Spine, Neurosurgery FAQ - Page 11

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Understanding Left Neck Pain: Causes, Diagnosis, and Treatment Options

Left neck pain? Four years ago, I experienced numbness in my left fingers and pain in my arm. After an MRI examination, it was found that there was a herniated disc at the levels of C3-C4, C4-C5, C5-C6, and C6-C7, with the C5-C6 level being more severe. I did not undergo surgery ...


Dr. Zhang Junwei Reply:
X-rays cannot visualize intervertebral discs, let alone nerves. If there is a suspicion of worsening disc herniation with nerve compression, it is best to perform an MRI again.

[Read More] Understanding Left Neck Pain: Causes, Diagnosis, and Treatment Options


Understanding Postural Numbness: Is It Just Cervical Compression?

Posterior right hemisphere edema? Hello, Dr. Chang. This has happened twice, both times while sleeping in a slouched position on a wooden chair, with the back of my head resting directly against the top of the chair back. Upon waking, I experienced a feeling of swelling and numbn...


Dr. Zhang Junwei Reply:
It sounds like it may be caused by cervical nerve compression; however, it is still recommended to consult a neurosurgery outpatient clinic for an accurate diagnosis.

[Read More] Understanding Postural Numbness: Is It Just Cervical Compression?


Is Penetrating Bone Screws a Standard Treatment for L5-S1 Issues?

Lumbar vertebral screw penetration? I have a L5-S1 vertebral arch dissociation, but the intervertebral disc is normal, and I have osteoporosis with a T-score of -2.6. After a medical diagnosis, the doctor performed a minimally invasive cortical bone screw fixation at L5-S1. Post-...


Dr. Lai Zhaokang Reply:
Hello: 1. It is true that some physicians may consider the patient's condition or their medical habits, which could lead to the screws penetrating the vertebrae. 2. Your postoperative symptoms may not necessarily be related to the screws penetrating the vertebrae. 3. We have...

[Read More] Is Penetrating Bone Screws a Standard Treatment for L5-S1 Issues?


Understanding Prolonged Recovery After Spinal Fusion Surgery: Key Insights

During the follow-up examination, the doctor said that the bone has not yet formed, and I need to continue wearing the brace. It has been almost a year? Due to a grade 4.5 spondylolisthesis, I underwent minimally invasive spinal fusion surgery. I had two surgeries on February 3 a...


Dr. Lai Zhaokang Reply:
Hello: 1. According to what you mentioned: <...it's just been a year, is this normal, doctor?...> Generally, bone healing for young individuals should take about 3 months. However, you have undergone three surgeries. The pathway for the steel nails may have caused stru...

[Read More] Understanding Prolonged Recovery After Spinal Fusion Surgery: Key Insights


Chronic Back Pain: Which Specialist Should You Consult?

Which department to see? Hello Doctor: I would like to ask about my long-term back pain (I can't determine if it's my lower back or upper back that hurts). Whenever I exert myself by lifting something upwards or bending forward, I experience pain (sometimes the pain fee...


Dr. Lai Zhaokang Reply:
Hello: It is recommended to consult a neurosurgeon. Best wishes to you. Dr. Lai Chao-Kang, Director of the Spine Neurosurgery Department, Changhua Hospital.

[Read More] Chronic Back Pain: Which Specialist Should You Consult?


Understanding Unusual Spine Sensations: When to Seek Medical Advice

The lumbar spine feels unusual? Hello Dr. Chang, I apologize for the lengthy message. This morning, after using the restroom, I suddenly felt something unusual in my lumbar spine (it wasn't painful). After struggling to finish, I noticed that walking felt strange (again, no...


Dr. Zhang Junwei Reply:
I recommend that you schedule an appointment with a neurosurgery clinic for an examination; it will be safer and give you peace of mind.

[Read More] Understanding Unusual Spine Sensations: When to Seek Medical Advice


Understanding Sudden Calf Tremors: Normal Reflex or Nerve Issue?

There is frequent intense shaking in the lower leg for about 2 seconds, occurring only once every morning? In recent weeks, I have been experiencing a warm sensation in my feet while under the covers, but after waking up from sleep, my feet stretch out and the area below my calve...


Dr. Lai Zhaokang Reply:
Hello, if it has been ongoing for more than two weeks, you should see a neurologist or a neurosurgeon. Best wishes. // Neurosurgery, Dr. Lai Chao-Kang.

