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Understanding Concussion Syndrome: Causes, Diagnosis, and Objectivity in Assessment

Regarding post-concussion syndrome? Excuse me, may I ask if a concussion syndrome only occurs when there is trauma to the head, or are there other causes as well? Additionally, what are the criteria for diagnosing concussion syndrome? If a car accident victim insists on experienc...


Dr. Zhao Shaoqing Reply:
Hello: A concussion is defined as a change in mental status due to an injury that may or may not involve loss of consciousness. If there is a clinical history of head trauma with symptoms such as headache, it can be classified as concussion syndrome. This may result from a blow t...

[Read More] Understanding Concussion Syndrome: Causes, Diagnosis, and Objectivity in Assessment


Understanding Neuropathy: Seeking Answers for Unresolved Pain

Neuropathy Hello, doctor. A year ago, I suddenly started experiencing numbness in my little finger, along with heat and pain in my palm, and unusual pain in my chest and back. I have visited various hospitals and undergone numerous tests, including X-rays, MRIs, ultrasounds, and ...


Dr. Zhang Junwei Reply:
It is advisable to seek diagnoses and treatment from different neurologists or neurosurgeons at various hospitals or medical centers, as your issue is complex and cannot be accurately addressed online.

[Read More] Understanding Neuropathy: Seeking Answers for Unresolved Pain


Managing Persistent Dizziness After Concussion in Seniors

Dizziness after a concussion? My mother, who is 70 years old, fell and injured the back of her head before the Lunar New Year this year, resulting in a laceration that required three stitches. A CT scan and X-ray revealed that there was no injury or bleeding in the skull or brain...


Dr. Zhang Junwei Reply:
Typically, a concussion should not cause dizziness for such an extended period. It is recommended to consult an otolaryngologist to check for inner ear imbalance or Meniere's disease.

[Read More] Managing Persistent Dizziness After Concussion in Seniors


Understanding Headaches and Dizziness After a Head Injury

Dizziness and headache? Hello, Dr. Zhang. I would like to ask you about an incident that happened 10 months ago when I hit my head and had a small amount of bleeding from my scalp. At that time, I only felt pain, so I didn't see a doctor. A few months later, the impact site ...


Dr. Zhang Junwei Reply:
Without a physical examination, it is difficult to understand what you mean by "indentation." I recommend consulting a neurosurgery outpatient clinic for evaluation.

[Read More] Understanding Headaches and Dizziness After a Head Injury


Understanding a New Bump on the Left Back of the Head

There is a protrusion on the left posterior side of the occipital region? There is a lump approximately the size of half a quail egg located on the left side of the back of the head, about one and a half palm widths above the neck and three finger widths to the left from the cent...


Dr. Zhang Junwei Reply:
Without a physical examination, it is not possible to make a determination. It is recommended to consult a neurosurgery outpatient clinic for evaluation.

[Read More] Understanding a New Bump on the Left Back of the Head


Managing Concussion Symptoms: When to Seek Medical Attention

How to manage a concussion? On March 25, I fainted and hit my head, but I regained consciousness within 10 minutes. I fainted again for a while and was awakened by a convenience store employee. Although I continued to feel dizzy and had blurred vision, I did not go to the emergen...


Dr. Zhang Junwei Reply:
Recommendation for a neurosurgical evaluation.

[Read More] Managing Concussion Symptoms: When to Seek Medical Attention


Understanding Pain from Herniated Discs, Bone Spurs, and Weather Changes

Bone spur, slippage, herniated disc? Hello, Dr. Lai. I would like to ask if conditions such as herniated discs, bone spurs, and spondylolisthesis can cause pain during changes in weather, like when it rains or gets cold? Additionally, can lying down or sitting still also lead to ...


Dr. Lai Zhaokang Reply:
Hello: Based on the symptoms described, it seems that your family member may have a lumbar spine issue. Conditions such as bone spurs, spondylolisthesis, or herniated discs within the lumbar spine can potentially compress nerves or lead to structural instability, which may cause ...

