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 Hyperhidrosis: Choosing the Right Specialist and Treatment Options
Hyperhidrosis issues? Hello, doctor. I would like to inquire about which specialty I should consult for the evaluation of hyperhidrosis. I have researched surgical options, but I am hesitant to decide due to potential compensatory sweating and other postoperative issues. Addition...
Dr. Lai Zhaokang Reply:
Hello: 1. The causes of hyperhidrosis can be divided into primary and secondary; primary hyperhidrosis accounts for the majority and is mainly caused by hyperactivity of the sympathetic nervous system leading to abnormal sweating. Secondary hyperhidrosis is often due to condition...[Read More] Understanding Hyperhidrosis: Choosing the Right Specialist and Treatment Options
Post-Accident Neurological Issues: Understanding Symptoms and Recovery
Regarding dizziness after a car accident, issues related to the frontal lobe of the brain, neck problems, and intracranial hemorrhage? Hello, Doctor: Regarding the topic in question, I suffered a head injury after a car accident while wearing a helmet, and I lost consciousness up...
Dr. Lai Zhaokang Reply:
1. Subarachnoid hemorrhage is a type of intracranial hemorrhage. 2. Observation and treatment may be possible for 3-6 months, with potential improvement. There is no specific medication, but acupuncture treatment in conjunction with traditional Chinese medicine can be considered....[Read More] Post-Accident Neurological Issues: Understanding Symptoms and Recovery
Understanding Ear Warmth and Numbness: When to Seek Medical Help
Numbness in the head and hands when lying down? Hello, doctor. I have been experiencing unexplained warmth in my ear; it suddenly feels warm in my right ear while sitting, and I also feel a bit of pressure in my head. At first, I didn't think much of it, but when I lie down ...
Dr. Lai Zhaokang Reply:
Hello: I recommend that you see a neurologist for evaluation. Best wishes, Dr. Lai Chao-Kang, Neurosurgery.[Read More] Understanding Ear Warmth and Numbness: When to Seek Medical Help
Understanding Right Leg Tightness and Hand Numbness: Possible Causes and Solutions
There is an abnormal tightness sensation in the right thigh, accompanied by slight numbness in the hand? Hello Dr. Lai, I would like to ask if you could help me with a preliminary diagnosis of my condition. It started around February of last year, and my current symptoms include ...
Dr. Lai Zhaokang Reply:
Hello: 1. The hand <the right hand also feels a bit prone to numbness, particularly the ring and little fingers...> is mainly due to nerve compression in the hand. It may also be caused by cervical spine issues, and a nerve conduction study (NCS) is needed for differentiati...[Read More] Understanding Right Leg Tightness and Hand Numbness: Possible Causes and Solutions
Post-Surgery Symptoms: Understanding Coordination Issues and Weakness
What symptoms should be monitored after posterior brain surgery? I would like to ask if it is normal to experience a lack of coordination and weakness in the limbs after returning home to rest, or if recovery will gradually occur with rest.
Dr. Zhang Junwei Reply:
If you experience uncoordinated movements in your hands and feet along with a feeling of weakness, it is important to consider whether you had these symptoms prior to surgery. If you did, then rest and allow time for recovery. If these symptoms were not present before, you should...[Read More] Post-Surgery Symptoms: Understanding Coordination Issues and Weakness
Understanding C2 Vertebra Issues: Impacts on Arm Circulation and Treatment Options
Cervical vertebra 2 (C2) Hello Dr. Lai, I previously raised a question regarding my right arm feeling poor blood circulation (#140649). Thank you for your response. On October 16, I was struck from behind by a taxi, and when I fell, I landed on my hands. I went to the emergency r...
Dr. Lai Zhaokang Reply:
Hello: 1. What you mentioned: "There is an old fracture at the second cervical vertebra, but it has healed; however, the ligaments may have become lax." Generally speaking, if there is ligament laxity at C2, the symptoms often include occipital pain. Additionally, laxit...[Read More] Understanding C2 Vertebra Issues: Impacts on Arm Circulation and Treatment Options
Understanding Arm Circulation Issues After a Car Accident: What to Do Next
Poor blood circulation in the right arm? Hello, doctor. I was hit by a taxi from the right rear on October 16 and fell to the ground, supporting myself with both hands. At the time of the incident, I only felt pain in my right thigh and calf. After an X-ray at the emergency room ...
