Understanding Shoulder Pain: Why Does My Mom's Frozen Shoulder Hurt After Treatment?
Frozen shoulder Hello, Director Chen! Today, on June 8th, I accompanied my mother to the rehabilitation department, where the doctor diagnosed her with frozen shoulder. She received an injection and underwent rehabilitation, but afterwards she felt very sore. The doctor had alrea...
Dr. Chen Xianchang Reply:
Hello, thank you for your inquiry. Here are my responses and recommendations: 1. Generally speaking, for adhesive capsulitis (frozen shoulder), steroid injections may be administered locally. It is important to aspirate before the injection to avoid hitting a blood vessel. If t...[Read More] Understanding Shoulder Pain: Why Does My Mom's Frozen Shoulder Hurt After Treatment?
Effective Treatment Options for Chronic Buttock Pain: Is Radiofrequency Ablation the Answer?
Hip pain Hello Dr. Su, I have been experiencing pain in my buttocks for over a year. The pain occurs only when sitting and is absent when I am not sitting. I have been diagnosed with Myofascial Pain and have undergone all forms of physical therapy, including heat therapy, tractio...
Dr. Su Hongci Reply:
Myofascial Pain Syndrome (MPS) is simply defined as the phenomenon of muscle pain in the skeletal muscles due to "overuse," along with various accompanying clinical symptoms. However, this condition is not an inflammatory response of the muscle itself; rather, it is cau...[Read More] Effective Treatment Options for Chronic Buttock Pain: Is Radiofrequency Ablation the Answer?
How to Effectively Use Pain Relief Ointments for Rehabilitation
Pain relief ointment Hello Director Chen! The "Muscle Relief" cream does not require heat application and can be applied anytime for immediate relief. In contrast, the "Non-Inflammatory" cream must be heated before application to experience the medication'...
Dr. Chen Xianchang Reply:
Hello: In response to your question and to provide suggestions, 1. Both are anti-inflammatory and analgesic ointments with the same active ingredient, containing 1% Diclofenac Sodium, but the formulations differ slightly. MusiGel contains a higher concentration of menthol-like in...[Read More] How to Effectively Use Pain Relief Ointments for Rehabilitation
Rehabilitation Options for Old Thumb Injuries: A Guide
Old injury of the thumb Hello, Dr. Chen! Several years ago, my mother fractured her right big toe when she missed a step while going down the stairs. She was taken to a plastic surgery hospital where the doctor performed a meticulous suturing surgery. After more than a decade, sh...
Dr. Chen Xianchang Reply:
Hello Ms. Wen-Juan: 1. In response to your question, if you have been experiencing pain for over a decade, it could potentially be due to rheumatic pain or gouty arthritis, and a differential diagnosis is necessary. For the latter, a blood test can be conducted to check the uri...[Read More] Rehabilitation Options for Old Thumb Injuries: A Guide
Effectiveness of Ultrasound Therapy for Carpal Tunnel Syndrome
Ultrasound Therapy Hello, Director! Regarding the treatment of carpal tunnel syndrome, during the 3-minute ultrasound therapy, I feel very sore and soft, and the dosage is consistently kept at the lowest level. Will this still achieve the desired therapeutic effect? Thank you!
Dr. Chen Xianchang Reply:
Hello, in response to your question, I would like to provide the following suggestions: 1. The general treatment dosage should be approximately 0.6 W/cm² to 1.5 W/cm². 2. If you feel that there is not much improvement or if the flexibility is insufficient, and you cannot overc...[Read More] Effectiveness of Ultrasound Therapy for Carpal Tunnel Syndrome
Effective Treatment Options for Trigger Finger: Can Ultrasound Help?
Trigger finger Hello, Doctor: I have been diagnosed with trigger finger, and treatments such as heat therapy and traction have been ineffective. I would like to ask if ultrasound therapy can be used to treat trigger finger? Alternatively, could you please provide me with methods ...
Dr. Chen Xianchang Reply:
Hello: In response to your question and to provide recommendations, 1. The appropriate treatment for trigger finger is heat therapy or infrared therapy, combined with ultrasound treatment. The typical ultrasound dosage ranges from 0.6 W/cm² to 1.5 W/cm², depending on the patient&...[Read More] Effective Treatment Options for Trigger Finger: Can Ultrasound Help?
Managing Wrist Pathology: Overcoming Challenges in Ultrasound Therapy
Wrist tunnel syndrome Hello Director Chen: I have carpal tunnel syndrome, and during ultrasound treatment, even at the lowest dosage, I always feel a lot of discomfort, making it impossible to proceed with the treatment. My wrist is naturally not improving. What should I do? Than...
