Hands, Neurosurgery FAQ - Page 4

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Understanding Spinal Fusion Surgery: When to Consider It for Young Patients

Spinal fusion surgery Hello Doctor: I have been experiencing frequent lower back pain whenever I stand or sit for long periods. Recently, I was diagnosed with a dissociation between the fifth lumbar vertebra and the first sacral vertebra, as well as spondylolisthesis (grade 1 to ...


Dr. Lai Zhaokang Reply:
Hello: Based on what you mentioned, 1. I am 21 years old this year, but my condition is not severe; I do not experience numbness in my hands or feet, just some back pain when standing or sitting for long periods. I would like to ask the doctor if, given my situation, it would be ...

[Read More] Understanding Spinal Fusion Surgery: When to Consider It for Young Patients


Understanding Persistent Itching Near the Spine: Possible Causes and Solutions

Itchy sensation on the left side of the spine? Hello Doctor, since October of last year, I've been experiencing intense itching in my left upper back, specifically near the left scapula close to the spine, but there are no visible skin changes. The itching feels deep, almost...


Dr. Zhang Junwei Reply:
Let's visit the neurosurgery outpatient clinic!

[Read More] Understanding Persistent Itching Near the Spine: Possible Causes and Solutions


Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Autonomic nervous system dysfunction can cause persistent numbness in the limbs and scalp? At the beginning of January, while working at my computer, I suddenly experienced a sharp pain in my heart, followed by numbness in my limbs. If I didn't get up and move around, I felt...


Dr. Lai Zhaokang Reply:
Hello: You may consider further evaluation of the brain and cervical spinal cord. Wishing you well.

[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions


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 Carpal Tunnel Syndrome: Symptoms, Treatments, and Surgery Options

Carpal Tunnel Syndrome The neurology clinic diagnosed me with carpal tunnel syndrome and treated me with corticosteroids for one week, along with almost daily rehabilitation (including heat therapy, electrical stimulation, and laser therapy). As of my follow-up appointment on Sep...


Dr. Zhang Junwei Reply:
Based on your description, it seems to be carpal tunnel syndrome. If the outpatient examination confirms this, surgery can quickly resolve your issue!

[Read More] Understanding Carpal Tunnel Syndrome: Symptoms, Treatments, and Surgery Options


Understanding Fainting and Head Injury Risks in Anemia Patients

Anemia caused fainting and resulted in a head injury? Hello Doctor, I have microcytic anemia, and when I experience anemia, I tend to see everything in white. This was my first time fainting. When I was about to collapse, a passerby helped me, and I lost consciousness. When I cam...


Dr. Zhang Junwei Reply:
It seems there shouldn't be any issues, but if you still experience any discomfort, please schedule an appointment with the neurosurgery clinic.

[Read More] Understanding Fainting and Head Injury Risks in Anemia Patients


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 Post-Surgery Recovery: What to Expect After Neurological Trauma

Will the current condition improve after the surgery? Dr. Chang, I am really worried about my brother's condition. He is three years old and had a fever that led to polio; he could still walk with crutches. On the morning of the sixth day of the Lunar New Year, he was going ...


Dr. Zhang Junwei Reply:
The situation is complex, and without clinical examinations and CT scan images, it is really difficult to answer your question. I recommend consulting at an outpatient clinic!

[Read More] Understanding Post-Surgery Recovery: What to Expect After Neurological Trauma


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 Neck Strain: When to Seek Further Medical Advice

Neck sprain? Hello, Doctor. I would like to consult you about something. Two weeks ago, on a Sunday morning, when I just got up, my head was still resting on the pillow, and I propped myself up with my hands and elbows, similar to a horse stance, while my head was against the pil...


Dr. Lai Zhaokang Reply:
Hello: Based on what you described, "Currently, when I gently clench my right fist, I experience a slight sensation similar to having just had a cramp (a bit like weakness). My right foot also has this sensation, but it’s not that I can’t exert force; I can still apply stren...

[Read More] Understanding Neck Strain: When to Seek Further Medical Advice


Could a Past Head Injury Be Causing My Memory and Focus Issues?

Previous head trauma, sequelae? Hello, doctor. When I was in the third year of junior high, I fell from a height of about 200 centimeters and landed directly on my head without any support from my hands. I did not sustain any external injuries, so I did not see a doctor. However,...


Dr. Lai Zhaokang Reply:
It's not certain; since this has been an issue for over a decade, it's still advisable to seek medical attention. Consider consulting a neurologist or a neurosurgeon.

[Read More] Could a Past Head Injury Be Causing My Memory and Focus Issues?


Post-Stair Fall: Weakness in Left Hand After Stroke - What to Do?

Just fell down the stairs and have weakness in my hand? The patient has a history of a left-sided stroke and right leg amputation. A few days ago, while climbing stairs, they accidentally fell from the second floor to the first floor, resulting in slight swelling on the outside o...


Dr. Zhang Junwei Reply:
Problems with the cervical nerves can also cause weakness in the hands; please consult a neurosurgeon.

[Read More] Post-Stair Fall: Weakness in Left Hand After Stroke - What to Do?


Understanding Hand Stiffness and Numbness: Causes and Solutions for Chefs

Hand stiffness and numbness? Why do my hands feel stiff and cramp-like every morning when I wake up, and why do they feel numb and painful when I make a fist? I am a chef and I cook fried rice and other dishes every day.


Dr. Lai Zhaokang Reply:
Hello, as you mentioned, it may be related to your work and the frequent use of your hands over a long period. It could be due to muscle or fascia strain injuries, or possibly joint inflammation, carpal tunnel syndrome, or nerve compression and inflammation. It might be a good id...

[Read More] Understanding Hand Stiffness and Numbness: Causes and Solutions for Chefs


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 Recovery After Brain Surgery from a Motorcycle Accident

Surgery for head injury from a car accident? My brother, who is 21 years old, was in a car accident on June 18th. He was not wearing a helmet, which caused a blow to the right posterior part of his brain, resulting in bleeding. He was taken to the hospital and was awaiting surger...


Dr. Zhang Junwei Reply:
Hello: It seems that although your brother was not unconscious before the surgery, the worsening of bleeding could still lead to him falling into a coma 2-3 hours later. Since the doctor said he is awake post-surgery, it indicates an improvement in his condition, but he may still...

[Read More] Understanding Recovery After Brain Surgery from a Motorcycle Accident


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


Managing Sciatica Pain: Insights on Recovery and Treatment Options

Lumbar spine injury 6? 1. There has been some improvement, but will it relapse again? I went to an orthopedic examination, and at that time, the doctor did not take an X-ray. He diagnosed me through palpation and told me it was sciatica located between L3 and S1. I still experien...


Dr. Xie Bojun Reply:
Hello: Your issue is quite complex and requires a consultation with a neurosurgeon, as well as a lumbar X-ray examination. If rehabilitation is ineffective or worsens your symptoms, there is no need to continue with it!

[Read More] Managing Sciatica Pain: Insights on Recovery and Treatment Options


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


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