Head Injury and Neck Pain: Understanding Symptoms and Causes
Head trauma with neck pain extending to the head? Hello doctor, two days ago I bumped my head against a rising iron gate, hitting the area near the back of my head. When I hit it, my neck flexed slightly, and since then I have been experiencing significant pain from my neck to my...
Dr. Zhao Shaoqing Reply:
Hello: A severe impact to the head may potentially cause injury to the cervical spine, affecting the stability of the vertebrae. If symptoms persist for more than two weeks, it is necessary to visit a neurosurgery outpatient clinic for examination and treatment. The Changhua Hosp...[Read More] Head Injury and Neck Pain: Understanding Symptoms and Causes
Understanding the Impact of Head Injuries on Lower Limb Pain
Consultation Inquiry Hello Doctor: I sustained a head injury from a car accident (right side head trauma with right cheek contusion and mild subarachnoid hemorrhage on the left side) and have been resting for over a month. I would like to ask if my head injury could affect the te...
Dr. Lai Zhaokang Reply:
Hello: Your questions: 1. Will a head injury affect the tendon in my right heel? Theoretically, no. 2. I experience a stretching pain in the tendon at the back of my right heel when I squat or kneel. It is suspected to be a soft tissue injury in the right heel. It is recommended ...[Read More] Understanding the Impact of Head Injuries on Lower Limb Pain
Recovery Concerns After Head Trauma: Medication, Symptoms, and Safety Gear
Issues Related to the Recovery Period of Head Trauma Hello Doctor: I previously asked a question regarding my condition after a car accident, where I sustained a right-sided head injury (swelling on the right side of my face), along with mild subarachnoid hemorrhage on the left s...
Dr. Zhang Junwei Reply:
Recovery time varies from person to person and depends on the severity of the injury, so it cannot be generalized. Most individuals will see significant improvement within two weeks.[Read More] Recovery Concerns After Head Trauma: Medication, Symptoms, and Safety Gear
Post-Spinal Fusion Surgery: Safe Exercise and Activity Guidelines
Postoperative Exercise After Spinal Fusion Surgery Doctor, I had spinal fusion surgery a year ago, and my condition is quite good. However, I heard from my neighbor that she had her surgery over three years ago and recently went back to the hospital because the screws became loos...
Dr. Lai Zhaokang Reply:
Hello: 1. Basically, one year after spinal fusion surgery, the fusion should be complete. 2. If you had surgery over three years ago and recently returned to the hospital due to loose screws, this is uncommon but possible. If the patient has poor bone quality, even osteoporosis, ...[Read More] Post-Spinal Fusion Surgery: Safe Exercise and Activity Guidelines
Managing Lumbar Disc Issues: Pain Relief Strategies for Nerve Symptoms
Lumbar spine issues Hello Doctor, I went for an MRI due to lower back pain and found two herniated discs. Here is the link to the images: (https://drive.google.com/file/d/1lS-KgDRs9jKT1D_toQgb0SpUsl3ep7fV/view?usp=drivesdk). Currently, I am experiencing swelling in the front of m...
Dr. Lai Zhaokang Reply:
Hello: 1. It is recommended to start with conservative treatment, including medication and rehabilitation. If there is no improvement, you may consider lumbar epidural steroid injection or even minimally invasive surgery. You can find more information at the following link: https...[Read More] Managing Lumbar Disc Issues: Pain Relief Strategies for Nerve Symptoms
Understanding Herniated Discs: Rehabilitation vs. Surgery Options
Herniated disc Hello Dr. Lai, I went to see an orthopedic doctor due to lower back pain and found out that I have a herniated disc. I would like to ask if rehabilitation can improve my condition, or if surgery is the only option. I'm not sure how to upload images.
Dr. Lai Zhaokang Reply:
Hello: A lumbar disc herniation may not necessarily present with discomfort. If you are already experiencing back pain or nerve pain symptoms, it is advisable to proceed step by step: first, protect your back by avoiding bending and heavy lifting. Use anti-inflammatory and analge...[Read More] Understanding Herniated Discs: Rehabilitation vs. Surgery Options
Post-Disc Surgery: Managing Leg Numbness and Swelling Concerns
Postoperative foot numbness and swelling after herniated disc surgery? Hello Doctor, I would like to consult you regarding my condition. I underwent endoscopic decompression and discectomy surgery on September 26 due to L4-L5 stenosis and L5-S1 herniation. Prior to the surgery, I...
