Managing Hyperhidrosis: Tips for Teens Dealing with Excessive Sweating
Hyperhidrosis issues? I have been experiencing sweaty hands and feet since the third or fourth grade, and it has continued into high school. Regardless of the weather, I sweat excessively, and it has become increasingly severe over the past few months. My hands sweat so much that...
Dr. Zhang Junwei Reply:
This issue is not within my specialty; I recommend consulting a thoracic surgeon.[Read More] Managing Hyperhidrosis: Tips for Teens Dealing with Excessive Sweating
Understanding Winter Foot Sweating and Cold Feet: Common Concerns and Solutions
In winter, I experience sweaty feet while my feet feel very cold; it gets worse when I don't wear socks? Hello Dr. Lai, I have a condition where I sweat from my hands regardless of the season, but I only experience foot sweating in the winter. During the summer, my feet rema...
Dr. Lai Zhaokang Reply:
Hello, your situation is quite rare and must be very troubling for you. I would advise against surgery because compensatory sweating, if it occurs, could be even more distressing for you. Topical treatments and medications are available, and your physician may suggest trying them...[Read More] Understanding Winter Foot Sweating and Cold Feet: Common Concerns and Solutions
Understanding Neurological Disorders: A Case Study of Sensory Loss in a Young Girl
Loss of sensation in the body? A 12-year-old girl experienced an unexplained fall down the stairs at the beginning of January this year, initially reporting only back pain. Two hours later, she began to feel numbness in her toes. After being taken to the emergency room, she was d...
Dr. Zhang Junwei Reply:
This case is complex, and Taipei Veterans General Hospital and Chang Gung Memorial Hospital are already the best hospitals in the country. I'm not sure how to proceed with the treatment, I apologize![Read More] Understanding Neurological Disorders: A Case Study of Sensory Loss in a Young Girl
Understanding Head Injuries: Causes of Numbness and Back Pain
Head injury Experiencing tingling in both feet and occasional tightness in the back can be attributed to several factors. Possible causes include nerve compression, poor circulation, or musculoskeletal issues. Conditions such as sciatica, peripheral neuropathy, or even anxiety ca...
Dr. Zhang Junwei Reply:
If you ask me like this without telling me what happened or how it happened, how can I respond to you?[Read More] Understanding Head Injuries: Causes of Numbness and Back Pain
Understanding Disc Herniation: Addressing Weakness and Numbness in Legs
I would like to inquire about issues related to herniated discs and leg weakness? A few years ago, I experienced back numbness and went to a large hospital where I was diagnosed with a herniated disc. The doctor advised me to be cautious during daily activities and to undergo reh...
Dr. Lai Zhaokang Reply:
Hello, you may be experiencing issues related to lumbar spine and sciatica, but it could also be other problems. It is advisable to seek a personal evaluation from a neurosurgeon. Wishing you a speedy recovery. // Dr. Lai Chao-Kang, Director of Spine Neurosurgery, Changhua Hospit...[Read More] Understanding Disc Herniation: Addressing Weakness and Numbness in Legs
Understanding Intracranial Hemorrhage After a Fall in Elderly Patients
Grandma fell and has intracranial hemorrhage? My grandmother, 81 years old, fell at home on May 28 and bled a lot without realizing it, then went to sleep. About four hours later, she was discovered and taken to the emergency room, where she received seven stitches on her head. A...
Dr. Zhang Junwei Reply:
It seems that the current treatment plan is to control the bleeding with medication; otherwise, if the blood clot enlarges, surgical intervention will be necessary![Read More] Understanding Intracranial Hemorrhage After a Fall in Elderly Patients
Understanding Head Injuries: When to Seek Medical Attention After a Fall
After being struck by someone, I fell to the ground with my head hitting the surface? Hello doctor, on Friday, while I was running to the school store to buy dinner, a boy suddenly rushed out from a group of school buses and collided with me as he was heading towards the basketba...
