Understanding Muscle Control Issues: When Brain Power is Needed for Strength
Muscles have difficulty exerting force regularly? I usually have difficulty exerting muscle strength, and I need to use my brain to control my movements. When I stand, only my calves are firm, while my thighs and glutes are completely soft. The softness is such that when I press ...
Dr. Qiu Yushu reply Neurosurgery
Hello: Based on what you have reported, you still have room for improvement. Being able to do push-ups and ride a bike indicates that your muscle strength should be fine. Otherwise, please visit a neurologist for an electromyography (EMG) examination. Best wishes, Dr. Yu-Shu Chiu...[Read More] Understanding Muscle Control Issues: When Brain Power is Needed for Strength
Understanding Sciatica and Disc Herniation: When to Consider Surgery
Lower back pain Hello Doctor: After a car accident at the age of 18, I have experienced persistent lower back pain, numbness in the sole of my right foot, and difficulty standing or sitting for long periods, as well as walking for extended durations. Walking for a while causes a ...
Dr. Qiu Yushu reply Neurosurgery
Hello: The symptoms you described do seem to indicate spinal stenosis. An MRI should clearly reveal the areas of narrowing. If the symptoms are severe and affecting your daily life, surgery is the best solution. Best wishes, Dr. Yu-Shu Chiu.[Read More] Understanding Sciatica and Disc Herniation: When to Consider Surgery
Understanding Eye and Brow Pain: Causes and Solutions
There is significant soreness around the eye socket? Your spouse often experiences soreness around the eyes and brow area after work or watching television, and feels the need to massage these areas vigorously for relief. This could be a sign of eye strain, also known as asthenop...
Dr. Qiu Yushu reply Neurosurgery
Hello: Please have the gentleman undergo an ophthalmic examination to check if his intraocular pressure is elevated. Dr. Yu-Shu Chiu.[Read More] Understanding Eye and Brow Pain: Causes and Solutions
Understanding Sudden Head Pain and Swelling: When to Seek Help
Swelling on the head with throbbing pain? On April 23, I suddenly experienced sharp pain in my head. By April 24, it returned to normal. Around April 26 and 27, the sharp pain started again, and I noticed a small bump on the top of my head at the site of the pain. The forehead ar...
Dr. Qiu Yushu reply Neurosurgery
Hello: Tumors rarely grow rapidly within a few days, but based on your description, it is difficult to determine your exact condition. I recommend discussing this further with your physician or asking them for a referral for further evaluation. Thank you, Dr. Hong Hsu-Yi.[Read More] Understanding Sudden Head Pain and Swelling: When to Seek Help
Understanding Carpal Tunnel Syndrome: Post-Surgery Concerns and Recovery
Carpal tunnel syndrome Hello Doctor, I am a housewife who has been troubled by carpal tunnel syndrome for many years. I finally underwent decompression surgery in January, and it has been over three months since then. My middle finger and ring finger are still numb, and when I li...
Dr. Qiu Yushu reply Neurosurgery
Hello: Carpal tunnel syndrome often involves changes to the median nerve at the time of occurrence, and recovery to normal function may take some time. Please discuss this further with your neurosurgeon to determine if the recovery is still within an acceptable range. Thank you, ...[Read More] Understanding Carpal Tunnel Syndrome: Post-Surgery Concerns and Recovery
Improving Patient Communication in Neurosurgery: A Call for Change
Dr. Chiu Yu-Shu Dr. Chiu Yu-Shu, HOW ARE YOU? I WAS READING YOUR RESPONSES TO PATIENTS' QUESTIONS, AND I FOUND THAT MOST OF YOUR ANSWERS ARE THE SAME: -------------------- Please visit the outpatient clinic to understand the actual situation. --------------- THOSE POOR PATIE...
Dr. Qiu Yushu reply Neurosurgery
Hello! It is difficult to respond to the questions based solely on the patient's complaints without conducting an examination. Thank you! Dr. Yu-Shu Chiu, April 7, 2006.[Read More] Improving Patient Communication in Neurosurgery: A Call for Change
Why Only One Level for Lumbar Disc Herniation Surgery?
