Understanding Cervical Spine Lesions: Are They Tumors or Abnormalities?
Neck issues? Hello Doctor: Recently, the X-ray results from my health check-up showed a 2.4 cm lesion in my cervical spine. I have already scheduled an appointment with orthopedics for October, but I am still concerned and would like to ask if a 2.4 cm cervical spine lesion indic...
Dr. Zhang Junwei Reply:
This should be abnormal! It is not necessarily a tumor.[Read More] Understanding Cervical Spine Lesions: Are They Tumors or Abnormalities?
Understanding Seizure Management: When to Seek Neurological Care
Epilepsy issues Hello, doctor. Here's the situation: I had an accident in the third grade, which resulted in hemiplegia and I have epilepsy that is being managed with medication. It has been well controlled, but in the past three months, I have experienced around 10 seizures...
Dr. Lai Zhaokang Reply:
Hello: It is recommended to consult a neurosurgeon or neurologist again, informing them of your recent recurrent episodes. Please have the doctor evaluate whether further follow-up with a CT scan or EEG is necessary, and perhaps medication adjustments may also be needed. Best wis...[Read More] Understanding Seizure Management: When to Seek Neurological Care
Abnormal Skin Sensation Below the Knee: Causes and Treatment Options
Abnormal skin sensation in the muscles below the knee? Hello, recently while doing yoga, I experienced a pulling sensation below my knee, followed by persistent pain for several days. Additionally, I have been feeling abnormal sensations in my muscles and skin; in certain areas, ...
Dr. Lai Zhaokang Reply:
Hello: It is suspected that the soft tissues around the knee joint, such as ligaments and tendons, may have been overstretched and are inflamed. It is recommended to consult with a neurosurgeon, orthopedic surgeon, neurologist, or rehabilitation specialist. Wishing you a speedy r...[Read More] Abnormal Skin Sensation Below the Knee: Causes and Treatment Options
Understanding Tarlov Cysts: Urinary Issues and Neurological Concerns
There is a 2 cm Tarlov cyst at the S1-S2 level? Three years ago, I fell and landed on my buttocks, after which I discovered a cyst measuring 2.x cm at the S1-S2 level of my spine. I consulted a doctor who diagnosed it as a Tarlov cyst, and I have been under observation since then...
Dr. Zhao Shaoqing Reply:
A 2 cm tumor on the vertebra may cause symptoms if there is pressure, leading to the need for hospitalization for examination and evaluation. If there are issues with bowel or bladder function, it is recommended to visit an outpatient clinic to assess the possibility of surgery.[Read More] Understanding Tarlov Cysts: Urinary Issues and Neurological Concerns
Could a Brain Tumor Cause Leg Numbness and Low Blood Pressure?
Does a brain tumor affect "numbness and tingling in the legs" and "low blood pressure"? Hello Dr. Chang, my father is 61 years old. Last July, he began experiencing tingling and numbness in his feet and calves, like being pricked by needles. An MRI determined ...
Dr. Zhang Junwei Reply:
Without detailed physical examination and imaging reports, it is not possible to determine if there is a correlation.[Read More] Could a Brain Tumor Cause Leg Numbness and Low Blood Pressure?
Understanding Throat Pain: Possible Causes and Concerns After Tonsil Surgery
Throat issues Hello Doctor, I would like to consult you. I have been experiencing a sensation of a foreign body and sharp pain in my throat and pharyngeal wall (the area from the uvula down to the deep throat) for the past three months. Additionally, I have pain on the left side ...
Dr. Zhang Junwei Reply:
This is not a neurology issue; you should seek assistance from another otolaryngologist.[Read More] Understanding Throat Pain: Possible Causes and Concerns After Tonsil Surgery
Understanding Head Trauma: When to Seek Medical Attention After Injury
Head trauma Hello Director Zhang: A friend of mine accidentally hit their forehead on the right side with a metal pipe at work, resulting in a laceration that required three stitches. It has been four days since the incident, and although there are no symptoms of vomiting or dizz...
