Addressing Leg Issues: Seeking Solutions for Neurological Conditions
Leg problems Hello, I would like to ask a question. I experienced a period of oxygen deprivation at birth, which has led to some walking difficulties and a slight leg length discrepancy. I would like to know if there are any treatment options available for this condition. Additio...
Dr. Zhang Junwei Reply:
If the neurological damage is caused by brain hypoxia, rehabilitation is currently the only option available.[Read More] Addressing Leg Issues: Seeking Solutions for Neurological Conditions
Persistent Eye Twitching: Causes and When to Seek Help
The area under the eye has been twitching continuously for two weeks? Hello Doctor, I have been experiencing continuous twitching under my eyes for the past two weeks. I consulted a doctor who suggested that I might have a vitamin deficiency and recommended that I take vitamin su...
Dr. Zhang Junwei Reply:
It is recommended to undergo an examination at the neurology outpatient clinic![Read More] Persistent Eye Twitching: Causes and When to Seek Help
Understanding Ulnar Nerve Issues and Carpal Tunnel Syndrome Treatment
Ulnar nerve issues at the elbow, wrist problems, and peripheral nerve injuries? Due to prolonged computer use (with the arm resting on the desk) and a habit of exercising, there is a sensation of numbness in the ulnar nerve area at the elbow (without pain). However, there is no d...
Dr. Zhang Junwei Reply:
Basically, the surgery to cut the transverse carpal ligament is relatively safe and generally does not affect hand function.[Read More] Understanding Ulnar Nerve Issues and Carpal Tunnel Syndrome Treatment
Understanding Treatment Options for Cervical Myelopathy and Syringomyelia
Treatment of cervical syringomyelia I went to New Taipei Hospital for consultation due to tightness and pain in my neck and shoulders. An MRI on July 27 revealed that the nerve root is being compressed between the C4 and C5 vertebrae, and there is spinal cord compression between ...
Dr. Zhao Shaoqing Reply:
Spinal cord compression can lead to sensory and motor neurological symptoms, including pain, numbness, and weakness in the neck and both upper limbs. If there is a presence of syringomyelia, it generally indicates irreversible damage to the spinal cord. Surgical intervention on t...[Read More] Understanding Treatment Options for Cervical Myelopathy and Syringomyelia
Understanding Cervical Spine Surgery and Sympathetic Nerve Issues
Cervical spine surgery (sympathetic nerve) Hello Dr. Lai: I fell from a ladder and injured my cervical spine, which has resulted in back pain, headaches, dizziness, tinnitus, insomnia, blurred vision, palpitations, chest tightness, nausea, vomiting, memory loss, anxiety, gastroin...
Dr. Lai Zhaokang Reply:
Hello: 1. If you have undergone surgery at another hospital and have not experienced any improvement after 4 months, you can undergo an MRI examination for evaluation; there is no such thing as "only X-rays." 2. Your symptoms may be caused by cervical spinal cord nerve ...[Read More] Understanding Cervical Spine Surgery and Sympathetic Nerve Issues
Understanding C2 Vertebra Issues: Impacts on Arm Circulation and Treatment Options
Cervical vertebra 2 (C2) Hello Dr. Lai, I previously raised a question regarding my right arm feeling poor blood circulation (#140649). Thank you for your response. On October 16, I was struck from behind by a taxi, and when I fell, I landed on my hands. I went to the emergency r...
Dr. Lai Zhaokang Reply:
Hello: 1. What you mentioned: "There is an old fracture at the second cervical vertebra, but it has healed; however, the ligaments may have become lax." Generally speaking, if there is ligament laxity at C2, the symptoms often include occipital pain. Additionally, laxit...[Read More] Understanding C2 Vertebra Issues: Impacts on Arm Circulation and Treatment Options
Understanding Post-Procedure Pain After Bone Cement Surgery
Issues After Bone Cement Procedure Hello, I would like to ask about my grandmother. A few days after her vertebroplasty surgery, she experienced back soreness, and after a few more days, she still feels nerve pain in her back. What could be the reason for this? Shouldn't the...
