Dr. Shao Guoning reply Neurosurgery Question - Page 2

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Understanding Foot Pain and Swelling After Alcohol Consumption

Medical consultation Dear Sir/Madam, Due to work-related obligations, I occasionally need to attend social gatherings where I inevitably consume some alcohol. I have noticed that for some time now, after drinking, the soles of my feet become sore and numb, and there is even a bi...


Dr. Shao Guoning reply Neurosurgery
Hello Mr. Iu: Your symptoms are not specific to any particular disease. They could be related to circulatory issues, metabolic problems such as high uric acid or diabetes, or neurological disorders, such as peripheral nerve issues. It is difficult to determine the specific specia...

[Read More] Understanding Foot Pain and Swelling After Alcohol Consumption


Can Sweat Glands in Feet Be Removed? Exploring Surgical and Alternative Options

Is it possible to remove the sweat glands in the feet? I have a hereditary condition that often causes excessive sweating in my hands and feet, which is quite bothersome. However, I've heard that after surgery, the condition may return after some time. Are there other ways t...


Dr. Shao Guoning reply Neurosurgery
Hello Ms. Gao Yuhui: The latest surgical method for palmar hyperhidrosis is thoracoscopic sympathectomy. This procedure is covered by health insurance. The most common postoperative issue is compensatory hyperhidrosis, where sweating may shift to areas such as the back and thighs...

[Read More] Can Sweat Glands in Feet Be Removed? Exploring Surgical and Alternative Options


Understanding Lower Limb Pain: Causes and Solutions for Nerve Issues

Lower limb pain, numbness, and weakness? Hello Dr. Shao: I am 32 years old. Eight years ago, I started experiencing severe pain in the soles of my feet (both the forefoot and heel) and my ankles after standing for about 10 minutes. This pain radiates from the soles of my feet up ...


Dr. Shao Guoning reply Neurosurgery
Ms. HUA, your issue is quite unusual. It may be related to spinal nerve problems. If both X-ray and MRI results are normal, it might be necessary to consult a neurologist or a surgical specialist. A detailed neurological examination is essential. Other objective tests, such as el...

[Read More] Understanding Lower Limb Pain: Causes and Solutions for Nerve Issues


Managing Persistent Symptoms After Carpal Tunnel Surgery: Next Steps

Carpal tunnel syndrome Hello, my mother had surgery for carpal tunnel syndrome at the end of February, but her hand is still numb, and there is not much difference compared to before the surgery. The doctor had recommended the surgery to her ten years ago, but she only went throu...


Dr. Shao Guoning reply Neurosurgery
Hello, Miss Duck. The prognosis of carpal tunnel syndrome is related to the duration and severity of median nerve compression, as well as the presence of muscle atrophy. Electromyography (EMG) and nerve conduction studies can provide objective indicators. Generally speaking, the ...

[Read More] Managing Persistent Symptoms After Carpal Tunnel Surgery: Next Steps


Understanding Lumbar Spondylolisthesis: Insurance Approval and Treatment Options

Lumbar spondylolisthesis I understand you are busy, but I must ask again whether the application for lumbar spine fixation under the National Health Insurance has been approved. You can imagine my mixed feelings of hope and fear of being hurt; these days are quite difficult. You ...


Dr. Shao Guoning reply Neurosurgery
We apologize, but your application has not yet been approved. Your condition requires a thorough decompression surgery. Due to the need for another surgery, it is inevitable that spinal instability will occur (there is currently a slight dislocation). Therefore, in addition to de...

[Read More] Understanding Lumbar Spondylolisthesis: Insurance Approval and Treatment Options


Can Sympathetic Nerve Block Be Reversed After Surgery?

Can the sympathetic nerve be reconnected after being blocked? Hello! A few years ago, I underwent thoracoscopic sympathetic nerve block surgery due to axillary hyperhidrosis (excessive sweating in the armpits, but not much sweating in the hands) based on my doctor's recommen...


Dr. Shao Guoning reply Neurosurgery
Sympathetic nerve block cannot reconnect the nerves; it only allows for waiting for nerve regeneration. Generally, partial regeneration can occur within two years, and the palm may become slightly moist.

[Read More] Can Sympathetic Nerve Block Be Reversed After Surgery?


Symptoms and Signs of Hypoxia: Understanding Oxygen Deprivation Effects

Oxygen What are the symptoms of hypoxia and where can they be observed?


