Understanding Sacral Spina Bifida: Causes, Symptoms, and Management
Have you really been diagnosed with "occult spinal dysraphism of the first sacral vertebra"? Hello, I recently received a health check report indicating that my "abdominal and lumbar sacral X-ray" results show "a latent spina bifida at the first sacral ve...
Dr. Xiao Furen Reply:
It may still be necessary to review imaging studies to determine the exact issue. Even if there has been a fall, it cannot be ruled out that there is a congenital problem. Many patients with occult spinal dysraphism are asymptomatic. Since there are no obvious symptoms, it is gen...[Read More] Understanding Sacral Spina Bifida: Causes, Symptoms, and Management
Understanding Left Leg Numbness: Causes and When to Seek Help
Numbness in the left leg? I recently noticed that sometimes my left leg feels numb; it can happen after standing for a while, and it also occurs when I'm sitting. When it goes numb, I experience some pain when I walk.
Dr. Xiao Furen Reply:
If you are twenty years old, it is possible that you have a lumbar disc disorder, but other issues cannot be ruled out. Please consult a specialist for diagnosis and treatment.[Read More] Understanding Left Leg Numbness: Causes and When to Seek Help
Understanding Hyperhidrosis: Treatment Options and Surgical Insights
Some issues related to hyperhidrosis? Hello, Doctor! I am someone who suffers from palmar hyperhidrosis. I have come across some questions raised by others online that are very similar to my situation, but they remain unanswered. I would like to know the answers to these question...
Dr. Xiao Furen Reply:
1. The best results are typically achieved with T2 + T3, but compensatory sweating may be more severe. Some say that performing only T2 or T3 + T4 may result in less compensatory sweating, although I have also seen cases where T3 + T4 was performed and there was still palmar swea...[Read More] Understanding Hyperhidrosis: Treatment Options and Surgical Insights
Understanding Excessive Sweating After Neurosurgery: Risks and Recovery
Side effects I would like to ask a question. I previously visited an outpatient clinic and asked the doctor about my condition. The doctor mentioned that after surgery, I might experience excessive sweating in other areas of my body. When they refer to excessive sweating, does th...
Dr. Ding Xianwei Reply:
Hello: Generally speaking, not everyone experiences compensatory sweating, and individual perceptions may vary. However, statistics show that about one-third of patients are dissatisfied with surgical outcomes. If palmar hyperhidrosis is significantly affecting your daily life, s...[Read More] Understanding Excessive Sweating After Neurosurgery: Risks and Recovery
Can Epilepsy Patients Engage in Intense Sports Safely?
Epilepsy Hello doctor, I saw in the news today that a patient with epilepsy died suddenly while playing basketball. Are epilepsy patients not allowed to engage in vigorous exercise? Or was it due to an underlying issue? I only know that one should be cautious with dangerous activ...
Dr. Xiao Furen Reply:
In general, epilepsy patients who adhere to their medication regimen and have good control of their condition can engage in regular exercise. However, it is still advisable to avoid driving, riding a bike, or swimming to prevent potential seizures that could lead to tragic incide...[Read More] Can Epilepsy Patients Engage in Intense Sports Safely?
Overcoming Hand Paralysis from Enterovirus: Treatment Options for Children
Hand paralysis caused by enterovirus? Hello, Doctor. My son is currently 4 years old. When he was 9 months old, he contracted Enterovirus 71, which caused him to be unconscious for two to three days and led to spinal meningitis. He experienced paralysis in his left hand and left ...
Dr. Xiao Furen Reply:
It is unfortunate to see another victim of enterovirus. However, given the current situation, there are likely very few who can confidently say they can cure it. If there are indeed issues with the cervical spinal cord, the only option may be to attempt using intercostal nerves. ...[Read More] Overcoming Hand Paralysis from Enterovirus: Treatment Options for Children
Unexplained Facial Depression: Seeking Answers for Neurological Symptoms
Facial depression of unknown etiology? I have noticed a depression on my forehead over the past two years, accompanied by occasional tightness and mild pain. In cold weather, I even experience a numb sensation. Earlier this year, I visited the neurology department at Mackay Memor...
Dr. Ding Xianwei Reply:
Hello: Due to the nature of your symptoms, an in-person examination is necessary for a proper diagnosis. It is recommended that you bring your examination reports and consult with a neurospecialist at another hospital to investigate the cause. Sincerely, Dr. Ding Hsien-Wei, Neuro...[Read More] Unexplained Facial Depression: Seeking Answers for Neurological Symptoms
Understanding Scoliosis and Muscle Strain: A Guide for Back Pain Relief
Scoliosis with lumbar muscle strain? Hello Doctor, My father is about 53 years old. Recently, he has been experiencing severe lower back pain due to unexplained causes, often described as a "slipped disc." He has visited many hospitals and had X-rays taken, but there ...
