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 Cervical Disc Herniation: Symptoms and Treatment Options
Cervical intervertebral disc herniation I would like to ask about my condition. I have been experiencing pain and numbness between my left index finger and thumb for an entire day, along with pain in the outer upper arm. I often feel a sensation like an electric shock extending f...
Dr. Lai Zhaokang Reply:
Hello: 1. Nerve compression in the cervical spine rarely presents with unilateral symptoms (rare, but not absent). 2. MRI shows nerve compression at cervical levels 5-6 and 6-7, particularly pronounced at 5-6. If conservative treatment does not yield satisfactory results, it meet...[Read More] Understanding Cervical Disc Herniation: Symptoms and Treatment Options
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
Understanding Nerve Pain in the Back: Causes and Treatment Options
Nerve pain in the back muscles? Approximately 12 to 13 years ago, I started working as a home-based worker, frequently lifting heavy boxes and climbing three flights of stairs (often making dozens of trips). I also spent long hours sitting in the same position. About 8 years ago,...
Dr. Lai Zhaokang Reply:
Hello: It is suspected to be a cervical nerve pathology. It is recommended to bring your previous MRI results and consult a neurosurgeon. Wishing you a speedy recovery. By Dr. Lai Chao-Kang, Department of Neurosurgery, Changhua Hospital.[Read More] Understanding Nerve Pain in the Back: Causes and Treatment Options
Post-Surgery Weakness in Legs After Spinal Surgery: Key Insights
Postoperative leg weakness after spinal surgery? Hello, Vice Dean Zhang. I have undergone three surgeries for lumbar spine issues at the L4-L5 level. The first surgery involved a Romeo clamp and screws, which became loose and caused nerve pain. The second surgery reinforced the c...
Dr. Zhang Junwei Reply:
1. There should be no issues if there is no pain and no neurological dysfunction. 2. I cannot provide an answer without knowing your case, imaging studies, and physical examination. 3. Yes, it is related to pain. 4. Not entirely.[Read More] Post-Surgery Weakness in Legs After Spinal Surgery: Key Insights
Post-COVID Spine Pain: Exploring Inflammation and Management Options
Post-diagnosis spinal pain suspected to be inflammation? I have diabetes, and it has been three weeks since my diagnosis. I am currently experiencing abnormal spinal pain, which is usually accompanied by fever. The pain does not alleviate whether I am sitting or lying down, and I...
Dr. Zhao Shaoqing Reply:
Hello: You may need to schedule further examinations at the neurosurgery outpatient clinic for an MRI. The Ministry of Health and Welfare Changhua Hospital is concerned about you.[Read More] Post-COVID Spine Pain: Exploring Inflammation and Management Options
Recovery and Rehab After Microdiscectomy for L5-S1 Disc Herniation
Microdiscectomy for L5-S1 Disc Herniation in Athletes Hello Doctor, I had a microdiscectomy for an L5-S1 herniated disc at the end of June. Since the herniated portion was quite large, I would like to ask you: 1. How long will it take before I can engage in intense exercise? 2. W...
Dr. Zhang Junwei Reply:
1. Approximately three months, depending on the condition. 2. Please consult a rehabilitation specialist.[Read More] Recovery and Rehab After Microdiscectomy for L5-S1 Disc Herniation
Understanding Stroke and Spinal Cord Injury in ICU Patients
Currently in the intensive care unit, experiencing a stroke affecting the right side of the body, with spinal cord injury? Hello, currently in the intensive care unit, the patient has suffered a stroke affecting the right side of the body, with right pupil dilation and cerebellar...
Dr. Lai Zhaokang Reply:
Hello: If a malignant tumor has invaded the brain, including the cerebrum and cerebellum, and there is unilateral pupil dilation, along with a craniotomy for decompression already performed... the patient's condition is actually quite pessimistic, and the chances of recovery...[Read More] Understanding Stroke and Spinal Cord Injury in ICU Patients
Understanding Thoracic Disc Herniation and Scoliosis: What You Need to Know
Thoracic disc herniation and scoliosis? Hello Doctor, three years ago I was diagnosed with a tumor in my thoracic spine during examinations for another specialty, which was confirmed as a benign hemangioma through MRI. Recently, a follow-up MRI showed no changes in the hemangioma...
Dr. Lai Zhaokang Reply:
Hello: 1. As we age, natural aging will occur. 2. Avoid slouching, bending over to lift heavy objects, keep your head up and chest out, engage in more stretching exercises, or consider activities like hanging from a pull-up bar or swimming, or consult a physical therapist for per...[Read More] Understanding Thoracic Disc Herniation and Scoliosis: What You Need to Know
Understanding Head Injuries: When to Seek Further Medical Attention
Regarding head injuries? Dear Doctor, My mother bumped her head against a clothesline (metal) last Thursday or Friday. After the incident, she applied some medication herself, cooked dinner, and went to bed without eating. This morning, she felt very dizzy and nauseous and final...
Dr. Zhang Junwei Reply:
If you experience increased dizziness or vomiting one or two days after taking the medication, it is recommended to visit the neurosurgery outpatient clinic for further evaluation.[Read More] Understanding Head Injuries: When to Seek Further Medical Attention
Understanding Thigh Nerve Pain: Causes and Solutions
Thigh nerve pain Hello doctor, for the past two weeks, I have been experiencing soreness, numbness, and pain in my left buttock extending to the outer thigh. Could you help me understand what this might be? Thank you.
