Understanding Weakness and Tightness in Legs After Prolonged Sitting
After sitting for about 2-3 hours, there is a feeling of weakness in the thighs and tightness in the calves? Hello, Doctor. Recently, whenever I sit for about 2-3 hours, I experience weakness in my thighs and tightness in my calf muscles. The first time I noticed this was two yea...
Dr. Lai Zhaokang Reply:
It seems like you are experiencing neurological symptoms. You may want to consult a neurosurgeon. Best wishes to you. // Changhua Hospital, Department of Neurosurgery, Dr. Lai Chao-Kang.[Read More] Understanding Weakness and Tightness in Legs After Prolonged Sitting
Understanding Upper Back Pain: Causes and When to Seek Help
Upper back pain? Hello doctor, today I was sitting on the ground with my legs extended in front of me when my upper back experienced a sudden compression. My body leaned forward in a position similar to a seated forward bend (I have good flexibility). The weight pressing down was...
Dr. Zhang Junwei Reply:
It is likely a muscle strain, so there's no need to worry too much. Taking anti-inflammatory pain relievers and resting for a few days should lead to improvement![Read More] Understanding Upper Back Pain: Causes and When to Seek Help
Understanding Cervical Disc Issues: Symptoms and When to Seek Help
Cervical cone issue Recently, I watched an educational video about proper neck posture and intentionally adjusted my neck according to the recommendations. After working in this position for a day, I noticed pain when I looked down at home. Initially, I thought it was just muscle...
Dr. Zhang Junwei Reply:
This symptom does not resemble nerve compression due to a herniated disc. Typically, if X-rays show no issues, it is recommended to wear a soft cervical collar, take anti-inflammatory and pain relief medications, and rest for one to two weeks. If there is no improvement, a consul...[Read More] Understanding Cervical Disc Issues: Symptoms and When to Seek Help
Understanding Trigeminal Neuralgia: Symptoms and Diagnosis
Trigeminal neuralgia? Hello, doctor. Recently, I've been experiencing a dull pain in my right teeth, but occasionally when I swallow something, I feel a sudden sharp pain on the right side of my mouth. After trying to swallow a few more times, the pain goes away. I've a...
Dr. Zhang Junwei Reply:
It is advisable to consult a dentist first to rule out any dental issues before suspecting trigeminal neuralgia.[Read More] Understanding Trigeminal Neuralgia: Symptoms and Diagnosis
Post-Surgery Medication Concerns for Cervical Disc Patients
Postoperative medication issues after cervical spine surgery? Hello, I was diagnosed with a cervical disc rupture in mid-September and underwent minimally invasive surgery to have two fully mobile implants placed. After being discharged, I subsequently developed bronchitis, and a...
Dr. Lai Zhaokang Reply:
Hello: a. There is a slight heaviness in the right eyelid: it may be necessary to consult a neurologist for evaluation. b. For the treatment of depression: please discuss with a psychiatrist. Additionally, regarding whether hepatitis B patients are suitable for taking Cymbalta (d...[Read More] Post-Surgery Medication Concerns for Cervical Disc Patients
Understanding Lumbar Disc Herniation: Treatment Options and Recovery Insights
Herniated disc Hello, doctor. My family member is 58 years old and has been diagnosed with herniated discs at the fourth and fifth lumbar vertebrae, along with nerve compression. I have attached MRI images: (I apologize for uploading multiple images as I wasn't sure which on...
Dr. Lai Zhaokang Reply:
Hello, 1. Your family member has significant nerve compression, with the most severe being at the L4-5 level, where there is already a herniation and rupture. Medically, surgery has been recommended. However, if symptoms have improved, continuing conservative rehabilitation is ...[Read More] Understanding Lumbar Disc Herniation: Treatment Options and Recovery Insights
Understanding Skull Depression and Brain Hemorrhage After a Car Accident
Skull depression, cerebral hemorrhage? Hello, doctor. Here’s what happened: During the car accident, I was wearing a helmet, which showed no signs of impact or scratches, and I had no other bruises on my body. I remained conscious throughout. After arriving at the hospital, the d...