Dr. Zhang Junwei Reply:
It is recommended to undergo a neurosurgical outpatient examination![Read More] Understanding Head Injuries: When to Seek Medical Attention After a Fall
Post-Surgery Complications: Challenges in Walking and Sitting After L5-S1 Support Frame Surgery
After the insertion of a support frame at L5 and S1, the patient is unable to sit or walk? Hello, doctor. My mother underwent a spinal fusion surgery between L3 and L5 two years ago. After the surgery, she still felt numbness and soreness in her left leg while walking, and she wa...
Dr. Lai Zhaokang Reply:
Hello, it is recommended that you consult your surgeon. If you do not receive a satisfactory response, you may consider seeking a second opinion from another physician. Wishing you a speedy recovery. Director Lai Chao-Kang, Department of Spine and Neurosurgery, Changhua Hospital.[Read More] Post-Surgery Complications: Challenges in Walking and Sitting After L5-S1 Support Frame Surgery
Understanding Brain Hemorrhage Surgery: Key Questions and Insights
Regarding surgery for cerebral hemorrhage? On Tuesday, a family member suddenly experienced dizziness, vomiting, and overall weakness, so they were immediately taken to the emergency room. Upon arrival at the hospital, they were conscious, but after receiving an injection, they f...
Dr. Zhang Junwei Reply:
Hello: There are many situations regarding cerebral hemorrhage, and based solely on your description, it is not possible to assess the condition. Please discuss your situation in detail with your attending physician.[Read More] Understanding Brain Hemorrhage Surgery: Key Questions and Insights
Understanding Toe Pain and Cervical Bone Spurs: Causes and Treatments
Toe pain, cervical spine osteophytes? Hello. My ten toes have been painful for two months, initially swollen and painful. The doctor prescribed medication for neuropathic pain. I underwent blood tests, and my immune system showed no issues. An EMG test was also normal. Later, I e...
Dr. Lai Zhaokang Reply:
Hello, based on your description, if you initially experienced discomfort in your feet and then developed numbness in your upper limbs, along with cervical MRI showing nerve compression, this could explain the symptoms (cervical issues typically present with upper limb symptoms, ...[Read More] Understanding Toe Pain and Cervical Bone Spurs: Causes and Treatments
Unexplained Foot Numbness: Possible Causes and Next Steps
Numbness in the feet with no identifiable cause? Hello Doctor: I have been experiencing numbness in the soles of my feet for almost two months now, with a tingling sensation that occurs intermittently, especially when sitting. After standing or walking for a long time, my heels h...
Dr. Zhang Junwei Reply:
Hello: It sounds like your symptoms are not indicative of spinal nerve compression. Since you also have heel pain, it could possibly be a combination of plantar fasciitis and peripheral neuropathy. I recommend that you consult a neurologist for a nerve conduction study.[Read More] Unexplained Foot Numbness: Possible Causes and Next Steps
Understanding Hand and Foot Numbness: Causes and Solutions
Numbness in the hands and feet, affecting daily life? Hello Doctor, I would like to ask you a question. My father was diagnosed with colon cancer in February 2013 and underwent surgery followed by chemotherapy. After the chemotherapy, he experienced peripheral neuropathy as a si...
Dr. Ding Xianwei Reply:
It is recommended that you visit the outpatient clinic for a detailed examination and treatment.[Read More] Understanding Hand and Foot Numbness: Causes and Solutions
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
Recovering from Traumatic Brain Injury: Insights on Rehabilitation and Care
Intracranial hemorrhage due to a car accident, right hemisphere surgery? Hello Doctor, my brother was hit by a car while walking on the road early in the morning on April 18th, resulting in a Glasgow Coma Scale score of 4 and intracranial hemorrhage on the right side of his brain...
Dr. Ding Xianwei Reply:
Since your brother's injury has not been more than a month, many of the functions that have not yet recovered are still uncertain regarding how much they can improve. To be honest, recovering from a coma scale of 4 to a level where he can follow commands (as per your descrip...[Read More] Recovering from Traumatic Brain Injury: Insights on Rehabilitation and Care
Understanding Foot Cramps: Causes and Solutions for Better Sleep
Leg twitching? Hello Dr. Ding, I often experience twitching in my right little toe while sleeping. Sometimes the twitching is severe, and I feel it extending to my lower back. Occasionally, I also feel discomfort in my head. This has been happening for about 5 to 6 years, and it ...
