Understanding Right Leg Tightness and Hand Numbness: Possible Causes and Solutions
There is an abnormal tightness sensation in the right thigh, accompanied by slight numbness in the hand? Hello Dr. Lai, I would like to ask if you could help me with a preliminary diagnosis of my condition. It started around February of last year, and my current symptoms include ...
Dr. Lai Zhaokang Reply:
Hello: 1. The hand <the right hand also feels a bit prone to numbness, particularly the ring and little fingers...> is mainly due to nerve compression in the hand. It may also be caused by cervical spine issues, and a nerve conduction study (NCS) is needed for differentiati...[Read More] Understanding Right Leg Tightness and Hand Numbness: Possible Causes and Solutions
Understanding Carpal Tunnel Syndrome: Treatment Options and Insights
Radicular syndrome with hand numbness? My mother has been experiencing numbness in her middle and index fingers after prolonged activities such as reviewing documents, washing dishes, brushing her teeth, and combing her hair over the past two years. A doctor diagnosed her with ce...
Dr. Zhang Junwei Reply:
Since the nerve conduction study indicates two underlying issues simultaneously, and there has been no improvement after wrist surgery, cervical spine surgery may need to be considered.[Read More] Understanding Carpal Tunnel Syndrome: Treatment Options and Insights
Understanding Left Neck Pain: Causes, Diagnosis, and Treatment Options
Left neck pain? Four years ago, I experienced numbness in my left fingers and pain in my arm. After an MRI examination, it was found that there was a herniated disc at the levels of C3-C4, C4-C5, C5-C6, and C6-C7, with the C5-C6 level being more severe. I did not undergo surgery ...
Dr. Zhang Junwei Reply:
X-rays cannot visualize intervertebral discs, let alone nerves. If there is a suspicion of worsening disc herniation with nerve compression, it is best to perform an MRI again.[Read More] Understanding Left Neck Pain: Causes, Diagnosis, and Treatment Options
Understanding Postural Numbness: Is It Just Cervical Compression?
Posterior right hemisphere edema? Hello, Dr. Chang. This has happened twice, both times while sleeping in a slouched position on a wooden chair, with the back of my head resting directly against the top of the chair back. Upon waking, I experienced a feeling of swelling and numbn...
Dr. Zhang Junwei Reply:
It sounds like it may be caused by cervical nerve compression; however, it is still recommended to consult a neurosurgery outpatient clinic for an accurate diagnosis.[Read More] Understanding Postural Numbness: Is It Just Cervical Compression?
Understanding Cervical Spine Surgery and Autonomic Nervous System Disorders
Cervical spine surgery (autonomic nervous system dysfunction) Last year, I fell from an aluminum ladder and injured my cervical spine, which led to back pain, headaches, dizziness, tinnitus, insomnia, blurred vision, palpitations, chest tightness, nausea, vomiting, memory loss, a...
Dr. Zhang Junwei Reply:
Without a complete medical history, patient history, and neurological examination, it is difficult to provide an accurate answer. I apologize![Read More] Understanding Cervical Spine Surgery and Autonomic Nervous System Disorders
Understanding Treatment Options for Cervical Myelopathy and Syringomyelia
Treatment of cervical syringomyelia I went to New Taipei Hospital for consultation due to tightness and pain in my neck and shoulders. An MRI on July 27 revealed that the nerve root is being compressed between the C4 and C5 vertebrae, and there is spinal cord compression between ...
Dr. Zhao Shaoqing Reply:
Spinal cord compression can lead to sensory and motor neurological symptoms, including pain, numbness, and weakness in the neck and both upper limbs. If there is a presence of syringomyelia, it generally indicates irreversible damage to the spinal cord. Surgical intervention on t...[Read More] Understanding Treatment Options for Cervical Myelopathy and Syringomyelia
Understanding Cervical Spine Surgery and Sympathetic Nerve Issues
Cervical spine surgery (sympathetic nerve) Hello Dr. Lai: I fell from a ladder and injured my cervical spine, which has resulted in back pain, headaches, dizziness, tinnitus, insomnia, blurred vision, palpitations, chest tightness, nausea, vomiting, memory loss, anxiety, gastroin...
