Is Surgery the Only Option for Lumbar Disc Issues? Expert Advice Needed
Hello, Dr. Cheng! Dear Dr. Cheng, After my consultation, the doctor informed me that my lumbar spine at the L4-L5 levels shows dark areas on the MRI and recommended surgery. Is there truly no other option available, and is surgery the only way forward? My symptoms include occasi...
Dr. Zheng Zhong Reply:
An MRI showing a dark intervertebral disc indicates decreased water content and reduced elasticity. This does not necessarily mean that surgery is required. Generally, it is important to assess whether the disc is herniated and compressing the nerve, and if conservative treatment...[Read More] Is Surgery the Only Option for Lumbar Disc Issues? Expert Advice Needed
Understanding Lumbar Burst Fractures and Nerve Injury Management
Lumbar vertebra burst fracture with spinal nerve injury? Hello Doctor: 1. I underwent lumbar spine surgery approximately ten years ago, during which I had a total of three to four surgeries. Recently, I have been experiencing lower back pain, leg numbness, and a burning sensati...
Dr. Zhang Yuanyi Reply:
Dear Jack, After surgery for lumbar nerve compression, it is common for some neurological symptoms to persist. This is because the relief of nerve compression does not always guarantee a return to original function. Currently, there are no specific treatment options available, a...[Read More] Understanding Lumbar Burst Fractures and Nerve Injury Management
Post-Operative Nerve Symptoms: Is It Normal After Lumbar Surgery?
Postoperative Is it normal to still feel tightness and mild numbness in different areas of my limbs (including hands) one and a half months after undergoing microdiscectomy for lumbar disc herniation? Thank you.
Dr. Zheng Zhong Reply:
Lumbar spine surgery should not be related to hand numbness. There is still a 10% chance of recurrence (reherniation) after lumbar microdiscectomy. It is recommended to return to the outpatient clinic to consult with the surgeon for further evaluation.[Read More] Post-Operative Nerve Symptoms: Is It Normal After Lumbar Surgery?
Understanding Left Coccyx Pain: Causes, Symptoms, and Treatment Options
Pain in the left coccyx may occur intermittently? Sometimes, even without engaging in strenuous exercise, I suddenly experience pain on the left side of my coccyx (only when I move that area of muscle). This started in July, but the pain is quite intense, often not hurting for ju...
Dr. Zhang Yuanyi Reply:
Dear Mr. Lin, Hello. 1. The term "ruptured disc" likely refers to a herniated disc, which can compress a nerve on one side, resulting in unilateral pain. It is important to maintain proper posture and consider using a supportive lumbar brace; however, there is no qui...[Read More] Understanding Left Coccyx Pain: Causes, Symptoms, and Treatment Options
Understanding Pain in the Thigh: Is It Really Sciatica?
Similar to sciatica but seems to be something else? Deep aching pain in the back of the thigh (up to the back of the knee, not reaching the calf), with a specific point near the lumbar spine that causes leg pain when pressed (the lower back does not hurt normally, only when press...
Dr. Zheng Zhong Reply:
The pain you described is indicative of sciatica; however, the underlying causes of sciatica could be related to the lumbar nerve roots, the pelvic plexus, or issues with the peripheral nerves of the lower extremities. It is advisable for you to consult a neurosurgeon for further...[Read More] Understanding Pain in the Thigh: Is It Really Sciatica?
Understanding Postural Distortion After Waking: Causes and Solutions
Body distortion upon waking up? Hello: I have a history of sciatica for about two years. Over six months ago, I visited Cathay General Hospital, where the doctor suggested surgery. I underwent an MRI at your hospital, but I ultimately did not follow the doctor's recommendati...
Dr. Qiu Yushu Reply:
You may change your posture and distort your body to alleviate nerve compression, which is why the "Q" shape is a common occurrence in cases of sciatica. Our hospital has specialists in neurosurgery and orthopedics who treat lumbar spine issues: Dr. Zheng Zhong and Dr. ...[Read More] Understanding Postural Distortion After Waking: Causes and Solutions
Understanding Ankle Mobility Issues: Nerve Damage and Diagnosis Confusion
I am unable to dorsiflex my left ankle! Hello Dr. Ding, On July 1st of this year, due to work requirements, I sat on a very low stool with my legs positioned backward on either side of the stool, causing my calves to touch my thighs. I maintained this position for an entire day ...
