Understanding Head Injuries After a Slip in the Bathroom: When to Seek Help
Slipping in the bathroom? Hello Doctor: Recently, my friend accidentally slipped in the bathroom and fell directly on her buttocks, after which she fainted (with her eyes rolling back) and appeared to have a seizure. She also accidentally hit her head. Later, she went to the emer...
Dr. Ding Xianwei Reply:
It is recommended that you consult a neurosurgeon or a neurologist.[Read More] Understanding Head Injuries After a Slip in the Bathroom: When to Seek Help
Understanding Neck Pain After Concussion: Recovery Timeline and Concerns
Neck discomfort or soreness? Hello, doctor. About 50 days ago, I had a motorcycle accident and experienced a concussion at that time. After more than 50 days, other injuries have lessened, and my dizziness has improved by about half. However, I still have some soreness in the rig...
Dr. Ding Xianwei Reply:
Since I have not personally treated you, I can only provide suggestions based on your information. Approximately 15-17% of patients with head trauma may have cervical spine injuries, and sometimes symptoms may take about six weeks to three months to manifest. Therefore, it is pos...[Read More] Understanding Neck Pain After Concussion: Recovery Timeline and Concerns
Post-Surgery Complications: Managing Neck Pain and Weakness
Postoperative complications of cervical spine surgery? Dear Dr. Ding, I went to the emergency room at the end of May last year due to physical discomfort, during which I experienced some numbness in my right hand. After resting in the hospital, my condition improved, and followi...
Dr. Ding Xianwei Reply:
Due to the incomplete nature of your information and the fact that you have not been seen in person, I can only provide suggestions based on experience. Your description could potentially indicate symptoms of hand numbness caused by a minor stroke, which may not have been detecte...[Read More] Post-Surgery Complications: Managing Neck Pain and Weakness
Understanding Delayed Symptoms of Concussion After Head Trauma
Head injury with concussion? Hello Dr. Ding: My nephew was involved in a rear-end collision while driving without maintaining a safe distance. After police intervention, neither party required medical attention at the scene. About 6 to 7 days later, the other party called to repo...
Dr. Ding Xianwei Reply:
Due to the lack of direct examination, this response is based solely on experience. A concussion is the mildest form of head injury. According to Wikipedia, "A concussion is a common and relatively mild brain injury that occurs when a person experiences a sudden impact or jo...[Read More] Understanding Delayed Symptoms of Concussion After Head Trauma
Chronic Thigh Numbness: When to See a Neurosurgeon for Help?
Numbness occurs in the outer side of the left thigh when standing for long periods or lying flat? The symptoms have been present for 8-9 years, possibly due to a fall while sitting on the stairs, which may have caused an injury to the lumbar spine. I have visited many orthopedic ...
Dr. Xie Bojun Reply:
Dear KVA: If there is a history of injury, it must be monitored. Generally, an initial X-ray will be performed, and if there are no neurological symptoms, further arrangements for an MRI will not be made. If medication and rehabilitation (conservative treatment) lead to improveme...[Read More] Chronic Thigh Numbness: When to See a Neurosurgeon for Help?
Minimally Invasive Surgery for Facial Blushing: Options in Taiwan
Surgery for treating facial blushing? Hello, doctor. I have been prone to blushing easily since childhood. I tend to blush during embarrassing situations or when I feel awkward, which causes me significant psychological stress. I often worry about whether I will blush uncontrolla...
Dr. Lai Zhaokang Reply:
1. Endoscopic sympathetic nerve block is typically performed under general anesthesia. Small incisions of approximately 1 cm are made on both sides of the axilla, through which an endoscope is inserted into the thoracic cavity to block specific sympathetic nerves located at the a...[Read More] Minimally Invasive Surgery for Facial Blushing: Options in Taiwan
Understanding Left Shoulder Blade Pain and Hand Numbness: A Guide
Pain in the left scapula accompanied by hand numbness? Hello doctor, I started experiencing back pain six months ago. Since I have a sedentary job, I began exercising and stretching to improve the situation. However, over two months ago, I started to feel numbness, tingling, and ...