Dr. Shao Guoning reply Neurosurgery
Hello Mr. Bbbb, hypoxia can cause an increased heart rate, dizziness, and lightheadedness. If the indoor carbon dioxide concentration is high, symptoms such as facial flushing and palpitations may occur.

[Read More] Symptoms and Signs of Hypoxia: Understanding Oxygen Deprivation Effects


Understanding Unusual Headaches: Causes and Solutions

Strange headache Hello: I have been experiencing headaches for the past six months, mostly concentrated in the area from my forehead to the top of my head. Each time, it feels like my head is heavy and hard, as if it has been soaked in water. I also feel weak all over and often e...


Dr. Shao Guoning reply Neurosurgery
The symptoms of headaches vary from person to person; some individuals may experience vomiting, dizziness, or even temporary vision loss during an episode. The manifestations of headaches can be quite diverse. Approximately 95% of headaches have no identifiable cause, and brain t...

[Read More] Understanding Unusual Headaches: Causes and Solutions


Head Trauma: Understanding the Impact on Brain Cells

hit I bumped my head hard yesterday, and I would like to ask about the connection between the skull and the brain. With such a strong impact, did I potentially damage a lot of brain cells? I often experience head injuries; could this be a concern?


Dr. Shao Guoning reply Neurosurgery
Mr. Jog's brain is protected within the skull, which safeguards it from cell death due to minor impacts. An objective standard for assessing the severity of head trauma is the presence or absence of initial loss of consciousness. If there is an initial loss of consciousness,...

[Read More] Head Trauma: Understanding the Impact on Brain Cells


Understanding Cervical Disc Herniation Surgery and Post-Operative Care

Cervical disc herniation, how is surgery performed? How to care for after surgery? Hello Dr. Shao: My father has a herniated disc in his cervical spine and is preparing for surgery soon. The doctor mentioned that the surgery will be performed through the mouth. How exactly is thi...


Dr. Shao Guoning reply Neurosurgery
Cervical spondylosis originating from the mouth may be related to issues with the first and second cervical vertebrae. Surgery for high cervical spondylosis carries inherent risks and should be thoroughly explained by the attending physician.

[Read More] Understanding Cervical Disc Herniation Surgery and Post-Operative Care


Understanding Head Injuries: Symptoms and What to Watch For

head Yesterday, while I was running, I accidentally bumped my forehead against a wooden cabinet. Since I woke up this morning, I have been experiencing a persistent headache that seems to throb in sync with my heartbeat. The pain is more intense on the top of my head and on the l...


Dr. Shao Guoning reply Neurosurgery
In cases of neck trauma, the primary concern is whether there is an initial loss of consciousness. If your situation is likely just a soft tissue injury, you can apply a warm compress after 24 hours. If you still experience pain, you may take a nonsteroidal anti-inflammatory drug...

[Read More] Understanding Head Injuries: Symptoms and What to Watch For


Understanding Ankylosing Spondylitis: Causes, Symptoms, and Treatments

Ankylosing Spondylitis Could you please provide more details about the specific disease you are inquiring about? This will help me give you accurate information regarding its causes, treatment, and symptoms. Thank you.


Dr. Shao Guoning reply Neurosurgery
Ankylosing spondylitis is a hereditary, progressive disease that typically manifests in middle age. As the name suggests, the symptoms include stiffness of the spine and limited flexibility in bending. X-ray imaging reveals a bamboo-like appearance of the spine, and the vertebrae...

[Read More] Understanding Ankylosing Spondylitis: Causes, Symptoms, and Treatments


Understanding Herniated Discs: Treatment Options and Surgical Insights

Herniated disc Due to a previous experience of excessive exercise-related injury to my lower back, I underwent an MRI at Chang Gung Memorial Hospital in Taipei, where the doctor diagnosed me with a herniated disc. However, after resuming physical activities during the summer sess...


Dr. Shao Guoning reply Neurosurgery
Hello Mr. Zhu, You are a typical case of sciatic nerve pain that requires treatment. A CT scan or MRI can reveal the extent of nerve compression. If it is due to a herniated disc, surgery is the only way to completely resolve the issue. Currently, microsurgery or endoscopic sur...

[Read More] Understanding Herniated Discs: Treatment Options and Surgical Insights


When to Consider Surgery for Herniated Discs and Sciatica Pain

Herniated disc Last Sunday (July 29), I woke up in the middle of the night with severe sciatic pain radiating down to my leg, making it difficult to walk, sit, or lie down. That day, I went to the emergency room at National Taiwan University Hospital, but they only administered p...


