Should You Undergo Surgery for Heavy Legs Due to Nerve Compression?
Heavy sensation in the lower limbs? Since last year, I have been experiencing a heavy sensation in my lower limbs and a swaying feeling while walking. An MRI revealed compression at cervical levels 5, 6, and 7, as well as compression and a herniated disc at lumbar level 5. The ne...
Dr. Lai Zhaokang Reply:
Hello: It is suspected that your unsteady gait is due to cervical spinal cord pathology. If an MRI confirms spinal cord compression and the symptoms are significant, surgery for decompression may be recommended. As for nerve conduction studies, they are later indicators that can ...[Read More] Should You Undergo Surgery for Heavy Legs Due to Nerve Compression?
Managing Lumbar Disc Issues: Pain Relief Strategies for Nerve Symptoms
Lumbar spine issues Hello Doctor, I went for an MRI due to lower back pain and found two herniated discs. Here is the link to the images: (https://drive.google.com/file/d/1lS-KgDRs9jKT1D_toQgb0SpUsl3ep7fV/view?usp=drivesdk). Currently, I am experiencing swelling in the front of m...
Dr. Lai Zhaokang Reply:
Hello: 1. It is recommended to start with conservative treatment, including medication and rehabilitation. If there is no improvement, you may consider lumbar epidural steroid injection or even minimally invasive surgery. You can find more information at the following link: https...[Read More] Managing Lumbar Disc Issues: Pain Relief Strategies for Nerve Symptoms
Understanding Sudden Nerve Pain and Muscle Twitches: Causes and Concerns
Numbness and tingling in the hands and feet, muscle twitching? Eight years ago, I underwent an MRI examination that revealed herniated discs at cervical levels C3-4-5-6, which caused pain in my left shoulder and neck, as well as discomfort in my left arm, skin tingling, and occas...
Dr. Zhang Junwei Reply:
It is possible for the symptoms of a herniated disc to be intermittent and to occur on both sides.[Read More] Understanding Sudden Nerve Pain and Muscle Twitches: Causes and Concerns
Understanding Herniated Discs: Rehabilitation vs. Surgery Options
Herniated disc Hello Dr. Lai, I went to see an orthopedic doctor due to lower back pain and found out that I have a herniated disc. I would like to ask if rehabilitation can improve my condition, or if surgery is the only option. I'm not sure how to upload images.
Dr. Lai Zhaokang Reply:
Hello: A lumbar disc herniation may not necessarily present with discomfort. If you are already experiencing back pain or nerve pain symptoms, it is advisable to proceed step by step: first, protect your back by avoiding bending and heavy lifting. Use anti-inflammatory and analge...[Read More] Understanding Herniated Discs: Rehabilitation vs. Surgery Options
Understanding Cervical Disc Herniation: Symptoms and Muscle Spasms Explained
Cervical intervertebral disc herniation compression Approximately 8-9 years ago, an MRI examination revealed herniated discs at the C3-4-5-6 levels, which are compressing the nerves and causing symptoms of pain and numbness in the left shoulder, neck, arm, and fingers. After unde...
Dr. Zhang Junwei Reply:
Muscle twitching is not necessarily caused by a herniated disc. Yes, it can indeed switch from one side to the other at times.[Read More] Understanding Cervical Disc Herniation: Symptoms and Muscle Spasms Explained
Is There a Link Between Herniated Discs and Muscle Twitching?
Is there a relationship between herniated discs and muscle twitching issues? Hello, Director Lai. I have been experiencing abnormal twitching in the muscles of my calves since mid-year, which led me to seek medical attention. I underwent nerve conduction studies (NCS) and electro...
Dr. Lai Zhaokang Reply:
Hello: 1. The relationship should not be significant. 2. The calf muscles are still twitching intermittently, which may indicate other issues, such as electrolyte imbalance, blood circulation, muscle strain, posture, or temperature. Soaking your feet in warm water can help. Discu...[Read More] Is There a Link Between Herniated Discs and Muscle Twitching?
Understanding Cervical and Lumbar Disc Compression Symptoms
Cervical and lumbar spine compression? About 8-9 years ago, I underwent an MRI examination which revealed herniated discs at the C3-4-5-6 levels causing compression. At that time, my main symptoms included numbness and pain in my left arm and fingers, along with occasional tingli...
