Managing Nerve Pain After ACL Surgery and Compartment Syndrome
Neuropathic pain in the foot and toes caused by compartment syndrome following posterior cruciate ligament surgery? Hello Doctor, I had a bicycle accident 5 weeks ago, resulting in a fracture of the posterior cruciate ligament in my left knee, for which I underwent reduction surg...
Dr. Gao Chunde reply Neurology
In principle, the neurology department is responsible for the standard treatment of your current neurological impairment. If the physician chooses alternative treatment methods that still do not lead to improvement, you may be referred to a pain management specialist, which is ty...[Read More] Managing Nerve Pain After ACL Surgery and Compartment Syndrome
Chronic Head Pressure and Dizziness: Seeking Answers in Neurology
Long-term head pressure, heaviness in the back of the head, and a different sensation in vision compared to before the onset of symptoms? Since early 2015, I have suddenly experienced dizziness and chest tightness, leading me to visit the emergency room twice. Blood tests, X-rays...
Dr. Gao Chunde reply Neurology
The situation closely resembles the symptoms of tension-type headaches, except that you are not troubled by pain. You can seek medical attention from a neurologist or a psychosomatic specialist, who can evaluate your condition and formulate a treatment plan.[Read More] Chronic Head Pressure and Dizziness: Seeking Answers in Neurology
Sudden Blackout and Unconsciousness: Understanding Neurological Symptoms
Sudden loss of vision followed by unconsciousness? Hello doctor, today when I stood up, my vision suddenly went dark, and then I started to feel unsteady, as if I couldn't maintain my balance. I tried to grab onto something, but then I lost consciousness for about a minute. ...
Dr. Gao Chunde reply Neurology
Transient loss of consciousness may be due to changes in cerebral blood flow, but it is also important to be cautious of potential seizure activity in the brain. A detailed evaluation by a neurologist should be conducted, and further tests should be arranged to determine the caus...[Read More] Sudden Blackout and Unconsciousness: Understanding Neurological Symptoms
Feeling Dizzy and Nauseous: Which Specialist Should You See?
Dizziness and nausea? It's been almost a week, and I feel heavy-headed and light-footed, somewhat like being drunk or seasick. My head feels a bit foggy, but it's not very pronounced; I don't experience vertigo when looking at things, but I do feel a bit dizzy at t...
Dr. Gao Chunde reply Neurology
There are many causes of dizziness, and it is essential for a physician to carefully understand the patterns, characteristics of occurrence, and the patient's medical history, including factors such as colds, infections, medications, trauma, sleep, stress, and past medical h...[Read More] Feeling Dizzy and Nauseous: Which Specialist Should You See?
Understanding Numbness and Weakness After Ischemic Stroke: Guidance Needed
Numbness in the hands and feet with two or three instances of prolapse? Hello, Dr. Gao. I was hospitalized for 11 days over the past 100 years due to numbness on the left side of my body, from my foot to my mouth. I went to the emergency room and was admitted. Upon discharge, the...
Dr. Gao Chunde reply Neurology
The symptoms are more indicative of a transient ischemic attack (TIA), which is a warning sign and precursor to a stroke. Fortunately, the blood vessel was only temporarily blocked, and the thrombus dissolved on its own, preventing a full-blown stroke. It is important to see a ne...[Read More] Understanding Numbness and Weakness After Ischemic Stroke: Guidance Needed
Understanding Numbness in Hands and Feet: Causes and Treatments
Numbness in the hands and feet? Hello, Doctor Gao. I have been taking sleeping pills for insomnia from the clinic, and I experience a tingling sensation in my head, as if blood is rushing out. I mentioned this to the doctor when I first received the medication. The doctor prescri...
Dr. Gao Chunde reply Neurology
Of course, it's best to take less medication if possible. Your Nabo capsules can be taken long-term, but it depends on the purpose for which your attending physician prescribed this medication after their diagnosis. If you experience numbness in your hands and feet after tak...[Read More] Understanding Numbness in Hands and Feet: Causes and Treatments
Understanding Abnormal Brain Waves in Children: Is It Epilepsy?
The child's EEG shows abnormal discharges? Hello Doctor: My child is currently 1 year and 6 months old. At around 1 year and 3 to 4 months, I noticed that my child had episodes of trembling upon waking up. We took him to the National Taiwan University Hospital in Yunlin for ...
