Understanding Brachial Plexus Surgery: Recovery and Rehabilitation Insights
Brachial plexus reconstruction surgery Hello, I would like to ask about my situation. I had a car accident on September 28, where I skidded in the rain and crashed into a utility pole, resulting in multiple fractures. I am currently recovering, but I am particularly concerned abo...
Dr. Lai Zhaokang Reply:
Hello, you have already undergone surgery by Dr. Chuang, so you should follow his medical advice. Any concerns should be discussed with the surgical team, especially since you have just had reconstructive surgery. Recovery takes time, so please trust that the physician who perfor...[Read More] Understanding Brachial Plexus Surgery: Recovery and Rehabilitation Insights
Understanding Risks and Benefits of Artificial Disc Surgery for Spinal Stenosis
4.5 cm long bone spur At the age of 18, I had surgery for a bone spur at the L4-L5 level. Recently, I experienced discomfort and went for an examination, which revealed that another bone spur has developed at the same level. The doctor mentioned that I need to have an artificial ...
Dr. Zhang Junwei Reply:
Hello: I'm not sure if you're referring to the cervical spine or the lumbar spine. Essentially, to alleviate your discomfort, decompression surgery is generally necessary. An artificial disc replacement may not be required; a standard brace could also be sufficient. Eac...[Read More] Understanding Risks and Benefits of Artificial Disc Surgery for Spinal Stenosis
Understanding Surgical Options for Persistent Disc Herniation Pain
If physical therapy and manual therapy do not improve a herniated disc, is surgery necessary? Hello, Doctor: I usually exercise very little, but from January to the end of February 2014, I underwent intensive training in running. Suddenly, in early March 2014, I experienced sever...
Dr. Lai Zhaokang Reply:
Hello, based on your symptoms, if the MRI has confirmed a herniated disc compressing the nerve, causing sciatica and significantly affecting your daily life, and conservative rehabilitation has been ineffective, it may be time to consider surgery. 1. You mentioned a minimally i...[Read More] Understanding Surgical Options for Persistent Disc Herniation Pain
Persistent Pain After Spine Surgery: Seeking Effective Treatment Options
After spinal disc surgery, if you are still experiencing pain and are unsure which hospital can help address this pain, it is advisable to consult with a pain management specialist or a neurosurgeon. They can provide a comprehensive evaluation and recommend appropriate treatment ...
Dr. Lai Zhaokang Reply:
Hello, there are several questions to consider: What is the patient's age and gender? What symptoms did you have before the surgery? What symptoms do you have after the surgery? Is there back pain or lower limb pain? Which area is painful? What type of surgery was performed?...[Read More] Persistent Pain After Spine Surgery: Seeking Effective Treatment Options
Post-Microdiscectomy: Understanding Leg Weakness and Numbness
Postoperative care after minimally invasive spine surgery? My family member underwent minimally invasive spine surgery at the end of September and has been experiencing difficulty applying pressure to the legs, along with feelings of soreness and numbness. The pain is intermitten...
Dr. Lai Zhaokang Reply:
Hello, after surgery, it is common to experience soreness, weakness, and numbness for the first 2-3 months. However, if there is noticeable atrophy in the right leg, it is advisable to return for a follow-up consultation with the original surgeon for further evaluation. If a reas...[Read More] Post-Microdiscectomy: Understanding Leg Weakness and Numbness
Post-Surgery Nerve Pain: Understanding Symptoms After Cervical Spine Surgery
More than two months after cervical spine bone spur surgery, there is soreness and numbness on the left side? Hello, Doctor! My mother (nearly sixty years old) underwent surgery on her cervical spine (C4-C5) due to bone spurs at the end of September and early October. Although sh...
Dr. Zhang Junwei Reply:
Hello: Based on the symptoms you described, it is possible that the cervical nerve is being compressed, which may not necessarily be at the C4/C5 level, but could involve other levels as well. It is recommended to return to the neurosurgery outpatient clinic for a more detailed e...[Read More] Post-Surgery Nerve Pain: Understanding Symptoms After Cervical Spine Surgery
Understanding Chest Pain: When to Seek Help and Which Specialist to Consult
Pressing in the middle of the chest causes pain? Hello Dr. Ding: I have seen several doctors but none have been able to identify the cause of my symptoms. I would like to ask you some questions, as I am unsure which specialty I should consult. Thank you! In mid-September, I sud...
