Understanding Surgical Options for Persistent Disc Herniation Pain
If physical therapy and manual therapy do not improve a herniated disc, is surgery necessary? Hello, Doctor: I usually exercise very little, but from January to the end of February 2014, I underwent intensive training in running. Suddenly, in early March 2014, I experienced sever...
Dr. Lai Zhaokang Reply:
Hello, based on your symptoms, if the MRI has confirmed a herniated disc compressing the nerve, causing sciatica and significantly affecting your daily life, and conservative rehabilitation has been ineffective, it may be time to consider surgery. 1. You mentioned a minimally i...[Read More] Understanding Surgical Options for Persistent Disc Herniation Pain
Post-Surgery Pain and Numbness: Understanding Recovery After Disc Surgery
Experiencing pain again four days after spinal disc surgery? I was diagnosed with an L5-S1 herniated disc three months ago and underwent minimally invasive surgery a few days ago to remove the herniation. After the surgery, aside from pain at the incision site, I also experienced...
Dr. Lai Zhaokang Reply:
Hello, my personal speculation is that when your doctor mentioned the anesthesia losing its effect, they were likely referring to the patient-controlled analgesia (PCA) that was stopped three days post-surgery. Additionally, the symptoms you described could have many potential ca...[Read More] Post-Surgery Pain and Numbness: Understanding Recovery After Disc Surgery
Is Hip Clicking Related to Lumbar Disc Herniation Symptoms?
Is there a relationship between herniated discs and the popping sound in the hip joint? Hello, I went to a major hospital for an examination because my foot was experiencing numbness and tingling. The result was a herniated disc at the L4-L5 level. However, since I have to comple...
Dr. Lai Zhaokang Reply:
Hello: Based on your description, if there is a popping sound when the hip or pelvis rotates, it is generally considered to be a friction sound from the intra-articular tissues. However, it could also be due to other issues. I recommend seeking a nearby physician for evaluation. ...[Read More] Is Hip Clicking Related to Lumbar Disc Herniation Symptoms?
Post-Operative Challenges After Lumbar Disc Herniation Surgery
Postoperative Care After Endoscopic Lumbar Disc Herniation Surgery Hello Dr. Lai, I am experiencing numbness in my right leg, cramping in my calf, and pain in my lower back due to a herniated disc. I am unable to walk for more than three minutes (examinations revealed a herniati...
Dr. Lai Zhaokang Reply:
Hello, based on your description, your condition seems quite serious (initially severe pain in the right lower limb, which improved post-surgery, but has now changed to severe lower back pain). I recommend that you first consult with the original surgeon to address your concerns....[Read More] Post-Operative Challenges After Lumbar Disc Herniation Surgery
Understanding Chronic Lower Back Pain: Causes and Solutions
Lower back pain issues? Hello Dr. Lai: I am experiencing significant pain on the right side of my lower back and in the middle, as well as pain in my left hip. This is especially severe in the morning when I wake up; I find it difficult to get out of bed and have to rise slowly. ...
Dr. Lai Zhaokang Reply:
Hello: Based on your symptom description, it is generally inferred to be a lumbar spine issue. However, the examination of the lumbar spine is not limited to just MRI. Lumbar spine conditions are not solely related to herniated discs; there are several other issues that could als...[Read More] Understanding Chronic Lower Back Pain: Causes and Solutions
Understanding Hand and Foot Numbness: Causes and Solutions
Numbness in the hands and feet, affecting daily life? Hello Doctor, I would like to ask you a question. My father was diagnosed with colon cancer in February 2013 and underwent surgery followed by chemotherapy. After the chemotherapy, he experienced peripheral neuropathy as a si...
Dr. Ding Xianwei Reply:
It is recommended that you visit the outpatient clinic for a detailed examination and treatment.[Read More] Understanding Hand and Foot Numbness: Causes and Solutions
Possible Aftereffects of L5-S1 Disc Herniation Surgery: What to Expect
Postoperative complications of L5-S1 lumbar disc herniation surgery? I would like to inquire about the possible complications following surgery for a herniated disc at the L5-S1 level, specifically regarding the removal of a piece of cartilage.
