Stroke, Rehabilitation FAQ

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Can I Walk Without a Cane After Hemorrhagic Stroke Recovery?

Is it possible to recover to the point of walking without a cane after a hemorrhagic stroke that occurred four and a half years ago? I had a hemorrhagic stroke in my right hemisphere four and a half years ago and was saved, but I have left-sided paralysis. I underwent rehabilitat...


Dr. Li Yanheng Reply:
The prognosis after a stroke requires long-term assessment in an outpatient setting for greater accuracy. It is recommended to inquire during your rehabilitation outpatient visits.

[Read More] Can I Walk Without a Cane After Hemorrhagic Stroke Recovery?


Exploring rTMS Therapy for Stroke-Induced Limb Weakness in Kaohsiung

Repetitive Transcranial Magnetic Stimulation (rTMS) for the treatment of hemiparesis following stroke? My mother suffered from a stroke in June of this year, resulting in left-sided hemiparesis. She has been discharged from the hospital but continues to attend outpatient rehabili...


Dr. Su Hongci Reply:
Hello: The principle of repetitive transcranial magnetic stimulation (rTMS) is to induce a weak electrical current through magnetic waves to stimulate underactive areas of the brain (such as the left prefrontal cortex), thereby affecting the neural circuits related to emotional r...

[Read More] Exploring rTMS Therapy for Stroke-Induced Limb Weakness in Kaohsiung


Understanding Thumb Weakness and Pain in String Instrument Players

Right thumb Hello, doctor. I would like to ask you about something: over the past few months, while practicing with string instruments, I have noticed a feeling of weakness in my right thumb every time I pluck the strings. After just a few strokes, the web of my hand becomes tigh...


Dr. Wang Zhaomin Reply:
There are many possible causes for the listed symptoms, including issues with the tendons, ligaments, and soft tissues of the hand and wrist, as well as conditions affecting the median nerve or other peripheral nerves. Diagnosing these problems requires a combination of patient h...

[Read More] Understanding Thumb Weakness and Pain in String Instrument Players


Understanding Neck Pain After Weightlifting: Causes and Concerns

Sports Injuries in Fitness Hello Doctor: I am currently a university student. This morning, while exercising at the gym, I performed the barbell row (shortened URL: https://is.gd/AJdzQF). During my third set (10 repetitions per set) with a weight of 70 kg, I suddenly felt a sharp...


Dr. Wang Zhaomin Reply:
Based on the description, it may be due to improper exertion, causing a neck muscle strain. When training the back muscles, the neck may also be engaged simultaneously, and incorrect posture can lead to injury. If symptoms persist, it is advisable to consult an orthopedic or reha...

[Read More] Understanding Neck Pain After Weightlifting: Causes and Concerns


Understanding Temporary Numbness: Is It a Stroke Warning?

Thought I was having a stroke? Hello, Director Wang. My issue has occurred twice within a month. Both times, I fell asleep while leaning back on a wooden chair, with the back of my head resting against the hard chair back. Upon waking, I experienced numbness and swelling from the...


Dr. Wang Zhaomin Reply:
Numbness and swelling pain in the shoulders, neck, and limbs that resolves within a few minutes may be due to poor posture or external pressure. As we age or due to other injuries, the body's flexibility may decrease, making it less able to withstand excessive external press...

[Read More] Understanding Temporary Numbness: Is It a Stroke Warning?


Understanding Suspected Cervical Disc Herniation: What You Need to Know

Suspected cervical disc herniation? Hello Doctor, I would like to ask you some questions. Recently, for certain reasons (not due to physical discomfort), I underwent a self-paid MRI scan of my entire spine. The report from the doctor indicated: suspected right-sided herniation of...


Dr. Yin Xinbei Reply:
1. No. 2. Yes. 3. It is possible to engage in normal activities, but if you experience numbness, tingling, or pain in the right arm in the future, please seek medical attention from a rehabilitation specialist immediately. Additionally, avoid the action of tilting your head back ...

[Read More] Understanding Suspected Cervical Disc Herniation: What You Need to Know


Understanding Knee Pain: When to Seek Rehabilitation for Your Legs

Posterior knee Hello, doctor. I previously had a habit of running and swimming with the frog stroke, but recently I've noticed that while walking, the area behind my left knee, where the knee connects to the thigh, feels like it catches a bit when I straighten my leg. Althou...


Dr. Zhou Jianwen Reply:
You may want to see a rehabilitation specialist, as it could be due to insufficient muscle flexibility.