Dr. Zhang Junwei Reply:
Herniated discs can occur on both sides, and the symptoms may be intermittent.[Read More] Understanding Cervical and Lumbar Disc Compression Symptoms
Understanding Numbness in the Second Toe: Causes and Treatment Options
Numbness in the second toe? About two months ago, I noticed decreased sensation in the second toe of my right foot. I initially thought it was due to diabetes, but blood tests came back normal. After a month, the sensation in the second toe of my left foot suddenly decreased and ...
Dr. Zhang Junwei Reply:
Symptoms are mild; an MRI can be performed for confirmation. A consultation with a neurosurgery outpatient clinic is recommended.[Read More] Understanding Numbness in the Second Toe: Causes and Treatment Options
Understanding Thumb Tremors: Is It Related to Cervical Disc Issues?
Tremor of the left thumb? Ten years ago, I had an MRI that showed herniated discs at the cervical levels C3-C4-C5, with symptoms that fluctuate in severity. When I feel uncomfortable, I go for physical therapy, but recently my discomfort has increased. Turning my neck to the left...
Dr. Lai Zhaokang Reply:
Hello: It is suspected to be a symptom of cervical nerve involvement. Given your age and symptoms, there is little likelihood of brain issues or Parkinson's disease. Best wishes, Dr. Lai Chao-Kang, Director of the Spine Surgery Department, Changhua Hospital.[Read More] Understanding Thumb Tremors: Is It Related to Cervical Disc Issues?
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 Nerve Pain and Tingling After COVID-19: A Guide
Occasional tingling and pain in the hands and feet? Hello, doctor. Since I tested positive for COVID-19 in June, I have been experiencing occasional soreness in my left eye for about one to two weeks. I went for a consultation, and the doctor said my eyes are fatigued. After exam...
Dr. Lai Zhaokang Reply:
Hello: 1. The symptoms in your upper arm/lower leg are likely caused by nerve compression from the cervical/lumbar spine. 2. It is not uncommon for symptoms on the left side to switch to the right side, depending on the location of the nerve compression. It is recommended to cons...[Read More] Understanding Nerve Pain and Tingling After COVID-19: A Guide
Recovery and Rehab After Microdiscectomy for L5-S1 Disc Herniation
Microdiscectomy for L5-S1 Disc Herniation in Athletes Hello Doctor, I had a microdiscectomy for an L5-S1 herniated disc at the end of June. Since the herniated portion was quite large, I would like to ask you: 1. How long will it take before I can engage in intense exercise? 2. W...
Dr. Zhang Junwei Reply:
1. Approximately three months, depending on the condition. 2. Please consult a rehabilitation specialist.[Read More] Recovery and Rehab After Microdiscectomy for L5-S1 Disc Herniation
Understanding Thoracic Disc Herniation and Scoliosis: What You Need to Know
Thoracic disc herniation and scoliosis? Hello Doctor, three years ago I was diagnosed with a tumor in my thoracic spine during examinations for another specialty, which was confirmed as a benign hemangioma through MRI. Recently, a follow-up MRI showed no changes in the hemangioma...
Dr. Lai Zhaokang Reply:
Hello: 1. As we age, natural aging will occur. 2. Avoid slouching, bending over to lift heavy objects, keep your head up and chest out, engage in more stretching exercises, or consider activities like hanging from a pull-up bar or swimming, or consult a physical therapist for per...[Read More] Understanding Thoracic Disc Herniation and Scoliosis: What You Need to Know
Returning to Intense Sports After Lumbar Disc Surgery: Key Considerations
Lumbar disc herniation surgery Hello, doctor. I underwent a microdiscectomy for L5-S1 herniated disc at the end of June this year. I am an athlete, and I would like to know how long after the surgery I can engage in intense physical activity. Should I give up my specialty to avoi...
