Understanding Neck and Shoulder Pain: When to See a Specialist
soreness Hello, I have been experiencing soreness and numbness around my neck, shoulders, and upper back for the past few weeks. I practiced some yoga poses involving backward bending, and I'm not sure if this is the cause. Massage has not improved the symptoms. What could b...
Dr. Qiu Yushu reply Neurosurgery
Hello: Please visit the neurosurgery outpatient clinic for an examination. Best wishes, Dr. Yu-Shu Chiu.[Read More] Understanding Neck and Shoulder Pain: When to See a Specialist
Is There a Connection Between Cervical Spine Issues and Sudden Hearing Loss?
Is there a relationship between hearing loss and cervical spine issues? Hello Doctor, I experienced sudden sensorineural hearing loss on October 13th last year. I visited hospitals including Tri-Service General Hospital, National Taiwan University Hospital, and Chang Gung Memoria...
Dr. Qiu Yushu reply Neurosurgery
Hello: Sudden hearing loss is generally not related to cervical spine issues; it is usually due to vascular problems (similar to a stroke) and is considered an emergency in otolaryngology, requiring urgent treatment. There are many causes of headaches, and it cannot be determined...[Read More] Is There a Connection Between Cervical Spine Issues and Sudden Hearing Loss?
Can Brain Tumors Undergo Second Radiation Therapy?
Can a brain tumor be treated with radiation therapy twice? My father is 71 years old and was diagnosed with lung cancer a few years ago at Kaohsiung Veterans General Hospital. After undergoing chemotherapy for the lungs, the cancer metastasized to the brain. He then received radi...
Dr. Qiu Yushu reply Neurosurgery
Hello: It is best to discuss with the radiation oncologist regarding the initial dosage, as it is unknown. If it is a single lesion, surgery may be considered. Best wishes, Dr. Yu-Shu Chiu.[Read More] Can Brain Tumors Undergo Second Radiation Therapy?
Understanding Post-Trauma Neurological Symptoms: When to See a Specialist
Brain..? Hello doctor, I have a question. I was in a car accident in the past, and the physician issued a report stating: head trauma, cerebral edema, subarachnoid hemorrhage, and atlantoaxial dislocation without associated nerve root paralysis. It has been quite some time since ...
Dr. Qiu Yushu reply Neurosurgery
Please visit the neurosurgery outpatient clinic. Dr. Yu-Shu Chiu.[Read More] Understanding Post-Trauma Neurological Symptoms: When to See a Specialist
Understanding Foot Neuropathy: Symptoms, Diagnosis, and Treatment Options
Foot lesions Hello Dr. Chiu, I would like to ask for your advice. Since the beginning of the year, I have been experiencing a sensation in the soles of my feet that feels like stepping on straw; it feels dry and cracked, although it is not actually dry, just a bit wrinkled. I hav...
Dr. Qiu Yushu reply Neurosurgery
Hello: Based on your description, it is difficult to determine the issue. Please visit the outpatient clinic for an examination! Dr. Yu-Shu Chiu[Read More] Understanding Foot Neuropathy: Symptoms, Diagnosis, and Treatment Options
Is It Sciatica? Understanding Symptoms and Seeking the Right Specialist
Is this sciatica? About six months ago, I experienced unexplained pain at the tail end of my spine without any strong impact or injury. After seeing a traditional Chinese medicine practitioner for massage and acupuncture, the pain at the tailbone subsided. However, I later began ...
Dr. Qiu Yushu reply Neurosurgery
Hello: Based on what you have described, it is possible that you are experiencing sciatica. It is best to visit an outpatient clinic for an examination. Dr. Yu-Shu Chiu[Read More] Is It Sciatica? Understanding Symptoms and Seeking the Right Specialist
Finger Injury from Door: Nerve Damage and Nail Concerns Explained
Finger injury caused by a door? I injured my middle finger today by getting it caught in a door. My hand feels numb, and there is a crack and bleeding next to the nail, and it seems like the skin is broken as well. Will my nail fall off? Also, why does the tip of my finger feel n...
