Understanding Coccyx Pain and Sciatica: Treatment Options and Insights
Coccyx and neuropathic pain issues? Hello Doctor: I have been experiencing issues similar to sciatica, with frequent pain radiating from my buttocks down through both legs to my ankles. The pain alternates between both legs, and I also experience soreness around the joints (ankle...
Dr. Qiu Yushu reply Neurosurgery
Hello: The symptoms you described do not seem to resemble sciatica. There are many causes of back pain. Could you please come to the outpatient clinic for an examination to determine if further tests (such as electromyography, MRI, etc.) are needed? Thank you![Read More] Understanding Coccyx Pain and Sciatica: Treatment Options and Insights
Managing Back Pain: Insights on Scoliosis and Muscle Strain Recovery
Low back pain Hello Dr. Chiu, I have a 15-degree scoliosis of the spine and have been experiencing lower back pain and upper back pain for some time. Sometimes, even a sneeze can cause such intense pain that I have to squat down. However, these episodes do not happen frequently....
Dr. Qiu Yushu reply Neurosurgery
Hello: It is best to come to the clinic for an examination, as there are many causes of lower back pain. Thank you![Read More] Managing Back Pain: Insights on Scoliosis and Muscle Strain Recovery
Can Sympathetic Nerve Regeneration Surgery Solve Sweating Issues?
Can the sympathetic nervous system be regenerated through surgery? Hello doctor, I am a high school student and I have had a problem with sweaty hands since I was a child. Two years ago, I underwent a sympathetic nerve block procedure. After the surgery, I noticed that my hands n...
Dr. Qiu Yushu reply Neurosurgery
Hello: As far as I know, this surgery is not intended for sympathetic nerve reanastomosis. After sympathetic nerve block, rejoining should not be possible. Thank you! Wishing you good health.[Read More] Can Sympathetic Nerve Regeneration Surgery Solve Sweating Issues?
Understanding Neck and Arm Pain: When to Seek Neurological Help
There is soreness, pain, and numbness from the shoulder and neck down to the fingertips? Hello, doctor! Recently, my husband has been experiencing some very uncomfortable symptoms, and I'm not sure which specialty he should see. I hope you can take some time to provide an an...
Dr. Qiu Yushu reply Neurosurgery
Hello: The symptoms you described are not indicative of a stroke; they may be related to cervical spine issues or myofascial pain syndrome. You may visit our outpatient clinic for further evaluation. Thank you! Wishing you good health![Read More] Understanding Neck and Arm Pain: When to Seek Neurological Help
Understanding Disc Herniation: Causes and Solutions for Back Pain Relief
Issues related to herniated discs? Dear Dr. Chiu, I apologize for reaching out, but I am a patient with a herniated disc and have been experiencing significant lower back pain lately, which deeply affects my daily life. The pain becomes more pronounced every evening... sometimes...
Dr. Qiu Yushu reply Neurosurgery
Hello: Based on your reported symptoms, it is possible that they are related to the L5-S1 region. You may want to visit the outpatient clinic, as our facility has MRI examination equipment. Thank you! Wishing you good health![Read More] Understanding Disc Herniation: Causes and Solutions for Back Pain Relief
Understanding Pituitary Tumors: Symptoms, Treatment Options, and Recurrence
Pituitary tumor Hello Dr. Chiu, I have a question regarding my health. In May 2003, I was diagnosed with a pituitary tumor at a hospital in Taichung, which was approximately 1 cm in size at that time. I attempted to manage it with medication, but after about a year of outpatient...
Dr. Qiu Yushu reply Neurosurgery
Hello! As you mentioned, it can be difficult to determine whether a tumor has recurred or if it is fatty tissue. It is recommended that you consult Dr. Chung Wen-Yu, a neurosurgeon at Taipei Veterans General Hospital, as he is an expert in this area. Thank you![Read More] Understanding Pituitary Tumors: Symptoms, Treatment Options, and Recurrence
Understanding Brain Aneurysms: Surgical Options and Concerns
Could you please provide more details or specify your question? Hello Dr. Chiu, I would like to ask you a few questions. I originally consulted an ophthalmologist, but since they couldn't find any issues, I was scheduled for an MRI recently. It revealed that I have a vascul...
