Nerves, Neurosurgery FAQ - Page 10

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Understanding Cervical Disc Herniation and Bone Spurs: Symptoms and Treatment Options

Cervical intervertebral disc herniation Hello, my wife accidentally twisted her neck while exercising. For the first two days, there was not much issue, but later she noticed a tingling sensation in her left arm. The next day, she experienced soreness and warmth at the junction o...


Dr. Ding Xianwei Reply:
Hello: Bone spurs are actually not closely related to your pain. "Cervical disc herniation" refers to the condition where the intervertebral disc in the cervical spine is compressed due to improper use, which can affect the nerves. Your situation seems to be more like t...

[Read More] Understanding Cervical Disc Herniation and Bone Spurs: Symptoms and Treatment Options


Understanding Sciatica and Disc Herniation: When to Consider Surgery

Lower back pain Hello Doctor: After a car accident at the age of 18, I have experienced persistent lower back pain, numbness in the sole of my right foot, and difficulty standing or sitting for long periods, as well as walking for extended durations. Walking for a while causes a ...


Dr. Qiu Yushu Reply:
Hello: The symptoms you described do seem to indicate spinal stenosis. An MRI should clearly reveal the areas of narrowing. If the symptoms are severe and affecting your daily life, surgery is the best solution. Best wishes, Dr. Yu-Shu Chiu.

[Read More] Understanding Sciatica and Disc Herniation: When to Consider Surgery


Post-Surgery Recovery: Understanding Symptoms After Cervical Spine Surgery

Post-cervical spine surgery Hello Dr. Chiu, I have been experiencing tremors in my right hand while writing and pain in the palm that prevents me from holding a pen for about ten years. Earlier this year, I began to have sharp pain in the little fingers of both hands, along with...


Dr. Qiu Yushu Reply:
Hello: Please visit the outpatient clinic for an examination to confirm the level of recovery. Wishing you good health!

[Read More] Post-Surgery Recovery: Understanding Symptoms After Cervical Spine Surgery


Post-Surgery Care for Lumbar Disc Herniation: Managing Pain and Recovery

Postoperative care after disc herniation surgery? Hello Dr. Chiu, I would like to ask about my father. He underwent surgery for a herniated disc on September 30, with the affected area between L4 and L5. However, due to the rupture, it has compressed the nerves at L3-L4, causing ...


Dr. Qiu Yushu Reply:
Hello: It is recommended that you start physical therapy and reassess your condition after some time. Wishing you good health!

[Read More] Post-Surgery Care for Lumbar Disc Herniation: Managing Pain and Recovery


Can Sympathetic Nerve Regeneration Surgery Solve Sweating Issues?

Can the sympathetic nervous system be regenerated through surgery? Hello doctor, I am a high school student and I have had a problem with sweaty hands since I was a child. Two years ago, I underwent a sympathetic nerve block procedure. After the surgery, I noticed that my hands n...


Dr. Qiu Yushu Reply:
Hello: As far as I know, this surgery is not intended for sympathetic nerve reanastomosis. After sympathetic nerve block, rejoining should not be possible. Thank you! Wishing you good health.

[Read More] Can Sympathetic Nerve Regeneration Surgery Solve Sweating Issues?


Understanding Spinal Nerve Compression Surgery: Risks, Recovery, and Self-Care

Surgery for spinal nerve compression? Dear Dr. Hsiao, My mother-in-law recently experienced nerve pain in the back of her foot and went to the hospital for an examination. The X-ray showed a small dark area in her spine, and the doctor informed us that her spinal nerves are bein...


Dr. Xiao Furen Reply:
1. With current technology, the success rate should be quite high, but there is still a possibility of neurological sequelae. 2. It is also possible to try rehabilitation first. 3. There are many reasons, including both congenital and acquired factors. 4. To reduce spinal l...

[Read More] Understanding Spinal Nerve Compression Surgery: Risks, Recovery, and Self-Care


Understanding Symptoms of L5-S1 Disc Herniation and Nerve Compression

L5-S1 disc herniation... may I ask a few questions? I have a herniated disc at L4-L5 and have undergone decompression surgery for a herniated and ruptured disc at L5-S1 that is compressing the nerves. Dr. Hsiao, I have recently noticed that I am completely unable to exert force w...


