Understanding Concussions: Symptoms, Diagnosis, and Psychological Impact
The condition is uncertain whether it is a concussion or a psychological issue? On July 10th, around 9 AM, a foreign worker was operating a crane with a set of four small metal hooks attached, slightly larger than an adult's finger. The hooks tended to stop at head height, a...
Dr. Zhang Junwei Reply:
If there is persistent dizziness, headache, and nausea after a head injury, it indicates a concussion.[Read More] Understanding Concussions: Symptoms, Diagnosis, and Psychological Impact
Unilateral Sweating: Understanding Right Arm Hyperhidrosis in Heat
Walking under the sun, only the right forearm is sweating while the left forearm is not? Recently, due to the hot weather, I've noticed that after walking in the sun for a while, I sweat easily from my chest, back, and armpits. However, I've observed that only my right ...
Dr. Zhang Junwei Reply:
Palmar hyperhidrosis and sympathetic nervous system abnormalities. Neurosurgery.[Read More] Unilateral Sweating: Understanding Right Arm Hyperhidrosis in Heat
Understanding a Movable Lump on the Back of Your Neck: What to Do?
I felt a lump on the back of my neck? Recently, I noticed a large, movable lump on the back of my neck when I looked up. It is not attached to the skin, and I cannot feel it when I look down. It is completely painless, but I am a bit worried about what it could be (the location i...
Dr. Zhang Junwei Reply:
General surgery, plastic surgery, and neurosurgery are all acceptable.[Read More] Understanding a Movable Lump on the Back of Your Neck: What to Do?
Should You Monitor Mild Head Injuries After a Fall? Expert Insights
Hello, Dr. Chang. I fell on May 23rd, landing on my back. Should I monitor this type of injury? Although 37 years old is not considered elderly, it is still middle-aged. On May 21, while taking a shower, I accidentally bumped the top left of my head against the metal shower head....
Dr. Zhang Junwei Reply:
Based on your description, it seems to be just symptoms of a head injury, and the likelihood of delayed bleeding is low. The key point is that if there is persistent headache or dizziness, and the symptoms worsen, it is advisable to seek medical attention promptly.[Read More] Should You Monitor Mild Head Injuries After a Fall? Expert Insights
Can a Billiard Ball Attack Cause Mild Traumatic Brain Injury?
Hit by a billiard ball? Last week, I was attacked with a cue ball, and afterward, I experienced headaches and memory loss. I am currently suspected of having a mild traumatic brain injury. I would like to know if an attack with a cue ball could potentially cause this, especially ...
Dr. Zhao Shaoqing Reply:
You can go to the outpatient clinic for evaluation and examination.[Read More] Can a Billiard Ball Attack Cause Mild Traumatic Brain Injury?
Understanding Neck Issues: Symptoms and Relief for Cervical Disc Problems
Neck issues Hello Doctor, I have a slight protrusion of the cervical intervertebral discs at C3-C4-C5-C6 (as seen on MRI), so I underwent cervical traction (vertical). Initially, I had no pain in my shoulders or neck. However, during the first traction session (50 kg), after pull...
Dr. Lai Zhaokang Reply:
Hello: 1. It is speculated that after cervical traction, the junction between the occiput, anterior mandible, and cervical spine has been stretched. 2. If this movement causes discomfort, you can discuss with your rehabilitation physician whether to postpone it. Applying heat to ...[Read More] Understanding Neck Issues: Symptoms and Relief for Cervical Disc Problems
Post-Accident Memory Loss and Headaches: Understanding Brain Injuries
Headache after amnesia due to a car accident? Hello Dr. Chang, my father (62 years old) was in a car accident on January 3rd. His reaction was slow at the time, and he was unable to answer my mother’s questions about how the accident happened over the phone. When we arrived at th...
Dr. Zhang Junwei Reply:
1. Yes, it is a concussion. 2. Chronic subdural hematoma cannot be predicted in advance; we can only respond to it as it arises.[Read More] Post-Accident Memory Loss and Headaches: Understanding Brain Injuries
Understanding Shoulder Discomfort: Possible Causes and Insights
Shoulder pain Hello, Deputy Director. I would like to ask for your advice. Recently, I have been experiencing a sensation of soreness and tightness around my shoulders, shoulder blades, lower back, and ribs (on both sides and front to back). It's not exactly pain, but rather...
Dr. Zhang Junwei Reply:
Muscle strains and chronic inflammation are more common.[Read More] Understanding Shoulder Discomfort: Possible Causes and Insights
Post-Bicycle Accident: Understanding Concussion Symptoms and Recovery
Bicycle accident resulting in a concussion? Hello, doctor. Two weeks ago, I fell off my bicycle and landed on my back, remaining conscious. I experienced a concussion, and I lost memory of events before and after the fall. When I took a bite of dinner that evening, I immediately ...
Dr. Zhao Shaoqing Reply:
You can return for a follow-up appointment to discuss further treatment.[Read More] Post-Bicycle Accident: Understanding Concussion Symptoms and Recovery
Understanding Cervical Spine Issues and Surgical Options: A Patient's Journey
Cervical spinal cord issues and surgery? Hello, Vice Dean. I would like to consult you. I have congenital S-shaped scoliosis, with a lumbar curvature of 90 degrees and significant thoracic curvature. In 2000, I developed a gastric condition that led me to sleep in a raised positi...
Dr. Zhang Junwei Reply:
1. Gastroesophageal reflux should not be related to the cervical spine. 2. Muscle atrophy of the right thumb is a possibility. 3. Without detailed medical history and physical examination, an accurate answer cannot be provided.[Read More] Understanding Cervical Spine Issues and Surgical Options: A Patient's Journey
Understanding Mid-Back and Peripheral Numbness: Causes and Solutions
Mid-back numbness and peripheral numbness? Hello Doctor, in the past week or two, I have been experiencing a tingling sensation, similar to an electric shock, in the middle right part of my back. This usually occurs when I extend my right arm forward, lean forward, grip something...
