Dr. Xiao Furen reply Neurosurgery Question - Page 3

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Foot Fractures and Their Link to Numbness and Cramps

A fracture of the metatarsal bone can cause numbness in the sole of the foot? A fracture in the metatarsal bones can cause numbness in the sole of the foot, and it may also lead to occasional muscle cramps.


Dr. Xiao Furen reply Neurosurgery
It may be a nerve injury; please consult a physician for further examination.

[Read More] Foot Fractures and Their Link to Numbness and Cramps


Exploring Nerve Repair Options After Facial Nerve Tumor Surgery

Nerve repair I have a facial nerve tumor located in the middle ear and mastoid region on the right side of my face. In June, I underwent mastoidectomy and tumor resection at Taichung Cheng Ching Hospital's ENT department. Due to the surgeon removing a portion of the nerve, m...


Dr. Xiao Furen reply Neurosurgery
The hypoglossal nerve can be used for nerve repair; generally, tongue movement will be affected, but the impact on speech articulation is minimal. Additionally, consideration can be given to using the contralateral facial nerve for repair.

[Read More] Exploring Nerve Repair Options After Facial Nerve Tumor Surgery


Understanding Head Pressure and Fatigue: Neurological Insights

Please ask your question? I often feel a sense of pressure in my head, which can be quite uncomfortable, almost like a feeling of increased intracranial pressure, even though I haven't been upside down. My eyes also feel very uncomfortable, and I frequently yawn regardless o...


Dr. Xiao Furen reply Neurosurgery
Based solely on your symptoms, it is difficult to determine a diagnosis and treatment plan. It is recommended that you visit a clinic or hospital for further examination.

[Read More] Understanding Head Pressure and Fatigue: Neurological Insights


Understanding Recurring Symptoms After Spinal Injury: Causes and Recovery

Spinal cord injury I apologize, but I have a question. After a spinal injury, five months later, I experienced a recurrence near the lumbar and sacral region. The doctor prescribed anti-inflammatory medication without conducting any tests. Why are my left hand and left foot exper...


Dr. Xiao Furen reply Neurosurgery
Relapse refers to the recurrence of specific symptoms. Generally, lumbar spine issues do not cause hand numbness; if the symptoms persist, further examination may be necessary.

[Read More] Understanding Recurring Symptoms After Spinal Injury: Causes and Recovery


Understanding Persistent Numbness in the Feet: Causes and Concerns

Numbness in the soles of the feet? Dr. Hsiao: I returned home yesterday and noticed that the soles of my feet were numb, and this sensation has persisted into the next day without any pain. It just feels tingly, but I can still move my toes. I'm not sure what this condition ...


Dr. Xiao Furen reply Neurosurgery
Based solely on your description, it seems difficult to make a diagnosis. There could be various possibilities ranging from neuropathy caused by diabetes to issues with the spinal nerve roots, and even circulatory problems or brain-related issues cannot be ruled out. Of course, s...

[Read More] Understanding Persistent Numbness in the Feet: Causes and Concerns


Understanding Scoliosis and Muscle Strain: A Guide for Back Pain Relief

Scoliosis with lumbar muscle strain? Hello Doctor, My father is about 53 years old. Recently, he has been experiencing severe lower back pain due to unexplained causes, often described as a "slipped disc." He has visited many hospitals and had X-rays taken, but there ...


Dr. Xiao Furen reply Neurosurgery
In terms of diagnosis, any hospital should be able to conduct further examinations if necessary, but that hospital may not have a physician to refer you for additional tests. Muscle strains can indeed cause slight scoliosis. If medication treatment is not effective, rehabilitatio...

[Read More] Understanding Scoliosis and Muscle Strain: A Guide for Back Pain Relief


Post-Surgery Pain Management for Cervical Spine Surgery Patients

After cervical spine surgery..? Hello, doctor! I would like to ask about my father, who is 48 years old. He underwent cervical spine surgery a little over a month ago due to degeneration and herniation of the cervical discs at levels C4, C5, and C6, which caused nerve compression...


Dr. Xiao Furen reply Neurosurgery
Is the nerve pain and shooting pain in the hand present before the surgery? Sometimes, when the nerve has been under prolonged compression, even though surgery relieves the symptoms, it may take some time for complete improvement. Please continue to follow your physician's m...

[Read More] Post-Surgery Pain Management for Cervical Spine Surgery Patients


Can Herniated Discs Lead to Erectile Dysfunction?

Herniated disc Is it possible for a herniated disc to cause erectile dysfunction?


Dr. Xiao Furen reply Neurosurgery
It is possible but considered a rare symptom.

[Read More] Can Herniated Discs Lead to Erectile Dysfunction?


Do You Need Surgery for Sciatica? Understanding Pseudoscience in Nerve Pain

Is surgery always necessary for sciatica? What is pseudo-sciatica? Symptoms: Pain in the buttocks and thighs, inability to sit or stand, difficulty getting in and out of a vehicle. MRI shows signs of degeneration in the spinal nerves.


Dr. Xiao Furen reply Neurosurgery
I believe you are referring to sciatica. Sciatica generally refers to back pain accompanied by leg pain, numbness, or tingling, which results from compression of the nerves in the lumbar or sacral spine. Common causes include herniated discs, spinal stenosis, and vertebral displa...

