Understanding Hand Tremors: Causes and Solutions in Neurosurgery
My hands are shaking~~~ Doctor, I often experience shaking in my hands when I lift objects or raise them in general. I've noticed that others do not have this issue. What could be the reason for this?
Dr. Ding Xianwei Reply:
Hello: The tremors during movement can have many possible causes, and sometimes it may be due to hormonal imbalances. It is recommended that you visit a metabolic specialist for further diagnosis. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery, Taoyuan Hospital, Ministry of Health a...[Read More] Understanding Hand Tremors: Causes and Solutions in Neurosurgery
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
Neck Pain: Is Your Sleeping Position to Blame?
Neck movement? Is my neck pain often related to my sleeping position?
Dr. Chen Changmu Reply:
Neck pain is often associated with tension, stress, or poor posture. However, if there are additional symptoms such as numbness or pain in the hands, it is important to consider whether there may be a cervical spine pathology.[Read More] Neck Pain: Is Your Sleeping Position to Blame?
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 Prolactin Levels: When to See a Specialist for Treatment
Prolactin Hello doctor, I have been experiencing irregular menstruation for about eight years, starting when I was in high school. I thought it was due to academic stress, as I suddenly gained 10 kilograms in the middle of one month (which I have not been able to lose despite eat...
Dr. Hong Xuyi Reply:
Hello: In response to your question, it seems you have been troubled by irregular menstrual cycles and weight issues for some time. Many hormonal interactions can affect menstrual performance, such as elevated prolactin levels, polycystic ovary syndrome (PCOS), and luteal phase d...[Read More] Understanding Prolactin Levels: When to See a Specialist for Treatment
Understanding Compensatory Sweating After Hyperhidrosis Surgery
Postoperative complications of hyperhidrosis surgery? I underwent surgery for hyperhidrosis on September 17, but I have been experiencing excessive sweating in areas that previously did not sweat, such as my back, chest, and inner thighs. I am wondering if this compensatory sweat...
Dr. Shao Guoning Reply:
Hello: In response to your question, compensatory hyperhidrosis is unavoidable; this is a significant drawback of surgery for palmar hyperhidrosis. However, over time, the body gradually adapts, leading to a reduction in compensatory hyperhidrosis and an adjustment to generalized...[Read More] Understanding Compensatory Sweating After Hyperhidrosis Surgery
Effective Solutions for Excessive Hand Sweating: Beyond Surgery
Palmar hyperhidrosis Dr. Hong: Hello, in recent years, my hands have been sweating continuously, sometimes when the weather is hot and sometimes when I am nervous. Besides surgery (because the risks of surgery are too high), are there any other effective and lasting methods?
Dr. Hong Xuyi Reply:
Hello: In response to your question, there are no other effective and lasting methods besides surgery.[Read More] Effective Solutions for Excessive Hand Sweating: Beyond Surgery
Understanding Severe Hand Sweating: Treatment Options and Recovery Time
I have severe hyperhidrosis of the hands? Hello, Vice Dean. My palmar hyperhidrosis is inherited from my father. Compared to others, mine seems to be more severe because my hands sweat continuously even with a slight increase in temperature or just a little exercise. I have looke...
Dr. Shao Guoning Reply:
Dear A-Mao, In response to your question, you can go home on the same day as the surgery for palmar hyperhidrosis. Within the first two days post-surgery, you may experience chest tightness and pain, which will gradually lessen. After the surgery, you should avoid raising your a...[Read More] Understanding Severe Hand Sweating: Treatment Options and Recovery Time
Understanding Tendon Inflammation and Nerve Compression: A Case Study
Question Hello Doctor: My mother is 42 years old and often experiences pain in her hand for a long time whenever she lifts heavy objects. Even clapping her hands is difficult for her. This issue has troubled her for a long time, and recently it has become quite severe; she feels ...
Dr. Hong Xuyi Reply:
Hello: In response to your inquiry, I recommend that your mother visit a neurosurgery outpatient clinic. The pain in her upper limb could be due to tendonitis or possibly cervical nerve compression. The symptoms may share some similarities but also have distinct differences. A cl...[Read More] Understanding Tendon Inflammation and Nerve Compression: A Case Study
Does Sleep Deprivation Cause Changes in Body Physiology?
Does lack of sleep cause changes in physical condition? In the past, I used to sleep on time and never experienced sweaty hands. However, since I started staying up late, I have been experiencing sweaty hands.
Dr. Hong Xuyi Reply:
Hello: In response to your question: The severity of palmar hyperhidrosis is related to sympathetic nervous system overactivity. Abnormal sleep may lead to dysregulation of the autonomic nervous system, which can result in changes in constitution.[Read More] Does Sleep Deprivation Cause Changes in Body Physiology?
Understanding Hyperhidrosis: Treatment Options and Costs Explained
My palmar hyperhidrosis? Hello, doctor. I am a patient with "palmar hyperhidrosis." Usually, whenever the weather is hot, my hands sweat continuously and excessively. Is there a way to resolve this? Also, do people with palmar hyperhidrosis always need surgery to be cur...