Dr. Lai Zhaokang Reply:
Hello: There are many types of spinal disorders in the elderly, and the spine consists of several vertebrae, not just one type of treatment like vertebroplasty. It is recommended to return for a follow-up examination. Wishing you all the best.[Read More] Understanding Post-Procedure Pain After Bone Cement Surgery
Understanding Arm Circulation Issues After a Car Accident: What to Do Next
Poor blood circulation in the right arm? Hello, doctor. I was hit by a taxi from the right rear on October 16 and fell to the ground, supporting myself with both hands. At the time of the incident, I only felt pain in my right thigh and calf. After an X-ray at the emergency room ...
Dr. Lai Zhaokang Reply:
Hello: It may be a cervical nerve issue. I recommend consulting a neurosurgeon. Best wishes to you. // Director of the Spine and Neurosurgery Department at Changhua Hospital, Dr. Lai Chao-Kang.[Read More] Understanding Arm Circulation Issues After a Car Accident: What to Do Next
Understanding Nerve Sensation Changes After Deep Hand Lacerations
Deep muscle tear in the hand, with numbness after recovery? Hello doctor, six years ago I sustained a deep laceration on the outer side of my forearm, approximately 8 centimeters from the elbow joint, which severed part of the muscle but did not damage the nerves. After surgical ...
Dr. Zhang Junwei Reply:
If it has been six years, the chances of recovery are very low. It is recommended to consult a neurologist.[Read More] Understanding Nerve Sensation Changes After Deep Hand Lacerations
Understanding Neck and Head Issues After a Slip and Fall Accident
Slip and fall, head and neck issues? Hello, doctor. Last week, I slipped and fell backward due to a wet floor. I'm not sure if I hit the back of my head, but I felt dizzy and experienced tinnitus immediately after getting up. I've still been feeling somewhat dizzy these...
Dr. Zhao Shaoqing Reply:
A posterior impact to the head and neck raises concerns about potential injuries to the cerebellum or cervical spine. Symptoms may include dizziness, headaches, neck pain, and poor balance. If these symptoms persist without improvement, it is advisable to seek medical evaluation ...[Read More] Understanding Neck and Head Issues After a Slip and Fall Accident
Understanding Neck Stiffness and Dizziness After a Fall: What to Do?
Stiff neck Hello, I accidentally slipped backward five days ago and have been experiencing persistent dizziness. In the past two days, I've also noticed tingling in my scalp, and my shoulders and neck feel a bit stiff, making me hesitant to move. Is this a normal phenomenon?...
Dr. Lai Zhaokang Reply:
Hello: If you may have an injury to your cervical spine, you can try neck protection, heat therapy, and applying analgesic ointment. If there is no improvement or if the condition worsens, it is advisable to consult a neurosurgeon for evaluation. Wishing you well, Dr. Lai Chao-Ka...[Read More] Understanding Neck Stiffness and Dizziness After a Fall: What to Do?
Understanding Low-Grade Fever After Stroke Surgery: Causes and Concerns
Causes of low-grade fever after stroke surgery? Hello Dr. Chang, My husband (36 years old) underwent brain surgery in early July due to a hemorrhagic stroke, which left the left side of his body immobile. After the surgery, he has been experiencing low-grade fevers (around 37.0-...
Dr. Zhang Junwei Reply:
Generally speaking, after a stroke, low-grade fever is often associated with excessive pulmonary secretions and difficulty in clearing cough. If there is a dysfunction in the temperature regulation center following a cerebral stroke, it typically results in high fever.[Read More] Understanding Low-Grade Fever After Stroke Surgery: Causes and Concerns
Head Injury Concerns: Potential Risks and Management After Impact
Top of the head impact issues? Hello Director Chang, Today, while I was getting into a government van, I didn't notice the height difference and hit my head hard against the door frame. It was very painful at the moment, and the pain radiated to the back of my head. By the ...
Dr. Zhang Junwei Reply:
Based on your description, it seems to be a mild head injury. If discomfort persists, you may want to schedule an appointment with a surgical outpatient clinic for further evaluation.[Read More] Head Injury Concerns: Potential Risks and Management After Impact
Understanding Sciatica: Symptoms, Treatment Options, and When to Seek Help
Sciatica Hello, Doctor: I would like to ask if these symptoms are related to sciatica? Can they be treated with rehabilitation alone, or do I need further examinations? If so, which specialist should I see? Thank you! I have pain in the lumbar region, neck and shoulder discomfort...
