Spine, Neurosurgery FAQ - Page 20

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Understanding Nerve Damage After Neck Injury: Recovery and Concerns

Neuropathy Hello Dr. Ding, I apologize for bothering you! My father-in-law had an accident in August this year where he collided with someone, resulting in neck injuries. He has been wearing a cervical collar and is experiencing symptoms such as headaches, dizziness, neck pain, ...


Dr. Ding Xianwei Reply:
Any injury to the head can be collectively referred to as a head trauma. A concussion is generally defined as a loss of consciousness lasting more than 10 minutes following a head injury, with recovery of consciousness occurring within 24 hours; it is considered one of the mildes...

[Read More] Understanding Nerve Damage After Neck Injury: Recovery and Concerns


Understanding Intermittent Leg Numbness: Causes and Treatment Options

Numbness and tingling in the feet? Hello Dr. Ding: I am inquiring on behalf of my wife regarding her symptoms. Currently, she experiences occasional mild tingling sensations in her lower body (the area includes her thighs and calves, but it does not affect her daily activities). ...


Dr. Ding Xianwei Reply:
Due to the incomplete information you provided, I can only offer suggestions based on the existing data. Generally speaking, the symptoms you describe may be caused by abnormal posture leading to spinal degeneration. Most patients experience lower back pain due to prolonged stand...

[Read More] Understanding Intermittent Leg Numbness: Causes and Treatment Options


Understanding Lumbar Bone Spurs: Symptoms, Diagnosis, and Treatment Options

Lumbar osteophytes My wife is 28 years old, and her symptoms are as follows: (1) She experiences occasional sharp pain and swelling in the arch of her right foot when sitting for long periods (this occurs less frequently in more comfortable seating, but is more likely to happen i...


Dr. Ding Xianwei Reply:
Due to the incomplete information provided, I can only offer general advice. According to numerous studies, bone spurs and symptoms are often not correlated. Our surgical approach primarily focuses on decompression and stabilization; generally, bone spurs merely indicate that you...

[Read More] Understanding Lumbar Bone Spurs: Symptoms, Diagnosis, and Treatment Options


Understanding Numbness in the Pinky and Ring Finger: Causes and When to Seek Help

Numbness in the fingers? Hello doctor, since last week, my left hand's little finger and ring finger occasionally experience numbness several times a day, with the area affected being limited to the left hand's ulnar side. What could be the reason for this? Do I need to...


Dr. Ding Xianwei Reply:
Due to the insufficient information provided, I can only offer some possible suggestions. This may be a cervical spine issue, and I recommend that you visit a neurosurgery clinic for evaluation.

[Read More] Understanding Numbness in the Pinky and Ring Finger: Causes and When to Seek Help


Understanding L5 Vertebral Arch Fractures: Surgery, Pregnancy, and Pain Management

Fracture of the fifth vertebral arch? Hello, Doctor! Nine years ago, I experienced severe lower back pain and pain in my lower body that left me unable to move. It wasn't until the following year when I returned to Taiwan to see a doctor that I learned I had a fracture of th...


Dr. Xie Bojun Reply:
1. Fracture of the fifth vertebral arch is a complex condition, and all physicians are correct in stating so. 2. To diagnose your condition, it is necessary to perform X-rays and magnetic resonance imaging (MRI) along with a clinical physical assessment to address your concerns.

[Read More] Understanding L5 Vertebral Arch Fractures: Surgery, Pregnancy, and Pain Management


Understanding Tension in the Temples: Focus Issues and Neurological Concerns

Tension in the temples and cognitive impairment? I have been experiencing tightness in my temples for a long time, making it difficult for me to concentrate and remember things. I often forget things and my thought processes are slow. Sometimes, I become fixated on a problem and ...


Dr. Zhang Yuanyi Reply:
Dear Xiao Li, Hello, please visit the neurology outpatient clinic for treatment. Wishing you safety and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Understanding Tension in the Temples: Focus Issues and Neurological Concerns


Post-Car Accident Symptoms: Understanding Neurological Issues

Symptoms after a car accident? Hello Doctor, three months ago, I sustained a head injury due to a car accident. At the time of the injury, there was bleeding from my head, but the doctors and nurses at the hospital could not find any visible wounds. Over the past three months, in...