[Read More] Understanding Sudden Calf Tremors: Normal Reflex or Nerve Issue?


Understanding Chest and Abdominal Tightness: When to Seek Medical Help

The chest and abdomen feel like they are being constricted by a rope? Hello Doctor: 1. In early September, I experienced a sensation of being bound by a rope under my left rib cage (upper left abdomen), which later spread to the right side, and I began to feel a constricting se...


Dr. Lai Zhaokang Reply:
Hello: It is suspected to be a spinal nerve issue. It is recommended to consult a neurosurgeon. Best wishes to you. // Neurosurgeon Dr. Lai Chao-Kang

[Read More] Understanding Chest and Abdominal Tightness: When to Seek Medical Help


Is Surgery the Right Choice for Your Herniated Disc?

Is surgery suitable for a herniated disc? Hello, Director. I have undergone several imaging examinations as follows: 1. After performing deep squats on July 15, 2018, I was unable to stand the next day. Whenever I stood up, I felt significant discomfort in my right posterior hi...


Dr. Lai Zhaokang Reply:
Hello: 1. I have reviewed your imaging, and there is indeed nerve compression. If you are young and have already tried conservative rehabilitation treatment without satisfactory results, you may consider minimally invasive surgery to directly relieve the pressure on the nerve. ...

[Read More] Is Surgery the Right Choice for Your Herniated Disc?


Understanding Cervical Spine Surgery and Autonomic Nervous System Disorders

Cervical spine surgery (autonomic nervous system dysfunction) Last year, I fell from an aluminum ladder and injured my cervical spine, which led to back pain, headaches, dizziness, tinnitus, insomnia, blurred vision, palpitations, chest tightness, nausea, vomiting, memory loss, a...


Dr. Zhang Junwei Reply:
Without a complete medical history, patient history, and neurological examination, it is difficult to provide an accurate answer. I apologize!

[Read More] Understanding Cervical Spine Surgery and Autonomic Nervous System Disorders


Understanding Treatment Options for Cervical Myelopathy and Syringomyelia

Treatment of cervical syringomyelia I went to New Taipei Hospital for consultation due to tightness and pain in my neck and shoulders. An MRI on July 27 revealed that the nerve root is being compressed between the C4 and C5 vertebrae, and there is spinal cord compression between ...


Dr. Zhao Shaoqing Reply:
Spinal cord compression can lead to sensory and motor neurological symptoms, including pain, numbness, and weakness in the neck and both upper limbs. If there is a presence of syringomyelia, it generally indicates irreversible damage to the spinal cord. Surgical intervention on t...

[Read More] Understanding Treatment Options for Cervical Myelopathy and Syringomyelia


Understanding Cervical Spine Surgery and Sympathetic Nerve Issues

Cervical spine surgery (sympathetic nerve) Hello Dr. Lai: I fell from a ladder and injured my cervical spine, which has resulted in back pain, headaches, dizziness, tinnitus, insomnia, blurred vision, palpitations, chest tightness, nausea, vomiting, memory loss, anxiety, gastroin...


Dr. Lai Zhaokang Reply:
Hello: 1. If you have undergone surgery at another hospital and have not experienced any improvement after 4 months, you can undergo an MRI examination for evaluation; there is no such thing as "only X-rays." 2. Your symptoms may be caused by cervical spinal cord nerve ...

[Read More] Understanding Cervical Spine Surgery and Sympathetic Nerve Issues


Understanding Post-Procedure Pain After Bone Cement Surgery

Issues After Bone Cement Procedure Hello, I would like to ask about my grandmother. A few days after her vertebroplasty surgery, she experienced back soreness, and after a few more days, she still feels nerve pain in her back. What could be the reason for this? Shouldn't the...


Dr. Lai Zhaokang Reply:
Hello: There are many types of spinal disorders in the elderly, and the spine consists of several vertebrae, not just one type of treatment like vertebroplasty. It is recommended to return for a follow-up examination. Wishing you all the best.

[Read More] Understanding Post-Procedure Pain After Bone Cement Surgery


Understanding Arm Circulation Issues After a Car Accident: What to Do Next

Poor blood circulation in the right arm? Hello, doctor. I was hit by a taxi from the right rear on October 16 and fell to the ground, supporting myself with both hands. At the time of the incident, I only felt pain in my right thigh and calf. After an X-ray at the emergency room ...


