Understanding Sciatica: Symptoms, Causes, and Rehabilitation Options
Sciatic nerve Hello Doctor: My father is 62 years old and experiences lower back pain. After walking for a while, he feels numbness from his thigh to the soles of his feet. Resting for a bit helps alleviate the symptoms. Could this be a sciatic nerve issue? Would physical therapy...
Dr. Ding Xianwei reply Neurosurgery
Hello: This may involve intermittent claudication, possibly due to spinal stenosis. Generally, medication and rehabilitation therapy can be tried first, but if there is spondylolisthesis, surgery is usually the better option. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Sciatica: Symptoms, Causes, and Rehabilitation Options
Chronic Headaches After 10 Years of Brain Injury: Treatment Options
Chronic headaches caused by a traumatic brain injury sustained 10 years ago? Ten years ago, I fainted for about 20 seconds after hitting my motorcycle handle while standing up. Since then, I have experienced several episodes of severe headaches. Currently, if I suffer from insomn...
Dr. Ding Xianwei reply Neurosurgery
Hello: You may be experiencing symptoms of a concussion, and the headache is likely a sequel. If it is a sequel, treatment generally focuses on symptom management. Cerebral angiography is performed to diagnose vascular diseases within the brain. After head trauma, it is essential...[Read More] Chronic Headaches After 10 Years of Brain Injury: Treatment Options
Numbness and Pain in the Outer Thigh: Possible Causes and Solutions
Numbness in the outer thigh? Hello doctor, since my pregnancy until now, for the past two years, I have been experiencing numbness and some pain on the outer side of my left thigh, and it has also become somewhat bruised.
Dr. Ding Xianwei reply Neurosurgery
Hello: I apologize for not being able to provide you with an answer without an in-person consultation. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Numbness and Pain in the Outer Thigh: Possible Causes and Solutions
Understanding KKT Treatment for Herniated Discs in Neurosurgery
KKT Hello, doctor. I would like to ask about KKT therapy. Are you familiar with it? Can KKT be used to treat herniated discs?
Dr. Ding Xianwei reply Neurosurgery
Hello: I am not clear on what KKT is and cannot provide an answer for you. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding KKT Treatment for Herniated Discs in Neurosurgery
Understanding Chronic Lower Back and Heel Pain: Causes and Prevention
Lower back pain and heel pain..? Hello, Doctor. Over the past year, I have been experiencing soreness in my lower back (approximately 4 to 5 vertebrae above the coccyx). When the discomfort is mild, I feel a dull ache in the vicinity of my lower back, but when it becomes severe, ...
Dr. Ding Xianwei reply Neurosurgery
Hello: It is advised not to stand or sit for prolonged periods and to avoid maintaining a fixed posture for too long. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Chronic Lower Back and Heel Pain: Causes and Prevention
Recognizing Brain Tumor Symptoms: What You Need to Know
Symptoms of brain tumors Hello Dr. Ding: I would like to ask, what are the obvious symptoms if someone has a brain tumor? Recently, I have been experiencing some pain in my head that feels different from regular headaches, and sometimes I also feel a bit nauseous. I am very worri...
Dr. Ding Xianwei reply Neurosurgery
Hello: Generally speaking, the symptoms of a brain tumor are not very obvious, and headaches are common. However, many conditions can cause headaches, so there is no need to be overly anxious. Drinking plenty of water is a good way to address your issue. If you are still concerne...[Read More] Recognizing Brain Tumor Symptoms: What You Need to Know
Understanding Upper Limb Muscle Strength After Injury: A Guide
Issues with muscle strength and flexibility in the limbs? Due to a car accident, the physician at the previous hospital has diagnosed me with a disability in my upper limbs. The diagnosis report states: current muscle strength of the limbs is right upper limb Gr 3-4; left upper l...
