Cramps, Neurosurgery FAQ

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Understanding Quadriceps Cramps: Causes and Solutions for Active Cyclists and Runners

Quadriceps muscle cramp Hello, doctor. I take personal days off and often ride my road bike up Yangmingshan, Erziping, or similar places in the evenings. I have also participated in several half marathons, so I consider myself to be quite active in sports. This exercise habit has...


Dr. Lai Zhaokang Reply:
Hello: Cramps while cycling uphill or running are quite common. The possible common causes are: 1. Dehydration and electrolyte loss due to sweating 2. Increased body temperature and lower limb muscle temperature after exercise 3. Increased oxygen consumption by muscles leading to...

[Read More] Understanding Quadriceps Cramps: Causes and Solutions for Active Cyclists and Runners


Post-Surgery Recovery Challenges After Lumbar Disc Rupture: Seeking Solutions

Postoperative care after lumbar disc herniation surgery? Dear Doctor, I underwent two surgeries in 2020 for L3-4-5 lumbar spine stabilization with interbody fusion devices. My recovery was good, and three months post-surgery, I returned to delivering food. After nearly a year, ...


Dr. Lai Zhaokang Reply:
Hello: If the damage is severe before surgery, the postoperative recovery may not be ideal. Your condition is more complex. We need to review MRI and other imaging studies to provide you with a clearer assessment and recommendations. You can bring a series of MRIs for a consultat...

[Read More] Post-Surgery Recovery Challenges After Lumbar Disc Rupture: Seeking Solutions


Understanding Communication Challenges After Brain Injury: Is It Aphasia?

Brain injury - auditory comprehension (communication difficulties) and visual comprehension levels? Hello Doctor: Since the car accident two months ago, I have been experiencing strange phenomena. Over the past two months, I have noticed that when I answer phone calls, I often ha...


Dr. Zhao Shaoqing Reply:
Hello: Brain injuries can have many sequelae, and the symptoms will vary depending on the location of the injury. Most patients clinically show continuous improvement and can benefit from rehabilitation therapy. Hyperbaric oxygen therapy may also be consulted to aid in brain reco...

[Read More] Understanding Communication Challenges After Brain Injury: Is It Aphasia?


Post-COVID Nasal Swab Pain: Is Cerebrospinal Fluid Leakage Possible?

I experienced severe discomfort after performing a COVID-19 rapid test on my left nostril, and my left nostril has been continuously running clear fluid? Hello Doctor: I underwent a COVID-19 rapid test at the hospital at 10 AM. When the swab was inserted into my left nostril, I e...


Dr. Zhao Shaoqing Reply:
Hello: It is less likely for a cotton swab to be inserted into the left nostril. However, if there is a persistent sensation of clear fluid flowing into the throat, along with symptoms such as headache and fever, it is advisable to visit a hospital for a blood test to check for a...

[Read More] Post-COVID Nasal Swab Pain: Is Cerebrospinal Fluid Leakage Possible?


Post-Surgery Leg Cramps: Understanding Causes and Solutions After Disc Surgery

Post-operative muscle cramps in the right leg following a herniated disc surgery? Hello Doctor: My father is 73 years old. After undergoing surgery for a herniated disc last month, he has been experiencing intermittent cramps and spasms in his right leg about two weeks post-opera...


Dr. Lai Zhaokang Reply:
Hello: If you are unable to improve with the treatment from your original surgeon, you may consider obtaining pre-operative MRI copies and consulting with another neurosurgeon. Wishing you the best. // Neurosurgeon Dr. Lai Chao-Kang

[Read More] Post-Surgery Leg Cramps: Understanding Causes and Solutions After Disc Surgery


Understanding Weakness and Tightness in Legs After Prolonged Sitting

After sitting for about 2-3 hours, there is a feeling of weakness in the thighs and tightness in the calves? Hello, Doctor. Recently, whenever I sit for about 2-3 hours, I experience weakness in my thighs and tightness in my calf muscles. The first time I noticed this was two yea...


