Post-Surgery Recovery: Why Can't My Father Get Out of Bed?
There has been improvement after the surgery, but the patient is still unable to get out of bed? Last September, my father underwent spinal surgery due to a car accident, which involved two vertebrae slipping and one fractured. During the procedure, screws and bone cement were us...
Dr. Lai Zhaokang Reply:
Hello: Generally, improvement occurs gradually within 3 to 6 months post-surgery. If it has been nearly 3 months since November and the improvement is limited despite rehabilitation exercises, it is advisable to discuss with your physician whether to pursue follow-up imaging to a...[Read More] Post-Surgery Recovery: Why Can't My Father Get Out of Bed?
Understanding Recovery After Aneurysm Rupture and Coiling Surgery
Ruptured cerebral aneurysm, subarachnoid hemorrhage, has undergone embolization surgery? Hello Doctor, thank you very much for taking the time to respond. On Day 0, my father experienced a sudden severe headache on the morning of December 2nd. He was taken to the hospital half ...
Dr. Zhang Junwei Reply:
1. Hyperbaric oxygen therapy does not have a specific intervention time; it can begin once the condition is stable. 2. After regaining consciousness, a physician can reassess the situation. 3. It's really difficult to say.[Read More] Understanding Recovery After Aneurysm Rupture and Coiling Surgery
Understanding Pain and Stiffness After Bending the Right Knee
Pain in the right leg when bending and then straightening? Hello Doctor: One night, I suddenly experienced severe pain on the outer side of my right knee. The pain would come and go, but when I woke up the next day, it was only sore and did not hurt anymore. Now, I don't fee...
Dr. Li Zhonghuai Reply:
Hello! For young individuals, it's important to check for any injuries. Sometimes, they may feel fine, but there could be damage to the meniscus or the cruciate ligaments, and there may be bone contusions as well. It is recommended to see an orthopedic specialist for an exam...[Read More] Understanding Pain and Stiffness After Bending the Right Knee
Post-Accident Wound Care: Expert Advice on Stitch Management
After a car accident on the night of December 11, how to properly care for sutures? Hello Dr. Lee, I had a car accident on December 11, resulting in an injury above my ankle. I received nine stitches in the emergency room. The photo below was taken on the morning of December 16 w...
Dr. Li Zhonghuai Reply:
Hello! The photo appears to show cellulitis, and the blood circulation is not very good. After changing the dressing, clean the area with sterile saline solution; of course, the tissue fluid inside should be drained, apply ointment, and cover it with a gauze. The wound should not...[Read More] Post-Accident Wound Care: Expert Advice on Stitch Management
Post-Accident Knee Care: Recovery Tips After Stitches Removal
Care for Knee After Stitches from a Car Accident Hello Doctor: It has been over two weeks since the car accident. I had an X-ray at the hospital, and they said there were no abnormalities. My right knee has a 10x10 cm abrasion and a 3 cm sutured wound above it, which the nurse me...
Dr. Zhang Shuhao Reply:
1. If the X-ray shows no fractures, you can still move, and the wound has healed and stitches have been removed, then it is likely just a contusion of the muscles and soft tissues. During the acute phase, ice therapy and rest are recommended. If there is minimal pain now, gentle ...[Read More] Post-Accident Knee Care: Recovery Tips After Stitches Removal
Understanding Ductal Enlargement and Fibroadenomas in Menopausal Women
Ductal enlargement and fibroadenoma? Hello Dr. Tang, my mother is 52 years old and experiencing menopausal discomfort. She had an ultrasound on December 1st and another one on December 8th, which revealed enlarged ducts on both sides, with the right side being abnormally enlarged...
Dr. Tang Yuxiong Reply:
Regarding the above issues: 1. If mammography is not suitable, breast MRI can be used to detect tumors, although it requires out-of-pocket payment. 2. Hormonal medications may stimulate breast fibroadenomas, potentially accelerating their proliferation. For uterine fibroids, reco...[Read More] Understanding Ductal Enlargement and Fibroadenomas in Menopausal Women
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
Persistent Leg Swelling After Injury: When to See a Neurosurgeon?
Swelling from a fall? Which doctor should I see for a lump on my thigh three months after a fall? I had a severe fall while riding an off-road motorcycle, and initially, I had no sensation in my thigh, which may indicate nerve damage. I couldn't feel anything when I pinched ...
Dr. Lai Zhaokang Reply:
Hello: 1. Rock climbing, playing basketball, mountain climbing, off-roading, and skiing are all fine. It is inferred that neurological function is normal, and there is no need for a consultation with neurosurgery. 2. It is recommended to consult with a rehabilitation specialist f...[Read More] Persistent Leg Swelling After Injury: When to See a Neurosurgeon?
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 Post-Traumatic Symptoms After Head Injury: When to Seek Help
Head trauma-related issues? Hello Doctor: I sustained a brain injury from a car accident (head trauma with right cheek contusion and mild subarachnoid hemorrhage on the left side) and have been resting for about a month. Recently, while preparing to sleep, I've been experien...
Dr. Zhao Shaoqing Reply:
You can visit a neurosurgery clinic.[Read More] Understanding Post-Traumatic Symptoms After Head Injury: When to Seek Help
Persistent Swelling and Pain in Leg Two Weeks After Car Accident
Two weeks after the car accident, the calf is still very swollen? Hello, I would like to ask, two weeks after my car accident, I still have a bump that feels like there is fluid inside. The surrounding area is red, and the center is white. Should I see a doctor, or will it resolv...
