Improving Shoulder Asymmetry and Recovery After Left Arm Fracture
Left arm fracture, left shoulder is lower, and the person has not regained consciousness for two months, with the left hand constantly pressing against the left chest? I have a left arm fracture, and my left shoulder is lower than the right. I was injured two months ago and have ...
Dr. Lai Zhaokang Reply:
Hello: Based on what you described: 1. When I stand straight and have someone look at me, they notice that my shoulders are uneven, with one higher than the other. 2. Additionally, I have been told that my left breast is smaller than my right, and I need a different cup size when...[Read More] Improving Shoulder Asymmetry and Recovery After Left Arm Fracture
Understanding Spinal Fusion Surgery: When to Consider It for Young Patients
Spinal fusion surgery Hello Doctor: I have been experiencing frequent lower back pain whenever I stand or sit for long periods. Recently, I was diagnosed with a dissociation between the fifth lumbar vertebra and the first sacral vertebra, as well as spondylolisthesis (grade 1 to ...
Dr. Lai Zhaokang Reply:
Hello: Based on what you mentioned, 1. I am 21 years old this year, but my condition is not severe; I do not experience numbness in my hands or feet, just some back pain when standing or sitting for long periods. I would like to ask the doctor if, given my situation, it would be ...[Read More] Understanding Spinal Fusion Surgery: When to Consider It for Young Patients
Understanding Lumbar Disc Rupture: Surgery and Future Pregnancy Considerations
Herniated disc Hello Dr. Lai, I have been diagnosed by an overseas physician with a severe L4 disc rupture that requires surgery. I would like to ask: 1) After the surgery to remove the herniated disc material, what methods can be employed to prevent the remaining disc from furth...
Dr. Lai Zhaokang Reply:
Hello: Based on your description: 1) After surgically removing the compressive mass, what methods can be employed to prevent the remaining intervertebral disc from further rupturing and causing recurrent compression? 2) Considering future pregnancy, which places significant strai...[Read More] Understanding Lumbar Disc Rupture: Surgery and Future Pregnancy Considerations
Understanding Tailbone Pain: Is It a Residual Injury or Sciatica?
Spinal issues Hello, two years ago I injured my coccyx twice, but the pain only lasted for two or three days and then gradually improved. However, recently I have been experiencing sudden sharp pain from my coccyx down to my left leg while walking, which causes my leg to feel wea...
Dr. Lai Zhaokang Reply:
Hello: It seems to be a problem with the sciatic nerve. I recommend seeing a neurosurgeon. Best wishes to you.[Read More] Understanding Tailbone Pain: Is It a Residual Injury or Sciatica?
Post-Spinal Surgery: Understanding Urinary and Bowel Dysfunction
Post-spinal surgery, there may be difficulties with bowel and bladder function? In June 2017, I went to the hospital for an examination, and the doctor diagnosed me with a herniated disc at the L4 and L5 levels, recommending surgery. The procedure involved removing the damaged di...
Dr. Lai Zhaokang Reply:
Based on what you described: What is my current condition? I would like to understand my situation. Can I know which nerve is damaged? Is there a possibility of recovery? I plan to go to the hospital for further examination, but which department should I start with? Response: 1. ...[Read More] Post-Spinal Surgery: Understanding Urinary and Bowel Dysfunction
Understanding Mild Carotid Atherosclerosis: Causes, Symptoms, and Management
Mild carotid atherosclerosis Hello Dr. Chang, In the past three weeks, I have frequently felt a bit dizzy while eating, and I also experience occasional dizziness at other times, sometimes with a sensation of spinning. I have visited an otolaryngologist for dizziness tests and ...
Dr. Zhang Junwei Reply:
This issue falls under the field of neurology.[Read More] Understanding Mild Carotid Atherosclerosis: Causes, Symptoms, and Management
Do You Need Hospitalization for Skull Tumor Surgery? Post-Op Care Tips
Is hospitalization required for surgery to remove a skull osteoma? Is there a risk of keloid formation with this type of surgery? Hello, my wife has had a hard lump on her scalp for many years. Last year, a neurosurgeon examined it and said it was a benign osteoma, recommending f...