Dr. Zhang Junwei Reply:
If there are no persistent headaches or dizziness, continue to monitor the situation. If there are any other severe discomforts, please schedule an appointment with the neurosurgery clinic.[Read More] Understanding Head Trauma: When to Seek Medical Attention After Injury
Understanding Nerve Injury Risks from Ultrasound-Guided Injections
Concerns about nerve injury from injections? Hello, doctor. I underwent a nerve hydrodissection injection in both elbows at a private clinic in early August 2021, using ultrasound guidance. After the needle was inserted, I experienced a more intense stabbing pain in my right hand...
Dr. Lai Zhaokang Reply:
Hello: Theoretically, there is a high chance that it will gradually improve and disappear. Wishing you a happy Mid-Autumn Festival. // Dr. Lai Chao-Kang, Neurosurgery[Read More] Understanding Nerve Injury Risks from Ultrasound-Guided Injections
Managing Disc Herniation Pain: Tips for Better Sleep and Comfort
Herniated disc, discomfort is worse when lying down? Hello, doctor. My height and weight are 177 cm and I started rehabilitation at 138 kg, currently around 125.8 kg. I have previously worked in heavy lifting and experienced a pelvic tilt after hitting a pothole while riding a bi...
Dr. Lai Zhaokang Reply:
Hello, it seems that your condition has significantly disrupted your daily life, leading to a decline in quality of life. If conservative treatments such as medication, rehabilitation, physical therapy, stretching exercises, rest, and weight loss have not resulted in improvement,...[Read More] Managing Disc Herniation Pain: Tips for Better Sleep and Comfort
Post-Vaccine Neck Pain: Is It Safe to Take Muscle Relaxants?
Vaccination and cervical pain? Hello, doctor. I would like to ask if it is appropriate to take muscle relaxants after receiving the AZ vaccine (administered on September 20). A few days ago, I visited a doctor due to neck pain, and the doctor prescribed me Solaxin and Acemet Reta...
Dr. Lai Zhaokang Reply:
Hello: If these medications were effective for you originally and did not cause any side effects, you can take them again if you experience a recurrence of pain and other symptoms. Best wishes, Dr. Lai Chao-Kang, Neurosurgeon.[Read More] Post-Vaccine Neck Pain: Is It Safe to Take Muscle Relaxants?
Understanding Temporal Hollowing and Pain: Causes and Concerns
Sunken temples, stabbing pain, and visible veins? Hello, doctor. I have a noticeable indentation at the left temple area. When I press on the temple, there is a distinct groove that extends up to my forehead, and I can see a prominent bluish discoloration. When I touch it, there ...
Dr. Zhang Junwei Reply:
It should be the venous vessels and their grooves; if there are any issues, you can visit the neurosurgery outpatient clinic for an examination.[Read More] Understanding Temporal Hollowing and Pain: Causes and Concerns
Understanding the Risks of Multiple Concussions and Cognitive Decline
Multiple concussions Hello doctor, I have had four concussions in the past two years (the most recent one was in early August), and I am still experiencing issues with attention, judgment, and memory. I am currently taking Micronutrients. Can you tell me if my risk of developing ...
Dr. Zhao Shaoqing Reply:
Hello: After a head injury, there is a higher likelihood of future brain atrophy. If you experience issues with attention, judgment, or memory after discharge, we recommend that you follow up with the Neurosurgery outpatient clinic at our hospital. The Ministry of Health and Welf...[Read More] Understanding the Risks of Multiple Concussions and Cognitive Decline
Post-Discectomy Recovery: Understanding Symptoms and Timeline for Healing
Postoperative care for herniated disc surgery? I have a problem with disc compression, experiencing lower back pain, tightness in my left leg, and numbness in my left toes. Six months ago, I underwent a lumbar disc decompression surgery (L5-S1) without fixation or implant, just p...
Dr. Lai Zhaokang Reply:
Hello: As you mentioned, it has been six months. If there is limited improvement, please ask the physician to arrange another MRI evaluation. Best wishes, Dr. Lai Chao-Kang, Director of Spine Surgery, Changhua Hospital.[Read More] Post-Discectomy Recovery: Understanding Symptoms and Timeline for Healing
Self-Inflicted Head Injury: Risks and Recovery Tips
I hit myself hard near the temple? Hello, Doctor. On August 14, I hit my right temple (near the temple) very hard out of anger. At that time, I did not experience vomiting, loss of consciousness, or swelling. I immediately applied ice for three days. I am quite anxious, and this ...