Dr. Peng Xianwen Reply:
Hello Mr. Hsu: Based on your description, it is recommended that you visit a physician for a personal examination to better understand your condition and subsequent treatment. Director Peng Hsien-Wen, General Surgery, Nantou Hospital.[Read More] Persistent Swelling and Pain in Leg Two Weeks After Car 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
Understanding Brain Hemorrhage After Falls: A Case Study
Cerebral hemorrhage caused by a fall? Dear Deputy Director, My grandfather is 71 years old and has high blood pressure, but he is physically strong. On November 4th, he slipped on gravel while trying to catch a dog that had run out of the house and collided with a post. While wa...
Dr. Zhang Junwei Reply:
I would like to offer my support, but without detailed CT scan reports and neurological examinations, it is difficult to provide accurate advice and prognosis for the patient. I recommend consulting the original treating physician for further inquiries.[Read More] Understanding Brain Hemorrhage After Falls: A Case Study
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?
Post-Spinal Surgery Concerns: Recovery, Complications, and Future Work
Post-operative issues related to spinal surgery (sequelae, functional roles, uncertain recovery status) Hello Doctor, I suffered a burst fracture of the lumbar spine at L3-L4 at the end of June. Due to the loosening of the screw at L4, I need to return to the hospital for surgery...
Dr. Lai Zhaokang Reply:
Hello: 1. Lifting heavy objects, standing for long periods, and squatting for extended durations can harm the lumbar spine and increase your risk of recurrence. It is advisable to adjust the nature of your work. 2. You will not become incapacitated. After the fusion of the spine,...[Read More] Post-Spinal Surgery Concerns: Recovery, Complications, and Future Work
Understanding Lumbar and Sacral Surgery: Risks and Recovery Insights
Lumbar and sacral vertebrae resection and spinal fusion surgery inquiry? Hello Dr. Lai, in the past six months, I have been experiencing frequent soreness and numbness in my right leg, along with a limp. Despite rehabilitation and rest, there has been no improvement. After a medi...
Dr. Lai Zhaokang Reply:
Hello: 1. Your concerns are valid, but the risk is very low. It is important to have a detailed discussion with your surgeon and anesthesiologist before the surgery. 2. The fusion time for the human spine is at least 3 months. After the surgery, you can engage in simple basic act...[Read More] Understanding Lumbar and Sacral Surgery: Risks and Recovery Insights
Post-Discectomy Recovery: Understanding Symptoms and Next Steps
Postoperative care after disc herniation surgery? Hello Doctor, I have a herniated disc at L4-L5 and underwent microdiscectomy about a month ago. The doctor mentioned that the procedure involved decompression and removal of the nucleus pulposus, and no other materials were implan...
Dr. Lai Zhaokang Reply:
Hello: I suggest you undergo another MRI for confirmation. Wishing you a speedy recovery. By Dr. Lai Chao-Kang, Department of Neurosurgery, Changhua Hospital.[Read More] Post-Discectomy Recovery: Understanding Symptoms and Next Steps
Understanding Nerve Pain and Tingling After COVID-19: A Guide
Occasional tingling and pain in the hands and feet? Hello, doctor. Since I tested positive for COVID-19 in June, I have been experiencing occasional soreness in my left eye for about one to two weeks. I went for a consultation, and the doctor said my eyes are fatigued. After exam...
Dr. Lai Zhaokang Reply:
Hello: 1. The symptoms in your upper arm/lower leg are likely caused by nerve compression from the cervical/lumbar spine. 2. It is not uncommon for symptoms on the left side to switch to the right side, depending on the location of the nerve compression. It is recommended to cons...[Read More] Understanding Nerve Pain and Tingling After COVID-19: A Guide
Understanding Nerve Pain: Can Cervical Disc Issues Affect Your Feet?
Mild tingling sensation in the right foot and big toe? I would like to ask, as I have been experiencing pain and numbness between my left index finger and thumb for an entire day, along with upper arm pain. I often feel a sensation like an electric shock extending from my upper a...
Dr. Lai Zhaokang Reply:
Hello: Generally speaking, cervical nerve compression typically presents with symptoms in the shoulders, neck, and upper limbs, and it is rare to have symptoms in a single leg (though it is still possible). Wishing you a speedy recovery. By Dr. Lai Chao-Kang, Neurosurgery, Changh...[Read More] Understanding Nerve Pain: Can Cervical Disc Issues Affect Your Feet?
Understanding Calf Pain: Causes and Solutions for Students
Dull pain in the calf? Hello, doctor. I am a student, and during this summer vacation, I spend most of my time studying, but I make sure to engage in at least 20 minutes of exercise each day (such as dancing, jogging, or basic strength training). My diet and sleep are also normal...
Dr. Lai Zhaokang Reply:
Hello: Your discomfort is in the knee and ankle joint areas, which is suspected to be due to strain on the ligaments and tendons, related to your reported poor posture. It is recommended to improve your posture, perform warm-up exercises before physical activity, apply heat to th...[Read More] Understanding Calf Pain: Causes and Solutions for Students