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:
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 Coccyx Pain: Causes, Symptoms, and When to Seek Help
Pain below the coccyx? There is pain when pressing on the area below the coccyx, and sitting also causes pain, while lying down or standing feels more comfortable. There was no external impact or injury, and I have been sitting for long periods. The pain has persisted for 3 days,...
Dr. Lai Zhaokang Reply:
Hello: If your pain has not worsened and is still bearable, rest and observe for two weeks. If there is no improvement, make an appointment with a specialist: neurosurgery, spine surgery, orthopedics, or rehabilitation medicine. If symptoms worsen and the pain becomes unbearable,...[Read More] Understanding Coccyx Pain: Causes, Symptoms, and When to Seek Help
Understanding Cauda Equina Syndrome: Recovery, Surgery, and Treatment Options
Cauda equina syndrome Hello Doctor, I fell from the fourth floor on August 13, resulting in cauda equina syndrome, with compression at vertebrae 7 and 12, as well as a pelvic fracture and bilateral crush fractures of the feet. The doctor initially mentioned a minimally invasive p...
Dr. Lai Zhaokang Reply:
Hello: 1. Cauda equina syndrome is a severe neurological injury. An MRI is needed to assess where the affected segments are and to determine if there are conditions for surgical decompression and spinal reconstruction. 2. If surgery is indicated, it should be performed as earl...[Read More] Understanding Cauda Equina Syndrome: Recovery, Surgery, and Treatment Options
Understanding Disc Herniation After Tailbone Injury: Symptoms and Treatment
Herniated disc Hello, doctor. Three weeks ago, I fell down the stairs and sustained a coccygeal fracture. Initially, the pain was not severe, and my mobility began to improve. However, since last week, the area above my coccyx in the lumbar region has become very swollen and pain...
Dr. Lai Zhaokang Reply:
Hello: Based on your description: "The area around my lower back has become very swollen and painful, and my left leg often experiences sharp pain from my lower back to the sole of my foot... My lower back is sore except when lying down, and my left foot is increasingly numb...[Read More] Understanding Disc Herniation After Tailbone Injury: Symptoms and Treatment
Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Coccygeal issues Hello Dr. Zhao: I have been experiencing significant pain at the very bottom of my coccyx when lying down or riding in a car, feeling as if it is protruding. It also hurts when I touch it, with a sensation similar to inflammation. This symptom has persisted for n...
Dr. Zhao Shaoqing Reply:
Hello: Coccyx pain may be caused by inflammation of the plantar fascia or fist. You can visit an orthopedic or neurosurgery clinic to see if a CT scan or nerve conduction study is necessary. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Understanding Lower Back Pain and Its Connection to Tailbone and Abdominal Discomfort
Lumbar pain, perianal pain, and cramp-like pain in the lower abdomen? Hello, doctor. Whenever I experience discomfort in my lower back, I also feel sharp pain in my coccyx and my lower abdomen (the triangular area between my legs), along with cramping pain that radiates to my rig...
Dr. Lai Zhaokang Reply:
Hello: It is suspected to be a condition of the lumbar spine. It is recommended to consult a specialist in spinal neurology and arrange for a series of examinations, including magnetic resonance imaging (MRI), to identify the lesion. Best wishes to you. // Dr. Lai Chao-Kang, Chan...[Read More] Understanding Lower Back Pain and Its Connection to Tailbone and Abdominal Discomfort
Understanding Nerve Issues in the Cervical Spine After Trauma
Cervical spine nerve issues? I would like to consult a physician. Recently, I had a conflict with a classmate that resulted in being hit. Prior to that, I had also been hit on the back. Each time, the hits were spaced out by one to two seconds, and the pain from the previous hit ...
Dr. Zhang Junwei Reply:
You have described so much, but without a physical examination, it is truly impossible to provide an answer. I recommend that you schedule an appointment with a neurosurgery clinic for an evaluation. If you still have doubts, consider seeking opinions from several different physi...[Read More] Understanding Nerve Issues in the Cervical Spine After Trauma
Understanding Lumbar and Coccyx Issues: Symptoms and Diagnosis Explained
Hello, doctor. I would like to inquire about issues related to the lumbar spine and the coccyx? Hello, doctor. Here's the situation. For about a year now, I have been experiencing a sensation of a foreign body in my anus, and after urinating, there are a few drops of urine l...
Dr. Zhang Junwei Reply:
If there is nerve compression, it cannot be clearly seen with just an X-ray; generally, an MRI is also needed. It is recommended to schedule an appointment with a neurosurgery clinic for a professional evaluation.[Read More] Understanding Lumbar and Coccyx Issues: Symptoms and Diagnosis Explained
Understanding Sacral Cysts: Symptoms, Diagnosis, and Treatment Options
Sacral cyst? Hello, Doctor Lai. I have been experiencing a feeling of anal heaviness and occasional urges to defecate for nearly a month and a half. During this time, I consulted a colorectal surgeon and underwent a colonoscopy, where I was told I have hemorrhoids (not significan...
