Understanding Cervical Disc Herniation: Symptoms and Urgent Care Tips
Cervical spine issues Hello, in February of this year, an MRI revealed a protrusion of the C5 and C6 intervertebral discs, with a broad central protrusion. However, there is still space for cerebrospinal fluid to flow when viewed from the side. After evaluation, the neurosurgeon ...
Dr. Lai Zhaokang Reply:
Hello: 1. If I suddenly woke up in the morning and found my right hand resting on my head, completely numb for over a minute, and it gradually returned to normal after I moved it down... it is possible that your right hand was compressed by your head for too long while you were s...[Read More] Understanding Cervical Disc Herniation: Symptoms and Urgent Care Tips
Managing Post-Surgery Complications After Cervical Disc Replacement
Cervical spine surgery sequelae? Hello Doctor, I have a herniated disc at the C5-C6 level, which has caused severe pain and numbness radiating from my left shoulder, back, arm, and fingers. After undergoing artificial disc replacement surgery, the symptoms on the left side were i...
Dr. Zhang Junwei Reply:
After surgery, the emergence of new symptoms usually indicates that there may be an issue in certain areas. It is advisable to discuss any subsequent treatment for your condition with the original surgeon, as other physicians typically do not intervene in such cases.[Read More] Managing Post-Surgery Complications After Cervical Disc Replacement
Post-Surgery Nerve Issues: Left Hand Improvement, Right Hand Decline
After cervical cone surgery, the left hand improved while the right hand worsened? Hello Dr. Lai, I would like to ask about my condition. I underwent surgery due to fractures in my sixth and seventh cervical vertebrae. Before the surgery, I experienced numbness and weakness in my...
Dr. Lai Zhaokang Reply:
Hello: 1. You have already undergone surgery by physicians at another hospital, and there have been changes in your symptoms. Your condition is relatively complex, and it cannot be assessed accurately with just a few sentences. 2. It is recommended that the patient bring the orig...[Read More] Post-Surgery Nerve Issues: Left Hand Improvement, Right Hand Decline
Post-Surgery Nerve Issues: Understanding Complications After Cervical Disc Replacement
Postoperative issues following cervical disc replacement at C5-C6 and artificial cage placement at C6-C7? Hello, my father is 58 years old. A month ago, he started experiencing numbness and pain in his right arm, hand, and fingers, which has affected his daily life. After a docto...
Dr. Lai Zhaokang Reply:
Hello: 1. After cervical spine surgery, if there are new upper limb symptoms that are not significant, you can observe and follow up in 2-4 weeks. 2. If there is sudden onset of lower back pain and pain in both knees while walking, these are not symptoms related to the cervical s...[Read More] Post-Surgery Nerve Issues: Understanding Complications After Cervical Disc Replacement
Understanding Coma Recovery After Traumatic Brain Injury from Car Accidents
Coma due to traumatic brain injury from a car accident? Hello, Director. My father is 50 years old and was hit by a car running a red light on August 19 this year. He was hospitalized due to excessive blood loss, hypoxia, and shock, with multiple fractures and injuries. After two...
Dr. Zhao Shaoqing Reply:
Hello: 1. The process of hyperbaric oxygen therapy has shown benefits for brain injury patients, and they can be evaluated at our hyperbaric oxygen center. 2. The writing of the diagnosis will depend on the situation; if neurological symptoms remain stable after six months, an as...[Read More] Understanding Coma Recovery After Traumatic Brain Injury from Car Accidents
Understanding Multiple Sclerosis: Managing Anxiety and Health Concerns
About Multiple Sclerosis? Hello, Doctor. A couple of months ago, I was worried about having Sjögren's syndrome due to dry mouth and dry throat, and after a few days of finger and toe pain, I became even more anxious and consulted a rheumatologist. The result was that everyth...
Dr. Lai Zhaokang Reply:
I recommend that you consult a neurologist and arrange for relevant examinations to confirm whether it is the condition you are concerned about. If it is not, focus on living your life without attributing symptoms to yourself. Your future is long, so concentrate on your studies a...[Read More] Understanding Multiple Sclerosis: Managing Anxiety and Health Concerns
Head Injury from Basketball: When to Observe or Seek Medical Attention
Head trauma? Hello doctor, yesterday while playing basketball, I was hit on the side of my head by another person's elbow. The area that was struck has been experiencing mild pain for the past day or two, but I do not have symptoms such as dizziness, vomiting, or weakness. I...
Dr. Zhang Junwei Reply:
Just continue to observe for now.[Read More] Head Injury from Basketball: When to Observe or Seek Medical Attention
Understanding Trigeminal Neuralgia in Multiple Sclerosis: A Patient's Journey
Multiple sclerosis with trigeminal neuralgia Hello Doctor, about five days ago, I experienced pain when pressing on the bone above my right eyebrow, which occasionally persists as a dull ache. Recently, the tenderness has decreased, but it still remains, and the continuous pain h...
