Head Injury After Collision: When to Seek Medical Attention?
Head issues On Friday during physical education class, I collided with a classmate, resulting in her knee hitting the back of my head, causing an approximately 8 cm indentation on the right side of my occiput. Although I felt dizzy and had blurred vision at the time, I was still ...
Dr. Zhang Junwei Reply:
Basically, if there are no obvious symptoms such as severe headache, dizziness, or vomiting, you can continue to observe at home![Read More] Head Injury After Collision: When to Seek Medical Attention?
Dealing with Post-Surgery Recurrence: Options After Spinal Disc Replacement
Postoperative recurrence About four to five years ago, I underwent a procedure to replace 4-5 segments of cartilage due to nerve compression. The doctor assured me that replacing the artificial cartilage would be a permanent solution. However, I now find myself in the same situat...
Dr. Lai Zhaokang Reply:
Hello: If you have any doubts about Dr. Yuan's explanation, I suggest you consult another neurosurgeon. The images speak for themselves. Please copy the MRI image disc and bring it to your next appointment. Wishing you all the best. // Dr. Lai Chao-Kang, Director of Spine Ne...[Read More] Dealing with Post-Surgery Recurrence: Options After Spinal Disc Replacement
Understanding Upper Right Back Numbness: Causes and Solutions
Numbness in the upper right back during work? When I work, I experience a large area of tingling in my upper right back, but it quickly resolves when my right hand is not in use. This symptom has been present for a month.
Dr. Lai Zhaokang Reply:
Hello: It is suspected that the shoulder and back pain is due to muscle fascia strain and inflammation from work-related activities. It is recommended to perform stretching and warm-up exercises before work. Take short breaks every 0.5 to 1 hour during work. After returning home,...[Read More] Understanding Upper Right Back Numbness: Causes and Solutions
Post-Surgery Concerns for Severe Lumbar Disc Herniation: What to Expect
Postoperative Issues Following Severe Cartilage Extrusion in Segments 4-5 I'm sorry to hear about your situation. Recently, I experienced severe lower back pain that left me unable to move, so I went to the hospital. The examination results showed that there was severe herni...
Dr. Lai Zhaokang Reply:
Hello: 1. Did you have the symptoms you mentioned before the surgery, such as complete swelling and numbness in the lower body, along with loss of bladder and bowel control? If so, it may indicate that there was already prolonged nerve compression prior to the surgery. 2. If thes...[Read More] Post-Surgery Concerns for Severe Lumbar Disc Herniation: What to Expect
Understanding Scalp Pain After Head Injury: Causes and Remedies
Head issues Hello, Doctor. I have recently noticed a painful area on my scalp that hurts when pressed, but there is no noticeable swelling. Back in early March, I bumped the left side of my head against the door of an overhead cabinet when I stood up from a squatting position. It...
Dr. Zhang Junwei Reply:
Typically, there is swelling and pain at the site of impact, which usually improves within about five days.[Read More] Understanding Scalp Pain After Head Injury: Causes and Remedies
Understanding Disc Herniation: Surgical Options and Recovery Insights
Herniated disc Hello Doctor, last month I went to the hospital for an examination due to lower back pain and found out that I have multiple herniated discs, with the first, second, fourth, and fifth discs being the most severe (the fourth and fifth discs are completely herniated ...
Dr. Lai Zhaokang Reply:
1. Over 90% improvement is achievable, with a safety rate of over 99% (unless there are specific underlying conditions) (##but this depends on the surgical method you ultimately choose##). 2. It is essential to review your imaging and symptoms. The benefits of the product come ...[Read More] Understanding Disc Herniation: Surgical Options and Recovery Insights
Understanding Symptoms After a Head Injury: What to Expect
Brain issues On the evening of February 25, 2020, after falling from a height of 130 cm while repairing the ceiling, the back of my head struck the concrete floor. It has been 4 days since the incident, and the most painful point is when I press down behind my right ear. If I gen...
