Dr. Tsai C. Chao, M.D.

Tingling muscle pain in the arm can be caused by various conditions, including nerve compression (such as cervical radiculopathy, or carpal tunnel syndrome), nerve damage, poor circulation, or specific diseases like diabetes or multiple sclerosis. Vitamin deficiencies and certain medications might also contribute to these sensations. It's crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment, as the underlying causes can vary widely and may require specific interventions.

Shoulder joint pain can result from various issues, such as muscle sprains and strains, shoulder impingement, rotator cuff injuries, frozen shoulder, osteoarthritis (OA) of the shoulder, or ligament tears. Given the wide range of potential causes, it's difficult to provide a specific answer without more information. Treatment can vary significantly depending on the underlying condition, ranging from rest and physical therapy to medication or surgery. It's important to consult with a medical professional who can perform a thorough examination, possibly including imaging tests, to accurately diagnose the cause of your shoulder pain and recommend the appropriate treatment plan.

Yes, physical therapy is highly beneficial for treating sports injuries, including back injuries. It involves a thorough assessment to tailor a treatment plan that can reduce pain and inflammation through techniques like manual therapy and therapeutic exercises, restore mobility, strengthen muscles to support the spine, and provide education on posture and ergonomics to prevent future injuries. Our goal is to alleviate symptoms, equip you with tools for a healthy lifestyle, and prevent reinjury, ensuring a swift return to the activities you enjoy. If you're experiencing a sports-related back injury, we encourage you to reach out for a consultation to embark on your journey to recovery.

Physical therapy may be helpful in managing chronic ankle pain, but it is crucial for the patient to receive a correct diagnosis first. Ankle pain can be caused by various reasons, and an accurate diagnosis is essential to tailor the treatment effectively. Through targeted exercises, manual therapy, and education on proper foot mechanics, physical therapy aims to strengthen the ankle, improve flexibility, and reduce pain. If chronic pain persists despite these efforts, advanced regenerative treatments, such as Platelet-Rich Plasma (PRP) therapy, may be considered. PRP therapy uses a concentration of the patient's own platelets to promote the healing of injured tendons, ligaments, muscles, and joints. Consulting with a healthcare provider can help determine the most appropriate treatment options based on the specific cause of your ankle pain.

Physical therapy is a primary and effective treatment for herniated discs, often producing better results than surgery or pain medications. It includes a variety of techniques such as the McKenzie Method, which is particularly known for treating radiculopathy symptoms related to herniated discs. Physical therapists perform evaluations to assess symptoms and movement quality, and they tailor treatment plans that may include strengthening exercises, manual therapy, posture training, and pain management techniques like heat and cold therapy. While physical therapy successfully manages many cases of herniated discs, severe conditions might require collaboration with physicians for further diagnostic testing or treatment.

While many patients with a bulging disc may not experience symptoms, those who do can often find relief through therapeutic exercises. A bulging disc can lead to discogenic lower back pain, which may be effectively managed with specific exercises, such as McKenzie lumbar extensions and abdominal strengthening routines. These exercises aim to alleviate pain and improve spinal stability. Additionally, swimming is considered an ideal form of exercise for this type of lower back pain, as it provides a low-impact way to strengthen back muscles and improve flexibility without placing excessive strain on the spine. This approach to exercise, focusing on targeted movements and low-impact activities, can be instrumental in managing symptoms and improving overall back health for those suffering from discogenic lower back pain.

Ankle sprains can benefit from specific physical therapy exercises to aid in recovery and rehabilitation. It's important to note that the specific exercises should be determined by a healthcare provider or physical therapist, as they can customize a plan based on the severity of the sprain and individual needs. The general exercises commonly used in ankle sprain including range of motion, strength-building exercises, balance and proprioception exercises, stretching exercises, resistance band exercises etc. Please remember, it's crucial to consult with a healthcare provider or physical therapist to create a personalized plan tailored to your specific needs and recovery stage. They can guide you through these exercises safely and effectively to promote healing and regain full ankle function.

The appropriate treatment for elbow pain largely depends on the underlying cause of the pain. Common treatments include rest, ice, compression, elevation (RICE), over-the-counter pain relievers, physical therapy, and in some cases, medical interventions such as injections or surgery. However, it's essential to consult a healthcare professional to get an accurate diagnosis and tailored treatment plan.

