Understanding Finger Tremors: When to Seek Neurological Evaluation
Finger tremors In recent months, my fingers on both hands have been moving involuntarily, usually just one finger at a time, primarily the index finger of my left hand. Each episode lasts about 5 to 10 seconds. I didn't think much of it at first, but the frequency has increa...
Dr. Xie Bojun Reply:
Dear Inquirer Yu: Many diseases or intense physical activities can cause finger tremors. With your single complaint, we cannot provide complete information. It is recommended to consult a neurologist for further evaluation![Read More] Understanding Finger Tremors: When to Seek Neurological Evaluation
Can Cervical Disc Herniation Qualify for Disability Benefits?
Cervical spondylosis Hello Dr. Chang Yuan-yi! I would like to ask if I can apply for disability assessment or labor insurance sickness benefits for cervical spine disorders such as intervertebral disc herniation. I have experienced weakness in both hands, persistent neck pain, an...
Dr. Zhang Yuanyi Reply:
Dear Ah Peng, Hello, whether you can apply for disability assessment or labor insurance sickness benefits needs to be evaluated before a decision can be made. Wishing you peace and health, Dr. Zhang Yuan-yi Attending Physician, Department of Neurosurgery Taoyuan General...[Read More] Can Cervical Disc Herniation Qualify for Disability Benefits?
Post-Spinal Surgery Complications: Understanding Cardiac Arrest and Coma
Two days after spinal surgery, the patient experienced cardiac arrest and became comatose? I have a relative who sustained a spinal cord injury due to a crush injury on August 17. On August 22, he underwent surgery to replace an artificial bone joint and was transferred to a gene...
Dr. Ding Xianwei Reply:
Due to incomplete information, the question you asked may not receive the assistance you need. Rapid heartbeat leading to cessation may also be caused by cardiac issues. Therefore, we may not be able to provide the assistance you require.[Read More] Post-Spinal Surgery Complications: Understanding Cardiac Arrest and Coma
Post-Car Accident Symptoms: Understanding Neurological Issues
Symptoms after a car accident? Hello Doctor, three months ago, I sustained a head injury due to a car accident. At the time of the injury, there was bleeding from my head, but the doctors and nurses at the hospital could not find any visible wounds. Over the past three months, in...
Dr. Ding Xianwei Reply:
1. The sequelae of head trauma do not resolve quickly, so it may take some time. About 5% of patients may not fully recover from these sequelae. 2. If there is numbness or pain in both hands, it is possible that there was a concomitant cervical spine injury at the time, which is ...[Read More] Post-Car Accident Symptoms: Understanding Neurological Issues
Post-Spinal Surgery: Seeking Solutions for Ongoing Discomfort and Mobility Issues
Post-spinal surgery 1. Two years ago, I underwent spinal surgery (L5-S1). Initially, I was unable to get out of bed, but after receiving spinal injections, I was able to get up. 2. I can stand for 1-20 minutes, but I cannot sit for more than 3 minutes unless I support myself with...
Dr. Ding Xianwei Reply:
I sincerely apologize, but due to the lack of clarity regarding your condition prior to surgery, the imaging data from the procedure, as well as the surgical method and location, I am unable to provide specific advice. (There are 5/6 cervical vertebrae, but none in the lumbar reg...[Read More] Post-Spinal Surgery: Seeking Solutions for Ongoing Discomfort and Mobility Issues
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
Understanding Post-Surgery Coma and Brain Injury Recovery
Coma after brain surgery due to a car accident? My mother was hit by a motorcycle while crossing the street and suffered a severe intracranial hemorrhage. She was urgently taken to the hospital, where the doctor reported extensive bleeding and significant edema in the posterior p...
Dr. Ding Xianwei Reply:
I'm sorry to hear about your mother's condition, and I hope she can turn her misfortune into good fortune. Generally speaking, in cases of head trauma, if surgery is performed to remove a hematoma, it is likely that the hematoma was compressing the brain, necessitating ...[Read More] Understanding Post-Surgery Coma and Brain Injury Recovery
Understanding the Link Between Sympathetic Nerve Surgery and Facial Flushing
The relationship between sympathetic nerve resection and blushing? Thirteen years ago, I underwent a sympathectomy for hyperhidrosis. After the surgery, compensatory sweating shifted to my legs and the soles of my feet, and I also experienced facial flushing. I'm unsure if t...
