Understanding Ankle Coldness and Numbness: Is It a Disc Issue?
Cold and numb sensation in the ankle? Hello, doctor 👋 I would like to inquire about a recent issue I've been experiencing. For the past month, my ankle feels cold and eventually becomes numb after sitting for a long time. However, the symptoms disappear when I stand up and w...
Dr. Zhang Junwei Reply:
Rare.[Read More] Understanding Ankle Coldness and Numbness: Is It a Disc Issue?
Understanding Morning Fainting: When to Seek Medical Attention
My partner fainted in the morning? Around 8:00-9:00 in the morning, I had sexual intercourse with my girlfriend. Afterward, she went to the bathroom to clean herself and used hot water to wash her lower body. When she finished and was about to grab a towel, she suddenly leaned ag...
Dr. Zhang Junwei Reply:
Please go to a major hospital for an examination as soon as possible.[Read More] Understanding Morning Fainting: When to Seek Medical Attention
Managing Sciatica: Effective Strategies for Herniated Discs
Herniated disc In February 2021, I suffered an exercise-related injury that resulted in spinal damage and temporary paralysis of my lower body. I did not undergo surgery but received steroid treatment. After a year of rehabilitation, I returned to my administrative job. Recently,...
Dr. Lai Zhaokang Reply:
Hello: It is suspected that you have a lumbar disc herniation causing nerve compression, which leads to sciatica. The general treatment primarily involves conservative measures such as medication, rehabilitation, and exercises to stretch the lower back. If there is no improvement...[Read More] Managing Sciatica: Effective Strategies for Herniated Discs
Post-Head Trauma: When to Seek Neurological Care After Assault
Assaulted on the back of the head due to domestic violence? After being struck on the back of the head with a fist, there was immediate bruising and swelling behind the ear, along with pain at the top of the head and intermittent sharp pains. Dizziness was also experienced. Nearl...
Dr. Zhao Shaoqing Reply:
You can visit a neurosurgery clinic.[Read More] Post-Head Trauma: When to Seek Neurological Care After Assault
Understanding Sciatica: Symptoms, Causes, and When to Seek Help
Sciatica I have been suffering from lower back pain for at least two years without seeing a doctor. The pain comes and goes, and when I turn over in bed, I experience sharp pain from my lower back to my buttocks and thighs. Sometimes the pain is so severe that I am afraid to move...
Dr. Lai Zhaokang Reply:
Hello: The symptoms suggest sciatica, which is usually caused by lumbar spondylolisthesis or herniated discs that compress the nerves. However, to confirm the diagnosis, X-rays combined with MRI are needed. Considering that you are 30 weeks pregnant, it is generally recommended f...[Read More] Understanding Sciatica: Symptoms, Causes, and When to Seek Help
Understanding Post-Traumatic Subdural Hematoma Symptoms After a Car Accident
Intracranial hemorrhage due to a car accident? Hello, doctor. I would like to ask about a situation that occurred about a month ago. I suffered a traumatic subdural hematoma due to a car accident and was observed in the intensive care unit for a few days. After a CT scan of the b...
Dr. Zhang Junwei Reply:
It is not necessarily a blood clot; it may be a consequence of head trauma.[Read More] Understanding Post-Traumatic Subdural Hematoma Symptoms After a Car Accident
Understanding Lower Back Pain and Sweating in the Back of the Head
Lower back pain and sweating at the back of the head? Hello, doctor: A couple of days ago, I went out to play basketball with friends. During the first game, everything was fine, and there were no collisions. However, after a few minutes of resting between games, I started to fee...
Dr. Zhang Junwei Reply:
The issue of sweating is not related to neurosurgery.[Read More] Understanding Lower Back Pain and Sweating in the Back of the Head
Understanding Pain at the Tailbone: Causes and Implications for Sexual Health
Pain at the posterior edge of the buttocks? Hello doctor, I have a bruising pain at the posterior edge of my pelvis (the end of my spine), which is affecting my ability to achieve an erection. What could be the issue?
Dr. Zhang Junwei Reply:
Please schedule an appointment with the urology department.[Read More] Understanding Pain at the Tailbone: Causes and Implications for Sexual Health
Understanding Occipital Headaches: Causes and Concerns for Patients with Tumors
Occipital headache Hello doctor, I started experiencing pain in the back of my head around 3 PM this afternoon. Initially, it was mild, but it became more intense over time. When I was riding my bike around 5 PM, hitting a bump caused the pain to worsen depending on the situation...
Dr. Zhang Junwei Reply:
Take medication and rest for two days. If symptoms persist, it is recommended to seek an outpatient examination.[Read More] Understanding Occipital Headaches: Causes and Concerns for Patients with Tumors
Understanding Irregular Headaches: Symptoms, Causes, and When to Seek Help
Irregular headaches (right upper, frontal, etc.) Hello Doctor, I started experiencing persistent headaches last week. During the day, the headaches occur irregularly and in different locations. However, the right upper frontal area and the right lower temple are more common. I ha...
Dr. Zhao Shaoqing Reply:
You can visit the hospital for examination and evaluation.[Read More] Understanding Irregular Headaches: Symptoms, Causes, and When to Seek Help
Causes of Numbness and Tingling in the Heels: When to Seek Help
Tingling and prickling sensations in the heel? Recently, after sitting for about an hour, my heels start to feel numb and tingly. I also experience this numbness and tingling in my feet while sleeping, which wakes me up. What could be the possible causes, and which specialty shou...