Dr. Xiao Furen Reply:
Have you considered surgery for the L5-S1 level? A herniated disc could potentially be causing your symptoms, but without examining the patient and reviewing imaging, I cannot make a definitive diagnosis.

[Read More] Understanding Symptoms of L5-S1 Disc Herniation and Nerve Compression


Post-Discectomy Concerns: When to Seek Further Medical Advice?

Postoperative follow-up for spinal disc decompression surgery? Hello Dr. Hsiao: Regarding what you mentioned about lifting heavy objects, I have been very careful and have not done so since my surgery. I have continuously used pain medication, heat therapy, and rehabilitation tre...


Dr. Xiao Furen Reply:
1. Perhaps the original surgeon has a better understanding of your condition, so continuing follow-up visits with them may be more beneficial. It's also fine to seek a second opinion from another physician, but there's no need to repeatedly consult different doctors. ...

[Read More] Post-Discectomy Concerns: When to Seek Further Medical Advice?


Will Limb Lengthening Surgery Damage Nerves? Expert Insights

Will bone lengthening damage the nerves? Hello Dr. Ding! Four years ago, I was in a car accident that resulted in a comminuted open fracture of my right femur. I developed a bacterial infection and underwent eight surgeries. Eventually, my attending physician removed the shattere...


Dr. Ding Xianwei Reply:
Hello: In principle, limb lengthening surgery should not affect the nerves, and orthopedic surgeons pay special attention to this issue. However, this type of surgery falls within the scope of orthopedics. Please discuss this with your orthopedic surgeon and seek a second opinion...

[Read More] Will Limb Lengthening Surgery Damage Nerves? Expert Insights


Understanding Post-Sleep Lower Back Discomfort: When to Seek Advanced Imaging?

Soreness in the lower back after waking up? Hello, doctor. After I wake up, I often feel soreness in my lower back, though it's not painful. This has been going on for a long time. Should I go to a major hospital for a CT scan, MRI, or other imaging studies? Which one would ...


Dr. Xiao Furen Reply:
1. Please first consult a physician for a medical history assessment and physical examination, and it is not always necessary to immediately undergo high-tech imaging tests, as health insurance may not cover them. Additionally, MRI (Magnetic Resonance Imaging) typically costs at ...

[Read More] Understanding Post-Sleep Lower Back Discomfort: When to Seek Advanced Imaging?


Understanding Hyperhidrosis: Why Do My Hands Sweat More in Certain Situations?

Hyperhidrosis I have hyperhidrosis, but I tend to sweat more at school (once I start sweating, it's hard to stop). However, when I wear dress shoes, I sweat less from my hands (though they still get a bit damp). When I wear athletic shoes, I definitely sweat from my hands, a...


Dr. Ding Xianwei Reply:
Hello! Regarding hyperhidrosis, endoscopic surgery can be used to treat most cases of palmar sweating by disrupting the sympathetic nerves at the second and third thoracic vertebrae. In some individuals, this may reduce plantar sweating, while in others, it may actually increase ...

[Read More] Understanding Hyperhidrosis: Why Do My Hands Sweat More in Certain Situations?


Understanding Hyperhidrosis: When to Consider Surgery for Hand Sweating

Hyperhidrosis I just found out that surgery for hyperhidrosis can only be performed on adults. I experience sweating almost all over my body, but only my hands and feet sweat excessively. Even when I wear a jacket and play basketball under the hot sun, I only sweat a little on my...


Dr. Ding Xianwei Reply:
Hello! Regarding hyperhidrosis, endoscopic surgery can be used to treat most cases of palmar sweating by disrupting the sympathetic nerves at the second and third thoracic vertebrae. In some individuals, this may reduce plantar sweating, while in others, it may actually increase ...

[Read More] Understanding Hyperhidrosis: When to Consider Surgery for Hand Sweating


Understanding Disc Herniation Surgery: Options, Recovery, and Laser Treatment

Intervertebral Disc Protrusion Surgery Hello, doctor. I would like to ask a question. Last week, I had an X-ray and MRI at the hospital. The doctor said that I have severe intervertebral disc herniation at the fourth and fifth lumbar vertebrae, which is compressing the nerves. Cu...


Dr. Ding Xianwei Reply:
Hello: Generally speaking, if there is severe nerve compression, surgery would be an important option. In your case, it is sufficient to remove the cartilage compressing the nerve, and there is no need for a complex surgical procedure. The duration of the surgery is not as import...