Dr. Ding Xianwei Reply:
There are indeed many potential sequelae. If you need assistance, it is recommended that you visit the outpatient clinic to discuss your concerns in detail with your attending physician.[Read More] Possible Aftereffects of L5-S1 Disc Herniation Surgery: What to Expect
Is It Really a Herniated Disc? Understanding Your Back Pain
Is it really a herniated disc? Doctor, I would like to ask you about something. In April, when I woke up, I sneezed and ended up with such severe lower back pain that I couldn't stand up straight. At the beginning of May, I went to the hospital to see an orthopedic specialis...
Dr. Ding Xianwei Reply:
Due to the inability to conduct a personal examination, I can only provide advice based on past experiences and existing information. Generally, simple lower back pain should not last more than a month; therefore, if the pain persists beyond this period, other organic issues must...[Read More] Is It Really a Herniated Disc? Understanding Your Back Pain
Understanding High-Frequency Thermal Coagulation for Disc Herniation Relief
I would like to inquire about high-frequency thermal coagulation therapy? Hello: My grandmother has undergone surgery for a herniated lumbar disc and subsequently had a second procedure to remove a blood clot that was causing compression. Although her neurological symptoms have i...
Dr. Ding Xianwei Reply:
I am not familiar with this and cannot provide you with advice.[Read More] Understanding High-Frequency Thermal Coagulation for Disc Herniation Relief
Understanding Lumbar Disc Issues: Surgery Options and Long-Term Effects
Lumbar intervertebral disc Last year, I underwent surgery for an L4/L5 herniated disc and had a soft screw implanted. After the surgery, I felt my body leaning to the right, and my right leg became weak and fatigued. The longer I walked, the more uncomfortable I felt (even sittin...
Dr. Ding Xianwei Reply:
Due to the absence of imaging studies and neurological examinations, I am unable to provide you with recommendations. I suggest that you bring all your imaging results to our hospital so that I can personally examine you and then provide you with advice.[Read More] Understanding Lumbar Disc Issues: Surgery Options and Long-Term Effects
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 Herniated Discs: Surgical Options and Treatment Insights
Herniated disc Hello Doctor: My husband felt a strain in his lower back while lifting heavy objects in March, and since then he has experienced mild pain on the right side of his sacrum and the upper edge of his hip bone. About 2-3 weeks ago, the pain intensified into severe stab...
Dr. Ding Xianwei Reply:
Since I have not personally examined you, and imaging studies often do not fully correlate with the actual symptoms of the patient, providing only your MRI results does not allow for any decision-making. Therefore, I cannot offer any recommendations regarding your concerns. I sug...[Read More] Understanding Herniated Discs: Surgical Options and Treatment Insights
Is Minimally Invasive Water Knife Disc Surgery Safe and Effective?
What is the feasibility of minimally invasive water jet disc surgery? Dear Doctor, I underwent a CT scan and found that I have a herniated disc between the fifth lumbar vertebra and the sacrum, which is compressing the nerve. My symptoms include lower back pain after sitting fo...
Dr. Xie Bojun Reply:
Please visit the neurosurgery outpatient clinic for further evaluation and examination, and confirm the diagnosis before addressing your questions regarding the surgery![Read More] Is Minimally Invasive Water Knife Disc Surgery Safe and Effective?
Non-Surgical Treatment Options for Herniated Discs: Your Questions Answered
About herniated discs? Hello doctor, I would like to ask about herniated discs. The electromyography (EMG) test showed no nerve damage, but I experience numbness in my legs after walking for ten minutes, although there is no pain. I am currently undergoing rehabilitation with bac...
Dr. Ding Xianwei Reply:
Due to the lack of your complete information, I cannot provide specific advice! However, a herniated disc is not a cancerous condition, so there is no immediate life-threatening risk. Surgery is considered a quality of life procedure. Therefore, as long as you can tolerate your c...[Read More] Non-Surgical Treatment Options for Herniated Discs: Your Questions Answered
Understanding Post-Surgery Symptoms After Minimally Invasive Disc Surgery
Herniated Disc - Minimally Invasive Surgery - Unusual Sensation On January 31, I underwent minimally invasive discectomy for the L4-L5 intervertebral disc. Upon waking up after the single-level surgery, I immediately felt relief from the nerve compression and limb pain that had b...
