Is It Safe to Exercise After a Head Injury? Expert Insights
Exercise after a head injury? Hello, doctor. Two days ago in the afternoon, I bumped my head while playfully pushing back with a friend. At that moment, my consciousness was normal, but it hurt a bit, so I went to the health center for ice treatment. It seems to have swollen a li...
Dr. Zhang Junwei Reply:
Exercise can increase uncomfortable symptoms. Typically, this is observed for about a week.[Read More] Is It Safe to Exercise After a Head Injury? Expert Insights
Head Injury After Basketball: When to Seek Further Medical Evaluation
Fell while playing sports and hit the back of the head? Hello Doctor, I fell while playing basketball on November 28 and hit the back of my head. I sat on the floor for a moment and then got up. There was no bleeding, but I had a swollen bump. After 3 to 4 hours at home, I felt u...
Dr. Lai Zhaokang Reply:
Hello, you have undergone a CT scan which showed no intracranial hemorrhage, indicating that there is generally no immediate life threat. Your symptoms are likely similar to a concussion. Please rest and take care of yourself. Typically, medication treatment in the neurosurgery o...[Read More] Head Injury After Basketball: When to Seek Further Medical Evaluation
Post-Surgery Concerns: Can I Remove Screws After Lumbar Fusion?
Postoperative lumbar spine surgery Hello Doctor: I underwent fusion surgery on my lumbar spine at L4, L5, and S1 in 2015, where 6 screws were implanted. The protruding parts at L4 and L5 were removed, and a spacer was placed at L5-S1. I still feel discomfort post-surgery. I have ...
Dr. Lai Zhaokang Reply:
Hello, 1. If the implanted spacer has fused, the fixation screws may be considered for removal. 2. What you are feeling as a protrusion needs to be evaluated in person. It is advisable to consult an experienced spine neurosurgeon for an examination. 3. Can the spacer displace...[Read More] Post-Surgery Concerns: Can I Remove Screws After Lumbar Fusion?
Considerations for Air Travel After Acute Brain Hemorrhage: A Patient's Guide
Returning to Taiwan by plane? I would like to inquire about a patient who experienced an acute intracerebral hemorrhage abroad. Currently, the patient has no sensation in the left hand, and the left leg has progressed from no sensation to slight awareness. Since the incident, the...
Dr. Zhang Junwei Reply:
Such issues are too complex to be addressed solely based on the limited information you provided. To avoid giving you incorrect answers, I recommend that you bring your medical records and consult a physician in the neurosurgery outpatient clinic in person.[Read More] Considerations for Air Travel After Acute Brain Hemorrhage: A Patient's Guide
Do I Need Surgery for My Herniated Cervical Disc? Expert Insights
Do I need surgery to replace my cervical intervertebral disc due to a herniated disc? Hello Doctor, I am a patient with hypotonic cerebral palsy. Last March, I suffered a fall that resulted in herniated discs at cervical levels 4 to 6. Initially, I experienced increased difficult...
Dr. Zhang Junwei Reply:
Your question is too complex. Certain conditions require imaging studies and a personal physical examination to provide an answer. It is recommended to consult a neurosurgery outpatient clinic for evaluation.[Read More] Do I Need Surgery for My Herniated Cervical Disc? Expert Insights
Understanding Multiple Sclerosis: Managing Anxiety and Health Concerns
About Multiple Sclerosis? Hello, Doctor. A couple of months ago, I was worried about having Sjögren's syndrome due to dry mouth and dry throat, and after a few days of finger and toe pain, I became even more anxious and consulted a rheumatologist. The result was that everyth...
Dr. Lai Zhaokang Reply:
I recommend that you consult a neurologist and arrange for relevant examinations to confirm whether it is the condition you are concerned about. If it is not, focus on living your life without attributing symptoms to yourself. Your future is long, so concentrate on your studies a...[Read More] Understanding Multiple Sclerosis: Managing Anxiety and Health Concerns
Understanding Brain AVMs: Symptoms, Risks, and Diagnosis Explained
I have a slight numbness and pain in my head? 1. Can a brain ultrasound performed during infancy detect arteriovenous malformations (AVMs)? 2. If there is no family history of stroke or arteriovenous malformations, but there is a history of diabetes and hypertension, what is my a...
