Understanding Stroke Golden Hour: Myths and Facts for Emergency Response
Golden Hour Management of Stroke I would like to inquire about the authenticity of an article titled [Golden Hour Treatment for Stroke]. The content states: When a person suffers a stroke, the microvessels in the brain gradually rupture. In such a situation, it is crucial not to ...
Dr. Qiu Conglang Reply:
Hello: Due to the inability to determine the authorship and origin of online articles, which may be fictional or related to other folk remedies, I cannot comment on their authenticity. As for the emergency management of stroke, you can refer to the content in the stroke course ma...[Read More] Understanding Stroke Golden Hour: Myths and Facts for Emergency Response
Understanding Hand Pain: Causes and When to See a Specialist
Tingling in the palm? I have a persistent tingling sensation about 3 centimeters above my wrist and below my left ring finger, roughly the size of a pen cap. It often occurs unconsciously, and pressing on that area causes significant pain, while the surrounding areas are numb. I ...
Dr. Ye Boshou Reply:
It seems to be neuropathic pain; please have a neurologist examine it.[Read More] Understanding Hand Pain: Causes and When to See a Specialist
Understanding Muscle Fibrosis: Botox vs. Steroids for Treatment
Muscle fibrosis I have been experiencing muscle tightness in my left shoulder for the past four months due to a muscle strain, which seems to have led to muscle fibrosis. As a result, my shoulder is constantly elevated, and any attempt to relax it results in intense tightness and...
Dr. Lai Lunxiang Reply:
Hello! Muscle fibrosis? I'm curious about your symptoms as mentioned by the doctor. It might be a good idea to consult another physician for a second opinion. As for botulinum toxin, it is not widely used for disease treatment, so I cannot provide any information regarding w...[Read More] Understanding Muscle Fibrosis: Botox vs. Steroids for Treatment
Managing Behavioral Disorders in Stroke Patients: Key Insights and Solutions
Can disorganized behavior after a stroke be controlled? Hello Doctor, I have a few questions regarding stroke patients. 1. Do stroke patients also experience various disordered behaviors psychologically and behaviorally (similar to hyperphagia where they never feel full, and ma...
Dr. Cao Wenlong Reply:
Hello: Disordered behavior and hyperphagia (eating without satiety or being unaware of having eaten) together may indicate a lesion in the frontal lobe of the brain. The patient has a history of brain tumor surgery combined with endocrine dysfunction, and it is unclear whether th...[Read More] Managing Behavioral Disorders in Stroke Patients: Key Insights and Solutions
Is It Time to Give Up? Understanding Nerve Damage After Injection
Is it to be discarded? Dear Dr. Yeh, In May of this year, I sought treatment at a rehabilitation clinic due to a stiff neck, and subsequently received an injection in my right gluteus maximus. During the injection, I experienced a sensation of soreness, but I did not think much ...
Dr. Ye Boshou Reply:
It is recommended to seek nearby medical treatment. Please visit the Neurology Department at Far Eastern Memorial Hospital for a detailed examination to determine if there is any sciatic nerve damage.[Read More] Is It Time to Give Up? Understanding Nerve Damage After Injection
Unexplained Arm Pain: Seeking Answers for Persistent Symptoms
Experiencing a sharp pain when swinging the arms side to side? Since June, I have been experiencing unexplained pain in my right arm. There is no pain when swinging my arm forward and backward, but I feel a sharp pain when moving it side to side. It is particularly painful when I...
Dr. Lai Lunxiang Reply:
It is recommended that you seek treatment from an acupuncturist (Chinese medicine practitioner).[Read More] Unexplained Arm Pain: Seeking Answers for Persistent Symptoms
Understanding Neurogenic Shock: Which Specialist to Consult?
Neurogenic shock Hello, doctor: I would like to ask whether neurogenic shock should be referred to psychiatry or neurology. "Neurogenic shock" is a type of shock that occurs due to spinal cord injury or anesthesia, leading to the loss of neurogenic reflexes or vascular ...
