Understanding Piriformis Syndrome: Treatment Options and Risks
Piriformis syndrome is a condition characterized by pain in the Hello, Doctor: I have pain in my hip and cannot sit, especially at the ischial tuberosity, which hurts more when sitting. I have been diagnosed with Piriformis Syndrome and Myofascial Pain. I initially started physic...
Dr. Ding Xianwei Reply:
Hello: It is recommended that you avoid prolonged standing or sitting, and engage in exercises to strengthen the back and abdominal muscles. The RF treatment method requires a detailed assessment to determine its suitability. Sincerely, Dr. Ding Hsien-Wei, Neurology.[Read More] Understanding Piriformis Syndrome: Treatment Options and Risks
Post-Surgery Risks and Complications of Lumbar Disc Herniation: A Patient's Concern
Lumbar disc herniation (L2, L4) has been surgically treated due to nerve compression. If a recurrence occurs requiring another surgery, what are the potential postoperative complications, and is the risk of a second surgery high? Thank you! I am a 34-year-old female who has under...
Dr. Ding Xianwei Reply:
Ms. Chuang: Hello! Due to a herniated disc (L2-L4) compressing the nerves, I underwent surgery. The doctor advised against pregnancy. It has been over two years since the surgery, and I have been diligently doing rehabilitation, but my body still feels very weak, with my legs exp...[Read More] Post-Surgery Risks and Complications of Lumbar Disc Herniation: A Patient's Concern
Understanding Persistent Nighttime Back Pain: Possible Causes and Solutions
Persistent tightness and pain in the entire back for three months? Hello, doctor. I would like to ask about a back pain issue that has been bothering me for a long time. My back pain has lasted for about three months. I have seen a doctor and had an X-ray done, which showed no is...
Dr. Qiu Yushu Reply:
Hello: Based on what you have described, it does not seem to be a neurological issue. Are there any gynecological or urological problems? (Pain caused by neurological issues is rarely limited to just the back.) Best wishes, Dr. Yu-Shu Chiu.[Read More] Understanding Persistent Nighttime Back Pain: Possible Causes and Solutions
Understanding Mild Hallucinations After Cerebellar Hemorrhage Recovery
Cerebellar hemorrhage has gradually improved, but there are occurrences of mild hallucinations? Hello Doctor: My mother experienced cerebellar hemorrhage and brainstem hemorrhage on July 25 (I have previously asked about this). She is gradually improving now (although she still h...
Dr. Ding Xianwei Reply:
Hello: Your issue is likely not closely related to cerebellar hemorrhage. Her symptoms resemble those of dementia, and a detailed examination and treatment may be necessary to understand the true cause. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Mild Hallucinations After Cerebellar Hemorrhage Recovery
Understanding Cerebellar and Brainstem Hemorrhage: A Patient's Journey
Cerebellar and brainstem hemorrhage Hello Doctor: My mother, who requires dialysis three times a week, was admitted to the intensive care unit at Xindian Gengxin Hospital on July 25 due to near-fainting. She was diagnosed with a small amount of bleeding in the cerebellum and brai...
Dr. Ding Xianwei Reply:
Hello: For your symptoms of limb weakness, it is recommended that you consult a rehabilitation specialist. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Cerebellar and Brainstem Hemorrhage: A Patient's Journey
Understanding Post-Head Injury Swelling in Children: What to Know
Swelling after a head injury? My daughter (7 years old) bumped the back of her head while playing two weeks ago. That day, it was red, swollen, and painful. Three days later, since she felt a slight bulge at the injury site and it was still painful when pressed lightly, I took he...
Dr. Ding Xianwei Reply:
Hello: We recommend that you take her to our neurosurgery outpatient clinic for better assistance. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Post-Head Injury Swelling in Children: What to Know
Can Sympathetic Nerve Ablation Be Reversed? Solutions for Compensatory Sweating
Can the sympathetic nerve recover after ablation? Hello Dr. Ding: Due to my concern with axillary bromhidrosis, I am considering treating my palmar hyperhidrosis to alleviate the sweating symptoms under my arms. My palmar hyperhidrosis is quite mild, but since the treatment for b...
