Understanding Occipital Neuralgia Symptoms and Treatment Options
Symptoms of occipital neuralgia? Hello doctor, about a week ago (07/03), I started feeling a painful, swollen lump near the left back of my head close to my neck. The next day, I began to experience scalp pain and some tingling sensations. After researching online, I suspected it...
Dr. Lai Zhaokang Reply:
Hello: Based on what you described, there is currently a raised area that is slightly red and swollen... I recommend that you see a dermatologist for further evaluation. Best wishes, Dr. Lai Chao-Kang, Neurosurgery, Changhua Hospital.[Read More] Understanding Occipital Neuralgia Symptoms and Treatment Options
Post-Operative Symptoms After Brain Tumor Surgery: What to Expect
Symptoms After Craniotomy for Brain Tumor Hello, Doctor. I have a tumor about 3 centimeters in size in my cerebellum. I underwent craniotomy in early March this year, and the result was benign. It has been a month and a half since the surgery, and I still feel dizzy, especially w...
Dr. Zhang Junwei Reply:
Dizziness is a common phenomenon after cerebellar surgery. If you experience any unusual discomfort such as nausea or vomiting, you can return to the outpatient clinic for an examination at any time, and you do not have to wait for your scheduled follow-up appointment.[Read More] Post-Operative Symptoms After Brain Tumor Surgery: What to Expect
Understanding a New Bump on the Left Back of the Head
There is a protrusion on the left posterior side of the occipital region? There is a lump approximately the size of half a quail egg located on the left side of the back of the head, about one and a half palm widths above the neck and three finger widths to the left from the cent...
Dr. Zhang Junwei Reply:
Without a physical examination, it is not possible to make a determination. It is recommended to consult a neurosurgery outpatient clinic for evaluation.[Read More] Understanding a New Bump on the Left Back of the Head
Understanding Posterior Longitudinal Ligament Calcification and Its Management
Regarding posterior longitudinal ligament calcification? Hello Director Lai, I have a problem with calcification of the posterior longitudinal ligament, which has already caused discomfort in my neck. I heard that this is a condition unique to Asians. May I ask, Director Lai, is ...
Dr. Lai Zhaokang Reply:
Hello: According to the literature: 1. Ossification of the posterior longitudinal ligament (OPLL) is associated with various congenital genetic factors and multiple influencing factors. 2. Individuals who prefer pickled foods, such as kimchi, and staple foods like rice have a sig...[Read More] Understanding Posterior Longitudinal Ligament Calcification and Its Management
Understanding Tinnitus: Seeking Solutions After Nerve Compression Treatment
Tinnitus consultation My father experienced nerve compression at cervical vertebrae 4, 5, and 6 in September 2017, which caused pain and numbness in his shoulders, neck, back, and elbows. Initially, the cause of his condition was unclear, leading to a frantic search for treatment...
Dr. Zhang Junwei Reply:
For tinnitus issues, it is recommended to seek treatment from an otolaryngologist (ENT specialist) and a neurologist. Currently, I cannot think of any other methods or tests that would be beneficial.[Read More] Understanding Tinnitus: Seeking Solutions After Nerve Compression Treatment
Understanding Neck and Shoulder Pain: Insights from Neurosurgery
Shoulder, neck, and back issues? About two years ago, I went to an amusement park and rode a roller coaster. I didn't keep my head pressed against the backrest, and during the turns, my neck was thrown around. At that moment, I only felt neck pain, but after a few weeks, it ...
Dr. Zhang Junwei Reply:
It may be a problem related to spinal nerve compression; it is recommended to consult a neurosurgery outpatient clinic for examination.[Read More] Understanding Neck and Shoulder Pain: Insights from Neurosurgery
Post-Operative Exercise Guidelines After Laminectomy Surgery
Postoperative Exercise After Kyphoplasty Hello Dr. Lai, I previously inquired about the issue of pedicle screw and plate fixation in posterior cervical decompression surgery, and I am still struggling with the decision to undergo the surgery. I enjoy running, practicing yoga, and...
