Neck, Neurosurgery FAQ

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Understanding Concussions: Symptoms, Diagnosis, and Psychological Impact

The condition is uncertain whether it is a concussion or a psychological issue? On July 10th, around 9 AM, a foreign worker was operating a crane with a set of four small metal hooks attached, slightly larger than an adult's finger. The hooks tended to stop at head height, a...


Dr. Zhang Junwei Reply:
If there is persistent dizziness, headache, and nausea after a head injury, it indicates a concussion.

[Read More] Understanding Concussions: Symptoms, Diagnosis, and Psychological Impact


Understanding a Movable Lump on the Back of Your Neck: What to Do?

I felt a lump on the back of my neck? Recently, I noticed a large, movable lump on the back of my neck when I looked up. It is not attached to the skin, and I cannot feel it when I look down. It is completely painless, but I am a bit worried about what it could be (the location i...


Dr. Zhang Junwei Reply:
General surgery, plastic surgery, and neurosurgery are all acceptable.

[Read More] Understanding a Movable Lump on the Back of Your Neck: What to Do?


Head Injuries in Seniors: When to Seek Medical Attention After a Fall

Elderly individuals falling and sustaining head injuries? My father is in his 70s and has Parkinson's disease. Yesterday, while sitting in a supportive chair, he leaned forward and hit his forehead on the ground, resulting in a wound and he mentioned that his neck feels comp...


Dr. Zhao Shaoqing Reply:
It would be reassuring to visit a neurosurgery clinic for an examination.

[Read More] Head Injuries in Seniors: When to Seek Medical Attention After a Fall


Understanding Neck Issues: Symptoms and Relief for Cervical Disc Problems

Neck issues Hello Doctor, I have a slight protrusion of the cervical intervertebral discs at C3-C4-C5-C6 (as seen on MRI), so I underwent cervical traction (vertical). Initially, I had no pain in my shoulders or neck. However, during the first traction session (50 kg), after pull...


Dr. Lai Zhaokang Reply:
Hello: 1. It is speculated that after cervical traction, the junction between the occiput, anterior mandible, and cervical spine has been stretched. 2. If this movement causes discomfort, you can discuss with your rehabilitation physician whether to postpone it. Applying heat to ...

[Read More] Understanding Neck Issues: Symptoms and Relief for Cervical Disc Problems


Understanding the Connection Between Neck Issues and Gastrointestinal Disorders

Please provide more context or specific information regarding the neck for further assistance? Hello, Deputy Director. Thank you for your response. However, why do some online medical articles suggest a connection between stomach issues and the cervical spine? I had a relapse in ...


Dr. Zhang Junwei Reply:
A small portion of the cervical spine may affect the autonomic nervous system, which is related to the gastrointestinal system.

[Read More] Understanding the Connection Between Neck Issues and Gastrointestinal Disorders


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


Can Masturbation Cause Neck Injuries? Understanding Disc Issues and Posture

Can masturbation cause neck injuries? Hello, doctor. Recently, I hit my head and had an X-ray of my neck. The doctor mentioned that there are two bone spurs and a herniated cervical disc. I would like to ask, besides frequently using my phone, could poor posture and stiffness in ...


Dr. Lai Zhaokang Reply:
Hello: 1. Cervical spine injuries in the general population are often caused by impacts to the head, whiplash injuries to the cervical spine, or prolonged periods of looking down or up while working, using a mobile phone, or having an inadequate pillow, which can lead to poor cer...

[Read More] Can Masturbation Cause Neck Injuries? Understanding Disc Issues and Posture


Head Injury and Neck Pain: Understanding Symptoms and Causes

Head trauma with neck pain extending to the head? Hello doctor, two days ago I bumped my head against a rising iron gate, hitting the area near the back of my head. When I hit it, my neck flexed slightly, and since then I have been experiencing significant pain from my neck to my...


Dr. Zhao Shaoqing Reply:
Hello: A severe impact to the head may potentially cause injury to the cervical spine, affecting the stability of the vertebrae. If symptoms persist for more than two weeks, it is necessary to visit a neurosurgery outpatient clinic for examination and treatment. The Changhua Hosp...

