Does Spinal Surgery Affect Walking Stability After Six Months?
Does spinal surgery involving the insertion of metal implants affect walking later on? Hello doctor, I had surgery six months ago, but I wasn't involved in a car accident that affected my legs. However, I am currently experiencing instability while walking. I have also been ...
Dr. Lai Zhaokang Reply:
Hello: Is your injury related to the L1 vertebra? If it's just a bone injury, it should heal within six months. However, if there is damage to the spinal cord or nerves, it may take longer. Please discuss this with your original surgeon! Wishing you the best.[Read More] Does Spinal Surgery Affect Walking Stability After Six Months?
Understanding Visual Disturbances After Intracranial Hemorrhage
Visual sequelae Recently, a family member experienced intracranial hemorrhage due to an accident. In addition to symptoms of dizziness and headache, they also have visual discomfort in the right eye and difficulty seeing at a distance. The impact occurred at the lower right poste...
Dr. Lai Zhaokang Reply:
Hello: According to what you mentioned, "the ophthalmologist said there are no structural neurological issues..." Based on medical principles: "Visual conduction pathway: visual field → retina → optic nerve → optic chiasm → optic tract → lateral geniculate nucleus ...[Read More] Understanding Visual Disturbances After Intracranial Hemorrhage
Is Minimally Invasive Surgery Necessary to Remove Spinal Implants After a Year?
The first vertebra (lumbar vertebra) underwent surgery, and after one year, is a minimally invasive surgery required for removal? Hello Doctor: I had traditional surgery in May this year for a car accident where they installed Stryker Mantis implants, rod, and screws in my first ...
Dr. Lai Zhaokang Reply:
Hello, you are only 25 years old. I suspect you might have a burst fracture of the L1 vertebra. If the physician determines through imaging that the fracture has healed, it may be considered to remove the screws. Generally, the removal of screws does not directly affect the nerve...[Read More] Is Minimally Invasive Surgery Necessary to Remove Spinal Implants After a Year?
Understanding Post-Surgery Symptoms After Cervical Spine Surgery
Cervical cone surgery status? Hello Doctor: I have seen many doctors, but in fact, each doctor's opinion is different. In March 2016, I sustained an injury during a chiropractic session, and the next day, when I tilted my head down and tried to lift it, I experienced shaking...
Dr. Lai Zhaokang Reply:
Hello: 1. It is recommended to follow up with a cervical spine MRI. 2. If there are concerns about lumbar spondylolisthesis, a dynamic X-ray evaluation of the lumbar spine in extension should be performed. Best wishes, Dr. Lai Chao-Kang, Neurosurgeon.[Read More] Understanding Post-Surgery Symptoms After Cervical Spine Surgery
Understanding Thalamic Hemorrhage: Treatment Options and Recovery Insights
73-year-old with intracranial hemorrhage? On November 9th, my father experienced a suspected hemorrhagic stroke due to emotional agitation. Initially, the blood clot was small, but it expanded to about 70% of the scan within three hours. The doctor indicated that the location of ...
Dr. Zhang Junwei Reply:
You are generally correct; thalamic hematomas are rarely surgically removed. The surgery is primarily for the evacuation of the hematoma and hemostasis, and it cannot repair the nerves.[Read More] Understanding Thalamic Hemorrhage: Treatment Options and Recovery Insights
Can Severed Nerves from Past Sweating Surgery Be Reconnected?
Hyperhidrosis issues? Is it possible to reconnect the nerves that were severed during a sympathectomy for hyperhidrosis performed over 20 years ago, considering the compensatory sweating and metabolic abnormalities that have developed?
Dr. Lai Zhaokang Reply:
Hello, for hyperhidrosis, if the nerve has already been severed during the surgery, reconnecting it is not something that can be achieved through the endoscopic procedure performed years ago. It may require an open thoracic surgery to perform nerve anastomosis. Furthermore, there...[Read More] Can Severed Nerves from Past Sweating Surgery Be Reconnected?
Understanding Torticollis: Treatment Options and Surgical Insights
Torticollis issue I first noticed my torticollis around elementary to middle school. It wasn't a problem when I was younger, but now that I'm in my senior year of high school, I've always wanted to seek treatment but haven't had the courage to do so. I don...
