Many patients are unable to go to the hospital for various reasons, which requires our mobile medical platform to help people solve their problems. However, there are often problems that we see and then have the intention to help, but are unable to do so. Some common ones are: I sprained my foot, what should I do? I had knee surgery, when will I be able to walk normally? My shoulder hurts, and it’s been recurring for years, what do you think is wrong? The list goes on and on. Such inquiries and questions are too difficult for medical professionals to answer! Because, without the information we need to know, it is really impossible to judge and advise. So, how can we get more meaningful advice without being able to check and evaluate face-to-face? It is to ask the questions clearly and tell the story of your situation in a way that allows the doctor receiving the consultation to make the most accurate speculation and reasonable judgments and meaningful recommendations possible based on the situation. The first thing to explain is that rehabilitation is a rather special medical discipline, unlike certain problems where there are objective indicators from clinical examinations, and the doctor can know whether the data is high or low when you tell him the data. For example, if you tell the doctor that your temperature is 38.2°C, then the doctor can know that you have a fever. In rehabilitation, I often hear patients ask, “Doctor, my knee is swollen, what should I do? Or what’s wrong? This problem of swelling is different from the problem of body temperature. Body temperature is an objective indicator, and as long as the thermometer is okay, the majority of people can take the temperature more correctly and get a relatively objective and credible indicator. What about “swelling”? We often encounter patients describing how badly they are swollen, and when they roll up their pants to check their body, they find that there is only a little swelling, which is a normal manifestation of this stage and within the normal range. This is because the patient is using his good leg as a reference in comparison, and the doctor is using the state that should be at this stage, while referring to the original experience, and the individual differences of this patient in judgment. So different conclusions will be drawn. “I’m very swollen” “You’re not very swollen, it’s quite normal, basically this is the reaction”. During the face-to-face examination, this different conclusion can be explained clearly, and the doctor and patient can understand what is going on after the exchange. What about the questions on the Internet? You can only say “the swelling is great” and I can guess “how great is your swelling”. The advice from the “guess”, naturally, can not be very targeted, only to suggest a general direction. Then, there is the question that has absolutely no antecedent or consequence. For example, the previous example: “I have shoulder pain that has been recurring for years, what do you think is the problem?” Not to mention that rehabilitation is a discipline that requires special examination and evaluation, even if it is a medical condition, no doctor can know what is wrong! “Doctor, my body temperature is 38.2℃, what do you think is wrong with me?” I guess no doctor can guess! There are many similar questions, all resulting in the inability to judge and advise, so there is no need to give examples here. It is better to talk about how to ask questions that can be more clear and understandable, so that the rehabilitation therapist or physician can make better judgments and give truly constructive advice, to achieve the meaning of asking questions through the Internet consultation. Must say the following points: 1, don’t and age: different sexes have different injuries and diseases, and the physiological and psychological mechanisms are not exactly the same, this is well understood, so it is necessary to say the gender! Age, the body’s physique changes greatly at different ages, it is difficult to judge without knowing the age. For example, in the case of heel pain, young men will definitely consider sports injuries first; in the case of middle-aged and older women, the first consideration is heel pain caused by osteoporosis. If you really feel that age is personal privacy, at least say an age range, such as early 40s, between 20-25 and so on. 2, the cause of the injury: walking broken foot, and playing basketball when landing directly sprained, and playing soccer when the ankle is directly shoveled to the ball, is certainly a different level of injury level. So the clearer and more specific the description, the better. It is best to describe the action at the time of injury, which may have direct significance for diagnosis! The same shoulder pain, no obvious reason, little by little more and more pain, age above 45 years old, the first consideration is primary frozen shoulder; the same shoulder pain, is a young fitness enthusiast, a certain practice after the flying bird action began to hurt, rest on better, practice on pain, then we should consider is the shoulder joint such as rotator cuff or glenoid labrum injury or the like. 3. Disease duration: How long has the injury lasted? How long after surgery? Without the duration of the disease, it is impossible to determine what stage it is in, so it is impossible to determine whether it is normal or not. A one-foot-long fish, does it grow normally? If it was only hatched for half a month and grew to a foot long, that is a miracle, if it grew for five years of a carp, that is a problem did not grow. 4, the diagnosis of the injury, and the specific name of the surgery: the more detailed and accurate the better! “I twisted my foot, now it does not hurt, you see what to practice?” I really don’t know this! Because I don’t even know what your problem is. Is it a contusion of the soft tissue of the ankle? Is it a ruptured ligament? Or is it a fractured bone that is now healing? Treatment and exercises are different, and without knowing, I can’t, much less dare, answer casually. The same is true for ACL reconstruction of the knee, ACL reconstruction, there are patellar tendon middle third done, there are N cord tendon reconstruction, there are allografts, and there is a difference between single bundle and double bundle surgical approaches. Meniscus surgery includes revision, excision, partial excision, suturing, grafting, etc. When asking about surgery, it is best to present all the words in the surgical record to understand how the surgery was performed and the details. If you are not a professional, it is difficult to describe the surgery clearly by yourself, so it is better to repeat the surgery record directly to be accurate and convenient. 5. What treatments and exercises have been done: the time and number of times, the response to the exercises, and the results of the exercises, all of which should be clearly stated. This way you can know, your current state, which is the reaction after the injury surgery, which is the reaction after treatment. At the same time to know, which exercises or treatments are effective, how to adjust, which is not effective do not have to continue. 6, for the state of the limb, non-professionals are difficult to describe clearly in words, then you can use the image, such as taking a photo, especially the healthy side of the affected side of the comparison of the photo, it can clearly reflect the affected side of the local situation. For example, swelling, skin color, bony markings, joint contours, etc., can be clearly seen. For example, if you have had knee surgery on one side, you can take pictures of the knee joint of both legs together, so that you can compare the affected side with the healthy side. Of course, if you feel that local photos are also private and you don’t want people to see them, you can ignore this article and try to make it clear with words. 7, for a variety of test reports, imaging test results, a variety of X-ray MRI CT films and so on, can be photographed and sent up, can be more intuitive for doctors therapists to read directly. Patients look at the film, mainly to see what is written on the report card, while we are to see the film itself, the report card is a reference. When taking pictures, remember to cover the name and so on can not expose privacy, after all, through an arm or leg X-ray, you can guess who is being photographed, or very impossible to achieve superpower. Several of the above if you can provide more accurate and complete information, I believe that for doctors and therapists, there will be more basis for judgment. Of course, the biggest problem with asking questions on the Internet is that you cannot get accurate information through physical examination, such as swelling, whether it is the swelling of joint fluid, a fluctuating feeling in the joint, or the harder swelling of tissue edema? It is impossible to know without feeling the swelling by hand, and even if we ask the patient himself, the patient cannot replace the medical worker to examine the swelling, because in addition to the knowledge of all the techniques, we must have the “feeling”, that is, after examining many people, we have the memory of the feeling of normal and abnormal tissues, and we have the feeling in our hands, in order to help judge. Therefore, for rehabilitation, consultation through the Internet can provide as much speculation as possible based on theory and experience, but it is really difficult to make an accurate diagnosis and evaluation. The advice given is in principle, indicative, and directional, and it is difficult to give very specific and accurate answers such as “how much load to use”, “how many sets of exercises”, or “I think there is basically no possibility of adhesions”. It is difficult to give very specific and accurate answers. I hope that the majority of patients through my article, can understand some relevant knowledge, know how to get more accurate advice through the network consultation, better through the network to get help!