Understanding Muscle Weakness and Tremors After Illness: A Neurological Perspective
Mild muscle weakness + muscle tremors? Hello, Doctor. About a week ago, I asked a question. Here it is: I am 21 years old, and after catching a cold last week, I started experiencing mild weakness in my right leg, especially noticeable when sitting. This is accompanied by occasio...
Dr. Jiang Junyi Reply:
Hello, sir: I recommend that you increase your intake of B vitamins and remind yourself to get up every half hour to perform stretching exercises to avoid nerve compression and muscle tightness, which can exacerbate weakness symptoms. Thank you for your inquiry, and feel free to ...[Read More] Understanding Muscle Weakness and Tremors After Illness: A Neurological Perspective
Understanding Muscle Twitches and Weakness: Is It ALS?
Involuntary muscle twitching? Hello Doctor, for the past three weeks, my muscles have been twitching intermittently. When I stretch or sneeze, the muscles in my abdomen twitch for a few seconds. Two weeks ago, I started feeling weakness in my left hand, and in the past few days, ...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, The condition you are concerned about, amyotrophic lateral sclerosis (ALS), is indeed a rare disease. It is important to first consider symptoms that may arise from compression of the cervical nerve roots or the spinal cord. Such issues typically present with some...[Read More] Understanding Muscle Twitches and Weakness: Is It ALS?
Managing Epilepsy: Navigating Medication Side Effects and Emotional Health
Antiepileptic drugs I had surgery on my head due to a car accident during high school. I was fine for many years, but after 20 years, I developed post-traumatic epilepsy, which occurs occasionally when I am very tired. Initially, I was only taking one medication, but after experi...
Dr. Cai Zongzhang Reply:
Hello, regarding post-traumatic brain injury sequelae, seizures are quite common. Physicians often choose to use antiepileptic drugs; however, there are various medications available. It is advisable to discuss with your doctor whether the seizures are a side effect of the medica...[Read More] Managing Epilepsy: Navigating Medication Side Effects and Emotional Health
Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?
Tremor of the left thumb? Hello doctor, I have a long-standing issue with cervical disc herniation at C3-C4 and C5, which has persisted for over a decade. My symptoms fluctuate; sometimes they improve, and other times I experience shoulder and neck pain, as well as arm discomfort...
Dr. Peng Shiwei Reply:
Hello, your symptoms are usually caused by muscle stiffness. Stroke symptoms typically include unilateral weakness or sensory abnormalities, and they tend to persist. If you experience such conditions, please seek medical attention as soon as possible. Thank you for your inquiry.[Read More] Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?
Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients
Tremor issues? Yesterday, after taking a nap on the sofa, I woke up feeling tightness in my neck and shoulders, along with a slight headache. I have a history of C3-C4-C5 cervical disc herniation causing nerve compression (approximately 10 years), with symptoms that fluctuate. Oc...
Dr. Cai Zongzhang Reply:
Hello, Cheng: Neck pain is closely related to neck posture. It is recommended to avoid napping on the sofa, as it can have adverse effects on the cervical spine.[Read More] Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients
Understanding Dizziness and Imbalance: Neurological Insights
Dizziness and imbalance? In the past two months, I have been experiencing dizziness and a feeling of imbalance upon waking up. My body feels unsteady, and the next day I have a sensation of ear fullness and decreased hearing. After a few days, my hearing improves, but the dizzine...
Dr. Cai Zongzhang Reply:
Hello, there are various causes of dizziness. If the examination by an otolaryngologist shows no abnormalities, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Dizziness and Imbalance: Neurological Insights
Understanding Recovery Patterns After Prolotherapy for Neck Disc Issues
Recovery status after proliferative treatment? Hello Dr. Jiang, I was previously diagnosed by a physician with a tear in the annulus fibrosus of my cervical disc, which has caused some mechanical protrusion affecting my peripheral nerves. My symptoms are primarily located in the...
