Post-Head Injury: Persistent Swelling and Worsening Dizziness Concerns
After a head injury, the swelling has not subsided and dizziness has worsened? Hello Doctor: My mother (63 years old) slipped and fell in the bathroom a week ago, hitting the back left side of her head (no external injury but with noticeable swelling). She immediately went to the...
Dr. Zhang Junwei Reply:
It is recommended to return to the neurosurgery outpatient clinic for an examination.[Read More] Post-Head Injury: Persistent Swelling and Worsening Dizziness Concerns
Post-Surgery Complications of Lumbar Disc Herniation: A Patient's Journey
Abnormal Conditions After Surgery for Intervertebral Disc Stenosis and Herniation Hello Doctor, I would like to consult you regarding my condition. I have been diagnosed with L4-L5 disc stenosis and L5-S1 disc herniation. On February 10th of this year, I underwent endoscopic deco...
Dr. Lai Zhaokang Reply:
Hello Xiaowen: Physical therapy can be implemented. However, you have already undergone two surgeries by other doctors, and the situation is more complex. The second surgery was 1.5 months ago. It is advisable to have a physician evaluate whether an MRI follow-up is necessary. Be...[Read More] Post-Surgery Complications of Lumbar Disc Herniation: A Patient's Journey
Understanding Spinal Fusion: Pros and Cons of Coflex Implants
Spinal fusion self-funded implants Hello, Director Zhang! I have rheumatoid arthritis and the following conditions: my bone density is relatively okay, but I have vertebral slippage, spinal instability, vertebral collapse, and a herniated disc, which necessitates spinal fusion su...
Dr. Zhang Junwei Reply:
There are many different methods and techniques for spinal surgery, making it impossible to explain each one in detail. It is recommended that you find a trusted physician and place your confidence in them.[Read More] Understanding Spinal Fusion: Pros and Cons of Coflex Implants
Understanding Back Pain, Chest Tightness, and Spinal Compression Symptoms
Lower back pain, chest tightness, dizziness, spinal compression? Hello doctor, after undergoing an iliac vein catheter examination in early April, I began to experience discomfort in my lower back and buttocks. The back pain worsened, and about two months ago, while stretching my...
Dr. Lai Zhaokang Reply:
Hello, the preliminary assessment suggests issues related to the spine and autonomic nervous system. It is recommended to consult a neurosurgeon (spine neurosurgeon) for further evaluation and to arrange for examinations. Best wishes from Dr. Lai Chao-Kang, Chief of Spine Neurosu...[Read More] Understanding Back Pain, Chest Tightness, and Spinal Compression Symptoms
Understanding Post-Extraction Cognitive Issues: Is Tooth Removal to Blame?
Abnormal brain function? 1. Can tooth extraction lead to the aforementioned brain issues? 2. Could the extraction of two molars at once have caused damage to the brain? 3. If tooth extraction does not cause any brain damage, what could explain my current condition? I was very...
Dr. Zhang Junwei Reply:
Theoretically, tooth extraction should not cause brain-related issues. If there are any neurological symptoms, please consult a neurologist or psychiatrist. I am unable to address dental issues such as tooth extraction.[Read More] Understanding Post-Extraction Cognitive Issues: Is Tooth Removal to Blame?
Can You Masturbate After a Concussion? Expert Insights on Recovery
Is it safe to masturbate after a concussion? Hello Doctor, I bumped the back of my head on May 26th, but it wasn't very hard. After texting a doctor I know about my symptoms, he assessed that it might be a concussion, so I didn't go to see a doctor. Currently, I have sy...
Dr. Zhang Junwei Reply:
Not necessarily.[Read More] Can You Masturbate After a Concussion? Expert Insights on Recovery
Understanding Post-Surgery Pain: Insights on Spine Surgery Recovery
Spinal surgery Hello Doctor: My father has been experiencing pain and numbness in his legs, which radiates from his lower back to the soles of his feet. He was diagnosed at the hospital with degeneration of the fourth and fifth lumbar vertebrae, causing nerve compression. He subs...