Dr. Ding Xianwei reply Neurosurgery
Hello: This primarily concerns muscle strength; I recommend discussing it with your physician. Sincerely, Dr. Ding Hsien-Wei, Neurosurgeon.[Read More] Understanding Upper Limb Muscle Strength After Injury: A Guide
Understanding the Benefits of Electrotherapy for Herniated Discs
What are the effects of electrotherapy? Hello, doctor. May I ask what the effects of electrical therapy are for a herniated disc? Also, how should one determine the appropriate intensity of the electrical stimulation during the therapy? Is a higher intensity more effective, or is...
Dr. Ding Xianwei reply Neurosurgery
Hello: Regarding the electrical dosage for electrotherapy, I am unable to provide an answer without a personal examination. I recommend discussing this with your rehabilitation physician. However, running may not be suitable for your current condition; swimming and cycling are mo...[Read More] Understanding the Benefits of Electrotherapy for Herniated Discs
Understanding Facial Hyperhidrosis: Causes, Treatments, and Recovery
Facial hyperhidrosis Hello, my face sweats a lot; as soon as I feel a little warm, it keeps sweating non-stop. At work in a cleanroom, when I wear a cleanroom suit, the sweat on my face just keeps flowing, but my hands and back do not sweat much. I would like to know about compen...
Dr. Ding Xianwei reply Neurosurgery
Hello: Generally speaking, excessive sweating of the face is not treated with surgery, so it is not recommended to use surgical methods to address this issue. Sincerely, Dr. Ding Hsien-Wei, Neurosurgeon.[Read More] Understanding Facial Hyperhidrosis: Causes, Treatments, and Recovery
Understanding Coma Levels and Neurosurgery Options for Brain Tumors
Issues related to brain tumors? Coma is a state of prolonged unconsciousness where a person cannot be awakened and fails to respond to stimuli. The levels of coma can vary, and they are often assessed using the Glasgow Coma Scale (GCS), which ranges from 3 to 15. A GCS score of 3...
Dr. Ding Xianwei reply Neurosurgery
Hello: You can find information about the Glasgow Coma Scale online. Generally speaking, the prognosis for brainstem tumors is poor, and surgery is often not an option. The most that can be done is radiation therapy. If the patient is already in a coma, further evaluation may be ...[Read More] Understanding Coma Levels and Neurosurgery Options for Brain Tumors
Understanding Tourette Syndrome: Symptoms, Diagnosis, and Treatment Options
Tourette Syndrome Dr. Ding: Hello, I sincerely seek your advice. My seven-year-old nephew has a history of asthma and allergies, which are currently being managed with medication. Recently, he has been experiencing symptoms such as a crooked mouth, eyes rolling back, and involunt...
Dr. Ding Xianwei reply Neurosurgery
Hello: Since Tourette syndrome is not my area of expertise, I recommend that you consult a pediatric neurologist. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Tourette Syndrome: Symptoms, Diagnosis, and Treatment Options
Understanding Carbon Monoxide Poisoning: Symptoms and When to Seek Help
Carbon monoxide poisoning Hello Dr. Ding, I apologize for the intrusion. My cousin recently attempted suicide by carbon monoxide poisoning but was rescued in the middle of the night. However, he is experiencing symptoms of aspiration and rectal prolapse. Subsequently, he has been...
Dr. Ding Xianwei reply Neurosurgery
Hello: This is likely a consequence of neurological symptoms caused by hypoxia following carbon monoxide poisoning. It is important to pay attention to the possibility of seizures, so patients generally need to take antiepileptic medications. It is recommended that you follow up ...[Read More] Understanding Carbon Monoxide Poisoning: Symptoms and When to Seek Help
Is Increased Pain After EMG and Nerve Conduction Tests Normal?
Will symptoms become more pronounced after undergoing electromyography (EMG) and nerve conduction studies (NCS)? Dear Doctor, I underwent electromyography (EMG) and nerve conduction studies (NCS) yesterday due to a herniated disc. Since the tests, my pain has worsened significant...
Dr. Ding Xianwei reply Neurosurgery
Hello: It should not be the case; it may be related to the worsening of symptoms. I recommend that you avoid prolonged standing or sitting. You can download the educational DVD on lower back pain from our hospital's website. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Is Increased Pain After EMG and Nerve Conduction Tests Normal?