Dr. Ding Xianwei Reply:
1. The sequelae of head trauma do not resolve quickly, so it may take some time. About 5% of patients may not fully recover from these sequelae. 2. If there is numbness or pain in both hands, it is possible that there was a concomitant cervical spine injury at the time, which is ...

[Read More] Post-Car Accident Symptoms: Understanding Neurological Issues


Managing Scoliosis: Non-Surgical Options for Spine Health

Scoliosis I have severe scoliosis, and although I currently don't feel any discomfort, I am worried about potential symptoms that may arise in the future. Aside from surgery, what other methods are available to improve my scoliosis condition?


Dr. Xie Bojun Reply:
Hello Ms. Lan: Regarding the degree of scoliosis, it cannot be determined whether surgical treatment is necessary based solely on mild or severe classifications. It is recommended to consider physical therapy first. Thank you for your inquiry!

[Read More] Managing Scoliosis: Non-Surgical Options for Spine Health


Understanding Muscle Pain vs. Nerve Compression: A Patient's Journey

Is the alternating soreness throughout the body due to a muscle disorder or nerve compression? Hello, doctor. I would like to consult about my father, who is 64 years old. Symptoms: 1. Areas of soreness: upper back, outer upper arms, lower back, knee and thigh junction, inner ca...


Dr. Zhang Junwei Reply:
Hello: Based on the symptoms you described, it is more likely to be a cervical spine issue. Since the MRI of the cervical spine has confirmed nerve compression, and the symptoms are consistent, as a neurosurgeon, I would also recommend surgery. It is possible that your father has...

[Read More] Understanding Muscle Pain vs. Nerve Compression: A Patient's Journey


Understanding the Differences Between Insurance and Out-of-Pocket Costs for Neurosurgery

The difference between National Health Insurance and out-of-pocket expenses? My mother has a lumbar spine slip at the L4 and L5 levels and needs surgery. The doctor recommends using a self-funded option (due to better materials). Is this necessary? By the way, my mother is 73 yea...


Dr. Ding Xianwei Reply:
Due to the lack of clinical data, it is not possible to make a determination. I recommend seeking a second opinion from a nearby healthcare provider.

[Read More] Understanding the Differences Between Insurance and Out-of-Pocket Costs for Neurosurgery


Understanding Localized Numbness After MRI: Causes and Concerns

Magnetic Resonance Imaging (MRI) - Causing Localized Paralysis Hello, I have a question. Last September, I experienced hand pain due to work, and I have a persistent feeling that something is flowing inside my elbow. I even feel it flowing to my chin and earlobe when I lie on my ...


Dr. Xie Bojun Reply:
Hello, Miss Xiao: Based on the symptoms you described, there is a cervical spine issue. Therefore, please bring your cervical spine MRI to the neurosurgery outpatient clinic for further evaluation.

[Read More] Understanding Localized Numbness After MRI: Causes and Concerns


Understanding Spinal Compression: Risks, Treatments, and Lifestyle Tips

Cervical spine compression Today (March 28), during the outpatient clinic, patient Chen X. Feng inquired about spinal compression. Is the recommendation against surgery due to high risks or a lack of urgency for surgical intervention? Does medication help alleviate nerve pain and...


Dr. Ding Xianwei Reply:
In your case, it indicates that the condition has not yet progressed to the point where surgery is necessary. Posture is fundamentally the most important method for treating cervical spine degeneration. As for other treatments, including surgery, they only address the current iss...

[Read More] Understanding Spinal Compression: Risks, Treatments, and Lifestyle Tips


Understanding Neurogenic Bladder After L4-L5 Disc Surgery: What to Do?

I have been unable to urinate on my own since my surgery for L4 and L5 disc herniation? In September 2010, I went to a hospital in Changhua due to foot pain. After examination, the doctor diagnosed me with a herniated disc at the L4 and L5 vertebrae and recommended surgery. The p...


Dr. Ding Xianwei Reply:
Due to the incomplete nature of your information, I can only provide suggestions based on past experiences and theoretical knowledge. Generally speaking, if you have a herniated disc, internal fixation surgery is not typically required, so your condition may not solely be a herni...

[Read More] Understanding Neurogenic Bladder After L4-L5 Disc Surgery: What to Do?


Numbness in Outer Thighs: Possible Causes and Treatment Options

Lateral thigh numbness Hello doctor, in recent years I have noticed a numb sensation on the outer side of my left thigh, which later extended to the right thigh as well. I have not experienced any injuries to my lower back nor have I undergone any surgeries. The numbness is limit...