Dr. Zhao Shaoqing Reply:
Hello: There may be symptoms of a mild concussion. If there is right-sided brain hemorrhage, the likelihood is higher within three days; after three days, the probability decreases. If symptoms worsen, a consultation with a neurosurgeon is recommended for evaluation.[Read More] Self-Inflicted Head Injury: Risks and Recovery Tips
Understanding Cervical Spine Issues: Displacement vs. Bone Spurs
Is the cervical spine displacement severe or is it bone spurs? Hello Doctor, last month I experienced numbness in my neck and went to a large hospital for an examination. The doctor reviewed my X-rays and mentioned that my cervical vertebrae C3/C4 and C4/C5 have some significant ...
Dr. Zhao Shaoqing Reply:
Hello: There is a certain degree of degeneration observed in the imaging. It is recommended to arrange an MRI examination at the outpatient clinic. The outpatient evaluation is provided by the Changhua Hospital of the Ministry of Health and Welfare, which cares about your health.[Read More] Understanding Cervical Spine Issues: Displacement vs. Bone Spurs
Understanding Head Injuries: What to Do After a Slip and Fall
Slipped in the bathroom and hit the right side of the head, at the location corresponding to the ear? I slipped while coming down from a half-meter high step because one of my feet was too wet, and I hit the right side of my head. At the time, I was fully conscious and aware that...
Dr. Zhao Shaoqing Reply:
Hello: Your symptoms suggest a concussion, including headaches and dizziness. It is important to rest and avoid staying up late or staring at screens for extended periods. If you experience excessive sleepiness, weakness, or persistent vomiting, you need to complete your outpatie...[Read More] Understanding Head Injuries: What to Do After a Slip and Fall
Understanding Endoscopic Nerve Resection for Spinal Arthritis Relief
Endoscopic Spinal Nerve Resection Surgery I was diagnosed with degenerative arthritis in my spine. The doctor informed me that undergoing this surgery could improve my condition by about 80%. However, since it is an out-of-pocket procedure and quite expensive, I cannot afford the...
Dr. Lai Zhaokang Reply:
Hello: 1. First, let me correct your statement; it is not "nerve resection," but rather "nerve decompression." The endoscopic spine surgery involves a smaller incision and uses an endoscope as a visual and working channel to remove the structures that compre...[Read More] Understanding Endoscopic Nerve Resection for Spinal Arthritis Relief
Understanding Finger Joint Nerve Pain: Causes and Treatment Options
Nerve pain in the finger joints? Hello, Doctor. I apologize for interrupting you during your busy schedule. I would like to ask you about an issue I've been experiencing. About three days ago, I noticed a slight pain when I gently clenched my left fist and pressed on the thi...
Dr. Zhang Junwei Reply:
Please visit the orthopedic outpatient clinic for evaluation, as it may be related to joint or muscle pain.[Read More] Understanding Finger Joint Nerve Pain: Causes and Treatment Options
Exploring Non-Surgical Treatments for Lumbar Spondylolisthesis
Lumbar spondylolisthesis Hello, Doctor. I was in a car accident on May 19, and my bones healed by June 30. I started experiencing numbness and pain in my legs from my waist to my thighs, calves, and feet, along with frequent soreness in my lower back. I then visited a neurosurgeo...
Dr. Lai Zhaokang Reply:
Hello: Lumbar spondylolisthesis with nerve compression, if it causes severe pain, difficulty walking, or even paralysis and bowel or bladder incontinence, requires early surgical intervention. If the symptoms are milder, conservative treatment options may be attempted, such as lu...[Read More] Exploring Non-Surgical Treatments for Lumbar Spondylolisthesis
Understanding Indentations in the Skull: When to Seek Medical Advice
The bones of the skull are slightly concave? Hello doctor, over the past few days, I noticed a section of bone near the left ear at the back of my head that feels like it has a slight indentation (about three centimeters long). I would like to know if this is a normal phenomenon....
Dr. Lai Zhaokang Reply:
Hello! It is suspected to be caused by congenital factors or during the growth and development period of childhood. If you have concerns, please consult a neurosurgeon or an otolaryngologist for a physical examination and assessment. Best wishes to you. // Dr. Lai Chao-Kang, Chan...[Read More] Understanding Indentations in the Skull: When to Seek Medical Advice