Dr. Lai Zhaokang Reply:
Hello: 1. It is recommended to continue rehabilitation therapy, take B12 and vitamin supplements, undergo acupuncture, apply heat therapy, and engage in self-exercise training for 3-6 months. 2. If budget allows, consider consulting for hyperbaric oxygen therapy. 3. If budget all...[Read More] Post-Disc Surgery: Managing Leg Numbness and Swelling Concerns
Concerns About Neck Injuries in Children from Playful Lifting
Cervical spine issues in children caused by pulling on the head? Hello, doctor. I would like to ask about an adult friend who, while playing with a 10-year-old child, held the sides of the child's head with their hands and lifted it up for 1-2 seconds before putting it down....
Dr. Lai Zhaokang Reply:
Hello: 1. This is indeed a very dangerous action. Please avoid it. 2. Currently, if the child is observed for 2 weeks and shows no signs of altered consciousness or abnormal limb activity, it is likely that no harm has been done. Best wishes to you all. By Dr. Lai Chao-Kang, Neur...[Read More] Concerns About Neck Injuries in Children from Playful Lifting
Is There a Link Between Herniated Discs and Muscle Twitching?
Is there a relationship between herniated discs and muscle twitching issues? Hello, Director Lai. I have been experiencing abnormal twitching in the muscles of my calves since mid-year, which led me to seek medical attention. I underwent nerve conduction studies (NCS) and electro...
Dr. Lai Zhaokang Reply:
Hello: 1. The relationship should not be significant. 2. The calf muscles are still twitching intermittently, which may indicate other issues, such as electrolyte imbalance, blood circulation, muscle strain, posture, or temperature. Soaking your feet in warm water can help. Discu...[Read More] Is There a Link Between Herniated Discs and Muscle Twitching?
Understanding Cervical and Lumbar Disc Compression Symptoms
Cervical and lumbar spine compression? About 8-9 years ago, I underwent an MRI examination which revealed herniated discs at the C3-4-5-6 levels causing compression. At that time, my main symptoms included numbness and pain in my left arm and fingers, along with occasional tingli...
Dr. Zhang Junwei Reply:
Herniated discs can occur on both sides, and the symptoms may be intermittent.[Read More] Understanding Cervical and Lumbar Disc Compression Symptoms
Understanding Numbness in the Second Toe: Causes and Treatment Options
Numbness in the second toe? About two months ago, I noticed decreased sensation in the second toe of my right foot. I initially thought it was due to diabetes, but blood tests came back normal. After a month, the sensation in the second toe of my left foot suddenly decreased and ...
Dr. Zhang Junwei Reply:
Symptoms are mild; an MRI can be performed for confirmation. A consultation with a neurosurgery outpatient clinic is recommended.[Read More] Understanding Numbness in the Second Toe: Causes and Treatment Options
Post-Spinal Surgery Concerns: Recovery, Complications, and Future Work
Post-operative issues related to spinal surgery (sequelae, functional roles, uncertain recovery status) Hello Doctor, I suffered a burst fracture of the lumbar spine at L3-L4 at the end of June. Due to the loosening of the screw at L4, I need to return to the hospital for surgery...
Dr. Lai Zhaokang Reply:
Hello: 1. Lifting heavy objects, standing for long periods, and squatting for extended durations can harm the lumbar spine and increase your risk of recurrence. It is advisable to adjust the nature of your work. 2. You will not become incapacitated. After the fusion of the spine,...[Read More] Post-Spinal Surgery Concerns: Recovery, Complications, and Future Work
Understanding S2 Bilateral Cysts: Symptoms, Diagnosis, and Treatment Options
Bilateral S2 cysts Hello Dr. Lai: The MRI examination revealed cysts on both sides of S2, and I am experiencing symptoms such as perineal pain, which worsens when sitting (around the labia and urethral opening), lower back pain, pain in the buttocks on both sides of the groin, an...
Dr. Lai Zhaokang Reply:
Hello: 1. Cysts of the sacrum, predominantly affect females (85%). Most cases do not require surgery. Symptoms include pain in the corresponding lumbar, sacral, gluteal, and perineal regions, weakness, numbness, restlessness, and relief when lying flat or on the side. There may...[Read More] Understanding S2 Bilateral Cysts: Symptoms, Diagnosis, and Treatment Options
Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment Options
Cervical cone issue Last year, I experienced tinnitus in my left ear, neck pain, and left chest tightness, so I visited the outpatient department of neurosurgery. The doctor requested a cervical MRI, and the report is as follows: **Summary of Imaging Findings** Multiplanar mu...