Dr. Zhang Junwei Reply:
A skull depression caused by impact and intracranial hemorrhage indicates that the force of the impact was significant. As for the recovery time, it cannot be determined without detailed medical history and information, and thus cannot be answered online.[Read More] Understanding Skull Depression and Brain Hemorrhage After a Car Accident
Understanding Lumbar and Coccyx Issues: Symptoms and Diagnosis Explained
Hello, doctor. I would like to inquire about issues related to the lumbar spine and the coccyx? Hello, doctor. Here's the situation. For about a year now, I have been experiencing a sensation of a foreign body in my anus, and after urinating, there are a few drops of urine l...
Dr. Zhang Junwei Reply:
If there is nerve compression, it cannot be clearly seen with just an X-ray; generally, an MRI is also needed. It is recommended to schedule an appointment with a neurosurgery clinic for a professional evaluation.[Read More] Understanding Lumbar and Coccyx Issues: Symptoms and Diagnosis Explained
Understanding Persistent Dizziness: Causes, Tests, and When to Get an MRI
Dizziness for more than two months? Hello Doctor, I have been experiencing dizziness and shoulder and neck pain for the past two and a half months. The symptoms include a constant feeling of dizziness throughout the day, without a sensation of spinning, nausea, unsteadiness while...
Dr. Zhang Junwei Reply:
Your issue is complex, and it is difficult to provide a complete answer without a thorough physical examination and tests. I recommend consulting a neurology or neurosurgery outpatient clinic.[Read More] Understanding Persistent Dizziness: Causes, Tests, and When to Get an MRI
Understanding Cervical Radiculopathy: Pain, Numbness, and Treatment Options
Cervical cone issues Hello, my father is nearly 70 years old. For the past few months, he has been experiencing shoulder pain that prevents him from sleeping. After visiting the hospital for an examination, the imaging results indicated that there is tightness and compression at ...
Dr. Lai Zhaokang Reply:
Hello: 1. Based on your description, the symptoms indicate cervical nerve compression. The initial pain evolving into numbness suggests nerve deterioration. 2. Whether surgery is necessary will depend on the MRI findings. 3. Generally, conservative treatment includes medication a...[Read More] Understanding Cervical Radiculopathy: Pain, Numbness, and Treatment Options
Understanding Cervical Radiculopathy: Treatment Options and Risks
Cervical cone issues Hello, my father is nearly 70 years old. For the past few months, he has been experiencing shoulder pain that prevents him from sleeping. After visiting the hospital for an examination, the imaging results indicated that the tightness and compression at cervi...
Dr. Lai Zhaokang Reply:
Hello: 1. Based on your description, the symptoms indicate cervical nerve compression. The initial pain evolving into numbness suggests worsening of the nerve condition. 2. Whether surgery is necessary will depend on the MRI findings. 3. Generally, conservative treatment includes...[Read More] Understanding Cervical Radiculopathy: Treatment Options and Risks
Is It Normal to Experience Head and Shoulder Pain After a Head Injury?
Head struck against the wall? Hello Doctor: I bumped the right side of my head against a wall on October 11th. It wasn't very painful on the day of the incident or the following day, but starting on October 13th, I've been experiencing pain from the right side of my hea...
Dr. Lai Zhaokang Reply:
Hello, you may have a cervical spine issue. If it persists for 1-2 weeks, it is advisable to consult a neurosurgeon. Best wishes to you from Dr. Lai Chao-Kang, the Director of Spine Neurosurgery at Changhua Hospital.[Read More] Is It Normal to Experience Head and Shoulder Pain After a Head Injury?
Understanding Nerve Issues: Symptoms and When to Seek Help
Hand issues? Hello, doctor. For the past year, I have experienced a tingling sensation in my right hand when positioned at certain angles (such as when riding a bicycle or a motorcycle). The tingling immediately alleviates when I change positions. However, four months ago, I bega...
Dr. Lai Zhaokang Reply:
Hello, your condition is likely carpal tunnel syndrome, which is caused by compression of the nerves in the palm area. It is recommended that you consult with a neurosurgeon for evaluation and examination. Best wishes. // Dr. Lai Chao-Kang, Neurosurgery, Changhua Hospital.[Read More] Understanding Nerve Issues: Symptoms and When to Seek Help
Understanding Cauda Equina Syndrome After L5-S1 Surgery: Symptoms and Concerns
Hello, doctor. I would like to inquire about issues related to the lumbar spine and bowel elimination? Last year, I underwent a subcutaneous endoscopic surgery at the L5-S1 level. About two months post-operation, I experienced lower back pain due to straining during bowel movemen...
