Understanding Left Back Numbness: Causes and Treatment Options
Numbness near the left back, specifically in the area of the "Huang" point? Hello, doctor. I have had a habit of slouching since childhood, and I tend to support my head with my left hand while sitting. About two years ago, one morning after waking up and engaging in no...
Dr. Lai Zhaokang Reply:
Hello: In addition to the condition of the cervical spine, it is advisable to further evaluate upper limb nerve conduction studies (NCS) and the thoracic spine to rule out other concurrent lesions. Best wishes // Dr. Lai Chao-Kang, Changhua Hospital[Read More] Understanding Left Back Numbness: Causes and Treatment Options
Understanding Lower Back Pain and Its Connection to Tailbone and Abdominal Discomfort
Lumbar pain, perianal pain, and cramp-like pain in the lower abdomen? Hello, doctor. Whenever I experience discomfort in my lower back, I also feel sharp pain in my coccyx and my lower abdomen (the triangular area between my legs), along with cramping pain that radiates to my rig...
Dr. Lai Zhaokang Reply:
Hello: It is suspected to be a condition of the lumbar spine. It is recommended to consult a specialist in spinal neurology and arrange for a series of examinations, including magnetic resonance imaging (MRI), to identify the lesion. Best wishes to you. // Dr. Lai Chao-Kang, Chan...[Read More] Understanding Lower Back Pain and Its Connection to Tailbone and Abdominal Discomfort
Understanding Coma After Brain Hemorrhage Surgery: What to Expect
Coma after surgery for cerebral hemorrhage? Hello Doctor, my father had an accident at work on June 22, where he slipped and hit his head. He was taken to the hospital, where they diagnosed him with a brain hemorrhage and performed emergency surgery. The surgery was successful, a...
Dr. Zhang Junwei Reply:
Without detailed physical examination and imaging reports, it is not possible to answer this question.[Read More] Understanding Coma After Brain Hemorrhage Surgery: What to Expect
Understanding Upper Abdominal to Neck Pain: A Neurological Perspective
Pain from the upper abdomen to the neck? Hello Doctor, about four months ago, I started experiencing a feeling of discomfort and pain in my upper abdomen, and sometimes my stomach would suddenly spasm. I went to a gastroenterologist and had an endoscopy, which showed only mild ga...
Dr. Zhang Junwei Reply:
What they refer to as neuropathic pain is essentially pain for which no identifiable cause can be found, and thus it is classified as neuropathic pain.[Read More] Understanding Upper Abdominal to Neck Pain: A Neurological Perspective
Understanding Persistent Lumbar Pain: When to Seek Further Treatment
Lumbar pain has made it difficult to sit, and there has been no improvement for over a week? Hello Doctor, I previously experienced sudden lumbar pain and had imaging done, where the doctor indicated that my muscles were too tight, leading to inflammation. However, each time, I w...
Dr. Lai Zhaokang Reply:
Hello: It is suspected that there may be degeneration of the lumbar intervertebral disc. You have already consulted with orthopedic and rehabilitation specialists. If you do not see improvement and are still experiencing discomfort that is difficult to tolerate, please consider s...[Read More] Understanding Persistent Lumbar Pain: When to Seek Further Treatment
Understanding Left Neck Pain: Causes and Rehabilitation Strategies
Left-sided cervical pain? Yesterday morning, I stretched and heard a "pop" near my neck. Since then, turning my head backward or moving it up and down has caused significant soreness and limited mobility. I can feel a muscle on the left side of my neck, extending from t...
Dr. Lai Zhaokang Reply:
Hello: It is suspected that there is a strain in the cervical facet joints, along with inflammation of the surrounding muscles and ligaments. It is recommended to wear a cervical collar to allow the cervical spine to rest. For the first three days, apply ice if there is severe pa...[Read More] Understanding Left Neck Pain: Causes and Rehabilitation Strategies
Understanding Pain in the Little Toe: Possible Causes and Concerns
Thumb issues Hello doctor, recently my right little toe has been experiencing cramping pain, but it looks normal without any redness or swelling. I don't have any other discomfort in my body, and the other toes are not cramping, only the right little toe. What could be the p...