Dr. Lai Zhaokang Reply:
Hello: 1. If the malformation is superficial and large enough, a brain ultrasound may be able to detect it. However, as the infant grows, it may not be visible at that time. Over the years, the congenital arteriovenous malformation may also change and enlarge, potentially being d...[Read More] Understanding Brain AVMs: Symptoms, Risks, and Diagnosis Explained
Understanding Head Injuries: What to Do After a Motorcycle Accident
Occipital impact? Hello, I would like to ask about a situation where I was riding a motorcycle and collided with a pedestrian, causing them to fall backward and hit the back of their head. They had bleeding from their ears on both sides but were awake. When the ambulance arrived ...
Dr. Zhang Junwei Reply:
It's difficult to answer this; it's best to go to the hospital and get a CT scan of the brain to see what the situation is![Read More] Understanding Head Injuries: What to Do After a Motorcycle Accident
Should You Seek Further Evaluation After a Head Injury?
Head trauma A week or two ago, I was playfully hit in the back of the head while messing around with friends. Initially, I went to the hospital to see a doctor, who said a CT scan wasn't necessary and that I should just monitor my condition. I felt a bit better at first, but...
Dr. Zhang Junwei Reply:
Headaches and dizziness are common after a concussion, so it is important to rest after the injury. Overexertion or excessive physical activity can only exacerbate the symptoms of the concussion.[Read More] Should You Seek Further Evaluation After a Head Injury?
Post-Surgery Challenges: Understanding Nerve Compression After Cervical Decompression
After cervical decompression surgery, the condition fluctuates? Due to a fall while hiking, my father experienced cervical spinal cord compression. He underwent cervical decompression surgery on May 18. Initially, after the surgery, he was able to sit up from the hospital bed ind...
Dr. Lai Zhaokang Reply:
Hello: The so-called situation is that the intervertebral discs between the cervical vertebrae C6 and C7 collapsed, and the vertebrae collapsed backward, causing nerve compression. The doctor mentioned that this could be due to osteoporosis or a bacterial infection... There is in...[Read More] Post-Surgery Challenges: Understanding Nerve Compression After Cervical Decompression
Understanding Eye Blinking and Mouth Twitches During Speech
Blinking forcefully and twitching the corner of the mouth while speaking? Hello, Director Zhang. I would like to ask about my friend who, when speaking, forcefully blinks and has facial tics, specifically pulling at the corners of his mouth while producing the sound "ㄖ."...
Dr. Zhang Junwei Reply:
Your description is not very clear to me either. I suggest you bring your friend to see a neurologist for an examination![Read More] Understanding Eye Blinking and Mouth Twitches During Speech
Post-Discectomy: Should My Boyfriend Have His Hardware Removed?
Postoperative care for herniated disc surgery? My boyfriend underwent minimally invasive surgery for a herniated disc on July 11 of last year due to lower back pain and leg numbness. After the surgery, he still experiences lower back discomfort. He is now hesitant about whether t...
Dr. Zhang Junwei Reply:
Why is it necessary to perform spinal fusion? Is it due to lumbar spondylolisthesis? If the purpose of the procedure is not clear, it is not advisable to remove the hardware casually![Read More] Post-Discectomy: Should My Boyfriend Have His Hardware Removed?
Understanding Trigeminal Neuralgia in Multiple Sclerosis: A Patient's Journey
Multiple sclerosis with trigeminal neuralgia Hello Doctor, about five days ago, I experienced pain when pressing on the bone above my right eyebrow, which occasionally persists as a dull ache. Recently, the tenderness has decreased, but it still remains, and the continuous pain h...
Dr. Lai Zhaokang Reply:
Hello: 1. Multiple sclerosis is a rare disease with diverse symptoms. It is essential to consult a neurologist and undergo thorough examinations for an accurate diagnosis. Please do not self-diagnose or assume you have the condition without a proper evaluation from a neurologis...[Read More] Understanding Trigeminal Neuralgia in Multiple Sclerosis: A Patient's Journey
Post-Spinal Surgery Pain: Should You Remove Screws After One Year?
Postoperative pain and issues related to the removal of spinal screws? I would like to ask you, I underwent lumbar fusion surgery at L4, L5, and S1 last year, where two support devices and six screws were implanted. After the surgery, I have been experiencing persistent soreness ...
