Understanding Sudden Buttock Pain: Causes and When to Seek Help
Painful sensations in the buttocks may feel like an electric shock? Hello, doctor. I have a fixed point on the left side of my buttocks that feels like being pricked by a needle or suddenly shocked, similar to static electricity. It startles me. If it's severe, I jump up fro...
Dr. Zhang Junwei Reply:
You can consult a neurosurgeon.[Read More] Understanding Sudden Buttock Pain: Causes and When to Seek Help
Finger Numbness After Archery: Is It a Sign of Nerve Injury?
Numbness in the fingers after archery? Hello Doctor, I previously injured my right hand fingers while archery without wearing a finger tab (it was very painful at the time, somewhat like the sensation of eating a radish). After returning home, the tip of my middle finger started ...
Dr. Lai Zhaokang Reply:
Hello: It is suspected that you may have strained the internal tendons and fascia of your finger, leading to inflammation. It is recommended to rest your finger for 3-7 days and apply heat to the area. Monitor your condition. If there is no improvement after 1-2 weeks, you may co...[Read More] Finger Numbness After Archery: Is It a Sign of Nerve Injury?
Spinal Fracture and Spinal Cord Injury Disability Assessment Guidelines
Assessment of Disability Due to Spinal Fractures and Spinal Cord Injury I previously underwent spinal surgery at your hospital and spent about a month in inpatient rehabilitation. After that, I have been hospitalized for rehabilitation at other hospitals for approximately 10 mont...
Dr. Lai Zhaokang Reply:
Hello: For general agricultural labor insurance disability assessment or the physical and mental disability handbook, it is required to wait 6 months to 1 year post-surgery, depending on the condition, before applying. I suggest you: 1. First, apply for a diagnosis certificate/me...[Read More] Spinal Fracture and Spinal Cord Injury Disability Assessment Guidelines
Understanding Inner Thigh Pain: Causes and Treatment Options
Inner thigh swelling and pain? The family member has been experiencing thigh swelling and pain for the past two to three months. Initially, the discomfort began while riding a motorcycle, where prolonged riding would cause a tingling sensation in the inner thigh. The most intense...
Dr. Lai Zhaokang Reply:
Hello: Based on your description: ........ the inner side feels like there is a lump, and it feels warm and tight; sitting or lying down doesn't hurt much, but pressing on the lump makes walking very painful........ It is suggested to first rule out a lump in the thigh (lymp...[Read More] Understanding Inner Thigh Pain: Causes and Treatment Options
Post-Craniotomy Care: How Long Should Follow-Up Treatment Last?
How long should follow-up treatment be after brain surgery due to a car accident? Hello Doctor: I would like to ask about my 8-year-old child who suffered a skull fracture on the left side due to a car accident. Emergency surgery was performed to remove the fractured bone, and tw...
Dr. Zhang Junwei Reply:
The sequelae are not related to the surgery but are associated with the initial brain injury. It depends on the severity of the brain injury at that time.[Read More] Post-Craniotomy Care: How Long Should Follow-Up Treatment Last?
Should My Mother Get a CT Scan After a Head Injury at 63?
Head injury Doctor, excuse me, I would like to ask a question. My mother is 63 years old, and on the evening of January 30th, while she was wiping the water from the refrigerator, she accidentally bumped her head against the upper refrigerator door with a loud "thud." S...
Dr. Zhang Junwei Reply:
Chronic bleeding does not occur at the moment of impact; it typically manifests around 2 to 4 weeks later. During this period, it is important to monitor the patient for any severe headaches, dizziness, nausea, vomiting, or neurological deficits. If any of these symptoms arise, s...[Read More] Should My Mother Get a CT Scan After a Head Injury at 63?
Should You Get a CT Scan After a Head Injury? A Guide for Seniors
Head injury Hello doctor, I would like to ask about my mother, who is 63 years old. On the evening of January 30th, she bumped her head against the upper refrigerator door while wiping off the water from the fridge. It made a "thud" sound, and she felt pain for a moment...
