Understanding Post-Operative Outcomes of Dural Adhesiolysis Surgery
Dural nerve adhesion release surgery Will there be any sequelae after the dural nerve adhesion separation surgery? Can I still play sports in the future? My spine only has mild compression, and I'm unsure whether to undergo this surgery or just pursue rehabilitation treatmen...
Dr. Lai Zhaokang reply Neurosurgery
Hello: The procedure for separating adhesions of the nerve on the dura mater is not a surgical operation; it is less invasive. However, medicine cannot be explained in just a few words, and each patient's condition is different. Your explanation is too brief and cannot be ad...[Read More] Understanding Post-Operative Outcomes of Dural Adhesiolysis Surgery
Understanding Finger Numbness and Calluses: A Neurological Perspective
Numbness in the fingers, followed by the development of calluses? Hello, Doctor. Last week, after welcoming a newborn and frequently holding the baby, I started experiencing a tingling sensation in my right thumb, index, and middle fingers on the third day. By the fifth day, the ...
Dr. Lai Zhaokang reply Neurosurgery
First of all, congratulations on the arrival of your baby! 1. Your description suggests that the first possibility is carpal tunnel syndrome, which occurs when the median nerve is compressed at the wrist. You can try wrist exercises, heat therapy, and using a wrist brace. Addit...[Read More] Understanding Finger Numbness and Calluses: A Neurological Perspective
Post-Surgery Rehabilitation Tips for Facial Nerve Recovery After Acoustic Neuroma Surgery
Recommendations for Facial Nerve Rehabilitation After Acoustic Neuroma Surgery Hello, Doctor: My mother underwent surgery for a vestibular schwannoma on November 25 of this year and is currently resting at home. Her current condition includes weakness and numbness on the right si...
Dr. Lai Zhaokang reply Neurosurgery
Hello: If the wound has healed and the patient's physical strength is sufficient, they can consult the original surgeon. It should be possible to arrange for acupuncture with a traditional Chinese medicine practitioner or rehabilitation with a Western medicine specialist. Ne...[Read More] Post-Surgery Rehabilitation Tips for Facial Nerve Recovery After Acoustic Neuroma Surgery
Is Minimally Invasive Surgery Necessary to Remove Spinal Implants After a Year?
The first vertebra (lumbar vertebra) underwent surgery, and after one year, is a minimally invasive surgery required for removal? Hello Doctor: I had traditional surgery in May this year for a car accident where they installed Stryker Mantis implants, rod, and screws in my first ...
Dr. Lai Zhaokang reply Neurosurgery
Hello, you are only 25 years old. I suspect you might have a burst fracture of the L1 vertebra. If the physician determines through imaging that the fracture has healed, it may be considered to remove the screws. Generally, the removal of screws does not directly affect the nerve...[Read More] Is Minimally Invasive Surgery Necessary to Remove Spinal Implants After a Year?
Understanding Post-Surgery Symptoms After Cervical Spine Surgery
Cervical cone surgery status? Hello Doctor: I have seen many doctors, but in fact, each doctor's opinion is different. In March 2016, I sustained an injury during a chiropractic session, and the next day, when I tilted my head down and tried to lift it, I experienced shaking...
Dr. Lai Zhaokang reply Neurosurgery
Hello: 1. It is recommended to follow up with a cervical spine MRI. 2. If there are concerns about lumbar spondylolisthesis, a dynamic X-ray evaluation of the lumbar spine in extension should be performed. Best wishes, Dr. Lai Chao-Kang, Neurosurgeon.[Read More] Understanding Post-Surgery Symptoms After Cervical Spine Surgery
Post-Surgery Pain and Swelling: Understanding Nerve and Blood Vessel Issues
After surgery to remove a cyst from the groin area, a lump has developed near the anus, and there is a hard structure that feels like a blood vessel (or nerve) which is painful to the touch? Hello, I have a subcutaneous cyst near the left groin and thigh, which was surgically rem...
Dr. Lai Zhaokang reply Neurosurgery
Hello, I recommend that you first return for a follow-up with the original surgeon. If your issue cannot be resolved, then consider consulting a specialist in the same field at another hospital.[Read More] Post-Surgery Pain and Swelling: Understanding Nerve and Blood Vessel Issues
Post-Microdiscectomy Concerns: Support Frame Stability and Pain Recovery
Postoperative Issues After Minimally Invasive Discectomy It has been one and a half months since the surgery. Q1: After minimally invasive surgery, I often wonder if the support frame placed by the doctor will come out. Q2: After the surgery, the doctor mentioned that the sorenes...