Dr. Lai Zhaokang Reply:
Hello: Your lumbar spine, cervical spine, and knees all need to be examined. It is recommended to consult a neurosurgeon for evaluation. Physical therapy can be attempted, but whether you can recover through rehabilitation will depend on your condition. Best wishes. // Dr. Lai Ch...[Read More] Understanding Sciatica: Symptoms, Treatment Options, and When to Seek Help
Managing Neurological Issues After Tracheostomy: Key Considerations
Brain issues What should I do if I am unable to speak after a tracheostomy?
Dr. Zhao Shaoqing Reply:
Patients requiring tracheostomy typically need a period of training to improve their respiratory function before entering the respiratory care system. They undergo a gradual and progressive respiratory training process, and if the brain injury is not too severe, further improveme...[Read More] Managing Neurological Issues After Tracheostomy: Key Considerations
Concerns After a Slip and Fall: Understanding Head Injury Symptoms
Slip backward? Hello Doctor, I slipped and fell backward the day before yesterday due to a wet floor. I had my hair in a ponytail, and I’m not sure if the back of my head hit the ground. At that moment, I experienced some tinnitus and dizziness, but I did not have any significant...
Dr. Zhao Shaoqing Reply:
If there is persistent clear nasal discharge, and the possibility of a skull base fracture has been ruled out, it is necessary to go to a major hospital for examination.[Read More] Concerns After a Slip and Fall: Understanding Head Injury Symptoms
Understanding Head Injuries: Symptoms and When to Seek Help
Head issues I accidentally bumped my head against a car door while rushing to school on Wednesday. At that moment, my head didn't swell, but it was a bit painful. The next day, I started to notice some issues with concentration. Additionally, I wasn't feeling well at th...
Dr. Zhao Shaoqing Reply:
Symptoms of a mild concussion typically last for 2-3 weeks. It is important to rest and avoid vigorous activities or prolonged reading and watching television. If persistent nasal discharge occurs, it is necessary to visit a major hospital to rule out the possibility of a skull b...[Read More] Understanding Head Injuries: Symptoms and When to Seek Help
Understanding Dizziness After a Fall: Is It a Concussion?
I feel a bit dizzy? About a week ago, I fell off my bike. At the time, I was fully conscious, had no head injuries, and did not forget anything, only sustaining some superficial wounds. I went to Hengchun Hospital for wound dressing, where I was given pain medication. The next da...
Dr. Zhang Junwei Reply:
It is not a concussion, but it is a head injury that can also cause symptoms such as dizziness and other sequelae. Taking medication and getting plenty of rest should help improve the condition.[Read More] Understanding Dizziness After a Fall: Is It a Concussion?
Optimal Time Interval Between Two Neurosurgery Procedures for Aneurysm Removal
Interval between two surgeries on the same limb? Doctor: Hello, I am a 50-year-old office worker. In December of last year, a health check revealed through MRI that I have a brain aneurysm on both the left and right sides of the cerebral cavity, each measuring 1 cm. In March of t...
Dr. Zhang Junwei Reply:
There is no specific regulation on how long one must wait before undergoing another procedure, but it is advisable to rest for at least three months. Alternatively, if craniotomy is not performed, embolization can also be utilized.[Read More] Optimal Time Interval Between Two Neurosurgery Procedures for Aneurysm Removal
Understanding Right Lower Rib Pain: Causes and When to Seek Help
Pain in the right lower rib area? You are experiencing intermittent sharp pain in the lower right rib area (with one particularly painful episode at night) that has lasted for two weeks. A chest CT scan showed no issues. During the pain, you felt the urge to use the restroom, and...
Dr. Zhang Junwei Reply:
Based on your brief description and without a physical examination, it is difficult to determine the issue. I recommend seeing a pulmonology clinic for further evaluation.[Read More] Understanding Right Lower Rib Pain: Causes and When to Seek Help