Dr. Lai Zhaokang Reply:
Hello: In cases of head trauma, the most rapid changes occur within the first three days. From January 30th to now, it has been a week, and the risk has significantly decreased. However, in elderly individuals over 60, there is a small possibility of chronic subdural hematoma, wh...[Read More] Should You Get a CT Scan After a Head Injury? A Guide for Seniors
Understanding Chronic Subdural Hematoma: Risks and Recovery Insights
Chronic subdural hematoma Hello Doctor: My father underwent a chronic subdural hematoma on January 22, initially receiving an external ventricular drain placement. On January 26, the hospital informed us that there was still a significant amount of cerebrospinal fluid, and consid...
Dr. Zhang Junwei Reply:
1. The placement of a drainage tube is recommended to not exceed one week. 2. This requires a comprehensive assessment of neurological function and a CT scan; it cannot be answered online.[Read More] Understanding Chronic Subdural Hematoma: Risks and Recovery Insights
Post-Surgery Neck Pain: Understanding Symptoms and Solutions
Cervical spine surgery pain issues? On December 28, 2021, due to degeneration of the C5-C6 and C6-C7 intervertebral discs causing nerve compression, symptoms such as arm numbness, finger numbness, and arm pain prompted cervical spine surgery. After undergoing two surgeries to rep...
Dr. Lai Zhaokang Reply:
Hello: It is suspected that the inflammation is caused by blood accumulation, but other causes cannot be ruled out. It is recommended that you consult with the surgeon who originally performed your operation as soon as possible. Please also ask him to follow up with imaging studi...[Read More] Post-Surgery Neck Pain: Understanding Symptoms and Solutions
Understanding the Risks of Multiple Concussions and Cognitive Decline
Multiple concussions Hello Doctor, I have experienced five mild concussions over the past two years, with the most recent one occurring in mid-November. Since my third concussion in March, I have been experiencing ongoing issues with attention, judgment, and memory. A CT scan sho...
Dr. Lai Zhaokang Reply:
Hello: Repeated head injuries can potentially cause subtle brain damage and may lead to functional impairments in the brain, which may not be visible on a CT scan. A CT scan provides information to the physician regarding the presence of bleeding, brain tumors, or other condition...[Read More] Understanding the Risks of Multiple Concussions and Cognitive Decline
Managing Arteriovenous Malformations: Patient Care and Future Concerns
Arteriovenous malformation (AVM) Dear Dr. Lai, Thank you for your response. I would like to provide some clarification. The patient has been suffering from the condition since their teenage years and has always been cared for by their mother. Currently, the mother drives the pat...
Dr. Lai Zhaokang Reply:
Hello: 1. If it is not possible to copy the recent CT scan disc due to the passage of time and there are no EEG report records, you can provide old discharge summaries or recent outpatient records to Changhua Hospital. You may also request the original treating physician to write...[Read More] Managing Arteriovenous Malformations: Patient Care and Future Concerns
Understanding Memory Loss and Complications After Skull Fracture
Brain issues I would like to inquire about a relative of mine who has been hospitalized for over a month due to a skull fracture. This relative is experiencing strange symptoms; every time they wake up, their memory seems to be different. The first time they woke up, their memory...
Dr. Zhao Shaoqing Reply:
Hello: Head trauma causing intracranial hemorrhage may lead to short-term or long-term memory loss, or the possibility of short-term memory impairment due to contusions. If there is a need for surgery or if there are blood clots, the likelihood of needing a second surgery after a...[Read More] Understanding Memory Loss and Complications After Skull Fracture
Understanding Hydrocephalus: Key Questions About Treatment and Surgery
Hydrocephalus specialist Dear Doctor, My mother recently underwent a CT scan due to dementia, which unexpectedly revealed issues related to hydrocephalus. After a preliminary discussion with a neurosurgeon, we have decided to proceed with a shunt placement procedure. I would lik...
Dr. Zhang Junwei Reply:
Lumbar abdominal drainage is considered a relatively new technique, and there are fewer physicians who are proficient in it, so it is advisable to inquire specifically.[Read More] Understanding Hydrocephalus: Key Questions About Treatment and Surgery
Should You Seek Medical Attention After a Head Injury?
Should you seek medical attention after hitting your head? Hello Doctor: Three days ago, I accidentally bumped the upper right side of my head while walking. At the time of the injury, I only felt pain at the impact site, with no swelling or bleeding, so I thought the situation w...