Dr. Jiang Junyi Reply:
Hello Mr. Cliff: You mentioned that there is a sudden stabbing pain in a specific area of your upper left back. This symptom may still warrant consideration of a localized issue. If the symptoms persist, it is advisable to undergo a musculoskeletal ultrasound examination to check...[Read More] Understanding Recovery Patterns After Prolotherapy for Neck Disc Issues
Understanding Nerve Pain: Is It Related to Disc Herniation or High Arches?
Numbness in the right calf extending to the sole of the foot while standing? Hello Doctor: I consulted you on April 27 regarding persistent numbness in my left third toe. Later, in May, I underwent an MRI and was diagnosed with a herniated disc. Since the diagnosis, I have been u...
Dr. Jiang Junyi Reply:
Hello Ms. Li: You mentioned that "the left foot feels somewhat sore, while the right calf to the sole of the foot experiences intermittent numbness; this does not occur upon waking but starts after I begin walking. If the left foot is very sore, there is almost no numbness i...[Read More] Understanding Nerve Pain: Is It Related to Disc Herniation or High Arches?
Should I See a Dentist or Neurologist for Jaw and Ear Pain?
Which department should I see? Hello Doctor, I have noticed swelling and pain in the gums around my right lower wisdom tooth for the past two days. Additionally, I am experiencing irregular sharp pain in the area of the right ear where the trigeminal nerve is located (each episod...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I recommend first visiting a dentist to assess your dental condition. If the dentist finds no issues, then you can see a neurologist. Thank you.[Read More] Should I See a Dentist or Neurologist for Jaw and Ear Pain?
Understanding Muscle Twitches: Causes and Concerns for Teens
Muscle twitching Hello doctor, I have been experiencing muscle twitching all over my body for the past two months. Recently, I have also felt something unusual on my right side, a soft sensation that makes me fear it might be muscle atrophy. I am left-handed and do exercise, but ...
Dr. Peng Shiwei Reply:
Hello, if your issue has persisted for some time, it is recommended that you consult a neurologist. Thank you for your inquiry.[Read More] Understanding Muscle Twitches: Causes and Concerns for Teens
Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching accompanied by mild weakness? Hello Doctor, I am 21 years old. About a week ago, I caught a cold, and in the past few days, I have started to experience mild weakness in my right leg, especially noticeable when sitting. This is accompanied by occasional muscle tw...
Dr. Jiang Junyi Reply:
Hello, Mr. Mian: You mentioned experiencing "occasional muscle twitching sensations near the knee... but you are still able to perform squat jumps successfully." This is likely similar to typical muscle fasciculations. It may be worth considering some metabolic disorde...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Understanding Skin Itching and Back Pain: Neurological Insights
Skin itching and lower back pain? Hello, doctor. A few months ago, I suddenly felt a tingling sensation in my mouth, and then I started experiencing itchy skin all over my body (like a prickling feeling). I visited a dermatologist, but the medication did not improve my condition;...
Dr. Cai Zongzhang Reply:
Hello Joanne: Based on the symptoms described, the tingling sensation in the mouth and the itchy feeling in the skin may be abnormal sensations caused by a neurological disorder. These symptoms are not exclusive to multiple sclerosis; brain tumors could also cause the aforementio...[Read More] Understanding Skin Itching and Back Pain: Neurological Insights
Evening Headaches: Understanding Causes and When to Seek Help
Evening headache Doctor, I asked you a question a few days ago, but I'm still a bit worried. I've been experiencing increased headaches in the evenings over the past couple of days. The pain is located on both the left and right foreheads. It worsens when I bend down or...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao-Chien, You mentioned that "the pain associated with changing positions may be related to increased intracranial pressure." This symptom indeed warrants consideration of meningeal involvement causing exacerbation of headaches. If the symptoms persist wit...[Read More] Evening Headaches: Understanding Causes and When to Seek Help
Understanding Numbness in the Neck, Back, and Arms: Causes and Solutions
Numbness of the skin Hello, doctor. I don't know why the skin on my neck, back, and arms feels numb or tingling. I would like to ask what this issue might be.