Dr. Ding Xianwei Reply:
Due to the lack of a personal examination, I can only provide general advice based on common experiences. Generally speaking, numbness on the outer thigh can have two possible causes. The first possibility is that lumbar spine pathology is compressing the nerves, leading to long-...

[Read More] Numbness in Outer Thighs: Possible Causes and Treatment Options


Seeking Compensation for Surgical Errors in Spinal Surgery

Leftward displacement of the spine? Hello Dr. Ding: I would like to ask about my father. Four years ago, he underwent surgery to correct a leftward displacement of his spine, during which two metal screws were inserted. Since the surgery, he has experienced persistent pain. Durin...


Dr. Ding Xianwei Reply:
Your question may not be something we can address here. We recommend having a thorough discussion with your original physician to better understand the issue. If you wish to seek advice from another doctor, it is advisable to gather all relevant information beforehand to facilita...

[Read More] Seeking Compensation for Surgical Errors in Spinal Surgery


Can I Opt for Artificial Bone Only in L4-L5 for My Spine Surgery?

Regarding spinal surgery? Hello Doctor: I have been advised by my physician to undergo artificial bone implantation at the L2-L3 and L4-L5 intervertebral spaces, with the L4-L5 area being the most severe. The physician mentioned that the artificial bone for the L4-L5 space could ...


Dr. Zheng Zhong Reply:
Artificial bone cage implants must be approved by the National Health Insurance Administration before use, which takes approximately two weeks. For those who do not undergo spinal fusion surgery, a microdiscectomy can also be performed. However, if surgery is required, patients m...

[Read More] Can I Opt for Artificial Bone Only in L4-L5 for My Spine Surgery?


Understanding Severe Back Pain: Causes and Recommended Tests

Back pain Hello: I often experience severe pain in my back near the right sacral area, especially when I lower my neck or press on that area. I am unsure what the cause might be and what examinations I should undergo. Will health insurance cover this? I would appreciate your guid...


Dr. Zhang Yuanyi Reply:
Hello: Your pain may be related to your daily posture, muscle use, or cervical spine issues. It is advisable to consult a physician at the outpatient clinic for an examination. Wishing you safety and health. Sincerely, Dr. Zhang Yuan-yi, Attending Physician, Department of Neurosu...

[Read More] Understanding Severe Back Pain: Causes and Recommended Tests


Understanding Cramps and Numbness: Common Neurological Issues

Cramps & Numbness 1. Sometimes when stretching, I experience muscle cramps in my back, and at times, I have stomach cramps. 2. Recently, I often experience numbness in my hands and feet. 3. I frequently have pain in the lower right side of my back, which leads to cramps i...


Dr. Ding Xianwei Reply:
I'm not sure what you are asking about. Regarding your concerns, there could be many possible reasons. However, back cramps may be due to overuse of the muscles in the back or lower back. As for numbness in the hands and feet, cervical spine degeneration could also be a pote...

[Read More] Understanding Cramps and Numbness: Common Neurological Issues


Understanding Risks and Long-Term Effects of L5-S1 Spine Surgery

Risks and complications of L5-S1 spinal surgery? I was diagnosed with spondylolisthesis due to numbness in my legs. An MRI revealed a herniated disc, which the doctor said is mild; however, I experience daily numbness below the knees and a burning sensation. I have undergone phys...


Dr. Ding Xianwei Reply:
Since I have not personally reviewed your information, the following suggestions are for reference only. If there is spondylolisthesis, it is generally due to degeneration of the spine leading to joint instability, which typically requires surgical intervention for stabilization....

[Read More] Understanding Risks and Long-Term Effects of L5-S1 Spine Surgery


Understanding Foot Pain and Numbness: When to Seek Specialist Help

Soreness and numbness in the soles of the feet? Dear Doctor: My feet experience numbness followed by a burning sensation, then soreness, and finally pain whether I am sitting or standing. I have seen an orthopedic specialist, had X-rays of my spine which showed no issues, and tri...


Dr. Zhang Yuanyi Reply:
Dear SEN: Hello, issues with the cervical and lumbar spine can both potentially cause similar symptoms. Additionally, individuals with a history of diabetes may experience this condition due to peripheral neuropathy. It is recommended to visit a neurosurgery outpatient clinic for...

[Read More] Understanding Foot Pain and Numbness: When to Seek Specialist Help


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