Understanding Subtle Head Bumps: When to Seek Medical Advice
Recently, I have been feeling my head? Hello doctor, recently I noticed a subtle bump on the top of my head that is not very prominent and can only be felt with careful touch. Is this normal? I asked my father, and he mentioned that he has had it since childhood. It doesn't ...
Dr. Zhang Junwei Reply:
If there have been no changes for several years, theoretically, continued observation is sufficient.[Read More] Understanding Subtle Head Bumps: When to Seek Medical Advice
Managing Post-Concussion Headaches: When to Seek Further Medical Attention
Mild concussion with headache? Hello Doctor: Last week, I collided with someone at school and fell, hitting my head on the ground. I lost consciousness afterward and was taken to the nurse's office by my teacher and classmates. After waiting for my family to arrive, they too...
Dr. Lai Zhaokang Reply:
It is recommended to return to the original hospital for examination and consultation. Best wishes from the neurosurgery department.[Read More] Managing Post-Concussion Headaches: When to Seek Further Medical Attention
Understanding Right Lower Back Pain: Causes and Treatment Options
Right lower back pain? Hello, doctor. I have severe pain on the right side of my lower back near the spine, which radiates down to my groin, and sometimes I also experience pain in my right thigh and calf. I'm not sure if it's related to my kidneys or if I've strai...
Dr. Lai Zhaokang Reply:
Hello, you can consult a neurosurgeon. Wishing you well.[Read More] Understanding Right Lower Back Pain: Causes and Treatment Options
Understanding Winter Foot Sweating and Cold Feet: Common Concerns and Solutions
In winter, I experience sweaty feet while my feet feel very cold; it gets worse when I don't wear socks? Hello Dr. Lai, I have a condition where I sweat from my hands regardless of the season, but I only experience foot sweating in the winter. During the summer, my feet rema...
Dr. Lai Zhaokang Reply:
Hello, your situation is quite rare and must be very troubling for you. I would advise against surgery because compensatory sweating, if it occurs, could be even more distressing for you. Topical treatments and medications are available, and your physician may suggest trying them...[Read More] Understanding Winter Foot Sweating and Cold Feet: Common Concerns and Solutions
Post-Surgery Considerations for Lumbar Spine: When to Remove Hardware?
Regarding issue #116219, after undergoing surgery on the first lumbar vertebra, is it necessary to perform minimally invasive surgery to remove it after one year? Hello Dr. Lai: First of all, thank you for being willing to respond to my questions. You are truly knowledgeable and ...
Dr. Lai Zhaokang Reply:
Hello, 1. Generally, there is no need to remove the hardware, but if, for example, the screws have loosened, or if they are too rigid and causing discomfort, or for other reasons as determined by the physician, they can be removed. 2. Typically, if it is confirmed that the bo...[Read More] Post-Surgery Considerations for Lumbar Spine: When to Remove Hardware?
Head Injury from 60cm Fall: When to Seek Medical Attention?
Struck on the top of the head by a heavy object from a height of 60 centimeters? Hello, Dr. Chang. I experienced dizziness at the moment of impact and felt a pulling sensation in my neck. Afterward, when I look up, I feel pressure and pain. When I look down, I also feel a pulling...
Dr. Zhang Junwei Reply:
No immediate action is needed; however, if symptoms persist for more than two to three days, it is advisable to seek medical attention.[Read More] Head Injury from 60cm Fall: When to Seek Medical Attention?
Ulnar Nerve Compression: Is Rehabilitation Effective or Worsening Symptoms?
Is rehabilitation effective for ulnar nerve compression? I have ulnar nerve compression in my right hand, specifically affecting the little finger in three segments, with persistent tingling in the fingertip. The area in the middle of my right palm, near the Guyon's canal, t...
Dr. Zhang Junwei Reply:
It's hard to determine; let's observe for a while longer.[Read More] Ulnar Nerve Compression: Is Rehabilitation Effective or Worsening Symptoms?