Dr. Zhang Junwei Reply:
It is difficult to determine the issue based solely on the report. It is recommended to visit a neurosurgery specialty clinic for a detailed physical evaluation in order to obtain an accurate diagnosis.[Read More] Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment Options
Understanding the Connection Between Back Pain and Chest Discomfort After Spine Surgery
Spinal issues Hello Doctor: I previously underwent surgery for spinal stenosis that was compressing my nerves. A few months ago, during a follow-up visit, I had an X-ray taken, and the results showed no significant issues. However, it has been over two years since the surgery, an...
Dr. Lai Zhaokang Reply:
Hello: It may be a thoracic spine lesion. I recommend that you consult a physician to arrange for an MRI evaluation. Best wishes, Dr. Lai Chao-Kang, Chief of Spine Surgery, Changhua Hospital.[Read More] Understanding the Connection Between Back Pain and Chest Discomfort After Spine Surgery
Understanding L5 Spondylolisthesis: Symptoms, Risks, and Treatment Options
L5 and sacral vertebrae slippage Hello Dr. Lai, I would like to ask about my condition. I have a fifth lumbar vertebra with spondylolysis and spondylolisthesis. Some doctors have said it is grade IV spondylolisthesis, while others have described it as severe. I first discovered t...
Dr. Lai Zhaokang Reply:
Hello: 1. Is it possible for this condition to worsen, or can I coexist with it? A: It may worsen. If you feel you can walk and tolerate the symptoms, you can coexist with it (however, it will not be cured) - think of it like continuing to drive an old car. 2. If I do not hav...[Read More] Understanding L5 Spondylolisthesis: Symptoms, Risks, and Treatment Options
Understanding Lumbar and Sacral Surgery: Risks and Recovery Insights
Lumbar and sacral vertebrae resection and spinal fusion surgery inquiry? Hello Dr. Lai, in the past six months, I have been experiencing frequent soreness and numbness in my right leg, along with a limp. Despite rehabilitation and rest, there has been no improvement. After a medi...
Dr. Lai Zhaokang Reply:
Hello: 1. Your concerns are valid, but the risk is very low. It is important to have a detailed discussion with your surgeon and anesthesiologist before the surgery. 2. The fusion time for the human spine is at least 3 months. After the surgery, you can engage in simple basic act...[Read More] Understanding Lumbar and Sacral Surgery: Risks and Recovery Insights
Understanding Thumb Tremors: Is It Related to Cervical Disc Issues?
Tremor of the left thumb? Ten years ago, I had an MRI that showed herniated discs at the cervical levels C3-C4-C5, with symptoms that fluctuate in severity. When I feel uncomfortable, I go for physical therapy, but recently my discomfort has increased. Turning my neck to the left...
Dr. Lai Zhaokang Reply:
Hello: It is suspected to be a symptom of cervical nerve involvement. Given your age and symptoms, there is little likelihood of brain issues or Parkinson's disease. Best wishes, Dr. Lai Chao-Kang, Director of the Spine Surgery Department, Changhua Hospital.[Read More] Understanding Thumb Tremors: Is It Related to Cervical Disc Issues?
Understanding Post-Concussion Symptoms After a Bathroom Fall
Slipped in the bathroom and hit the back of the head? On July 22, I went on a two-day pilgrimage. On the first night, I slipped and fell in the bathroom, hitting the back of my head. I went to Asia University Hospital for evaluation and was diagnosed with a mild concussion. Three...
Dr. Zhang Junwei Reply:
It has been a month, and the likelihood of a brain hemorrhage is low. However, if discomfort persists, it is advisable to seek treatment at a neurosurgery outpatient clinic.[Read More] Understanding Post-Concussion Symptoms After a Bathroom Fall
Understanding Nerve Pain and Tingling After COVID-19: A Guide
Occasional tingling and pain in the hands and feet? Hello, doctor. Since I tested positive for COVID-19 in June, I have been experiencing occasional soreness in my left eye for about one to two weeks. I went for a consultation, and the doctor said my eyes are fatigued. After exam...
Dr. Lai Zhaokang Reply:
Hello: 1. The symptoms in your upper arm/lower leg are likely caused by nerve compression from the cervical/lumbar spine. 2. It is not uncommon for symptoms on the left side to switch to the right side, depending on the location of the nerve compression. It is recommended to cons...[Read More] Understanding Nerve Pain and Tingling After COVID-19: A Guide