Dr. Zhao Shaoqing Reply:
Hello: After a head injury, if there are other discomfort symptoms, the patient can rest at home and undergo conservative treatment. If the patient experiences discomfort symptoms and conservative treatment is ineffective, they may seek medical attention at a hospital. Additional...[Read More] Should You Seek Medical Attention After a Head Injury?
Post-Microdiscectomy: Persistent Numbness in Buttocks and Feet Explained
Numbness in the buttocks and soles of the feet after minimally invasive lumbar spine surgery? Dear Director Lai, Hello! My mother is 71 years old and has been experiencing worsening symptoms of numbness, pain, and limping in her legs due to L4-5 spondylolisthesis. She underwent ...
Dr. Lai Zhaokang Reply:
Hello: After decompression surgery, lower limb pain improves more quickly, while numbness takes longer to resolve (numbness: indicates that the nerves were already damaged prior to surgery). It is advisable to increase the dosage of vitamin B and medications for blood circulation...[Read More] Post-Microdiscectomy: Persistent Numbness in Buttocks and Feet Explained
Understanding Nerve Conduction Studies for Hand Injury Recovery
Hand injuries Hello Doctor: I would like to ask about my father, who had a work-related accident where his right hand was caught in a machine, resulting in the amputation of all five fingers. He later underwent surgery to reattach some fingers; however, the middle finger was not ...
Dr. Zhang Junwei Reply:
The nerve conduction study room examines nerve function to identify any potential issues. Please consult the original surgeon for assistance.[Read More] Understanding Nerve Conduction Studies for Hand Injury Recovery
Understanding Aneurysm Rupture and Recovery: Key Insights for Caregivers
Ruptured cerebral aneurysm with right-sided hematoma? Hello, my mother is 59 years old and has high blood pressure. She hasn't been taking her medication regularly. On Friday night, she suffered a ruptured aneurysm and was admitted to the hospital. Her blood pressure was low...
Dr. Zhang Junwei Reply:
The questions you are asking are too complex; such inquiries require detailed neurological examinations and computed tomography imaging to provide answers.[Read More] Understanding Aneurysm Rupture and Recovery: Key Insights for Caregivers
Understanding the Recurrence Risk of Traumatic Subarachnoid Hemorrhage
The recurrence rate of traumatic subarachnoid hemorrhage? Hello Doctor, I accidentally hit my head while walking two weeks ago. At that moment, I felt fine, but four days later, I suddenly experienced severe pain in my head. I was taken to the emergency room and diagnosed with su...
Dr. Zhang Junwei Reply:
This is a traumatic subarachnoid hemorrhage, which usually can resolve on its own.[Read More] Understanding the Recurrence Risk of Traumatic Subarachnoid Hemorrhage
Understanding the Longevity and Strength of Titanium Spinal Implants
Regarding the service life of titanium alloy cervical spine plates and screws? Hello, Director Lai. I underwent spinal instrumentation surgery nearly a year ago, during which three titanium alloy plates and six screws were implanted. From the X-ray images, the titanium alloy plat...
Dr. Lai Zhaokang Reply:
Hello: Titanium alloy has become the most advanced medical material that can be found, mass-produced, and is economically viable, while being compatible with human bone, durable, and strong. Titanium alloy plates and screws are not absorbed by the body. If the plates and screws s...[Read More] Understanding the Longevity and Strength of Titanium Spinal Implants
Post-Surgery Scoliosis: Understanding Recovery Chances and Symptoms
Postoperative scoliosis? Hello, Dr. Lai. Brief summary of the condition: The patient has undergone two surgeries on the spine at the 2nd and 3rd vertebrae. The first surgery involved the installation of bone screws, but the attempt to install screws on the other side was unsucces...
Dr. Lai Zhaokang Reply:
Hello: According to your description: <..the current curvature of the scoliosis is quite severe, approximately 40 degrees...> This curvature angle is significant and there is still room for treatment. However, I recommend that you bring recent X-rays and MRI scans for a per...[Read More] Post-Surgery Scoliosis: Understanding Recovery Chances and Symptoms