Understanding Head Injuries: When to Seek Medical Attention After a Fall
After being struck by someone, I fell to the ground with my head hitting the surface? Hello doctor, on Friday, while I was running to the school store to buy dinner, a boy suddenly rushed out from a group of school buses and collided with me as he was heading towards the basketba...
Dr. Zhang Junwei Reply:
It is recommended to undergo a neurosurgical outpatient examination![Read More] Understanding Head Injuries: When to Seek Medical Attention After a Fall
Managing Sciatica Pain from Herniated Discs: Rehabilitation Insights
Herniated disc with left buttock pain? Hello, Doctor. I have a herniated disc, and due to prolonged sitting and standing, my left calf becomes numb and my left hip feels very uncomfortable. After walking for less than ten minutes, the pain in my left hip becomes so intense that I...
Dr. Zhang Junwei Reply:
There is a possibility of improvement, but it is not guaranteed. If there is no improvement, surgical treatment is recommended![Read More] Managing Sciatica Pain from Herniated Discs: Rehabilitation Insights
Understanding Thumb Mobility Issues: When to See a Neurosurgeon
Could you please provide the content you would like me to translate? Hello, Dr. Chang. I am currently experiencing an issue with my right thumb; specifically, I am unable to bend or move the first joint properly. For example, I cannot write normally or perform delicate tasks. Cou...
Dr. Zhang Junwei Reply:
It may not be certain; it should be a joint issue. I recommend consulting an orthopedic or hand surgery clinic for an examination![Read More] Understanding Thumb Mobility Issues: When to See a Neurosurgeon
Understanding Upper Back Pain: Causes, Symptoms, and Treatment Options
Back pain I have been experiencing severe pain in the upper left part of my back (about five centimeters below the shoulder) for the past couple of days. It hurts a little when I breathe, and the pain intensifies with movement. Even lying flat or on my side is extremely painful, ...
Dr. Lai Zhaokang Reply:
Hello, it could possibly be a cervical or thoracic spine issue, a myofascial problem, or it may involve the thoracic and abdominal organs. It is advisable to first consult with an internal medicine specialist, specifically in pulmonary medicine or gastroenterology. If internal or...[Read More] Understanding Upper Back Pain: Causes, Symptoms, and Treatment Options
Understanding the Need for Central Catheters in Spine Surgery
Spinal surgery Hello: Last month, my aunt was hospitalized for spinal surgery. I found it strange that the regular IV line couldn't be used and that a central catheter had to be specifically installed, as the doctor mentioned.
Dr. Lai Zhaokang Reply:
Hello, it may be that your aunt's vascular condition makes it difficult to administer a regular IV. If there are symptoms that require it, a central venous catheter may be used for easier infusion. If you have any medical questions, it is advisable to ask the original treatm...[Read More] Understanding the Need for Central Catheters in Spine Surgery
Understanding Recovery After Aneurysm Rupture: A Daughter's Concern
Ruptured cerebral aneurysm I would like to ask about my mother. On October 20, 2016, she fell into a coma due to a ruptured cerebral artery, with a Glasgow Coma Scale score of 3 at that time. After surgery and the placement of a drainage tube, she was discharged in January and ha...
Dr. Zhang Junwei Reply:
Brain injuries are very complex. Once a person has experienced a severe coma with a Glasgow Coma Scale score as low as three, to be honest, no one can predict when they will wake up![Read More] Understanding Recovery After Aneurysm Rupture: A Daughter's Concern
Understanding Sciatica and Piriformis Syndrome: Symptoms and Treatment
Sciatica? Piriformis syndrome? Hello Doctor, during this time, I have been experiencing tightness and pain in my right leg, extending from the inner thigh down to the back of the calf. The discomfort is particularly noticeable when bending and straightening my leg. I have consult...
Dr. Zhang Junwei Reply:
Without a physical examination, I cannot provide an answer. Please rest more, and for rehabilitation issues, please consult the rehabilitation department.[Read More] Understanding Sciatica and Piriformis Syndrome: Symptoms and Treatment
Head Injury: Persistent Pain After Six Days - When to Seek Help?
It has been six days since I hit my head, and it still hurts? On the morning of April 6th, I bumped my head (hit it against the refrigerator, quite hard). At the moment, there was some swelling, and in the afternoon, I felt dizzy and nauseous (but did not vomit). After work at 6 ...
Dr. Zhang Junwei Reply:
It should be better in a few days![Read More] Head Injury: Persistent Pain After Six Days - When to Seek Help?
Post-Operative Care and Recovery for Meningioma Surgery Patients
Postoperative care after meningioma surgery? Hello, a 60-year-old relative has a 6 cm brain tumor in the ventricles. Due to a decline in judgment and memory, it was discovered through examination. The tumor was surgically removed and found to be benign. The patient was able to op...
Dr. Zhang Junwei Reply:
I cannot answer regarding the coma scale and the reason for the reoperation![Read More] Post-Operative Care and Recovery for Meningioma Surgery Patients
Impact of Smoking vs. Alcohol on Recovery After Arm Nerve Surgery
Brachial plexus Hello, doctor. I would like to ask, after undergoing arm nerve repair surgery, which has a greater impact, smoking or alcohol?
Dr. Zhang Junwei Reply:
It is difficult to answer, as there is no evidence indicating which impact is greater.[Read More] Impact of Smoking vs. Alcohol on Recovery After Arm Nerve Surgery
Understanding Back and Lower Back Pain: Causes and Solutions
Back and lower back pain? The pain is generally located in the area of the kidneys in the lower back, and it hurts when pressed. When the pain is severe, changing positions can cause cramping-like pain. Usually, the pain only occurs with pressure and has persisted for about five ...