Dr. Zhang Junwei Reply:
Outpatient surgery can be performed, typically using local anesthesia or intravenous sedation, without the need for hospitalization. There is a possibility of developing keloids.[Read More] Do You Need Hospitalization for Skull Tumor Surgery? Post-Op Care Tips
Childhood Head Injury and Scarring: Managing Chronic Headaches
I had a head injury in childhood that left a scar, and now I frequently experience headaches? Hello, Dr. Zhang! I am from mainland China. When I was a child, I suffered a head injury that left a scar. Now I frequently experience headaches that radiate from the scar area towards t...
Dr. Zhang Junwei Reply:
It is recommended to see a neurology outpatient clinic.[Read More] Childhood Head Injury and Scarring: Managing Chronic Headaches
Understanding Lower Back Pain and Leg Numbness: When to Seek Surgery
Pain extending from the lower back to the hips and legs? Hello Dr. Lai, I have been lifting heavy objects for a long time. Initially, I experienced soreness in my left lower back extending to my hip and leg, with some discomfort in my calf. I cannot sit for long periods, and the...
Dr. Lai Zhaokang Reply:
Hello: 1. Your condition, my speculation: The cartilage originally contained moisture, and when it first ruptured, it was highly hydrated. Over time, it became dry and dehydrated, leading to a reduction in volume. Additionally, the acute pressure from the ruptured cartilage cau...[Read More] Understanding Lower Back Pain and Leg Numbness: When to Seek Surgery
Understanding Treatment Options for Lumbar Compression Fractures
Compression fracture of the second lumbar vertebra due to a fall? Hello, my mother, born in 1944, had an accident on June 4th when she accidentally stepped into a gap and fell to the ground, resulting in a crush fracture of her second lumbar vertebra due to gravitational impact, ...
Dr. Lai Zhaokang Reply:
Hello: A. When performing an MRI, in addition to assessing the degree of vertebral collapse, it is also important to evaluate whether there is nerve compression. B. Generally, if the vertebral height is collapsed by 1/2 and there are symptoms of buttock and leg pain due to nerve ...[Read More] Understanding Treatment Options for Lumbar Compression Fractures
Understanding Nerve Compression: Tingling Sensation in the Right Shoulder Blade
Numbness in the area of the scapula? I have been experiencing a tingling sensation in the area around my right scapula while sitting this week. However, this sensation does not occur when I stand. Interestingly, if I sit with my back against the chair, I do not feel any tingling;...
Dr. Lai Zhaokang Reply:
Hello: It is suspected to be cervical nerve compression. It is recommended to consult a neurosurgeon for an evaluation of the actual condition. Best wishes to you. // Neurosurgeon Dr. Lai Chao-Kang[Read More] Understanding Nerve Compression: Tingling Sensation in the Right Shoulder Blade
Persistent Shoulder Pain: When to Seek Medical Advice
Shoulder pain? One day I woke up and felt a sensation of stiffness in my shoulder. Previously, this stiffness would resolve in two days, but it has now been four days and it’s still the same. The pain extends to my neck and upper back, and I can’t lower my head; I can only turn m...
Dr. Lai Zhaokang Reply:
Hello: It is suspected to be cervical nerve compression pathology. It is recommended to consult a neurosurgeon for an evaluation of the actual condition. Best wishes to you. // Neurosurgeon Dr. Lai Chao-Kang[Read More] Persistent Shoulder Pain: When to Seek Medical Advice
Understanding Traumatic Brain Injury and Recovery After a Severe Accident
Hello Dr. Chang, my girlfriend was in a car accident and has intracranial hemorrhage? Hello Dr. Chang, my girlfriend was in a severe car accident on the night of May 12. The doctor diagnosed her with: 1. Head trauma with skull fracture and intracranial hemorrhage. 2. Facial contu...