Dr. Lai Zhaokang Reply:
Hello: Generally, a cervical collar is required for protection for 3 months post-surgery to allow for fusion. Once fusion is confirmed, gentle movements of the cervical spine should be performed. Other activities such as running and hiking should be acceptable if done in moderati...[Read More] Post-Operative Exercise Guidelines After Laminectomy Surgery
Understanding Post-Concussion Symptoms: Pain and Numbness Explained
Post-concussion syndrome may involve symptoms such as pain and numbness? Hello, Doctor. On the night of October 1st last year, I slightly bumped the upper right side of my head against a car door after slipping. It hurt a lot at the moment, and I instinctively rubbed it. Later, I...
Dr. Zhang Junwei Reply:
It doesn't sound like post-concussion syndrome; it's just a general bruise and cervical strain. It's recommended to take anti-inflammatory medication and get plenty of rest.[Read More] Understanding Post-Concussion Symptoms: Pain and Numbness Explained
Understanding Head Injuries: Signs of Intracranial Bleeding
Head injury Yesterday, I hit my head and woke up at home. My friend told me that I rode my bike back, but I don't remember that part. Now my neck is sore, and there is a soft spot on my head when I press it. Could this be intracranial bleeding?
Dr. Zhang Junwei Reply:
It sounds like a concussion rather than an intracranial hemorrhage. I recommend a consultation with a neurosurgery outpatient clinic for evaluation.[Read More] Understanding Head Injuries: Signs of Intracranial Bleeding
Managing Chronic Back Pain: Insights on Degenerative Spine Issues
Sharp pain and tingling in the left posterior mid-back? Hello, Doctor: I am a working professional with a habit of slouching, which often leads to shoulder and neck pain. I regularly receive chiropractic massages for relief, but I have been experiencing sharp and stabbing pain ne...
Dr. Lai Zhaokang Reply:
Hello, it is suspected that there may be a spinal issue. It is recommended to consult a neurosurgeon. An X-ray or MRI assessment is advised. Best wishes. // Neurosurgeon Dr. Lai Chao-Kang[Read More] Managing Chronic Back Pain: Insights on Degenerative Spine Issues
Understanding Neck Pain When Looking Up: Causes and Concerns
Neck pain when tilting the head upward? Hello doctor, I am 17 years old and recently noticed that I experience pain in the left side of the back of my head when I look up, specifically under the bone. I would like to know what possible issues this could indicate. What is the like...
Dr. Zhang Junwei Reply:
This neck pain issue is unrelated to subarachnoid hemorrhage and is likely just ordinary neck pain. It is recommended to consult a neurosurgery outpatient clinic for examination.[Read More] Understanding Neck Pain When Looking Up: Causes and Concerns
Understanding Nerve Issues in the Cervical Spine After Trauma
Cervical spine nerve issues? I would like to consult a physician. Recently, I had a conflict with a classmate that resulted in being hit. Prior to that, I had also been hit on the back. Each time, the hits were spaced out by one to two seconds, and the pain from the previous hit ...
Dr. Zhang Junwei Reply:
You have described so much, but without a physical examination, it is truly impossible to provide an answer. I recommend that you schedule an appointment with a neurosurgery clinic for an evaluation. If you still have doubts, consider seeking opinions from several different physi...[Read More] Understanding Nerve Issues in the Cervical Spine After Trauma
Do I Need Surgery for My Herniated Cervical Disc? Expert Insights
Do I need surgery to replace my cervical intervertebral disc due to a herniated disc? Hello Doctor, I am a patient with hypotonic cerebral palsy. Last March, I suffered a fall that resulted in herniated discs at cervical levels 4 to 6. Initially, I experienced increased difficult...