Dr. Lai Zhaokang Reply:
Hello: Preliminary assessment suggests that 1. your hand symptoms may be due to nerve compression from the cervical spine or upper limbs. Corresponding nerve examinations can be arranged for evaluation. 2. The back symptoms may be related to thoracic nerve issues, which should al...[Read More] Understanding Mid-Back and Peripheral Numbness: Causes and Solutions
Post-Surgery Recovery Challenges After Lumbar Disc Rupture: Seeking Solutions
Postoperative care after lumbar disc herniation surgery? Dear Doctor, I underwent two surgeries in 2020 for L3-4-5 lumbar spine stabilization with interbody fusion devices. My recovery was good, and three months post-surgery, I returned to delivering food. After nearly a year, ...
Dr. Lai Zhaokang Reply:
Hello: If the damage is severe before surgery, the postoperative recovery may not be ideal. Your condition is more complex. We need to review MRI and other imaging studies to provide you with a clearer assessment and recommendations. You can bring a series of MRIs for a consultat...[Read More] Post-Surgery Recovery Challenges After Lumbar Disc Rupture: Seeking Solutions
Understanding Cervical Spine MRI: Cysts, Compression, and Treatment Options
Cervical spine MRI cyst? Hello Dr. Zhao, I previously experienced upper back pain and numbness in my limbs. I later went to an orthopedic specialist for an X-ray, which revealed cervical spine compression. Subsequently, I visited a neurosurgeon who arranged for a cervical MRI (wi...
Dr. Zhao Shaoqing Reply:
Hello: An MRI is needed for further evaluation in neurosurgery.[Read More] Understanding Cervical Spine MRI: Cysts, Compression, and Treatment Options
Understanding Persistent Head Pressure: Causes and Solutions
Feeling a sense of heaviness or pressure in the head? For about two years, I have been experiencing a sensation of discomfort in my head, primarily in the back and on both sides, which feels dull and swollen. I also have difficulty concentrating and occasionally experience mild s...
Dr. Zhang Junwei Reply:
Atypical head symptoms, recommended for evaluation in a neurology outpatient clinic.[Read More] Understanding Persistent Head Pressure: Causes and Solutions
Could It Be a Brain Tumor? Understanding Head Pain Symptoms
Could it be a brain tumor? When I shake my head or nod, I feel a painful sensation inside my head as if something is moving around, but I don’t experience any pain when I'm not doing those movements. The pain is located in the upper back part of my head. Could this be a brai...
Dr. Zhang Junwei Reply:
It does not appear to be a brain tumor; a follow-up at the neurology outpatient clinic is recommended.[Read More] Could It Be a Brain Tumor? Understanding Head Pain Symptoms
Understanding Head Discomfort: When to Worry About Neurological Issues
Brain issues Hello, Doctor. One day, while washing my hair, the hot water ran out, so I had to use cold water. After finishing, I felt a slight swelling and discomfort on the lower left side of my head. I'm not sure if there's any issue. Additionally, I would like to as...
Dr. Zhao Shaoqing Reply:
In general, if headache symptoms are mismanaged and do not improve, there is no need to worry unless they persist without improvement, in which case a neurosurgical evaluation should be considered to check for any abnormalities.[Read More] Understanding Head Discomfort: When to Worry About Neurological Issues
Understanding Post-Trauma Complications After a Car Accident
Motor vehicle accident head injury? Hello, Dr. Chang. I would like to ask you about my condition. I was involved in a traffic accident in June 2023, and the doctor's diagnosis included: 1. Traumatic subarachnoid hemorrhage and subdural hematoma 2. Skull fracture 3. Right lun...
Dr. Zhang Junwei Reply:
Some overly subjective symptoms and neurological issues that cannot be verified through tests can only be determined by a physician.[Read More] Understanding Post-Trauma Complications After a Car Accident
Understanding Post-Endoscopic Spine Surgery Symptoms and Recovery
Endoscopic spinal surgery Before undergoing endoscopic spinal surgery, the patient experienced numbness and pain in the right side of the lower back, hip, and leg, resulting in a limp while walking. After the surgery, the symptoms on the right side completely improved. However, o...
Dr. Zhang Junwei Reply:
Without detailed medical history, examination reports, and surgical procedure specifics, it is difficult to provide an answer.[Read More] Understanding Post-Endoscopic Spine Surgery Symptoms and Recovery
Post-Surgery Recovery: Why Can't My Father Get Out of Bed?
There has been improvement after the surgery, but the patient is still unable to get out of bed? Last September, my father underwent spinal surgery due to a car accident, which involved two vertebrae slipping and one fractured vertebra. During the surgery, screws and bone cement ...
Dr. Lai Zhaokang Reply:
Hello: Generally, improvement is expected within 3 to 6 months post-surgery. If it has been nearly 3 months since November and there has been limited improvement despite rehabilitation exercises, it is advisable to discuss with your physician the possibility of follow-up imaging ...[Read More] Post-Surgery Recovery: Why Can't My Father Get Out of Bed?
Head Injury with Blood in Nasal Mucus: When to Seek Neurological Care?
Head injury with blood in nasal discharge? Hello, doctor. I accidentally bumped the left back of my head against the edge of a table while picking something up. A minute later, when I blew my nose, I noticed a little blood coming from my left nostril, but it stopped after two tim...
Dr. Zhao Shaoqing Reply:
You can continue to observe your condition. If you experience any discomfort or bleeding, please visit the outpatient clinic. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Head Injury with Blood in Nasal Mucus: When to Seek Neurological Care?