[Read More] Do You Need Surgery for Sciatica? Understanding Pseudoscience in Nerve Pain


Can Spinal Cord Nerves Regenerate After Injury? Insights from Neurosurgery

May I ask the doctor? My mother fell from the second floor at midnight on June 13, resulting in a cervical spine dislocation. On June 14, the doctor performed internal fixation surgery, but due to nerve injury, she currently presents with quadriplegia. On June 24, a tracheostomy ...


Dr. Xiao Furen reply Neurosurgery
Generally speaking, central nervous system injuries, including spinal cord injuries, do not regenerate and can only rely on rehabilitation. Recently, there have been some new studies, such as embryonic stem cell transplantation and nerve regeneration (growth factors), but none ha...

[Read More] Can Spinal Cord Nerves Regenerate After Injury? Insights from Neurosurgery


Can Spinal Disc Surgery Cause Nerve Damage Leading to Erectile Dysfunction?

Is it possible for spinal disc surgery to damage nerves and cause erectile dysfunction? Is it possible for spinal disc surgery to damage nerves and cause erectile dysfunction? Thank you.


Dr. Xiao Furen reply Neurosurgery
Lumbar spine surgery can potentially cause erectile dysfunction, but it is a rare complication.

[Read More] Can Spinal Disc Surgery Cause Nerve Damage Leading to Erectile Dysfunction?


Exploring Treatment Options for Spinal Cord Injury After Trauma

Please consult a physician for questions? Hello Doctor! My colleague (male, 40 years old) was involved in a car accident on May 8th of this month, resulting in a compression fracture of the thoracic vertebra (specifically at the eighth thoracic vertebra). He also sustained an inj...


Dr. Xiao Furen reply Neurosurgery
In general, there are no effective treatments for spinal cord injuries, and rehabilitation is the primary focus. Surgery is mostly limited to decompression and stabilization to prevent further damage to the spinal cord. There are reports indicating that corticosteroids may be eff...

[Read More] Exploring Treatment Options for Spinal Cord Injury After Trauma


Understanding Ependymoma: Treatment Options and Potential Outcomes

Ependymoma What is an ependymoma? Is surgery always necessary? What potential complications can arise, and what is the best approach for management? Thank you.


Dr. Xiao Furen reply Neurosurgery
Tumors can grow in the brain or the spinal cord. Generally, ependymomas are treated with surgery followed by radiation therapy.

[Read More] Understanding Ependymoma: Treatment Options and Potential Outcomes


Understanding Long-Term Effects of Car Accident Injuries on Spine Health

Post-traumatic sequelae from a car accident? Hello, I have a question to ask. I know a friend who was in a car accident in the United States at the age of 23. His car was rear-ended while it was stopped, which caused a spinal injury due to the sudden force. Now, at 36 years old, ...


Dr. Xiao Furen reply Neurosurgery
It is somewhat similar to the discomfort experienced after limb fractures due to changes in weather. If X-rays show no issues with the bones and medication treatment is ineffective, it is recommended to consult a rehabilitation specialist.

[Read More] Understanding Long-Term Effects of Car Accident Injuries on Spine Health


Understanding Persistent Lateral Thigh Pain: Causes and Solutions

Sharp pain on the outer thigh? Dear Doctor, I would like to consult you about a problem that has been troubling me for many years. About ten years ago, I occasionally experienced sharp pain and numbness on the outer side of my right thigh. I have undergone various examinations a...


Dr. Xiao Furen reply Neurosurgery
Are you a male? I'm not sure if it could be due to a tight belt. Your symptoms resemble peripheral nerve damage. You can undergo nerve conduction studies for evaluation. As for treatment, if oral medications are ineffective, local injections can be considered. If that also f...

[Read More] Understanding Persistent Lateral Thigh Pain: Causes and Solutions


Effective Remedies for Severe Hand Numbness from Cervical Disc Herniation

Cervical intervertebral disc herniation My mother's hands are experiencing severe numbness. What can be done to improve this condition? Thank you.


Dr. Xiao Furen reply Neurosurgery
Wow... This question is quite broad. Generally speaking, if there is nerve root pathology, the approach is medication -> rehabilitation -> surgery. If there is spinal cord pathology, then surgery is the way to go.

[Read More] Effective Remedies for Severe Hand Numbness from Cervical Disc Herniation


Understanding Upper Back and Collarbone Discomfort After an Accident

Discomfort in the upper back and collarbone area is common? I was involved in a car accident in the past, and I often feel coldness and soreness in my back and lower back. My neck also frequently feels stiff and sore, and I often experience sharp pain below my collarbone. I have ...


Dr. Xiao Furen reply Neurosurgery
Cold hands and feet generally indicate poor peripheral blood circulation. Sometimes, sympathetic nervous system activation can cause peripheral blood vessels to constrict, leading to this phenomenon. For instance, when a person is anxious, they may experience cold extremities. As...

[Read More] Understanding Upper Back and Collarbone Discomfort After an Accident


Understanding Compensatory Sweating After Hand Surgery: Solutions and Insights

Foot sweat I previously underwent surgery for palmar hyperhidrosis in the underarm area, but I am experiencing even more sweating on the soles of my feet. Is this a compensatory transfer phenomenon? I feel even more distressed; is there no way to further treat or improve the swea...


Dr. Xiao Furen reply Neurosurgery
It is possible, but the surgery is more complex compared to hyperhidrosis. In general, hyperhidrosis involves disrupting the sympathetic nerves at the second (or third) thoracic vertebra, which allows for a smaller incision. In contrast, for plantar hyperhidrosis, it requires dis...

[Read More] Understanding Compensatory Sweating After Hand Surgery: Solutions and Insights


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