Head Injury from Collision: When to Seek Medical Attention?
Head injury from hitting a metal box? Hello Doctor: On October 1st, while brisk walking near a high fire area, I accidentally bumped the right side of my head against a metal box. After the impact, I felt dizzy for about 2 to 3 seconds. Later, I noticed that there is a painful ar...
Dr. Zhang Junwei Reply:
If there is no improvement, I will go to the hospital for further evaluation.[Read More] Head Injury from Collision: When to Seek Medical Attention?
Understanding Left-Side Pain: Is It Sciatica or Muscle Strain?
Left side of the body Doctor, my left shoulder and left hip area (I'm not sure if it's my lower back or hip) are very sore, to the point where I feel the need to stretch and move my limbs to relieve the soreness. I'm not sure if this is sciatica, but I understand t...
Dr. Zhang Junwei Reply:
Please visit the outpatient clinic for a detailed examination.[Read More] Understanding Left-Side Pain: Is It Sciatica or Muscle Strain?
Understanding Nerve Block Procedures: Recovery and Pain Management
Nerve block procedure Hello Dr. Lai: My cervical vertebrae C4 and C5 were injured in a car accident in May, and after surgery, I have been experiencing pain and weakness extending from my left shoulder to my fingers, especially in my left middle and ring fingers, which not only h...
Dr. Lai Zhaokang Reply:
Hello: You should consult with your original surgeon and the physician who performed the nerve block to assess whether a repeat MRI is necessary. However, if you wish to seek a second opinion from another physician, it is advisable to bring your MRI and X-ray images. It is best t...[Read More] Understanding Nerve Block Procedures: Recovery and Pain Management
Understanding Nerve Block Procedures: Recovery and Pain Management
Nerve block technique Hello Dr. Lai: My cervical vertebrae C4 and C5 were injured in a car accident in May, and after surgery, I have been experiencing pain and weakness extending from my left shoulder to my fingers, particularly in my left middle and ring fingers, which not only...
Dr. Lai Zhaokang Reply:
Hello: You should consult with your original surgeon and the physician who performed the nerve block to assess whether a repeat MRI is necessary. However, if you wish to seek a second opinion from another physician, it is advisable to bring your MRI and X-ray images. It is best t...[Read More] Understanding Nerve Block Procedures: Recovery and Pain Management
Understanding Temporal Region Swelling: Causes and Concerns
Swelling near the temple? Hello, last Friday during my nap, I woke up with severe pain between my eyebrows and swelling in my right eye. I suspected it might be acute glaucoma. After resting for a day, the swelling and pain in my eye subsided, so I did not seek medical attention....
Dr. Zhang Junwei Reply:
It is not possible to make a judgment based solely on your description; I recommend an outpatient examination.[Read More] Understanding Temporal Region Swelling: Causes and Concerns
Understanding Head Injuries: What to Do After a Fall
The right posterior part of the head struck the wooden floor of the room? Today while using the computer, the screws on my chair suddenly loosened, and I fell down. At that moment, I felt pain in the right back of my head, but I wasn't sure if I hit the chair or the floor. T...
Dr. Zhang Junwei Reply:
Please get plenty of rest![Read More] Understanding Head Injuries: What to Do After a Fall
Symptoms After Head Injury: What to Expect in 72 Hours
Symptoms 72 hours after being struck on the head by an object? On the first day, I was hit on the forehead by an object falling from a height. At that moment, the pain wasn't very intense, and I only experienced occasional tenderness at the impact site without any other symp...
Dr. Zhang Junwei Reply:
Get plenty of rest. If symptoms persist, it is recommended to consult a neurosurgery outpatient clinic for evaluation.[Read More] Symptoms After Head Injury: What to Expect in 72 Hours
Understanding Hydrocephalus and Drainage Surgery: A Patient's Journey
Hydrocephalus shunt surgery Hello, my father was involved in a car accident while walking at the end of May this year. The accident resulted in intracranial hemorrhage, skull fractures, pneumocephalus, a fracture of the third thoracic vertebra, and suspected damage to the brachia...