Dr. Lai Zhaokang Reply:
Hello: The possible diagnoses are 1. plantar fasciitis or 2. lumbar radiculopathy extending to the heel, or 3. other conditions. You may consult 1. neurosurgery, 2. orthopedics, or 3. rehabilitation medicine for further evaluation. Wishing you a speedy recovery. By Dr. Lai Chao-K...[Read More] Causes of Numbness and Tingling in the Heels: When to Seek Help
Should You See a Doctor After a Minor Head Injury?
Hit the side of the head? Two days ago, I slipped while getting out of bed and hit the side of my head (near the ear) against the bedside table. I was very close to the table when I hit it, and the sound was quite loud. At the moment of impact, I was fully conscious and didn'...
Dr. Zhang Junwei Reply:
You may continue to monitor the situation, but if symptoms worsen, please seek medical attention promptly.[Read More] Should You See a Doctor After a Minor Head Injury?
Understanding Hydrocephalus Diagnosis and Lumbar Surgery Concerns
Diagnosis of hydrocephalus and issues related to lumbar abdominal surgery? Hello, Doctor. My mother has been experiencing frequent falls over the past two years, with two incidents where she hit the back of her head. For the past six months, she has felt weakness in her legs, and...
Dr. Zhang Junwei Reply:
A lumbar drainage test can confirm whether the symptoms are caused by hydrocephalus.[Read More] Understanding Hydrocephalus Diagnosis and Lumbar Surgery Concerns
Head Injury and Numbness in Fingers: When to Seek Medical Attention?
Numbness in the hand after a head injury? Hello, doctor. A week ago, I hit my head (on the right side), and two to three days later, my left hand's ring and little fingers started to feel numb. Is there a connection between these issues? Should I see a doctor? Thank you.
Dr. Zhang Junwei Reply:
It appears to be unrelated; further observation is recommended. If symptoms worsen, please seek medical attention promptly.[Read More] Head Injury and Numbness in Fingers: When to Seek Medical Attention?
Visiting a Neurosurgery Clinic: What You Need to Know
Inquiry about the issue? Hello Dr. Lai: Recently, I had something on my mind and thought about visiting your clinic. Since it has been a long time since I last visited Changhua Hospital, I am unsure about the current regulations at the hospital. For example, do I need to present ...
Dr. Lai Zhaokang Reply:
Hello: After September 1st, the government has relaxed the regulations for entering and exiting hospitals. I apologize for the delayed response; I have been busy with work and just found time to check my inbox today. Wishing you health and safety. Best regards, Dr. Lai.[Read More] Visiting a Neurosurgery Clinic: What You Need to Know
Risks of Early Ear Stone Repositioning After C5-C6 Disc Surgery
C5-C6 artificial disc replacement and otolith repositioning procedure? Hello, Doctor. At the end of last month, I underwent cervical spine surgery at the C5-C6 level due to bone spurs and a herniated disc, and I had an artificial disc implanted. This month, I had a canalith repos...
Dr. Lai Zhaokang Reply:
Hello: If the procedure is performed gently and with a protective neck collar, it is still feasible to treat the condition of benign paroxysmal positional vertigo (BPPV) by professional medical staff. Please continue to follow up! Wishing you health and safety. By Dr. Lai Chao-Ka...[Read More] Risks of Early Ear Stone Repositioning After C5-C6 Disc Surgery
Post-Operative Care for Artificial Disc Replacement Surgery
Postoperative Care for Artificial Disc Replacement How many days do patients typically need to stay in the hospital after artificial disc replacement surgery? What precautions should be taken in daily life after discharge? How long after discharge can patients drive to work?
Dr. Lai Zhaokang Reply:
Hello: Generally, the postoperative hospital stay is 2 to 3 days, focusing on wound care. The key point in postoperative care is to ensure that the cervical collar is worn properly. There are not many restrictions on daily activities. I usually advise patients that if the wound i...[Read More] Post-Operative Care for Artificial Disc Replacement Surgery
Neck and Back Issues After a Motorcycle Accident: What You Need to Know
Cervical and lumbar spine issues after a car accident? A month ago, I was in a motorcycle accident where a motorcycle suddenly came out in front of me. I braked hard, and both myself and the motorcycle fell to the right, with my body impacting the ground on the right side, includ...
Dr. Zhang Junwei Reply:
If you continue to feel unwell, please return to the outpatient clinic for an examination. Without detailed imaging studies, we cannot provide an answer.[Read More] Neck and Back Issues After a Motorcycle Accident: What You Need to Know
Understanding Intracranial Aneurysms: Challenges and Treatment Options
Intracranial vascular tumor The patient has suffered from an aneurysm compressing the brainstem, resulting in severe flattening of the brainstem. Upon seeking help from a certain hospital, the doctor indicated that there was no intention to treat the aneurysm and only removed a o...
Dr. Zhang Junwei Reply:
Without detailed imaging reports and neurological examinations, it is not possible to provide an answer.[Read More] Understanding Intracranial Aneurysms: Challenges and Treatment Options
Understanding Head Injuries: When to Seek Medical Attention
Head trauma Hello, doctor. About a month ago, I hit my forehead, and there was a large swelling on my head. A month later, it still hurts, and the pain has even spread to my ear. There was a moment when I couldn't see out of one eye, and my ear was slightly hard of hearing. ...
Dr. Zhang Junwei Reply:
If you experience persistent headaches, please visit the neurosurgery outpatient clinic for an evaluation.[Read More] Understanding Head Injuries: When to Seek Medical Attention