Understanding Pain in the Back of the Head: Possible Causes and Next Steps
Head issues Hello, doctor. I would like to inquire about the issue of pain in the back of my head. Two days ago, after waking up, I experienced pain in the right occipital region (from the level of the ear towards the center of the back of the head on the right side) when I hiccu...
Dr. Lai Zhaokang Reply:
Hello: It is recommended to have a cervical spine examination. Consultation with a neurosurgeon. Best wishes to you. // Dr. Lai Chao-Kang, Neurosurgeon.[Read More] Understanding Pain in the Back of the Head: Possible Causes and Next Steps
Understanding Neck Pain During Rotational Movements: Causes and Solutions
Neck rotation causes pain? I would like to ask, when I tilt my head to the left or right, I don't feel any pain, but when I rotate my head, especially during physical education classes, I experience pain on the left side when turning to the back left. Additionally, I have no...
Dr. Lai Zhaokang Reply:
Hello, it is suspected to be a cervical spine issue, possibly related to your posture during activities. It is recommended to consult a neurosurgery outpatient clinic for some examinations. Best wishes. // Dr. Lai Chao-Kang, Changhua Hospital[Read More] Understanding Neck Pain During Rotational Movements: Causes and Solutions
Understanding Unexplained Lumbar Pain: Causes and Treatment Options
Unexplained lumbar pain? Hello, doctor. Recently, my entire spine has been very stiff and painful, and I also experience a penetrating pain in both sides of my pelvis. Sometimes, due to abdominal pain, when I bend over to walk, I feel a painful sensation of bone rubbing against b...
Dr. Lai Zhaokang Reply:
Hello: 1. It is recommended to consult a neurosurgeon, especially one who specializes in spinal issues. 2. Best wishes to you. // Dr. Lai Chao-Kang, Director of the Spine Neurosurgery Department at Changhua Hospital.[Read More] Understanding Unexplained Lumbar Pain: Causes and Treatment Options
Understanding Disc Herniation and Ankylosing Spondylitis: Can They Coexist?
Herniated disc. Ankylosing spondylitis? I injured myself in the first year of junior high school, and since then, I have experienced lower back pain for about seven years. Later, I was diagnosed with a herniated disc, which is pressing on a nerve. Can the nerve become damaged? Ad...
Dr. Lai Zhaokang Reply:
Hello, based on what you mentioned: 1. "If a herniated disc compresses a nerve, will the nerve die?" Answer: It depends on the location and severity of the nerve compression. If the compression is severe or prolonged, it may lead to nerve damage. It is advisable to obta...[Read More] Understanding Disc Herniation and Ankylosing Spondylitis: Can They Coexist?
Understanding Post-Surgery Symptoms After Cervical Spine Surgery
Cervical cone surgery status? Hello Doctor: I have seen many doctors, but in fact, each doctor's opinion is different. In March 2016, I sustained an injury during a chiropractic session, and the next day, when I tilted my head down and tried to lift it, I experienced shaking...
Dr. Lai Zhaokang Reply:
Hello: 1. It is recommended to follow up with a cervical spine MRI. 2. If there are concerns about lumbar spondylolisthesis, a dynamic X-ray evaluation of the lumbar spine in extension should be performed. Best wishes, Dr. Lai Chao-Kang, Neurosurgeon.[Read More] Understanding Post-Surgery Symptoms After Cervical Spine Surgery
Can Cervical Traction Be Safely Performed After MVD Surgery?
Can traction therapy for the cervical spine be performed after MVD (Microvascular Decompression)? Hello Director Zhang, I apologize for the intrusion, but I have a question that only a senior physician can answer. I would appreciate your guidance: Last year, my elder experienced ...
Dr. Zhang Junwei Reply:
No, cervical traction cannot cause Teflon displacement.[Read More] Can Cervical Traction Be Safely Performed After MVD Surgery?
Distinguishing Symptoms of Cervical Spondylosis and Autonomic Dysfunction
How to differentiate sympathetic nervous system symptoms? Hello Doctor: I have been experiencing numbness in my left hand for the past week or two, and I went to see a neurosurgeon. After some tests, I was diagnosed with "cervical spondylosis." However, I found an artic...