Dr. Lai Zhaokang Reply:
Hello, please return to your original physician for the lumbar endoscopic surgery as soon as possible. Wishing you the best. // Dr. Lai Chao-Kang, Director of the Spine and Neurosurgery Department, Changhua Hospital.[Read More] Understanding Cauda Equina Syndrome After L5-S1 Surgery: Symptoms and Concerns
Traveling After Cerebrovascular Surgery: Can I Fly to Japan?
Moyamoya disease Hello Doctor: I underwent intracranial and extracranial vascular anastomosis surgery in January and April this year due to a hair-like cerebrovascular disease. My recovery has been good, and I have been attending regular follow-up appointments. After my appointme...
Dr. Zhang Junwei Reply:
You should ask the surgeon who performed the operation about this issue![Read More] Traveling After Cerebrovascular Surgery: Can I Fly to Japan?
Child's Head Injury: Understanding Symptoms and When to Seek Help
Bleeding from the back of the head after hitting a stone step? Hello, doctor~~~ My child, who is over 6 years old, fell backward while sitting on the stone steps in Miaoli on October 21 and hit the back of his head, causing bleeding. We performed emergency first aid and called an...
Dr. Zhang Junwei Reply:
The sequelae of head trauma include headaches and dizziness. Children may exhibit decreased energy levels. It is important to closely monitor the child's level of consciousness; if they are lethargic and cannot be awakened, seek medical attention immediately.[Read More] Child's Head Injury: Understanding Symptoms and When to Seek Help
Post-Surgery Concerns After Endoscopic Disc Herniation Treatment
Postoperative Issues Following Endoscopic Discectomy Hello Doctor, I would like to ask about my condition. I underwent decompression surgery for a herniated disc at levels L3, L4, and L5 on September 18. Three weeks have passed, and I have been experiencing a burning sensation ...
Dr. Lai Zhaokang Reply:
Hello: You have already undergone endoscopic discectomy at another hospital and are experiencing the neurological discomfort you described. You should communicate this with your surgeon, as they are the most familiar with the details of the surgical procedure. If you feel that yo...[Read More] Post-Surgery Concerns After Endoscopic Disc Herniation Treatment
Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Numbness in the lower back, hips, and legs, unclear where the issue lies? On August 24, I had a pelvic adjustment, and for the week following, I did not experience any particular sensations and did not engage in any special activities. On September 1, I noticed swelling on the ou...
Dr. Zhang Junwei Reply:
It is not possible to diagnose the disease online; it is recommended to consult a neurosurgery outpatient clinic for examination.[Read More] Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Understanding Nerve Issues: Tremors, Numbness, and Speech Difficulties
Tremors, body numbness, and difficulty speaking? 1. After riding a bike for about 20 minutes, my buttocks become completely numb, and my back often feels tingly and prickly. 2. Recently, while typing, my left thumb has been shaking involuntarily. 3. I've noticed that when I ...
Dr. Lai Zhaokang Reply:
Hello: 1. It may be a lumbar spine issue causing sciatica. It is recommended to consult a neurosurgeon. 2+3: First, see a neurologist to rule out any cranial nerve problems. Best wishes // Neurosurgeon Dr. Lai Chao-Kang.[Read More] Understanding Nerve Issues: Tremors, Numbness, and Speech Difficulties
Understanding Coma After Car Accident: Recovery and Potential Outcomes
Coma due to a car accident? In the case of a car accident where the ambulance arrived and there was no heartbeat or pulse, CPR was performed in the ambulance, successfully restoring the heartbeat. However, upon arrival at the hospital, the doctor indicated there was a brain hemor...
Dr. Zhang Junwei Reply:
The information is unclear and cannot be answered. Since there is bleeding, once a CT scan of the brain is performed, it will definitely identify the location of the bleeding. There will always be a Glasgow Coma Scale score, with a minimum of 3 and a maximum of 15. It cannot be a...[Read More] Understanding Coma After Car Accident: Recovery and Potential Outcomes