Managing Sciatica Pain from Herniated Discs: Rehabilitation Insights
Herniated disc with left buttock pain? Hello, Doctor. I have a herniated disc, and due to prolonged sitting and standing, my left calf becomes numb and my left hip feels very uncomfortable. After walking for less than ten minutes, the pain in my left hip becomes so intense that I...
Dr. Zhang Junwei reply Neurosurgery
There is a possibility of improvement, but it is not guaranteed. If there is no improvement, surgical treatment is recommended![Read More] Managing Sciatica Pain from Herniated Discs: Rehabilitation Insights
Understanding Thumb Mobility Issues: When to See a Neurosurgeon
Could you please provide the content you would like me to translate? Hello, Dr. Chang. I am currently experiencing an issue with my right thumb; specifically, I am unable to bend or move the first joint properly. For example, I cannot write normally or perform delicate tasks. Cou...
Dr. Zhang Junwei reply Neurosurgery
It may not be certain; it should be a joint issue. I recommend consulting an orthopedic or hand surgery clinic for an examination![Read More] Understanding Thumb Mobility Issues: When to See a Neurosurgeon
Understanding Recovery After Aneurysm Rupture: A Daughter's Concern
Ruptured cerebral aneurysm I would like to ask about my mother. On October 20, 2016, she fell into a coma due to a ruptured cerebral artery, with a Glasgow Coma Scale score of 3 at that time. After surgery and the placement of a drainage tube, she was discharged in January and ha...
Dr. Zhang Junwei reply Neurosurgery
Brain injuries are very complex. Once a person has experienced a severe coma with a Glasgow Coma Scale score as low as three, to be honest, no one can predict when they will wake up![Read More] Understanding Recovery After Aneurysm Rupture: A Daughter's Concern
Understanding Sciatica and Piriformis Syndrome: Symptoms and Treatment
Sciatica? Piriformis syndrome? Hello Doctor, during this time, I have been experiencing tightness and pain in my right leg, extending from the inner thigh down to the back of the calf. The discomfort is particularly noticeable when bending and straightening my leg. I have consult...
Dr. Zhang Junwei reply Neurosurgery
Without a physical examination, I cannot provide an answer. Please rest more, and for rehabilitation issues, please consult the rehabilitation department.[Read More] Understanding Sciatica and Piriformis Syndrome: Symptoms and Treatment
Head Injury: Persistent Pain After Six Days - When to Seek Help?
It has been six days since I hit my head, and it still hurts? On the morning of April 6th, I bumped my head (hit it against the refrigerator, quite hard). At the moment, there was some swelling, and in the afternoon, I felt dizzy and nauseous (but did not vomit). After work at 6 ...
Dr. Zhang Junwei reply Neurosurgery
It should be better in a few days![Read More] Head Injury: Persistent Pain After Six Days - When to Seek Help?
Post-Operative Care and Recovery for Meningioma Surgery Patients
Postoperative care after meningioma surgery? Hello, a 60-year-old relative has a 6 cm brain tumor in the ventricles. Due to a decline in judgment and memory, it was discovered through examination. The tumor was surgically removed and found to be benign. The patient was able to op...
Dr. Zhang Junwei reply Neurosurgery
I cannot answer regarding the coma scale and the reason for the reoperation![Read More] Post-Operative Care and Recovery for Meningioma Surgery Patients
Impact of Smoking vs. Alcohol on Recovery After Arm Nerve Surgery
Brachial plexus Hello, doctor. I would like to ask, after undergoing arm nerve repair surgery, which has a greater impact, smoking or alcohol?
Dr. Zhang Junwei reply Neurosurgery
It is difficult to answer, as there is no evidence indicating which impact is greater.[Read More] Impact of Smoking vs. Alcohol on Recovery After Arm Nerve Surgery
Six Months Post-Lumbar Disc Surgery: Managing Pain and Concerns
Six months post lumbar disc herniation surgery? Last year on October 27, I underwent surgery for an L5-S1 disc replacement with two cages. It's been about six months now, and I experience soreness and discomfort after about four to six hours of activity (standing, sitting, w...
Dr. Zhang Junwei reply Neurosurgery
It is recommended to return to the original surgical hospital for an X-ray examination.[Read More] Six Months Post-Lumbar Disc Surgery: Managing Pain and Concerns
Persistent Lower Back Pain at Night: Seeking Solutions for Sleeplessness
Waking up with lower back pain during sleep? Hello doctor, I have been experiencing lower back pain that wakes me up at night for the past month. I have already consulted with the orthopedic department at Hsinchu Mackay, the neurosurgery department at Taoyuan Chang Gung, the rheu...
Dr. Zhang Junwei reply Neurosurgery
It is really difficult to answer such questions online; I recommend going to a medical center for further examination.[Read More] Persistent Lower Back Pain at Night: Seeking Solutions for Sleeplessness
Head Injury: When to Seek Medical Attention After a Fall
Head injury Hello, doctor. Last Saturday, I was walking while using my phone and didn't watch where I was going, which caused my face and head to hit a metal gate hard. At the time, I had bruising on my head and nose and applied ice immediately. However, since that day, I...