Dr. Zheng Zhong Reply:
It is rare to experience hand cracking and rosacea-like skin conditions after sympathetic nerve ablation. Long-term inappropriate use of medications is more likely to be the cause. It is recommended that you consult another dermatologist for further evaluation.[Read More] Understanding the Link Between Sympathetic Nerve Surgery and Facial Flushing
Understanding Whiplash Injuries: Symptoms, Diagnosis, and Treatment Options
Whiplash injury? Hello Dr. Chiu, I would like to ask the following questions. On September 24th, while I was waiting at a red light with both feet on the ground, someone ran the red light and hit me from the left rear. The car did not overturn, but it was damaged. Since both of m...
Dr. Qiu Yushu Reply:
Please copy the MRI images and schedule an appointment with neurosurgeons Dr. Cheng Zhong or Dr. Hong Xu-Yi for further examination and evaluation.[Read More] Understanding Whiplash Injuries: Symptoms, Diagnosis, and Treatment Options
Understanding Pituitary Tumors: Symptoms, Diagnosis, and Treatment Options
Pituitary tumor Hello Dr. Ding: I underwent an MRI examination... In September, the results indicated a pituitary tumor (the January examination showed pituitary hyperplasia). The neurologist mentioned that there is slight pressure on the optic nerve and the vomiting center. My p...
Dr. Ding Xianwei Reply:
If your prolactin level is only 88, it is possible that your pituitary tumor is not very large. However, without seeing your MRI, I cannot provide a well-informed recommendation. Symptoms such as dizziness, headaches, nausea, and weakness in the hands are not always necessarily c...[Read More] Understanding Pituitary Tumors: Symptoms, Diagnosis, and Treatment Options
Understanding Lumbar Burst Fractures and Nerve Injury Management
Lumbar vertebra burst fracture with spinal nerve injury? Hello Doctor: 1. I underwent lumbar spine surgery approximately ten years ago, during which I had a total of three to four surgeries. Recently, I have been experiencing lower back pain, leg numbness, and a burning sensati...
Dr. Zhang Yuanyi Reply:
Dear Jack, After surgery for lumbar nerve compression, it is common for some neurological symptoms to persist. This is because the relief of nerve compression does not always guarantee a return to original function. Currently, there are no specific treatment options available, a...[Read More] Understanding Lumbar Burst Fractures and Nerve Injury Management
Understanding Cervical Disc Herniation: Symptoms Beyond Neck Pain
Cervical vertebrae Is it possible to have a cervical disc herniation without experiencing neck and shoulder pain, but occasionally feeling numbness in the arms and mild pain in the upper back area? Thank you.
Dr. Zheng Zhong Reply:
Cervical disc herniation can cause different symptoms depending on the location of nerve compression, but it is often accompanied by discomfort in the shoulders and neck, as well as numbness in the arms or hands. Sometimes, this may be due to peripheral neuropathy rather than cer...[Read More] Understanding Cervical Disc Herniation: Symptoms Beyond Neck Pain
Post-Operative Nerve Symptoms: Is It Normal After Lumbar Surgery?
Postoperative Is it normal to still feel tightness and mild numbness in different areas of my limbs (including hands) one and a half months after undergoing microdiscectomy for lumbar disc herniation? Thank you.
Dr. Zheng Zhong Reply:
Lumbar spine surgery should not be related to hand numbness. There is still a 10% chance of recurrence (reherniation) after lumbar microdiscectomy. It is recommended to return to the outpatient clinic to consult with the surgeon for further evaluation.[Read More] Post-Operative Nerve Symptoms: Is It Normal After Lumbar Surgery?
Managing Sweaty Palms: Surgical Options and Considerations
Palmar hyperhidrosis? I always have sweaty and clammy palms, which makes situations where I need to shake hands very awkward for me. I'm considering surgery for a permanent solution, but I'm worried about compensatory sweating or the possibility of recurrence. Is it pos...