Dr. Lai Zhaokang Reply:
Hello: It should not be serious. It is suspected to be fatigue of the small toe muscles and tendons, with mild inflammation. Self-assessment: Are your shoes too tight or are you wearing high heels? This can cause pressure on the toes. If so, switch to flat cushioned shoes. You ca...[Read More] Understanding Pain in the Little Toe: Possible Causes and Concerns
Understanding Cervical Disc Replacement: Costs, Vaccination, and Recovery Tips
Cervical spine surgery I am scheduled for artificial disc replacement surgery next week, but I found limited information online. I have a few questions: 1) Out-of-pocket expenses: I currently know that the artificial disc itself is an out-of-pocket expense, but are there any ot...
Dr. Lai Zhaokang Reply:
Hello: 1. There are both self-pay and National Health Insurance options for cervical spine items, and you can also include what you mentioned. It is recommended that you discuss this with your actual surgeon, as other doctors may not be aware of what has been discussed between yo...[Read More] Understanding Cervical Disc Replacement: Costs, Vaccination, and Recovery Tips
Post-Surgery Concerns for Giant Cell Tumor of the Spine: What to Expect?
Postoperative issues following surgery for giant cell tumor of the spine? I have a giant cell tumor at my lumbar spine L3. I underwent surgery at the beginning of February, and the doctor mentioned that the tumor was removed cleanly. He specifically referred to the surgical metho...
Dr. Lai Zhaokang Reply:
Hello, theoretically, as you wait for your spinal fusion, the stability should increase and your symptoms may improve. I recommend that you consult with your surgical medical team. Best wishes to you.[Read More] Post-Surgery Concerns for Giant Cell Tumor of the Spine: What to Expect?
Post-Surgery Challenges: Addressing Neck Spine Issues and Recovery
Cervical spine surgery recovery Hello, Director Zhang. I would like to consult you about my husband. Previously, he experienced gradual weakness in his right leg, and after an examination at the neurology department, it was determined that he had nerve compression at the C1 and C...
Dr. Zhang Junwei Reply:
Without detailed imaging and physical examination, it is not possible to provide an answer.[Read More] Post-Surgery Challenges: Addressing Neck Spine Issues and Recovery
Should You Seek Medical Attention After a Head Injury?
Should I seek further examination after hitting my head against the wall? About two weeks ago, I was trying to lean back while sitting, but I misjudged the distance and hit my head against a concrete wall. The impact was quite loud, but since the wall was flat, there were no visi...
Dr. Zhang Junwei Reply:
If the symptoms do not persist or worsen, observation may be sufficient.[Read More] Should You Seek Medical Attention After a Head Injury?
Can You Scrub Your Scalp After a Concussion? Expert Insights
Is it safe to massage the scalp after a concussion? Hello, doctor. I would like to ask if my colleague mentioned that she had a concussion a long time ago (it should have been several years ago), and now she cannot scrub her scalp while washing her hair, which has resulted in a s...
Dr. Zhang Junwei Reply:
No impact.[Read More] Can You Scrub Your Scalp After a Concussion? Expert Insights
Understanding Tightness and Numbness: Neurological Concerns Explained
Feeling a tightness or pressure in the head? Hello Doctor: Over the past three to four days, I have been experiencing a tight and pressure-like sensation in my head, along with numbness in my hands and feet. The numbness occurs in both sides, but not simultaneously. It usually ha...
Dr. Zhang Junwei Reply:
Please visit a neurology outpatient clinic; a detailed physical examination is necessary for diagnosis.[Read More] Understanding Tightness and Numbness: Neurological Concerns Explained
Understanding Carpal Tunnel Syndrome: Surgery, Recovery, and Risks
Carpal Tunnel Syndrome Hello Doctor: I was recently diagnosed with carpal tunnel syndrome due to severe numbness in both hands. I underwent nerve conduction studies, which showed 4.1 for the left hand and 4.9 for the right hand, both of which are abnormal. I am currently undergoi...