Dr. Zhang Junwei reply Neurosurgery
Please visit the neurosurgery outpatient clinic for an examination.[Read More] Head Injury: When to Seek Medical Attention After a Fall
Head Injury While Sleeping: When to Seek Medical Attention
The back of the head hit the wall after sleeping? Hello Doctor, I accidentally hit the back of my head while lying down to sleep the night before last. At that moment, I experienced a strong, brief stomach pain, but no other symptoms. The next morning, I woke up with severe, inte...
Dr. Zhang Junwei reply Neurosurgery
Please visit the neurosurgery outpatient clinic for treatment.[Read More] Head Injury While Sleeping: When to Seek Medical Attention
Post-Car Accident Intracranial Hemorrhage: Recovery Concerns and Dietary Advice
My father has intracranial hemorrhage due to a car accident? Hello, doctor. My father was in a car accident and suffered from intracranial hemorrhage. Throughout the process, he remained relatively conscious and did not require surgery. The doctor advised that the blood would be ...
Dr. Zhang Junwei reply Neurosurgery
The sequelae of patients with cerebral hemorrhage include headaches, dizziness, drowsiness, and neurological deficits related to the site of the hemorrhage. Some of these symptoms may be temporary, while others can be permanent. Acupuncture may be worth trying.[Read More] Post-Car Accident Intracranial Hemorrhage: Recovery Concerns and Dietary Advice
Hard Lump on Back of Head: Possible Cerebellar Tumor Concerns
There is a hard lump on the back of the head? There is a hard lump at the back of the head, and when standing up suddenly, there is facial drooping and falling, but it returns to normal after a while. It is feared that a tumor may be pressing on the cerebellum.
Dr. Zhang Junwei reply Neurosurgery
Please visit the neurosurgery outpatient clinic for an examination.[Read More] Hard Lump on Back of Head: Possible Cerebellar Tumor Concerns
Understanding Coma Levels and Recovery Potential After Brain Aneurysm
Coma scale score of 5 or 6? Hello, Doctor. I would like to ask about my mother, who suffered a ruptured intracranial aneurysm on March 7. The doctors mentioned that there is significant hypoxia in the left hemisphere of her brain. Currently, she has a nasogastric tube and a trach...
Dr. Zhang Junwei reply Neurosurgery
A coma scale score of 5-6 indicates that awakening is quite difficult. Alternating between an ice pack and medication can be used to reduce fever.[Read More] Understanding Coma Levels and Recovery Potential After Brain Aneurysm
Post-Car Accident: Understanding Concussion Symptoms and Recovery Options
Car accident resulting in a forehead impact? Hello, I was involved in a car accident on February 19, where I collided and rotated 90 degrees, causing me to be thrown approximately the height of a car before landing. My helmet flew off just before I hit the ground, landing on my l...
Dr. Zhang Junwei reply Neurosurgery
Basically, a CT scan is detailed enough; if there are still doubts, an MRI can be performed![Read More] Post-Car Accident: Understanding Concussion Symptoms and Recovery Options
Can a Fall Cause Headaches Without Head Injury? Understanding the Connection
What are the main causes of headaches after a fall? I slipped and fell hard on my buttocks while working at a restaurant. After seeking medical attention and getting an X-ray, there were no abnormalities. However, on my way home, I started experiencing a severe headache. Can a fa...
Dr. Zhang Junwei reply Neurosurgery
If you have hit your head, it may cause a headache. Please visit the neurosurgery outpatient clinic for an examination.[Read More] Can a Fall Cause Headaches Without Head Injury? Understanding the Connection
Post-Accident Facial Discomfort: When to Seek Medical Help?
Facial discomfort after a car accident? In late November 2015, I was involved in a car accident and sustained minor facial injuries. The diagnosis indicated a zygomatic bone fracture, but the doctor mentioned that the bone was only cracked. My face swelled up, but after applying ...
Dr. Zhang Junwei reply Neurosurgery
Orthopedic Surgery[Read More] Post-Accident Facial Discomfort: When to Seek Medical Help?
Head Injury at Home: What to Watch For After a Bump
Hit on the top of the head? I accidentally bumped my head against the ceiling while bending down to close a window at home. It felt quite forceful when I lifted my head, and although I instinctively pressed on the painful spot (which I remember not being very painful), I soon rea...
Dr. Zhang Junwei reply Neurosurgery
If you experience headaches, dizziness, nausea, or vomiting, please visit the neurosurgery outpatient clinic for an examination.[Read More] Head Injury at Home: What to Watch For After a Bump
Understanding Neck Pain: Symptoms and Treatment Options
Is it a cervical spine issue? Hello! I have a sensation of post-nasal drip in the right side of my neck, including behind my right ear, the buccal area of my molars, and my throat. My right ear feels congested (similar to the sensation experienced at high altitudes, which eases w...
Dr. Zhang Junwei reply Neurosurgery
Please see an otolaryngologist or a neurologist for examination.[Read More] Understanding Neck Pain: Symptoms and Treatment Options
Managing Persistent Hiccups in an Elderly Patient After Brain Surgery
An 83-year-old man experienced a brain hemorrhage due to a fall and has been experiencing hiccups for the past 13 days while eating? Hello, an elderly patient fell on a rainy day and was taken to the hospital for emergency surgery. There was a 150cc hemorrhage in the left hemisph...
Dr. Zhang Junwei reply Neurosurgery
Medication treatment, such as Primperan or Wintermin.[Read More] Managing Persistent Hiccups in an Elderly Patient After Brain Surgery