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 Right Calf Pain and Swelling: Possible Causes and Solutions
Swelling and soreness in the right calf? I would like to inquire about my long-term symptoms of occasional swelling and aching in my right calf. Sometimes, to alleviate the discomfort, I elevate my leg, but within 10 seconds, the area below my right ankle becomes pale, while my l...
Dr. Lai Zhaokang Reply:
Hello: 1. Your description may indicate vascular circulation issues, possibly combined with neurological or muscular problems. It is recommended that you first consult with a cardiovascular surgeon, and then see a neurosurgeon. Wishing you a speedy recovery. Dr. Lai Chao-Kang, Di...[Read More] Understanding Right Calf Pain and Swelling: Possible Causes and Solutions
Understanding Uncommon Symptoms of L4-L5 Herniated Disc: Is Surgery Necessary?
Lumbar disc herniation I underwent an MRI, which confirmed that I have an L4-L5 herniated disc. The neurosurgeons all recommend surgery, but what's peculiar is that I can stand for long periods and walk without discomfort. When sitting, I experience slight discomfort in my b...
Dr. Lai Zhaokang Reply:
Hello: It is true that most people feel more uncomfortable when getting out of bed, but there are also cases where lying down is even more uncomfortable. This is related to the relationship between your herniated disc and the surrounding nerve structures, as well as the relative ...[Read More] Understanding Uncommon Symptoms of L4-L5 Herniated Disc: Is Surgery Necessary?
Can I Skip This Medication? Understanding Side Effects and Alternatives
Is there a medication that I can skip taking? Director, thank you for your kind explanation; I understand. I didn't bring any family members with me for this follow-up appointment. You advised me to start rehabilitation, and I have my first session scheduled for May 5th. I a...
Dr. Lai Zhaokang Reply:
Hello: Nicametate is a peripheral vasodilator. If it causes you any discomfort, you may discontinue the medication. Wishing you a speedy recovery. // Director Lai Chao-Kang, Department of Spine Surgery, Changhua Hospital.[Read More] Can I Skip This Medication? Understanding Side Effects and Alternatives
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
Relieving Lower Back Pain: Tips for Managing Sciatica Symptoms
Pain in the lower back, around the lumbar region? Hello, doctor. My symptoms originally included pain in the right lower back, which has gradually radiated down to my thigh. I have a slight pelvic tilt causing a leg length discrepancy. Is there any way to relieve this? It is curr...
Dr. Lai Zhaokang Reply:
It may be a lumbar spine issue causing sciatica. Although you have an upcoming exam, it is still recommended to seek a nearby neurosurgeon for an evaluation.[Read More] Relieving Lower Back Pain: Tips for Managing Sciatica Symptoms
Understanding Unexplained Numbness and Tingling in the Lower Body
Strange sourness and numbness? Hello, doctor. I would like to ask you something. Since my first year of college, I have occasionally experienced a discomfort that starts from my lower back, radiating down to my buttocks, and then to the back of my thighs and calves. It feels some...
Dr. Lai Zhaokang Reply:
Hello, your sciatica may be caused by lumbar spine issues. I recommend seeing a neurosurgeon. Wishing you a speedy recovery. // Director of Spinal Neurosurgery, Changhua Hospital, Dr. Lai Chao-Kang.[Read More] Understanding Unexplained Numbness and Tingling in the Lower Body
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 Upper Back Pain: Causes, Symptoms, and Treatment Options
Back pain I have been experiencing severe pain in the upper left part of my back (about five centimeters below the shoulder) for the past couple of days. It hurts a little when I breathe, and the pain intensifies with movement. Even lying flat or on my side is extremely painful, ...
Dr. Lai Zhaokang Reply:
Hello, it could possibly be a cervical or thoracic spine issue, a myofascial problem, or it may involve the thoracic and abdominal organs. It is advisable to first consult with an internal medicine specialist, specifically in pulmonary medicine or gastroenterology. If internal or...[Read More] Understanding Upper Back Pain: Causes, Symptoms, and Treatment Options
Understanding the Need for Central Catheters in Spine Surgery
Spinal surgery Hello: Last month, my aunt was hospitalized for spinal surgery. I found it strange that the regular IV line couldn't be used and that a central catheter had to be specifically installed, as the doctor mentioned.
Dr. Lai Zhaokang Reply:
Hello, it may be that your aunt's vascular condition makes it difficult to administer a regular IV. If there are symptoms that require it, a central venous catheter may be used for easier infusion. If you have any medical questions, it is advisable to ask the original treatm...[Read More] Understanding the Need for Central Catheters in Spine Surgery
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 Back and Lower Back Pain: Causes and Solutions
Back and lower back pain? The pain is generally located in the area of the kidneys in the lower back, and it hurts when pressed. When the pain is severe, changing positions can cause cramping-like pain. Usually, the pain only occurs with pressure and has persisted for about five ...