Dr. Lai Zhaokang Reply:
Hello: Based on your description, high-frequency thermal coagulation therapy can be considered; however, the patient needs to come in for an evaluation. Additionally, it is recommended to bring recent MRI and X-ray images from the original hospital, copied onto a disc. Best wishe...[Read More] Understanding Post-Surgery Pain: Insights on Spine Surgery Recovery
Understanding Spine Surgery: Managing Pain and Recovery Challenges
Spinal surgery Hello Doctor: My father has been experiencing pain and numbness in his legs, which radiates from his lower back down to the soles of his feet. After being diagnosed at the hospital, it was determined that the degeneration of the fourth and fifth lumbar vertebrae wa...
Dr. Lai Zhaokang Reply:
Hello: Based on your description, high-frequency thermal coagulation therapy can be considered; however, the patient needs to come to the clinic for an evaluation. Additionally, it is recommended to bring recent MRI and X-ray images from the original hospital, copied onto a disc....[Read More] Understanding Spine Surgery: Managing Pain and Recovery Challenges
Managing Chronic Subdural Hematoma in an 85-Year-Old: Surgical Risks and Alternatives
An 85-year-old woman with chronic subdural hematoma? Dear Director Zhang, I apologize for troubling you. My mother-in-law has been suffering from dementia for a long time and is unable to express her pain. She fell in her backyard on April 23. The symptoms observed that day wer...
Dr. Zhang Junwei Reply:
Chronic subdural hematoma has a certain probability of worsening (the likelihood varies from person to person). Aside from surgical intervention, there are no other effective treatment options. Observation to see if it resolves spontaneously is also possible, but the likelihood o...[Read More] Managing Chronic Subdural Hematoma in an 85-Year-Old: Surgical Risks and Alternatives
Impact of Skull Depression on Child's Cognitive and Behavioral Development
Cranial depression Hello, my son had a head injury when he was four months old, resulting in a depression on the left back of his head. He is now seven years old, and the depression has become more pronounced, but he reports no pain when pressed. Could this depression negatively ...
Dr. Zhang Junwei Reply:
Theoretically, it should not happen, but a consultation with a neurosurgery outpatient clinic is still recommended.[Read More] Impact of Skull Depression on Child's Cognitive and Behavioral Development
Understanding Post-Surgery Symptoms: Nerve Issues After Thoracic Surgery
Thoracic spine issues Hello, doctor! I had surgery last June for thoracic spinal stenosis that was compressing my nerves, but nearly a year after the surgery, I still experience persistent numbness in my legs. I later returned for follow-up visits and had an MRI to assess the com...
Dr. Zhang Junwei Reply:
Very likely.[Read More] Understanding Post-Surgery Symptoms: Nerve Issues After Thoracic Surgery
Post-Surgery Complications: Persistent Pain and Numbness After Spinal Surgery
Postoperative condition not improved after posterior ligament surgery? Hello Doctor: I underwent surgery due to calcification of the posterior longitudinal ligament in my cervical spine, specifically at the C3-4-5 levels, where an artificial disc was placed at the C4 level. It ha...
Dr. Lai Zhaokang Reply:
Hello: I am not the doctor who performed your original surgery. I would like to help you, but your description is too brief for a professional assessment. I recommend that you first consult with the surgeon who performed your initial procedure. If you do not receive the explanati...[Read More] Post-Surgery Complications: Persistent Pain and Numbness After Spinal Surgery
Navigating the Challenges of Neurological Care: A Patient's Journey
A long journey to seek medical care? Dear Dr. Lai, As previously mentioned (<a href="https://adoctor.tw/article/177636">#177636</a>), the patient's mother wishes to transfer to a nearby hospital for medication due to safety concerns. However, the patie...
Dr. Lai Zhaokang Reply:
Hello: A trusting relationship between doctors and patients is essential. Your convenience and peace of mind are the most important. It is a great decision that you have been seeing the same doctor at the children's hospital for many years. Wishing you all the best with Dr. ...[Read More] Navigating the Challenges of Neurological Care: A Patient's Journey
Understanding Cervical Spine Issues: Symptoms, Rehabilitation, and Diagnosis
Cervical spine issues, cervical rehabilitation? Hello Doctor: I would like to ask about my condition. Around October last year, I experienced back pain and weakness associated with a cold. After recovering from the cold, my symptoms improved, but then I started to feel a series o...
Dr. Lai Zhaokang Reply:
Hello: It is suspected that you may be experiencing symptoms of cervical nerve compression. It is recommended to consult a neurosurgeon to discuss the possibility of arranging an MRI (Magnetic Resonance Imaging) examination. If you experience severe weakness in your limbs, loss o...[Read More] Understanding Cervical Spine Issues: Symptoms, Rehabilitation, and Diagnosis
Understanding Cervical Fusion and Artificial Discs: Can Surgery Relieve Nerve Pain?