Dr. Gao Chunde reply Neurology
If you have not taken medication and do not have any clinical symptoms, you can return to the clinic and inform your physician. They will likely perform another EEG to assess the brain's electrical activity to confirm the diagnosis. If epilepsy is indeed present and not cont...[Read More] Understanding Abnormal Brain Waves in Children: Is It Epilepsy?
Understanding Dizziness After Head Trauma: When to Seek Medical Help
Dizziness in the back of the head? Hello, I am currently a student. During tutoring today, a classmate with a rather excitable personality hit me on the back of the head several times. Since he tends to be very animated, I didn't stop him at the moment, but afterward, I noti...
Dr. Gao Chunde reply Neurology
If symptoms worsen, such as experiencing headaches, vomiting, or drowsiness, along with signs of neurological symptoms like lethargy or unsteady gait, it is important to seek medical attention promptly. If symptoms gradually subside, then there is no cause for concern.[Read More] Understanding Dizziness After Head Trauma: When to Seek Medical Help
Understanding Nerve Damage: Causes and Treatment for Hand and Foot Numbness
Numbness in the hands and feet? Hello, Doctor: I have a few questions to ask. My left hand, including the palm and the back, has been experiencing persistent numbness for a long time. A month ago, I visited a neurologist and underwent an electromyography (EMG) test. When I return...
Dr. Gao Chunde reply Neurology
The most common condition is carpal tunnel syndrome. You can look up the causes and treatments online. Your primary physician has only prescribed Methylcobalamin, which is a supplement that aids in the repair of nerve tissue and is classified as a medical treatment, typically use...[Read More] Understanding Nerve Damage: Causes and Treatment for Hand and Foot Numbness
Help! My Mental Health is Crumbling Due to Nerve Issues
I need help; I'm on the verge of a mental breakdown? Hello, doctor. I often experience itching and tingling sensations on the left side of my face (the affected area changes daily, and this has been going on for over three months). The condition fluctuates; sometimes I feel ...
Dr. Gao Chunde reply Neurology
If the neurologist finds no significant abnormalities and considering the high levels of stress and poor sleep, it may be advisable to consult a psychiatrist to evaluate whether your symptoms are related to psychological factors.[Read More] Help! My Mental Health is Crumbling Due to Nerve Issues
Understanding Throat Sensations and Swallowing Anxiety: A Neurological Perspective
Sensation of a foreign body in the throat, difficulty swallowing, and concerns about swallowing nerve relaxation? Hello Doctor, for the past month, I have frequently felt a sensation of a foreign body in my throat. I pay special attention to the feeling of food passing through my...
Dr. Gao Chunde reply Neurology
Since the endoscopy, gastroscopy, and X-rays have all shown no issues, the psychological component may be more significant. If you are still concerned about swallowing difficulties potentially caused by neurological factors, you can have a neurologist evaluate you to confirm. Thi...[Read More] Understanding Throat Sensations and Swallowing Anxiety: A Neurological Perspective
Understanding Morning Headaches: Causes and Solutions for Neurological Issues
The first headache aside from a cold? Hello: For the past three weeks, I have been experiencing headaches almost every time I wake up. However, by noon or when I am not paying attention, the pain stops. In the evening, before going to bed, the headache starts again. The pain is l...
Dr. Gao Chunde reply Neurology
If you do not have a fever or cold, your headache is not the type that a physician would consider benign; it may indicate elevated pressure in the posterior fossa. It is advisable to see a neurologist for evaluation and examination as soon as possible.[Read More] Understanding Morning Headaches: Causes and Solutions for Neurological Issues
Numbness in Right Big Toe: Causes and Insights from Neurology
Numbness in the right big toe? In recent years, I have experienced a tingling sensation in my right big toe when I press on the tip and the base of the toe. However, I do not feel this tingling sensation during normal activities. This symptom began after I wore military boots for...
Dr. Gao Chunde reply Neurology
When pressure is applied, there is a tingling sensation, which may suggest a minor injury to a small nerve branch; however, it is not severe. Symptoms occur only with stimulation. It is advisable to pay attention to your current footwear or habits and to avoid prolonged pressure ...[Read More] Numbness in Right Big Toe: Causes and Insights from Neurology
Understanding Head and Neck Issues: Post-Injury Symptoms and Concerns
Head and neck issues Hello, Doctor Gao: I have a few questions to ask. Over two years ago, while moving something under the stairs, I suddenly forgot and stood up, hitting the top center of my head against the corner of a steel beam. At that moment, I saw stars, had a headache, a...
