Understanding Cervical Spine Issues and Surgical Options: A Patient's Journey
Cervical spinal cord issues and surgery? Hello, Vice Dean. I would like to consult you. I have congenital S-shaped scoliosis, with a lumbar curvature of 90 degrees and significant thoracic curvature. In 2000, I developed a gastric condition that led me to sleep in a raised positi...
Dr. Zhang Junwei Reply:
1. Gastroesophageal reflux should not be related to the cervical spine. 2. Muscle atrophy of the right thumb is a possibility. 3. Without detailed medical history and physical examination, an accurate answer cannot be provided.[Read More] Understanding Cervical Spine Issues and Surgical Options: A Patient's Journey
Electric Shock Sensation in Thumb: Possible Nerve Issue Explained
There is a tingling sensation in the thumb? Recently, I have been experiencing a tingling and electric shock-like sensation in my right thumb when washing my hands with cold water. However, this sensation does not occur when I use warm water during a shower. The tingling and pain...
Dr. Lai Zhaokang Reply:
Hello: 1. It is suspected to be a peripheral circulation issue, possibly combined with fasciitis or nerve compression, which requires further examination for confirmation. 2. Based on your description, the symptoms are not severe. It is recommended to start with heat therapy or p...[Read More] Electric Shock Sensation in Thumb: Possible Nerve Issue Explained
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 Nerve Pain: Can Cervical Disc Issues Affect Your Feet?
Mild tingling sensation in the right foot and big toe? I would like to ask, as I have been experiencing pain and numbness between my left index finger and thumb for an entire day, along with upper arm pain. I often feel a sensation like an electric shock extending from my upper a...
Dr. Lai Zhaokang Reply:
Hello: Generally speaking, cervical nerve compression typically presents with symptoms in the shoulders, neck, and upper limbs, and it is rare to have symptoms in a single leg (though it is still possible). Wishing you a speedy recovery. By Dr. Lai Chao-Kang, Neurosurgery, Changh...[Read More] Understanding Nerve Pain: Can Cervical Disc Issues Affect Your Feet?
Understanding Cervical Disc Herniation: Symptoms and Treatment Options
Cervical intervertebral disc herniation I would like to ask about my condition. I have been experiencing pain and numbness between my left index finger and thumb for an entire day, along with pain in the outer upper arm. I often feel a sensation like an electric shock extending f...
Dr. Lai Zhaokang Reply:
Hello: 1. Nerve compression in the cervical spine rarely presents with unilateral symptoms (rare, but not absent). 2. MRI shows nerve compression at cervical levels 5-6 and 6-7, particularly pronounced at 5-6. If conservative treatment does not yield satisfactory results, it meet...[Read More] Understanding Cervical Disc Herniation: Symptoms and Treatment Options
Unexplained Finger Pain: Understanding Possible Causes and Solutions
Unexplained pain in the fingers occurring in different locations? Hello Doctor, I don't have any significant health issues, but I've been feeling quite tense and stressed lately. I've started to notice unexplained pain in my fingers that occurs in different locatio...
Dr. Lai Zhaokang Reply:
Hello, there are several possible reasons, but please do not speculate. I recommend that you see a doctor in person for a thorough evaluation. Wishing you a speedy recovery. By Dr. Lai Chao-Kang, Neurosurgeon.[Read More] Unexplained Finger Pain: Understanding Possible Causes and Solutions
Recovery Timeline After C5-6 Artificial Disc Replacement Surgery
C5-6 artificial intervertebral disc replacement surgery? Hello, I have been experiencing numbness and pain in my left thumb and index finger. After visiting the doctor, X-rays and an MRI revealed severe foraminal stenosis on the left side with bone spurs compressing the nerve roo...