Dr. Zhang Junwei Reply:
In general, head and neck contusions typically heal within about a week. If pain persists, it is recommended to schedule an appointment with a neurosurgery clinic for evaluation.[Read More] Understanding Symptoms After a Head Injury: What to Expect
Managing Long-Standing Head Bump: Symptoms, Tests, and Treatment Options
Untreated head mass from years ago? Your boyfriend experienced a shoulder throw during childhood, resulting in a hard lump about five centimeters in size on the back of his head. This lump has not been treated over the years and has not diminished. In the past couple of years, he...
Dr. Zhang Junwei Reply:
It is recommended to schedule an appointment with the neurosurgery outpatient clinic for a detailed examination![Read More] Managing Long-Standing Head Bump: Symptoms, Tests, and Treatment Options
Understanding Upper Back Pain: Causes and When to Seek Help
Upper back pain? Hello doctor, today I was sitting on the ground with my legs extended in front of me when my upper back experienced a sudden compression. My body leaned forward in a position similar to a seated forward bend (I have good flexibility). The weight pressing down was...
Dr. Zhang Junwei Reply:
It is likely a muscle strain, so there's no need to worry too much. Taking anti-inflammatory pain relievers and resting for a few days should lead to improvement![Read More] Understanding Upper Back Pain: Causes and When to Seek Help
Post-Surgery Medication Concerns for Cervical Disc Patients
Postoperative medication issues after cervical spine surgery? Hello, I was diagnosed with a cervical disc rupture in mid-September and underwent minimally invasive surgery to have two fully mobile implants placed. After being discharged, I subsequently developed bronchitis, and a...
Dr. Lai Zhaokang Reply:
Hello: a. There is a slight heaviness in the right eyelid: it may be necessary to consult a neurologist for evaluation. b. For the treatment of depression: please discuss with a psychiatrist. Additionally, regarding whether hepatitis B patients are suitable for taking Cymbalta (d...[Read More] Post-Surgery Medication Concerns for Cervical Disc Patients
Understanding Lumbar Disc Herniation: Treatment Options and Recovery Insights
Herniated disc Hello, doctor. My family member is 58 years old and has been diagnosed with herniated discs at the fourth and fifth lumbar vertebrae, along with nerve compression. I have attached MRI images: (I apologize for uploading multiple images as I wasn't sure which on...
Dr. Lai Zhaokang Reply:
Hello, 1. Your family member has significant nerve compression, with the most severe being at the L4-5 level, where there is already a herniation and rupture. Medically, surgery has been recommended. However, if symptoms have improved, continuing conservative rehabilitation is ...[Read More] Understanding Lumbar Disc Herniation: Treatment Options and Recovery Insights
Understanding Lumbar and Coccyx Issues: Symptoms and Diagnosis Explained
Hello, doctor. I would like to inquire about issues related to the lumbar spine and the coccyx? Hello, doctor. Here's the situation. For about a year now, I have been experiencing a sensation of a foreign body in my anus, and after urinating, there are a few drops of urine l...
Dr. Zhang Junwei Reply:
If there is nerve compression, it cannot be clearly seen with just an X-ray; generally, an MRI is also needed. It is recommended to schedule an appointment with a neurosurgery clinic for a professional evaluation.[Read More] Understanding Lumbar and Coccyx Issues: Symptoms and Diagnosis Explained
Understanding Persistent Dizziness: Causes, Tests, and When to Get an MRI
Dizziness for more than two months? Hello Doctor, I have been experiencing dizziness and shoulder and neck pain for the past two and a half months. The symptoms include a constant feeling of dizziness throughout the day, without a sensation of spinning, nausea, unsteadiness while...
Dr. Zhang Junwei Reply:
Your issue is complex, and it is difficult to provide a complete answer without a thorough physical examination and tests. I recommend consulting a neurology or neurosurgery outpatient clinic.[Read More] Understanding Persistent Dizziness: Causes, Tests, and When to Get an MRI
Understanding Cauda Equina Syndrome After L5-S1 Surgery: Symptoms and Concerns
Hello, doctor. I would like to inquire about issues related to the lumbar spine and bowel elimination? Last year, I underwent a subcutaneous endoscopic surgery at the L5-S1 level. About two months post-operation, I experienced lower back pain due to straining during bowel movemen...
