Understanding Post-Surgery Pain: Is It Sciatica or Something Else?
The area around the incision from my previous lumbar spine surgery is painful again? Hello Doctor, I had surgery in June 2011 at a hospital in the northern region, where they implanted a cage and screws at the L5-S1 intervertebral disc. Although I often experience soreness, for t...
Dr. Lai Zhaokang Reply:
Hello, based on your description, these symptoms resemble sciatica. It would be advisable to further investigate the lumbar spine or other components of the nervous system. Wishing you a speedy recovery. Dr. Lai Chao-Kang, Chief of the Spine and Nerve Surgery Department, Changhua...[Read More] Understanding Post-Surgery Pain: Is It Sciatica or Something Else?
Understanding Calf Pain: Causes and Treatment Options for Seniors
Calf pain Hello Dr. Lai: My mother-in-law often experiences pain in her calves, which worsens when she walks, requiring her to take breaks before she can continue. As a result, she cannot walk far. During these episodes, the doctor has only prescribed painkillers without determin...
Dr. Lai Zhaokang Reply:
Hello, based on your description, this symptom is referred to as "intermittent claudication." It is generally classified into vascular and neurogenic types. If vascular causes are ruled out, it may be neurogenic intermittent claudication, which is commonly associated wi...[Read More] Understanding Calf Pain: Causes and Treatment Options for Seniors
Understanding Lumbar Disc Herniation: Symptoms and Treatment Insights
Lumbar disc herniation Hello, Doctor: I sought treatment from the rehabilitation department last October due to lower back pain. An X-ray diagnosis indicated lumbar herniated intervertebral disc (HIVD), and I have been undergoing traction therapy, which has reached its maximum in...
Dr. Lai Zhaokang Reply:
Hello, based on what you mentioned, it still seems to be related to the lumbar spine. However, the severity may not be sufficient to be detected through examinations. I recommend consulting a neurosurgeon or spine specialist for a more detailed evaluation. (It is advisable to bri...[Read More] Understanding Lumbar Disc Herniation: Symptoms and Treatment Insights
Understanding Acute Herniated Discs: When Bed Rest Fails to Relieve Pain
Acute herniated disc, with pain that cannot be relieved even while lying down? My wife experienced severe pain in her right thigh after lifting a heavy object four days ago. The next day, she also had intense pain in her calf and numbness in her toes. The hospital diagnosed her w...
Dr. Lai Zhaokang Reply:
Hello, you may have a serious lumbar spine issue. 1. If you need to use morphine, it is indeed quite severe. Have you undergone a lumbar MRI? 2. Generally, for symptomatic relief, you can try rest, pain medications, and rehabilitation (though if walking is difficult, rehabilitati...[Read More] Understanding Acute Herniated Discs: When Bed Rest Fails to Relieve Pain
Understanding Lumbar Artificial Discs: Benefits and Recovery for Active Lifestyles
Artificial intervertebral disc Hello, I would like to ask about my previous lumbar disc surgery, which I found online is referred to as "lumbar spinal fusion surgery." Recently, I came across another procedure called "lumbar artificial disc replacement," which...
Dr. Lai Zhaokang Reply:
Hello, the lumbar spine consists of many segments. If the <old> segments have already fused, they cannot be replaced with a <lumbar artificial disc>. However, for other <new> segments that are affected, it can be assessed based on the condition to determine if i...[Read More] Understanding Lumbar Artificial Discs: Benefits and Recovery for Active Lifestyles
Understanding Risks and Benefits of Artificial Disc Surgery for Spinal Stenosis
4.5 cm long bone spur At the age of 18, I had surgery for a bone spur at the L4-L5 level. Recently, I experienced discomfort and went for an examination, which revealed that another bone spur has developed at the same level. The doctor mentioned that I need to have an artificial ...
Dr. Zhang Junwei Reply:
Hello: I'm not sure if you're referring to the cervical spine or the lumbar spine. Essentially, to alleviate your discomfort, decompression surgery is generally necessary. An artificial disc replacement may not be required; a standard brace could also be sufficient. Eac...[Read More] Understanding Risks and Benefits of Artificial Disc Surgery for Spinal Stenosis
Understanding Chest Pain: When to Seek Help and Which Specialist to Consult
Pressing in the middle of the chest causes pain? Hello Dr. Ding: I have seen several doctors but none have been able to identify the cause of my symptoms. I would like to ask you some questions, as I am unsure which specialty I should consult. Thank you! In mid-September, I sud...
Dr. Ding Xianwei Reply:
It is recommended that you start with family medicine.[Read More] Understanding Chest Pain: When to Seek Help and Which Specialist to Consult
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 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
Is Your Elderly Relative a Candidate for Vertebroplasty Surgery?
Is it appropriate to perform a bone cement procedure? My grandmother is 72 years old. When she was younger, she underwent three surgeries on her lumbar spine and has metal screws for stabilization. Last year, around September to October, she fell in her bedroom. An X-ray at that ...