Dr. Ding Xianwei Reply:
Due to the lack of a personal examination, I can only provide suggestions based on the information you provided. If you are experiencing lower back pain that radiates to the right little toe, it may be caused by a herniated disc in the lumbar region compressing a nerve. If it is ...[Read More] Understanding Foot Cramps: Causes and Solutions for Better Sleep
When Is Surgery Necessary for Herniated Discs? Understanding Your Options
Herniated disc Hello, Doctor. About 4 to 5 years ago, I accidentally strained my lower back, and since then, I have frequently experienced lower back pain. I have been managing it with over-the-counter pain medications, but recently, after starting night shifts (I work in nursing...
Dr. Lai Zhaokang Reply:
Hello, Nurse: Based on your description, it appears to be lumbar spine pathology (commonly Herniated Intervertebral Disc, HIVD) compressing the nerve, leading to sciatica. 1. In general, if the lumbar HIVD is not severe, it is managed with conservative rehabilitation along with a...[Read More] When Is Surgery Necessary for Herniated Discs? Understanding Your Options
Understanding Muscle Pain vs. Nerve Compression: A Patient's Journey
Is the alternating soreness throughout the body due to a muscle disorder or nerve compression? Hello, doctor. I would like to consult about my father, who is 64 years old. Symptoms: 1. Areas of soreness: upper back, outer upper arms, lower back, knee and thigh junction, inner ca...
Dr. Zhang Junwei Reply:
Hello: Based on the symptoms you described, it is more likely to be a cervical spine issue. Since the MRI of the cervical spine has confirmed nerve compression, and the symptoms are consistent, as a neurosurgeon, I would also recommend surgery. It is possible that your father has...[Read More] Understanding Muscle Pain vs. Nerve Compression: A Patient's Journey
Urgent Concerns: Family's Struggle with Father's Neurological Condition
A family member's inquiry about a patient with an urgent medical condition? Dear Dr. Ding, I am a family member of a patient. My surname is Lai, and I live in Miaoli. I would like to ask some questions regarding my father's condition. Two weeks ago, my father fell at h...
Dr. Ding Xianwei Reply:
Due to the lack of clarity in your description, it would be helpful if you could bring all imaging data, a list of medications previously taken, and a summary of the medical case directly to my clinic. This would assist in making further decisions. Since the information is incomp...[Read More] Urgent Concerns: Family's Struggle with Father's Neurological Condition
Numbness in Both Big Toes: When to Seek Medical Help?
Numbness in the big toes of both feet? Hello doctor, I have been experiencing numbness in both of my big toes recently, and I am not sure what the cause is. My family has only suggested soaking my feet in hot water, but it hasn't helped. Could you please advise me on what ki...
Dr. Xie Bojun Reply:
Generally, numbness in a single toe is caused by prolonged local pressure leading to ischemia of the local nerves. Once the cause is identified, recovery typically occurs within about two weeks. Other potential causes of toe numbness, especially when multiple toes are affected, m...[Read More] Numbness in Both Big Toes: When to Seek Medical Help?
Understanding Cramps and Numbness: Common Neurological Issues
Cramps & Numbness 1. Sometimes when stretching, I experience muscle cramps in my back, and at times, I have stomach cramps. 2. Recently, I often experience numbness in my hands and feet. 3. I frequently have pain in the lower right side of my back, which leads to cramps i...
Dr. Ding Xianwei Reply:
I'm not sure what you are asking about. Regarding your concerns, there could be many possible reasons. However, back cramps may be due to overuse of the muscles in the back or lower back. As for numbness in the hands and feet, cervical spine degeneration could also be a pote...[Read More] Understanding Cramps and Numbness: Common Neurological Issues