Dr. Lai Zhaokang reply Neurosurgery
Hello, we do not have your detailed medical history, nor have we participated in the surgeries you have previously undergone. Please consult the physician who performed your surgery directly. Wishing you all the best.[Read More] Post-Microdiscectomy Concerns: Support Frame Stability and Pain Recovery
Intermittent Tingling Sensation in the Palm: Causes and Insights
Intermittent tingling sensation in the palm? There is a prickling sensation in the palm, concentrated in the center. It occurs intermittently, lasting about 1 to 2 seconds each time. This has been ongoing for about two days, and while it does not significantly affect reading or w...
Dr. Lai Zhaokang reply Neurosurgery
Hello: Your condition has been present for about 2 days. You can rest your wrist for a week and apply moderate heat. Please observe the situation. If there is no improvement, there could be several possible conditions, and you will need to see a doctor for an accurate diagnosis. ...[Read More] Intermittent Tingling Sensation in the Palm: Causes and Insights
Understanding Nerve Issues After a Car Accident: What to Do Next
Neurological issues from a car accident? On July 18 of this year, I was in a car accident and was unable to put weight on my right leg. When I was taken by ambulance, I felt that the right side of my buttocks was elevated while lying on the stretcher. An X-ray was taken and showe...
Dr. Lai Zhaokang reply Neurosurgery
Hello, you can consult with the Department of Neurosurgery at Changhua Hospital, with Dr. Lai Chao-Kang, the Director of Spinal Neurosurgery.[Read More] Understanding Nerve Issues After a Car Accident: What to Do Next
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 Neurosurgery
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
Understanding Sciatica from Herniated Discs: Treatment Options and Concerns
Herniated disc causing sciatica? In January of this year, I underwent an MRI at the hospital, which confirmed a herniated disc at the L4-L5 level compressing the nerve root, resulting in abnormal nerve conduction and causing sciatica. Yesterday, I returned for a doctor's eva...
Dr. Lai Zhaokang reply Neurosurgery
Hello, as you mentioned: MRI confirmed that there is a herniated disc at the L4-L5 level compressing the nerve root. Nerve conduction studies are abnormal, and there is some atrophy in the gluteal region. After a long period of rehabilitation, you feel it has been ineffective. ...[Read More] Understanding Sciatica from Herniated Discs: Treatment Options and Concerns
Post-Surgery Pain Management for L5S1 Disc Herniation: What to Expect
L5-S1 intervertebral disc herniation with spinal fusion surgery? Hello, I underwent surgery on October 13th for the removal of a herniated disc along with internal fixation. The area where I experienced pain prior to the surgery, from my right buttock to the back of my thigh, cur...
Dr. Lai Zhaokang reply Neurosurgery
Hello, the surgery was not performed by me, and we do not have your pre-operative and post-operative information. Therefore, we are unable to answer your questions. Best wishes, Dr. Lai Chao-Kang, Director of Spine and Nerve at Changhua Hospital.[Read More] Post-Surgery Pain Management for L5S1 Disc Herniation: What to Expect
Can Severed Nerves from Past Sweating Surgery Be Reconnected?
Hyperhidrosis issues? Is it possible to reconnect the nerves that were severed during a sympathectomy for hyperhidrosis performed over 20 years ago, considering the compensatory sweating and metabolic abnormalities that have developed?
Dr. Lai Zhaokang reply Neurosurgery
Hello, for hyperhidrosis, if the nerve has already been severed during the surgery, reconnecting it is not something that can be achieved through the endoscopic procedure performed years ago. It may require an open thoracic surgery to perform nerve anastomosis. Furthermore, there...[Read More] Can Severed Nerves from Past Sweating Surgery Be Reconnected?
Understanding the Cost of Neurosurgery for Spinal Cyst Removal
Surgical costs Hello Doctor: I went to the hospital and found out that I have a cyst near the last segment of my lower back spine. Could you please tell me approximately how much the surgery to remove it would cost?