Dr. Zhang Junwei Reply:
Your question is too complex. Certain conditions require imaging studies and a personal physical examination to provide an answer. It is recommended to consult a neurosurgery outpatient clinic for evaluation.[Read More] Do I Need Surgery for My Herniated Cervical Disc? Expert Insights
Should You See a Doctor After a Basketball Head Injury?
Hit the forehead while playing basketball? Hello doctor, I would like to ask about something. Yesterday, while playing basketball with my classmates, I was hit on the forehead above my right eyebrow. Today, I have been feeling a bit unfocused and very tired. The muscles on both s...
Dr. Zhang Junwei Reply:
It is likely just a simple head injury; observation is recommended. If discomfort persists, it is advised to consult a neurosurgery outpatient clinic for evaluation.[Read More] Should You See a Doctor After a Basketball Head Injury?
Understanding Trigeminal Neuralgia in Multiple Sclerosis: A Patient's Journey
Multiple sclerosis with trigeminal neuralgia Hello Doctor, about five days ago, I experienced pain when pressing on the bone above my right eyebrow, which occasionally persists as a dull ache. Recently, the tenderness has decreased, but it still remains, and the continuous pain h...
Dr. Lai Zhaokang Reply:
Hello: 1. Multiple sclerosis is a rare disease with diverse symptoms. It is essential to consult a neurologist and undergo thorough examinations for an accurate diagnosis. Please do not self-diagnose or assume you have the condition without a proper evaluation from a neurologis...[Read More] Understanding Trigeminal Neuralgia in Multiple Sclerosis: A Patient's Journey
Numbness in Left Thumb and Index Finger: Possible Causes and Relief Tips
Numbness in the left thumb and index finger? Initially, I thought the neck stiffness was nothing serious. After a week, the pain in my neck has decreased, but I am experiencing some numbness in my left thumb and index finger. When I massage my shoulders, the left shoulder feels l...
Dr. Lai Zhaokang Reply:
Hello: 1. It is suspected to be a cervical spine issue, most commonly a cervical disc herniation that compresses the nerves. 2. Reduce the forward head posture. Temporarily wear a cervical collar. Apply heat to the shoulders and neck daily, and perform neck rehabilitation exercis...[Read More] Numbness in Left Thumb and Index Finger: Possible Causes and Relief Tips
Understanding CT Scan Results: Calcium Deposits and Teflon Concerns After Surgery
Computed Tomography (CT) scan of the brain? Hello, doctor. I underwent a decompression surgery for left-sided facial spasms at the end of 2016. At that time, the physician informed me that the surgical method involved creating an opening in the left posterior part of the brain an...
Dr. Lai Zhaokang Reply:
Hello: 1. Generally, it is unlikely. 2. It depends on the actual imaging. 3. An MRI of the cervical spine should be performed to assess whether the symptoms are caused by cervical nerve compression. 4. Cerebral calcifications can be classified into physiological and pathological ...[Read More] Understanding CT Scan Results: Calcium Deposits and Teflon Concerns After Surgery
Understanding Neck Fractures: Causes, Symptoms, and Recovery Time
Cervical spine fracture Hello doctor, I have undergone many neurological examinations that came back normal, but I have not been able to return to my previous state for a long time, about 4 months. I often feel weak and limp, experience dizziness, and have neck stiffness. What co...
Dr. Zhang Junwei Reply:
Without detailed imaging information and neurological examination, I cannot answer your question.[Read More] Understanding Neck Fractures: Causes, Symptoms, and Recovery Time
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
Seeking Help for Persistent Neck and Limb Pain: A Neurological Concern
Please help me? Hello doctor, I have been experiencing tightness and sharp pain in the left side of my neck and occipital area for about 4-5 months. I also feel some discomfort behind my ear and a bit of a plugged sensation. This month, I suddenly started to feel some numbness an...
Dr. Zhang Junwei Reply:
It is recommended to consult a neurosurgeon for a detailed examination, as there may be issues related to cervical spine joints or nerve compression.[Read More] Seeking Help for Persistent Neck and Limb Pain: A Neurological Concern