Dr. Zhang Junwei Reply:
It is difficult to determine whether surgery is absolutely necessary based solely on your description. However, if surgery is indeed required, considering a lumbar drainage procedure could be an option.[Read More] Understanding Hydrocephalus and Drainage Surgery: A Patient's Journey
Understanding C3-C4 Spinal Cord Injury: Treatment Options and Recovery
Spinal cord injury Hello doctor, I would like to ask about my family member who suffered a C3 and C4 spinal cord injury due to a car accident. They are paralyzed below the neck and are fully conscious but can only move their head. They feel like a living dead... Are there any met...
Dr. Zhang Junwei Reply:
This is quite complex; it is recommended to consult Dr. Zheng Hongzhi from the Department of Neurorepair at Taipei Veterans General Hospital.[Read More] Understanding C3-C4 Spinal Cord Injury: Treatment Options and Recovery
Tight Pants and Blood Circulation: What Symptoms to Watch For
Tight pants may compress blood circulation? Hello, Doctor: Yesterday, I was very tired and fell asleep while wearing my outdoor pants. When I woke up, I noticed that the pant legs were a bit tight. Although there are no bruises or discoloration now, I am very worried about the po...
Dr. Lai Zhaokang Reply:
Hello: 1. If there is indeed limb ischemia, there will be the 5 P symptoms: Pulselessness, Pain, Pallor, Paresthesia, and Paralysis, which are manifestations of limb arterial embolism. 2. Based on your description, I personally judge that it is unlikely to cause the concern you h...[Read More] Tight Pants and Blood Circulation: What Symptoms to Watch For
Why Does Hyperhidrosis Return After Surgery? Understanding Recurrence
Will hyperhidrosis recur after surgery? Hello, doctor. I had surgery for palmar hyperhidrosis about 10 to 20 years ago (it's been so long that I don't remember the exact time), and for over a decade, my hand sweating improved significantly. However, now the sweating has...
Dr. Lai Zhaokang Reply:
Hello: 1. I personally speculate that you likely underwent endoscopic sympathectomy of the axilla years ago. After many years post-surgery, the previously severed nerve fibers may have regrown and resumed conduction. 2. I do not recommend another surgery due to higher risks as...[Read More] Why Does Hyperhidrosis Return After Surgery? Understanding Recurrence
Understanding Neck Issues After Disc Surgery: Pain and Nerve Block Treatment
Neck issues Hello Dr. Lai: I was involved in a car accident in mid-May, and after the accident, I underwent artificial disc replacement surgery at the C4 and C5 levels. Post-surgery, I experienced pain in my neck that radiated to the middle and ring fingers of my left hand, accom...
Dr. Lai Zhaokang Reply:
Hello: You asked three times, so I will respond all at once. 1. You can copy the pre-operative and post-operative X-rays and MRIs and place them here (if you have no privacy concerns) or bring them for discussion during the outpatient visit. 2. Of course, a referral can be made, ...[Read More] Understanding Neck Issues After Disc Surgery: Pain and Nerve Block Treatment
Understanding Neck Issues After Disc Surgery: Pain and Nerve Block Treatment
Neck issues Hello Dr. Lai: I was in a car accident in mid-May, and after the accident, I underwent artificial disc replacement surgery at the C4-C5 levels. Post-surgery, I have experienced soreness in my neck that radiates to the middle and ring fingers of my left hand, accompani...
Dr. Lai Zhaokang Reply:
Hello: You asked three times, so I will respond all at once. 1. You can copy the pre-operative and post-operative X-rays and MRIs and place them here (if you have no privacy concerns) or bring them for discussion during the outpatient visit. 2. Of course, a referral is possible, ...[Read More] Understanding Neck Issues After Disc Surgery: Pain and Nerve Block Treatment
Understanding Finger Pain and Weakness After Neck Injury: A Patient's Journey
Finger soreness and weakness? Hello Dr. Lai, I had an injury to my cervical vertebrae C4 and C5 from a car accident in May. After surgery, I have been experiencing pain and weakness extending from my left shoulder down to my hand, particularly in my left middle and ring fingers,...
