Other, Neurosurgery FAQ - Page 43

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Understanding Lower Limb Pain: Causes and Solutions for Nerve Issues

Lower limb pain, numbness, and weakness? Hello Dr. Shao: I am 32 years old. Eight years ago, I started experiencing severe pain in the soles of my feet (both the forefoot and heel) and my ankles after standing for about 10 minutes. This pain radiates from the soles of my feet up ...


Dr. Shao Guoning Reply:
Ms. HUA, your issue is quite unusual. It may be related to spinal nerve problems. If both X-ray and MRI results are normal, it might be necessary to consult a neurologist or a surgical specialist. A detailed neurological examination is essential. Other objective tests, such as el...

[Read More] Understanding Lower Limb Pain: Causes and Solutions for Nerve Issues


Excessive Sweating: Causes, Solutions, and Medical Guidance

Excessive sweating Whenever the weather is humid (like before it rains) or when I feel nervous, I start to feel a heaviness in my body, and then I begin to sweat profusely (my entire head sweats a lot). I can sweat a large amount in a short time, as if I have just run a marathon....


Dr. Xu Xianda Reply:
Hello, Miss: You are sweating profusely, which is causing inconvenience. There are now effective treatment methods available. By using an endoscope to perform a partial ablation of the thoracic sympathetic nerve, significant improvement can be achieved. This surgical method invol...

[Read More] Excessive Sweating: Causes, Solutions, and Medical Guidance


Managing Persistent Symptoms After Carpal Tunnel Surgery: Next Steps

Carpal tunnel syndrome Hello, my mother had surgery for carpal tunnel syndrome at the end of February, but her hand is still numb, and there is not much difference compared to before the surgery. The doctor had recommended the surgery to her ten years ago, but she only went throu...


Dr. Shao Guoning Reply:
Hello, Miss Duck. The prognosis of carpal tunnel syndrome is related to the duration and severity of median nerve compression, as well as the presence of muscle atrophy. Electromyography (EMG) and nerve conduction studies can provide objective indicators. Generally speaking, the ...

[Read More] Managing Persistent Symptoms After Carpal Tunnel Surgery: Next Steps


Understanding the Differences Between Traditional and Endoscopic Surgery for Axillary Odor

Bromhidrosis Hello Dr. Ding, I would like to ask about the differences between traditional surgery and endoscopic surgery for axillary hyperhidrosis, as well as their costs and wound healing times. I only notice an odor when I sweat, and I am the only one who can smell it. Would ...


Dr. Ding Xianwei Reply:
Actually, hyperhidrosis is more effectively treated with endoscopic surgery in more severe cases; otherwise, traditional subcutaneous follicle excision surgery is more effective.

[Read More] Understanding the Differences Between Traditional and Endoscopic Surgery for Axillary Odor


Understanding Lumbar Spondylolisthesis: Insurance Approval and Treatment Options

Lumbar spondylolisthesis I understand you are busy, but I must ask again whether the application for lumbar spine fixation under the National Health Insurance has been approved. You can imagine my mixed feelings of hope and fear of being hurt; these days are quite difficult. You ...


Dr. Shao Guoning Reply:
We apologize, but your application has not yet been approved. Your condition requires a thorough decompression surgery. Due to the need for another surgery, it is inevitable that spinal instability will occur (there is currently a slight dislocation). Therefore, in addition to de...

[Read More] Understanding Lumbar Spondylolisthesis: Insurance Approval and Treatment Options


Understanding Oral Infections and Their Link to Brain Tumors: Key Insights

Brain tumor Hello Doctor: I recently underwent surgery and have been experiencing frequent dizziness, which led me to seek an examination at Kaohsiung Veterans General Hospital. After various tests conducted by the physician, a black mass (approximately 2 cm) was discovered in my...


Dr. Hong Xuyi Reply:
The content you described is unclear (it is uncertain whether it is a brain abscess or another issue). If it is a brain abscess, tooth extraction could be a potential pathogenic factor (oral bacteria may infect brain tissue through the bloodstream); the role of oral sex is unknow...

[Read More] Understanding Oral Infections and Their Link to Brain Tumors: Key Insights


Understanding Sciatica: Symptoms, Diagnosis, and Specialist Consultations

Sciatica? Hello Dr. Ding, My father is 71 years old and generally in good health, but in recent years, he has been experiencing difficulty with his left knee when going down stairs, although he has no issues going up. Recently, after descending stairs, he often feels numbness on...