Dr. Qiu Yushu reply Neurosurgery
Hello: The Gamma Knife is not a universal solution. You can consult Dr. Chung Wen-Yu, a neurosurgeon at Veterans General Hospital, to explore its possibilities. Additionally, Professor Du Yong-Guang from National Taiwan University is quite experienced in this area of surgery (one...[Read More] Understanding Brain Aneurysms: Surgical Options and Concerns
Understanding Left Leg Numbness: Causes and When to Seek Help
Numbness in the left foot? Dear Dr. Chiu: I am a working woman and my job involves working in an office. Recently, I have been experiencing numbness and weakness in my left foot. My overall health has always been good, so why is this happening?
Dr. Qiu Yushu reply Neurosurgery
Hello: Regarding your concerns, I recommend that you visit an outpatient clinic for a proper examination.[Read More] Understanding Left Leg Numbness: Causes and When to Seek Help
Understanding Radial Artery Positional Weakness and Its Implications
What is the positional disappearance or weakening of the radial artery pulse? I have been experiencing long-term pain in the cervical region accompanied by numbness in my arms and fingers. After examination by a physician and undergoing X-rays and MRI, I was diagnosed with cervic...
Dr. Qiu Yushu reply Neurosurgery
Hello: Your issue seems to be complex. Could you please bring the tests you have undergone (X-ray, MRI) to the outpatient clinic? Thank you![Read More] Understanding Radial Artery Positional Weakness and Its Implications
Safe Sleep Practices for Infants: Addressing Concerns About Pillows
May I ask if Dr. Chiu has received this letter? Please, please? Hello Dr. Chiu, I would like to ask you about the Department of Health's recommendation against allowing infants to sleep on their stomachs to prevent sudden infant death syndrome (SIDS). They suggest sleeping o...
Dr. Qiu Yushu reply Neurosurgery
Please consult a pediatric specialist; a child's sleeping position does not affect intracranial pressure.[Read More] Safe Sleep Practices for Infants: Addressing Concerns About Pillows
Understanding Hydrocephalus: Risks and Alternatives to Surgery
Hydrocephalus My father is unable to walk due to hydrocephalus and underwent a ventriculostomy in the hospital. He tends to be drowsy when sitting but feels better when lying down. A CT scan revealed that the central part of his brain appears dry. The doctor mentioned that the ce...
Dr. Qiu Yushu reply Neurosurgery
Hello: There are three types of ventricular drainage catheters, and there is a possibility of over-drainage occurring. Patients may experience dizziness and vomiting. If a CT scan reveals this phenomenon, the usual management is to switch to another type of drainage catheter. Thi...[Read More] Understanding Hydrocephalus: Risks and Alternatives to Surgery
Understanding Mild Brain Degeneration: Causes, Concerns, and Next Steps
Mild cognitive decline Hello Doctor: I suffered a head injury and went to the hospital for treatment. Initially, I was diagnosed with a mild concussion. Over the past two weeks, I've experienced some dizziness and forgetfulness, but nothing serious. However, it was also disc...
Dr. Qiu Yushu reply Neurosurgery
Hello: Due to the need for further understanding of your condition, a definitive judgment cannot be made based solely on your description. It is recommended that you visit the outpatient clinic for a thorough evaluation. Thank you.[Read More] Understanding Mild Brain Degeneration: Causes, Concerns, and Next Steps
Understanding Pediatric Head Injuries: Concerns and Recovery Tips
Pediatric Head Trauma (Email Correction) Dr. Chiu: Hello! My daughter is 5 years old and approximately 120 cm tall. Recently, she fell while running and hit the back left side of her head on the ground. At that moment, there was a loud noise (the impact must have been significant...
Dr. Qiu Yushu reply Neurosurgery
Hello: I recommend that you take your child to the outpatient clinic for a more detailed examination. Thank you! Wishing you good health.[Read More] Understanding Pediatric Head Injuries: Concerns and Recovery Tips
Understanding Guillain-Barré Syndrome: Impact on Children After Vaccination
Guillain-Barré syndrome (acute inflammatory demyelinating polyneuropathy) I would like to ask what Guillain-Barré syndrome (GBS) is, as my son, who is over one year old, developed Guillain-Barré syndrome (GBS) following the administration of a booster dose of the MMR vaccine. His...
