Understanding Cervical Spondylosis: MRI Insights and Treatment Options
Cervical and Shoulder Pain MRI Report 2023/11/30 MRI REPORT Summary: The patient has experienced soreness and pain over the right shoulder joint for several months, with recent onset of numbness and pain radiating to the forearm and fingertips. There are noted sleep disturbances...
Dr. Lai Zhaokang reply Neurosurgery
Hello: 1. Based on the information you provided, there is nerve root compression in the cervical spine, but it does not seem to be severe. 2. To assess the need for surgery, it is important to consider the patient's actual condition, the relevant X-ray and MRI images, and th...[Read More] Understanding Cervical Spondylosis: MRI Insights and Treatment Options
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 Neurosurgery
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 Neurosurgery
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 Right Foot Pain: When to See a Specialist?
Soreness in the right foot sole? Initially, there was a strain in the left foot, and after gradually recovering, symptoms of soreness began to appear in other areas, currently in the right foot. At first, certain areas of the foot's sole were noticeably sore. I visited a reh...
Dr. Lai Zhaokang reply Neurosurgery
Hello: It is recommended to consult with 1. the Rehabilitation Department for a follow-up ultrasound and to arrange for physical therapy or injection treatment. 2. You may also consider seeing a specialist in Orthopedics: Foot and Ankle or Sports Medicine. Wishing you a speedy re...[Read More] Understanding Right Foot Pain: When to See a Specialist?
Post-Spinal Fusion Surgery: Safe Exercise and Activity Guidelines
Postoperative Exercise After Spinal Fusion Surgery Doctor, I had spinal fusion surgery a year ago, and my condition is quite good. However, I heard from my neighbor that she had her surgery over three years ago and recently went back to the hospital because the screws became loos...
Dr. Lai Zhaokang reply Neurosurgery
Hello: 1. Basically, one year after spinal fusion surgery, the fusion should be complete. 2. If you had surgery over three years ago and recently returned to the hospital due to loose screws, this is uncommon but possible. If the patient has poor bone quality, even osteoporosis, ...[Read More] Post-Spinal Fusion Surgery: Safe Exercise and Activity Guidelines
Managing Lumbar Disc Issues: Pain Relief Strategies for Nerve Symptoms
Lumbar spine issues Hello Doctor, I went for an MRI due to lower back pain and found two herniated discs. Here is the link to the images: (https://drive.google.com/file/d/1lS-KgDRs9jKT1D_toQgb0SpUsl3ep7fV/view?usp=drivesdk). Currently, I am experiencing swelling in the front of m...
Dr. Lai Zhaokang reply Neurosurgery
Hello: 1. It is recommended to start with conservative treatment, including medication and rehabilitation. If there is no improvement, you may consider lumbar epidural steroid injection or even minimally invasive surgery. You can find more information at the following link: https...[Read More] Managing Lumbar Disc Issues: Pain Relief Strategies for Nerve Symptoms
Understanding Herniated Discs: Rehabilitation vs. Surgery Options
Herniated disc Hello Dr. Lai, I went to see an orthopedic doctor due to lower back pain and found out that I have a herniated disc. I would like to ask if rehabilitation can improve my condition, or if surgery is the only option. I'm not sure how to upload images.
Dr. Lai Zhaokang reply Neurosurgery
Hello: A lumbar disc herniation may not necessarily present with discomfort. If you are already experiencing back pain or nerve pain symptoms, it is advisable to proceed step by step: first, protect your back by avoiding bending and heavy lifting. Use anti-inflammatory and analge...[Read More] Understanding Herniated Discs: Rehabilitation vs. Surgery Options
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 Neurosurgery
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
Concerns About Neck Injuries in Children from Playful Lifting
Cervical spine issues in children caused by pulling on the head? Hello, doctor. I would like to ask about an adult friend who, while playing with a 10-year-old child, held the sides of the child's head with their hands and lifted it up for 1-2 seconds before putting it down....
Dr. Lai Zhaokang reply Neurosurgery
Hello: 1. This is indeed a very dangerous action. Please avoid it. 2. Currently, if the child is observed for 2 weeks and shows no signs of altered consciousness or abnormal limb activity, it is likely that no harm has been done. Best wishes to you all. By Dr. Lai Chao-Kang, Neur...[Read More] Concerns About Neck Injuries in Children from Playful Lifting
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 Neurosurgery
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 Neurosurgery
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 S2 Bilateral Cysts: Symptoms, Diagnosis, and Treatment Options
Bilateral S2 cysts Hello Dr. Lai: The MRI examination revealed cysts on both sides of S2, and I am experiencing symptoms such as perineal pain, which worsens when sitting (around the labia and urethral opening), lower back pain, pain in the buttocks on both sides of the groin, an...
Dr. Lai Zhaokang reply Neurosurgery
Hello: 1. Cysts of the sacrum, predominantly affect females (85%). Most cases do not require surgery. Symptoms include pain in the corresponding lumbar, sacral, gluteal, and perineal regions, weakness, numbness, restlessness, and relief when lying flat or on the side. There may...[Read More] Understanding S2 Bilateral Cysts: Symptoms, Diagnosis, and Treatment Options
Understanding the Connection Between Back Pain and Chest Discomfort After Spine Surgery
Spinal issues Hello Doctor: I previously underwent surgery for spinal stenosis that was compressing my nerves. A few months ago, during a follow-up visit, I had an X-ray taken, and the results showed no significant issues. However, it has been over two years since the surgery, an...
Dr. Lai Zhaokang reply Neurosurgery
Hello: It may be a thoracic spine lesion. I recommend that you consult a physician to arrange for an MRI evaluation. Best wishes, Dr. Lai Chao-Kang, Chief of Spine Surgery, Changhua Hospital.[Read More] Understanding the Connection Between Back Pain and Chest Discomfort After Spine Surgery
Understanding L5 Spondylolisthesis: Symptoms, Risks, and Treatment Options
L5 and sacral vertebrae slippage Hello Dr. Lai, I would like to ask about my condition. I have a fifth lumbar vertebra with spondylolysis and spondylolisthesis. Some doctors have said it is grade IV spondylolisthesis, while others have described it as severe. I first discovered t...
Dr. Lai Zhaokang reply Neurosurgery
Hello: 1. Is it possible for this condition to worsen, or can I coexist with it? A: It may worsen. If you feel you can walk and tolerate the symptoms, you can coexist with it (however, it will not be cured) - think of it like continuing to drive an old car. 2. If I do not hav...[Read More] Understanding L5 Spondylolisthesis: Symptoms, Risks, and Treatment Options
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 Neurosurgery
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
Understanding Thumb Tremors: Is It Related to Cervical Disc Issues?
Tremor of the left thumb? Ten years ago, I had an MRI that showed herniated discs at the cervical levels C3-C4-C5, with symptoms that fluctuate in severity. When I feel uncomfortable, I go for physical therapy, but recently my discomfort has increased. Turning my neck to the left...
Dr. Lai Zhaokang reply Neurosurgery
Hello: It is suspected to be a symptom of cervical nerve involvement. Given your age and symptoms, there is little likelihood of brain issues or Parkinson's disease. Best wishes, Dr. Lai Chao-Kang, Director of the Spine Surgery Department, Changhua Hospital.[Read More] Understanding Thumb Tremors: Is It Related to Cervical Disc Issues?
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 Neurosurgery
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 Neurosurgery
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 Neurosurgery
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 Neurosurgery
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