Numbness in Right Knee and Toes: Unexplained Symptoms After Two Months
Numbness on the surface of the right knee and between the three toes of the right foot, with no identifiable cause! Hello Doctor, I have a question. Without any prior trauma, I woke up one morning to find that the surface of my right knee and the area between the three toes on my...
Dr. Lai Zhaokang Reply:
Hello, 1. Both the X-ray and MRI results are normal. If you still have concerns, you can obtain copies of the images and consult a second physician for their opinion. 2. The nerve conduction study results are currently pending... please be patient while waiting. Wishing you ...[Read More] Numbness in Right Knee and Toes: Unexplained Symptoms After Two Months
Post-Accident Numbness in Foot: When to Seek Medical Attention?
After the car accident, there is a tingling sensation when pressing on the dorsum of the foot? Hello, Doctor. About five weeks ago, I was involved in an accident while riding a motorcycle and collided with a small car. I have soft tissue injuries and bruising below my left knee. ...
Dr. Zhang Junwei Reply:
If you continue to experience a sensation of a hard object, it is recommended to visit an orthopedic outpatient clinic.[Read More] Post-Accident Numbness in Foot: When to Seek Medical Attention?
Understanding Neurological Disorders: A Case Study of Sensory Loss in a Young Girl
Loss of sensation in the body? A 12-year-old girl experienced an unexplained fall down the stairs at the beginning of January this year, initially reporting only back pain. Two hours later, she began to feel numbness in her toes. After being taken to the emergency room, she was d...
Dr. Zhang Junwei Reply:
This case is complex, and Taipei Veterans General Hospital and Chang Gung Memorial Hospital are already the best hospitals in the country. I'm not sure how to proceed with the treatment, I apologize![Read More] Understanding Neurological Disorders: A Case Study of Sensory Loss in a Young Girl
Understanding Discrepancies Between MRI and EMG Results in Back Pain
MRI examination shows a herniation at L5-S1 without nerve compression, but the electromyography (EMG) results indicate..? Hello Dr. Chang, In May 2014, I was hospitalized due to a persistent high fever. Despite several days of antibiotic treatment, my condition did not improve. ...
Dr. Zhang Junwei Reply:
In clinical practice, it is uncommon to find normal lumbar MRI results while electromyography indicates nerve compression. It seems that the cause of your pain is not entirely clear; why not consider trying high-frequency thermal coagulation therapy again?[Read More] Understanding Discrepancies Between MRI and EMG Results in Back Pain
Should You See a Doctor for a Swollen Big Toe After Sports Injury?
Toenail issues While playing, my foot slipped forward due to slippery socks, causing my big toe to hit the inside of my shoe. It later became swollen, and it seems like the toenail is lifted from its original position, making the entire toenail feel a bit loose. However, there ar...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to see a general surgeon. Please avoid contact with tap water for now, and elevate your legs regularly to help reduce swelling. Take care! Changhua Hospital is concerned about you![Read More] Should You See a Doctor for a Swollen Big Toe After Sports Injury?
Chronic Anal Fissure: When to Seek Medical Attention?
Chronic anal fissure? Hello Doctor, three months ago I experienced pain during bowel movements and was diagnosed with an acute anal fissure. I have had occasional rectal bleeding in the past, which I thought was due to hemorrhoids, but it would resolve after a while and then recu...
Dr. Ke Fangxu Reply:
The troublesome aspect of anal fissures is that they are difficult to heal. The symptoms may not be severe, but complete recovery is often elusive. It is not necessarily related to your occupation. If the condition significantly impacts your daily life, surgical treatment may be ...[Read More] Chronic Anal Fissure: When to Seek Medical Attention?
Understanding Lumbar Disc Herniation: Recovery and Symptoms Explained
Herniated disc In April 2015, an MRI indicated an L4-L5 disc herniation, with the L5 protrusion being approximately 2:1, significantly compressing the nerve. This has caused pain in the outer side of my left thigh and the outer side of my calf. At that time, the doctor suggested ...
