Hands, Neurosurgery FAQ

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Unilateral Sweating: Understanding Right Arm Hyperhidrosis in Heat

Walking under the sun, only the right forearm is sweating while the left forearm is not? Recently, due to the hot weather, I've noticed that after walking in the sun for a while, I sweat easily from my chest, back, and armpits. However, I've observed that only my right ...


Dr. Zhang Junwei Reply:
Palmar hyperhidrosis and sympathetic nervous system abnormalities. Neurosurgery.

[Read More] Unilateral Sweating: Understanding Right Arm Hyperhidrosis in Heat


Should You Monitor Mild Head Injuries After a Fall? Expert Insights

Hello, Dr. Chang. I fell on May 23rd, landing on my back. Should I monitor this type of injury? Although 37 years old is not considered elderly, it is still middle-aged. On May 21, while taking a shower, I accidentally bumped the top left of my head against the metal shower head....


Dr. Zhang Junwei Reply:
Based on your description, it seems to be just symptoms of a head injury, and the likelihood of delayed bleeding is low. The key point is that if there is persistent headache or dizziness, and the symptoms worsen, it is advisable to seek medical attention promptly.

[Read More] Should You Monitor Mild Head Injuries After a Fall? Expert Insights


Post-Accident Memory Loss and Headaches: Understanding Brain Injuries

Headache after amnesia due to a car accident? Hello Dr. Chang, my father (62 years old) was in a car accident on January 3rd. His reaction was slow at the time, and he was unable to answer my mother’s questions about how the accident happened over the phone. When we arrived at th...


Dr. Zhang Junwei Reply:
1. Yes, it is a concussion. 2. Chronic subdural hematoma cannot be predicted in advance; we can only respond to it as it arises.

[Read More] Post-Accident Memory Loss and Headaches: Understanding Brain Injuries


Understanding Cervical Spine Issues and Surgical Options: A Patient's Journey

Cervical spinal cord issues and surgery? Hello, Vice Dean. I would like to consult you. I have congenital S-shaped scoliosis, with a lumbar curvature of 90 degrees and significant thoracic curvature. In 2000, I developed a gastric condition that led me to sleep in a raised positi...


Dr. Zhang Junwei Reply:
1. Gastroesophageal reflux should not be related to the cervical spine. 2. Muscle atrophy of the right thumb is a possibility. 3. Without detailed medical history and physical examination, an accurate answer cannot be provided.

[Read More] Understanding Cervical Spine Issues and Surgical Options: A Patient's Journey


Understanding Mid-Back and Peripheral Numbness: Causes and Solutions

Mid-back numbness and peripheral numbness? Hello Doctor, in the past week or two, I have been experiencing a tingling sensation, similar to an electric shock, in the middle right part of my back. This usually occurs when I extend my right arm forward, lean forward, grip something...


Dr. Lai Zhaokang Reply:
Hello: Preliminary assessment suggests that 1. your hand symptoms may be due to nerve compression from the cervical spine or upper limbs. Corresponding nerve examinations can be arranged for evaluation. 2. The back symptoms may be related to thoracic nerve issues, which should al...

[Read More] Understanding Mid-Back and Peripheral Numbness: Causes and Solutions


Understanding Neck Pain: Seeking Answers for Chronic Discomfort

Neck problems Hello Doctor, I am Xiao Yang, and I live in Taichung. I often feel that the bones in my cervical spine are misaligned, which I believe is compressing my breathing and causing difficulty in respiration. My neck feels very tight, as if someone is choking me. This symp...


Dr. Zhang Junwei Reply:
It feels like a case of autonomic nervous system dysfunction or other psychosomatic issues. You may discuss with a neurologist whether it is appropriate to undergo a cervical MRI.

[Read More] Understanding Neck Pain: Seeking Answers for Chronic Discomfort


Understanding Recovery After Aneurysm Rupture and Coiling Surgery

Ruptured cerebral aneurysm, subarachnoid hemorrhage, has undergone embolization surgery? Hello Doctor, thank you very much for taking the time to respond. On Day 0, my father experienced a sudden severe headache on the morning of December 2nd. He was taken to the hospital half ...