In recent years, regenerative medicine has emerged as a potential treatment option for elbow pain. This field includes treatments like Platelet-Rich Plasma (PRP) injections, which harness a combination of growth factors to stimulate the body’s own healing mechanisms to repair damaged tissues. These treatments have shown promise in treating various musculoskeletal conditions, including elbow injuries. They may be particularly beneficial if your elbow pain is due to tendon or ligament damage.

It's advisable to consult with a healthcare provider who can provide personalized advice based on your individual circumstances and help determine if regenerative medicine, or other treatment options, are right for you.

Best regard.

Tsai Chao MD

It is quite common for physical therapy to be recommended following a broken ankle to aid in the healing process, restore function, and prevent future injuries. However, the necessity and extent of physical therapy can vary depending on the severity of the fracture, the specific bones involved, and your overall health. It's crucial to follow the advice of your healthcare provider, who can provide personalized recommendations based on your individual circumstances. They may refer you to a physical therapist who will design a rehabilitation program tailored to your needs, which may include exercises to improve strength, flexibility, and balance, as well as techniques to reduce pain and swelling.

Best regards.


Tsai Chao

It's important to know that while physical therapy aims to relieve pain and improve function, some discomfort can be a part of the healing process. The intensity can vary depending on the specific condition being treated and your personal pain threshold. However, the treatment goal is always to ensure that any discomfort is manageable and within safe limits. During your sessions, it's crucial to communicate openly with your therapist about how you're feeling. This communication allows therapist to adjust the therapy as needed to ensure it's both effective, and comfortable for you.

Dear Patient, Physical therapy is a crucial part of recovery after shoulder surgery, and it plays a significant role in helping you regain strength and mobility in your shoulder. It's important to understand that while physical therapy is designed to promote healing and improve function, you may experience some discomfort during the process. The level of pain or discomfort during physical therapy can vary depending on several factors, including the type of surgery you had, your general pain tolerance, and the specific exercises and techniques used in your therapy sessions. Physical therapists are trained to work within your pain thresholds and will adjust the therapy program to ensure it's both effective and tolerable for you. In the initial stages post-surgery, the focus of physical therapy is often on gentle exercises to reduce stiffness and improve range of motion. As you progress, the exercises may become more challenging to build strength. It's normal to experience some soreness as your muscles are being worked and stretched in ways they may not have been used to, especially if your shoulder was immobilized for a time after surgery. Best regard Tsai Chao MD

Dear Patient, Shoulder pain can have various causes, so it's crucial to get a proper diagnosis from a healthcare provider. In the meantime, you can try some self-care measures that may help alleviate discomfort: Rest: Avoid activities that worsen the pain and give your shoulder time to heal. Ice: Applying an ice pack for 15-20 minutes at a time can reduce inflammation. Compression: You can use a shoulder brace or bandage to provide support. Elevation: Keeping your shoulder elevated can reduce swelling. Over-the-counter pain relievers: Non-prescription pain medications like ibuprofen or acetaminophen may offer temporary relief. However, consult your doctor before taking any medication. Gentle exercises: Once your healthcare provider approves, they may recommend specific exercises to strengthen and rehabilitate your shoulder. Best regard Tsai Chao

Dear Patient, The timing for starting physical therapy after back surgery varies depending on the type of surgery, the surgeon's recommendations, and your individual recovery progress. In many cases, physical therapy may begin within a few days to a few weeks after surgery. However, it's essential to follow your surgeon's instructions closely and wait for their guidance on when it's safe and appropriate to start physical therapy. They will consider factors such as the surgical procedure performed, your overall health, and the specific goals of your rehabilitation to determine the most suitable timing. Best Regard Tsai Chao MD

Dear Patient, Physical therapy is often recommended after a discectomy, but the decision should be made in consultation with your surgeon and healthcare team. Physical therapy can be beneficial in helping you regain strength, mobility, and function after the surgery. It can also aid in preventing complications and supporting your recovery. However, the timing and extent of physical therapy will depend on your individual condition, the surgical approach used, and your surgeon's recommendations. It's essential to discuss your post-operative care plan with your surgeon, and they can provide guidance on whether physical therapy is appropriate for your specific case. Best regard Tsai Chao MD