Dr. Lai Zhaokang Reply:
Hello, the usual duration is three months. Even afterwards, it is important to avoid bending and lifting heavy objects. However, adjustments should be made based on the patient's objective pathology and subjective willingness. Wishing you a speedy recovery. By Dr. Lai Chao-K...[Read More] Returning to Intense Sports After Lumbar Disc Surgery: Key Considerations
Returning to Intense Sports After Lumbar Disc Surgery: Key Considerations
Lumbar disc herniation surgery Hello, doctor. I underwent a microdiscectomy for L5-S1 herniated disc at the end of June this year. I am an athlete, and I would like to know how long after the surgery I can engage in intense physical activity. Should I give up my specialty to avoi...
Dr. Lai Zhaokang Reply:
Hello, the usual duration is three months. Even afterwards, it is important to avoid bending and lifting heavy objects. However, adjustments may be made based on the individual’s objective pathology and subjective willingness. Wishing you a speedy recovery. By Dr. Lai Chao-Kang, ...[Read More] Returning to Intense Sports After Lumbar Disc Surgery: Key Considerations
Understanding Lumbar Disc Rupture and Its Impact on Disability Claims
Lumbar intervertebral disc herniation at L3, L4, and L5 - surgery was performed to install a lumbar stabilizer? Hello, doctor. I have a question. I underwent surgery for a herniated disc at the lumbar levels L3, L4, and L5 due to a car accident (it has been a year and a half sinc...
Dr. Lai Zhaokang Reply:
Hello: 1. After your injury and surgery, your recovery has not been ideal. This may be due to the severity of the injury prior to surgery. If you wish to reassess whether there is room for adjustment in your treatment, you can obtain copies of your medical records and MRI/X-ray i...[Read More] Understanding Lumbar Disc Rupture and Its Impact on Disability Claims
Post-Surgery Back Pain: Understanding Ongoing Discomfort After Disc Surgery
Postoperative back pain persists for one to two years? Hello, doctor! My mother is 59 years old. Two years ago, she suffered from severe lower back and leg pain, and no pain medication was effective. The doctor diagnosed her with a herniated disc compressing the nerves, and after...
Dr. Lai Zhaokang Reply:
Hello: 1. The report you provided indicates: L3-4 and L4-5 lumbar disc bulging, and L5-S1 disc herniation with compression of the dural sac... this suggests the presence of nerve compression. 2. I recommend that you copy the disc and bring the MRI images (not just the text) for t...[Read More] Post-Surgery Back Pain: Understanding Ongoing Discomfort After Disc Surgery
Understanding Post-Surgery Symptoms After Cervical Spine Injury
Questions After Cervical Spine Surgery Due to Car Accident Hello Doctor: Due to a car accident last November, I experienced compression of the cervical spine from the helmet, resulting in a herniated disc at C3-C7 and spinal cord edema. I underwent a discectomy and fusion surgery...
Dr. Zhang Junwei Reply:
Nerve conduction studies can help clarify your concerns.[Read More] Understanding Post-Surgery Symptoms After Cervical Spine Injury
Best Pillows for Herniated Discs: Finding Comfort and Support
What type of pillow is recommended for a herniated disc? Hello Director Lai, I have been dealing with cervical disc herniation for 18 years. Back then, I experienced constant pain while awake, but after a year of rehabilitation, the pain disappeared. I have been very mindful of m...
Dr. Lai Zhaokang Reply:
Hello: According to evidence-based medicine, when selecting a pillow, the key points are for back sleeping or side sleeping: 1. The area between the head, neck, and shoulders should have proper support (there should be no gaps, and the neck should not be suspended). 2. The cervic...[Read More] Best Pillows for Herniated Discs: Finding Comfort and Support
Post-Surgery Pain After Lumbar Disc Herniation: What to Expect?
Postoperative care for herniated disc surgery? Hello Doctor, I underwent traditional surgery for an L4-L5 herniated disc at the beginning of November, without the use of a spacer. Postoperatively, my calf pain improved, but in early January, I suddenly experienced persistent shoo...
Dr. Lai Zhaokang Reply:
Hello: After your decompression surgery in November, there was improvement, but in January, you experienced a recurrence of symptoms. I would like to speculate that it may be a relapse; of course, adhesions or other reasons are also possible. I recommend that you return for a fol...[Read More] Post-Surgery Pain After Lumbar Disc Herniation: What to Expect?