Dr. Lai Zhaokang Reply:
Hello: 1. Multiple sclerosis is a rare disease with diverse symptoms. It is essential to consult a neurologist and undergo thorough examinations for an accurate diagnosis. Please do not self-diagnose or assume you have the condition without a proper evaluation from a neurologis...[Read More] Understanding Trigeminal Neuralgia in Multiple Sclerosis: A Patient's Journey
Persistent Finger Numbness: Causes and When to Seek Help
Numbness in the fingers of both hands? Dear Doctor: After taking a shower tonight, I started experiencing numbness in my fingers (all fingers except the thumb) that lasted for over an hour. I have had episodes of hand numbness in the past, but they would usually resolve quickly o...
Dr. Lai Zhaokang Reply:
Hello: It is suspected to be carpal tunnel syndrome or other conditions. It is recommended to consult a neurosurgeon. Best wishes to you. // Changhua Hospital, Department of Neurosurgery, Dr. Lai Chao-Kang.[Read More] Persistent Finger Numbness: Causes and When to Seek Help
Understanding Temporary Finger Pain: Possible Causes and Concerns
Transient finger pain Two weeks ago, I was tested for Sjögren's syndrome and also checked for some other complications, and all the results came back normal. However, during those days, I was pressing on the tissues of my fingers quite a bit (as I was worried about rheumatoi...
Dr. Lai Zhaokang Reply:
Hello: 1. First, stop the repetitive pressure on your fingers. 2. Soak your hands and feet in warm water daily (at a temperature that won't cause burns). 3. If there is no improvement after 2 weeks, it is advisable to consult a physician. Best wishes. // Neurosurgery Dr. Lai...[Read More] Understanding Temporary Finger Pain: Possible Causes and Concerns
Understanding Hand Nerve Issues After Humerus Fracture Surgery
Hand nerves I previously had a humeral fracture and underwent surgery. During my recovery period, I frequently consulted my attending physician. I have lost sensation in the area of my palm, specifically from the ring finger to the little finger (including the fingers), and this ...
Dr. Zhang Junwei Reply:
It is possible that a humeral fracture may result in nerve injury; therefore, it is recommended to consult a neurosurgery outpatient clinic for evaluation and treatment.[Read More] Understanding Hand Nerve Issues After Humerus Fracture Surgery
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 Persistent Finger Pain: When to Consult a Neurosurgeon
Finger issues Hello Doctor: My right hand's little finger at the first phalanx (distal phalanx) on the inner side has been experiencing severe pain for over 5-6 years whenever I accidentally press on it. The pain feels like being struck by a hammer, which often causes me to ...
Dr. Zhang Junwei Reply:
It sounds like nerve or tendon inflammation; I recommend a consultation at the neurosurgery outpatient clinic.[Read More] Understanding Persistent Finger Pain: When to Consult a Neurosurgeon
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 Numbness in the Ring and Pinky Fingers: Causes and Self-Care Tips
Numbness in the ring finger and little finger? Hello doctor, I started feeling numbness in my little finger and ring finger yesterday. Today, in addition to the numbness in those fingers, I also feel a sensation of numbness in the palm below them and along the inner side of my ar...
Dr. Lai Zhaokang Reply:
Hello: It may be ulnar nerve neuropathy or another condition. You can start by applying a warm compress to the affected area and performing arm swinging exercises. If there is no improvement after one week, please consult a neurosurgeon. Best wishes from Dr. Lai Chao-Kang, Neuros...[Read More] Understanding Numbness in the Ring and Pinky Fingers: Causes and Self-Care Tips
Understanding Nerve Block Procedures: Recovery and Pain Management
Nerve block procedure Hello Dr. Lai: My cervical vertebrae C4 and C5 were injured in a car accident in May, and after surgery, I have been experiencing pain and weakness extending from my left shoulder to my fingers, especially in my left middle and ring fingers, which not only h...
Dr. Lai Zhaokang Reply:
Hello: You should consult with your original surgeon and the physician who performed the nerve block to assess whether a repeat MRI is necessary. However, if you wish to seek a second opinion from another physician, it is advisable to bring your MRI and X-ray images. It is best t...[Read More] Understanding Nerve Block Procedures: Recovery and Pain Management
Understanding Nerve Block Procedures: Recovery and Pain Management
Nerve block technique Hello Dr. Lai: My cervical vertebrae C4 and C5 were injured in a car accident in May, and after surgery, I have been experiencing pain and weakness extending from my left shoulder to my fingers, particularly in my left middle and ring fingers, which not only...
Dr. Lai Zhaokang Reply:
Hello: You should consult with your original surgeon and the physician who performed the nerve block to assess whether a repeat MRI is necessary. However, if you wish to seek a second opinion from another physician, it is advisable to bring your MRI and X-ray images. It is best t...[Read More] Understanding Nerve Block Procedures: Recovery and Pain Management
Understanding Neck Issues After Disc Surgery: Pain and Nerve Block Treatment
Neck issues Hello Dr. Lai: I was involved in a car accident in mid-May, and after the accident, I underwent artificial disc replacement surgery at the C4 and C5 levels. Post-surgery, I experienced pain in my neck that radiated to the middle and ring fingers of my left hand, accom...
Dr. Lai Zhaokang Reply:
Hello: You asked three times, so I will respond all at once. 1. You can copy the pre-operative and post-operative X-rays and MRIs and place them here (if you have no privacy concerns) or bring them for discussion during the outpatient visit. 2. Of course, a referral can be made, ...[Read More] Understanding Neck Issues After Disc Surgery: Pain and Nerve Block Treatment