Hello, The duration of physical therapy after a hip fracture can vary depending on several factors, including the severity of the fracture, individual recovery progress, and the recommendations of your healthcare team. Typically, post-hip fracture physical therapy can last anywhere from a few weeks to several months. It aims to help you regain strength, mobility, and independence in your daily activities. Your physical therapist will work with you to create a personalized treatment plan and will continually assess your progress. They will gradually adjust the therapy duration based on your improvement. It's essential to follow your therapist's guidance and continue with any recommended exercises at home to optimize your recovery. Your healthcare provider can provide specific information regarding the expected duration of your physical therapy based on your unique circumstances. Best regard. Tsai Chao MD

Dear Patient: The type of brace you receive after knee surgery depends on the nature of the surgery and your surgeon's recommendations. There are several types of knee braces available, including post-operative knee braces, hinged knee braces, and compression sleeves. Post-operative knee braces are commonly used to provide stability and support immediately after surgery, especially for procedures like ACL reconstruction. Hinged knee braces offer more flexibility and are often used during the later stages of recovery to protect the knee while allowing controlled movement. The specific brace you receive will be determined by your surgeon to ensure it aligns with your surgical procedure and your individual needs. It's essential to follow your surgeon's instructions regarding brace usage and rehabilitation to promote a successful recovery. Best regard. Tsai Chao MD

Dear Patient, Quickly fixing shoulder pain depends on its cause and severity. If you've recently injured your shoulder, applying ice and resting it can help reduce initial inflammation and pain. Over-the-counter pain relievers may provide temporary relief. However, it's crucial to consult a healthcare provider for a proper diagnosis and tailored treatment plan. They may recommend exercises to strengthen and stabilize the shoulder, physical therapy, or other interventions. In some cases, more advanced treatments like corticosteroid injections or regenerative therapies such as PRP (Platelet-Rich Plasma) injections can offer effective and quicker relief. Remember that seeking professional guidance is the best approach to address your specific shoulder pain and ensure a speedy recovery. Best regard. Tsai Chao MD

Dear Patient, Relieving chest bone pain typically depends on its underlying cause. If you're experiencing chest bone pain, it's essential to consult with a healthcare provider for a proper diagnosis. Chest pain can be caused by various factors, including musculoskeletal issues, heart conditions, or gastrointestinal problems. Once the cause is determined, appropriate treatment options can be recommended. In some cases, over-the-counter pain relievers may help alleviate discomfort, but it's crucial to address the root cause with your healthcare provider to ensure the most effective and safe treatment for your specific condition. Always seek medical advice when dealing with chest pain to rule out any serious issues. Best regards Tsai Chao MD

While chiropractic care might provide relief for certain spinal misalignments, it's important to understand that the concept of "straightening" the spine is more complex. Here are some key points:
Individual Assessment: Spinal alignment can be affected by various factors, including posture, muscle imbalances, congenital conditions, or injury. A chiropractor would need to evaluate your specific situation to determine the best course of treatment.
Temporary Relief: Chiropractic adjustments may offer temporary relief from pain or discomfort associated with misalignments. However, it might not provide a permanent solution to the underlying issue, especially if it's related to chronic conditions, such as scoliosis.
Complementary Treatment: Often, spinal care requires a multidisciplinary approach, involving not only chiropractic care but also physical therapy, exercise, ergonomic considerations, and sometimes medical interventions. Your treatment plan might involve collaboration between different healthcare providers.
Potential Risks and Benefits: While many find relief through chiropractic care, it's not suitable for everyone. Certain spinal conditions may not respond to or might be worsened by chiropractic manipulation. It is essential to discuss your specific symptoms, medical history, and goals with a healthcare provider to understand the potential risks and benefits.

Please consult a healthcare provider before seeking chiropractic care.

As a physician, I can provide you with general information about the recovery timeline for a broken ankle surgery. However, please note that individual recovery times can vary depending on various factors, including the severity of the injury, the type of surgery performed, and the individual's overall health and adherence to the rehabilitation process. It is always best to consult with your own healthcare provider for personalized advice.