Nerves, Neurosurgery FAQ

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Understanding Mid-Back and Peripheral Numbness: Causes and Solutions

Mid-back numbness and peripheral numbness? Hello Doctor, in the past week or two, I have been experiencing a tingling sensation, similar to an electric shock, in the middle right part of my back. This usually occurs when I extend my right arm forward, lean forward, grip something...


Dr. Lai Zhaokang Reply:
Hello: Preliminary assessment suggests that 1. your hand symptoms may be due to nerve compression from the cervical spine or upper limbs. Corresponding nerve examinations can be arranged for evaluation. 2. The back symptoms may be related to thoracic nerve issues, which should al...

[Read More] Understanding Mid-Back and Peripheral Numbness: Causes and Solutions


Risks of Spine Surgery in Patients with VRE Infection

VRE Infection and Spinal Surgery My mother has a compression fracture that is pressing on her spinal nerves, resulting in paralysis of her lower body. She has been hospitalized for over a month. The doctor has recommended a decompression surgery with the placement of bone screws....


Dr. Lai Zhaokang Reply:
Hello: Performing surgery in the presence of an infection increases the risk of wound infection and bacterial dissemination, potentially leading to sepsis. However, if there is nerve compression resulting in lower limb paralysis, surgery may be the only option for improvement. Fr...

[Read More] Risks of Spine Surgery in Patients with VRE Infection


Post-Surgery Recovery Challenges After Lumbar Disc Rupture: Seeking Solutions

Postoperative care after lumbar disc herniation surgery? Dear Doctor, I underwent two surgeries in 2020 for L3-4-5 lumbar spine stabilization with interbody fusion devices. My recovery was good, and three months post-surgery, I returned to delivering food. After nearly a year, ...


Dr. Lai Zhaokang Reply:
Hello: If the damage is severe before surgery, the postoperative recovery may not be ideal. Your condition is more complex. We need to review MRI and other imaging studies to provide you with a clearer assessment and recommendations. You can bring a series of MRIs for a consultat...

[Read More] Post-Surgery Recovery Challenges After Lumbar Disc Rupture: Seeking Solutions


Understanding Tongue Weakness After Brain Surgery: Causes and Recovery

Half of the tongue is flaccid? Hello, doctor. I underwent a resection surgery for an intracranial hemangioma last November, located in the cerebellum, which was compressing the brainstem and cerebellum. Before the surgery, I experienced symptoms such as hand numbness, left-sided ...


Dr. Zhang Junwei Reply:
Hemangiomas are benign, but they can affect the function of nearby nerves, and the specific functions impacted are related to the location of the hemangioma.

[Read More] Understanding Tongue Weakness After Brain Surgery: Causes and Recovery


Understanding Pituitary Tumor Surgery: Insights on Risks and Recovery

Second Surgery for Pituitary Tumor Hello, thank you for your message. I would like to ask about my condition. I have a pituitary adenoma and am about to undergo my second surgery; the first surgery was in 2020. I have consistently attended follow-up appointments, including regula...


Dr. Zhao Shaoqing Reply:
You can visit the outpatient clinic for a detailed evaluation and examination. It is not possible to make a judgment based solely on written descriptions; a thorough explanation can be provided during the outpatient visit.

[Read More] Understanding Pituitary Tumor Surgery: Insights on Risks and Recovery


Understanding Persistent Hip and Knee Pain: A Guide for Families

Pain from the left hip to the knee, making it difficult to walk? Hello doctor, my grandfather, who usually moves around easily and has healthy limbs, suddenly started experiencing pain in his left knee a few weeks ago. The pain has progressively worsened to the point where he can...


Dr. Zhang Junwei Reply:
Due to uncertainty whether the issue is related to nerves or joints, it is recommended to visit a clinic for a detailed physical examination to determine the cause.

[Read More] Understanding Persistent Hip and Knee Pain: A Guide for Families


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


Understanding S2 Bilateral Cysts: Symptoms, Diagnosis, and Treatment Options

Bilateral S2 cysts Hello Dr. Lai: The MRI examination revealed cysts on both sides of S2, and I am experiencing symptoms such as perineal pain, which worsens when sitting (around the labia and urethral opening), lower back pain, pain in the buttocks on both sides of the groin, an...


Dr. Lai Zhaokang Reply:
Hello: 1. Cysts of the sacrum, predominantly affect females (85%). Most cases do not require surgery. Symptoms include pain in the corresponding lumbar, sacral, gluteal, and perineal regions, weakness, numbness, restlessness, and relief when lying flat or on the side. There may...

[Read More] Understanding S2 Bilateral Cysts: Symptoms, Diagnosis, and Treatment Options


Post-Surgery Taste Loss: Understanding Causes and Recovery Options

Postoperative loss of taste? Hello Doctor, my mother is currently over 60 years old. About a month ago, she was diagnosed with a 2 cm pituitary tumor that had hemorrhaged. She underwent minimally invasive surgery through the nasal cavity to remove it, and currently, her nasal pas...


Dr. Zhao Shaoqing Reply:
You can visit the outpatient clinic for a detailed examination and diagnosis.