Dr. Lai Zhaokang Reply:
Hello: It may be a cervical nerve issue. I recommend consulting a neurosurgeon. Best wishes to you. // Director of the Spine and Neurosurgery Department at Changhua Hospital, Dr. Lai Chao-Kang.

[Read More] Understanding Arm Circulation Issues After a Car Accident: What to Do Next


Understanding Neck and Head Issues After a Slip and Fall Accident

Slip and fall, head and neck issues? Hello, doctor. Last week, I slipped and fell backward due to a wet floor. I'm not sure if I hit the back of my head, but I felt dizzy and experienced tinnitus immediately after getting up. I've still been feeling somewhat dizzy these...


Dr. Zhao Shaoqing Reply:
A posterior impact to the head and neck raises concerns about potential injuries to the cerebellum or cervical spine. Symptoms may include dizziness, headaches, neck pain, and poor balance. If these symptoms persist without improvement, it is advisable to seek medical evaluation ...

[Read More] Understanding Neck and Head Issues After a Slip and Fall Accident


Understanding Neck Stiffness and Dizziness After a Fall: What to Do?

Stiff neck Hello, I accidentally slipped backward five days ago and have been experiencing persistent dizziness. In the past two days, I've also noticed tingling in my scalp, and my shoulders and neck feel a bit stiff, making me hesitant to move. Is this a normal phenomenon?...


Dr. Lai Zhaokang Reply:
Hello: If you may have an injury to your cervical spine, you can try neck protection, heat therapy, and applying analgesic ointment. If there is no improvement or if the condition worsens, it is advisable to consult a neurosurgeon for evaluation. Wishing you well, Dr. Lai Chao-Ka...

[Read More] Understanding Neck Stiffness and Dizziness After a Fall: What to Do?


Head Injury Concerns: Potential Risks and Management After Impact

Top of the head impact issues? Hello Director Chang, Today, while I was getting into a government van, I didn't notice the height difference and hit my head hard against the door frame. It was very painful at the moment, and the pain radiated to the back of my head. By the ...


Dr. Zhang Junwei Reply:
Based on your description, it seems to be a mild head injury. If discomfort persists, you may want to schedule an appointment with a surgical outpatient clinic for further evaluation.

[Read More] Head Injury Concerns: Potential Risks and Management After Impact


Understanding Sciatica: Symptoms, Treatment Options, and When to Seek Help

Sciatica Hello, Doctor: I would like to ask if these symptoms are related to sciatica? Can they be treated with rehabilitation alone, or do I need further examinations? If so, which specialist should I see? Thank you! I have pain in the lumbar region, neck and shoulder discomfort...


Dr. Lai Zhaokang Reply:
Hello: Your lumbar spine, cervical spine, and knees all need to be examined. It is recommended to consult a neurosurgeon for evaluation. Physical therapy can be attempted, but whether you can recover through rehabilitation will depend on your condition. Best wishes. // Dr. Lai Ch...

[Read More] Understanding Sciatica: Symptoms, Treatment Options, and When to Seek Help


Pregnancy Concerns After Multiple Failed Spine Surgeries: What to Know

I have undergone two surgeries on the lumbar spine at L4-5 and S1, but they have still been unsuccessful. Is it possible for me to become pregnant? Dear Dr. Lai, Hello! Thank you for your hard work. I am the patient who previously visited your clinic; I had a failed lumbar spine...


Dr. Lai Zhaokang Reply:
Hello: Sorry for the late reply, I've been busy. 1. Is my body able to handle this? I suggest you first consult with an obstetrician-gynecologist to confirm the presence of the embryo. If it is confirmed, I recommend you: "Be strong as a mother." First, take care o...

[Read More] Pregnancy Concerns After Multiple Failed Spine Surgeries: What to Know


Understanding Chiropractic Care: Risks and Benefits for Spinal Health

Spinal and cervical adjustment? Hello doctor, I have had scoliosis since I was in the first year of junior high school until the first year of high school. When I was in the third year of junior high, I went to the hospital for rehabilitation, but they didn't mention anythin...


Dr. Zhang Junwei Reply:
The quality of chiropractic care varies widely; if it has already caused you discomfort, it's best to stop.

[Read More] Understanding Chiropractic Care: Risks and Benefits for Spinal Health


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