Dr. Lai Zhaokang Reply:
Hello, it is recommended to consult a physician to evaluate whether a CT scan or MRI is necessary for a detailed diagnosis. Wishing you a speedy recovery. Director Lai Chao-Kang, Department of Spine and Neurosurgery, Changhua Hospital.[Read More] Understanding Back and Lower Back Pain: Causes and Solutions
Post-Surgery Numbness in Hand: Is It Normal After Cervical Surgery?
After cervical spine surgery, experiencing numbness in the hand can be considered a normal occurrence? Hello, my wife is 40 years old. She recently went to the hospital due to numbness in her left arm, and an MRI revealed that she has herniated discs at the C5/C6 and C6/C7 levels...
Dr. Lai Zhaokang Reply:
Hello, it is recommended to consult your surgeon. Wishing you a speedy recovery. Dr. Lai Chao-Kang, Department of Spine and Neurosurgery, Changhua Hospital.[Read More] Post-Surgery Numbness in Hand: Is It Normal After Cervical Surgery?
Understanding Lower Back Pain and Hip Discomfort: Causes and Treatments
Lower back pain with buttock soreness? Hello, doctor! A few months ago, while lifting heavy objects, I suspect I may have strained my lower back (I heard a popping sound at that moment). Although I did not experience any obvious pain symptoms afterward, I have been feeling sorene...
Dr. Lai Zhaokang Reply:
Hello, if general medication rehabilitation treatment is ineffective, it may be due to a lumbar disc issue. You might consider arranging for an MRI to evaluate the condition. Wishing you a speedy recovery. Dr. Lai Chao-Kang, Department of Spine and Neurosurgery, Changhua Hospital...[Read More] Understanding Lower Back Pain and Hip Discomfort: Causes and Treatments
Post-Surgery Complications: Challenges in Walking and Sitting After L5-S1 Support Frame Surgery
After the insertion of a support frame at L5 and S1, the patient is unable to sit or walk? Hello, doctor. My mother underwent a spinal fusion surgery between L3 and L5 two years ago. After the surgery, she still felt numbness and soreness in her left leg while walking, and she wa...
Dr. Lai Zhaokang Reply:
Hello, it is recommended that you consult your surgeon. If you do not receive a satisfactory response, you may consider seeking a second opinion from another physician. Wishing you a speedy recovery. Director Lai Chao-Kang, Department of Spine and Neurosurgery, Changhua Hospital.[Read More] Post-Surgery Complications: Challenges in Walking and Sitting After L5-S1 Support Frame Surgery
Six Months Post-Lumbar Disc Surgery: Managing Pain and Concerns
Six months post lumbar disc herniation surgery? Last year on October 27, I underwent surgery for an L5-S1 disc replacement with two cages. It's been about six months now, and I experience soreness and discomfort after about four to six hours of activity (standing, sitting, w...
Dr. Zhang Junwei Reply:
It is recommended to return to the original surgical hospital for an X-ray examination.[Read More] Six Months Post-Lumbar Disc Surgery: Managing Pain and Concerns
Persistent Lower Back Pain at Night: Seeking Solutions for Sleeplessness
Waking up with lower back pain during sleep? Hello doctor, I have been experiencing lower back pain that wakes me up at night for the past month. I have already consulted with the orthopedic department at Hsinchu Mackay, the neurosurgery department at Taoyuan Chang Gung, the rheu...
Dr. Zhang Junwei Reply:
It is really difficult to answer such questions online; I recommend going to a medical center for further examination.[Read More] Persistent Lower Back Pain at Night: Seeking Solutions for Sleeplessness
Head Injury: When to Seek Medical Attention After a Fall
Head injury Hello, doctor. Last Saturday, I was walking while using my phone and didn't watch where I was going, which caused my face and head to hit a metal gate hard. At the time, I had bruising on my head and nose and applied ice immediately. However, since that day, I...
Dr. Zhang Junwei Reply:
Please visit the neurosurgery outpatient clinic for an examination.[Read More] Head Injury: When to Seek Medical Attention After a Fall
Head Injury While Sleeping: When to Seek Medical Attention
The back of the head hit the wall after sleeping? Hello Doctor, I accidentally hit the back of my head while lying down to sleep the night before last. At that moment, I experienced a strong, brief stomach pain, but no other symptoms. The next morning, I woke up with severe, inte...
Dr. Zhang Junwei Reply:
Please visit the neurosurgery outpatient clinic for treatment.[Read More] Head Injury While Sleeping: When to Seek Medical Attention
Post-Car Accident Intracranial Hemorrhage: Recovery Concerns and Dietary Advice
My father has intracranial hemorrhage due to a car accident? Hello, doctor. My father was in a car accident and suffered from intracranial hemorrhage. Throughout the process, he remained relatively conscious and did not require surgery. The doctor advised that the blood would be ...
Dr. Zhang Junwei Reply:
The sequelae of patients with cerebral hemorrhage include headaches, dizziness, drowsiness, and neurological deficits related to the site of the hemorrhage. Some of these symptoms may be temporary, while others can be permanent. Acupuncture may be worth trying.[Read More] Post-Car Accident Intracranial Hemorrhage: Recovery Concerns and Dietary Advice
Hard Lump on Back of Head: Possible Cerebellar Tumor Concerns
There is a hard lump on the back of the head? There is a hard lump at the back of the head, and when standing up suddenly, there is facial drooping and falling, but it returns to normal after a while. It is feared that a tumor may be pressing on the cerebellum.
Dr. Zhang Junwei Reply:
Please visit the neurosurgery outpatient clinic for an examination.[Read More] Hard Lump on Back of Head: Possible Cerebellar Tumor Concerns