Dr. Ding Xianwei Reply:
Based on the information provided, it appears that there may be issues with your cervical spine. However, just because the examination did not reveal any problems does not mean that there are none. What you should focus on is treatment rather than further examinations. Since you ...[Read More] Understanding Left Shoulder Blade Pain and Hand Numbness: A Guide
Understanding Concussions and Cervical Ligament Calcification: Key Insights
Concussion. Cervical spine calcification? A week ago, I was hit on the head by a striped object. The next day, I experienced dizziness, headaches, slight stiffness on the left side of my face, nausea (twice), and neck and shoulder pain. By the third day, I only had mild headaches...
Dr. Ding Xianwei Reply:
Due to the lack of a personal examination, I can only respond based on the information you provided. Generally speaking, a concussion is defined as a loss of consciousness for more than 10 minutes following a head injury, after which the individual regains consciousness. Some ind...[Read More] Understanding Concussions and Cervical Ligament Calcification: Key Insights
Understanding Degenerative Spondylitis: Treatment Options for Pain Relief
Degenerative spondylitis of the lumbar spine I have been experiencing numbness in my calves and pain in my lower back. After getting an X-ray at the hospital, the doctor diagnosed me with degenerative spondylitis of the lumbar spine. Due to my job, I need to lift heavy objects. C...
Dr. Xie Bojun Reply:
Dear Jasanne, Regarding your main complaints: numbness in the calves and pain in the lower back. Many conditions can present with these symptoms (we cannot focus solely on one diagnosis: degenerative spondylosis of the lumbar spine... you mentioned only having an X-ray?). Could ...[Read More] Understanding Degenerative Spondylitis: Treatment Options for Pain Relief
Surgical Options and Risks for Thoracic AV Fistula Embolization in Elderly Patients
Surgical issues related to thoracic vertebral artery and vein embolization? Dear Dr. Lai, My father has been diagnosed with a vascular embolism in the thoracic spine and is scheduled for surgery. However, he is currently 79 years old and has been experiencing weakness in both le...
Dr. Lai Zhaokang Reply:
I do not fully understand the question you raised. Are you referring to your father's thoracic arteriovenous malformation? Did the physician recommend that a neuroradiologist arrange for embolization treatment, or did the physician suggest directly performing a surgical rese...[Read More] Surgical Options and Risks for Thoracic AV Fistula Embolization in Elderly Patients
Is a CT Scan Necessary After a Head Injury? Understanding the Risks
Is there a necessity for a non-contrast CT scan of the brain? Hello Dr. Ding, My brother weighs about 100 kilograms and fell off his bike on a rainy, slippery road. He has a head injury with an external wound measuring approximately 7 to 10 centimeters. When bystanders brought h...
Dr. Ding Xianwei Reply:
If it is an emergency issue, you should go directly to the emergency department for evaluation and treatment by an emergency physician. Since I cannot examine you in person, I can only provide suggestions based on your description. It sounds like you may have experienced a concus...[Read More] Is a CT Scan Necessary After a Head Injury? Understanding the Risks
Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Care
Wrist tunnel syndrome? Hello doctor, recently I've been experiencing a tingling sensation in my thumb and index finger. During the night while I'm sleeping and in the morning when I gently move my arm, I feel a lot of soreness. Is this what is referred to as carpal tunn...
Dr. Ding Xianwei Reply:
Your question is quite significant. Since I cannot examine you in person, I can only provide some suggestions based on your symptoms. The causes of hand numbness can range from the brain to the cervical spine, with cervical spine degeneration being the most common. Considering yo...[Read More] Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Care
Head Injury from Bar Impact: Persistent Dizziness and Pain Concerns
Head injury from hitting a horizontal bar? Hello Doctor: I would like to ask you about an incident that occurred on May 18 when I accidentally hit the left side of my head (temple) against a horizontal bar (there was no bleeding). After that, I felt fine from May 19 to May 20, bu...
Dr. Ding Xianwei Reply:
Based on your concerns, if there is intracranial bleeding or cerebrospinal fluid leakage, it would definitely be visible during examinations. However, CT scans and EEG tests may not provide any benefit for you. As for your dizziness and headaches, these are likely sequelae of the...[Read More] Head Injury from Bar Impact: Persistent Dizziness and Pain Concerns
Understanding Neck Pain After Head Injury: Causes and Treatment Options
Hit the back of the head? Hello, Doctor. I visited you today, but I apologize for having a few more questions. I forgot to ask if discomfort in the neck, similar to stiffness, is a result of head trauma or if it is related to cervical spine issues? Also, I would like to ask if th...
