Understanding Disc Herniation: Causes, Symptoms, and Treatment Options
Herniated disc In 2014, I experienced pain in my lower back, buttocks, and the outer side of my thighs. An MRI revealed degeneration of the intervertebral discs at the L3-L4 levels, which was likely the cause. The doctor recommended physical therapy, but in January 2016, my sympt...
Dr. Lai Zhaokang Reply:
Hello: According to what you mentioned, <...after being referred and researching, you can undergo minimally invasive lumbar disc surgery, which is scheduled for June 3...> Since you have already consulted with other physicians for surgery, you should first ask the original ...[Read More] Understanding Disc Herniation: Causes, Symptoms, 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
Chronic Lumbar Pain: Seeking Solutions for Persistent Discomfort
Lumbar pain Hello Dr. Lai, I have a job that requires long hours of sitting. After two months of work, I began experiencing pain in my lumbar spine, and it has been over four months now. Since the onset of the pain, I have been undergoing rehabilitation treatment (electrotherapy,...
Dr. Lai Zhaokang Reply:
Hello, as you mentioned: "After undergoing an MRI, the doctor said there is degeneration and slight bulging of the intervertebral discs at the L4-L5 levels, but no other issues were found. It is not yet at the stage where surgery is required. The doctor said I can only rely ...[Read More] Chronic Lumbar Pain: Seeking Solutions for Persistent Discomfort
Understanding Spinal Fusion Surgery for Spondylolisthesis: Key Questions Answered
Spinal fusion surgery for spondylolisthesis? Hello Dr. Chang, I was recently diagnosed with spondylolisthesis at the fourth and fifth lumbar vertebrae and need to undergo fusion surgery. Currently, I am experiencing significant pain in my left sciatic region, and after sitting fo...
Dr. Zhang Junwei Reply:
You can consult either an orthopedic surgeon or a neurosurgeon. It is recommended to bring your MRI to the outpatient clinic to discuss it with the physician![Read More] Understanding Spinal Fusion Surgery for Spondylolisthesis: Key Questions Answered
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 Intracranial Hemorrhage After a Fall in Elderly Patients
Grandma fell and has intracranial hemorrhage? My grandmother, 81 years old, fell at home on May 28 and bled a lot without realizing it, then went to sleep. About four hours later, she was discovered and taken to the emergency room, where she received seven stitches on her head. A...
Dr. Zhang Junwei Reply:
It seems that the current treatment plan is to control the bleeding with medication; otherwise, if the blood clot enlarges, surgical intervention will be necessary![Read More] Understanding Intracranial Hemorrhage After a Fall in Elderly Patients
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
Understanding Head Injuries: Symptoms and Concerns After a Fall
Head issues Hello Doctor: Two years ago, while moving something under the stairs, I accidentally bumped my head against the corner of a steel staircase. At that moment, I saw stars and instinctively rubbed my head for about ten minutes, which alleviated the pain. I did not seek m...
Dr. Lai Zhaokang Reply:
Hello: 1. I recommend that you directly consult a nearby neurospecialist. Perhaps an X-ray or a CT scan could provide immediate answers, so you won't have to continue questioning yourself. Wishing you a speedy recovery. // Dr. Lai Chao-Kang, Neurosurgery, Changhua Hospital[Read More] Understanding Head Injuries: Symptoms and Concerns After a Fall
Understanding Facial Numbness and Stiffness After Skull Fracture Surgery
Skull fracture with facial numbness? Hello Doctor, I was in a car accident on February 25, primarily resulting in a fracture of my right facial bones. The doctor informed me that the affected area extends from the side of my nose to multiple fractures in the orbital bone below my...
Dr. Zhang Junwei Reply:
If there is nerve damage, the situation you described may occur. It is recommended to observe for a while longer![Read More] Understanding Facial Numbness and Stiffness After Skull Fracture Surgery
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
Understanding Intracranial Hemorrhage and Fractures After a Motorcycle Accident
Intracranial hemorrhage, fracture? Doctor, I'm sorry. My brother just had a motorcycle accident and went to the hospital for examination. The doctor said he has intracranial bleeding and some fractures, and it seems he also has a concussion. His symptoms include vomiting and...