Why is only one segment operated on for lumbar disc herniation surgery? Hello, Doctor! Thank you for taking the time to answer my questions amidst your busy schedule. I am 177 cm tall and regarding my condition: I have been experiencing lumbar disc herniation with pain for severa...
Dr. Qiu Yushu reply Neurosurgery
Hello! 1. Your symptoms do appear to be consistent with a herniated disc, which can be confirmed with an MRI. 2. If your symptoms are significant, surgery will be necessary. 3. After the surgery, you should be able to return to normal activities, but you will still need to avoid ...[Read More] Why Only One Level for Lumbar Disc Herniation Surgery?
Understanding Underarm Sweating After Weight Loss: Causes and Solutions
Axillary hyperhidrosis? Hello, I would like to ask a question. I used to be overweight, but after losing weight, I have noticed that I experience unexplained sweating under my arms (which I did not have when I was heavier), often making my clothes damp. I initially thought it was...
Dr. Qiu Yushu reply Neurosurgery
Hello! Please visit the outpatient clinic to understand the actual situation. Thank you, Dr. Yu-Shu Chiu.[Read More] Understanding Underarm Sweating After Weight Loss: Causes and Solutions
Understanding Persistent Heel and Thigh Pain: A Neurological Perspective
Heel soreness and numbness extending from the back of the knee to the thigh? Hello Dr. Chiu, I would like to ask you about my personal health issues that have persisted for over three years without finding a treatment or improvement. About three years ago, I discovered that my l...
Dr. Qiu Yushu reply Neurosurgery
Hello! If what you mentioned is accurate, it is difficult to determine the cause of the condition. It is best to visit an outpatient clinic for diagnosis and treatment. Thank you. Dr. Yu-Shu Chiu[Read More] Understanding Persistent Heel and Thigh Pain: A Neurological Perspective
Understanding Spinal Discomfort: When to Seek Orthopedic or Neurosurgical Care
Spinal discomfort? Doctor: I previously experienced some occasional neck pain, which I didn't pay much attention to, thinking that it would go away with more rest. However, it has not only persisted but has also increased from one area to two. Am I at risk of having bone can...
Dr. Qiu Yushu reply Neurosurgery
Hello: As you mentioned, please visit the neurosurgery outpatient clinic for treatment. Thank you.[Read More] Understanding Spinal Discomfort: When to Seek Orthopedic or Neurosurgical Care
Understanding Degenerative Disc Disease: Surgery vs. Rehabilitation Options
Intervertebral disc degeneration Hello Dr. Chiu, My mother is 61 years old. About nine months ago, she sought treatment for hip pain, and the doctor diagnosed her with cartilage degeneration. Recently, she has started experiencing numbness in her legs for the past month, so sur...
Dr. Qiu Yushu reply Neurosurgery
There are many causes of lower back pain. Please visit the outpatient clinic to determine the best treatment method. Thank you.[Read More] Understanding Degenerative Disc Disease: Surgery vs. Rehabilitation Options
Understanding EMG Results: Do Pain Levels Indicate Nerve Damage?
Electromyography (EMG) examination I recently underwent an MRI that showed HIVD (herniated intervertebral disc) at L4-L5 and L5-S1. I experience varying pain daily (in terms of duration and location). The doctor mentioned that I need to undergo electromyography (EMG) to determine...
Dr. Qiu Yushu reply Neurosurgery
Hello: Please bring the MRI images to the outpatient clinic to understand the exact cause and extent of the lesions. Wishing you good health![Read More] Understanding EMG Results: Do Pain Levels Indicate Nerve Damage?
Post-Surgery Recovery: Understanding Symptoms After Cervical Spine Surgery
Post-cervical spine surgery Hello Dr. Chiu, I have been experiencing tremors in my right hand while writing and pain in the palm that prevents me from holding a pen for about ten years. Earlier this year, I began to have sharp pain in the little fingers of both hands, along with...