Dr. Ding Xianwei Reply:
You have already visited the outpatient clinic; I suggest you ask directly at the clinic.[Read More] Understanding Neck Pain After Head Injury: Causes and Treatment Options
Understanding Post-Concussion Symptoms: When to Seek Medical Attention
Hit the back of the head? Hello, doctor. Seven days ago, I fainted in the bathroom due to the side effects of medication and hit the back of my head. However, I regained consciousness immediately after the impact, but I experienced significant headache and dizziness, although my ...
Dr. Ding Xianwei Reply:
Your physician's advice is correct, but it is important to consider whether there is a cervical spine injury in addition to the head trauma. Generally speaking, if there is no loss of consciousness, there is no concern for a concussion; however, there may be some sequelae fr...[Read More] Understanding Post-Concussion Symptoms: When to Seek Medical Attention
Do I Need Contrast for Cervical MRI? Understanding Risks and Accuracy
Cervical spine MRI Hello Dr. Ding: My mother underwent an examination for spinal nerve compression at the hospital, but the doctor indicated that she needs to have an MRI of the cervical spine with contrast injection. We are concerned about the potential side effects of the contr...
Dr. Ding Xianwei Reply:
Since it is unclear why your mother needs to undergo an MRI scan, it is difficult to determine whether the use of contrast agent is necessary. It is recommended that you discuss this with her attending physician to understand the risks and necessity before making a decision.[Read More] Do I Need Contrast for Cervical MRI? Understanding Risks and Accuracy
Can Cervical Disc Herniation Qualify for Disability Benefits?
Cervical spondylosis Hello Dr. Chang Yuan-yi! I would like to ask if I can apply for disability assessment or labor insurance sickness benefits for cervical spine disorders such as intervertebral disc herniation. I have experienced weakness in both hands, persistent neck pain, an...
Dr. Zhang Yuanyi Reply:
Dear Ah Peng, Hello, whether you can apply for disability assessment or labor insurance sickness benefits needs to be evaluated before a decision can be made. Wishing you peace and health, Dr. Zhang Yuan-yi Attending Physician, Department of Neurosurgery Taoyuan General...[Read More] Can Cervical Disc Herniation Qualify for Disability Benefits?
Understanding Post-Surgery Symptoms After Minimally Invasive Disc Surgery
Herniated Disc - Minimally Invasive Surgery - Unusual Sensation On January 31, I underwent minimally invasive discectomy for the L4-L5 intervertebral disc. Upon waking up after the single-level surgery, I immediately felt relief from the nerve compression and limb pain that had b...
Dr. Ding Xianwei Reply:
Since I am not a surgeon, I cannot answer your question. However, based on experience, if the symptoms return to their original state, there are two possibilities: one is that your nerves have been damaged and will not recover; the other is that there has been a recurrence. Nowad...[Read More] Understanding Post-Surgery Symptoms After Minimally Invasive Disc Surgery
When Is Surgery Necessary for Herniated Discs? Understanding Your Options
Herniated disc Hello, Doctor. About 4 to 5 years ago, I accidentally strained my lower back, and since then, I have frequently experienced lower back pain. I have been managing it with over-the-counter pain medications, but recently, after starting night shifts (I work in nursing...
Dr. Lai Zhaokang Reply:
Hello, Nurse: Based on your description, it appears to be lumbar spine pathology (commonly Herniated Intervertebral Disc, HIVD) compressing the nerve, leading to sciatica. 1. In general, if the lumbar HIVD is not severe, it is managed with conservative rehabilitation along with a...[Read More] When Is Surgery Necessary for Herniated Discs? Understanding Your Options
Understanding Spinal Hemorrhage: Causes, Risks, and Treatment Options
Thoracic vertebral venous and arterial hemorrhage? Hello, I would like to consult a physician. My mother is 75 years old and has had diabetes for over 20 years, along with a history of undergoing surgery for sciatica about 9 years ago. Recently, she has experienced weakness, numb...
Dr. Ding Xianwei Reply:
I am not sure what is meant by arterial and venous bleeding. Could it be a mistake in your records? I suggest you schedule an appointment with your attending physician to discuss this matter thoroughly. It is both your right and responsibility. You can also gather all relevant in...[Read More] Understanding Spinal Hemorrhage: Causes, Risks, and Treatment Options