Dr. Ding Xianwei Reply:
Since I am not a surgeon, I cannot answer your question. However, based on experience, if the symptoms return to their original state, there are two possibilities: one is that your nerves have been damaged and will not recover; the other is that there has been a recurrence. Nowad...[Read More] Understanding Post-Surgery Symptoms After Minimally Invasive Disc Surgery
When Is Surgery Necessary for Herniated Discs? Understanding Your Options
Herniated disc Hello, Doctor. About 4 to 5 years ago, I accidentally strained my lower back, and since then, I have frequently experienced lower back pain. I have been managing it with over-the-counter pain medications, but recently, after starting night shifts (I work in nursing...
Dr. Lai Zhaokang Reply:
Hello, Nurse: Based on your description, it appears to be lumbar spine pathology (commonly Herniated Intervertebral Disc, HIVD) compressing the nerve, leading to sciatica. 1. In general, if the lumbar HIVD is not severe, it is managed with conservative rehabilitation along with a...[Read More] When Is Surgery Necessary for Herniated Discs? Understanding Your Options
Post-Surgery Concerns: Understanding Nerve Recovery After L4/L5 Disc Surgery
Follow-up issues related to L4/L5 disc protrusion? Dear Doctor: I underwent minimally invasive lumbar discectomy surgery for a herniated disc at the L4/L5 level at Keelung Chang Gung Memorial Hospital on November 26. It has been a week since the surgery, and I have noticed occasi...
Dr. Lai Zhaokang Reply:
1. The timing may vary depending on your constitution, the initial condition, and post-care. Please consult your original physician. 2. Vitamin B complex can assist in recovery. 3. You may try heat therapy as part of your rehabilitation treatment. Wishing you a speedy recovery.[Read More] Post-Surgery Concerns: Understanding Nerve Recovery After L4/L5 Disc Surgery
Understanding Post-Surgery Symptoms After Minimally Invasive Lumbar Discectomy
Minimally invasive lumbar discectomy (for herniated disc at L4/L5) Dear Doctor: I underwent minimally invasive lumbar discectomy surgery for a herniated disc at the L4/L5 level at Keelung Chang Gung Memorial Hospital on November 26. It has been a week since the surgery, and I hav...
Dr. Lai Zhaokang Reply:
Hello, sir. What your doctor said is correct: the surgery only relocates the stones that are compressing the nerves; the damage caused by nerve compression has not yet recovered. We refer to this as nerve decompression. The recovery status depends on the extent of the initial ner...[Read More] Understanding Post-Surgery Symptoms After Minimally Invasive Lumbar Discectomy
Post-Operative Concerns After Minimally Invasive Lumbar Discectomy
Postoperative Issues Following Minimally Invasive Lumbar Discectomy Dear Doctor: I underwent minimally invasive lumbar discectomy surgery for a herniated disc at the L4/L5 level at Keelung Chang Gung Hospital on November 26. It has been one week post-surgery, and I have noticed o...
Dr. Ding Xianwei Reply:
You have previously asked the same question. It is normal to experience some neurological symptoms after surgery, and it will take time for recovery. Due to insufficient information and the lack of an in-person consultation, it is not possible to assess the severity of your condi...[Read More] Post-Operative Concerns After Minimally Invasive Lumbar Discectomy
Understanding Post-Operative Symptoms After Minimally Invasive Lumbar Surgery
Minimally invasive lumbar discectomy? Dear Doctor: I underwent minimally invasive lumbar discectomy surgery for a herniated disc at the L4/L5 level on November 26 at Keelung Chang Gung Memorial Hospital. It has been a week since the surgery, and I have noticed occasional pain on ...
Dr. Ding Xianwei Reply:
It is normal to experience some neurological symptoms after surgery, and it may take time for recovery. Due to insufficient information regarding the severity of your condition and neurological symptoms prior to surgery, we are unable to provide specific recommendations. We sugge...[Read More] Understanding Post-Operative Symptoms After Minimally Invasive Lumbar Surgery