Dr. Ding Xianwei Reply:
Dear Feng: Based on the information you provided, it seems more likely to be a peripheral nerve issue; however, there may also be a concurrent problem with a herniated disc compressing the nerve. Since I have not personally examined you, I cannot make any definitive judgments. I ...[Read More] Understanding Ankle Mobility Issues: Nerve Damage and Diagnosis Confusion
Understanding Sciatica: Insights on Treatment and Cyst Management
Sciatica Hello Dr. Chiu, I recently received your response regarding my sciatica issue, and the MRI images have also come out. My doctor mentioned that I do not have a herniated disc; however, there is a noticeably large cyst in the sacral area that is compressing the sciatic n...
Dr. Qiu Yushu Reply:
Hello: Are you diagnosed with syringomyelia? Generally, it does not worsen. I believe you should trust your treating physician, as they have conducted examinations and should have the best understanding of your condition. Best wishes, Dr. Yu-Shu Chiu.[Read More] Understanding Sciatica: Insights on Treatment and Cyst Management
Post-Surgery Risks and Complications of Lumbar Disc Herniation: A Patient's Concern
Lumbar disc herniation (L2, L4) has been surgically treated due to nerve compression. If a recurrence occurs requiring another surgery, what are the potential postoperative complications, and is the risk of a second surgery high? Thank you! I am a 34-year-old female who has under...
Dr. Ding Xianwei Reply:
Ms. Chuang: Hello! Due to a herniated disc (L2-L4) compressing the nerves, I underwent surgery. The doctor advised against pregnancy. It has been over two years since the surgery, and I have been diligently doing rehabilitation, but my body still feels very weak, with my legs exp...[Read More] Post-Surgery Risks and Complications of Lumbar Disc Herniation: A Patient's Concern
Understanding Disc Herniation: Causes, Symptoms, and Treatment Options
Herniated disc Dr. Ding, I apologize for reaching out, but I had a spinal injury from a car accident. After a long period of treatment, I still experience lower back pain and numbness in my right leg. I had an X-ray taken, and the doctor informed me that there were no issues with...
Dr. Ding Xianwei Reply:
Hello: The causes of back pain are often due to prolonged standing or sitting, or improper use of the lumbar spine, such as repetitive bending or lifting heavy objects. Given your history of injury, along with lifting heavy items, it is likely to recur. Based on your symptoms, th...[Read More] Understanding Disc Herniation: Causes, Symptoms, and Treatment Options
Understanding Post-Discectomy Pain and Its Connection to Degenerative Arthritis
Inquire about issues following the implementation of spinal disc decompression surgery! I am nineteen years old. I underwent a discectomy at the age of eighteen, but recently I have been experiencing significant spinal pain. An MRI revealed that my spine is showing signs of bone ...
Dr. Xiao Furen Reply:
It should be noted that a herniated disc is also considered a part of degeneration. Trauma or surgery can indeed accelerate the degenerative process. Maintaining the lumbar spine can involve obtaining educational materials from the hospital or searching online for posture and exe...[Read More] Understanding Post-Discectomy Pain and Its Connection to Degenerative Arthritis
Post-Surgery Issues After Lumbar Spine Surgery: What to Expect
Postoperative Issues After Lumbar Spine Surgery I underwent lumbar spine surgery (L5-S1) seven months ago. Currently, the situation is that I experience occasional soreness near the lumbar incision site due to certain positions (especially while sitting and bending forward), but ...
Dr. Xiao Furen Reply:
Post-surgery, it is important to maintain proper care, so it is not advisable to frequently bend over or lift heavy objects. Localized soreness is a common phenomenon after surgery. Since it does not affect the legs, the likelihood of nerve root compression is low. As long as pro...[Read More] Post-Surgery Issues After Lumbar Spine Surgery: What to Expect
Could Surgery Be the Cause of My Numb Toe? Exploring Possible Reasons
Is there a problem with the surgery? Hello, doctor. I would like to ask about a situation. Nine months ago, I had a cesarean section due to an abnormal fetal position. After the delivery, I suddenly noticed a tingling sensation in my left big toe one day. The condition fluctuates...
Dr. Xiao Furen Reply:
The likelihood of complications from surgery is low, but there is a possibility of nerve compression. The location of the compression can range from the lumbar spine to the toes. If symptoms persist or worsen, it is advisable to consult a specialist for diagnosis and treatment.[Read More] Could Surgery Be the Cause of My Numb Toe? Exploring Possible Reasons
Understanding Spinal Cord Injuries and Nerve Compression Symptoms
Spinal Cord and Nerves Hello, doctor. Could you please explain the symptoms of spinal cord injury and nerve compression due to herniated discs? I previously experienced a neck injury that caused me to lose consciousness, and some of my cervical ligaments have calcified. Recently,...
