Understanding Recurring Hand Sweating After Surgery: What to Do?
Recently, my hands have started sweating again..? Hello, doctor... I had surgery for palmar hyperhidrosis four years ago. Initially, it was very successful; I didn't experience any hand sweating or compensatory sweating issues. However, over time, I've started to sweat ...
Dr. Chen Changmu Reply:
Hello, currently there is no effective solution for compensatory hyperhidrosis that occurs after hand sweating surgery. Additionally, hand sweating surgery is not related to breast development.[Read More] Understanding Recurring Hand Sweating After Surgery: What to Do?
Do You Need Surgery for Sciatica? Understanding Pseudoscience in Nerve Pain
Is surgery always necessary for sciatica? What is pseudo-sciatica? Symptoms: Pain in the buttocks and thighs, inability to sit or stand, difficulty getting in and out of a vehicle. MRI shows signs of degeneration in the spinal nerves.
Dr. Xiao Furen Reply:
I believe you are referring to sciatica. Sciatica generally refers to back pain accompanied by leg pain, numbness, or tingling, which results from compression of the nerves in the lumbar or sacral spine. Common causes include herniated discs, spinal stenosis, and vertebral displa...[Read More] Do You Need Surgery for Sciatica? Understanding Pseudoscience in Nerve Pain
Can Spinal Cord Nerves Regenerate After Injury? Insights from Neurosurgery
May I ask the doctor? My mother fell from the second floor at midnight on June 13, resulting in a cervical spine dislocation. On June 14, the doctor performed internal fixation surgery, but due to nerve injury, she currently presents with quadriplegia. On June 24, a tracheostomy ...
Dr. Xiao Furen Reply:
Generally speaking, central nervous system injuries, including spinal cord injuries, do not regenerate and can only rely on rehabilitation. Recently, there have been some new studies, such as embryonic stem cell transplantation and nerve regeneration (growth factors), but none ha...[Read More] Can Spinal Cord Nerves Regenerate After Injury? Insights from Neurosurgery
Can Spinal Disc Surgery Cause Nerve Damage Leading to Erectile Dysfunction?
Is it possible for spinal disc surgery to damage nerves and cause erectile dysfunction? Is it possible for spinal disc surgery to damage nerves and cause erectile dysfunction? Thank you.
Dr. Xiao Furen Reply:
Lumbar spine surgery can potentially cause erectile dysfunction, but it is a rare complication.[Read More] Can Spinal Disc Surgery Cause Nerve Damage Leading to Erectile Dysfunction?
Understanding Surgical Options for Hyperhidrosis: Insights and Costs
Types of surgery for hyperhidrosis? Hello, Doctor. I would like to ask about a type of surgery for palmar hyperhidrosis. I heard that if someone regrets the surgery, the nerves can be reconnected to allow sweating to resume. Is this referring to "endoscopic thoracic sympathe...
Dr. Qiu Yushu Reply:
Hello: The use of clamps to interrupt the sympathetic ganglia is a type of endoscopic sympathetic nerve resection surgery. If a patient regrets the procedure, a second surgery can be performed to remove the clamps. It is essential to fully understand the potential complications b...[Read More] Understanding Surgical Options for Hyperhidrosis: Insights and Costs
Exploring Treatment Options for Spinal Cord Injury After Trauma
Please consult a physician for questions? Hello Doctor! My colleague (male, 40 years old) was involved in a car accident on May 8th of this month, resulting in a compression fracture of the thoracic vertebra (specifically at the eighth thoracic vertebra). He also sustained an inj...
Dr. Xiao Furen Reply:
In general, there are no effective treatments for spinal cord injuries, and rehabilitation is the primary focus. Surgery is mostly limited to decompression and stabilization to prevent further damage to the spinal cord. There are reports indicating that corticosteroids may be eff...[Read More] Exploring Treatment Options for Spinal Cord Injury After Trauma
Understanding Herniated Discs: Treatment Options and Risks Explained
Herniated disc Hello, doctor. I have a herniated disc, but I find that if I press down on the protruding area with both palms and then bend my waist forward while leaning my body back, I can feel the protruding cartilage being pushed back in. This also alleviates some of the sore...
Dr. Chen Changmu Reply:
Hello, based on your symptoms, they do not appear to be indicative of a herniated disc. Currently, neurosurgical procedures have advanced significantly, and the risk of paralysis from surgery is very low. However, your condition may require further examination, as it might not so...[Read More] Understanding Herniated Discs: Treatment Options and Risks Explained
Understanding Disc Herniation: Seeking Effective Treatment Options
Annoying pain? Hello Dr. Chen, Last June, I noticed a tingling sensation in my feet and difficulty straightening my back, so I visited an orthopedic clinic. I was diagnosed with a herniated disc, and the doctor only recommended physical therapy, including lumbar traction, heat t...
Dr. Chen Changmu Reply:
Your condition sounds quite serious and indeed requires further intervention. For a herniated lumbar disc, the initial treatment, as you mentioned, involves medication and being mindful of lifestyle habits to avoid exacerbating the condition. If symptoms do not improve, rehabilit...[Read More] Understanding Disc Herniation: Seeking Effective Treatment Options
Can Hematoma-Induced Nerve Compression Be Treated Effectively?
Hematoma compressing the nerve? Dr. Chen: Is there a way to treat a hematoma that is compressing a nerve? My injury occurred abroad; I was shot by two assailants, and the bullet passed through from the front to the back without hitting the spine. However, the bullet grazed the si...
