Understanding Coccyx Pain and Sciatica: Treatment Options and Insights
Coccyx and neuropathic pain issues? Hello Doctor: I have been experiencing issues similar to sciatica, with frequent pain radiating from my buttocks down through both legs to my ankles. The pain alternates between both legs, and I also experience soreness around the joints (ankle...
Dr. Qiu Yushu Reply:
Hello: The symptoms you described do not seem to resemble sciatica. There are many causes of back pain. Could you please come to the outpatient clinic for an examination to determine if further tests (such as electromyography, MRI, etc.) are needed? Thank you![Read More] Understanding Coccyx Pain and Sciatica: Treatment Options and Insights
Understanding Hyperhidrosis: Surgical Options and Considerations
Hyperhidrosis I would like to inquire about my condition, as I have hyperhidrosis. As soon as summer arrives, standing in the sun for just 10 minutes makes my body feel as if it has been drenched in water, with sweating occurring all over (generalized). This is especially pronoun...
Dr. Ding Xianwei Reply:
Hello: Based on your situation, it is recommended to try medication first before considering surgery. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Hyperhidrosis: Surgical Options and Considerations
Understanding Guillain-Barré Syndrome: Impact on Children After Vaccination
Guillain-Barré syndrome (acute inflammatory demyelinating polyneuropathy) I would like to ask what Guillain-Barré syndrome (GBS) is, as my son, who is over one year old, developed Guillain-Barré syndrome (GBS) following the administration of a booster dose of the MMR vaccine. His...
Dr. Qiu Yushu Reply:
Guillain-Barré Syndrome has caused weakness in the limbs since the age of one, and there are still difficulties in walking. It is likely a sequela of nerve damage, which may be challenging to recover from. It is advisable to first consult a neurologist to confirm the diagnosis, f...[Read More] Understanding Guillain-Barré Syndrome: Impact on Children After Vaccination
Understanding Hyperhidrosis: Why Do My Hands Sweat More in Certain Situations?
Hyperhidrosis I have hyperhidrosis, but I tend to sweat more at school (once I start sweating, it's hard to stop). However, when I wear dress shoes, I sweat less from my hands (though they still get a bit damp). When I wear athletic shoes, I definitely sweat from my hands, a...
Dr. Ding Xianwei Reply:
Hello! Regarding hyperhidrosis, endoscopic surgery can be used to treat most cases of palmar sweating by disrupting the sympathetic nerves at the second and third thoracic vertebrae. In some individuals, this may reduce plantar sweating, while in others, it may actually increase ...[Read More] Understanding Hyperhidrosis: Why Do My Hands Sweat More in Certain Situations?
Understanding Hyperhidrosis: When to Consider Surgery for Hand Sweating
Hyperhidrosis I just found out that surgery for hyperhidrosis can only be performed on adults. I experience sweating almost all over my body, but only my hands and feet sweat excessively. Even when I wear a jacket and play basketball under the hot sun, I only sweat a little on my...
Dr. Ding Xianwei Reply:
Hello! Regarding hyperhidrosis, endoscopic surgery can be used to treat most cases of palmar sweating by disrupting the sympathetic nerves at the second and third thoracic vertebrae. In some individuals, this may reduce plantar sweating, while in others, it may actually increase ...[Read More] Understanding Hyperhidrosis: When to Consider Surgery for Hand Sweating
Understanding Hyperhidrosis: Treatment Options and Surgical Insights
Some issues related to hyperhidrosis? Hello, Doctor! I am someone who suffers from palmar hyperhidrosis. I have come across some questions raised by others online that are very similar to my situation, but they remain unanswered. I would like to know the answers to these question...
Dr. Xiao Furen Reply:
1. The best results are typically achieved with T2 + T3, but compensatory sweating may be more severe. Some say that performing only T2 or T3 + T4 may result in less compensatory sweating, although I have also seen cases where T3 + T4 was performed and there was still palmar swea...[Read More] Understanding Hyperhidrosis: Treatment Options and Surgical Insights
Burning Sensation in Feet and Heel Pain: Neurological Insights
Heat in the soles of the feet and pain at the edge of the heel bone? Burning sensation in the soles of the feet; pain at the edges of the heel bone after wearing shoes for a short time, with slight pain while walking.