Dr. Zhang Junwei Reply:
1. Hyperbaric oxygen therapy does not have a specific intervention time; it can begin once the condition is stable. 2. After regaining consciousness, a physician can reassess the situation. 3. It's really difficult to say.

[Read More] Understanding Recovery After Aneurysm Rupture and Coiling Surgery


Electric Shock Sensation in Thumb: Possible Nerve Issue Explained

There is a tingling sensation in the thumb? Recently, I have been experiencing a tingling and electric shock-like sensation in my right thumb when washing my hands with cold water. However, this sensation does not occur when I use warm water during a shower. The tingling and pain...


Dr. Lai Zhaokang Reply:
Hello: 1. It is suspected to be a peripheral circulation issue, possibly combined with fasciitis or nerve compression, which requires further examination for confirmation. 2. Based on your description, the symptoms are not severe. It is recommended to start with heat therapy or p...

[Read More] Electric Shock Sensation in Thumb: Possible Nerve Issue Explained


Head Injury: Persistent Pain and Numbness After Trauma

Head injury, numbness in the hands, and applying a hot compress to the head causes pain? Hello Doctor, three days ago I bumped the top right side of my head. When I hit it, my neck jerked, which caused pain in my shoulders, neck, and head. I took painkillers for the first three d...


Dr. Zhao Shaoqing Reply:
Hello: If you are experiencing cervical radiculopathy and the symptoms persist for more than two weeks, you need to consult a neurosurgeon at Changhua Hospital, Ministry of Health and Welfare. We care about your health.

[Read More] Head Injury: Persistent Pain and Numbness After Trauma


Unconscious Arm Raising During Sleep: Should You See a Neurologist or Orthopedist?

Raising hands unconsciously while sleeping? For the past month, I have been unconsciously raising my hands or placing them under my head while sleeping. Initially, it didn't affect my sleep much; I just felt shoulder soreness upon waking, which would subside after a while. H...


Dr. Zhao Shaoqing Reply:
You can see a neurologist.

[Read More] Unconscious Arm Raising During Sleep: Should You See a Neurologist or Orthopedist?


Concerns About Neck Injuries in Children from Playful Lifting

Cervical spine issues in children caused by pulling on the head? Hello, doctor. I would like to ask about an adult friend who, while playing with a 10-year-old child, held the sides of the child's head with their hands and lifted it up for 1-2 seconds before putting it down....


Dr. Lai Zhaokang Reply:
Hello: 1. This is indeed a very dangerous action. Please avoid it. 2. Currently, if the child is observed for 2 weeks and shows no signs of altered consciousness or abnormal limb activity, it is likely that no harm has been done. Best wishes to you all. By Dr. Lai Chao-Kang, Neur...

[Read More] Concerns About Neck Injuries in Children from Playful Lifting


Understanding Brain Hemorrhage After Falls: A Case Study

Cerebral hemorrhage caused by a fall? Dear Deputy Director, My grandfather is 71 years old and has high blood pressure, but he is physically strong. On November 4th, he slipped on gravel while trying to catch a dog that had run out of the house and collided with a post. While wa...


Dr. Zhang Junwei Reply:
I would like to offer my support, but without detailed CT scan reports and neurological examinations, it is difficult to provide accurate advice and prognosis for the patient. I recommend consulting the original treating physician for further inquiries.

[Read More] Understanding Brain Hemorrhage After Falls: A Case Study


Head Injury After a Fall: When to Seek Medical Attention?

Head trauma Yesterday, I was practicing a handstand at home, but instead of balancing on my hands, I ended up hitting my head on the floor because my arms gave out. It hurt a lot when I fell, and afterward, I experienced a headache and some dizziness. During class, I also felt a ...


Dr. Zhao Shaoqing Reply:
It is more reassuring to be able to see a doctor in an outpatient setting.

[Read More] Head Injury After a Fall: When to Seek Medical Attention?


Understanding Finger Numbness: Causes and When to Seek Help

Finger numbness issue? Hello, doctor. Following up on my previous question, I saw a neurologist who arranged for an MRI of my cervical spine due to suspected cervical issues. I went to the emergency room where the doctor only performed blood tests and said they couldn't hand...