Dr. Lai Zhaokang reply Neurosurgery
Hello, 1. If it is a cyst, surgery may not be necessary; it depends on the condition, so please discuss it with your physician. 2. If surgical removal is required, it is generally covered by health insurance. However, if you wish to use other materials, it will depend on your con...[Read More] Understanding the Cost of Neurosurgery for Spinal Cyst Removal
Understanding Torticollis: Treatment Options and Surgical Insights
Torticollis issue I first noticed my torticollis around elementary to middle school. It wasn't a problem when I was younger, but now that I'm in my senior year of high school, I've always wanted to seek treatment but haven't had the courage to do so. I don...
Dr. Lai Zhaokang reply Neurosurgery
Hello, general torticollis is often due to fibrosis of the neck muscles. If you are under 18 years old, it is recommended to first consult a pediatric surgeon (however, there are few specialists in this field, so you may need to search online for the nearest hospital). If there i...[Read More] Understanding Torticollis: Treatment Options and Surgical Insights
Distinguishing Symptoms of Cervical Spondylosis and Autonomic Dysfunction
How to differentiate sympathetic nervous system symptoms? Hello Doctor: I have been experiencing numbness in my left hand for the past week or two, and I went to see a neurosurgeon. After some tests, I was diagnosed with "cervical spondylosis." However, I found an artic...
Dr. Lai Zhaokang reply Neurosurgery
Hello, 1. "Cervical spondylosis" can indeed lead to sympathetic nervous system issues. 2. If you are experiencing numbness in your left hand, and if cervical X-rays or MRI show nerve compression, it is likely a cervical spine issue. 3. However, if your symptoms are ...[Read More] Distinguishing Symptoms of Cervical Spondylosis and Autonomic Dysfunction
Discomfort in the Thigh: When to See an Orthopedist or Neurologist?
Discomfort due to thigh compression? Hello Doctor: I experience discomfort in the back of my left thigh while sitting in a chair, but my right leg is fine. However, if I sit like a soldier, only using one-third of the chair (with only my buttocks on the chair and my thighs not in...
Dr. Lai Zhaokang reply Neurosurgery
Hello, you may be experiencing sciatica, muscle inflammation, or other conditions. It is recommended to have an evaluation at a neurosurgery clinic. Wishing you all the best.[Read More] Discomfort in the Thigh: When to See an Orthopedist or Neurologist?
Post-Cesarean Nerve Pain: Managing Leg Numbness and Discomfort
Numbness in the legs after a cesarean section? Hello: I had a cesarean section on July 23, but since the surgery, I have been experiencing numbness in my left thigh and severe pain at night. It has been almost two months, and I still feel numbness. What should I do about this? Th...
Dr. Lai Zhaokang reply Neurosurgery
Hello, your symptoms seem to indicate neuropathic pain, possibly even sciatica. It is recommended that you consult a neurosurgeon. Wishing you a speedy recovery. Changhua Hospital cares about you.[Read More] Post-Cesarean Nerve Pain: Managing Leg Numbness and Discomfort
Understanding Neurofibromas: Do You Need a Brain Scan?
Neurofibroma I am very fortunate that the neurofibroma has not developed on my face. Two years ago, my doctor arranged for an MRI, and the result was described as a "Christmas tree." Since then, I haven't paid much attention to this issue due to work. I have heard ...
Dr. Lai Zhaokang reply Neurosurgery
Hello: Neurofibromatosis (NF) is a multi-organ system disorder. NF is classified into two types, NF1 and NF2, and is a hereditary condition that can lead to the formation of tumors in the nervous system, most of which are benign. It can also affect the development of non-nervous ...[Read More] Understanding Neurofibromas: Do You Need a Brain Scan?
Will My 4cm Arachnoid Cyst Disappear Naturally? Expert Insights
Arachnoid cyst Hello! I have a 4 cm arachnoid cyst in my brain. I would like to know if it will disappear on its own. Thank you!
Dr. Lai Zhaokang reply Neurosurgery
An arachnoid cyst is primarily a congenital abnormality that occurs during the developmental process, with a small number resulting from trauma, hemorrhage, or tumors. You can imagine it as a small fluid-filled sac in the brain. 2. If an arachnoid cyst is asymptomatic, surgical...[Read More] Will My 4cm Arachnoid Cyst Disappear Naturally? Expert Insights