Dr. Qiu Yushu reply Neurosurgery
Please visit the surgical outpatient clinic (Plastic Surgery on Mondays and Thursdays in the morning) with Dr. Yu-Shu Chiu.[Read More] Finger Injury from Door: Nerve Damage and Nail Concerns Explained
Understanding Lumbosacral Pain: Fourth Lumbar Vertebra Fracture and Spondylolisthesis
Fracture of the fourth vertebra? I went to the hospital for a check-up due to lower back pain. After an X-ray, the doctor informed me that I have a "fracture of the fourth lumbar vertebra," which can lead to "lumbar spondylolisthesis," causing my lower back pa...
Dr. Qiu Yushu reply Neurosurgery
Hello: Lumbar spondylolisthesis is classified into four grades. Please visit the outpatient clinic for an assessment of severity. Best regards, Dr. Yu-Shu Chiu.[Read More] Understanding Lumbosacral Pain: Fourth Lumbar Vertebra Fracture and Spondylolisthesis
Understanding Persistent Nighttime Back Pain: Possible Causes and Solutions
Persistent tightness and pain in the entire back for three months? Hello, doctor. I would like to ask about a back pain issue that has been bothering me for a long time. My back pain has lasted for about three months. I have seen a doctor and had an X-ray done, which showed no is...
Dr. Qiu Yushu reply Neurosurgery
Hello: Based on what you have described, it does not seem to be a neurological issue. Are there any gynecological or urological problems? (Pain caused by neurological issues is rarely limited to just the back.) Best wishes, Dr. Yu-Shu Chiu.[Read More] Understanding Persistent Nighttime Back Pain: Possible Causes and Solutions
Managing Chronic Back Pain: Insights from Neurosurgery Experts
Chronic back pain Hello Doctor: I have a question. My mother has been experiencing chronic pain in her back, and the location of the pain changes daily. Previously, she sought treatment at a major hospital for this symptom and underwent surgery (the doctor indicated it was due to...
Dr. Qiu Yushu reply Neurosurgery
Chronic back pain that shifts in location is not significantly related to nerve compression; it is more associated with conditions such as tendonitis and other soft tissue inflammation. Rehabilitation therapy is the preferred treatment. For discussing your condition, it is advisa...[Read More] Managing Chronic Back Pain: Insights from Neurosurgery Experts
Understanding Dents in the Back of the Head: Causes and Concerns
There is a depression in the occipital region? Hello, doctor. Yesterday I suddenly noticed a shallow small dent in the back of my head. This area had a fall while ice skating about a year ago, and it hurts when I press on it. Could this be related? Can bones get dented from a fal...
Dr. Qiu Yushu reply Neurosurgery
Hello: The occipital bone is quite thick, so it is unlikely to be depressed from a fall. However, it is best to have a check-up at the hospital. Best wishes, Dr. Chiu Yu-Shu.[Read More] Understanding Dents in the Back of the Head: Causes and Concerns
Understanding Anxiety and Fatigue: A Journey Through Neurological Concerns
I'm not sure which department to see? Hello, doctor. Since my freshman year, I have been playing on the computer for an average of about 15 hours a day, and I often stay up late, sometimes going two or three days without sleep. I also binge on late-night snacks, and my weigh...
Dr. Qiu Yushu reply Neurosurgery
Hello: Based on what you have mentioned, I think it would be beneficial for you to consult with a psychiatrist for a thorough discussion. Best wishes, Dr. Yu-Shu Chiu.[Read More] Understanding Anxiety and Fatigue: A Journey Through Neurological Concerns
Understanding Sciatica: Causes, Symptoms, and Effective Treatments
Lower back pain? Hello^^ For the past six months, I have been experiencing pain in my lower back that radiates down to my legs. The discomfort is particularly noticeable after sitting in a chair for a short period, with more pronounced pain in my lower back and slight soreness in...
Dr. Qiu Yushu reply Neurosurgery
Hello: What you are describing seems to be sciatica. A standard X-ray may not be able to show this condition. Could you please come to the outpatient clinic for a physical examination so that further tests can be arranged? Neurosurgeon Dr. Chiu Yu-Shu.[Read More] Understanding Sciatica: Causes, Symptoms, and Effective Treatments
Understanding Leg Pain and Numbness: Is It Sciatica?