Dr. Lai Zhaokang Reply:
Hello: You can start with observation, medication, and follow-up for one month. If there is no improvement, please consult the original surgeon. Best wishes from Dr. Lai Chao-Kang, Department of Neurosurgery, Changhua Hospital.[Read More] Recovery Timeline After C5-6 Artificial Disc Replacement Surgery
Persistent Finger Numbness: Causes and When to Seek Help
Numbness in the fingers of both hands? Dear Doctor: After taking a shower tonight, I started experiencing numbness in my fingers (all fingers except the thumb) that lasted for over an hour. I have had episodes of hand numbness in the past, but they would usually resolve quickly o...
Dr. Lai Zhaokang Reply:
Hello: It is suspected to be carpal tunnel syndrome or other conditions. It is recommended to consult a neurosurgeon. Best wishes to you. // Changhua Hospital, Department of Neurosurgery, Dr. Lai Chao-Kang.[Read More] Persistent Finger Numbness: Causes and When to Seek Help
Numbness in Left Thumb and Index Finger: Possible Causes and Relief Tips
Numbness in the left thumb and index finger? Initially, I thought the neck stiffness was nothing serious. After a week, the pain in my neck has decreased, but I am experiencing some numbness in my left thumb and index finger. When I massage my shoulders, the left shoulder feels l...
Dr. Lai Zhaokang Reply:
Hello: 1. It is suspected to be a cervical spine issue, most commonly a cervical disc herniation that compresses the nerves. 2. Reduce the forward head posture. Temporarily wear a cervical collar. Apply heat to the shoulders and neck daily, and perform neck rehabilitation exercis...[Read More] Numbness in Left Thumb and Index Finger: Possible Causes and Relief Tips
Stroke Recovery: Key Questions About Brain Hemorrhage Healing
Stroke and intracerebral hemorrhage recovery-related issues? Hello, Doctor. Five days ago, my father suddenly lost the ability to move his right side. He was urgently taken to the hospital, and the CT scan revealed a brain hemorrhage with a blood clot approximately the size of a ...
Dr. Zhang Junwei Reply:
1. The absorption of the blood clot typically takes about 2-3 weeks. 2. The focus is not on the blood clot, but rather on the brain damage caused by the bleeding that has already resulted in limb weakness. 3. No, it is not necessary. 4. It depends on the severity of the neurologi...[Read More] Stroke Recovery: Key Questions About Brain Hemorrhage Healing
Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Numbness in the lower back, hips, and legs, unclear where the issue lies? On August 24, I had a pelvic adjustment, and for the week following, I did not experience any particular sensations and did not engage in any special activities. On September 1, I noticed swelling on the ou...
Dr. Zhang Junwei Reply:
It is not possible to diagnose the disease online; it is recommended to consult a neurosurgery outpatient clinic for examination.[Read More] Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Understanding Nerve Issues: Tremors, Numbness, and Speech Difficulties
Tremors, body numbness, and difficulty speaking? 1. After riding a bike for about 20 minutes, my buttocks become completely numb, and my back often feels tingly and prickly. 2. Recently, while typing, my left thumb has been shaking involuntarily. 3. I've noticed that when I ...
Dr. Lai Zhaokang Reply:
Hello: 1. It may be a lumbar spine issue causing sciatica. It is recommended to consult a neurosurgeon. 2+3: First, see a neurologist to rule out any cranial nerve problems. Best wishes // Neurosurgeon Dr. Lai Chao-Kang.[Read More] Understanding Nerve Issues: Tremors, Numbness, and Speech Difficulties
Understanding Thumb Joint Pain: Causes and Specialist Recommendations
Hand issues Hello, doctor. Since last night, I've been experiencing a sharp pain in the joint of my left thumb whenever it comes into contact with cold water, but there is no pain with warm water. The painful area is only at the inner joint of the thumb, and there is not muc...
Dr. Lai Zhaokang Reply:
Hello: Inflammation of the fascia and tendons within the joint, as well as neuritis, may occur. If your finger movement is normal, it is recommended to apply heat and observe for 1-2 weeks. If there is no improvement, seek medical attention. You may consult a neurosurgeon, Dr. La...[Read More] Understanding Thumb Joint Pain: Causes and Specialist Recommendations
Understanding Sudden Thumb Inability: Causes and Care Tips
The thumb suddenly cannot be straightened? Hello Doctor: A few nights ago, I suddenly noticed that I couldn't consciously straighten the joint of my right thumb near the palm, nor could I bring it together with my index finger. However, there was no pain at all! After gettin...