Dr. Lai Zhaokang Reply:
It seems like you are experiencing neurological symptoms. You may want to consult a neurosurgeon. Best wishes to you. // Changhua Hospital, Department of Neurosurgery, Dr. Lai Chao-Kang.

[Read More] Understanding Weakness and Tightness in Legs After Prolonged Sitting


Post-Surgery Leg Cramps After Lumbar Disc Herniation: Causes and Solutions

Postoperative leg cramps after herniated disc surgery? Hello, I underwent surgery on the fifth lumbar vertebra and the first coccygeal vertebra about three weeks ago due to a rupture of the intervertebral disc, which caused a herniation that compressed the nerve in my left leg. F...


Dr. Lai Zhaokang Reply:
Hello, it is recommended to first return to the original surgeon for evaluation. If there is no clear improvement, then seek assistance from another neurosurgeon. Wishing you the best.

[Read More] Post-Surgery Leg Cramps After Lumbar Disc Herniation: Causes and Solutions


Persistent Right Lower Body Pain: Could It Be a Nerve Issue?

Pain and numbness in the right lower extremity? I have been experiencing pain and numbness in my right lower body, from my waist to the sole of my foot, for the past seven months. The discomfort is particularly pronounced in the lower right back and hip area, which feels tight an...


Dr. Zhang Junwei Reply:
It could be an issue with the sciatic nerve.

[Read More] Persistent Right Lower Body Pain: Could It Be a Nerve Issue?


Understanding Back Pain and Thigh Issues After Sports Injury: A Guide

Back pain Hello, doctor. I previously had scoliosis but did not pay much attention to it as there were no special issues. However, two weeks ago, on Saturday, after playing basketball, I started experiencing severe pain in the lower part of my spine the day after, which has conti...


Dr. Lai Zhaokang Reply:
Based on your description, my personal judgment is that the most common issue is likely a herniated lumbar disc compressing the nerves. The lumbar disc is initially injured, causing back pain, but if the disc gradually bulges out due to pressure, it may compress nearby nerves, le...

[Read More] Understanding Back Pain and Thigh Issues After Sports Injury: A Guide


Understanding Back Pain and Thigh Issues After Basketball: A Guide

Back pain Hello Dr. Ding, I previously had scoliosis but did not pay much attention to it as there were no special circumstances. However, two weeks ago on Saturday, after playing basketball, I started experiencing severe pain in the lower part of my spine the following day, whic...


Dr. Ding Xianwei Reply:
The doctor's advice is correct! You should get plenty of rest, undergo rehabilitation, and take your medication! Unless the symptoms are severe, in which case surgery may be necessary, further examinations can be arranged.

[Read More] Understanding Back Pain and Thigh Issues After Basketball: A Guide


Understanding Foot Cramps: Causes and Solutions for Better Sleep

Leg twitching? Hello Dr. Ding, I often experience twitching in my right little toe while sleeping. Sometimes the twitching is severe, and I feel it extending to my lower back. Occasionally, I also feel discomfort in my head. This has been happening for about 5 to 6 years, and it ...


Dr. Ding Xianwei Reply:
Due to the lack of a personal examination, I can only provide suggestions based on the information you provided. If you are experiencing lower back pain that radiates to the right little toe, it may be caused by a herniated disc in the lumbar region compressing a nerve. If it is ...

[Read More] Understanding Foot Cramps: Causes and Solutions for Better Sleep


Understanding Cramps and Numbness: Common Neurological Issues

Cramps & Numbness 1. Sometimes when stretching, I experience muscle cramps in my back, and at times, I have stomach cramps. 2. Recently, I often experience numbness in my hands and feet. 3. I frequently have pain in the lower right side of my back, which leads to cramps i...


Dr. Ding Xianwei Reply:
I'm not sure what you are asking about. Regarding your concerns, there could be many possible reasons. However, back cramps may be due to overuse of the muscles in the back or lower back. As for numbness in the hands and feet, cervical spine degeneration could also be a pote...