Dr. Zhang Junwei Reply:
1. The outpatient surgery is self-funded and typically requires one month of rest. 2. All options are available. 3. Any surgery carries risks.[Read More] Understanding Carpal Tunnel Syndrome: Surgery, Recovery, and Risks
Understanding Coma After Brain Hemorrhage Surgery: Hope and Recovery
Coma after surgery for intracerebral hemorrhage? Hello doctor, my father had an accident at work on June 22nd where he slipped and hit his head. He was taken to the hospital for examination and was diagnosed with a brain hemorrhage. An emergency surgery was performed, and the ope...
Dr. Zhang Junwei Reply:
The location and size of the intracerebral hemorrhage, as well as the level of consciousness, will all affect the postoperative recovery of the patient. Without detailed medical history and imaging, it is not possible to answer this question.[Read More] Understanding Coma After Brain Hemorrhage Surgery: Hope and Recovery
Understanding Occipital Neuralgia Symptoms and Treatment Options
Symptoms of occipital neuralgia? Hello doctor, about a week ago (07/03), I started feeling a painful, swollen lump near the left back of my head close to my neck. The next day, I began to experience scalp pain and some tingling sensations. After researching online, I suspected it...
Dr. Lai Zhaokang Reply:
Hello: Based on what you described, there is currently a raised area that is slightly red and swollen... I recommend that you see a dermatologist for further evaluation. Best wishes, Dr. Lai Chao-Kang, Neurosurgery, Changhua Hospital.[Read More] Understanding Occipital Neuralgia Symptoms and Treatment Options
Intermittent Thigh Pain: When to Seek Medical Attention?
Inner thigh stabbing pain? Recently, I experienced intermittent sharp pain in the inner thigh muscles while sleeping, but it was gone by the time I woke up in the morning. This has happened before, but the duration was always short and not as painful as this time. When the pain o...
Dr. Lai Zhaokang Reply:
Hello: If it occurs infrequently, it is advisable to first observe and monitor, paying attention to whether there are any significant changes in lifestyle, environment, or diet on the day of the episode or in the 2-3 days prior. For example, standing for long periods, walking or ...[Read More] Intermittent Thigh Pain: When to Seek Medical Attention?
Understanding Scalp Lumps: When to Seek Medical Attention
Small lump on the scalp? Hello Doctor: I have a small lump on the top of my head (approximately 4.5 cm in diameter). The location of the lump had a history of circular hair loss about five years ago. When I initially saw a dermatologist, there was a slight swelling, but I didn&#x...
Dr. Zhang Junwei Reply:
You can continue to observe it, and if it becomes more pronounced, schedule an appointment with the neurosurgery clinic.[Read More] Understanding Scalp Lumps: When to Seek Medical Attention
Understanding Lumbar Pain: Causes and Solutions for Discomfort
Discomfort in the lumbar spine? Hello Doctor: I experience pain in my lumbar spine when I get up from a lying position, and it also hurts when I cough. What could be the cause of this persistent pain?
Dr. Lai Zhaokang Reply:
Hello, it is suspected to be a lumbar spine issue, most commonly involving the muscles, ligaments, joints, or even the cartilage and intervertebral discs. It is recommended to avoid bending over, rest, and wear a lumbar support for 1-2 weeks. If there is no improvement or if disc...[Read More] Understanding Lumbar Pain: Causes and Solutions for Discomfort
Understanding Head Injuries: Symptoms and When to Seek Help
Head trauma Hello, today (June 7) around noon, I lost control of my emotions and self-harmed by hitting my head against a wall, pulling my hair, and repeatedly striking the edge of my desk and the wooden door of my wardrobe. The areas impacted on my head include: forehead, back o...
Dr. Zhang Junwei Reply:
Please schedule an appointment with the neurosurgery outpatient clinic for evaluation.[Read More] Understanding Head Injuries: Symptoms and When to Seek Help