Dr. Lai Zhaokang Reply:
Hello: 1. Sacral cysts are classified as meningeal cysts, originating from the membranes surrounding the spinal cord, thus referred to as "intradural meningeal cysts" for this category of diseases. Most intradural meningeal cysts are considered congenital, while some ar...[Read More] Understanding Sacral Cysts: Symptoms, Diagnosis, and Treatment Options
Understanding Tarlov Cysts: Symptoms, Risks, and Treatment Options
2 cm Tarlov cyst Hello, I fell while skiing in Korea on February 26, landing on my buttocks. An X-ray taken in Korea indicated a coccygeal fracture. After returning home, I visited an orthopedic specialist and underwent an MRI. The MRI report stated: "Bone marrow edema-like ...
Dr. Zhang Junwei Reply:
Doctors base their recommendations on past experiences. Tarlov cysts may grow larger, but the rate is usually slow, and they may not grow at all. My suggestion is to have regular follow-ups. If the cyst does increase in size or if neurological symptoms worsen, then further interv...[Read More] Understanding Tarlov Cysts: Symptoms, Risks, and Treatment Options
Understanding Tailbone Pain: Is It a Residual Injury or Sciatica?
Spinal issues Hello, two years ago I injured my coccyx twice, but the pain only lasted for two or three days and then gradually improved. However, recently I have been experiencing sudden sharp pain from my coccyx down to my left leg while walking, which causes my leg to feel wea...
Dr. Lai Zhaokang Reply:
Hello: It seems to be a problem with the sciatic nerve. I recommend seeing a neurosurgeon. Best wishes to you.[Read More] Understanding Tailbone Pain: Is It a Residual Injury or Sciatica?
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:
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
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:
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?
Understanding Spinal Fusion Surgery for Spondylolisthesis: Key Questions Answered
Spinal fusion surgery for spondylolisthesis? Hello Dr. Chang, I was recently diagnosed with spondylolisthesis at the fourth and fifth lumbar vertebrae and need to undergo fusion surgery. Currently, I am experiencing significant pain in my left sciatic region, and after sitting fo...
Dr. Zhang Junwei Reply:
You can consult either an orthopedic surgeon or a neurosurgeon. It is recommended to bring your MRI to the outpatient clinic to discuss it with the physician![Read More] Understanding Spinal Fusion Surgery for Spondylolisthesis: Key Questions Answered
Are Lumbar Injuries and Coccyx Misalignment the Same?
Is a lumbar strain the same as a dislocated coccyx? Hello, doctor: Due to a car accident, the other party's diagnosis states that there is a contusion on the left flank, but they informed me that their coccyx is misaligned. I would like to ask if the lower back and the coccy...
Dr. Lai Zhaokang Reply:
Hello, the lumbar and coccygeal regions have different medical terminologies. However, in legal matters, it is generally based on written diagnostic explanations.[Read More] Are Lumbar Injuries and Coccyx Misalignment the Same?
Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Coccydynia (pain in the coccygeal region) Hello Doctor: Last year, while riding a stationary bike, I developed pain in the coccygeal area (the end of the spinal cord between the buttocks) due to poor posture. At the beginning of this year, I went to Yadong Hospital's Orthope...
Dr. Lai Zhaokang Reply:
Hello, generally speaking, coccyx pain in young individuals is often related to injury in that area, as it is considered the "degenerate tail" of humans. Oral medications may not be effective, especially if there is an injury, making it difficult to heal with just oral ...[Read More] Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Understanding Coccyx Pain: Causes and Treatments Explained
Coccydynia (tailbone pain) Could you please explain why a physician might occasionally experience pain in the coccyx (the area in the middle of the buttocks)? What could be the underlying cause of this? Thank you for your response.
Dr. Ding Xianwei Reply:
It is likely due to sitting for too long; I recommend that you avoid prolonged sitting.[Read More] Understanding Coccyx Pain: Causes and Treatments Explained
Understanding Left Coccyx Pain: Causes, Symptoms, and Treatment Options
Pain in the left coccyx may occur intermittently? Sometimes, even without engaging in strenuous exercise, I suddenly experience pain on the left side of my coccyx (only when I move that area of muscle). This started in July, but the pain is quite intense, often not hurting for ju...
Dr. Zhang Yuanyi Reply:
Dear Mr. Lin, Hello. 1. The term "ruptured disc" likely refers to a herniated disc, which can compress a nerve on one side, resulting in unilateral pain. It is important to maintain proper posture and consider using a supportive lumbar brace; however, there is no qui...[Read More] Understanding Left Coccyx Pain: Causes, Symptoms, and Treatment Options
Understanding Tailbone Fractures: Treatment Options and Recovery Insights
急性 Hello Dr. Chiu: On the 26th, while I was walking home, I was hit by a drunken woman, resulting in a fractured coccyx. The doctor said, "It's okay, it will heal naturally." Is that true? I remember cutting out an article from the newspaper about a treatment at yo...
Dr. Qiu Yushu Reply:
Hello: It is recommended that you first visit the outpatient clinic to confirm your condition before appropriate treatment can be provided.[Read More] Understanding Tailbone Fractures: Treatment Options and Recovery Insights
Understanding Chronic Lower Back and Heel Pain: Causes and Prevention
Lower back pain and heel pain..? Hello, Doctor. Over the past year, I have been experiencing soreness in my lower back (approximately 4 to 5 vertebrae above the coccyx). When the discomfort is mild, I feel a dull ache in the vicinity of my lower back, but when it becomes severe, ...
Dr. Ding Xianwei Reply:
Hello: It is advised not to stand or sit for prolonged periods and to avoid maintaining a fixed posture for too long. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Chronic Lower Back and Heel Pain: Causes and Prevention