Dr. Hong Xuyi Reply:
Hello: In response to your inquiry about hyperhidrosis, endoscopic thoracic sympathectomy can be used for treatment, and it has shown very good results. The cost will depend on the co-payment regulations of the National Health Insurance. I recommend that you consult with a neuros...[Read More] Understanding Hyperhidrosis: Treatment Options and Costs Explained
Can Hand Sweating Be Treated with Medication Instead of Surgery?
Can palmar hyperhidrosis be treated with medication instead of surgery? I experienced autonomic nervous system dysfunction at the end of last year, and shortly after, around February of this year, I began to have symptoms such as sweating in my hands, dizziness, body heat, and ra...
Dr. Hong Xuyi Reply:
Hello: In response to your question, emotional anxiety and tension can stimulate the sympathetic nervous system, leading to an exacerbation of palmar hyperhidrosis. If the condition does not cause significant distress in social or work situations, surgical treatment is not necess...[Read More] Can Hand Sweating Be Treated with Medication Instead of Surgery?
Surgical Solutions for Excessive Foot Sweating: What You Need to Know
Is there a specific surgery to treat excessive foot sweating? I am a person with hyperhidrosis, experiencing severe sweating in my hands and feet. Eight years ago, I underwent endoscopic surgery, but the issue with foot sweating has not improved. Antiperspirants have been ineffec...
Dr. Hong Xuyi Reply:
Hello: In response to your question, some doctors attempt endoscopic surgery to treat plantar hyperhidrosis, but due to unclear effectiveness and a higher incidence of complications, such procedures are not widely practiced. It is recommended that you discuss this with your neuro...[Read More] Surgical Solutions for Excessive Foot Sweating: What You Need to Know
Is Sleeping Position Causing Numbness in My Pinky Fingers?
Numbness in the little finger? Doctor, I have recently been experiencing numbness in my little fingers while sleeping. If I lie flat on a carpet for a nap with my hands positioned under my abdomen (below the navel), could this be compressing the nerves in my hands?
Dr. Shao Guoning Reply:
Hello: In response to your inquiry, numbness in the little finger may be due to nerve compression or circulatory issues. Compression of the cervical nerves, ulnar nerve at the elbow, or median nerve at the wrist can all lead to finger numbness. A consultation with a neurologist o...[Read More] Is Sleeping Position Causing Numbness in My Pinky Fingers?
Can Sweat Glands in Feet Be Removed? Exploring Surgical and Alternative Options
Is it possible to remove the sweat glands in the feet? I have a hereditary condition that often causes excessive sweating in my hands and feet, which is quite bothersome. However, I've heard that after surgery, the condition may return after some time. Are there other ways t...
Dr. Shao Guoning Reply:
Hello Ms. Gao Yuhui: The latest surgical method for palmar hyperhidrosis is thoracoscopic sympathectomy. This procedure is covered by health insurance. The most common postoperative issue is compensatory hyperhidrosis, where sweating may shift to areas such as the back and thighs...[Read More] Can Sweat Glands in Feet Be Removed? Exploring Surgical and Alternative Options
Can Sympathetic Nerve Block Be Reversed After Surgery?
Can the sympathetic nerve be reconnected after being blocked? Hello! A few years ago, I underwent thoracoscopic sympathetic nerve block surgery due to axillary hyperhidrosis (excessive sweating in the armpits, but not much sweating in the hands) based on my doctor's recommen...
Dr. Shao Guoning Reply:
Sympathetic nerve block cannot reconnect the nerves; it only allows for waiting for nerve regeneration. Generally, partial regeneration can occur within two years, and the palm may become slightly moist.[Read More] Can Sympathetic Nerve Block Be Reversed After Surgery?
Understanding Hand Sweating: Surgical Options and Recovery Tips
Palmar hyperhidrosis Hello, doctor. My son just graduated from elementary school, and we would like to take him for surgery to treat his hyperhidrosis during the summer vacation. We live in Puli and would like your recommendation for a nearby hospital and doctor. Also, how long a...
Dr. Ding Xianwei Reply:
Hello: Hyperhidrosis is not a disease but a symptom. The most commonly used method currently is endoscopic sympathetic nerve resection. If the surgery goes smoothly, it takes about half an hour, and with anesthesia before and after, the total time is approximately three to four h...[Read More] Understanding Hand Sweating: Surgical Options and Recovery Tips
Understanding Neck Stiffness and Discomfort: Causes and Solutions
Neck pain? The stiffness in your neck (despite normal blood pressure) could be due to several reasons, such as muscle strain, poor posture, or cervical spondylosis. The sounds you hear when turning your neck may be related to joint movement or the presence of gas bubbles in the s...
Dr. Shao Guoning Reply:
Ms. Hsin experiences stiffness in her neck due to excessive pressure on the cervical spine, which may be a result of prolonged computer use or using a pillow that is too high. This can lead to neck tightness and a sensation of heaviness in the shoulders. Subsequently, she may exp...[Read More] Understanding Neck Stiffness and Discomfort: Causes and Solutions