Head Injury from Basketball: When to Seek Emergency Care
Hit on the top of the head by a basketball? Around 11 AM, I was hit on the head with a basketball, which caused me to experience headaches, dizziness, and overall weakness. After a while, I started feeling a bit nauseous. In the afternoon, my mom took me to a general clinic, wher...
Dr. Zhang Junwei Reply:
You should rest and continue to monitor your condition. If discomfort persists, please visit the neurosurgery outpatient clinic for further evaluation.[Read More] Head Injury from Basketball: When to Seek Emergency Care
Understanding Post-Concussion Symptoms: Tinnitus and Dizziness Explained
Post-concussion syndrome In mid-November, I was hit by a motorcycle that ran a red light while crossing the street. I lost consciousness at the time, but I'm not sure how long it lasted. My brain may have suffered a concussion due to the impact with the ground. I underwent a...
Dr. Zhang Junwei Reply:
It is possible, but it could also be caused by inner ear imbalance.[Read More] Understanding Post-Concussion Symptoms: Tinnitus and Dizziness Explained
Understanding Post-Operative Outcomes of Dural Adhesiolysis Surgery
Dural nerve adhesion release surgery Will there be any sequelae after the dural nerve adhesion separation surgery? Can I still play sports in the future? My spine only has mild compression, and I'm unsure whether to undergo this surgery or just pursue rehabilitation treatmen...
Dr. Lai Zhaokang Reply:
Hello: The procedure for separating adhesions of the nerve on the dura mater is not a surgical operation; it is less invasive. However, medicine cannot be explained in just a few words, and each patient's condition is different. Your explanation is too brief and cannot be ad...[Read More] Understanding Post-Operative Outcomes of Dural Adhesiolysis Surgery
Understanding Finger Numbness and Calluses: A Neurological Perspective
Numbness in the fingers, followed by the development of calluses? Hello, Doctor. Last week, after welcoming a newborn and frequently holding the baby, I started experiencing a tingling sensation in my right thumb, index, and middle fingers on the third day. By the fifth day, the ...
Dr. Lai Zhaokang Reply:
First of all, congratulations on the arrival of your baby! 1. Your description suggests that the first possibility is carpal tunnel syndrome, which occurs when the median nerve is compressed at the wrist. You can try wrist exercises, heat therapy, and using a wrist brace. Addit...[Read More] Understanding Finger Numbness and Calluses: A Neurological Perspective
Post-Surgery Rehabilitation Tips for Facial Nerve Recovery After Acoustic Neuroma Surgery
Recommendations for Facial Nerve Rehabilitation After Acoustic Neuroma Surgery Hello, Doctor: My mother underwent surgery for a vestibular schwannoma on November 25 of this year and is currently resting at home. Her current condition includes weakness and numbness on the right si...
Dr. Lai Zhaokang Reply:
Hello: If the wound has healed and the patient's physical strength is sufficient, they can consult the original surgeon. It should be possible to arrange for acupuncture with a traditional Chinese medicine practitioner or rehabilitation with a Western medicine specialist. Ne...[Read More] Post-Surgery Rehabilitation Tips for Facial Nerve Recovery After Acoustic Neuroma Surgery
Is Minimally Invasive Surgery Necessary to Remove Spinal Implants After a Year?
The first vertebra (lumbar vertebra) underwent surgery, and after one year, is a minimally invasive surgery required for removal? Hello Doctor: I had traditional surgery in May this year for a car accident where they installed Stryker Mantis implants, rod, and screws in my first ...
Dr. Lai Zhaokang Reply:
Hello, you are only 25 years old. I suspect you might have a burst fracture of the L1 vertebra. If the physician determines through imaging that the fracture has healed, it may be considered to remove the screws. Generally, the removal of screws does not directly affect the nerve...[Read More] Is Minimally Invasive Surgery Necessary to Remove Spinal Implants After a Year?
Understanding Post-Edema Symptoms: Is Memory Loss Normal After Brain Injury?