Dr. Ding Xianwei Reply:
Hello: It may not be possible to recover, but medication might be able to address your issue. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Can Sympathetic Nerve Ablation Be Reversed? Solutions for Compensatory Sweating
Managing Chronic Back Pain: Insights from Neurosurgery Experts
Chronic back pain Hello Doctor: I have a question. My mother has been experiencing chronic pain in her back, and the location of the pain changes daily. Previously, she sought treatment at a major hospital for this symptom and underwent surgery (the doctor indicated it was due to...
Dr. Qiu Yushu Reply:
Chronic back pain that shifts in location is not significantly related to nerve compression; it is more associated with conditions such as tendonitis and other soft tissue inflammation. Rehabilitation therapy is the preferred treatment. For discussing your condition, it is advisa...[Read More] Managing Chronic Back Pain: Insights from Neurosurgery Experts
Unexplained Severe Pain: Seeking Answers for Persistent Leg Discomfort
Severe pain with no identifiable cause? My father has been experiencing shooting pain starting from his toes for the past two years. Initially, he didn't pay much attention to it, thinking it was related to his work, so he didn't seek medical attention. Gradually, the p...
Dr. Ding Xianwei Reply:
Hello: Your information is not sufficient for a diagnosis at this time. However, based on your medical seeking habits, it seems that visiting too many hospitals may have caused you more confusion. I recommend that you choose a physician you trust and establish a long-term relatio...[Read More] Unexplained Severe Pain: Seeking Answers for Persistent Leg Discomfort
Understanding Leg Pain and Numbness: Is It Sciatica?
Foot pain and numbness? Hello, doctor. I often experience pain and numbness in the lower part of my right calf, especially when standing for long periods or lifting heavy objects. The pain and numbness become more severe during those times. This condition has persisted for over a...
Dr. Qiu Yushu Reply:
Hello: Please visit the outpatient clinic for an examination to understand your true condition. Best wishes, Dr. Yu-Shu Chiu.[Read More] Understanding Leg Pain and Numbness: Is It Sciatica?
Understanding Intermittent Arm Pain: When to See a Specialist
The hand experiences intermittent sharp pain? I have been experiencing intermittent sharp pain in my left hand, extending from my fingertips to my upper arm, for the past month. It doesn't feel like muscle soreness, and I don't experience numbness when I exert force, bu...
Dr. Qiu Yushu Reply:
Hello: It is best to visit the outpatient clinic for an examination by a neurologist to determine if further tests such as electromyography (EMG) and nerve conduction studies are necessary. Best wishes, Dr. Yu-Shu Chiu.[Read More] Understanding Intermittent Arm Pain: When to See a Specialist
Understanding Disc Herniation: Surgery Risks and Recovery Insights
Herniated disc Hello Dr. Chiu, In 2002, I experienced lower back pain and pain in my right thigh. I underwent an MRI, which revealed a herniated disc at the L4-L5 level that was compressing a nerve. After undergoing rehabilitation (including heat therapy, electrical stimulation,...
Dr. Qiu Yushu Reply:
Hello: If there is a clear diagnosis of a herniated intervertebral disc confirmed by MRI, surgical treatment is usually the best option. Generally, a microsurgical approach is used, with an incision of about 3-4 centimeters and only one incision. Patients can typically be dischar...[Read More] Understanding Disc Herniation: Surgery Risks and Recovery Insights
Understanding Hydrocephalus: Recovery, Treatment Options, and Prognosis
About hydrocephalus? Dear Doctor, My uncle underwent a minor surgery where a programmable valve was implanted in his brain. It has been less than two months, and his condition seems to have shown no progress; he still appears to have low energy. He developed hydrocephalus due t...
Dr. Qiu Yushu Reply:
Hello: As you mentioned, I am not aware of his detailed medical condition. It is best to visit the outpatient clinic for an examination to understand his condition and arrange for further tests. Best wishes. Dr. Yu-Shu Chiu[Read More] Understanding Hydrocephalus: Recovery, Treatment Options, and Prognosis
Understanding Lumbar Disc Herniation: Pain Management and Surgical Options
Lumbar disc herniation at the L5 level? Hello Doctor, I have been experiencing persistent pain in my left buttock and left ankle due to a herniated disc at the fifth lumbar vertebra. I only became aware of this condition in the past two years, but I have had symptoms for nearly t...