Dr. Lai Zhaokang Reply:
Hello, 1. "Cervical spondylosis" can indeed lead to sympathetic nervous system issues. 2. If you are experiencing numbness in your left hand, and if cervical X-rays or MRI show nerve compression, it is likely a cervical spine issue. 3. However, if your symptoms are ...[Read More] Distinguishing Symptoms of Cervical Spondylosis and Autonomic Dysfunction
Understanding Shoulder and Neck Stiffness: When to See a Specialist
Symptoms of shoulder and neck stiffness? Hello Doctor, I have been experiencing sharp pain in my shoulder for several years. Later, I developed numbness in a patch of skin, and my neck became stiff and slightly swollen. The side of my face and my eyes feel weak. I initially thoug...
Dr. Zhang Junwei Reply:
Yes, please consult neurosurgery.[Read More] Understanding Shoulder and Neck Stiffness: When to See a Specialist
Understanding Neck Pain and Numbness: When to See a Specialist
Numbness and tingling in the neck? Hello Dr. Lai, I have intermittent tingling and numbness in the left side of my neck, behind my ear, and at the back of my head. Sometimes my neck feels stiff and numb, but it tends to be less numb when I lie down. Could these symptoms be relate...
Dr. Lai Zhaokang Reply:
Hello, it could be a cervical spine issue or another problem. It is advisable to seek medical attention. Wishing you a speedy recovery. // Dr. Lai Chao-Kang, Chief of Spine Neurosurgery, Changhua Hospital.[Read More] Understanding Neck Pain and Numbness: When to See a Specialist
Understanding Neck Strains: When to Seek Medical Advice and Its Effects
Neck sprain? Hello Doctor, I apologize for bothering you again. I am the person who asked the question 106295. 1. In your response, you mentioned that if there is improvement, there is no need to seek medical attention. Currently, my situation is that I experience slight pain a...
Dr. Lai Zhaokang Reply:
Hello! 1. Improvement is a good thing. However, if you are still worried, it’s best to make an appointment with a doctor nearby! 2. Generally, there is no significant relationship between cervical spine nerves and sexual function. If you have issues with sexual function, you can ...[Read More] Understanding Neck Strains: When to Seek Medical Advice and Its Effects
Understanding Recovery After Aneurysm Rupture: A Daughter's Concern
Ruptured cerebral aneurysm I would like to ask about my mother. On October 20, 2016, she fell into a coma due to a ruptured cerebral artery, with a Glasgow Coma Scale score of 3 at that time. After surgery and the placement of a drainage tube, she was discharged in January and ha...
Dr. Zhang Junwei Reply:
Brain injuries are very complex. Once a person has experienced a severe coma with a Glasgow Coma Scale score as low as three, to be honest, no one can predict when they will wake up![Read More] Understanding Recovery After Aneurysm Rupture: A Daughter's Concern
Crackling Sounds in Head When Moving: Possible Neurological Concerns
There is a crackling sound when turning the head? There is a crackling sound when I move my head, which started today. The sound is coming from my brain, not from the cervical spine, and I currently have a cold.
Dr. Zhang Junwei Reply:
I'm sorry, but I cannot assist with that.[Read More] Crackling Sounds in Head When Moving: Possible Neurological Concerns
Understanding Neck Pain When Tilting Back: Causes and Treatment Options
Pain occurs only when the cervical spine is extended? Hello... I have been suffering from a neck injury due to sports for 10 years. Since the injury, I have been able to look down, bend to the left and right, and tilt my head to the left and right without any issues. However, I e...
Dr. Lai Zhaokang Reply:
Hello, when you lean back, you experience pain in the entire posterior neck area. This may be due to poor stability of the cervical spine during extension. It is recommended to arrange for dynamic X-rays or further examinations. I suggest you visit the neurosurgery outpatient cli...[Read More] Understanding Neck Pain When Tilting Back: Causes and Treatment Options
Understanding Nerve Surgery: Recovery Tips and Concerns After Cervical Nerve Grafting
Nervous system components? Doctor, I would like to ask about my recent nerve graft surgery, which was performed in the cervical spine area. They took the nerve from my left arm to connect to my right arm. I have a few questions: 1. Is it easy for nerves to get damaged? 2. Will pe...