Dr. Qiu Yushu Reply:
Hello: Since I cannot provide a personal diagnosis, please visit the outpatient clinic for a consultation with a physician. Thank you.[Read More] Burning Sensation in Feet and Heel Pain: Neurological Insights
Understanding Persistent Numbness in the Feet: Causes and Concerns
Numbness in the soles of the feet? Dr. Hsiao: I returned home yesterday and noticed that the soles of my feet were numb, and this sensation has persisted into the next day without any pain. It just feels tingly, but I can still move my toes. I'm not sure what this condition ...
Dr. Xiao Furen Reply:
Based solely on your description, it seems difficult to make a diagnosis. There could be various possibilities ranging from neuropathy caused by diabetes to issues with the spinal nerve roots, and even circulatory problems or brain-related issues cannot be ruled out. Of course, s...[Read More] Understanding Persistent Numbness in the Feet: Causes and Concerns
Understanding Excessive Sweating: When to Seek Medical Help
Facial sweating is profuse, like rain! Hello: I have been sweating a lot since I was young, and I tend to flush when I get nervous, but it has never been severe enough to be unbearable. However, in recent years, I have noticed that I sweat a lot just from walking a few steps. In ...
Dr. Ding Xianwei Reply:
Hello: Generally speaking, palm sweating is a secondary condition; however, your situation seems to indicate generalized hyperhidrosis, which may suggest an issue with your endocrine system. Additionally, you should consider whether you experience irritability, have a large appet...[Read More] Understanding Excessive Sweating: When to Seek Medical Help
Can Hand Sweating Lead to Foot Sweating? Insights on Treatment Options
Is hand sweating and foot sweating occurring simultaneously? Hello Dr. Chen: I have been troubled by the issue of sweaty hands and feet for a long time, and I also have problems with underarm sweating. Usually, when I experience sweaty hands, it is accompanied by sweaty feet. In ...
Dr. Chen Changmu Reply:
Sunflower: Sympathetic nerve surgery can improve hand sweating by 100%, but it only provides a 50% improvement for foot sweating.[Read More] Can Hand Sweating Lead to Foot Sweating? Insights on Treatment Options
Exploring Treatment Options for Spinal Cord Injury After Trauma
Please consult a physician for questions? Hello Doctor! My colleague (male, 40 years old) was involved in a car accident on May 8th of this month, resulting in a compression fracture of the thoracic vertebra (specifically at the eighth thoracic vertebra). He also sustained an inj...
Dr. Xiao Furen Reply:
In general, there are no effective treatments for spinal cord injuries, and rehabilitation is the primary focus. Surgery is mostly limited to decompression and stabilization to prevent further damage to the spinal cord. There are reports indicating that corticosteroids may be eff...[Read More] Exploring Treatment Options for Spinal Cord Injury After Trauma
Understanding Disc Herniation: Seeking Effective Treatment Options
Annoying pain? Hello Dr. Chen, Last June, I noticed a tingling sensation in my feet and difficulty straightening my back, so I visited an orthopedic clinic. I was diagnosed with a herniated disc, and the doctor only recommended physical therapy, including lumbar traction, heat t...
Dr. Chen Changmu Reply:
Your condition sounds quite serious and indeed requires further intervention. For a herniated lumbar disc, the initial treatment, as you mentioned, involves medication and being mindful of lifestyle habits to avoid exacerbating the condition. If symptoms do not improve, rehabilit...[Read More] Understanding Disc Herniation: Seeking Effective Treatment Options
Understanding Disc Herniation: Symptoms, Surgery, and Recovery Concerns
Herniated disc Hello Doctor, at first, my fingers started to feel numb. I didn't pay much attention to it, but I went to a small clinic for an examination, and the doctor said there was no problem. However, my condition did not improve; in fact, it got worse. My feet also st...
Dr. Chen Changmu Reply:
Spinal cord compression can cause numbness and pain. After decompression surgery, the improvement in pain is often most noticeable, but the numbness may take some time to resolve. Sometimes, if the compression has lasted too long, it may result in permanent spinal cord damage, wh...[Read More] Understanding Disc Herniation: Symptoms, Surgery, and Recovery Concerns
Understanding Upper Back and Collarbone Discomfort After an Accident
Discomfort in the upper back and collarbone area is common? I was involved in a car accident in the past, and I often feel coldness and soreness in my back and lower back. My neck also frequently feels stiff and sore, and I often experience sharp pain below my collarbone. I have ...