Dr. Jiang Junyi Reply:
Dear Mr. Ah-Wei, You mentioned that "the skin on your neck and back feels tingly, as well as your arms." This may indicate compression of the cervical spinal cord. This condition is commonly seen in individuals who maintain poor posture with their heads bent forward fo...[Read More] Understanding Numbness in the Neck, Back, and Arms: Causes and Solutions
Understanding Auditory Evoked Responses in Neurological Disorders
Auditory Evoked Potentials Inquiry Hello, doctor. I would like to share my condition over the past few years. Four years ago, during my re-examination, I experienced dizziness for the first time. When I consulted a doctor, he mentioned that I had inner ear imbalance, which took t...
Dr. Jiang Junyi Reply:
Dear Mr. Da Qian, You mentioned that "the values of the brainstem are slightly poor... and you have gained 20 kilograms." Do you have metabolic syndrome? If the 20-kilogram increase is muscle mass, it could be healthy. The autonomic nervous system is closely related to...[Read More] Understanding Auditory Evoked Responses in Neurological Disorders
Understanding Symptoms: Excessive Sweating, Pain, and Fatigue Explained
It seems like I'm feeling unwell - sweating at the back of the neck, skin tingling, fatigue, and so on? Hello, Doctor. Since this summer, I have been sweating excessively. On August 7, I visited a rehabilitation specialist due to pain in my lower left back (near the lumbar v...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "there is a very noticeable tingling sensation from the base of the ring finger, along the side of the little finger, on both the front and back sides of the palm, extending to the back of the forearm." This symptom may suggest ulnar nerv...[Read More] Understanding Symptoms: Excessive Sweating, Pain, and Fatigue Explained
Understanding Dementia: The Impact of Chronic Pain and Head Injuries
Dementia issues Hello Doctor, I am inquiring on behalf of my 73-year-old grandfather who was diagnosed with "mild dementia" by a neurologist within the past five months. On February 6, 2023, he fell and hit his head, experiencing a moment of altered consciousness. Subse...
Dr. Peng Shiwei Reply:
Hello, thank you for your concern about grandpa. However, since I am unable to diagnose patients online, I cannot provide you with an appropriate answer regarding whether grandpa's cognitive decline is due to long-term pain or a combination of various factors. It would be mo...[Read More] Understanding Dementia: The Impact of Chronic Pain and Head Injuries
Managing Parkinson's Disease: Can Medication Adjustments Reverse Decline?
Questions about Parkinson's disease? Hello Doctor: My mother, who is 72 years old, has been diagnosed with Parkinson's disease for about 10 years. Three months ago, her medication was adjusted, and she experienced severe dizziness. A month ago, her medication was adjust...
Dr. Peng Shiwei Reply:
Hello, regarding your question, I believe it would be more appropriate to discuss it with your mother's neurologist. Thank you.[Read More] Managing Parkinson's Disease: Can Medication Adjustments Reverse Decline?
Understanding Left Leg Weakness and Vibrations: Possible Nerve Issues
Weakness in the left foot and a vibrating sensation in the sole of the foot? Your question: Hello Doctor, about a month ago, I started experiencing soreness in both buttocks, with the left side being more painful. Sometimes my left leg feels weak. The rehabilitation doctor arrang...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Based on the nerve conduction study report you provided, there is evidence of left lumbar nerve root compression. The condition you are concerned about, amyotrophic lateral sclerosis (ALS), is a rare disease. Clinical diagnosis requires methods such as electromyog...[Read More] Understanding Left Leg Weakness and Vibrations: Possible Nerve Issues
Understanding Tightness in the Right Calf: Is It a Disc Issue or Muscle Imbalance?
Tightness in the right calf? Hello Doctor, since mid-June, I have been experiencing tightness in the back of my right calf (without pain). After that, I started to have numbness in my foot, which lasted for over a month. I then visited a neurologist who arranged for an X-ray and ...
Dr. Jiang Junyi Reply:
Dear Ms. N, You mentioned that "nerve testing revealed that the area innervated by L5 is associated with the left foot... muscle imbalance." Your symptoms may still need to consider underlying structural abnormalities, along with the possibility that emotional fluctuat...[Read More] Understanding Tightness in the Right Calf: Is It a Disc Issue or Muscle Imbalance?