Dr. Qiu Yushu reply Neurosurgery
Guillain-Barré Syndrome has caused weakness in the limbs since the age of one, and there are still difficulties in walking. It is likely a sequela of nerve damage, which may be challenging to recover from. It is advisable to first consult a neurologist to confirm the diagnosis, f...[Read More] Understanding Guillain-Barré Syndrome: Impact on Children After Vaccination
Understanding Paralysis: Causes and Concerns of Sudden Body Immobility
Total paralysis Hello Dr. Chiu, I have a question to ask you. When I am extremely emotional or during sleep, my whole body feels paralyzed; I am aware and can think, but I cannot control my body, similar to paralysis. My palms also tend to cramp and curl up, but I still have tact...
Dr. Qiu Yushu reply Neurosurgery
Hello: Your issue requires further examination at the hospital to be understood. Please visit the outpatient department. Thank you![Read More] Understanding Paralysis: Causes and Concerns of Sudden Body Immobility
Post-Concussion Care: Tips for Recovery and Brain Health
Concussion In addition to getting plenty of rest after a mild concussion, it is beneficial to stay hydrated by drinking an adequate amount of water, as proper hydration supports overall brain function. Eating a balanced diet rich in antioxidants, omega-3 fatty acids, and vitamins...
Dr. Qiu Yushu reply Neurosurgery
Hello: A mild concussion should recover quickly, and there is no need to avoid food or apply heat to the head. Thank you![Read More] Post-Concussion Care: Tips for Recovery and Brain Health
Post-Operative Overdrainage in Ventriculoperitoneal Shunt Surgery
Is there a risk of excessive drainage after ventricular-peritoneal shunt surgery? Hello Doctor: My father underwent a ventriculoperitoneal shunt surgery at National Taiwan University Hospital over a year ago due to a diagnosis of hydrocephalus. Recently, he exhibited symptoms sim...
Dr. Qiu Yushu reply Neurosurgery
Hello: There is a possibility of excessive drainage with ventricular-peritoneal shunting (though it is rare). It is advisable to replace it with a drainage device that has a different (higher) pressure setting (there are three types of external drainage device pressures). It is b...[Read More] Post-Operative Overdrainage in Ventriculoperitoneal Shunt Surgery
Understanding Sudden Lower Back Nerve Pain: Causes and Solutions
Lumbar nerve issues? I suddenly have nerve pain in my lower back. I can't sit or stand comfortably. I don't know what to do...
Dr. Qiu Yushu reply Neurosurgery
Dear netizen: Please take the time to visit the outpatient clinic. Thank you! Hsinchu Hospital, Department of Surgery, Ministry of Health and Welfare.[Read More] Understanding Sudden Lower Back Nerve Pain: Causes and Solutions
Understanding Scoliosis and Sciatica: Alternative Treatments Explained
Scoliosis with sciatica? I would like to ask the doctor: A few years ago, I was in a car accident, and about a year later, I started feeling discomfort when standing or sitting. After an examination, it was found that I have scoliosis compressing the nerve in my right thigh. Howe...
Dr. Qiu Yushu reply Neurosurgery
Dear User: We are unable to understand the situation you described. Please take the time to visit our outpatient clinic for a proper diagnosis of your condition. Thank you, Hsinchu Hospital, Department of Health, Executive Yuan.[Read More] Understanding Scoliosis and Sciatica: Alternative Treatments Explained
Understanding Drainage Tubes in Neurosurgery: Concerns and Care
Drainage tube Hello: My mother has been in a vegetative state for four months due to a hemorrhagic stroke. At that time, she underwent surgery and had a drainage tube placed internally. Recently, she was hospitalized due to excessive phlegm in her lungs, and it was discovered tha...
Dr. Qiu Yushu reply Neurosurgery
Hello: Examination of the function of the ventriculoperitoneal shunt. 1. Check if it collapses and does not refill. 2. If it cannot be compressed, a consultation with a neurosurgeon is recommended.[Read More] Understanding Drainage Tubes in Neurosurgery: Concerns and Care