Dr. Chen Xianchang Reply:
Hello, in response to your questions and to provide you with suggestions: 1. The form of ultrasound output can be adjusted. Continuous output tends to concentrate heat, which may lead to a sensation of acidity or discomfort; you may ask the therapist to switch to intermittent o...[Read More] Managing Wrist Pathology: Overcoming Challenges in Ultrasound Therapy
Managing Pain and Bruising After Skiing Injuries: Expert Tips
Skiing accident Hello, Director Chen! I went skiing in Japan and fell several times. Although I wore protective pants, I still ended up with bruises. After applying heat and using a non-steroidal anti-inflammatory ointment, it has been a week, and the hardness in my buttocks has ...
Dr. Chen Xianchang Reply:
1. Topical analgesic ointment and Heparin ointment (for bruising). 2. You can go to the rehabilitation department for ultrasound therapy, which can help reduce bruising and alleviate pain and swelling. 3. You can apply heat therapy at home.[Read More] Managing Pain and Bruising After Skiing Injuries: Expert Tips
Can Rehabilitation Help with Achilles Tendinitis Pain Relief?
Achilles tendonitis Hello Dr. Chen! My heel is unable to perform dorsiflexion due to swelling and pain, and it is very painful even with light pressure. The painful area is located 3 to 4 centimeters from the attachment site of the Achilles tendon. I have seen an orthopedic docto...
Dr. Chen Xianchang Reply:
1. You can go to the rehabilitation department for electrical stimulation and ultrasound therapy. 2. Soak in warm water at home. 3. Perform stretching exercises for the hamstrings regularly.[Read More] Can Rehabilitation Help with Achilles Tendinitis Pain Relief?
Can Rehabilitation Improve Knee Cartilage Degeneration and Muscle Atrophy?
Knee joint cartilage degeneration? Hello, Director Chen. After reviewing the orthopedic evaluation, the physician mentioned that there is cartilage degeneration in the knee joint, which has led to muscle atrophy in the thigh. Can rehabilitation improve this condition? Thank you!
Dr. Chen Xianchang Reply:
1. You can go to the rehabilitation department for shortwave and ultrasound therapy. 2. It is necessary to strengthen thigh muscle exercises to prevent atrophy, and electrical stimulation should be performed. 3. You may take medications such as glucosamine to slow down the de...[Read More] Can Rehabilitation Improve Knee Cartilage Degeneration and Muscle Atrophy?
Can Physical Therapy Help Treat Plantar Fasciitis from Prolonged Standing?
Plantar fasciitis Hello Dr. Chen! I have been suffering from plantar fasciitis due to prolonged standing at work. Can the rehabilitation department provide treatment for this? Thank you!
Dr. Chen Xianchang Reply:
1. You can start by using appropriate insoles and soft shoes, and reduce activities such as hiking or intense exercise. 2. Electrical stimulation and ultrasound therapy can be performed. 3. Engage in appropriate stretching exercises for the calf muscles. 4. Soaking in warm ...[Read More] Can Physical Therapy Help Treat Plantar Fasciitis from Prolonged Standing?
Effective Rehabilitation Strategies After Patellar Fracture Recovery
Patellar injury? Hello, Director Chen! I injured my left knee patella due to a fall and had it in a cast for 6 weeks. After the cast is removed, what would be the best way to rehabilitate? Thank you!
Dr. Chen Xianchang Reply:
1. If the wound is not healed, laser and ultrasound therapy (from the outside) can be used initially, along with strengthening exercises for the thigh muscles. 2. Once the wound has healed, hydrotherapy can be added to improve flexibility, gradually increasing weight-bearing on t...[Read More] Effective Rehabilitation Strategies After Patellar Fracture Recovery
Understanding Tennis Elbow: Symptoms, Treatment, and Proper Brace Use
Tennis elbow Hello Director Chen! When playing tennis, I always wear a tennis elbow brace on my right elbow, but recently I have been experiencing frequent soreness and pain, making it difficult to lift heavy objects or exert force with my right hand. Could this be tennis elbow? ...
Dr. Chen Xianchang Reply:
1. The elbow sleeve should be worn up to the elbow joint, which may slightly limit joint movement. 2. If there is soreness, it is advisable to refrain from vigorous exercise and lifting heavy objects. 3. You may visit the rehabilitation department for treatments such as paraffin ...[Read More] Understanding Tennis Elbow: Symptoms, Treatment, and Proper Brace Use
Managing Muscle Atrophy During Humerus Fracture Recovery
Humeral fracture Hello Director Chen: I have a humeral fracture in my right arm due to a car accident, located near the shoulder. Because there is still an open wound, the doctor can only use a sling for stabilization and cannot apply a cast. During the healing process, will ther...