Dr. Lai Zhaokang Reply:
Hello: 1. If it has been 6 months post-surgery and you are still experiencing <postoperative soreness in the lower back>, it may indicate poor fusion or other segmental pathology. 2. I recommend that you first consult with your original surgeon; if there is no improvement, ...[Read More] Post-Spinal Surgery Pain: Should You Remove Screws After One Year?
Numbness in Left Thumb and Index Finger: Possible Causes and Relief Tips
Numbness in the left thumb and index finger? Initially, I thought the neck stiffness was nothing serious. After a week, the pain in my neck has decreased, but I am experiencing some numbness in my left thumb and index finger. When I massage my shoulders, the left shoulder feels l...
Dr. Lai Zhaokang Reply:
Hello: 1. It is suspected to be a cervical spine issue, most commonly a cervical disc herniation that compresses the nerves. 2. Reduce the forward head posture. Temporarily wear a cervical collar. Apply heat to the shoulders and neck daily, and perform neck rehabilitation exercis...[Read More] Numbness in Left Thumb and Index Finger: Possible Causes and Relief Tips
Understanding Temporary Finger Pain: Possible Causes and Concerns
Transient finger pain Two weeks ago, I was tested for Sjögren's syndrome and also checked for some other complications, and all the results came back normal. However, during those days, I was pressing on the tissues of my fingers quite a bit (as I was worried about rheumatoi...
Dr. Lai Zhaokang Reply:
Hello: 1. First, stop the repetitive pressure on your fingers. 2. Soak your hands and feet in warm water daily (at a temperature that won't cause burns). 3. If there is no improvement after 2 weeks, it is advisable to consult a physician. Best wishes. // Neurosurgery Dr. Lai...[Read More] Understanding Temporary Finger Pain: Possible Causes and Concerns
Understanding Chronic Headaches and Swelling: Seeking Solutions
Headache and scalp lump? I often experience sudden, intense headaches that can become so severe that my head swells. I have seen doctors and undergone EEG and X-ray examinations, and this has been happening for at least 3 to 5 years. However, the symptoms have been worsening rece...
Dr. Zhao Shaoqing Reply:
Hello! Due to the uniqueness of your symptoms and condition, we recommend that you visit an outpatient clinic for evaluation and treatment. Thank you.[Read More] Understanding Chronic Headaches and Swelling: Seeking Solutions
Understanding Disc Herniation: Symptoms, Diagnosis, and Treatment Options
Herniated disc Hello Doctor, three years ago I had an MRI that showed a mild herniation of the intervertebral disc between the 4th and 5th lumbar vertebrae, which caused some nerve discomfort in my right leg. However, I did not experience any recurrence until recently. In the pas...
Dr. Lai Zhaokang Reply:
Hello: It is suspected that you have a herniated disc compressing the nerve, leading to recurrent symptoms. You should consult another neurosurgeon who has arranged for an MRI. Wishing you the best. // Dr. Lai Chao-Kang, Chief of Spine Neurosurgery.[Read More] Understanding Disc Herniation: Symptoms, Diagnosis, and Treatment Options
Understanding Sharp Pain in the Upper Left Back: Causes and Solutions
Back issues - sharp pain in the upper left back? Hello, doctor. Since last year, I have been experiencing intermittent sharp pain in my upper left back. It feels like there is a needle stabbing me, and sometimes it hurts when I move my arm, while at other times it hurts even when...
Dr. Lai Zhaokang Reply:
Hello: Preliminary assessment suggests that at your age, the muscle fascia pain and inflammation are likely caused by poor posture. You can start by correcting your posture, keeping your head up and chest out, and avoiding prolonged bending forward or slouching. Apply heat to the...[Read More] Understanding Sharp Pain in the Upper Left Back: Causes and Solutions
Understanding Neck Fractures: Causes, Symptoms, and Recovery Time
Cervical spine fracture Hello doctor, I have undergone many neurological examinations that came back normal, but I have not been able to return to my previous state for a long time, about 4 months. I often feel weak and limp, experience dizziness, and have neck stiffness. What co...
Dr. Zhang Junwei Reply:
Without detailed imaging information and neurological examination, I cannot answer your question.[Read More] Understanding Neck Fractures: Causes, Symptoms, and Recovery Time