Dr. Ding Xianwei Reply:
Based on your description of your father's symptoms, there may be two issues: one is degenerative arthritis of the left knee, and the other could be lumbar spinal stenosis causing nerve compression, which leads to intermittent claudication. However, this assessment is based ...

[Read More] Understanding Sciatica: Symptoms, Diagnosis, and Specialist Consultations


Understanding Coccydynia: Causes, Symptoms, and Treatment Options

Coccygeal disc herniation Hello Dr. Hong: This year, I discovered a small protrusion near my coccyx, which often causes pain, especially when sitting or even while riding a bike. I had a history of sciatica several years ago. Could you please advise if the protrusion in the coccy...


Dr. Hong Xuyi Reply:
The coccyx is not related to the sciatic nerve; is there a deformity? A preliminary assessment can be made through X-ray examination. Generally, it is often caused by trauma, and the treatment principle is conservative therapy (non-surgical treatment).

[Read More] Understanding Coccydynia: Causes, Symptoms, and Treatment Options


Understanding Unusual Headaches: Causes and Solutions

Strange headache Hello: I have been experiencing headaches for the past six months, mostly concentrated in the area from my forehead to the top of my head. Each time, it feels like my head is heavy and hard, as if it has been soaked in water. I also feel weak all over and often e...


Dr. Shao Guoning Reply:
The symptoms of headaches vary from person to person; some individuals may experience vomiting, dizziness, or even temporary vision loss during an episode. The manifestations of headaches can be quite diverse. Approximately 95% of headaches have no identifiable cause, and brain t...

[Read More] Understanding Unusual Headaches: Causes and Solutions


Is It Safe for My 12-Year-Old to Undergo Hand Sweat Surgery?

Can hand sweating surgery be performed during the developmental stage? I have inherited my mother's symptoms of palmar hyperhidrosis since childhood, which has caused various inconveniences in social situations and daily activities for many years. Eight years ago, I underwen...


Dr. Ding Xianwei Reply:
If you have already undergone surgery, you should understand the effects of surgery for hyperhidrosis and the potential side effects of compensatory sweating. However, a 12-year-old child is still too young, and it is not recommended to proceed with surgery at this age. It is adv...

[Read More] Is It Safe for My 12-Year-Old to Undergo Hand Sweat Surgery?


Can Surgery Cause Brain Hemorrhage? Understanding Risks and Complications

Can surgery cause a brain hemorrhage? Hello: My mother had a subarachnoid hemorrhage in her brain six years ago. Recently, she was diagnosed with stage 0 cervical cancer and underwent a hysterectomy. Post-surgery, she has been experiencing abdominal distension but no other sympto...


Dr. Hong Xuyi Reply:
Hello, there are many causes of shock. Whether what occurred was indeed shock and the reasons for it cannot be clarified with just a few words online. I recommend discussing this in detail with your attending physician to obtain a clearer explanation.

[Read More] Can Surgery Cause Brain Hemorrhage? Understanding Risks and Complications


Understanding Herniated Discs: Treatment Options and Surgical Insights

Herniated disc Due to a previous experience of excessive exercise-related injury to my lower back, I underwent an MRI at Chang Gung Memorial Hospital in Taipei, where the doctor diagnosed me with a herniated disc. However, after resuming physical activities during the summer sess...


Dr. Shao Guoning Reply:
Hello Mr. Zhu, You are a typical case of sciatic nerve pain that requires treatment. A CT scan or MRI can reveal the extent of nerve compression. If it is due to a herniated disc, surgery is the only way to completely resolve the issue. Currently, microsurgery or endoscopic sur...

[Read More] Understanding Herniated Discs: Treatment Options and Surgical Insights


Understanding Craniotomy: Risks and Recovery After Stroke Surgery

Stroke Due to a stroke causing increased intracranial pressure, a craniectomy was performed, which poses a life-threatening risk. After this surgery, is it necessary to reattach the bone? If the bone is not replaced, what other complications might arise?


Dr. Hong Xuyi Reply:
Hello, Ms. Mulan. Generally speaking, whether to perform cranioplasty after craniectomy or to reimplant autologous bone grafts from other sites depends on several factors. The primary indication is that the patient is able to mobilize (such as sitting in a wheelchair or undergoin...

[Read More] Understanding Craniotomy: Risks and Recovery After Stroke Surgery


Effective Exercises for Recovery from Herniated Discs: A Guide

Disc herniation In late December 2000, I experienced severe back pain that rendered me immobile, akin to being in a vegetative state, lying in bed unable to move. Any movement would cause excruciating pain in my lower back, making me feel worse than death. After spending four day...