Dr. Chen Changmu Reply:
Hello Mr. Wang: The golden window for treating a hematoma that compresses nerves is to remove the blood clot within 8 hours of the injury to prevent permanent nerve damage. It is recommended that you follow up at the outpatient clinic. If there are already irreversible nerve defi...[Read More] Can Hematoma-Induced Nerve Compression Be Treated Effectively?
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
Understanding Compensatory Sweating After Hand Surgery: Solutions and Insights
Foot sweat I previously underwent surgery for palmar hyperhidrosis in the underarm area, but I am experiencing even more sweating on the soles of my feet. Is this a compensatory transfer phenomenon? I feel even more distressed; is there no way to further treat or improve the swea...
Dr. Xiao Furen Reply:
It is possible, but the surgery is more complex compared to hyperhidrosis. In general, hyperhidrosis involves disrupting the sympathetic nerves at the second (or third) thoracic vertebra, which allows for a smaller incision. In contrast, for plantar hyperhidrosis, it requires dis...[Read More] Understanding Compensatory Sweating After Hand Surgery: Solutions and Insights
Understanding Gemma Tumors: Insights and Concerns from Neurosurgery
Could you please specify your question, so I can assist you better? What is a meningioma? I was hospitalized at Chi Mei Hospital for 12 days at the end of March due to a colon ulcer. During my stay, I frequently experienced headaches and consulted a doctor who arranged for a CT s...
Dr. Hong Xuyi Reply:
Hello: In response to your question, please discuss directly with your physician at the neurosurgery outpatient clinic, or confirm the name of the tumor you mentioned for better clarification.[Read More] Understanding Gemma Tumors: Insights and Concerns from Neurosurgery
Understanding Scoliosis: Treatment Options and Impact on Daily Life
Scoliosis Doctor, I have a question: I frequently experience soreness in my neck and shoulders, and when I tilt my head back, I feel a dull pain near the nerves beside my spine. Once, after receiving cupping therapy from a traditional Chinese medicine practitioner, I was told tha...
Dr. Hong Xuyi Reply:
Hello: In response to your question, these issues must be assessed in person. Please visit a specialist's clinic for further diagnosis.[Read More] Understanding Scoliosis: Treatment Options and Impact on Daily Life
Understanding Numbness in Big Toes After Hiking: Causes and Solutions
After hiking, my big toe is numb? I have a question to ask you... Two weeks ago, I went hiking (for about ten hours). Although my legs were sore and painful the next day, they improved after a few days. Now I can walk freely, but I still feel a bit of numbness in both of my big t...
Dr. Shao Guoning Reply:
Hello: In response to your question: If you've been walking for too long and are experiencing numbness in your feet, there are two possible reasons. One is nerve compression, which occurs when the superficial nerves in your back are compressed due to prolonged walking, leadi...[Read More] Understanding Numbness in Big Toes After Hiking: Causes and Solutions
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?
Understanding Post-Surgery Pain: A Young Woman's Struggle with Disc Issues
Lower back pain can be excruciating! Doctor: Hello! I am a 22-year-old girl experiencing weakness. Since undergoing surgery for a herniated disc on April 1st of this year, I feel like my life has turned black and white. Why is that? After the surgery on April 1st, I experienced s...
Dr. Xu Xianda Reply:
Hello, Miss: Regarding your condition of herniated disc, the current treatment approach primarily focuses on long-term rehabilitation. Given your situation, having undergone two surgeries and experiencing inflammation, as well as neurological symptoms in your right lower limb, ...[Read More] Understanding Post-Surgery Pain: A Young Woman's Struggle with Disc Issues
Chronic Back Pain After Multiple Surgeries: Seeking Answers and Relief
Persistent lower back pain and discomfort? Doctor: Hello! I am a 22-year-old girl experiencing weakness. Since undergoing surgery for a herniated disc on April 1st of this year, I feel like my life has turned black and white. Why is that? After the surgery on April 1st, I have be...
Dr. Ding Xianwei Reply:
Hello, Xin Yu! Based on what you have described, it appears that much of your information is incomplete, making it difficult to determine your specific condition. However, generally speaking, the course of illness you described could be indicative of failed back surgery syndrome,...[Read More] Chronic Back Pain After Multiple Surgeries: Seeking Answers and Relief
Why Your Feet Tingle During Naps: Causes and Solutions
During napping, there can be a tingling sensation in the feet? Sleeping on your stomach for about 30 minutes can lead to a tingling sensation in your legs, commonly referred to as "paresthesia." This occurs due to pressure on the nerves or blood vessels, which can restr...
Dr. Ding Xianwei Reply:
Your spine may be overused; prolonged sitting and standing are not good. Sleeping on your stomach for a nap can sometimes lead to compression of the lumbar nerves. It is recommended to rest in a supine position. If symptoms persist, it is advisable to visit a neurosurgery clinic ...[Read More] Why Your Feet Tingle During Naps: Causes and Solutions
Post-Surgery Concerns: Understanding Chest Discomfort After Hand Sweat Surgery
Post-surgery for hyperhidrosis..? Hello Dr. Hsu, I am your patient with hyperhidrosis. It has been a week since my surgery last Friday. Although the surgery was successful and my hand sweating has significantly improved, I have been experiencing persistent "chest tightness...
Dr. Xu Xianda Reply:
Hello Mr. Chen: The soreness in your right chest and back is due to the discovery during surgery that there were venous vessels crossing over your sympathetic nerves (the nerves that control sweating). During the sympathetic nerve resection, more time was spent on cauterization t...[Read More] Post-Surgery Concerns: Understanding Chest Discomfort After Hand Sweat Surgery
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?