Dr. Zhang Junwei Reply:
A brain hemorrhage is considered serious. The information you provided is too limited, so I recommend discussing your brother's condition in person with his attending physician![Read More] Understanding Intracranial Hemorrhage and Fractures After a Motorcycle Accident
Understanding Recurrent Disc Herniation: Treatment Options and Risks
Herniated disc 1 Hello, I had surgery for a herniated disc between the fourth and fifth lumbar vertebrae on January 12, 2016. I felt that my recovery was quite good after the surgery. After resting at home for a month, I returned to work, but not long after, I experienced pain an...
Dr. Lai Zhaokang Reply:
If there is a recurrence, and it is more than before... 1. Rehabilitation generally only helps to manage pain and does not provide a fundamental cure. 2. It is still recommended to consider surgery again. 3. However, this time you need to consider the possibility of an artificial...[Read More] Understanding Recurrent Disc Herniation: Treatment Options and Risks
Understanding Brain Tumor Surgery and Post-Operative Care Challenges
Brain Tumor Treatment Hello, doctor. On March 28, the patient underwent surgery to remove a brain tumor approximately 5.5 cm in size located in the left ventricle. Postoperatively, the patient was stable and was able to open their eyes and recognize people after the anesthesia wo...
Dr. Zhang Junwei Reply:
1. Yes, if the patient's condition is stable, they should be transferred from the intensive care unit (ICU) to a general ward for further treatment, even if they have not regained consciousness. If patients could remain in the ICU indefinitely just because they haven't ...[Read More] Understanding Brain Tumor Surgery and Post-Operative Care Challenges
Understanding Recovery After Aneurysm Rupture: A Daughter's Concern
Ruptured cerebral aneurysm I would like to ask about my mother. On October 20, 2016, she fell into a coma due to a ruptured cerebral artery, with a Glasgow Coma Scale score of 3 at that time. After surgery and the placement of a drainage tube, she was discharged in January and ha...
Dr. Zhang Junwei Reply:
Brain injuries are very complex. Once a person has experienced a severe coma with a Glasgow Coma Scale score as low as three, to be honest, no one can predict when they will wake up![Read More] Understanding Recovery After Aneurysm Rupture: A Daughter's Concern
Understanding Sciatica and Piriformis Syndrome: Symptoms and Treatment
Sciatica? Piriformis syndrome? Hello Doctor, during this time, I have been experiencing tightness and pain in my right leg, extending from the inner thigh down to the back of the calf. The discomfort is particularly noticeable when bending and straightening my leg. I have consult...
Dr. Zhang Junwei Reply:
Without a physical examination, I cannot provide an answer. Please rest more, and for rehabilitation issues, please consult the rehabilitation department.[Read More] Understanding Sciatica and Piriformis Syndrome: Symptoms and Treatment
Post-Surgery Complications: Challenges in Walking and Sitting After L5-S1 Support Frame Surgery
After the insertion of a support frame at L5 and S1, the patient is unable to sit or walk? Hello, doctor. My mother underwent a spinal fusion surgery between L3 and L5 two years ago. After the surgery, she still felt numbness and soreness in her left leg while walking, and she wa...
Dr. Lai Zhaokang Reply:
Hello, it is recommended that you consult your surgeon. If you do not receive a satisfactory response, you may consider seeking a second opinion from another physician. Wishing you a speedy recovery. Director Lai Chao-Kang, Department of Spine and Neurosurgery, Changhua Hospital.[Read More] Post-Surgery Complications: Challenges in Walking and Sitting After L5-S1 Support Frame Surgery
Head Injury While Sleeping: When to Seek Medical Attention
The back of the head hit the wall after sleeping? Hello Doctor, I accidentally hit the back of my head while lying down to sleep the night before last. At that moment, I experienced a strong, brief stomach pain, but no other symptoms. The next morning, I woke up with severe, inte...
Dr. Zhang Junwei Reply:
Please visit the neurosurgery outpatient clinic for treatment.[Read More] Head Injury While Sleeping: When to Seek Medical Attention