Dr. Qiu Yushu Reply:
Hello: Symptoms of herniated disc include: Head: numbness in the upper limbs, shooting pain, and diminished reflexes (as assessed by the physician). Lumbar region: numbness in the lower limbs, shooting pain, and diminished reflexes (as assessed by the physician). Please visit the...[Read More] Understanding Spinal Cord Injuries and Nerve Compression Symptoms
Understanding Recurring Symptoms After Spinal Injury: Causes and Recovery
Spinal cord injury I apologize, but I have a question. After a spinal injury, five months later, I experienced a recurrence near the lumbar and sacral region. The doctor prescribed anti-inflammatory medication without conducting any tests. Why are my left hand and left foot exper...
Dr. Xiao Furen Reply:
Relapse refers to the recurrence of specific symptoms. Generally, lumbar spine issues do not cause hand numbness; if the symptoms persist, further examination may be necessary.[Read More] Understanding Recurring Symptoms After Spinal Injury: Causes and Recovery
Can Spinal Disc Surgery Cause Nerve Damage Leading to Erectile Dysfunction?
Is it possible for spinal disc surgery to damage nerves and cause erectile dysfunction? Is it possible for spinal disc surgery to damage nerves and cause erectile dysfunction? Thank you.
Dr. Xiao Furen Reply:
Lumbar spine surgery can potentially cause erectile dysfunction, but it is a rare complication.[Read More] Can Spinal Disc Surgery Cause Nerve Damage Leading to Erectile Dysfunction?
Unexplained Pain in the Left Buttock: Possible Causes and Solutions
Unexplained pain Hello doctor, recently I've been experiencing unexplained pain in my left buttock, which comes and goes. Sometimes it's mild enough that I can't sit comfortably, but at its worst, it makes walking and moving difficult due to the pain. I'm not ...
Dr. Ding Xianwei Reply:
Hello: You may be experiencing nerve compression or muscle injury in your lumbar spine. Generally, muscle injuries tend to heal with rest in a relatively short time, while issues related to the lumbar spine may take longer to resolve. It is recommended that you visit a neurosurge...[Read More] Unexplained Pain in the Left Buttock: Possible Causes and Solutions
Understanding Long-Term Effects of Car Accident Injuries on Spine Health
Post-traumatic sequelae from a car accident? Hello, I have a question to ask. I know a friend who was in a car accident in the United States at the age of 23. His car was rear-ended while it was stopped, which caused a spinal injury due to the sudden force. Now, at 36 years old, ...
Dr. Xiao Furen Reply:
It is somewhat similar to the discomfort experienced after limb fractures due to changes in weather. If X-rays show no issues with the bones and medication treatment is ineffective, it is recommended to consult a rehabilitation specialist.[Read More] Understanding Long-Term Effects of Car Accident Injuries on Spine Health
Are Sciatica, Herniated Discs, and Bone Spurs the Same Condition?
Is sciatica, herniated disc, and bone spurs the same condition? Is sciatica, herniated disc, and bone spurs the same condition? I have undergone a lumbar CT scan and MRI, and the doctor diagnosed me with a mild herniated disc, indicating that surgery is not necessary and that I c...
Dr. Ding Xianwei Reply:
Hello! I apologize for the delayed response due to my recent busyness. I sincerely regret any inconvenience. The three issues you mentioned cannot be conflated. Generally speaking, bone spurs are a result of spinal instability, where the body attempts to repair the spine. The pai...[Read More] Are Sciatica, Herniated Discs, and Bone Spurs the Same Condition?
Understanding Nerve Symptoms: What Your Spine and Pain Might Indicate
Regarding this symptom..? Hello Doctor: I am 22 years old, and I would like to ask about something... Recently, I have been experiencing occasional numbness on the left side of my spine. What could this issue be? I'm not sure if it's related to my spine or my kidneys. W...
Dr. Shao Guoning Reply:
Hello: In response to your question, numbness is relatively subjective. If it persists continuously (24 hours a day), it indicates a potential issue. If it occurs occasionally, it is usually not a major concern. As for lower back pain, this is a common symptom that can arise from...[Read More] Understanding Nerve Symptoms: What Your Spine and Pain Might Indicate