Dr. Xiao Furen Reply:
In terms of diagnosis, any hospital should be able to conduct further examinations if necessary, but that hospital may not have a physician to refer you for additional tests. Muscle strains can indeed cause slight scoliosis. If medication treatment is not effective, rehabilitatio...[Read More] Understanding Scoliosis and Muscle Strain: A Guide for Back Pain Relief
Post-Accident Head Injury: Understanding Symptoms and Follow-Up Care
Head trauma from a car accident! Hello Doctor: My father, born in 1989, had a motorcycle accident two days ago, resulting in a laceration at the right hairline, which was sutured in the emergency department. However, he is exhibiting the following symptoms: 1. Since the day of th...
Dr. Chen Changmu Reply:
Hello Fifi: The symptoms mentioned, including transient amnesia, are part of the post-concussion syndrome. If no blood clots are found on the CT scan, recovery will occur on its own after rest.[Read More] Post-Accident Head Injury: Understanding Symptoms and Follow-Up Care
Exploring Advanced Treatments for Brain Tumors: Balancing Aggressive and Conservative Approaches
Brain tumor Hello doctor, I previously underwent some treatments for my brain, including radiation therapy and stereotactic radiosurgery, totaling approximately 12,000 units, which has reached saturation. After surgery to remove the tumor, most of it was necrotic. A portion that ...
Dr. Chen Changmu Reply:
Hello, the radiation therapy and surgery have been completed. It is currently recommended to continue regular follow-ups to monitor the changes in the tumor, and then discuss the next steps with your physician.[Read More] Exploring Advanced Treatments for Brain Tumors: Balancing Aggressive and Conservative Approaches
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
Effective Strategies to Help Your Partner Quit Smoking After Brain Surgery
Cerebral aneurysm My husband underwent surgery for a brain aneurysm two months ago. Fortunately, the doctor was highly skilled, and he is now recovering as usual. However, my husband is a heavy smoker, and the doctor advised him not to smoke after the surgery. Yesterday, I found ...
Dr. Chen Changmu Reply:
Hello, Amei netizen: Serving with medical expertise is the responsibility of a physician, and we appreciate your recognition of the medical community! Regarding your smoking cessation issue, factors such as smoking history, environment, willpower, and even family communication an...[Read More] Effective Strategies to Help Your Partner Quit Smoking After Brain Surgery
Understanding Cervical Disc Surgery: When to Choose Surgery Over Rehab
Cervical cone surgery issues? Dear Dr. Ding, I have a very contradictory question that I need your help with. Recently, I have been experiencing frequent neck pain, difficulty turning my head, and numbness and weakness in my left arm. I went to a large hospital in central Taiwan...
Dr. Ding Xianwei Reply:
Hello: Such questions cannot be answered online; I need your imaging studies (including X-rays and MRI of the cervical spine) and your personal consultation to provide you with an answer. Generally speaking, if there is a displacement, surgery may still be an important treatment ...[Read More] Understanding Cervical Disc Surgery: When to Choose Surgery Over Rehab
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 Bone Spurs: Expert Advice on Treatment and Nutrition
Bone spur Hello doctor, my mother's health check report indicates that she has bone spurs in her neck. May I ask: 1. Which department should she visit for bone spur treatment? 2. What dietary changes should be made? (What nutrients should be supplemented?) 3. Can she purchas...
Dr. Chen Changmu Reply:
Please cherish our online medical resources. When asking the same question, please specify only one physician or dietitian.[Read More] Understanding Bone Spurs: Expert Advice on Treatment and Nutrition
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 Neurological Changes in Psychosomatic Disorders
Hello, doctor~ Thank you~ Hello, I am a person with a neurosis and would like to ask some questions. Thank you. 1. Since I became ill, my cognitive abilities have significantly declined. Is there any change in the brain for people like us (such as degeneration...)? 2. The huma...
Dr. Chen Changmu Reply:
Most patients with neuroses do not exhibit structural abnormalities in the brain. Cognitive impairment may be related to the medications used, as long-term use can lead to further brain development without causing enlargement or compression of the opposite side of the brain. Incr...[Read More] Understanding Neurological Changes in Psychosomatic Disorders
Understanding Hypertensive Intracerebral Hemorrhage: Causes and Implications
Causes of hypertensive intracerebral hemorrhage? My friend suffered a car accident that resulted in a brain hemorrhage and is now paralyzed in bed. His family requested a medical certificate from the doctor to apply for accidental injury insurance compensation, but the diagnosis ...
Dr. Chen Changmu Reply:
A car accident itself does not cause hypertensive intracerebral hemorrhage; however, if a sudden intracerebral hemorrhage occurs while driving, leading to an accident, it is still considered an accident. As for paralysis, it may be due to the damage to brain tissue from the hemor...[Read More] Understanding Hypertensive Intracerebral Hemorrhage: Causes and Implications