[Read More] Post-Surgery Taste Loss: Understanding Causes and Recovery Options


Understanding the Connection Between Back Pain and Chest Discomfort After Spine Surgery

Spinal issues Hello Doctor: I previously underwent surgery for spinal stenosis that was compressing my nerves. A few months ago, during a follow-up visit, I had an X-ray taken, and the results showed no significant issues. However, it has been over two years since the surgery, an...


Dr. Lai Zhaokang Reply:
Hello: It may be a thoracic spine lesion. I recommend that you consult a physician to arrange for an MRI evaluation. Best wishes, Dr. Lai Chao-Kang, Chief of Spine Surgery, Changhua Hospital.

[Read More] Understanding the Connection Between Back Pain and Chest Discomfort After Spine Surgery


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 Thigh Nerve Pain: Causes and Solutions

Thigh nerve pain Hello doctor, for the past two weeks, I have been experiencing soreness, numbness, and pain in my left buttock extending to the outer thigh. Could you help me understand what this might be? Thank you.


Dr. Lai Zhaokang Reply:
Hello: It is suspected to be sciatica. This symptom is often caused by lumbar spine lesions compressing the nerves. It is recommended to consult a neurosurgeon. Wishing you a speedy recovery. By Dr. Lai Chao-Kang, Neurosurgery, Changhua Hospital.

[Read More] Understanding Thigh Nerve Pain: Causes and Solutions


Post-Spinal Surgery: Understanding Unilateral Ankle Edema and Numbness

Postoperative edema below the ankle in one leg after spinal surgery? My father developed an abscess between the 5th and 7th vertebrae that was compressing the nerves during the Lunar New Year. He underwent surgery and drainage of the abscess, and after being discharged, he has be...


Dr. Lai Zhaokang Reply:
Hello: There are several possible speculations: 1. The original spinal nerves may have been damaged prior to surgery, resulting in incomplete recovery postoperatively. 2. There may be local peripheral nerve or vascular lesions in the foot's fascia. 3. There could be poor blo...

[Read More] Post-Spinal Surgery: Understanding Unilateral Ankle Edema and Numbness


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


Post-Surgery Numbness in Feet: Causes and Recommended Actions

The occurrence of foot numbness after bone cement surgery, with the numbness gradually spreading from the toes upwards, could potentially be related to the surgery. It is important to assess whether this numbness is due to nerve compression, vascular issues, or other postoperativ...


Dr. Lai Zhaokang Reply:
Hello: 1. It is suspected that there is a lesion in the spinal nerves. 2. Why was a spinal neurosurgeon not chosen to address the spinal fracture issue initially? 3. Seeking consultation from another specialty after experiencing discomfort post-surgery may cause some confusion fo...

[Read More] Post-Surgery Numbness in Feet: Causes and Recommended Actions


Post-Spinal Surgery: Addressing Leg Numbness and Mobility Issues

Postoperative foot numbness and inability to walk after minimally invasive spinal surgery? Hello doctor, my family member underwent minimally invasive surgery on the lumbar spine from the third to the fifth vertebrae over a month ago, and they are experiencing complete paralysis ...


Dr. Lai Zhaokang Reply:
Hello: The situation of your family sounds unfortunate. The original surgeon will have the best understanding of the preoperative and intraoperative conditions. However, it is essential to patiently cooperate with rehabilitation. Wishing for a speedy recovery from Changhua Hospit...

[Read More] Post-Spinal Surgery: Addressing Leg Numbness and Mobility Issues


Understanding Hand Numbness: When to Seek Urgent Medical Attention

Numbness in the hands? Hello doctor, on Wednesday I experienced a tingling sensation in my hands that felt like an electric shock. Now only the fingertips of both hands are numb, and when I wash my hands, it feels like I'm being shocked. Even touching things causes numbness....


Dr. Lai Zhaokang Reply:
Hello, general finger numbness may be related to peripheral circulation, peripheral nerves (such as the median nerve or ulnar nerve), cervical spine issues, or even brain conditions. It is essential for a physician to assess your symptoms comprehensively to make an initial diagno...

[Read More] Understanding Hand Numbness: When to Seek Urgent Medical Attention


Understanding Right Shoulder and Neck Pain: Causes and Treatment Options

Right shoulder and neck pain? I would like to ask the doctor. I'm not sure if it's because I got water in my ear after showering a few days ago, but I kept shaking my head to the left, and the next day I felt pain at the junction of my right shoulder and neck, as if it ...


Dr. Lai Zhaokang Reply:
Hello: The initial assessment suggests a deep muscle fascia strain in the shoulder and neck area, leading to inflammation. It is also important to consider possible compression of the cervical nerves. It is recommended to wear a cervical collar at home, apply heat (switch to ice ...

[Read More] Understanding Right Shoulder and Neck Pain: Causes and Treatment Options


Post-Discectomy Pain: Understanding Recovery and Future Risks

Postoperative care for herniated disc surgery? I apologize, I had spinal disc surgery three months ago, where only part of the disc was removed and nothing was implanted. Sometimes I still experience pain in my buttocks, and when sitting, if my back is not straight and my head is...


Dr. Lai Zhaokang Reply:
Hello: 1. Your condition may indicate that the nerves have not fully healed. It is also possible that scar tissue is adhering to the nerves, or it could be a sign of recurrence. Of course, there may be other reasons as well. I recommend that you bring your pre-operative and pos...

[Read More] Post-Discectomy Pain: Understanding Recovery and Future Risks


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