Can Rehabilitation Help with Swallowing Difficulties After Cancer Treatment?
Dysphagia My uncle is 57 years old and has undergone radiation therapy for nasopharyngeal cancer. He is currently experiencing throat stiffness and difficulty swallowing. Would rehabilitation be beneficial for him?
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. Radiation therapy can lead to fibrosis approximately one year after treatment, which may affect swallowing; in some cases, a gastrostomy may be necessary. ...[Read More] Can Rehabilitation Help with Swallowing Difficulties After Cancer Treatment?
Post-Surgery Care for Open Fractures in Elderly Patients
Fracture Yesterday afternoon, my grandfather was busy with religious rituals and tripped over the threshold, falling hard and injuring himself. He was taken to the hospital with bruises and swelling. The doctor diagnosed him with an open fracture of the right hand, and he underwe...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your questions and provide the following suggestions: 1. Three days after surgery, you can request the orthopedic surgeon to refer you to the rehabilitation department for initial treatments such as laser therap...[Read More] Post-Surgery Care for Open Fractures in Elderly Patients
Importance of Wearing Braces After ACL Surgery: Risks of Not Using Them
Protective gear Hello Dr. Chen, I just had anterior cruciate ligament surgery. The doctor told me to wear a brace. I would like to ask what would happen if I don't wear it? Thank you!
Dr. Chen Xianchang Reply:
Hello Sir: Thank you for your inquiry. I would like to address your question and provide the following recommendations: 1. After anterior cruciate ligament (ACL) surgery, it is usually necessary to wear a brace, as the function of the ACL is to prevent the tibia from sliding forw...[Read More] Importance of Wearing Braces After ACL Surgery: Risks of Not Using Them
Understanding Achilles Tendonitis in Teens: Causes, Symptoms, and Treatment
Achilles tendinitis Hello Dr. Lai, My child is 13 years old, approximately 162 cm tall and weighs 54 kg, which is slightly overweight. He walks somewhat like a duck. I examined his feet and it seems he has some flatfoot characteristics. Due to his wide feet, we have always boug...
Dr. Lai Yanting Reply:
Achilles tendinitis has four common causes: 1. Overuse: such as suddenly running too much or increasing exercise intensity. 2. Unsuitable playing surfaces: such as running on slopes or uneven, hard ground. 3. Abnormal foot structure: such as excessive forefoot pronation or flat f...[Read More] Understanding Achilles Tendonitis in Teens: Causes, Symptoms, and Treatment
Recovering from a Thumb Injury: What to Expect After a Fracture
Thumb injury Hello, doctor! On the day of the typhoon, it rained continuously. Seeing that the drainage ditch in front of my house was full, my grandmother and I worked together to clear it to prevent flooding in our home. We finally finished, but my grandmother accidentally kick...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally, fractures heal within three to four months, but excessive activity after the fracture can affect the healing process. 2. You should first go to the hospital for an X-ray to confirm the di...[Read More] Recovering from a Thumb Injury: What to Expect After a Fracture
Jaw Pain When Chewing: Which Specialist to See for Relief?
Experiencing pain while biting down? I have been experiencing pain in my jaw joint recently, and I have difficulty opening my mouth. It hurts when I bite down on things. Which specialist should I see? Is physical therapy effective?
Dr. Chen Xianchang Reply:
Hello, thank you for your question. I would like to address your concerns and provide the following suggestions: 1. There are generally two possibilities. If there is gum inflammation, you should consider seeing a dentist for treatment of periodontal disease. 2. If there are n...[Read More] Jaw Pain When Chewing: Which Specialist to See for Relief?
How to Encourage Your Mom to Continue Ultrasound Therapy for Pain Relief
Ultrasound therapy My mother has been experiencing soreness and pain in her left thumb and wrist for two months and has been undergoing rehabilitation. She mentioned that she feels uncomfortable during the ultrasound treatment and seems to be resistant to continuing, so I would l...
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. I would like to address your question and provide the following suggestions: 1. During ultrasound therapy, the following factors may cause the patient to experience discomfort due to excessive acidity: A. Overdosing B. Prolonged applicatio...[Read More] How to Encourage Your Mom to Continue Ultrasound Therapy for Pain Relief
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 Surgery Necessary for Hallux Valgus? Exploring Rehabilitation Options
Hallux valgus Is surgery the only treatment for hallux valgus (bunion)? Can rehabilitation cure it? Thank you!
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: 1. Generally speaking, if hallux valgus (bunion) is too severe and alters your weight-bearing points while walking, it can lead to pain and deformity, and surgical intervention may be considered. 2...[Read More] Is Surgery Necessary for Hallux Valgus? Exploring Rehabilitation Options
Understanding Congenital Torticollis: Early Intervention and Rehabilitation Insights
Torticollis When my son was born, I noticed something unusual about his neck; his head always turned to the right. Whenever I gently helped him straighten or turn to the left, he quickly returned to the right. We took him to see a pediatrician, who diagnosed him with torticollis ...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, the exact causes of torticollis are still not fully understood, but it is important to check for other issues, such as cerebral palsy or other neurological disorders. 2. Rehabili...[Read More] Understanding Congenital Torticollis: Early Intervention and Rehabilitation Insights
Understanding Heel Pain: Is It Plantar Fasciitis?