[Read More] Understanding Pain from Herniated Discs, Bone Spurs, and Weather Changes


Understanding Lower Left Back Pain: When to See a Specialist

Left lower back pain? Hello, doctor. I have lower back pain and went to see an orthopedic specialist. I also had an X-ray done, and the doctor said the cause of the pain is inflammation of the nerves due to prolonged standing or sitting. It cannot be completely cured and can only...


Dr. Lai Zhaokang Reply:
Hello: General lower back pain is often related to lumbar spine issues. If it's your first occurrence, you can try rest, lumbar support, medication, and physical therapy. If it recurs or symptoms persist, it is advisable to consult a neurosurgeon. If a specific lesion is con...

[Read More] Understanding Lower Left Back Pain: When to See a Specialist


Understanding T9 Compression Fractures: Symptoms and Treatment Options

Compression fracture of the ninth thoracic vertebra (T9) with nerve compression? Hello Dr. Lai, my mother is 75 years old. Six months ago, she began experiencing cramping pain in the upper abdomen and near the sides of her rib cage. After undergoing a spinal MRI at Chang Gung Mem...


Dr. Lai Zhaokang Reply:
Hello: 1. The nerve at T9 is compressed, which can lead to back pain, followed by radicular chest and abdominal intercostal pain. Additionally, vertebral collapse and kyphosis can cause visceral compression discomfort, and in severe cases, spinal cord injury and paralysis, as wel...

[Read More] Understanding T9 Compression Fractures: Symptoms and Treatment Options


Understanding Tinnitus: Seeking Solutions After Nerve Compression Treatment

Tinnitus consultation My father experienced nerve compression at cervical vertebrae 4, 5, and 6 in September 2017, which caused pain and numbness in his shoulders, neck, back, and elbows. Initially, the cause of his condition was unclear, leading to a frantic search for treatment...


Dr. Zhang Junwei Reply:
For tinnitus issues, it is recommended to seek treatment from an otolaryngologist (ENT specialist) and a neurologist. Currently, I cannot think of any other methods or tests that would be beneficial.

[Read More] Understanding Tinnitus: Seeking Solutions After Nerve Compression Treatment


Understanding Skull Healing Time After Cranioplasty: What to Expect

The healing time for the skull after cranioplasty? Hello Doctor: I was in a car accident at the end of August last year, where my helmet came off and my head hit the ground. I was immediately taken to the emergency room, where it was determined that I had a skull fracture and int...


Dr. Zhang Junwei Reply:
Typically, the protrusion may be due to small bone screws and plates that fixate the skull. It is abnormal for the skull to slide back and forth, and it is recommended to seek further evaluation at a neurosurgery outpatient clinic.

[Read More] Understanding Skull Healing Time After Cranioplasty: What to Expect


Understanding Neck and Shoulder Pain: Insights from Neurosurgery

Shoulder, neck, and back issues? About two years ago, I went to an amusement park and rode a roller coaster. I didn't keep my head pressed against the backrest, and during the turns, my neck was thrown around. At that moment, I only felt neck pain, but after a few weeks, it ...


Dr. Zhang Junwei Reply:
It may be a problem related to spinal nerve compression; it is recommended to consult a neurosurgery outpatient clinic for examination.

[Read More] Understanding Neck and Shoulder Pain: Insights from Neurosurgery


Understanding Post-Concussion Symptoms: Pain and Numbness Explained

Post-concussion syndrome may involve symptoms such as pain and numbness? Hello, Doctor. On the night of October 1st last year, I slightly bumped the upper right side of my head against a car door after slipping. It hurt a lot at the moment, and I instinctively rubbed it. Later, I...


Dr. Zhang Junwei Reply:
It doesn't sound like post-concussion syndrome; it's just a general bruise and cervical strain. It's recommended to take anti-inflammatory medication and get plenty of rest.

[Read More] Understanding Post-Concussion Symptoms: Pain and Numbness Explained


Managing Post-Surgery Complications After Cervical Disc Replacement

Cervical spine surgery sequelae? Hello Doctor, I have a herniated disc at the C5-C6 level, which has caused severe pain and numbness radiating from my left shoulder, back, arm, and fingers. After undergoing artificial disc replacement surgery, the symptoms on the left side were i...