[Read More] Understanding Disc Herniation Surgery: Options, Recovery, and Laser Treatment


Unusual Sweating Phenomenon After Hand Sweat Surgery: A Case Study

The Strange Phenomenon of Hand Sweat Surgery Hello, doctor! I underwent surgery for axillary hyperhidrosis six years ago. For the first two years post-surgery, I did not sweat at all above my neck and down to my palms, and my condition was good. Starting from the third year, I no...


Dr. Xiao Furen Reply:
This phenomenon is called gustatory sweating. It has been suggested that it occurs because the parasympathetic (vagal) nerves have grown into the severed sympathetic nerves. According to a recent report from Hong Kong, about one-third of patients with palmar hyperhidrosis experie...

[Read More] Unusual Sweating Phenomenon After Hand Sweat Surgery: A Case Study


Understanding the Effects of Gamma Knife Surgery on Nerve Compression

Household knife Hello, doctor. After undergoing Gamma Knife treatment, there may be a phenomenon where the tumor initially enlarges before shrinking. In some cases, doctors may choose to administer radiation therapy before surgery to facilitate a cleaner resection. In both situat...


Dr. Xiao Furen Reply:
Radiation therapy may initially cause slight swelling of the affected area and surrounding tissues, and it can also potentially lead to the worsening of symptoms.

[Read More] Understanding the Effects of Gamma Knife Surgery on Nerve Compression


Overcoming Hand Paralysis from Enterovirus: Treatment Options for Children

Hand paralysis caused by enterovirus? Hello, Doctor. My son is currently 4 years old. When he was 9 months old, he contracted Enterovirus 71, which caused him to be unconscious for two to three days and led to spinal meningitis. He experienced paralysis in his left hand and left ...


Dr. Xiao Furen Reply:
It is unfortunate to see another victim of enterovirus. However, given the current situation, there are likely very few who can confidently say they can cure it. If there are indeed issues with the cervical spinal cord, the only option may be to attempt using intercostal nerves. ...

[Read More] Overcoming Hand Paralysis from Enterovirus: Treatment Options for Children


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 Guillain-Barré Syndrome: Causes, Symptoms, and Treatment

Guillain-Barré syndrome Guillain-Barré syndrome is a rare neurological disorder in which the body's immune system mistakenly attacks the peripheral nerves. This condition often follows an infection and can lead to muscle weakness, numbness, and in severe cases, paralysis. Th...


Dr. Ding Xianwei Reply:
Hello: This is a type of inflammatory peripheral nerve disorder, with symptoms including muscle weakness, difficulty breathing, sudden weakness in the lower limbs, and abnormal sensations in the limbs. The cause is currently unknown. For more detailed information, you can visit w...

[Read More] Understanding Guillain-Barré Syndrome: Causes, Symptoms, and Treatment


Immediate vs. Delayed Repair of Wrist Ligament Injuries: Key Differences

Wrist vascular and nerve injury? Hello, doctor. I have a torn wrist ligament. Is it better to repair and suture it immediately or to wait two weeks before doing so? What are the differences between the two options, and how do they affect recovery?


Dr. Ding Xianwei Reply:
Hello: It is recommended to consult a hand surgeon for evaluation. Ligaments and nerves are different; nerves are better repaired immediately, but considerations should still be based on individual conditions. Sincerely, Dr. Ding Hsien-Wei, Neurosurgeon.

[Read More] Immediate vs. Delayed Repair of Wrist Ligament Injuries: Key Differences


Unexplained Facial Depression: Seeking Answers for Neurological Symptoms

Facial depression of unknown etiology? I have noticed a depression on my forehead over the past two years, accompanied by occasional tightness and mild pain. In cold weather, I even experience a numb sensation. Earlier this year, I visited the neurology department at Mackay Memor...


Dr. Ding Xianwei Reply:
Hello: Due to the nature of your symptoms, an in-person examination is necessary for a proper diagnosis. It is recommended that you bring your examination reports and consult with a neurospecialist at another hospital to investigate the cause. Sincerely, Dr. Ding Hsien-Wei, Neuro...

[Read More] Unexplained Facial Depression: Seeking Answers for Neurological Symptoms


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