Electric Shock Sensation in Thumb: Possible Nerve Issue Explained
There is a tingling sensation in the thumb? Recently, I have been experiencing a tingling and electric shock-like sensation in my right thumb when washing my hands with cold water. However, this sensation does not occur when I use warm water during a shower. The tingling and pain...
Dr. Lai Zhaokang Reply:
Hello: 1. It is suspected to be a peripheral circulation issue, possibly combined with fasciitis or nerve compression, which requires further examination for confirmation. 2. Based on your description, the symptoms are not severe. It is recommended to start with heat therapy or p...[Read More] Electric Shock Sensation in Thumb: Possible Nerve Issue Explained
Post-Concussion Symptoms: When to Seek Further Medical Attention
Post-concussion syndrome? On the 6th, I slipped and hit the back of my head. Initially, I had no symptoms, but starting the next day, I experienced intermittent nausea and a feeling of wanting to vomit (without weakness in my limbs, headache, drowsiness, confusion, or blurred vis...
Dr. Zhao Shaoqing Reply:
You can visit the neurosurgery outpatient clinic for consultation.[Read More] Post-Concussion Symptoms: When to Seek Further Medical Attention
Understanding the Impact of Head Injuries on Lower Limb Pain
Consultation Inquiry Hello Doctor: I sustained a head injury from a car accident (right side head trauma with right cheek contusion and mild subarachnoid hemorrhage on the left side) and have been resting for over a month. I would like to ask if my head injury could affect the te...
Dr. Lai Zhaokang Reply:
Hello: Your questions: 1. Will a head injury affect the tendon in my right heel? Theoretically, no. 2. I experience a stretching pain in the tendon at the back of my right heel when I squat or kneel. It is suspected to be a soft tissue injury in the right heel. It is recommended ...[Read More] Understanding the Impact of Head Injuries on Lower Limb Pain
Managing Non-Healing Wound After Screw Loss in Neurosurgery Patients
After the appearance of serous fluid in the head, the screw fell out. The wound was cleaned with saline and Betadine, but serous fluid still appeared and the wound has not healed? Twenty years ago, I had a car accident that required one surgery to perform a craniotomy to remove a...
Dr. Zhang Junwei Reply:
It doesn't matter what medication is applied; it's important to have a physician identify the underlying cause of the non-healing wound.[Read More] Managing Non-Healing Wound After Screw Loss in Neurosurgery Patients
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 Right Foot Pain: When to See a Specialist?
Soreness in the right foot sole? Initially, there was a strain in the left foot, and after gradually recovering, symptoms of soreness began to appear in other areas, currently in the right foot. At first, certain areas of the foot's sole were noticeably sore. I visited a reh...
Dr. Lai Zhaokang Reply:
Hello: It is recommended to consult with 1. the Rehabilitation Department for a follow-up ultrasound and to arrange for physical therapy or injection treatment. 2. You may also consider seeing a specialist in Orthopedics: Foot and Ankle or Sports Medicine. Wishing you a speedy re...[Read More] Understanding Right Foot Pain: When to See a Specialist?
Understanding Pituitary Prolactinoma: Treatment Options and Concerns
Prolactinoma Hello Doctor: My wife was diagnosed with a 0.4 cm prolactinoma five years ago after experiencing amenorrhea. She had some bleeding at that time, which has since resolved. She has been on Dostinex, which has effectively controlled the tumor, and there has been some sh...
Dr. Zhang Junwei Reply:
Before answering the questions, please note that the responses are for reference only due to the lack of detailed medical history and imaging reports. 1. No, medication can be taken for observation. 2. It will likely be absorbed on its own. 3. It may be permanent. 4. No obvious c...[Read More] Understanding Pituitary Prolactinoma: Treatment Options and Concerns
Returning to Work After Mild Brain Injury: Key Recovery Insights
I would like to consult about issues related to brain injury? Hello, Doctor! According to your response that "the most important thing for a concussion is rest, and it will naturally recover over time," I would like to ask how much longer it might take before I can retu...
Dr. Zhang Junwei Reply:
Mild subarachnoid hemorrhage typically allows for a full recovery to previous levels of activity after a period of rest.[Read More] Returning to Work After Mild Brain Injury: Key Recovery Insights
Understanding Recurrent Hydrocephalus: Long-Term Management and Concerns
The condition of hydrocephalus is recurrent? Hello Doctor: My mother (65 years old) underwent a ventriculoperitoneal shunt surgery for hydrocephalus in June of this year. She has been regularly returning for follow-up appointments to assess her postoperative condition and determi...