Dr. Lai Zhaokang Reply:
Hello: You asked three times, so I will respond all at once. 1. You can copy the pre-operative and post-operative X-rays and MRIs and place them here (if you have no privacy concerns) or bring them for discussion during the outpatient visit. 2. A referral is certainly possible, b...[Read More] Understanding Finger Pain and Weakness After Neck Injury: A Patient's Journey
Can You Fly After Subarachnoid Hemorrhage Without Surgery?
Can a person who has experienced a subarachnoid hemorrhage without surgery fly on an airplane? Hello, doctor. Here are the details: I experienced a subarachnoid hemorrhage (the exact name I'm not very sure about) after a car accident. The doctor said it would heal on its own...
Dr. Zhang Junwei Reply:
Subarachnoid hemorrhage is usually not very severe, and if there have been no issues for a year, it is typically considered healed.[Read More] Can You Fly After Subarachnoid Hemorrhage Without Surgery?
Understanding Lateral Leg Numbness After a Fall: Causes and Solutions
Numbness on the outer side of the left leg? Hello doctor, a few months ago I fell down the stairs and had a large bruise on the outer side of my leg. After a few months, I gradually noticed that the area where I was injured feels tingly when I touch it. I'm not sure if this ...
Dr. Zhang Junwei Reply:
It may be neuritis.[Read More] Understanding Lateral Leg Numbness After a Fall: Causes and Solutions
Understanding Skull Fractures: Risks and Concerns After Surgery
Skull fracture Hello Doctor, I had a skull fracture from a car accident a month ago and underwent surgery where a piece of my skull about the size of a ten-dollar coin was removed. However, the surgeon did not use artificial bone to fill in the defect. I would like to ask Dr. Cha...
Dr. Zhang Junwei Reply:
Theoretically, a skull defect the size of a ten-dollar coin is not a concern.[Read More] Understanding Skull Fractures: Risks and Concerns After Surgery
Understanding Occasional Pain in the Left Occipital Area: Causes and Insights
Pressure and soreness in the left occipital region? Hello Doctor: Recently, I noticed that when I lie on a hard floor and turn my head to the left, there is a specific point in the left posterior occipital region that produces a dull ache and tenderness. However, I don't exp...
Dr. Zhang Junwei Reply:
Western medicine does not recognize the concept of acupuncture points; it is recommended to undergo a clinical examination.[Read More] Understanding Occasional Pain in the Left Occipital Area: Causes and Insights
Is Scalp Tingling a Sign of Brain Tumor Recurrence?
Experiencing numbness in the head raises concerns about the possibility of a brain tumor recurrence? My daughter had a germ cell tumor in her brain last year. After a year of treatment, the tumor has shrunk significantly. However, recently she has been experiencing tingling and p...
Dr. Zhang Junwei Reply:
Unable to determine, it is recommended to return to the outpatient clinic for examination.[Read More] Is Scalp Tingling a Sign of Brain Tumor Recurrence?
Should I Consider Minimally Invasive Surgery for Disc Herniation?
MRI shows intervertebral disc herniation? Hello Doctor: I would like to ask if there are two clearly protruding discs that are affecting the nerves, but the cartilage has not yet ruptured, should minimally invasive surgery be considered from the beginning? Current status: I have ...
Dr. Lai Zhaokang Reply:
Hello: 1. An MRI is needed to assess the situation. 2. However, if you feel that your symptoms are manageable and do not affect your quality of life, you can initially try conservative treatment, including rest, a back brace, medication, and rehabilitation therapy, followed by co...[Read More] Should I Consider Minimally Invasive Surgery for Disc Herniation?