Dr. Lai Zhaokang Reply:
Hello: It may be a cervical nerve issue. I recommend consulting a neurosurgeon. Best wishes to you. // Director of the Spine and Neurosurgery Department at Changhua Hospital, Dr. Lai Chao-Kang.[Read More] Understanding Arm Circulation Issues After a Car Accident: What to Do Next
Pregnancy Concerns After Multiple Failed Spine Surgeries: What to Know
I have undergone two surgeries on the lumbar spine at L4-5 and S1, but they have still been unsuccessful. Is it possible for me to become pregnant? Dear Dr. Lai, Hello! Thank you for your hard work. I am the patient who previously visited your clinic; I had a failed lumbar spine...
Dr. Lai Zhaokang Reply:
Hello: Sorry for the late reply, I've been busy. 1. Is my body able to handle this? I suggest you first consult with an obstetrician-gynecologist to confirm the presence of the embryo. If it is confirmed, I recommend you: "Be strong as a mother." First, take care o...[Read More] Pregnancy Concerns After Multiple Failed Spine Surgeries: What to Know
Understanding Headaches: Post-Injury Symptoms and Eye Health Concerns
Headache issues? I have had migraine issues since childhood, where fatigue and exposure to wind can trigger headaches. However, I never sought any medical evaluation. At the end of last year, I fell down the stairs without using my hands to brace myself, landing face-first. I was...
Dr. Zhang Junwei Reply:
You can first visit the neurosurgery outpatient clinic![Read More] Understanding Headaches: Post-Injury Symptoms and Eye Health Concerns
Understanding Chiropractic Care: Risks and Benefits for Spinal Health
Spinal and cervical adjustment? Hello doctor, I have had scoliosis since I was in the first year of junior high school until the first year of high school. When I was in the third year of junior high, I went to the hospital for rehabilitation, but they didn't mention anythin...
Dr. Zhang Junwei Reply:
The quality of chiropractic care varies widely; if it has already caused you discomfort, it's best to stop.[Read More] Understanding Chiropractic Care: Risks and Benefits for Spinal Health
Why Does My Left Hand Go Numb When Washing? A Neurological Concern
When demonstrating the handwashing posture, the left half of the palm may experience numbness? Hello, doctor. I would like to ask about an issue I've been experiencing. Every time I get home from work and first show the gesture of washing my hands, the left side of my palm b...
Dr. Lai Zhaokang Reply:
Hello: It is suspected that the nerves in your hand may be compressed. It is recommended to consult a neurosurgeon. Wishing you the best with Dr. Lai Chao-Kang, a neurosurgeon.[Read More] Why Does My Left Hand Go Numb When Washing? A Neurological Concern
Is Heat Therapy Safe for Neck Pain and Nerve Compression?
Neck heat therapy issues? Hello Doctor, I am currently 37 years old and experiencing neck and shoulder pain with numbness in my hands. I have been undergoing rehabilitation since December of last year, and in April, I had an MRI at the hospital which showed a herniated disc at th...
Dr. Lai Zhaokang Reply:
Hello: 1. Rehabilitation may improve your symptoms (neck and shoulder pain, hand numbness). However, it will not fundamentally resolve the issue of the herniated disc at the C5-6 level compressing the nerve by about one-third. 2. Heat therapy should not be too hot (over 45 degree...[Read More] Is Heat Therapy Safe for Neck Pain and Nerve Compression?
Delayed Symptoms After Car Accident: Understanding Neurological Issues
Symptoms appearing two months after a car accident? Hello Dr. Lai: I was struck in the lower back and pelvis by a moving car while walking on December 14th of last year. At that time, I only felt soreness and immediately had an X-ray taken, which showed no abnormalities. However,...
