If there is severe nerve compression causing muscle atrophy or compression of the nerves responsible for urination, surgical treatment should be considered. (2) Traditional Chinese medicine can reduce pain, and acupuncture can have similar effects. (3) Manual therapy carries ...

Calcium Supplements: Are They Effective for Long-Term Bone Health?

Calcium supplementation Hello, Director Chen! According to a study on osteoporosis reported by Agence France-Presse from Paris on the 15th, calcium supplementation does not strengthen bones in the long term. This research, conducted by the Monash Institute in Australia, re-evalua...

Dr. Chen Xianchang Reply:
1. Whether calcium supplements can benefit bone health depends on several factors: (1) the solubility of the calcium supplement (for example, calcium citrate and calcium lactate have higher solubility), (2) the need for vitamin D to enhance calcium absorption, (3) whether the bon...

Understanding Cartilage Wear: Pain Relief and Treatment Options for Seniors

Cartilage Hello Doctor: My mother is 60 years old and often feels soreness near her lower back close to the hips. After an X-ray, the doctor said it was due to cartilage wear. She is currently taking anti-inflammatory and pain relief medication, which helps, but the pain returns ...

Dr. Pan Yingda Reply:
Hello: 1. In layman's terms, the cartilage of the spine generally refers to the intervertebral discs. 2. Frequent use of anti-inflammatory and pain-relieving medications can be harmful to the kidneys and stomach. 3. Rehabilitation, acupuncture, or appropriate exercise can be...

What is the Recurrence Rate After Spine Surgery When Recovery is Normal?

After spinal surgery, if everything is normal, what is the percentage chance of recurrence in the future? After spinal surgery, if everything is normal, what is the percentage chance of recurrence in the future?

Dr. Li Weiqiang Reply:
Hello: The outcome primarily depends on your condition and the surgical situation. If you can remain symptom-free for as long as possible, that would be considered a success. Sincerely, Dr. Li Wei-Chiang, Rehabilitation Medicine.

Can Rehabilitation Therapy Heal Herniated Discs? Tips for Recovery

Herniated disc Hello Dr. Chen! I have seen a physician who diagnosed me with a herniated disc and I have been undergoing treatment for some time now, but I don't seem to feel much improvement. Perhaps the stress from work is hindering my recovery, or maybe I presented with m...

Dr. Chen Xianchang Reply:
1. Rehabilitation traction can relieve pressure on the compressed nerve from the intervertebral disc, with an improvement rate of about 70%-80%. 2. However, if the herniation is too severe and cannot be repositioned through traction, neurosurgery or orthopedic surgery may be nece...

Understanding Back Pain: Is It a Spine or Kidney Issue?

I have lower back pain? Hello Doctor: I have pain in my lower back, but it's not on the sides; it's near the spine. Usually, I feel fine, but the pain starts when I go out shopping or stand for a long time. When I sleep, I can't lie completely flat; it feels uncomf...

Dr. Pan Yingda Reply:
Most young people have muscle-related issues. 1. Adjust your posture (avoid maintaining the same position for too long). 2. Flexibility. 3. Muscle strength. It's important to see a rehabilitation specialist nearby and receive physical therapy as soon as possible!

Understanding Piriformis Syndrome: Pain Management and Stretching Techniques

Hip pain Hello, Doctor: I previously inquired online about my hip pain, and I appreciate your advice despite your busy schedule. I am experiencing symptoms of Piriformis syndrome and Myofascial Pain, and I have undergone physical therapy (including heat therapy, interferential cu...

Dr. Pan Yingda Reply:
Hello, I still remember your points: 1. The focus is not on whether you are suitable for the knee-to-chest position, but rather on how you perform it. When stretching, it should be a gentle stretch, not a forceful one. During the knee-to-chest position, the pelvis and spine sho...

Can Neck Injuries Recur? A Guide to Rehabilitation and Recovery

Cervical spine Hello Doctor! My friend always looks at people from below her chin, which has caused quite a bit of controversy, reminiscent of the proud demeanor of the popular figure Zhao Jianming, who often holds his head at a 45-degree angle. She had a neck injury from a fall ...

Dr. Chen Xianchang Reply:
(1) You can visit the rehabilitation department for an examination to check for neck muscle stiffness or intervertebral disc herniation (which can be diagnosed via CT scan). (2) Rehabilitation treatment options include heat therapy, electrical stimulation, and cervical joint mobi...

Understanding Stiff Neck: Causes, Prevention, and Effective Remedies

Stiff neck Hello Dr. Chen! I've been experiencing frequent neck stiffness lately, making it difficult to turn my head comfortably. What should I do about it now? How can I prevent it? A friend suggested using a memory foam pillow; is it effective? Thank you! Xiaoye

Dr. Chen Xianchang Reply:
(1) Please apply a warm compress and massage the Jianjing point located between the second and third fingers on the back of the hand. (2) Choose an ergonomic pillow that can adequately support the cervical spine; a memory foam pillow may be effective. (3) Perform isometric exerci...

Managing Myofascial Pain: Effective Treatments and Patient Insights

Myofascial Pain Hello, Doctor: I am 68 years old and have been experiencing pain in my hip. The pain occurs when I sit, but I do not feel pain when walking, running, or bending forward, backward, or sideways. The pain is located near the ischial tuberosity and I have been diagnos...

Dr. Pan Yingda Reply:
Hello: It seems that you have put a lot of effort into understanding your pain and have done considerable research. Personally, I don't think it resembles HIVD (Herniated Intervertebral Disc) or spinal stenosis. If the symptoms are not related to the load and movement of the...

Understanding Cervical Spine Deformity: Causes of Chest Discomfort and Treatment Options

Cervical spine deformity I have cervical spine deformity with bone spurs. Could this be the cause of my chest tightness? I also experience chest tightness after sleeping for a while, and I often feel chest tightness in general. Sometimes, it takes me a while to struggle before I ...

Dr. Gao Zhenling Reply:
Hello: Although cervical osteophytes can potentially cause mild chest discomfort, it is recommended that you consult a pulmonologist or cardiologist for an examination. If you experience weakness in your arms or legs, you should promptly visit a neurosurgeon to avoid delaying tre...

Understanding Back Pain: Causes, Rehabilitation, and Self-Care Tips

Back pain 1. I experience pain when I press on the center of my back, but it doesn't hurt when I'm not pressing. I had a massage therapist work on it, and it felt better afterward, but the next day, pressing on that spot still causes pain. What could be the issue? I don...

Dr. Xu Zhenrong Reply:
Dear Ms. Chen, Based on your description and the nature of your work, it is likely that you are experiencing a muscle strain in your lower back due to frequently lifting heavy objects. This is not uncommon in activities or jobs that require regular lifting. In addition to managi...

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