Dr. Ding Xianwei Reply:
It is recommended that you start with family medicine.[Read More] Understanding Chest Pain: When to Seek Help and Which Specialist to Consult
Understanding Brain Hemorrhage and Recovery After a Motorcycle Accident
My mother had a car accident and is experiencing a brain hemorrhage. I would like to seek advice. Thank you? Hello, my mother is 54 years old. On the night of October 26, she was hit by a motorcycle while walking, resulting in swelling on the right side of her brain and a comminu...
Dr. Zhang Junwei Reply:
Hello: 1. Your mother has a comminuted fracture of the fifth lumbar vertebra, and in the presence of intracerebral hemorrhage, it is important to assess whether there is any nerve compression in the lumbar region. If there is nerve compression causing lower limb weakness or neuro...[Read More] Understanding Brain Hemorrhage and Recovery After a Motorcycle Accident
Managing Old Spinal Injuries: Effective Treatments for Back Pain
Old spinal injury When I was in middle school, I accidentally slipped down the stairs and seemed to have injured my spine. Initially, I felt pressure when I ran and couldn't take deep breaths, but this situation improved after a month or two, so I didn't pay much attent...
Dr. Ding Xianwei Reply:
Prolonged standing or sitting is inherently detrimental. It is advisable to adjust your work and lifestyle habits. If necessary, please visit a neurosurgery clinic for evaluation and treatment.[Read More] Managing Old Spinal Injuries: Effective Treatments for Back Pain
Understanding Back Pain: Potential Causes and Solutions
Back problems Hello, doctor! Recently, when I lie flat while sleeping, I often feel that my hips are uneven, with the left side higher than the right. I also consistently feel a pressure sensation on the left side of my spine (in the lower part of my back). Recently, I have exper...
Dr. Ding Xianwei Reply:
Due to the lack of personal examination and insufficient information provided, I am unable to give an answer. I recommend that you visit a neurosurgery outpatient clinic for a proper evaluation and treatment.[Read More] Understanding Back Pain: Potential Causes and Solutions
Understanding Back Pain and Thigh Issues After Sports Injury: A Guide
Back pain Hello, doctor. I previously had scoliosis but did not pay much attention to it as there were no special issues. However, two weeks ago, on Saturday, after playing basketball, I started experiencing severe pain in the lower part of my spine the day after, which has conti...
Dr. Lai Zhaokang Reply:
Based on your description, my personal judgment is that the most common issue is likely a herniated lumbar disc compressing the nerves. The lumbar disc is initially injured, causing back pain, but if the disc gradually bulges out due to pressure, it may compress nearby nerves, le...[Read More] Understanding Back Pain and Thigh Issues After Sports Injury: A Guide
Understanding Back Pain and Thigh Issues After Basketball: A Guide
Back pain Hello Dr. Ding, I previously had scoliosis but did not pay much attention to it as there were no special circumstances. However, two weeks ago on Saturday, after playing basketball, I started experiencing severe pain in the lower part of my spine the following day, whic...
Dr. Ding Xianwei Reply:
The doctor's advice is correct! You should get plenty of rest, undergo rehabilitation, and take your medication! Unless the symptoms are severe, in which case surgery may be necessary, further examinations can be arranged.[Read More] Understanding Back Pain and Thigh Issues After Basketball: A Guide
Understanding Chronic Lower Back Pain: Causes and Solutions
Lower back pain issues? Hello Dr. Lai: I am experiencing significant pain on the right side of my lower back and in the middle, as well as pain in my left hip. This is especially severe in the morning when I wake up; I find it difficult to get out of bed and have to rise slowly. ...
Dr. Lai Zhaokang Reply:
Hello: Based on your symptom description, it is generally inferred to be a lumbar spine issue. However, the examination of the lumbar spine is not limited to just MRI. Lumbar spine conditions are not solely related to herniated discs; there are several other issues that could als...[Read More] Understanding Chronic Lower Back Pain: Causes and Solutions
Is Your Elderly Relative a Candidate for Vertebroplasty Surgery?
Is it appropriate to perform a bone cement procedure? My grandmother is 72 years old. When she was younger, she underwent three surgeries on her lumbar spine and has metal screws for stabilization. Last year, around September to October, she fell in her bedroom. An X-ray at that ...