Dr. Lai Zhaokang Reply:
Hello: 1. If you have undergone surgery at another hospital and have not experienced any improvement after 4 months, you can undergo an MRI examination for evaluation; there is no such thing as "only X-rays." 2. Your symptoms may be caused by cervical spinal cord nerve ...[Read More] Understanding Cervical Spine Surgery and Sympathetic Nerve Issues
Understanding Neck and Head Issues After a Slip and Fall Accident
Slip and fall, head and neck issues? Hello, doctor. Last week, I slipped and fell backward due to a wet floor. I'm not sure if I hit the back of my head, but I felt dizzy and experienced tinnitus immediately after getting up. I've still been feeling somewhat dizzy these...
Dr. Zhao Shaoqing Reply:
A posterior impact to the head and neck raises concerns about potential injuries to the cerebellum or cervical spine. Symptoms may include dizziness, headaches, neck pain, and poor balance. If these symptoms persist without improvement, it is advisable to seek medical evaluation ...[Read More] Understanding Neck and Head Issues After a Slip and Fall Accident
Understanding Neck Stiffness and Dizziness After a Fall: What to Do?
Stiff neck Hello, I accidentally slipped backward five days ago and have been experiencing persistent dizziness. In the past two days, I've also noticed tingling in my scalp, and my shoulders and neck feel a bit stiff, making me hesitant to move. Is this a normal phenomenon?...
Dr. Lai Zhaokang Reply:
Hello: If you may have an injury to your cervical spine, you can try neck protection, heat therapy, and applying analgesic ointment. If there is no improvement or if the condition worsens, it is advisable to consult a neurosurgeon for evaluation. Wishing you well, Dr. Lai Chao-Ka...[Read More] Understanding Neck Stiffness and Dizziness After a Fall: What to Do?
Head Injury Concerns: Potential Risks and Management After Impact
Top of the head impact issues? Hello Director Chang, Today, while I was getting into a government van, I didn't notice the height difference and hit my head hard against the door frame. It was very painful at the moment, and the pain radiated to the back of my head. By the ...
Dr. Zhang Junwei Reply:
Based on your description, it seems to be a mild head injury. If discomfort persists, you may want to schedule an appointment with a surgical outpatient clinic for further evaluation.[Read More] Head Injury Concerns: Potential Risks and Management After Impact
Understanding Sciatica: Symptoms, Treatment Options, and When to Seek Help
Sciatica Hello, Doctor: I would like to ask if these symptoms are related to sciatica? Can they be treated with rehabilitation alone, or do I need further examinations? If so, which specialist should I see? Thank you! I have pain in the lumbar region, neck and shoulder discomfort...
Dr. Lai Zhaokang Reply:
Hello: Your lumbar spine, cervical spine, and knees all need to be examined. It is recommended to consult a neurosurgeon for evaluation. Physical therapy can be attempted, but whether you can recover through rehabilitation will depend on your condition. Best wishes. // Dr. Lai Ch...[Read More] Understanding Sciatica: Symptoms, Treatment Options, and When to Seek Help
Understanding Chiropractic Care: Risks and Benefits for Spinal Health
Spinal and cervical adjustment? Hello doctor, I have had scoliosis since I was in the first year of junior high school until the first year of high school. When I was in the third year of junior high, I went to the hospital for rehabilitation, but they didn't mention anythin...
Dr. Zhang Junwei Reply:
The quality of chiropractic care varies widely; if it has already caused you discomfort, it's best to stop.[Read More] Understanding Chiropractic Care: Risks and Benefits for Spinal Health
Is Artificial Disc Replacement Suitable for Mild Scoliosis?
Could you please provide more details about scoliosis and artificial intervertebral discs? Hello, doctor. I would like to ask if I have two herniated discs in my cervical spine and my doctor has recommended artificial disc replacement. If I also have a mild scoliosis, would it be...
Dr. Lai Zhaokang Reply:
Hello: Generally, scoliosis has less impact on the cervical spine, but if you need to implant an artificial disc in the cervical spine, you should consider whether you choose 1. mobile or 2. fusion type. If you opt for the mobile type, greater attention must be paid to the implan...[Read More] Is Artificial Disc Replacement Suitable for Mild Scoliosis?
Understanding Disc Herniation: Severity, Treatment Options, and Surgery
The severity of a herniated disc and the decision to undergo surgery? Hello Doctor, earlier this year I experienced muscle tightness in my back (with a forward protrusion on the right side). During the Lunar New Year, I began to have lower back pain and numbness in my legs (with ...