[Read More] Head Injury and Neck Pain: Understanding Symptoms and Causes


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?


Recovery Concerns After Head Trauma: Medication, Symptoms, and Safety Gear

Issues Related to the Recovery Period of Head Trauma Hello Doctor: I previously asked a question regarding my condition after a car accident, where I sustained a right-sided head injury (swelling on the right side of my face), along with mild subarachnoid hemorrhage on the left s...


Dr. Zhang Junwei Reply:
Recovery time varies from person to person and depends on the severity of the injury, so it cannot be generalized. Most individuals will see significant improvement within two weeks.

[Read More] Recovery Concerns After Head Trauma: Medication, Symptoms, and Safety Gear


Understanding Delayed Symptoms After Head Injury: When to Seek Medical Attention

Head injury Hello Doctor: On the evening of November 29th, I accidentally bumped the left side of my head against a doorknob while in the bathroom. At the moment of impact, I did not feel pain, dizziness, swelling, or bleeding, and I remained fully alert and continued to take a s...


Dr. Zhang Junwei Reply:
It is indeed important to be cautious. If there are persistent headaches and dizziness, it is recommended to seek treatment at a neurosurgery outpatient clinic.

[Read More] Understanding Delayed Symptoms After Head Injury: When to Seek Medical Attention


Understanding Post-Traumatic Symptoms After Head Injury: When to Seek Help

Head trauma-related issues? Hello Doctor: I sustained a brain injury from a car accident (head trauma with right cheek contusion and mild subarachnoid hemorrhage on the left side) and have been resting for about a month. Recently, while preparing to sleep, I've been experien...


Dr. Zhao Shaoqing Reply:
You can visit a neurosurgery clinic.

[Read More] Understanding Post-Traumatic Symptoms After Head Injury: When to Seek Help


Understanding Sudden Nerve Pain and Muscle Twitches: Causes and Concerns

Numbness and tingling in the hands and feet, muscle twitching? Eight years ago, I underwent an MRI examination that revealed herniated discs at cervical levels C3-4-5-6, which caused pain in my left shoulder and neck, as well as discomfort in my left arm, skin tingling, and occas...


Dr. Zhang Junwei Reply:
It is possible for the symptoms of a herniated disc to be intermittent and to occur on both sides.

[Read More] Understanding Sudden Nerve Pain and Muscle Twitches: Causes and Concerns


Hard Bump on Right Back of Head: Causes and Treatment Options

There is a protrusion in the right posterior part of the brain? There is a hard protrusion on the right side of the back of my head that feels like bone. It hurts when I press on it while sleeping, and it feels tight. The entire area feels uncomfortable, similar to a stiff neck, ...


Dr. Zhang Junwei Reply:
Unable to perform a physical examination, cannot make a diagnosis, please schedule an appointment with the neurosurgery outpatient clinic.

[Read More] Hard Bump on Right Back of Head: Causes and Treatment Options


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 Cervical Disc Herniation: Symptoms and Muscle Spasms Explained

Cervical intervertebral disc herniation compression Approximately 8-9 years ago, an MRI examination revealed herniated discs at the C3-4-5-6 levels, which are compressing the nerves and causing symptoms of pain and numbness in the left shoulder, neck, arm, and fingers. After unde...


Dr. Zhang Junwei Reply:
Muscle twitching is not necessarily caused by a herniated disc. Yes, it can indeed switch from one side to the other at times.

[Read More] Understanding Cervical Disc Herniation: Symptoms and Muscle Spasms Explained


Can Massage Therapy Affect Intracranial Aneurysm Coils and Stents?

Intracranial dural arteriovenous fistula Hello Dr. Chang: My husband (37 years old) previously had an intracranial dural arteriovenous fistula and underwent surgery (with coils and stents placed in the cerebral vasculature). Recently, he has been experiencing pain in his shoulder...


Dr. Zhang Junwei Reply:
Due to the uncertainty regarding the exact location and size of the intracranial vascular stent, it is recommended to consult with Dr. Yuan Qiu for further evaluation.

[Read More] Can Massage Therapy Affect Intracranial Aneurysm Coils and Stents?


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