Dr. Qiu Yushu reply Neurosurgery
Hello: Please visit the outpatient clinic for an examination to confirm the level of recovery. Wishing you good health![Read More] Post-Surgery Recovery: Understanding Symptoms After Cervical Spine Surgery
Understanding Scoliosis and Sciatica: A Comprehensive Guide
Scoliosis and Sciatica Hello, I have been experiencing sharp pain in my lower back, around the kidney area on the left side, for about a year. The pain is intermittent. I previously visited a traditional Chinese medicine clinic for massage, but after two or three visits, I stoppe...
Dr. Qiu Yushu reply Neurosurgery
Hello: 1. There are many causes of lower back pain; it is advisable to visit a hospital for examination. 2. X-rays can be copied and do not need to be redone. 3. Wearing a corset can help with lower back pain. Wishing you good health![Read More] Understanding Scoliosis and Sciatica: A Comprehensive Guide
Understanding Nerve Sheath Cysts: Are They Considered Intradural Tumors?
Could you please provide more details or specific questions regarding nerve sheath cysts? Hello, Doctor: I sought medical attention for lower back pain and was diagnosed with a sacral intradural nerve sheath cyst approximately one centimeter in size via MRI. At the time, the doct...
Dr. Qiu Yushu reply Neurosurgery
Hello: Based on what you described, it seems to be a benign cyst. However, it would be best for you to bring a copy of the imaging studies to the outpatient clinic to determine if surgery is necessary. Wishing you good health![Read More] Understanding Nerve Sheath Cysts: Are They Considered Intradural Tumors?
Understanding Costal Cartilage Protrusion: Causes and Treatment Options
Herniated disc Hello, Mr. Qiu. I would like to ask about a matter. My sister has developed a protrusion in the area near her chest, specifically in the middle of the chest where the bones are located. She recently visited a nearby clinic, and the doctor diagnosed it as "cost...
Dr. Qiu Yushu reply Neurosurgery
Hello: The symptoms you described are not very clear. You may want to visit a thoracic surgery outpatient clinic, as it should not be related to neurosurgery. Wishing you good health![Read More] Understanding Costal Cartilage Protrusion: Causes and Treatment Options
Understanding Spine Numbness: Causes and When to Seek Help
Numbness in the spine? Hello, Dr. Chiu! Recently, I often feel a tingling sensation on the left and right sides of my spine (around the upper middle back area) when I bend over, such as when brushing my teeth or writing. However, it goes away when I straighten up. This seems to h...
Dr. Qiu Yushu reply Neurosurgery
Hello: I recommend that you visit the neurosurgery outpatient clinic for a detailed examination to better understand your condition. Wishing you good health![Read More] Understanding Spine Numbness: Causes and When to Seek Help
Understanding Coma After Head Injury: What to Do Next?
My friend is unconscious and unresponsive? I'm not a doctor, but if your friend has sustained a head injury and is in a coma with signs of a hematoma and cerebral edema, it's crucial to seek immediate medical attention. The best course of action is to take him to the ne...
Dr. Qiu Yushu reply Neurosurgery
Hello: A coma score of only 4 indicates a very severe brain injury, and I believe the hospital is actively providing treatment. Wishing you good health![Read More] Understanding Coma After Head Injury: What to Do Next?
Understanding Concussions: Symptoms and When to Seek Medical Help
About concussions? My friend smelled the scent of mosquito coils one day and suddenly felt dizzy and nauseous. Later, he needed assistance to walk. Upon reflection (since both of us smelled the mosquito coil scent and I was fine, and I remembered he had bumped his head 1-2 days p...
Dr. Qiu Yushu reply Neurosurgery
Hello: I recommend that you visit the outpatient clinic for an examination. Thank you! Wishing you good health![Read More] Understanding Concussions: Symptoms and When to Seek Medical Help
Exploring Treatment Options for Central Nervous System Recovery
Central Nervous System (CNS) Thank you very much for your consultation. May I ask you again, is it true that medications or medical devices cannot restore or promote growth? Is there no possibility at all? What about hyperbaric oxygen therapy? What about implanting metal plates? ...
Dr. Qiu Yushu reply Neurosurgery
Hello: If you have any questions, please discuss them in person at the clinic. I cannot make a judgment based on what you have described. Thank you! Wishing you good health![Read More] Exploring Treatment Options for Central Nervous System Recovery