Dr. Hong Xuyi Reply:
Hello FANG, there are several common causes of lower back pain in young people. One is a sprain that leads to tendon inflammation, and another is a herniated disc. A herniated disc can compress the nerve roots, resulting in back pain and sciatica. Different locations of the herni...

[Read More] Effective Exercises for Recovery from Herniated Discs: A Guide


Understanding the Risks: Neck Impacts and Brain Injury Concerns

Neck In the past, I often played around with friends, frequently hitting each other on the back of the neck. Recently, I came across a report stating that this could lead to brain injuries, which has made me very concerned. I am unsure if this is true, and it has led me to questi...


Dr. Shao Guoning Reply:
Hello, if the neck is injured and the internal carotid artery or vertebral artery is affected, it can immediately cause dizziness due to ischemic symptoms. If there are no such symptoms, there is no need to worry.

[Read More] Understanding the Risks: Neck Impacts and Brain Injury Concerns


Understanding Sciatica: Causes of Pain and Weakness in the Left Leg

I'm sorry If you experience pain in the lumbar region after sitting or standing for a prolonged period, along with occasional numbness and weakness in your left leg, it may be indicative of a condition such as lumbar radiculopathy or sciatica. These conditions can occur due ...


Dr. Shao Guoning Reply:
Ms. Momo experiences numbness and weakness in her left leg when bending over, which may indicate a spinal issue. A thorough examination is necessary, as compression of the spinal nerves can manifest as pain, tingling, numbness, or tightness in the legs or buttocks. In severe case...

[Read More] Understanding Sciatica: Causes of Pain and Weakness in the Left Leg


Possible Causes of Ear Pain and Other Symptoms in Hearing-Impaired Individuals

Recently, I have been feeling a fullness in my ears and some mild pain? A week ago, I noticed swelling in my groin lymph nodes accompanied by symptoms such as fever, dizziness, and blurred vision. I went to a gynecologist for an examination, but no issues were found. I have not e...


Dr. Ding Xianwei Reply:
Based on the symptoms you described, it does not seem to be sciatica; it appears more like an infection in the leg or foot, possibly combined with cellulitis. I recommend consulting a surgeon for a definitive diagnosis. As for the ear issue, it may also be related to inflammation...

[Read More] Possible Causes of Ear Pain and Other Symptoms in Hearing-Impaired Individuals


Managing Complications After Lumbar Spine Fracture Surgery

Lumbar vertebral compression fracture? Dear Dr. Ding: In May 1999, I accidentally fell and sustained a comminuted fracture of the lumbar vertebrae. Since the surgery, I have experienced five episodes of infection, resulting in five surgeries. Now, I am facing another recurrence, ...


Dr. Ding Xianwei Reply:
After an injury, the body's defense mechanisms against external infections (i.e., immunity) are compromised. Therefore, the risk of infection during emergency surgery following an injury is higher than that of routine surgeries, with some procedures having infection rates ex...

[Read More] Managing Complications After Lumbar Spine Fracture Surgery


Understanding Nerve Compression from Spinal Issues: Risks and Treatment Options

Spinal nerve compression Dr. Ding: Hello! My mother is 65 years old and has been experiencing leg numbness for many years. She has been diagnosed with spinal curvature, bone spurs, and nerve compression at the coccyx. Could you please tell me the success rate and risks associated...


Dr. Ding Xianwei Reply:
Regarding your inquiry, due to incomplete information, we are unable to provide specific recommendations. You may refer to the article by Dr. Lin Yan-Cheng, the Director of Neurosurgery at Taoyuan Hospital, Department of Health, on our hospital's website (www.tygh.gov.tw), w...

[Read More] Understanding Nerve Compression from Spinal Issues: Risks and Treatment Options


Understanding Coma After Brain Injury: Options and Prognosis

Traumatic Brain Injury - Coma Hello, my father-in-law (72 years old) suffered a brain injury due to a car accident on October 20, resulting in a cerebral contusion. After surgery performed by Dr. Wan-Chun Cheng at Taoyuan Min-Sheng Hospital, the blood clot has been removed, but h...


Dr. Ding Xianwei Reply:
Head trauma occurs at the time of injury. The role of a neurosurgeon is to prevent secondary injury. Surgical intervention can address issues related to hematoma compressing the brain, but areas of the brain that have already been injured are difficult to recover. Therefore, the ...

[Read More] Understanding Coma After Brain Injury: Options and Prognosis


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