Dr. Lai Lunxiang Reply:
The symptoms you described are not indicative of neurogenic shock; they should be referred to as a drug allergy (specifically the symptoms associated with anesthetics). When seeking medical attention, please provide a detailed account of your experience to the physician, and requ...[Read More] Understanding Neurogenic Shock: Which Specialist to Consult?
Understanding Facial Nerve Paralysis: Benefits and Risks of Neurotoxin Injections
Facial nerve paralysis I heard that administering neurotoxic agents can facilitate the rapid recovery of facial nerve paralysis. Are there any side effects associated with this treatment? What are the risks involved? Is this procedure currently available at National Taiwan Univer...
Dr. Lai Lunxiang Reply:
There seems to be an issue with your information. Since the patient is already paralyzed, using medication to block it would only exacerbate the situation, wouldn't it? I have serious doubts about this, and I suggest you ask for clarification carefully.[Read More] Understanding Facial Nerve Paralysis: Benefits and Risks of Neurotoxin Injections
Is Botox Injection a Suitable Treatment for Cerebral Palsy Symptoms?
Am I a suitable candidate for Botox injection therapy? Hello, Doctor: I am a patient with cerebral palsy. My condition appears to be quite mild according to many doctors, but I feel very stiff and unable to control myself in many aspects. Specifically, my hands tremble uncontroll...
Dr. Ye Boshou Reply:
The use of botulinum toxin in patients with cerebral palsy should be specifically for spastic cerebral palsy; based on your description, it seems to be inconsistent with the usage guidelines.[Read More] Is Botox Injection a Suitable Treatment for Cerebral Palsy Symptoms?
Understanding Lumbar Disc Herniation: Risks and Imaging Insights
Issues related to intervertebral disc herniation? Doctor, I have a herniated disc (L5-S1), and my doctor is going to perform a myelogram. I received a small vial of water-soluble non-ionic contrast agent. Are there any side effects associated with this type of injection into the ...
Dr. Ye Boshou Reply:
The contrast agents used in bone marrow aspiration are rarely associated with side effects. The purpose of the procedure is to assess whether the spinal cord is being compressed and to evaluate the extent of the compression before considering surgery. The surgical approach depend...[Read More] Understanding Lumbar Disc Herniation: Risks and Imaging Insights
Should You See a Doctor for Persistent Neck and Shoulder Pain?
Neck and shoulder pain Hello, actually my problem is quite common. I have pain from my neck to my shoulders. Generally speaking, the solutions for these issues are widely available online. However, the internet usually suggests exercises, proper sitting posture, and similar metho...
Dr. Lai Lunxiang Reply:
Based on my personal experience, your issue is not difficult to manage. It involves local injection of saline solution along the acupuncture points following the meridian pathway. However, this is related to your individual constitution, and one treatment may provide relief for a...[Read More] Should You See a Doctor for Persistent Neck and Shoulder Pain?
Effective Treatments for Neurological Syphilis and Related Symptoms
How should neurosyphilis-related central nervous system lesions be treated? Dr. Lai: Hello, I have been diagnosed with neurosyphilis. After receiving an injection of penicillin, I had a lumbar puncture, and the doctor said that the viral load should be gone. However, my symptoms ...
Dr. Lai Lunxiang Reply:
Based on your description, your symptoms appear to be consistent with neurosyphilis sequelae, and you also seem to be experiencing somatization disorder. I personally believe that if it is convenient for you, it would be beneficial to seek treatment at our hospital.[Read More] Effective Treatments for Neurological Syphilis and Related Symptoms
Understanding Fourth Ventricular Calcification: Symptoms and Next Steps
Ventricular calcification I have a friend who often experiences severe headaches, sometimes to the point where they need injections for relief. After an examination, the doctor diagnosed them with calcification of the fourth ventricle. I am very concerned about potential complica...
Dr. Huang Yingzhe Reply:
I believe that the ventricular calcification is not necessarily related to her headaches. Moreover, it could be a normal calcification phenomenon. I think it is more important to investigate the actual cause of the headaches.[Read More] Understanding Fourth Ventricular Calcification: Symptoms and Next Steps
Understanding Eye Twitching: Causes and Coping Strategies
The bags under my eyes keep twitching, it's really annoying? About two years ago, for some unknown reason, the area under my right eye, specifically the bags, started twitching continuously. Sometimes it would last for several days in a row, and other times it wouldn't ...