Understanding Axillary Hyperhidrosis After Sympathectomy: Treatment Options
Hyperhidrosis Hello, Doctor. Eight years ago, I underwent endoscopic sympathetic nerve surgery to treat palmar hyperhidrosis. At that time, I did not inform the physician that I also experienced sweating in my armpits. To this day, my axillary hyperhidrosis remains severe, and it...
Dr. Ding Xianwei reply Neurosurgery
Hello: I would suggest that you undergo axillary gland excision (surgery for axillary osmidrosis), but you are not suitable for endoscopic surgery anymore, as patients who have undergone previous surgeries may experience adhesions in the lungs, which increases the difficulty of t...[Read More] Understanding Axillary Hyperhidrosis After Sympathectomy: Treatment Options
Effective Solutions to Manage Body Odor During Puberty
How to solve the problem of body odor? Doctor, during puberty, it is said that it is not suitable to undergo surgical procedures for removal (as mentioned online). What methods can be used to reduce the odor produced when sweating? Because during physical education classes, we ca...
Dr. Ding Xianwei reply Neurosurgery
Hello: You can consult a plastic surgeon for good advice and treatment. Wishing you safety and health.[Read More] Effective Solutions to Manage Body Odor During Puberty
Understanding the Causes of a Swelling on the Left Side of Your Head
I have a swollen area on the left side of my head? I recently noticed that the left side of my head is swollen, and I don't know why since I haven't hit it. Could you please tell me what might be the cause? Thank you.
Dr. Ding Xianwei reply Neurosurgery
Hello: Sometimes injuries can occur without our awareness. It is recommended to visit the nearest medical center or regional hospital for evaluation, as swelling must be visible for diagnosis. Sincerely, Dr. Ding Hsien-Wei, Neurology.[Read More] Understanding the Causes of a Swelling on the Left Side of Your Head
Understanding Cervical Bone Spurs: Do You Need Surgery for Nerve Compression?
Cervical osteophytes Hello: I have been experiencing numbness and tingling in one arm, which I initially thought was due to excessive computer use. The discomfort has now spread to my entire hand and even my fingers. I consulted a doctor and had an X-ray taken, and the doctor dia...
Dr. Ding Xianwei reply Neurosurgery
Hello: I would like to wait until you finish the examination and review the images before providing you with an answer. Sincerely, Dr. Ding Suan-Wei, Neurosurgery.[Read More] Understanding Cervical Bone Spurs: Do You Need Surgery for Nerve Compression?
Understanding Hyperhidrosis: Surgical Options and Considerations
Hyperhidrosis I would like to inquire about my condition, as I have hyperhidrosis. As soon as summer arrives, standing in the sun for just 10 minutes makes my body feel as if it has been drenched in water, with sweating occurring all over (generalized). This is especially pronoun...
Dr. Ding Xianwei reply Neurosurgery
Hello: Based on your situation, it is recommended to try medication first before considering surgery. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Hyperhidrosis: Surgical Options and Considerations
Does Head Trauma Affect Intelligence? Insights and Tips for Brain Health
Enhancing Intelligence Dear Doctor, I experienced a light but noticeable blow to the back of my head during middle school from a classmate. At the time of the impact, I smelled a metallic scent, which seems to be common when the head is struck. I would like to know if this could ...
Dr. Ding Xianwei reply Neurosurgery
Hello: Generally speaking, such issues do not affect intelligence. Sincerely, Dr. Ding Hsien-Wei, Neurosurgeon.[Read More] Does Head Trauma Affect Intelligence? Insights and Tips for Brain Health
Understanding a Small Indentation Near the Hip: Possible Causes and Concerns
A depression in the buttock? There is a small indentation near the hip area, similar to pressing with a finger on the thigh, approximately the size of a five-dollar coin. What kind of issue could that be? Thank you for your response.
Dr. Ding Xianwei reply Neurosurgery
Hello: Due to the inability to perform a physical examination, a correct diagnosis cannot be made. Therefore, visiting the surgical outpatient clinic may provide you with the answers you need. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding a Small Indentation Near the Hip: Possible Causes and Concerns