Dr. Ding Xianwei Reply:
Since I haven't seen the images, I cannot provide you with any recommendations! I suggest you take your grandmother to the outpatient clinic, where she can receive a proper evaluation and treatment before any advice can be given.[Read More] Is Your Elderly Relative a Candidate for Vertebroplasty Surgery?
Minimally Invasive Spine Surgery for Seniors: Is It Safe?
Minimally Invasive Spine Surgery for the Elderly My father is 91 years old and has been suffering from lower back pain for many years. Recently, he has been unable to walk and can only take a few steps before needing to rest against a wall. Is he a suitable candidate for minimall...
Dr. Ding Xianwei Reply:
Due to the lack of data, it is not possible to make a judgment. It is recommended that you visit a neurosurgery outpatient clinic for diagnosis and treatment in order to receive proper advice.[Read More] Minimally Invasive Spine Surgery for Seniors: Is It Safe?
Is It Really a Herniated Disc? Understanding Your Back Pain
Is it really a herniated disc? Doctor, I would like to ask you about something. In April, when I woke up, I sneezed and ended up with such severe lower back pain that I couldn't stand up straight. At the beginning of May, I went to the hospital to see an orthopedic specialis...
Dr. Ding Xianwei Reply:
Due to the inability to conduct a personal examination, I can only provide advice based on past experiences and existing information. Generally, simple lower back pain should not last more than a month; therefore, if the pain persists beyond this period, other organic issues must...[Read More] Is It Really a Herniated Disc? Understanding Your Back Pain
Understanding Lumbar Disc Issues: Surgery Options and Long-Term Effects
Lumbar intervertebral disc Last year, I underwent surgery for an L4/L5 herniated disc and had a soft screw implanted. After the surgery, I felt my body leaning to the right, and my right leg became weak and fatigued. The longer I walked, the more uncomfortable I felt (even sittin...
Dr. Ding Xianwei Reply:
Due to the absence of imaging studies and neurological examinations, I am unable to provide you with recommendations. I suggest that you bring all your imaging results to our hospital so that I can personally examine you and then provide you with advice.[Read More] Understanding Lumbar Disc Issues: Surgery Options and Long-Term Effects
Understanding Post-Trauma Brain Hemorrhage: Symptoms and Follow-Up Care
Cerebral hemorrhage Hello, doctor. I was involved in a serious car accident where I sustained a head injury and experienced a brain hemorrhage (left-sided subarachnoid hemorrhage). About ten days after the accident, I began to show symptoms of a concussion, including vomiting, se...
Dr. Ding Xianwei Reply:
Your issue may be related to cervical spine problems. Of course, subarachnoid hemorrhage can cause severe headaches, so you need to stay well-hydrated. If you are still concerned, it would be advisable to schedule another CT scan.[Read More] Understanding Post-Trauma Brain Hemorrhage: Symptoms and Follow-Up Care
Concussion or Whiplash? Understanding Your Symptoms After a Car Accident
Concussion? Whiplash? Hello Dr. Ding, last week on the evening of July 24th, I was rear-ended by another vehicle traveling at 60 km/h while my car was stationary. I did not sustain any external injuries to my head (I don't think I hit the steering wheel), but at that moment,...
Dr. Ding Xianwei Reply:
Due to the lack of a personal examination, I can only provide suggestions based on experience. Your issue may be related to a cervical spine injury. As for a concussion, it is not considered a concussion if there is no loss of consciousness. However, cervical spine injuries canno...[Read More] Concussion or Whiplash? Understanding Your Symptoms After a Car Accident
Understanding the Impact of Cervical Spine Straightening on Nerve Health
Loss of cervical lordosis? Hello, doctor. I previously experienced numbness in my hands and feet, so I consulted an orthopedic doctor who said it was due to a straightening of the cervical spine. I underwent some rehabilitation exercises, and the numbness in my limbs has improved...
Dr. Ding Xianwei Reply:
Due to the lack of direct examination, the following suggestions are based solely on experience. Overuse or improper use of the cervical spine can lead to a loss of its natural curvature. This may result in symptoms such as numbness and pain, so it is important for you to pay att...[Read More] Understanding the Impact of Cervical Spine Straightening on Nerve Health