Dr. Lai Zhaokang Reply:
Hello: Your symptoms suggest that there may be damage to your lumbar spine. It is recommended that you consult a neurosurgeon for further examination and treatment. You are 28 years old. If there are no factors such as heavy lifting, poor posture, or congenital issues, it is less...[Read More] Delayed Symptoms After Car Accident: Understanding Neurological Issues
Understanding Memory Loss After a Motorcycle Accident: Is It Concussion?
Amnesia due to a car accident? On December 2, 2017, I had a motorcycle accident and I can't clearly remember what happened at that time. The possible cause of the accident might be slipping due to the rain, which led to a fall. I realized I had an accident because there was ...
Dr. Lai Zhaokang Reply:
Hello: In cases of head trauma, the most important factors to assess in the first three days are whether there is any loss of consciousness, limb weakness, fatigue, seizures, or epilepsy, as these may indicate the risk of intracranial hemorrhage. However, if none of these symptom...[Read More] Understanding Memory Loss After a Motorcycle Accident: Is It Concussion?
Understanding Severe Hand and Foot Sweating: Causes and Treatment Options
Severe palmar-plantar hyperhidrosis? Since entering high school, I often experience excessive sweating in my hands and feet, whether I'm using my phone, engaging in social activities, or riding a bike—the grips are always wet, which is very bothersome. My hands are always da...
Dr. Lai Zhaokang Reply:
Hello, currently the only definitive treatment is thoracoscopic surgery. However, there is a risk of compensatory sweating as a side effect. Unless you are truly suffering and can accept the potential long-term consequences, I suggest you think carefully. It is also advisable to ...[Read More] Understanding Severe Hand and Foot Sweating: Causes and Treatment Options
Can Sympathetic Nerves Be Reconnected After Surgery?
Can the sympathetic nerves in the chest be reconnected? I underwent T4 sympathetic nerve resection for hyperhidrosis in June of this year, which has resulted in severe compensatory sweating and weakness in my hands and feet. After resting for three months, I returned to work, but...
Dr. Lai Zhaokang Reply:
Hello: In Taiwan, hand sweat surgery has been regulated for many years, requiring careful preoperative evaluation and approval from health insurance units before proceeding. This is due to the fact that many patients experience similar issues, such as compensatory sweating. If yo...[Read More] Can Sympathetic Nerves Be Reconnected After Surgery?
Why Does Hyperhidrosis Return After Surgery? Understanding Recurrence
Will hyperhidrosis recur after surgery? Hello, doctor. I had surgery for palmar hyperhidrosis about 10 to 20 years ago (it's been so long that I don't remember the exact time), and for over a decade, my hand sweating improved significantly. However, now the sweating has...
Dr. Lai Zhaokang Reply:
Hello: 1. I personally speculate that you likely underwent endoscopic sympathectomy of the axilla years ago. After many years post-surgery, the previously severed nerve fibers may have regrown and resumed conduction. 2. I do not recommend another surgery due to higher risks as...[Read More] Why Does Hyperhidrosis Return After Surgery? Understanding Recurrence
Post-Car Accident: Decreased Appetite and When to Seek Medical Help
Car accident, decreased appetite? A couple of days ago, I was involved in a minor car accident where I was thrown forward. I instinctively protected my face and head with my hands, and my helmet did not come off. I was able to get up immediately without experiencing dizziness or ...
Dr. Zhang Junwei Reply:
Neurosurgery or Gastroenterology outpatient clinic.[Read More] Post-Car Accident: Decreased Appetite and When to Seek Medical Help
Post-Car Accident Head Pain: When to Seek Medical Attention?
After a car accident, there was a impact to the back of the head? I had a car accident in January where I sustained a severe impact to the back of my head. At that time, I only experienced slight dizziness and nausea, which didn't seem too serious, so I didn't seek medi...
Dr. Zhang Junwei Reply:
If you're feeling very unwell, go see a doctor.[Read More] Post-Car Accident Head Pain: When to Seek Medical Attention?