Dr. Zhang Junwei Reply:
Theoretically, with the presence of a ventriculoperitoneal shunt, continuous drainage of cerebrospinal fluid can be maintained, significantly reducing the likelihood of developing hydrocephalus again.[Read More] Understanding Recurrent Hydrocephalus: Long-Term Management and Concerns
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
Understanding Coma and Surgical Options for Brain Hemorrhage Patients
Cerebral hemorrhage with a hematoma, undergoing drainage surgery, with a Glasgow Coma Scale score of 3? Hello, I apologize for disturbing the doctor during work and rest hours. My younger brother, who is 46 years old and was born in the Year of the Snake, had a family gathering o...
Dr. Zhang Junwei Reply:
Without a detailed neurological examination and computed tomography assessment, it is difficult to provide an accurate answer. However, if the coma scale is indeed 3, the chances of recovery are very low, and even if recovery occurs, there will likely be severe neurological defic...[Read More] Understanding Coma and Surgical Options for Brain Hemorrhage Patients
Understanding Subdural Hematoma Recovery After Motorcycle Accident
Subdural hematoma and cerebellar hemorrhage due to a car accident; the patient was unconscious prior to hospital admission. Craniotomy was performed on October 20. Currently, the patient is at E1M2V? Hello, doctor. My friend's mother had a motorcycle accident in mid-October,...
Dr. Zhao Shaoqing Reply:
Currently, the structure is classified as 4, indicating severe reconstruction with a complex condition requiring hospitalization. You may use the hospitalization as a basis for assessing the imaging CD and inquire about subsequent treatment at the outpatient clinic. The Ministry ...[Read More] Understanding Subdural Hematoma Recovery After Motorcycle Accident
Post-Disc Surgery: Managing Leg Numbness and Swelling Concerns
Postoperative foot numbness and swelling after herniated disc surgery? Hello Doctor, I would like to consult you regarding my condition. I underwent endoscopic decompression and discectomy surgery on September 26 due to L4-L5 stenosis and L5-S1 herniation. Prior to the surgery, I...
Dr. Lai Zhaokang Reply:
Hello: 1. It is recommended to continue rehabilitation therapy, take B12 and vitamin supplements, undergo acupuncture, apply heat therapy, and engage in self-exercise training for 3-6 months. 2. If budget allows, consider consulting for hyperbaric oxygen therapy. 3. If budget all...[Read More] Post-Disc Surgery: Managing Leg Numbness and Swelling Concerns
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 Coil Embolization for Brain Aneurysms: Key Questions Answered
Embolization coil Hello, doctor. A relative of mine has been diagnosed with an early-stage cerebral aneurysm. The doctor recommended endovascular coil embolization as a minimally invasive treatment. At the time, the person was too anxious and forgot to ask the doctor some questio...
Dr. Zhang Junwei Reply:
1. Remain in the brain, not to be removed. 2. There are coils available for MRI. 3. Same as above.[Read More] Understanding Coil Embolization for Brain Aneurysms: Key Questions Answered
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
Is There a Link Between Herniated Discs and Muscle Twitching?
Is there a relationship between herniated discs and muscle twitching issues? Hello, Director Lai. I have been experiencing abnormal twitching in the muscles of my calves since mid-year, which led me to seek medical attention. I underwent nerve conduction studies (NCS) and electro...
Dr. Lai Zhaokang Reply:
Hello: 1. The relationship should not be significant. 2. The calf muscles are still twitching intermittently, which may indicate other issues, such as electrolyte imbalance, blood circulation, muscle strain, posture, or temperature. Soaking your feet in warm water can help. Discu...[Read More] Is There a Link Between Herniated Discs and Muscle Twitching?
Understanding Cervical and Lumbar Disc Compression Symptoms
Cervical and lumbar spine compression? About 8-9 years ago, I underwent an MRI examination which revealed herniated discs at the C3-4-5-6 levels causing compression. At that time, my main symptoms included numbness and pain in my left arm and fingers, along with occasional tingli...
Dr. Zhang Junwei Reply:
Herniated discs can occur on both sides, and the symptoms may be intermittent.[Read More] Understanding Cervical and Lumbar Disc Compression Symptoms
Understanding Numbness in the Second Toe: Causes and Treatment Options
Numbness in the second toe? About two months ago, I noticed decreased sensation in the second toe of my right foot. I initially thought it was due to diabetes, but blood tests came back normal. After a month, the sensation in the second toe of my left foot suddenly decreased and ...
Dr. Zhang Junwei Reply:
Symptoms are mild; an MRI can be performed for confirmation. A consultation with a neurosurgery outpatient clinic is recommended.[Read More] Understanding Numbness in the Second Toe: Causes and Treatment Options