Dr. Du Haojie Reply:
Botulinum toxin injections can be used to block the pulsation of under-eye bags.[Read More] Understanding Eye Twitching: Causes and Coping Strategies
Understanding Hand Numbness: Causes and When to Seek Further Evaluation
Numbness in the hands? My mother is 55 years old and often experiences numbness in her hands, making it difficult for her to exert force while riding a motorcycle. She visited a nearby neurologist who diagnosed her with nerve compression. After receiving an injection, she had a b...
Dr. Huang Yingzhe Reply:
Hello, the symptoms you described sound like Carpal Tunnel Syndrome. I recommend visiting a neurologist for nerve conduction studies and electromyography. Wishing you good health from Tainan Hospital.[Read More] Understanding Hand Numbness: Causes and When to Seek Further Evaluation
Understanding Sciatica: Persistent Pain After Injection in the Buttocks
Anal pain On April 3, 2002, I went to the hospital for a headache and received a pain relief injection in my left buttock. However, it has been over two months, and I still experience a sharp pain in my left buttock that radiates to the back of my thigh. Could you please help me ...
Dr. Ye Boshou Reply:
After a gluteal muscle injection, localized pain may be due to inflammation caused by the injection or the medication. If there is associated lower limb numbness, it could indicate irritation of the sciatic nerve. If the tingling persists, it is advisable to follow up with a neur...[Read More] Understanding Sciatica: Persistent Pain After Injection in the Buttocks
Understanding Abnormal Heartbeats: Causes and Treatment Options
Irregular heartbeat Since August of the year before last, there have been four episodes. The symptoms include: heart rate exceeding 180 beats per minute, frequent urination, full-body tremors, and a sensation of dizziness as if the surroundings are spinning. On the evening of Jun...
Dr. Ye Boshou Reply:
Paroxysmal tachycardia can be caused not only by issues related to the heart itself but also by conditions such as hyperthyroidism. It is recommended to consult a cardiologist for a thorough examination and follow-up treatment.[Read More] Understanding Abnormal Heartbeats: Causes and Treatment Options
Post-Injection Hand Weakness and Tremors: What You Need to Know
Since I received the injection, my arm has been weak and it keeps shaking a little? Last week, on the 2nd, I went to the clinic for an injection due to a fever. After the injection, the next day my hand felt a bit weak and it keeps shaking a little. I can't even write. My da...
Dr. Huang Yingzhe Reply:
There are many causes of tremors, and the characteristics of the tremors are also important. Whether it is in both hands or one hand, and the location of the injection, all affect the conclusion! If the symptoms have not improved when receiving this message, it is advisable to co...[Read More] Post-Injection Hand Weakness and Tremors: What You Need to Know
Effective Treatments for Tendonitis: Finding Relief for Your Painful Hands
Tendonitis of the hand If your mother has been experiencing persistent pain in her hand tendons that hasn't improved with treatment, it may be beneficial to consider the following options: 1. **Consult a Specialist**: A visit to an orthopedic surgeon or a hand specialist ca...
Dr. Du Haojie Reply:
In addition to oral and topical medications for tendonitis, rehabilitation therapy can also be attempted, and of course, adequate rest will be beneficial as well.[Read More] Effective Treatments for Tendonitis: Finding Relief for Your Painful Hands
Botox for Treating Eye Tics in Young Children: Safety and Efficacy Concerns
Tics I am a very anxious mother, and I would like to ask if botulinum toxin can be used for the treatment of eye tics. My daughter is currently 3 and a half years old and started exhibiting tics about six months ago. She is on oral medication, but the constant blinking continues ...
Dr. Ye Boshou Reply:
1. Injecting botulinum toxin may lead to muscle paralysis. 2. Generally, the results are satisfactory, but re-injection is needed after six months. 3. For a three-and-a-half-year-old child, the age is somewhat low, so it is advisable to discuss in detail with the specialist admin...[Read More] Botox for Treating Eye Tics in Young Children: Safety and Efficacy Concerns