Dr. Zheng Zhong Reply:
It is possible to perform the procedure only on the right side, but it cannot be done solely on the palm. Compensatory sweating occurs in about 50% of cases, typically manifesting as sweating from the anterior chest, back, and thighs.[Read More] Managing Sweaty Palms: Surgical Options and Considerations
Understanding Severe Hand Sweating: Surgical Options and Risks
Severe palmar hyperhidrosis? Hello, I would like to ask about my hands and feet sweating excessively every day. It seems quite severe, and I'm considering surgery. I've heard that there could be side effects. Could you please give me some advice? I’ve looked online, and...
Dr. Zheng Zhong Reply:
Currently, endoscopic thoracic sympathectomy is performed for hyperhidrosis with good results; however, about half of the patients may experience compensatory hyperhidrosis, where sweating occurs in the back, thighs, and torso. Some individuals also report that their hands become...[Read More] Understanding Severe Hand Sweating: Surgical Options and Risks
Understanding Post-Surgery Nerve Issues After Oral Cancer Treatment
Cancer My mother had oral cancer surgery 9 years ago, and recently she was diagnosed with buccal mucosa cancer. It has been 7 days post-surgery without any treatment, and now she is experiencing numbness in her hands and feet. What could be the reason for this?
Dr. Zhang Yuanyi Reply:
Dear Xiaoling, There could be many possible reasons for your condition. It would be advisable to discuss this with your treating physician first. Wishing you safety and health, Dr. Zhang Yuanyi Attending Physician, Department of Neurosurgery Taoyuan Hospital, Ministry o...[Read More] Understanding Post-Surgery Nerve Issues After Oral Cancer Treatment
Understanding Finger Stiffness and Pain: Possible Causes and Solutions
Finger stiffness and pain inquiry? Hello Doctor, I would like to ask about my fingers. Initially, when I wake up in the morning, they feel stiff. After two weeks, the stiffness turned into pain, particularly around the nails and the first joint of my fingers. However, once I move...
Dr. Zhang Yuanyi Reply:
Hello, sometimes the sensation of stiffness in the hands may be related to cervical spine issues. Carpal tunnel syndrome commonly presents with numbness in the fingers or palm, and may occasionally extend to the forearm, but it is rare to manifest as localized joint tenderness. I...[Read More] Understanding Finger Stiffness and Pain: Possible Causes and Solutions
Understanding Chronic Back Pain: Seeking Answers for Nighttime Discomfort
I experience back pain every night when I go to sleep? I am a 30-year-old male who has generally been healthy and has not suffered from any serious illnesses throughout my life. However, since early October 2006, I suddenly experienced an issue one night when I was unable to get ...
Dr. Ding Xianwei Reply:
Based on your description, I am unable to provide suitable advice. I recommend that you visit the Department of Immunology and Rheumatology for further examination. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery, Taoyuan General Hospital, Department of Health. 960712[Read More] Understanding Chronic Back Pain: Seeking Answers for Nighttime Discomfort
Post-Surgery Concerns for Carpal Tunnel Syndrome: Pain and Muscle Atrophy
Carpal Tunnel Syndrome - Postoperative Questions Dear Dr. Ding, Due to my work, I have been using the computer for a long time, which has caused numbness and pain in both of my hands. It has affected my daily life to the point where I have difficulty even eating. After undergoin...
Dr. Ding Xianwei Reply:
Hello: Your condition may indicate that the nerves have not yet recovered. It is recommended that you visit a neurology outpatient clinic for a detailed evaluation. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Post-Surgery Concerns for Carpal Tunnel Syndrome: Pain and Muscle Atrophy
Understanding Post-Trauma Neurological Symptoms: When to See a Specialist
Brain..? Hello doctor, I have a question. I was in a car accident in the past, and the physician issued a report stating: head trauma, cerebral edema, subarachnoid hemorrhage, and atlantoaxial dislocation without associated nerve root paralysis. It has been quite some time since ...
Dr. Qiu Yushu Reply:
Please visit the neurosurgery outpatient clinic. Dr. Yu-Shu Chiu.[Read More] Understanding Post-Trauma Neurological Symptoms: When to See a Specialist