Dr. Chen Xianchang Reply:
1. You can undergo laser therapy and electrical muscle stimulation in the rehabilitation department to accelerate healing and prevent atrophy. 2. Ultrasound therapy can increase tendon extensibility and prevent stiffness, while "active range of motion exercises" are ben...[Read More] Managing Muscle Atrophy During Humerus Fracture Recovery
Understanding Ultrasound Therapy for Elbow Injuries: Pain and Techniques Explained
Ultrasound Therapy Hello Doctor: I sustained a right elbow strain while playing baseball, so I underwent ultrasound therapy for rehabilitation. However, I experience significant soreness after each session. The therapist performing the rehabilitation often rotates the ultrasound ...
Dr. Chen Xianchang Reply:
1. Ultrasound utilizes quartz oscillation to generate longitudinal waves, producing a thermotherapeutic effect in deeper tissues. 2. The typical dosage of ultrasound is 0.5-1.5 watts per square centimeter, and it should be moved to prevent excessive heat accumulation. 3. A mi...[Read More] Understanding Ultrasound Therapy for Elbow Injuries: Pain and Techniques Explained
Can Rehabilitation Help with Heel Spurs? Exploring Non-Surgical Options
Bone spur Hello, Director Chen! I hope you don't mind my inquiry: Several years ago, while playing basketball, I occasionally felt that my heel did not make stable contact with the ground during jumps and runs. Over time, my heel has often hurt to the point where I can'...
Dr. Chen Xianchang Reply:
(1) Wear air-cushioned shoes or use specialized insoles. (2) Rehabilitation may include electrical stimulation and ultrasound therapy. (3) Avoid walking on health trails, as they can be too stimulating for the plantar surface. (4) Most cases do not require surgery.[Read More] Can Rehabilitation Help with Heel Spurs? Exploring Non-Surgical Options
Understanding Medications for Plantar Fasciitis: Pain Relief and Rehabilitation
Medication for Plantar Fasciitis Dear Doctor, I have been diagnosed with suspected plantar fasciitis (actually, not only is my heel painful, but the arch of my foot and even the area near my toes are also very painful). Typically, I experience pain that wakes me up in the mornin...
Dr. Zheng Shunping Reply:
In response to your question: Based on your description, plantar fasciitis is one possible cause, and it appears to be a more severe type. Additionally, it may also be related to fat pad syndrome or other autoimmune joint diseases. The examinations you have undergone are consider...[Read More] Understanding Medications for Plantar Fasciitis: Pain Relief and Rehabilitation
Managing Chronic Elbow Pain: Rehabilitation and Calcium Deposits Solutions
Rehabilitation, calcification Hello, Doctor: It has been six months since my elbow dislocation, and I experience significant pain during manual therapy with the rehabilitation therapist. My doctor advised me not to exert too much force, but the therapist insists that without forc...
Dr. Zhang Yuzhang Reply:
After a fracture or dislocation, joints may become stiff due to a period of immobilization. Rehabilitation is necessary to restore joint mobility gradually, during which some pain may be experienced. Generally, the limit should be a tight sensation or mild pain, while severe pain...[Read More] Managing Chronic Elbow Pain: Rehabilitation and Calcium Deposits Solutions
Effective Treatment Options for Pediatric Torticollis: Seeking Guidance
Treatment issues for pediatric torticollis? Dear Director Hsu, My child is 5 years and 9 months old and was diagnosed with torticollis (tilting to the left) at 5 months of age. We have consulted with rehabilitation specialists who performed a muscle ultrasound and found no fibro...
Dr. Xu Zhenrong Reply:
Hello Mr. Ma: Generally, patients with torticollis are affected by the sternocleidomastoid muscle. When this muscle is engaged, the face turns toward the opposite side while the head tilts toward the same side. For instance, if the left sternocleidomastoid muscle is affected, the...[Read More] Effective Treatment Options for Pediatric Torticollis: Seeking Guidance
Effective Home Remedies for Knee Pain: A Guide to Self-Rehabilitation
Knee pain, rehabilitation has been ongoing for nearly two weeks..? Hello, Doctor: At the beginning of July, my left knee started to hurt for no apparent reason (similar to muscle soreness). Since I often bump into things while walking, I didn't pay much attention to the brui...
Dr. Chen Xianchang Reply:
1. The most common knee injuries are patellar tendinitis and chondromalacia. Patients can visit regional hospitals for diagnosis using joint ultrasound, as X-rays cannot directly diagnose cartilage diseases. 2. Treatment options include shortwave therapy, ultrasound therapy, and...[Read More] Effective Home Remedies for Knee Pain: A Guide to Self-Rehabilitation