Dr. Ding Xianwei Reply:
Since I haven't seen the images, I cannot provide you with any recommendations! I suggest you take your grandmother to the outpatient clinic, where she can receive a proper evaluation and treatment before any advice can be given.[Read More] Is Your Elderly Relative a Candidate for Vertebroplasty Surgery?
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
Chronic Thigh Numbness: When to See a Neurosurgeon for Help?
Numbness occurs in the outer side of the left thigh when standing for long periods or lying flat? The symptoms have been present for 8-9 years, possibly due to a fall while sitting on the stairs, which may have caused an injury to the lumbar spine. I have visited many orthopedic ...
Dr. Xie Bojun Reply:
Dear KVA: If there is a history of injury, it must be monitored. Generally, an initial X-ray will be performed, and if there are no neurological symptoms, further arrangements for an MRI will not be made. If medication and rehabilitation (conservative treatment) lead to improveme...[Read More] Chronic Thigh Numbness: When to See a Neurosurgeon for Help?
Understanding Degenerative Spondylitis: Treatment Options for Pain Relief
Degenerative spondylitis of the lumbar spine I have been experiencing numbness in my calves and pain in my lower back. After getting an X-ray at the hospital, the doctor diagnosed me with degenerative spondylitis of the lumbar spine. Due to my job, I need to lift heavy objects. C...
Dr. Xie Bojun Reply:
Dear Jasanne, Regarding your main complaints: numbness in the calves and pain in the lower back. Many conditions can present with these symptoms (we cannot focus solely on one diagnosis: degenerative spondylosis of the lumbar spine... you mentioned only having an X-ray?). Could ...[Read More] Understanding Degenerative Spondylitis: Treatment Options for Pain Relief
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
Understanding Lumbar Bone Spurs: Symptoms, Diagnosis, and Treatment Options
Lumbar osteophytes My wife is 28 years old, and her symptoms are as follows: (1) She experiences occasional sharp pain and swelling in the arch of her right foot when sitting for long periods (this occurs less frequently in more comfortable seating, but is more likely to happen i...
Dr. Ding Xianwei Reply:
Due to the incomplete information provided, I can only offer general advice. According to numerous studies, bone spurs and symptoms are often not correlated. Our surgical approach primarily focuses on decompression and stabilization; generally, bone spurs merely indicate that you...[Read More] Understanding Lumbar Bone Spurs: Symptoms, Diagnosis, and Treatment Options
Understanding the Differences Between Insurance and Out-of-Pocket Costs for Neurosurgery
The difference between National Health Insurance and out-of-pocket expenses? My mother has a lumbar spine slip at the L4 and L5 levels and needs surgery. The doctor recommends using a self-funded option (due to better materials). Is this necessary? By the way, my mother is 73 yea...
Dr. Ding Xianwei Reply:
Due to the lack of clinical data, it is not possible to make a determination. I recommend seeking a second opinion from a nearby healthcare provider.[Read More] Understanding the Differences Between Insurance and Out-of-Pocket Costs for Neurosurgery
Numbness in Outer Thighs: Possible Causes and Treatment Options
Lateral thigh numbness Hello doctor, in recent years I have noticed a numb sensation on the outer side of my left thigh, which later extended to the right thigh as well. I have not experienced any injuries to my lower back nor have I undergone any surgeries. The numbness is limit...
Dr. Ding Xianwei Reply:
Due to the lack of a personal examination, I can only provide general advice based on common experiences. Generally speaking, numbness on the outer thigh can have two possible causes. The first possibility is that lumbar spine pathology is compressing the nerves, leading to long-...[Read More] Numbness in Outer Thighs: Possible Causes and Treatment Options
Understanding Foot Pain and Numbness: When to Seek Specialist Help
Soreness and numbness in the soles of the feet? Dear Doctor: My feet experience numbness followed by a burning sensation, then soreness, and finally pain whether I am sitting or standing. I have seen an orthopedic specialist, had X-rays of my spine which showed no issues, and tri...
Dr. Zhang Yuanyi Reply:
Dear SEN: Hello, issues with the cervical and lumbar spine can both potentially cause similar symptoms. Additionally, individuals with a history of diabetes may experience this condition due to peripheral neuropathy. It is recommended to visit a neurosurgery outpatient clinic for...[Read More] Understanding Foot Pain and Numbness: When to Seek Specialist Help
Understanding Osteoporotic Vertebral Compression Fractures in Seniors
Vertebral compression fractures caused by osteoporosis? The mother is 76 years old and had a crush fracture in her lumbar spine due to a fall four years ago. She is currently visiting the hospital for consultation. The doctor mentioned the need for bone cement injection. Could yo...
Dr. Ding Xianwei Reply:
Hello, generally speaking, fractures in the elderly are usually due to osteoporosis. However, due to insufficient data, I cannot provide specific recommendations. If it has been four years, whether a vertebroplasty is necessary would depend on the patient's condition, which ...[Read More] Understanding Osteoporotic Vertebral Compression Fractures in Seniors