Dr. Gao Chunde reply Neurology
If the head examination is normal, some of your symptoms may be indicative of tension-type headaches, but they could also suggest cervical spine issues. Given the car accident and the relatively mild symptoms in your limbs and chest muscles, it would be advisable to inform your a...[Read More] Understanding Head and Neck Issues: Post-Injury Symptoms and Concerns
Understanding Acute Ischemic Stroke: Challenges in Recovery and Treatment
Acute Stroke Hello, Doctor Gao! My mother recently suffered an embolic stroke in the left hemisphere, with approximately two-thirds of the left brain affected by hypoxia. She was urgently transported to a local hospital for evaluation and received thrombolytic therapy within thre...
Dr. Gao Chunde reply Neurology
Considering the time factor, the longer the blockage persists, the more the ischemic blood vessel walls and the supplied brain tissue will begin to soften and weaken. If a thrombus is cleared at this point, the reintroduction of arterial blood pressure can easily lead to vessel r...[Read More] Understanding Acute Ischemic Stroke: Challenges in Recovery and Treatment
Understanding Muscle Twitches: Connection to ALS and Other Causes
The relationship between muscle twitching (spasms) and amyotrophic lateral sclerosis (ALS)? Hello, Doctor. I am 35 years old and started experiencing muscle twitches six months ago. At that time, the frequency was low, and I didn't pay much attention to it. However, for the ...
Dr. Gao Chunde reply Neurology
Amyotrophic lateral sclerosis (ALS) is characterized by the progressive loss of motor neurons, leading to a decrease in motor nerve function, muscle atrophy, and observable fasciculations. Concurrently, or at some point before or after, there is no definitive timeline; however, t...[Read More] Understanding Muscle Twitches: Connection to ALS and Other Causes
Understanding Temporal Vascular Issues: When to Seek Medical Advice
Temporal vascular issues? Hello Doctor: Recently, I have noticed that the blood vessels in my temples become prominent after exercising or during times of stress, but I do not feel any pain or discomfort. Sometimes, I can also see the blood vessels slightly protruding while at re...
Dr. Gao Chunde reply Neurology
It is common for healthy individuals to experience veins bulging during periods of increased or vigorous blood circulation. The other symptoms you described are mostly related to lifestyle factors such as stress, tension, or lack of sleep. There is likely no need for immediate co...[Read More] Understanding Temporal Vascular Issues: When to Seek Medical Advice
Understanding Temporal Pain: Is It Anxiety or a Medical Concern?
Temple pain Hello, Doctor. About two months ago, I had a cold along with an ear infection. One night, I suddenly felt a sharp pain near my left temple (which lasted for a second; I now think it might have been the pain from the ear infection). Since then, I have been particularly...
Dr. Gao Chunde reply Neurology
Inflammation of the external auditory canal or temporomandibular joint arthritis may also cause localized nerve pain. If possible, an evaluation by an otolaryngologist should be conducted to rule out symptoms caused by local inflammation or eustachian tube-related issues before c...[Read More] Understanding Temporal Pain: Is It Anxiety or a Medical Concern?
Understanding Ear Ringing: Is Carotid Artery Stenosis the Cause?
Carotid artery occlusion tinnitus Hello, Doctor Gao. I have been experiencing persistent low-frequency tinnitus in my left ear, resembling the sound of a truck passing by. Sometimes it temporarily disappears, but when I turn my head to the right or bend down, the low-frequency ti...
Dr. Gao Chunde reply Neurology
Carotid artery stenosis may lead to compensatory increases in blood flow through collateral circulation in other neck arteries. Tinnitus is possible, but not guaranteed. Most tinnitus related to vascular issues is pulsatile, meaning it follows the heartbeat, such as when there ar...[Read More] Understanding Ear Ringing: Is Carotid Artery Stenosis the Cause?
Understanding Right-Sided Head Pain: Causes and Concerns
The issue of headaches? When crying, if you experience pain in the right posterior part of your head, it could be due to several reasons. This discomfort may be related to tension headaches, which can be triggered by emotional stress or physical strain, such as crying. Additional...
Dr. Gao Chunde reply Neurology
Some individuals may experience headaches while crying, which can also exacerbate pre-existing headaches. This is related to certain stress hormones, muscle tension, or swelling of the sinus mucosa. As for your usual pain in the right posterior part of your head, it could be migr...[Read More] Understanding Right-Sided Head Pain: Causes and Concerns