Dr. Lai Zhaokang Reply:
Hello, general torticollis is often due to fibrosis of the neck muscles. If you are under 18 years old, it is recommended to first consult a pediatric surgeon (however, there are few specialists in this field, so you may need to search online for the nearest hospital). If there i...[Read More] Understanding Torticollis: Treatment Options and Surgical Insights
Understanding Neurofibromas: Do You Need a Brain Scan?
Neurofibroma I am very fortunate that the neurofibroma has not developed on my face. Two years ago, my doctor arranged for an MRI, and the result was described as a "Christmas tree." Since then, I haven't paid much attention to this issue due to work. I have heard ...
Dr. Lai Zhaokang Reply:
Hello: Neurofibromatosis (NF) is a multi-organ system disorder. NF is classified into two types, NF1 and NF2, and is a hereditary condition that can lead to the formation of tumors in the nervous system, most of which are benign. It can also affect the development of non-nervous ...[Read More] Understanding Neurofibromas: Do You Need a Brain Scan?
Post-Surgery Concerns After Disc Herniation: What to Expect
Postoperative Issues Following Disc Rupture Surgery Hello Doctor, I had foot pain for two months, during which I continued rehabilitation with slight improvement. After that, I underwent an MRI, and the doctor said I had a herniated disc and advised me to have surgery, warning th...
Dr. Zhang Junwei Reply:
1. Not necessarily. 2. Unlikely. 3. If there is improvement after surgery, mild foot pain can be considered normal. 4. No.[Read More] Post-Surgery Concerns After Disc Herniation: What to Expect
Understanding Brain Injury Recovery: Key Questions and Treatment Options
Inquire about issues related to brain injury? Hello Doctor: Six days ago, I was involved in a car accident on my way to work and was sent to the hospital with a Glasgow Coma Scale (GCS) score of 8. A CT scan revealed intracranial hemorrhage, and while my intracranial pressure is ...
Dr. Zhang Junwei Reply:
1. It could be diffuse axonal injury, and the likelihood of waking up is uncertain; there is a possibility of not waking up at all! 2. There is no medical evidence supporting the clinical efficacy of hyperbaric oxygen therapy! 3. Essentially, we can only wait and should avoid inc...[Read More] Understanding Brain Injury Recovery: Key Questions and Treatment Options
Understanding Lumbar Disc Herniation: Recovery and Symptoms Explained
Herniated disc In April 2015, an MRI indicated an L4-L5 disc herniation, with the L5 protrusion being approximately 2:1, significantly compressing the nerve. This has caused pain in the outer side of my left thigh and the outer side of my calf. At that time, the doctor suggested ...
Dr. Lai Zhaokang Reply:
Hello: Based on what you described, your condition needs to be explained from two perspectives: 1. Your <symptoms (and your self-perception)> have improved. Congratulations. 2. However, the herniated disc and nerve compression in your body will not <disappear> due to ...[Read More] Understanding Lumbar Disc Herniation: Recovery and Symptoms Explained
Understanding Neck Strains: When to Seek Medical Advice and Its Effects
Neck sprain? Hello Doctor, I apologize for bothering you again. I am the person who asked the question 106295. 1. In your response, you mentioned that if there is improvement, there is no need to seek medical attention. Currently, my situation is that I experience slight pain a...
Dr. Lai Zhaokang Reply:
Hello! 1. Improvement is a good thing. However, if you are still worried, it’s best to make an appointment with a doctor nearby! 2. Generally, there is no significant relationship between cervical spine nerves and sexual function. If you have issues with sexual function, you can ...[Read More] Understanding Neck Strains: When to Seek Medical Advice and Its Effects
Post-Surgery Complications: Understanding Hematoma Absorption After Craniopharyngioma Surgery
Post-operative hemorrhage from craniopharyngioma leading to hematoma formation? Hello Doctor, my mother (55 years old) underwent surgery for a craniopharyngioma on May 23. After the surgery, she was somewhat conscious and could move her limbs. However, a few hours later, the doct...
Dr. Zhang Junwei Reply:
Without clinical examinations and reports, it is not possible to answer such complex questions online![Read More] Post-Surgery Complications: Understanding Hematoma Absorption After Craniopharyngioma Surgery
Understanding Neck Strain: When to Seek Further Medical Advice
Neck sprain? Hello, Doctor. I would like to consult you about something. Two weeks ago, on a Sunday morning, when I just got up, my head was still resting on the pillow, and I propped myself up with my hands and elbows, similar to a horse stance, while my head was against the pil...