Dr. Zhang Junwei Reply:
A physician shall not administer treatment, prescribe medication, or issue a diagnosis certificate without personally examining the patient (in cases of complex conditions, without detailed medical history, it is not possible to provide answers).[Read More] Understanding Traumatic Brain Injury and Recovery After a Severe Accident
Understanding Herniated Discs: Symptoms, Treatment Options, and Surgery Insights
Herniated disc Hello, Doctor. On April 21 of last month, I was diagnosed with a herniated disc, specifically a herniation of the intervertebral disc between the fifth lumbar vertebra and the first sacral vertebra, with nerve compression (left-sided). I subsequently consulted four...
Dr. Zhang Junwei Reply:
A physician must not administer treatment, prescribe medication, or issue a diagnosis certificate without conducting a personal examination (in cases of complex conditions, a detailed medical history is required).[Read More] Understanding Herniated Discs: Symptoms, Treatment Options, and Surgery Insights
Understanding Persistent Pain and Numbness in the Back of the Head
Head issues I often feel a tingling sensation in the back right side of my head, and at times it feels like a sharp pain, almost like an electric shock. Initially, it would only happen occasionally, but today it has been persistently painful for half the day. What could this be? ...
Dr. Zhang Junwei Reply:
Please see a neurologist.[Read More] Understanding Persistent Pain and Numbness in the Back of the Head
Can Endoscopic Sympathetic Nerve Block Help Treat Facial Flushing?
Sympathetic nervous system facial flushing? Hello, doctor. I would like to ask if endoscopic sympathetic nerve block can be used to treat the problem of facial flushing? Are there hospitals in Taiwan that perform this surgery specifically for facial flushing? Thank you!
Dr. Zhang Junwei Reply:
I haven't heard of it.[Read More] Can Endoscopic Sympathetic Nerve Block Help Treat Facial Flushing?
Understanding MRI and X-Ray Safety for Young Children
Magnetic Resonance Imaging (MRI) and X-ray? Hello Doctor: My child had two head X-rays due to a fall before turning one year old (spaced more than three months apart) and underwent an MRI when he was over one year old. My concern is that some doctors later mentioned that young ch...
Dr. Zhang Junwei Reply:
There is no need for concern. Everything is within safe dosage limits.[Read More] Understanding MRI and X-Ray Safety for Young Children
Intermittent Pain in Left Middle Finger: Possible Causes and Solutions
Sometimes, there is intermittent sharp pain in the middle finger of the left hand? Hello, this morning I woke up and sometimes I experience intermittent sharp pain in my left middle finger, but each episode lasts only a few seconds. There is a slight discomfort when I move it, an...
Dr. Zhang Junwei Reply:
Tendonitis of the fingers.[Read More] Intermittent Pain in Left Middle Finger: Possible Causes and Solutions
Understanding Chronic Lower Back Pain: Causes and Solutions
Lower back pain? Hello, doctor. I have two questions I would like to ask: I discovered in my twenties that I experienced pain in my lower back every morning upon waking up. After about two hours of activity, the pain would subside. At that time, I was young and strong, so I could...
Dr. Zhang Junwei Reply:
It is likely caused by inflammation of the small facet joints in the spine.[Read More] Understanding Chronic Lower Back Pain: Causes and Solutions
Persistent Dizziness After Head Injury: When to Seek Brain Imaging?
Dizziness for a long time? Hello Doctor: Several years ago, I had a motorcycle accident where I hit my head. I haven't had any issues since then, but for the past month or so, I've been experiencing some dizziness. Should I get my brain checked?
Dr. Zhang Junwei Reply:
It is unrelated to the head injury from a few years ago, but you can start taking medication and monitor the situation.[Read More] Persistent Dizziness After Head Injury: When to Seek Brain Imaging?