[Read More] Understanding Knee Pain: When to Seek Rehabilitation for Your Legs


Stroke Rehabilitation: Navigating Post-Hospital Care and Home Therapy Options

Stroke rehabilitation Hello, doctor. My grandmother had a stroke about a month ago. Her condition has stabilized, and she has been in the rehabilitation ward for 22 days now. She undergoes rehabilitation therapy three times a day, which includes speech therapy and exercises for h...


Dr. Li Weiqiang Reply:
Hello, rehabilitation is a long journey. During the acute phase, hospitalization is necessary to monitor for any severe complications while also initiating rehabilitation. Generally, it takes about three weeks for neuronal cell necrosis to stabilize. Once the condition is stable,...

[Read More] Stroke Rehabilitation: Navigating Post-Hospital Care and Home Therapy Options


Understanding Unexplained Warmth in the Hip and Thigh Area

The area where the buttocks connect to the thighs feels warm? Hello, doctor. I would like to ask you a question. For the past few days, I have occasionally felt a warm sensation in the area from my left buttock to the thigh, as if warm water is flowing over it. However, there is ...


Dr. Yin Xinbei Reply:
This is an atypical symptom. If it occurs only occasionally, you may first observe the frequency and range of its occurrence. If there is a worsening of the condition, you can consider consulting a neurologist or a rehabilitation specialist.

[Read More] Understanding Unexplained Warmth in the Hip and Thigh Area


Reviving Rehabilitation: Helping Stroke Survivors Overcome Setbacks

My mother has had a stroke for many years? Hello Doctor: My mother is 63 years old and had a stroke 8 years ago, which has left her with mobility issues on her left side. After the stroke, her rehabilitation and follow-up visits were neglected due to her emotional problems (depre...


Dr. Yin Xinbei Reply:
If there is a rapid decline in physical strength, other possibilities should be considered, such as a recurrent minor stroke, exacerbation of depression leading to decreased mobility, or even dementia. It is recommended to first consult a neurologist to rule out potential causes....

[Read More] Reviving Rehabilitation: Helping Stroke Survivors Overcome Setbacks


Swimming and Safe Exercises for Rheumatoid Arthritis Patients

Issues in Patients with Rheumatoid Arthritis Hello: I have heard that swimming is beneficial for controlling rheumatoid arthritis. If I can only do the frog stroke and cannot breathe properly, is this method still acceptable? Also, is simply walking in the water beneficial? Addit...


Dr. Su Hongci Reply:
Hello: Water aerobics can improve joint stiffness, relax muscles, and strengthen muscles. Additionally, soaking in warm water can enhance blood circulation and alleviate pain. Therefore, water aerobics is beneficial for rheumatoid arthritis. If there is a need for weight loss, it...

[Read More] Swimming and Safe Exercises for Rheumatoid Arthritis Patients


Effective Rehabilitation Strategies for Stroke Recovery in Seniors

Stroke rehabilitation Hello Dr. Chen: My father is 61 years old and had a minor stroke for the third time a few months ago. The first stroke occurred about five years ago, and the second one about two years ago. He usually maintains a balanced diet, rarely eats meat, and used to ...


Dr. Chen Wayda Reply:
First, focus on strengthening the lower limb muscles, practice standing, and then work on walking. It is best to come to the hospital for guidance from professionals. Carrying a 20-kilogram load while hiking is not considered a good form of exercise.

[Read More] Effective Rehabilitation Strategies for Stroke Recovery in Seniors


Persistent Pain After Frog Swimming: Is It a Permanent Injury?

A 16-year-old has been experiencing a sports injury from frog swimming since March, and it has not yet healed? Hello, in March, while swimming the frog stroke, I suddenly experienced severe pain at the junction of the inner thighs and the bottom of the scrotum. I felt it was a st...


Dr. Pan Yingda Reply:
I apologize for the delay in responding due to issues with the communication system! Your description is quite unusual; it sounds like a muscle strain. The symptoms you mentioned, such as the frog position and the pain points, clearly indicate a strain of the adductor muscle grou...

[Read More] Persistent Pain After Frog Swimming: Is It a Permanent Injury?


Stroke Recovery: Can Wheelchair-Bound Patients Overcome Dizziness and Weakness?

Cerebral Stroke Patients with hypertension who have suffered a stroke often experience symptoms such as dizziness and generalized weakness. Rehabilitation is possible for those who use a wheelchair.