Dr. Lai Zhaokang Reply:
Hello: 1. The nucleus pulposus at the L5-S1 level can be absorbed, but if left untreated for a long time, it will degenerate, become dehydrated, and harden, making it more difficult to manage later. Additionally, the intervertebral height will gradually decrease, which can lead...[Read More] Understanding Disc Herniation: Severity, Treatment Options, and Surgery
Managing C7 Vertebra Fracture: Sleep Positions and Recovery Tips
Fracture of the seventh cervical vertebra? If the seventh cervical vertebra is fractured due to a car accident and treated with a soft cervical collar without surgery, it is important to follow specific guidelines for sleeping and daily activities. 1. **Sleeping Position**: It ...
Dr. Lai Zhaokang Reply:
1. Side-lying, sleeping on the side - please wear a cervical collar as well. 2. For a normal person, fracture healing generally takes about 3 months. Therefore, wearing a cervical collar for 3 months is the safest option, so hospitalization for 3 months is not feasible. Thus, p...[Read More] Managing C7 Vertebra Fracture: Sleep Positions and Recovery Tips
Post-Operative Symptoms After Anterior Cervical Discectomy: What to Expect?
Inquire about the postoperative sequelae of anterior cervical discectomy? Hello Doctor: My father is currently in his 50s and has experienced an inability to move his neck up and down or side to side. After visiting the hospital, the doctor recommended surgery, and he underwent p...
Dr. Lai Zhaokang Reply:
Hello: A few individuals may suggest starting rehabilitation first. Wishing you all the best. // Dr. Chao-Kang Lai, Department of Spine Surgery[Read More] Post-Operative Symptoms After Anterior Cervical Discectomy: What to Expect?
Understanding Back Pain: Insights on Muscle Strain and Treatment Options
Back pain Hello Doctor: Recently, I have been experiencing tightness in my neck and shoulders while sleeping, which has affected my sleep quality. Last week, I suddenly felt a significant pain in the area near my right scapula close to the spine. The pain intensifies whenever I l...
Dr. Lai Zhaokang Reply:
Hello: It may be a cervical spine issue causing nerve compression. Please seek medical attention. Best wishes from Dr. Lai Chao-Kang, Neurosurgeon.[Read More] Understanding Back Pain: Insights on Muscle Strain and Treatment Options
Post-Surgery Complications After Cervical Spine Injury: What to Expect
Cervical spine surgery complications? While stopped at a red light, I was struck from behind by a truck, resulting in injuries to my cervical spine at levels C4 and C5. I underwent cervical spine surgery and had metal screws inserted. After the surgery, I received traditional Chi...
Dr. Lai Zhaokang Reply:
Hello: You have repeated questions, so I will answer them here. 1. If you have improved after surgery, it indicates that your nerves were severely damaged before the procedure. You will need to be patient, take medication, and undergo rehabilitation, with follow-up from your ph...[Read More] Post-Surgery Complications After Cervical Spine Injury: What to Expect
Understanding Whiplash Injuries: Recovery After Car Accident Neck Surgery
Cervical spine surgery due to a car accident? Over two months ago, I was hit directly from behind by a truck while waiting at a red light. After initial treatment for my external injuries, I was about to go home, but I started experiencing persistent pain in my neck. The orthoped...
Dr. Lai Zhaokang Reply:
Hello: You have repeated your question, so I will answer it here. 1. If you have improved after surgery, it indicates that your nerves were more severely damaged before the procedure. You will need to be patient and continue with medication and rehabilitation, while your physicia...[Read More] Understanding Whiplash Injuries: Recovery After Car Accident Neck Surgery
Understanding Persistent Neck Discomfort: Causes and Solutions
Discomfort in the right neck? Hello Dr. Lai, I am currently a university student and have been experiencing tightness in my neck, from the base of my skull to my right shoulder, for about 8 weeks. I am unsure how this injury occurred: 1. It may have originated from a bicycle a...
Dr. Lai Zhaokang Reply:
Hello: It is still recommended that you bring your previous X-ray and MRI scans. Please visit in person for your consultation with the neurosurgeon. Wishing you all the best.[Read More] Understanding Persistent Neck Discomfort: Causes and Solutions