Dr. Zhang Junwei Reply:
After surgery, the emergence of new symptoms usually indicates that there may be an issue in certain areas. It is advisable to discuss any subsequent treatment for your condition with the original surgeon, as other physicians typically do not intervene in such cases.

[Read More] Managing Post-Surgery Complications After Cervical Disc Replacement


Understanding Head Injuries: Signs of Intracranial Bleeding

Head injury Yesterday, I hit my head and woke up at home. My friend told me that I rode my bike back, but I don't remember that part. Now my neck is sore, and there is a soft spot on my head when I press it. Could this be intracranial bleeding?


Dr. Zhang Junwei Reply:
It sounds like a concussion rather than an intracranial hemorrhage. I recommend a consultation with a neurosurgery outpatient clinic for evaluation.

[Read More] Understanding Head Injuries: Signs of Intracranial Bleeding


Managing Chronic Back Pain: Insights on Degenerative Spine Issues

Sharp pain and tingling in the left posterior mid-back? Hello, Doctor: I am a working professional with a habit of slouching, which often leads to shoulder and neck pain. I regularly receive chiropractic massages for relief, but I have been experiencing sharp and stabbing pain ne...


Dr. Lai Zhaokang Reply:
Hello, it is suspected that there may be a spinal issue. It is recommended to consult a neurosurgeon. An X-ray or MRI assessment is advised. Best wishes. // Neurosurgeon Dr. Lai Chao-Kang

[Read More] Managing Chronic Back Pain: Insights on Degenerative Spine Issues


Understanding Chronic Buttock Pain: Causes, Treatments, and Expert Insights

Persistent pain in the buttocks that prevents sitting, standing, or lying down? The patient has been experiencing severe pain in the buttocks (especially the right side) while sitting, standing, and lying down for a year. This pain began shortly after undergoing arthroscopic surg...


Dr. Lai Zhaokang Reply:
Hello: 1. If you have already undergone multiple ineffective treatments from other physicians and it is considered a complex case, it is not possible to diagnose and arrange treatment based solely on a few written words. It is recommended to make an appointment and have the patie...

[Read More] Understanding Chronic Buttock Pain: Causes, Treatments, and Expert Insights


Understanding Neck Pain When Looking Up: Causes and Concerns

Neck pain when tilting the head upward? Hello doctor, I am 17 years old and recently noticed that I experience pain in the left side of the back of my head when I look up, specifically under the bone. I would like to know what possible issues this could indicate. What is the like...


Dr. Zhang Junwei Reply:
This neck pain issue is unrelated to subarachnoid hemorrhage and is likely just ordinary neck pain. It is recommended to consult a neurosurgery outpatient clinic for examination.

[Read More] Understanding Neck Pain When Looking Up: Causes and Concerns


Understanding Nerve Issues in the Cervical Spine After Trauma

Cervical spine nerve issues? I would like to consult a physician. Recently, I had a conflict with a classmate that resulted in being hit. Prior to that, I had also been hit on the back. Each time, the hits were spaced out by one to two seconds, and the pain from the previous hit ...


Dr. Zhang Junwei Reply:
You have described so much, but without a physical examination, it is truly impossible to provide an answer. I recommend that you schedule an appointment with a neurosurgery clinic for an evaluation. If you still have doubts, consider seeking opinions from several different physi...

[Read More] Understanding Nerve Issues in the Cervical Spine After Trauma


Post-Surgery Nerve Issues: Understanding Complications After Cervical Disc Replacement

Postoperative issues following cervical disc replacement at C5-C6 and artificial cage placement at C6-C7? Hello, my father is 58 years old. A month ago, he started experiencing numbness and pain in his right arm, hand, and fingers, which has affected his daily life. After a docto...


Dr. Lai Zhaokang Reply:
Hello: 1. After cervical spine surgery, if there are new upper limb symptoms that are not significant, you can observe and follow up in 2-4 weeks. 2. If there is sudden onset of lower back pain and pain in both knees while walking, these are not symptoms related to the cervical s...

[Read More] Post-Surgery Nerve Issues: Understanding Complications After Cervical Disc Replacement


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