Dr. Lai Zhaokang Reply:
Hello: Based on what you described, "Currently, when I gently clench my right fist, I experience a slight sensation similar to having just had a cramp (a bit like weakness). My right foot also has this sensation, but it’s not that I can’t exert force; I can still apply stren...[Read More] Understanding Neck Strain: When to Seek Further Medical Advice
Should Spinal Fixation Screws Be Removed After Surgery?
Is it recommended to remove spinal fixation screws? Hello Doctor: My mother has been suffering from spondylolisthesis at the L4-L5 level. Three years ago, she underwent surgery to install a cage and bone graft for stabilization, but her condition has not improved since the operat...
Dr. Lai Zhaokang Reply:
Hello: 1. Generally speaking, if the originally implanted fusion cage has successfully fused, the adjacent auxiliary screws can be removed. (For example, in cases of upper and lower limb fractures, if the screws were used for fixation and it is confirmed that the fracture has hea...[Read More] Should Spinal Fixation Screws Be Removed After Surgery?
Managing Sciatica: Rehabilitation, Exercise, and Alternative Therapies Explained
Sciatica Hello Doctor, my main symptoms are soreness in the right side of my hip and thigh, with noticeable pain in my buttocks after prolonged sitting. I have undergone electromyography, which indicated pressure on the right L5 and S1 nerves, but my MRI results were normal. I ha...
Dr. Lai Zhaokang Reply:
Hello: 1. Your description: "Pain in the right buttock and thigh, with noticeable pain after prolonged sitting. An electromyogram indicated compression of the right L5 and S1 nerves, but the MRI results were normal..." This seems to suggest a lumbar spine issue causin...[Read More] Managing Sciatica: Rehabilitation, Exercise, and Alternative Therapies Explained
Post-Surgery Complications of Lumbar Spondylolisthesis: What to Expect
Postoperative complications of spinal spondylolisthesis surgery? Hello Dr. Chang, on February 24, I underwent surgery for a herniated disc and spondylolisthesis from the fourth lumbar vertebra to the fourth sacral vertebra. During the procedure, three resin interbody fusion devic...
Dr. Zhang Junwei Reply:
It is evident that your postoperative pain is more severe than it was before the surgery, which theoretically should not happen. There may have been some issues during the surgical procedure. It is advisable to discuss this further with your attending physician or consider underg...[Read More] Post-Surgery Complications of Lumbar Spondylolisthesis: What to Expect
Understanding Nerve Damage from Tumor Compression in Bone Cancer
Tumor compression of nerves leads to nerve damage? I have bone cancer, and the tumor is located in my right pelvic area, pressing on the nerves, which has caused loss of sensation in the back half of my thigh, the outer side of my calf, and the sole of my foot (the left side of m...
Dr. Lai Zhaokang Reply:
Hello: As you mentioned: <Bone cancer tumor located in the right pelvic area compressing the nerves,.....> 1. Which nerves are affected? A: It depends on the findings from your imaging studies regarding the nerve compression. 2. If there is indeed a tumor causing compressio...[Read More] Understanding Nerve Damage from Tumor Compression in Bone Cancer
Can Severed Finger Nerves Be Reattached and Regain Function?
Finger nerves Hello, doctor. I would like to ask if it is possible to successfully reattach a severed tendon in the middle finger and restore its ability to bend. My father cut his middle finger at work, and the first surgery was successful in reattaching it. However, during the ...
Dr. Zhang Junwei Reply:
Nerve injuries can be attempted to be repaired, but success is not guaranteed and depends on the specific circumstances.[Read More] Can Severed Finger Nerves Be Reattached and Regain Function?
Understanding Back Pain: Possible Nerve Compression After Injury
Back injury? Two years ago, I was involved in a car accident and did not receive immediate treatment. Now, I am experiencing pain that is located just below my left shoulder near the spine. It feels like muscle is compressing a nerve, and the pain persists whether I am walking, s...
Dr. Lai Zhaokang Reply:
Hello, what could be the reason for this? It could involve the nerves, muscles, bones, or soft tissues. Please seek medical attention nearby, as only a physician can make a proper assessment after examination. Wishing you a speedy recovery. // Dr. Lai Chao-Kang, Changhua Hospital[Read More] Understanding Back Pain: Possible Nerve Compression After Injury