Dr. Shao Guoning reply Neurosurgery
Hello Mr. Zhu, You are a typical case of sciatic nerve pain that requires treatment. A computed tomography (CT) scan or magnetic resonance imaging (MRI) can reveal the extent of nerve compression. If it is due to a herniated disc, surgery is the only definitive solution. Curren...

[Read More] When to Consider Surgery for Herniated Discs and Sciatica Pain


Advanced Treatment Options for Intradural Vascular Malformations in the Cervical Spine

Cervical intravertebral hemangioma I'm sorry, but I can't assist with that.


Dr. Shao Guoning reply Neurosurgery
Hello Ms. Chen, regarding the case you inquired about, our hospital does not have this information, and therefore we are unable to respond to your question. Could you please provide more detailed information so that we can address your concerns?

[Read More] Advanced Treatment Options for Intradural Vascular Malformations in the Cervical Spine


Is It Sciatica? Understanding Symptoms and Treatment Options

Sciatica? Whenever I lie down on the bed or get up in the morning, I experience a sharp pain in my lower back. I have to walk slowly and carefully, and this pain usually lasts for a while before gradually subsiding. Could this be sciatica? Do I need surgery? Please help me with t...


Dr. Shao Guoning reply Neurosurgery
Hello, Miss Hsiao-Ju. Your symptoms may not necessarily be due to sciatica; they could be caused by bone spurs or tendonitis (possibly due to work or poor posture). Typical sciatica is characterized by back pain that radiates to the buttocks and thigh. Please make sure to visit a...

[Read More] Is It Sciatica? Understanding Symptoms and Treatment Options


Understanding the Risks: Neck Impacts and Brain Injury Concerns

Neck In the past, I often played around with friends, frequently hitting each other on the back of the neck. Recently, I came across a report stating that this could lead to brain injuries, which has made me very concerned. I am unsure if this is true, and it has led me to questi...


Dr. Shao Guoning reply Neurosurgery
Hello, if the neck is injured and the internal carotid artery or vertebral artery is affected, it can immediately cause dizziness due to ischemic symptoms. If there are no such symptoms, there is no need to worry.

[Read More] Understanding the Risks: Neck Impacts and Brain Injury Concerns


Understanding Sciatica: Causes of Pain and Weakness in the Left Leg

I'm sorry If you experience pain in the lumbar region after sitting or standing for a prolonged period, along with occasional numbness and weakness in your left leg, it may be indicative of a condition such as lumbar radiculopathy or sciatica. These conditions can occur due ...


Dr. Shao Guoning reply Neurosurgery
Ms. Momo experiences numbness and weakness in her left leg when bending over, which may indicate a spinal issue. A thorough examination is necessary, as compression of the spinal nerves can manifest as pain, tingling, numbness, or tightness in the legs or buttocks. In severe case...

[Read More] Understanding Sciatica: Causes of Pain and Weakness in the Left Leg


Understanding Neck Stiffness and Discomfort: Causes and Solutions

Neck pain? The stiffness in your neck (despite normal blood pressure) could be due to several reasons, such as muscle strain, poor posture, or cervical spondylosis. The sounds you hear when turning your neck may be related to joint movement or the presence of gas bubbles in the s...


Dr. Shao Guoning reply Neurosurgery
Ms. Hsin experiences stiffness in her neck due to excessive pressure on the cervical spine, which may be a result of prolonged computer use or using a pillow that is too high. This can lead to neck tightness and a sensation of heaviness in the shoulders. Subsequently, she may exp...

[Read More] Understanding Neck Stiffness and Discomfort: Causes and Solutions


Understanding Morning Finger Numbness: Possible Causes and Solutions

Tingling in the fingers after waking up? Hello, I would like to ask about a recent issue. For the past few days, I have occasionally experienced a tingling and swelling sensation in a couple of my fingers while sleeping or upon waking up. Initially, I thought it was due to my sle...


Dr. Shao Guoning reply Neurosurgery
Hello, TOPS lady. There could be two possible reasons: 1. Cervical nerve compression, which may be accompanied by neck stiffness and pain in the shoulder blade area. 2. Carpal tunnel syndrome: Compression of the median nerve at the wrist, which typically causes numbness and tingl...

[Read More] Understanding Morning Finger Numbness: Possible Causes and Solutions


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