Dr. Lai Zhaokang Reply:
Hello, please return to your original physician for the lumbar endoscopic surgery as soon as possible. Wishing you the best. // Dr. Lai Chao-Kang, Director of the Spine and Neurosurgery Department, Changhua Hospital.[Read More] Understanding Cauda Equina Syndrome After L5-S1 Surgery: Symptoms and Concerns
Child's Head Injury: Understanding Symptoms and When to Seek Help
Bleeding from the back of the head after hitting a stone step? Hello, doctor~~~ My child, who is over 6 years old, fell backward while sitting on the stone steps in Miaoli on October 21 and hit the back of his head, causing bleeding. We performed emergency first aid and called an...
Dr. Zhang Junwei Reply:
The sequelae of head trauma include headaches and dizziness. Children may exhibit decreased energy levels. It is important to closely monitor the child's level of consciousness; if they are lethargic and cannot be awakened, seek medical attention immediately.[Read More] Child's Head Injury: Understanding Symptoms and When to Seek Help
Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Numbness in the lower back, hips, and legs, unclear where the issue lies? On August 24, I had a pelvic adjustment, and for the week following, I did not experience any particular sensations and did not engage in any special activities. On September 1, I noticed swelling on the ou...
Dr. Zhang Junwei Reply:
It is not possible to diagnose the disease online; it is recommended to consult a neurosurgery outpatient clinic for examination.[Read More] Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Understanding Nerve Issues: Tremors, Numbness, and Speech Difficulties
Tremors, body numbness, and difficulty speaking? 1. After riding a bike for about 20 minutes, my buttocks become completely numb, and my back often feels tingly and prickly. 2. Recently, while typing, my left thumb has been shaking involuntarily. 3. I've noticed that when I ...
Dr. Lai Zhaokang Reply:
Hello: 1. It may be a lumbar spine issue causing sciatica. It is recommended to consult a neurosurgeon. 2+3: First, see a neurologist to rule out any cranial nerve problems. Best wishes // Neurosurgeon Dr. Lai Chao-Kang.[Read More] Understanding Nerve Issues: Tremors, Numbness, and Speech Difficulties
Understanding Right Leg Tightness and Hand Numbness: Possible Causes and Solutions
There is an abnormal tightness sensation in the right thigh, accompanied by slight numbness in the hand? Hello Dr. Lai, I would like to ask if you could help me with a preliminary diagnosis of my condition. It started around February of last year, and my current symptoms include ...
Dr. Lai Zhaokang Reply:
Hello: 1. The hand <the right hand also feels a bit prone to numbness, particularly the ring and little fingers...> is mainly due to nerve compression in the hand. It may also be caused by cervical spine issues, and a nerve conduction study (NCS) is needed for differentiati...[Read More] Understanding Right Leg Tightness and Hand Numbness: Possible Causes and Solutions
Understanding Lumbar Spondylolisthesis and Surgical Options
Spondylolysis with lumbar spondylolisthesis? Hello Doctor, four years ago I visited a physician due to lower back pain, and the doctor diagnosed me with a fracture of the lamina at the fourth and fifth lumbar vertebrae. Recently, during a follow-up visit, the doctor mentioned tha...
Dr. Lai Zhaokang Reply:
Hello: 1. If there is a spondylolysis with accompanying lumbar spondylolisthesis, it will not heal on its own. If you feel your symptoms are manageable, then coexist peacefully with it. However, if your symptoms are bothersome and you want a definitive solution, then consider sur...[Read More] Understanding Lumbar Spondylolisthesis and Surgical Options
Understanding Persistent Finger Pain: When to Consult a Neurosurgeon
Finger issues Hello Doctor: My right hand's little finger at the first phalanx (distal phalanx) on the inner side has been experiencing severe pain for over 5-6 years whenever I accidentally press on it. The pain feels like being struck by a hammer, which often causes me to ...
Dr. Zhang Junwei Reply:
It sounds like nerve or tendon inflammation; I recommend a consultation at the neurosurgery outpatient clinic.[Read More] Understanding Persistent Finger Pain: When to Consult a Neurosurgeon