What is the normal range for sequelae after cerebral edema? Hello, doctor. I had a car accident two years ago where my left frontal lobe hit the ground. The emergency physician diagnosed me with cerebral edema. I did not undergo surgery and was discharged after four days in the h...
Dr. Zhang Junwei Reply:
The sequelae of head trauma can be quite troublesome. If brain imaging studies, such as MRI, do not reveal any abnormalities, then the only option is to monitor the condition.[Read More] Understanding Post-Edema Symptoms: Is Memory Loss Normal After Brain Injury?
Do I Need to See a Neurosurgeon After a Head Injury?
I would like to ask if I need to see a neurosurgeon? Hello Dr. Chang, Two days ago (11/28), I hit my head against the upper edge of a car door. At the time, I did not lose consciousness and was fully aware, although I felt pain and vaguely heard a sound that I perceived as a rat...
Dr. Zhang Junwei Reply:
Yes, if you are truly feeling unwell, please consult a neurosurgeon.[Read More] Do I Need to See a Neurosurgeon After a Head Injury?
Why Does Pain Persist After Nerve Tumor Surgery?
Why is there still pain after the surgery to remove it? Hello, doctor. About ten days ago, I underwent surgery to remove a neuroma from my elbow. However, since the surgery, I have been experiencing sharp pain in the veins on the back of my hand (before the surgery, the pain was ...
Dr. Zhang Junwei Reply:
Due to not being able to see the postoperative wound and not being clear about the surgical procedure, I am unable to provide an answer.[Read More] Why Does Pain Persist After Nerve Tumor Surgery?
Understanding Post-Surgery Symptoms After Cervical Spine Surgery
Cervical cone surgery status? Hello Doctor: I have seen many doctors, but in fact, each doctor's opinion is different. In March 2016, I sustained an injury during a chiropractic session, and the next day, when I tilted my head down and tried to lift it, I experienced shaking...
Dr. Lai Zhaokang Reply:
Hello: 1. It is recommended to follow up with a cervical spine MRI. 2. If there are concerns about lumbar spondylolisthesis, a dynamic X-ray evaluation of the lumbar spine in extension should be performed. Best wishes, Dr. Lai Chao-Kang, Neurosurgeon.[Read More] Understanding Post-Surgery Symptoms After Cervical Spine Surgery
Post-Surgery Pain and Swelling: Understanding Nerve and Blood Vessel Issues
After surgery to remove a cyst from the groin area, a lump has developed near the anus, and there is a hard structure that feels like a blood vessel (or nerve) which is painful to the touch? Hello, I have a subcutaneous cyst near the left groin and thigh, which was surgically rem...
Dr. Lai Zhaokang Reply:
Hello, I recommend that you first return for a follow-up with the original surgeon. If your issue cannot be resolved, then consider consulting a specialist in the same field at another hospital.[Read More] Post-Surgery Pain and Swelling: Understanding Nerve and Blood Vessel Issues
Understanding Finger Numbness: Causes and Treatment Options
Using a branch to massage the back of the right neck has caused numbness in the entire index finger for 24 hours? Hello Dr. Chang, I am currently in Australia and have been experiencing numbness in my right index finger for 1.5 months after undergoing general anesthesia. The reha...
Dr. Zhang Junwei Reply:
Suspected cervical disc herniation with nerve compression; neurosurgery outpatient evaluation is recommended.[Read More] Understanding Finger Numbness: Causes and Treatment Options
Post-Surgery Mental Health Issues After Aneurysm Rupture: Insights and Concerns
Postoperative Mental Status after Aneurysm Rupture Surgery Hello, doctor. My mother is 61 years old. On August 6th of this year, she suddenly fainted and was taken to the nearest Cathay General Hospital for emergency treatment. The doctors diagnosed her with a ruptured aneurysm, ...
Dr. Zhang Junwei Reply:
It should be the result of a brain injury caused by bleeding.[Read More] Post-Surgery Mental Health Issues After Aneurysm Rupture: Insights and Concerns