Dr. Zhang Junwei Reply:
It is rare; it is recommended to directly visit a neurology outpatient clinic for a physical examination to confirm.[Read More] Understanding Sudden Thumb Inability: Causes and Care Tips
Understanding Cervical Disc Herniation and Nerve Root Compression
Is there a nerve root compression issue due to cervical intervertebral disc herniation? Hello Doctor: I currently have a problem with cervical disc herniation. After undergoing an MRI and follow-up consultation, it has been confirmed that I have a herniated disc. However, I still...
Dr. Lai Zhaokang Reply:
Hello: According to what you mentioned, the report states... 1. Can the signal intensity of the cervical cord be determined solely from the MRI images? 2. Are there nerve roots within the dural sac? 3. If there is compression on the dural sac and it is a central herniation, can i...[Read More] Understanding Cervical Disc Herniation and Nerve Root Compression
Understanding Finger Numbness and Calluses: A Neurological Perspective
Numbness in the fingers, followed by the development of calluses? Hello, Doctor. Last week, after welcoming a newborn and frequently holding the baby, I started experiencing a tingling sensation in my right thumb, index, and middle fingers on the third day. By the fifth day, the ...
Dr. Lai Zhaokang Reply:
First of all, congratulations on the arrival of your baby! 1. Your description suggests that the first possibility is carpal tunnel syndrome, which occurs when the median nerve is compressed at the wrist. You can try wrist exercises, heat therapy, and using a wrist brace. Addit...[Read More] Understanding Finger Numbness and Calluses: A Neurological Perspective
Understanding Carpal Tunnel Syndrome: Symptoms, Treatments, and Surgery Options
Carpal Tunnel Syndrome The neurology clinic diagnosed me with carpal tunnel syndrome and treated me with corticosteroids for one week, along with almost daily rehabilitation (including heat therapy, electrical stimulation, and laser therapy). As of my follow-up appointment on Sep...
Dr. Zhang Junwei Reply:
Based on your description, it seems to be carpal tunnel syndrome. If the outpatient examination confirms this, surgery can quickly resolve your issue![Read More] Understanding Carpal Tunnel Syndrome: Symptoms, Treatments, and Surgery Options
Understanding Thumb Mobility Issues: When to See a Neurosurgeon
Could you please provide the content you would like me to translate? Hello, Dr. Chang. I am currently experiencing an issue with my right thumb; specifically, I am unable to bend or move the first joint properly. For example, I cannot write normally or perform delicate tasks. Cou...
Dr. Zhang Junwei Reply:
It may not be certain; it should be a joint issue. I recommend consulting an orthopedic or hand surgery clinic for an examination![Read More] Understanding Thumb Mobility Issues: When to See a Neurosurgeon
Thumb Numbness After Drawing: Causes and When to See a Doctor
Numbness at the tip of the right thumb has persisted for two days after drawing for two days? Hello: Recently, I've become fascinated with coloring books, specifically those that involve using colored pens. I usually spend about 2-3 hours on a page the first day, taking long...
Dr. Zhang Junwei Reply:
The most likely cause is prolonged drawing, which puts pressure on the fingers and affects blood circulation and nerves, leading to numbness. Typically, resting for two to three days will result in improvement.[Read More] Thumb Numbness After Drawing: Causes and When to See a Doctor
Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Care
Wrist tunnel syndrome? Hello doctor, recently I've been experiencing a tingling sensation in my thumb and index finger. During the night while I'm sleeping and in the morning when I gently move my arm, I feel a lot of soreness. Is this what is referred to as carpal tunn...
Dr. Ding Xianwei Reply:
Your question is quite significant. Since I cannot examine you in person, I can only provide some suggestions based on your symptoms. The causes of hand numbness can range from the brain to the cervical spine, with cervical spine degeneration being the most common. Considering yo...[Read More] Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Care