Dr. Lai Zhaokang Reply:
Hello: It is suspected to be sciatica. This symptom is often caused by lumbar spine lesions compressing the nerves. It is recommended to consult a neurosurgeon. Wishing you a speedy recovery. By Dr. Lai Chao-Kang, Neurosurgery, Changhua Hospital.[Read More] Understanding Thigh Nerve Pain: Causes and Solutions
Understanding Recovery Time After Cervical Disc Replacement Surgery
Questions about cervical spine surgery and artificial discs? I would like to ask about my recent cervical disc herniation. I am considering undergoing a self-funded artificial disc replacement surgery. Considering the recovery time, I would like to know, doctor, how long it typic...
Dr. Lai Zhaokang Reply:
Hello: If your preoperative symptoms do not include walking issues, but rather pain and numbness in the shoulders and upper limbs, as my postoperative patients, you can attempt to get out of bed and walk on the same day. Once the wound is clean (approximately one week), you can r...[Read More] Understanding Recovery Time After Cervical Disc Replacement Surgery
Understanding Sacral Dimpling: Causes, Concerns, and Back Pain Links
It seems to be a sacral dimple? Hello, I would like to inquire about a depression I have on my buttocks. I initially thought it was something everyone had, but later realized it was different. After researching online, it seems to resemble a sacral dimple. The depression is locat...
Dr. Zhang Junwei Reply:
It doesn't sound like a significant issue; it's likely just a normal variation. However, if you're still concerned, it's advisable to schedule an appointment with a spine specialist for a thorough examination.[Read More] Understanding Sacral Dimpling: Causes, Concerns, and Back Pain Links
Can Hydrocephalus Worsen Over Time? Seeking Expert Advice
Does hydrocephalus cause the brain to enlarge? Hello Doctor: I visited the neurology department at Yunji Hospital over ten years ago. At that time, my symptoms included hand tremors and numbness. Since no definitive cause was found (I underwent nerve and EEG tests but with no sig...
Dr. Zhang Junwei Reply:
You are likely referring to a blister or fluid accumulation, which can potentially increase in size. If there are any concerns, it is advisable to consult a neurosurgeon for evaluation.[Read More] Can Hydrocephalus Worsen Over Time? Seeking Expert Advice
Returning to Intense Sports After Lumbar Disc Surgery: Key Considerations
Lumbar disc herniation surgery Hello, doctor. I underwent a microdiscectomy for L5-S1 herniated disc at the end of June this year. I am an athlete, and I would like to know how long after the surgery I can engage in intense physical activity. Should I give up my specialty to avoi...
Dr. Lai Zhaokang Reply:
Hello, the usual duration is three months. Even afterwards, it is important to avoid bending and lifting heavy objects. However, adjustments should be made based on the patient's objective pathology and subjective willingness. Wishing you a speedy recovery. By Dr. Lai Chao-K...[Read More] Returning to Intense Sports After Lumbar Disc Surgery: Key Considerations
Returning to Intense Sports After Lumbar Disc Surgery: Key Considerations
Lumbar disc herniation surgery Hello, doctor. I underwent a microdiscectomy for L5-S1 herniated disc at the end of June this year. I am an athlete, and I would like to know how long after the surgery I can engage in intense physical activity. Should I give up my specialty to avoi...
Dr. Lai Zhaokang Reply:
Hello, the usual duration is three months. Even afterwards, it is important to avoid bending and lifting heavy objects. However, adjustments may be made based on the individual’s objective pathology and subjective willingness. Wishing you a speedy recovery. By Dr. Lai Chao-Kang, ...[Read More] Returning to Intense Sports After Lumbar Disc Surgery: Key Considerations
Managing Intracerebral Hemorrhage: A Case Study of 80cc Blood Accumulation
Cerebral hemorrhage of 80cc? Hello Doctor: On June 27, 2023, my brother was brought to the hospital, where he was diagnosed with a left-sided intracerebral hemorrhage with an initial volume of 68cc, which increased to 80cc after 6 hours. He has impaired mobility on the right side...
Dr. Zhang Junwei Reply:
There are no right or wrong choices, only what is suitable or not. Given the patient's special condition (coagulation dysfunction), a thorough discussion with the physician is necessary to make a decision.[Read More] Managing Intracerebral Hemorrhage: A Case Study of 80cc Blood Accumulation
Understanding Bumps on the Skull: Causes and Concerns
Protrusion of the cranial bones? Hello Doctor, I recently noticed a bump near the top of my head. If I divide the area into front, back, left, and right, the front and right sides feel like a normal continuous contour. However, when I touch the back and left sides, there is a sud...
Dr. Zhang Junwei Reply:
It is possible that the irregularities were always present, and you have only recently noticed them. It is recommended to observe for another month or two.[Read More] Understanding Bumps on the Skull: Causes and Concerns
Understanding Chronic Dizziness: Exploring Neck and Shoulder Connections
Chronic dizziness Hello, doctor. I have been experiencing long-term dizziness (not vertigo, and I do not feel unbalanced). I do not have any chronic illnesses and have consulted a neurologist. My EEG results were normal, and I have been taking a medication called Nootropil for a ...
Dr. Zhang Junwei Reply:
Without a detailed physical examination, it is impossible to determine; it could be present or it could be absent.[Read More] Understanding Chronic Dizziness: Exploring Neck and Shoulder Connections
Understanding Skull Bumps: When to Seek Further Medical Evaluation
Slight protrusion of the skull? Hello Doctor, I recently noticed a bony protrusion near the top of my head. I consulted a neurosurgeon who performed a brief physical examination and said it felt normal (as I don't have any symptoms or discomfort). He advised me to monitor it...
Dr. Zhang Junwei Reply:
1. Very difficult. 2. Agree to observe further.[Read More] Understanding Skull Bumps: When to Seek Further Medical Evaluation