Heel pain Hello, Director! My mother has to stand for 8 hours at work every day. She says that recently, after getting up in the morning, her heels hurt so much that she can't get out of bed and can't stand for too long. Could she be experiencing plantar fasciitis? Than...
Dr. Su Hongci Reply:
The function of the plantar fascia is to maintain the arch of the foot, allowing it to remain elastic and absorb the impact of ground reaction forces during running or jumping. The initial symptom of plantar fasciitis is a sudden, severe pain in the heel when getting out of bed i...[Read More] Understanding Heel Pain: Is It Plantar Fasciitis?
Rehabilitation Options for Post-Fracture Wrist Recovery
Radial fracture My mother fell two months ago, and an orthopedic surgeon placed a steel pin in her left radius. She has been very compliant with the doctor's instructions and has been diligently performing fist exercises at home. Last week, the external fixation pin was remo...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: After a fracture is stabilized, the surrounding tissues may become stiff. It is generally advisable to undergo rehabilitation therapy. Common treatments include...[Read More] Rehabilitation Options for Post-Fracture Wrist Recovery
Understanding Ultrasound Therapy Duration in Rehabilitation
Ultrasound The ultrasound treatment for thumb rehabilitation lasts only 3 minutes after applying the ultrasound gel. Is the ultrasound therapy limited to such a short duration? Thank you.
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. In practice, ultrasound therapy should not be considered based on "time," but rather on the "total dosage" delivered to the body and t...[Read More] Understanding Ultrasound Therapy Duration in Rehabilitation
Effective Rehabilitation Strategies for Ankle Pain and Discomfort
Foot pain Last week, I had an accident and injured my ankle, which has a wound. My foot hurts when I walk, and sometimes I experience cramping pain in my calf. My lower back feels very sore (without any wounds). I consulted an orthopedic doctor, but he said my bones are normal. W...
Dr. Xu Zhenrong Reply:
Hello, Ms. SUE. First of all, thank you for your inquiry. Ankle sprains are common sports or accidental injuries that often do not involve fractures or bone issues, and X-ray examinations may appear normal. This is usually a soft tissue injury (including tendons, bursae, ligament...[Read More] Effective Rehabilitation Strategies for Ankle Pain and Discomfort
Recovery After Radial Fracture: When to Start Rehabilitation?
Radial fracture Hello, Dr. Chen! My mother had a motorcycle accident and the orthopedic surgeon diagnosed her with a distal radius fracture. A steel pin was inserted into the radius, and the doctor mentioned that after external fixation, there would be no scarring. It has been 6 ...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following recommendations: 1. Generally speaking, on the third day post-surgery, you may begin light therapy and finger massage exercises. 2. One week after surgery, you can incorp...[Read More] Recovery After Radial Fracture: When to Start Rehabilitation?
Understanding Ultrasound Therapy: Duration and Pain Management Tips
Ultrasound Therapy Dear Doctor: How long can ultrasound therapy last? During the treatment, it feels very sore no matter how it's done. How can this be resolved? Thank you!
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, the treatment with ultrasound therapy typically lasts about five minutes, but it should be adjusted based on factors such as the size ...[Read More] Understanding Ultrasound Therapy: Duration and Pain Management Tips
Understanding Your Toddler's Bouncing Walk: When to Seek Rehab Help
Walking with a hop? My niece is three years old, and she walks with a hopping gait and often walks on her tiptoes. She frequently falls down, and I'm not sure what the issue might be. How should we seek medical attention?
Dr. Chen Xianchang Reply:
Hello Sir: Thank you for your inquiry. I would like to address your question and provide the following suggestions: 1. Generally speaking, it is advisable to first consult a rehabilitation specialist for an examination to determine if there is any tightness in the Achilles tend...[Read More] Understanding Your Toddler's Bouncing Walk: When to Seek Rehab Help
Managing Ear Joint Pain: Tips for Relief and Recovery
Preauricular joint pain? I have pain in the joint in front of my right ear, especially when biting down, and I have difficulty opening my mouth. What should I do?
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to address your questions and provide the following suggestions: 1. It may be due to inflammation of the temporomandibular joint (TMJ) ligaments. Generally, treatment can be sought from a rehabilitation specialist, and ultras...[Read More] Managing Ear Joint Pain: Tips for Relief and Recovery
Understanding Back of Hand Pain: Causes and Treatment Options
Pain in the back of the hand? Hello Doctor: I accidentally lifted something with a bit of weight, and suddenly my left hand felt like it went numb. It hurts a lot even with slight touch. Could I have injured a ligament? How should I handle this? Thank you!
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and recommendations: 1. It may be an injury to the "common extensor tendon" or the "extensor indicis tendon." During the acute phase characterized by pain, redness, and swelling, you can apply ice ...[Read More] Understanding Back of Hand Pain: Causes and Treatment Options
Understanding Finger Numbness: Causes and Rehabilitation Insights
Finger numbness Hello Doctor: My father has been working in a tea plantation for a long time, and his fingers often feel numb after harvesting tea leaves, to the point where he loses sensation. He underwent surgery at the end of last year, but he is still unsure about the exact d...
Dr. Chen Xianchang Reply:
Hello Sir: Thank you for your inquiry. Here are my responses and recommendations: 1. Your father may be experiencing carpal tunnel syndrome, which is caused by compression of the median nerve in the arm due to thickened ligaments and tendons, leading to numbness and even atrophy ...[Read More] Understanding Finger Numbness: Causes and Rehabilitation Insights