Dr. Lai Zhaokang Reply:
Hello, the doctor suspects that you may have a cervical nerve condition. If your current symptoms have improved, then let's wait for the MRI report! Wishing you a speedy recovery. By Neurosurgeon Dr. Lai Chao-Kang.

[Read More] Understanding Finger Numbness: Causes and When to Seek Help


Understanding Hand Numbness: When to Seek Urgent Medical Attention

Numbness in the hands? Hello doctor, on Wednesday I experienced a tingling sensation in my hands that felt like an electric shock. Now only the fingertips of both hands are numb, and when I wash my hands, it feels like I'm being shocked. Even touching things causes numbness....


Dr. Lai Zhaokang Reply:
Hello, general finger numbness may be related to peripheral circulation, peripheral nerves (such as the median nerve or ulnar nerve), cervical spine issues, or even brain conditions. It is essential for a physician to assess your symptoms comprehensively to make an initial diagno...

[Read More] Understanding Hand Numbness: When to Seek Urgent Medical Attention


Understanding Minimally Invasive Surgery for Disc Herniation: Key Insights and FAQs

Hello Director Lai: I would like to ask you for educational information regarding my herniated disc? Hello Director Lai, thank you for taking the time to respond. Considering economic factors and my limited understanding of medical terminology, I am reaching out to you online for...


Dr. Lai Zhaokang Reply:
Hello: A. I see that you are seriously researching this topic, but you might be overwhelmed by the vast amount of information available online, leading to confusion. Many young internet users face similar challenges, getting misled by technical jargon and certain medical advertis...

[Read More] Understanding Minimally Invasive Surgery for Disc Herniation: Key Insights and FAQs


Neck and Back Issues After a Motorcycle Accident: What You Need to Know

Cervical and lumbar spine issues after a car accident? A month ago, I was in a motorcycle accident where a motorcycle suddenly came out in front of me. I braked hard, and both myself and the motorcycle fell to the right, with my body impacting the ground on the right side, includ...


Dr. Zhang Junwei Reply:
If you continue to feel unwell, please return to the outpatient clinic for an examination. Without detailed imaging studies, we cannot provide an answer.

[Read More] Neck and Back Issues After a Motorcycle Accident: What You Need to Know


Post-Car Accident: Understanding Tingling in Hands and Feet

After the car accident, there is a tingling sensation in the arms and legs? A family member was in a car accident and is experiencing a tingling sensation in their arms and legs, but their grip strength is normal. An X-ray of the hand was taken and no issues were found. Initially...


Dr. Zhang Junwei Reply:
You can schedule an appointment at the neurosurgery outpatient clinic.

[Read More] Post-Car Accident: Understanding Tingling in Hands and Feet


Understanding Back Pain, Chest Tightness, and Spinal Compression Symptoms

Lower back pain, chest tightness, dizziness, spinal compression? Hello doctor, after undergoing an iliac vein catheter examination in early April, I began to experience discomfort in my lower back and buttocks. The back pain worsened, and about two months ago, while stretching my...


Dr. Lai Zhaokang Reply:
Hello, the preliminary assessment suggests issues related to the spine and autonomic nervous system. It is recommended to consult a neurosurgeon (spine neurosurgeon) for further evaluation and to arrange for examinations. Best wishes from Dr. Lai Chao-Kang, Chief of Spine Neurosu...

[Read More] Understanding Back Pain, Chest Tightness, and Spinal Compression Symptoms


Post-Surgery Complications: Persistent Pain and Numbness After Spinal Surgery

Postoperative condition not improved after posterior ligament surgery? Hello Doctor: I underwent surgery due to calcification of the posterior longitudinal ligament in my cervical spine, specifically at the C3-4-5 levels, where an artificial disc was placed at the C4 level. It ha...


Dr. Lai Zhaokang Reply:
Hello: I am not the doctor who performed your original surgery. I would like to help you, but your description is too brief for a professional assessment. I recommend that you first consult with the surgeon who performed your initial procedure. If you do not receive the explanati...

[Read More] Post-Surgery Complications: Persistent Pain and Numbness After Spinal Surgery


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