Dr. Ding Xianwei Reply:
Hello: Based on your information, I cannot provide you with better advice. However, generally speaking, if there are obvious symptoms of nerve root compression, the possibility of surgery should be considered. I recommend that you seek outpatient treatment. Sincerely, Dr. Ding Hs...[Read More] Understanding Lumbar Disc Herniation: Pain Management and Surgical Options
Understanding Muscle Control Issues: When Brain Power is Needed for Strength
Muscles have difficulty exerting force regularly? I usually have difficulty exerting muscle strength, and I need to use my brain to control my movements. When I stand, only my calves are firm, while my thighs and glutes are completely soft. The softness is such that when I press ...
Dr. Qiu Yushu Reply:
Hello: Based on what you have reported, you still have room for improvement. Being able to do push-ups and ride a bike indicates that your muscle strength should be fine. Otherwise, please visit a neurologist for an electromyography (EMG) examination. Best wishes, Dr. Yu-Shu Chiu...[Read More] Understanding Muscle Control Issues: When Brain Power is Needed for Strength
Understanding Neck Pain: Symptoms, Causes, and Treatment Options
Neck pain I think I may have strained my neck while exercising. At first, it wasn't too bad, but after about two to three days, I started to feel soreness if I maintained the same position for too long. Then, after another two to three days, the middle to lower part of my le...
Dr. Ding Xianwei Reply:
Hello: Bone spurs are just osteophytes seen on X-rays and may not necessarily be related to your symptoms. Your symptoms could be due to an acute cervical disc herniation, but please consult with a specialist in the outpatient clinic for further evaluation. Sincerely, Dr. Ding Hs...[Read More] Understanding Neck Pain: Symptoms, Causes, and Treatment Options
Understanding Sciatica and Disc Herniation: When to Consider Surgery
Lower back pain Hello Doctor: After a car accident at the age of 18, I have experienced persistent lower back pain, numbness in the sole of my right foot, and difficulty standing or sitting for long periods, as well as walking for extended durations. Walking for a while causes a ...
Dr. Qiu Yushu Reply:
Hello: The symptoms you described do seem to indicate spinal stenosis. An MRI should clearly reveal the areas of narrowing. If the symptoms are severe and affecting your daily life, surgery is the best solution. Best wishes, Dr. Yu-Shu Chiu.[Read More] Understanding Sciatica and Disc Herniation: When to Consider Surgery
Understanding Symptoms of Herniated Discs: When to Seek Treatment
Inquiry about symptoms of herniated disc? Hello, Doctor: I was initially diagnosed with symptoms of a herniated disc at the end of last year. It wasn't until November of last year that the military medical examination at the 804 Military Hospital confirmed my herniated disc ...
Dr. Ding Xianwei Reply:
Hello: Since I have not personally examined you or reviewed your imaging studies, I cannot provide specific recommendations regarding your herniated disc. However, concerning rehabilitation and playing sports, if you feel more comfortable after rehabilitation, you may continue; o...[Read More] Understanding Symptoms of Herniated Discs: When to Seek Treatment
Understanding Sudden Head Pain and Swelling: When to Seek Help
Swelling on the head with throbbing pain? On April 23, I suddenly experienced sharp pain in my head. By April 24, it returned to normal. Around April 26 and 27, the sharp pain started again, and I noticed a small bump on the top of my head at the site of the pain. The forehead ar...
Dr. Qiu Yushu Reply:
Hello: Tumors rarely grow rapidly within a few days, but based on your description, it is difficult to determine your exact condition. I recommend discussing this further with your physician or asking them for a referral for further evaluation. Thank you, Dr. Hong Hsu-Yi.[Read More] Understanding Sudden Head Pain and Swelling: When to Seek Help
Understanding Neurological Symptoms After Medication Withdrawal
Feeling a bit off mentally? Doctor: I have been on medication at Chang Gung Memorial Hospital's psychiatry department for over two years, receiving long-acting injections every four weeks and taking two pills. However, I have stopped the medication for seven days, and I feel...
Dr. Ding Xianwei Reply:
Hello: Your symptoms are likely related to your psychiatric treatment. It is recommended that you follow up with your psychiatrist. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Neurological Symptoms After Medication Withdrawal