Dr. Lai Zhaokang Reply:
Hello: Based on what you described, your condition needs to be explained from two perspectives: 1. Your <symptoms (and your self-perception)> have improved. Congratulations. 2. However, the herniated disc and nerve compression in your body will not <disappear> due to ...[Read More] Understanding Lumbar Disc Herniation: Recovery and Symptoms Explained
Managing Disc Herniation: When to Consider Surgery or Alternative Treatments
Herniated disc Hello Dr. Lai: My current symptoms include left lower back pain, weakness in my left leg, and weakness in my toes, which sometimes feel numb. Since I am abroad, the doctors here have recommended physical therapy. I have been undergoing physical therapy for three mo...
Dr. Lai Zhaokang Reply:
Hello: 1. Your description seems to indicate a lumbar spine issue causing sciatica. However, a detailed examination is still necessary, such as X-rays and MRI (Magnetic Resonance Imaging). 2. If physical therapy focusing on core muscle training is ineffective, you may consider lu...[Read More] Managing Disc Herniation: When to Consider Surgery or Alternative Treatments
Understanding Right Calf Pain and Swelling: Possible Causes and Solutions
Swelling and soreness in the right calf? I would like to inquire about my long-term symptoms of occasional swelling and aching in my right calf. Sometimes, to alleviate the discomfort, I elevate my leg, but within 10 seconds, the area below my right ankle becomes pale, while my l...
Dr. Lai Zhaokang Reply:
Hello: 1. Your description may indicate vascular circulation issues, possibly combined with neurological or muscular problems. It is recommended that you first consult with a cardiovascular surgeon, and then see a neurosurgeon. Wishing you a speedy recovery. Dr. Lai Chao-Kang, Di...[Read More] Understanding Right Calf Pain and Swelling: Possible Causes and Solutions
Understanding Nerve Damage from Tumor Compression in Bone Cancer
Tumor compression of nerves leads to nerve damage? I have bone cancer, and the tumor is located in my right pelvic area, pressing on the nerves, which has caused loss of sensation in the back half of my thigh, the outer side of my calf, and the sole of my foot (the left side of m...
Dr. Lai Zhaokang Reply:
Hello: As you mentioned: <Bone cancer tumor located in the right pelvic area compressing the nerves,.....> 1. Which nerves are affected? A: It depends on the findings from your imaging studies regarding the nerve compression. 2. If there is indeed a tumor causing compressio...[Read More] Understanding Nerve Damage from Tumor Compression in Bone Cancer
Understanding Post-Anal Fissure Discomfort: When to Seek Further Evaluation
The anal fissure has healed, but it feels strange? Hello, Dr. Ko! I had a follow-up appointment on May 2nd, where the doctor used an anoscope to examine me closely and said that my anal fissure had healed. However, I still feel discomfort in the deeper mucosal tissue; sometimes t...
Dr. Ke Fangxu Reply:
If the pain and bleeding caused by anal fissures are not severe, it is generally not recommended to continuously use medications or undergo procedures such as ligation. Maintaining good lifestyle and bowel habits is sufficient. For mild discomfort, warm sitz baths can be helpful....[Read More] Understanding Post-Anal Fissure Discomfort: When to Seek Further Evaluation
Is It Hemorrhoids? Understanding Symptoms and Relief Options
Is it hemorrhoids? On Saturday, I seemed to have strained too much while using the restroom, and since Sunday, I've been feeling a lot of pain in my anus. Whether sitting on a chair or lying in bed, it feels like something is stuck there. When I shower, I can feel a small bu...
Dr. Ke Fangxu Reply:
This situation is likely caused by straining during bowel movements, leading to acute hemorrhoidal swelling. It is recommended to avoid constipation during this period and to shorten the time spent on the toilet. Warm sitz baths should also help alleviate symptoms. Over-the-count...[Read More] Is It Hemorrhoids? Understanding Symptoms and Relief Options
Understanding Blood in Stool: When to Seek Medical Attention
Blood in the stool? Before March, I frequently experienced constipation. After drinking freshly made vegetable and fruit juices for two months, I had smooth bowel movements throughout March. The first half of the month, the color and shape of my stools were generally normal, with...