[Read More] Understanding Cramps and Numbness: Common Neurological Issues


Post-Surgery Leg Cramps: Understanding Symptoms After Spinal Fusion

Muscle cramps in the foot after bone fusion surgery? Hello, Director Zheng: I underwent fusion surgery on my fourth and fifth vertebrae about six months ago. About a week after the surgery, I started to feel numbness in my right foot, and this condition has not improved since the...


Dr. Zheng Zhong Reply:
It is recommended to follow up with a neurosurgeon for further examination in order to address your concerns. Wishing you well, Dr. Zheng.

[Read More] Post-Surgery Leg Cramps: Understanding Symptoms After Spinal Fusion


Are Toe Cramps a Sign of Stroke? Understanding the Warning Signs

Signs of a Stroke Warning Is frequent toe cramping a sign of a stroke, Dr. Chiu? Thank you.


Dr. Qiu Yushu Reply:
Hello, this symptom is not a precursor to a stroke. It is advisable to visit an outpatient clinic for examination. Thank you, Dr. Chiu Yu-Shu.

[Read More] Are Toe Cramps a Sign of Stroke? Understanding the Warning Signs


Exploring Stellate Ganglion Block for IBS Relief: A Patient's Journey

Stellate ganglion block Hello, doctor. I am a 28-year-old male who has been suffering from irritable bowel syndrome (IBS) for many years. I am really in pain; I have been experiencing chronic diarrhea and abdominal cramps. Because of this, I have had to quit my job and I am afrai...


Dr. Qiu Yushu Reply:
Hello: Our hospital does not perform this surgery. We recommend that you consult with medical centers such as Veterans General Hospital, National Taiwan University Hospital, or Chang Gung Memorial Hospital.

[Read More] Exploring Stellate Ganglion Block for IBS Relief: A Patient's Journey


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:
It may be a nerve injury; please consult a physician for further examination.

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


Do You Really Need Surgery for a Herniated Disc? Exploring Options

Is surgery always necessary for a herniated disc? One day, I suddenly experienced mild pain in my lower back, which made it difficult to exert myself while using the restroom and caused significant inconvenience during bowel movements. I took pain medication and muscle relaxants ...


Dr. Qiu Yushu Reply:
Hello: If a herniated disc is mild, physical therapy (rehabilitation) may be appropriate. However, as you mentioned, surgery seems necessary. Generally, the surgical options are: 1. Microsurgery 2. Endoscopic surgery, which typically involves incisions no larger than 3-4 centimet...

[Read More] Do You Really Need Surgery for a Herniated Disc? Exploring Options


Understanding Arm Cramps: Causes and Concerns in Neurology

Muscle cramp In the past year, I have frequently experienced muscle cramps in my arm that are not painful but feel uncomfortable. My blood pressure ranges between 85 and 140. I would like to consult a physician about the possible causes. Thank you.


Dr. Qiu Yushu Reply:
Frequent muscle cramps in the arm that are not painful can have several possible causes. One possibility is involuntary contractions (known as focal spasms), which would require further examination to rule out any issues related to the brain. Another possibility is that it may si...

[Read More] Understanding Arm Cramps: Causes and Concerns in Neurology


Understanding Neurological Symptoms: Leg Cramps, Seizures, and Medication Effects

Cranial nerves Since experiencing my first leg cramp at the age of twenty-five, which triggered a seizure and caused me to faint, I have had recurrent symptoms. By the age of twenty-eight, after a second episode, I frequently experience cramps in my right calf as soon as I fall a...


Dr. Ding Xianwei Reply:
Regarding the symptoms you described, there are many possible diagnoses; however, the most likely one is epilepsy. Based on your symptoms, clonazepam and alprazolam are two medications that I am not very familiar with, but they are likely benzodiazepines with anticonvulsant prope...

[Read More] Understanding Neurological Symptoms: Leg Cramps, Seizures, and Medication Effects