Dr. Xiao Furen Reply:
Cold hands and feet generally indicate poor peripheral blood circulation. Sometimes, sympathetic nervous system activation can cause peripheral blood vessels to constrict, leading to this phenomenon. For instance, when a person is anxious, they may experience cold extremities. As...[Read More] Understanding Upper Back and Collarbone Discomfort After an Accident
Understanding Skull Deformities: When to Seek a Second Opinion in Neurosurgery
Cranial atrophy and depression? The doctor suggested that the issue with the brain tumor may have improved, leading to bone depression, and recommended that I consult the original surgeon for an examination. I really want to go back and ask that doctor, but... his response made m...
Dr. Chen Changmu Reply:
Hello Ms. Huang: Cranial reshaping surgery is a method to address skull depressions, but it also carries risks. This procedure is typically recommended only when symptoms are very pronounced or there is a strong desire for aesthetic improvement. Symptoms such as dizziness, headac...[Read More] Understanding Skull Deformities: When to Seek a Second Opinion in Neurosurgery
Does Sweaty Hands Cause Cold Feet? Understanding Hyperhidrosis Effects
Can sweaty hands cause cold hands and feet? Hello, doctor. I am also a patient with hyperhidrosis. I have not undergone surgical treatment yet. During hot weather, I tend to experience excessive sweating in my hands and feet. However, during the winter, I sweat less but my hands ...
Dr. Ding Xianwei Reply:
Hello! Regarding hyperhidrosis, endoscopic surgery can be used to treat most cases of palmar sweating by disrupting the sympathetic nerves at the second and third thoracic vertebrae. Some individuals may experience a reduction in plantar sweating, while others may actually see an...[Read More] Does Sweaty Hands Cause Cold Feet? Understanding Hyperhidrosis Effects
Understanding Chronic Neck and Back Pain: A Decade of Struggles
Neck and back pain for the past ten years? Since junior high, I have been staying up late to study, which initially caused neck pain. Over time, the pain spread to my shoulders and back, and eventually to my head. Now, in my junior year of college, the pain has reached my lower b...
Dr. Chen Changmu Reply:
1. Your symptoms appear to be quite complex, but upon closer examination, they can likely be categorized as tension-type headaches. This is because the symptoms began after staying up late to study, and thinking about studying triggers the headaches again. Engaging in leisure act...[Read More] Understanding Chronic Neck and Back Pain: A Decade of Struggles
Understanding Compensatory Sweating After Hand Surgery: Solutions and Insights
Foot sweat I previously underwent surgery for palmar hyperhidrosis in the underarm area, but I am experiencing even more sweating on the soles of my feet. Is this a compensatory transfer phenomenon? I feel even more distressed; is there no way to further treat or improve the swea...
Dr. Xiao Furen Reply:
It is possible, but the surgery is more complex compared to hyperhidrosis. In general, hyperhidrosis involves disrupting the sympathetic nerves at the second (or third) thoracic vertebra, which allows for a smaller incision. In contrast, for plantar hyperhidrosis, it requires dis...[Read More] Understanding Compensatory Sweating After Hand Surgery: Solutions and Insights
Understanding Endoscopic Lumbar Disc Surgery: Symptoms and Coverage
Endoscopic lumbar disc surgery? Hello Doctor: I would like to ask if there are any symptom limitations for lumbar endoscopic discectomy? Is it covered by health insurance? I have a herniated disc at the L5-S1 level, but it is protruding posteriorly into the spinal canal. The comp...
Dr. Qiu Yushu Reply:
Hello: There are no symptomatic restrictions for endoscopic discectomy. Clinical examination is indeed important. Could you please come to the outpatient clinic for an examination and detailed explanation?[Read More] Understanding Endoscopic Lumbar Disc Surgery: Symptoms and Coverage
Understanding Endoscopic Lumbar Disc Surgery: Symptoms and Coverage
Endoscopic lumbar disc surgery Hello Doctor: I would like to ask if there are any symptom limitations for lumbar endoscopic discectomy? Is it covered by health insurance? I have a herniated disc at the L5-S1 level, but it is protruding posteriorly into the spinal canal. The compr...
Dr. Shao Guoning Reply:
Hello: In response to your questions. 1. Endoscopic lumbar discectomy is covered by health insurance. 2. Your symptoms are typical of sciatic nerve compression; the numbness in your leg is a result of nerve degeneration due to compression. If the compression is severe, the only o...[Read More] Understanding Endoscopic Lumbar Disc Surgery: Symptoms and Coverage