Dr. Ke Fangxu Reply:
This situation is likely indicative of hemorrhoids. It is advisable to avoid constipation and shorten the duration of bowel movements. Warm sitz baths may also help alleviate symptoms. If symptoms persist without improvement or if there is significant concern, a colonoscopy can b...[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Rehabilitation Challenges After Common Peroneal Nerve Injury
Rehabilitation issues related to common peroneal nerve injury? Hello, Doctor. About a year and two months ago, I had a car accident that resulted in fractures of the fibula and tibia. I underwent surgery at Cathay General Hospital in Taipei, where a steel rod was inserted to stab...
Dr. Zhang Junwei Reply:
The issue is too complex; it is recommended to schedule an outpatient appointment to discuss it with a physician![Read More] Rehabilitation Challenges After Common Peroneal Nerve Injury
Post-Hemorrhoid Surgery: Common Concerns and Dietary Guidance
Postoperative Issues Related to Hemorrhoid Surgery Hello, Dr. Hsu. I have reviewed the information on the forum and have also researched a lot of information online. I would like to ask some questions regarding post-operative care for internal and external hemorrhoid surgery. I...
Dr. Xu Kaixi Reply:
Question 1: Anal stenosis refers to a narrowing of the anal canal compared to its pre-surgical ability to dilate. If anal stenosis occurs after hemorrhoid surgery, it generally recovers elasticity and width gradually over several months, depending on the severity of the hemorrhoi...[Read More] Post-Hemorrhoid Surgery: Common Concerns and Dietary Guidance
Understanding Blood in Stool: Causes, Symptoms, and When to Seek Help
Blood in the stool? Hello doctor, I noticed blood on the toilet paper during my first bowel movement on February 13th, and there was blood in my stool. That bowel movement felt a bit painful, and since then, on March 8th, I had blood again during one bowel movement. For several d...
Dr. Xu Kaixi Reply:
Blood in the stool or changes in bowel habits, including alterations in stool shape or consistency, are abnormal gastrointestinal function changes. These symptoms can range from common hemorrhoids to other serious gastrointestinal diseases. Based on your description, hemorrhoidal...[Read More] Understanding Blood in Stool: Causes, Symptoms, and When to Seek Help
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool? On February 13th, I experienced my first major rectal bleeding, which was noticeable on the toilet paper after wiping. After that, there was no more bleeding, but I had significant pain during bowel movements. For the next few days, my stools were hard, small,...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. The anal pain is probably caused by an anal fissure. It is recommended to avoid constipation during this period and to shorten the t...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Acute Herniated Discs: When Bed Rest Fails to Relieve Pain
Acute herniated disc, with pain that cannot be relieved even while lying down? My wife experienced severe pain in her right thigh after lifting a heavy object four days ago. The next day, she also had intense pain in her calf and numbness in her toes. The hospital diagnosed her w...
Dr. Lai Zhaokang Reply:
Hello, you may have a serious lumbar spine issue. 1. If you need to use morphine, it is indeed quite severe. Have you undergone a lumbar MRI? 2. Generally, for symptomatic relief, you can try rest, pain medications, and rehabilitation (though if walking is difficult, rehabilitati...[Read More] Understanding Acute Herniated Discs: When Bed Rest Fails to Relieve Pain
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool? Hello, my bowel movements occur about every two to three days. Sometimes my gastrointestinal tract is smooth, and I go every two days, but I also experience constipation, with bowel movements every three to four days. Last Sunday (March 6), when I went to the ...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Warm sitz baths may als...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Burn Injury from Hot Caramel: Healing or Complications?
After being burned by caramel, the affected area turned purple-red after taking medication for a period of time? On February 14th, I burned the top of my foot with freshly made caramel and immediately rinsed it under cold water for about 10 minutes. The next day, I visited a derm...
Dr. Ke Fangxu Reply:
A scald from hot caramel is likely a third-degree burn. Initially, using a burn ointment is the standard treatment protocol. However, this ointment may produce a yellow-brown exudate, which is often mistaken for pus. In reality, this is a phenomenon where the wound exudate mixes ...[Read More] Burn Injury from Hot Caramel: Healing or Complications?