Foot pain and numbness? Hello, doctor. I often experience pain and numbness in the lower part of my right calf, especially when standing for long periods or lifting heavy objects. The pain and numbness become more severe during those times. This condition has persisted for over a...
Dr. Qiu Yushu reply Neurosurgery
Hello: Please visit the outpatient clinic for an examination to understand your true condition. Best wishes, Dr. Yu-Shu Chiu.[Read More] Understanding Leg Pain and Numbness: Is It Sciatica?
How to Reduce Swelling and Bruising After a Finger Injury
Finger injury caused by a car door? I injured my finger today when it got caught in a car door. After self-examination, I don't think it's broken, but my finger is purple and quite swollen. What methods can I use to reduce the swelling and bruising?
Dr. Qiu Yushu reply Neurosurgery
Please visit the orthopedic outpatient clinic for medical care. Best wishes, Dr. Yu-Shu Chiu.[Read More] How to Reduce Swelling and Bruising After a Finger Injury
Can You Undergo Surgery Again for Sciatica Pain?
Can surgery be performed again for sciatica after having had previous surgery? Is it possible to undergo surgery again for sciatica after having had a previous surgery? If further surgery is not an option, what are the reasons? Is this a condition that cannot be completely cured?...
Dr. Qiu Yushu reply Neurosurgery
Hello: Sciatica is mostly caused by compression from a herniated intervertebral disc. In some patients, recurrence or adhesions from previous surgery may occur, requiring an MRI to differentiate. If this is the case, reoperation may be necessary, and physical therapy can also be ...[Read More] Can You Undergo Surgery Again for Sciatica Pain?
Understanding Intermittent Arm Pain: When to See a Specialist
The hand experiences intermittent sharp pain? I have been experiencing intermittent sharp pain in my left hand, extending from my fingertips to my upper arm, for the past month. It doesn't feel like muscle soreness, and I don't experience numbness when I exert force, bu...
Dr. Qiu Yushu reply Neurosurgery
Hello: It is best to visit the outpatient clinic for an examination by a neurologist to determine if further tests such as electromyography (EMG) and nerve conduction studies are necessary. Best wishes, Dr. Yu-Shu Chiu.[Read More] Understanding Intermittent Arm Pain: When to See a Specialist
Understanding Disc Herniation: Surgery Risks and Recovery Insights
Herniated disc Hello Dr. Chiu, In 2002, I experienced lower back pain and pain in my right thigh. I underwent an MRI, which revealed a herniated disc at the L4-L5 level that was compressing a nerve. After undergoing rehabilitation (including heat therapy, electrical stimulation,...
Dr. Qiu Yushu reply Neurosurgery
Hello: If there is a clear diagnosis of a herniated intervertebral disc confirmed by MRI, surgical treatment is usually the best option. Generally, a microsurgical approach is used, with an incision of about 3-4 centimeters and only one incision. Patients can typically be dischar...[Read More] Understanding Disc Herniation: Surgery Risks and Recovery Insights
Understanding Hydrocephalus: Recovery, Treatment Options, and Prognosis
About hydrocephalus? Dear Doctor, My uncle underwent a minor surgery where a programmable valve was implanted in his brain. It has been less than two months, and his condition seems to have shown no progress; he still appears to have low energy. He developed hydrocephalus due t...
Dr. Qiu Yushu reply Neurosurgery
Hello: As you mentioned, I am not aware of his detailed medical condition. It is best to visit the outpatient clinic for an examination to understand his condition and arrange for further tests. Best wishes. Dr. Yu-Shu Chiu[Read More] Understanding Hydrocephalus: Recovery, Treatment Options, and Prognosis
Understanding Cervical Disc Herniation: Surgery vs. Rehabilitation Options
Cervical intervertebral disc herniation Cervical disc herniation is not the same as cervical bone spurs. I've heard that complete resolution often requires surgery. However, isn't it possible to prevent recurrence through rehabilitation alone?
Dr. Qiu Yushu reply Neurosurgery
Cervical disc herniation is not the same as bone spurs. If symptoms are significant and imaging studies confirm the diagnosis, surgery is advisable. Dr. Yu-Shu Chiu.[Read More] Understanding Cervical Disc Herniation: Surgery vs. Rehabilitation Options