Cervical fusion at levels C3-C4 and artificial disc replacement at levels C5-C6? Hello, Director! I am an RA and I have decided to undergo surgery for my cervical spine, specifically C3-C4 fusion and C5-C6 artificial disc replacement. I also have symptoms of lumbar disc herniatio...
Dr. Zhao Shaoqing Reply:
Hello: Cervical disc herniation, if it causes nerve root compression, may lead to lower limb weakness. Symptoms may improve to some extent after decompression surgery; however, since I have not reviewed your MRI in detail, I cannot make the most accurate assessment. I recommend t...[Read More] Understanding Cervical Fusion and Artificial Discs: Can Surgery Relieve Nerve Pain?
Understanding Disc Herniation After Tailbone Injury: Symptoms and Treatment
Herniated disc Hello, doctor. Three weeks ago, I fell down the stairs and sustained a coccygeal fracture. Initially, the pain was not severe, and my mobility began to improve. However, since last week, the area above my coccyx in the lumbar region has become very swollen and pain...
Dr. Lai Zhaokang Reply:
Hello: Based on your description: "The area around my lower back has become very swollen and painful, and my left leg often experiences sharp pain from my lower back to the sole of my foot... My lower back is sore except when lying down, and my left foot is increasingly numb...[Read More] Understanding Disc Herniation After Tailbone Injury: Symptoms and Treatment
Understanding Head Injuries: Symptoms, Medications, and Recovery
Regarding the issue of head trauma? Hello, doctor. I am 21 years old, and I would like to describe my situation: On January 27, 2022, around 2 to 3 PM, I was moving heavy objects into my car when the trunk door did not fully open and hit me. The impact was quite strong, and I imm...
Dr. Zhao Shaoqing Reply:
1. Do the medications prescribed by the doctor have side effects such as dizziness and drowsiness? Are these side effects normal, or should the medication be discontinued? Answer: All medications can have a certain degree of side effects. If you experience discomfort after taking...[Read More] Understanding Head Injuries: Symptoms, Medications, and Recovery
Post-Surgery Back Pain: Soft vs. Rigid Support for Lumbar Fusion
Lumbar spine traditional surgery 5-1 fusion brace? Dear Doctor, I had a lumbar fusion at the L5-S1 level and underwent surgery 20 days ago. However, my doctor only advised me to wear a soft lumbar brace. I experience daily back pain. Would wearing a rigid brace provide better p...
Dr. Zhao Shaoqing Reply:
Hello: Protecting the wound does not require a special hard brace. The pain after lumbar spine surgery may be due to insufficient muscle strength. It is advisable to discuss this with your attending physician. Wishing you a speedy recovery. Changhua Hospital cares about you.[Read More] Post-Surgery Back Pain: Soft vs. Rigid Support for Lumbar Fusion
Post-Surgery Insights: Understanding Recovery After Disc Herniation Surgery
Postoperative care after disc herniation removal surgery? Hello, doctor. I am 36 years old and have a herniated disc. I underwent decompression surgery about a month ago (simple decompression). The pre-operative MRI is as follows: https://imgur.com/a/cEEz4Dh. My surgeon informed ...
Dr. Lai Zhaokang Reply:
Hello: You have many questions after your surgery, but since Dr. Lai did not perform your surgery and I did not personally examine you, I will do my best to respond to you. (A bit of a doctor's curiosity: Who was your surgeon? If you were my patient, I would answer all your ...[Read More] Post-Surgery Insights: Understanding Recovery After Disc Herniation Surgery
Numbness and Tingling in Left Back: Possible Nerve Issues Explained
There is an area on the left side of the back with reduced tactile sensation? Hello Doctor, recently due to changes in my job responsibilities, I often need to lift packages weighing up to 10 kilograms and stand for long periods. After about two weeks of work, I started to feel a...
Dr. Lai Zhaokang Reply:
Hello: It is speculated that 1. the weight-bearing has caused deep muscle fascia injury and inflammation in the area, and 2. cervical nerve involvement should also be ruled out. It is advisable to rest more, reduce weight-bearing, apply heat to the affected area, and use anti-inf...[Read More] Numbness and Tingling in Left Back: Possible Nerve Issues Explained