Dr. Chen Wayda Reply:
Blood pressure should be stabilized first. After a thorough evaluation by a qualified physician regarding other issues, rehabilitation can be considered.

[Read More] Stroke Recovery: Can Wheelchair-Bound Patients Overcome Dizziness and Weakness?


Can My Mother Continue Rehabilitation After One Year Post-Stroke?

It has been over a year since the rehabilitation period covered by health insurance. I would like to know if your hospital allows for inpatient rehabilitation treatment to continue? Hello Dr. Yin, I apologize for bothering you. My mother, Yu Huang A-Zhu, requires rehabilitation...


Dr. Yin Xinbei Reply:
Unless there is a new stroke or other neurological disease, post-stroke chronic rehabilitation is classified as maintenance therapy under health insurance regulations and does not meet the criteria for hospitalization. Additionally, outpatient rehabilitation should not be conduct...

[Read More] Can My Mother Continue Rehabilitation After One Year Post-Stroke?


Rehabilitation Wards for Stroke Patients in Taipei: Coverage and Options

About Rehabilitation Wards Which hospitals in the Greater Taipei area have rehabilitation wards for stroke patients? Is there health insurance coverage for staying in a rehabilitation ward?


Dr. Chen Wayda Reply:
1. Health insurance provides coverage for stroke rehabilitation within six months post-stroke. 2. In the Greater Taipei area, the following hospitals have stroke rehabilitation wards: National Taiwan University Hospital, Veterans General Hospital, Taipei City Hospital, Far East...

[Read More] Rehabilitation Wards for Stroke Patients in Taipei: Coverage and Options


Navigating the Barthel Index: Stroke Rehabilitation Challenges in Taiwan

Barthel Index My mother has been paralyzed from a stroke for over ten years and needs to have a Barthel Index assessment every three years. This year, Cathay General Hospital stated that they are a regional hospital and cannot perform the assessment. The Catholic Keng Hsin Hospit...


Dr. Li Weiqiang Reply:
Hello, the Hsinchu Hospital can assist you with this. Please call Hsinchu Hospital for inquiries and arrangements. Wishing you safety and health. Sincerely, Dr. Li Wei-Chiang, Director of the Rehabilitation Department, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Navigating the Barthel Index: Stroke Rehabilitation Challenges in Taiwan


Stroke Recovery: Understanding Rehabilitation and Cognitive Challenges

Stroke sequelae Hello, doctor. My mother is 62 years old. At the end of April, she underwent surgery for a hemorrhagic stroke due to hypertension (the report indicated a hemorrhage in the left thalamus and hydrocephalus). She is currently experiencing paralysis in her right hand ...


Dr. Chen Wayda Reply:
First: Is there a chance for rehabilitation to enable walking? ANS: There is still a chance, but it depends on the effort put in! Second: My mother sometimes engages in fluent conversations and recognizes the names of family and friends when she is in good spirits, but at other...

[Read More] Stroke Recovery: Understanding Rehabilitation and Cognitive Challenges


Botox Treatment for Stroke-Related Spasticity: Is It Effective?

Botulinum toxin improves post-stroke spasticity? I recently read in the newspaper that botulinum toxin can improve post-stroke spasticity and prevent ankle joint varus deformity. Does your hospital offer this botulinum toxin treatment? If my mother has had a stroke for three year...


Dr. Lai Yanting Reply:
1. Currently, our rehabilitation department does not offer botulinum toxin injections for post-stroke muscle hypertonicity. 2. If ankle joint valgus deformity is caused by muscle spasms, botulinum toxin injections can be beneficial; however, if the deformity is due to weakness ...

[Read More] Botox Treatment for Stroke-Related Spasticity: Is It Effective?


Dietary Guidelines and Rehabilitation Tips for Hemorrhagic Stroke Patients

Foods for Elderly Patients with Hemorrhagic Stroke 1. What foods should be avoided for elderly patients with hemorrhagic stroke? 2. What foods are most beneficial for elderly patients with hemorrhagic stroke? 3. How can mobility be restored for the left arm and leg, which are...


Dr. Chen Wayda Reply:
1. What dietary restrictions should elderly patients with hemorrhagic stroke follow? ANS: Avoid high-sodium and high-fat foods. 2. What foods are most beneficial for elderly patients with hemorrhagic stroke? ANS: A balanced diet; it is best to have a nutritionist tailor a meal ...

[Read More] Dietary Guidelines and Rehabilitation Tips for Hemorrhagic Stroke Patients


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