Dr. Lai Zhaokang Reply:
Hello, it is recommended to consult a physician to evaluate whether a CT scan or MRI is necessary for a detailed diagnosis. Wishing you a speedy recovery. Director Lai Chao-Kang, Department of Spine and Neurosurgery, Changhua Hospital.[Read More] Understanding Back and Lower Back Pain: Causes and Solutions
Post-Surgery Numbness in Hand: Is It Normal After Cervical Surgery?
After cervical spine surgery, experiencing numbness in the hand can be considered a normal occurrence? Hello, my wife is 40 years old. She recently went to the hospital due to numbness in her left arm, and an MRI revealed that she has herniated discs at the C5/C6 and C6/C7 levels...
Dr. Lai Zhaokang Reply:
Hello, it is recommended to consult your surgeon. Wishing you a speedy recovery. Dr. Lai Chao-Kang, Department of Spine and Neurosurgery, Changhua Hospital.[Read More] Post-Surgery Numbness in Hand: Is It Normal After Cervical Surgery?
Understanding Lower Back Pain and Hip Discomfort: Causes and Treatments
Lower back pain with buttock soreness? Hello, doctor! A few months ago, while lifting heavy objects, I suspect I may have strained my lower back (I heard a popping sound at that moment). Although I did not experience any obvious pain symptoms afterward, I have been feeling sorene...
Dr. Lai Zhaokang Reply:
Hello, if general medication rehabilitation treatment is ineffective, it may be due to a lumbar disc issue. You might consider arranging for an MRI to evaluate the condition. Wishing you a speedy recovery. Dr. Lai Chao-Kang, Department of Spine and Neurosurgery, Changhua Hospital...[Read More] Understanding Lower Back Pain and Hip Discomfort: Causes and Treatments
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
Understanding L1-L2 Disc Herniation and Surgical Options for Nerve Compression
Herniated discs at the L1 and L2 levels are compressing the nerves? Hello, Doctor: I am 45 years old. I started experiencing pain near the left sciatic area in April 2015. Initially, I thought it was a sports injury causing a muscle strain. After about two months of treatment wit...
Dr. Lai Zhaokang Reply:
Hello, based on your description, it seems you have lumbar nerve compression. Since L1-L2 is a higher level nerve, there are potential risks associated with surgery, and it is recommended that you have an experienced neurosurgeon perform the procedure. Regarding your description ...[Read More] Understanding L1-L2 Disc Herniation and Surgical Options for Nerve Compression
Understanding Spinal Cord Injury and Its Impact on Sexual Function
Issues related to spinal cord injury? Hello, doctor. I have some questions to ask you. After the Lunar New Year this year, I found that I couldn't achieve an erection while watching adult films, so I sought consultation from a urologist. During the New Year period, I moved h...
Dr. Zhang Junwei Reply:
My answer is also: If there is a problem with the spine, it will not only result in sexual dysfunction but may also be accompanied by symptoms such as limb numbness and urinary or fecal incontinence. Please consult a urologist for evaluation first.[Read More] Understanding Spinal Cord Injury and Its Impact on Sexual Function
Understanding Post-Surgery Pain: Is It Sciatica or Something Else?
The area around the incision from my previous lumbar spine surgery is painful again? Hello Doctor, I had surgery in June 2011 at a hospital in the northern region, where they implanted a cage and screws at the L5-S1 intervertebral disc. Although I often experience soreness, for t...
Dr. Lai Zhaokang Reply:
Hello, based on your description, these symptoms resemble sciatica. It would be advisable to further investigate the lumbar spine or other components of the nervous system. Wishing you a speedy recovery. Dr. Lai Chao-Kang, Chief of the Spine and Nerve Surgery Department, Changhua...[Read More] Understanding Post-Surgery Pain: Is It Sciatica or Something Else?
Understanding Calf Pain: Causes and Treatment Options for Seniors
Calf pain Hello Dr. Lai: My mother-in-law often experiences pain in her calves, which worsens when she walks, requiring her to take breaks before she can continue. As a result, she cannot walk far. During these episodes, the doctor has only prescribed painkillers without determin...
Dr. Lai Zhaokang Reply:
Hello, based on your description, this symptom is referred to as "intermittent claudication." It is generally classified into vascular and neurogenic types. If vascular causes are ruled out, it may be neurogenic intermittent claudication, which is commonly associated wi...[Read More] Understanding Calf Pain: Causes and Treatment Options for Seniors