Dr. Zhang Junwei Reply:
I apologize, but brachial plexus injury is a highly specialized subspecialty, and there are only a few surgeons in Taiwan who perform these surgeries. It is not my area of expertise, so I recommend consulting a specialist for answers. I'm sorry![Read More] Understanding Nerve Surgery: Recovery Tips and Concerns After Cervical Nerve Grafting
Understanding Vertebrobasilar Insufficiency: Symptoms and Surgical Options
Vertebrobasilar insufficiency Hello Doctor, I am experiencing headaches, dizziness, deep pain in my right ear, and weakness in my right leg (I cannot lift my leg but can still walk slowly). When I stand with my eyes closed, I tend to fall backward. It has been two months since ...
Dr. Zhang Junwei Reply:
What type of surgery is suitable?[Read More] Understanding Vertebrobasilar Insufficiency: Symptoms and Surgical Options
Understanding Risks and Benefits of Artificial Disc Surgery for Spinal Stenosis
4.5 cm long bone spur At the age of 18, I had surgery for a bone spur at the L4-L5 level. Recently, I experienced discomfort and went for an examination, which revealed that another bone spur has developed at the same level. The doctor mentioned that I need to have an artificial ...
Dr. Zhang Junwei Reply:
Hello: I'm not sure if you're referring to the cervical spine or the lumbar spine. Essentially, to alleviate your discomfort, decompression surgery is generally necessary. An artificial disc replacement may not be required; a standard brace could also be sufficient. Eac...[Read More] Understanding Risks and Benefits of Artificial Disc Surgery for Spinal Stenosis
Post-Surgery Nerve Pain: Understanding Symptoms After Cervical Spine Surgery
More than two months after cervical spine bone spur surgery, there is soreness and numbness on the left side? Hello, Doctor! My mother (nearly sixty years old) underwent surgery on her cervical spine (C4-C5) due to bone spurs at the end of September and early October. Although sh...
Dr. Zhang Junwei Reply:
Hello: Based on the symptoms you described, it is possible that the cervical nerve is being compressed, which may not necessarily be at the C4/C5 level, but could involve other levels as well. It is recommended to return to the neurosurgery outpatient clinic for a more detailed e...[Read More] Post-Surgery Nerve Pain: Understanding Symptoms After Cervical Spine Surgery
Understanding Post-Trauma Brain Hemorrhage: Symptoms and Follow-Up Care
Cerebral hemorrhage Hello, doctor. I was involved in a serious car accident where I sustained a head injury and experienced a brain hemorrhage (left-sided subarachnoid hemorrhage). About ten days after the accident, I began to show symptoms of a concussion, including vomiting, se...
Dr. Ding Xianwei Reply:
Your issue may be related to cervical spine problems. Of course, subarachnoid hemorrhage can cause severe headaches, so you need to stay well-hydrated. If you are still concerned, it would be advisable to schedule another CT scan.[Read More] Understanding Post-Trauma Brain Hemorrhage: Symptoms and Follow-Up Care
Concussion or Whiplash? Understanding Your Symptoms After a Car Accident
Concussion? Whiplash? Hello Dr. Ding, last week on the evening of July 24th, I was rear-ended by another vehicle traveling at 60 km/h while my car was stationary. I did not sustain any external injuries to my head (I don't think I hit the steering wheel), but at that moment,...
Dr. Ding Xianwei Reply:
Due to the lack of a personal examination, I can only provide suggestions based on experience. Your issue may be related to a cervical spine injury. As for a concussion, it is not considered a concussion if there is no loss of consciousness. However, cervical spine injuries canno...[Read More] Concussion or Whiplash? Understanding Your Symptoms After a Car Accident
Understanding the Impact of Cervical Spine Straightening on Nerve Health
Loss of cervical lordosis? Hello, doctor. I previously experienced numbness in my hands and feet, so I consulted an orthopedic doctor who said it was due to a straightening of the cervical spine. I underwent some rehabilitation exercises, and the numbness in my limbs has improved...
Dr. Ding Xianwei Reply:
Due to the lack of direct examination, the following suggestions are based solely on experience. Overuse or improper use of the cervical spine can lead to a loss of its natural curvature. This may result in symptoms such as numbness and pain, so it is important for you to pay att...[Read More] Understanding the Impact of Cervical Spine Straightening on Nerve Health