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Understanding Finger Pain: Is It a Nerve Issue?

Tingling sensation in the index finger? Could the sharp, needle-like pain I feel when pressing on my index finger be a neurological issue, especially since an X-ray taken during my visit to the surgeon showed no abnormalities?


Dr. Chen Haorong reply Neurology
Hello: A tingling sensation is a symptom of neuropathic pain, but inflammation of the joints or tendons in the index finger can also cause localized tingling, especially if only the index finger experiences pain while the thumb and middle finger are asymptomatic. This issue may b...

[Read More] Understanding Finger Pain: Is It a Nerve Issue?


Chronic Severe Buttock Pain: Understanding Neurological Causes

Severe hip pain? I have been experiencing hip pain for 56 years, and at times the pain is so severe that I am unable to move.


Dr. Chen Haorong reply Neurology
Hello: Severe hip pain is mostly caused by prolonged sitting or extended labor, leading to muscle fatigue or inflammation in the lower back or hip, lumbar spondylitis, or pelvic tendonitis. A smaller portion is due to nerve compression in the lumbar or sacral region, resulting in...

[Read More] Chronic Severe Buttock Pain: Understanding Neurological Causes


Can You Apply for Disability Benefits After Nerve Injury in Taiwan?

A rupture of the tibial nerve artery may qualify for a disability certificate? About seven years ago, I accidentally injured my left calf near the ankle when a glass window fell on it, resulting in a severed tendon, nerve, and artery, as well as muscle rupture, but without any bo...


Dr. Chen Haorong reply Neurology
To qualify for mild limb disability, there must be a complete loss of function in one ankle (and this must be confirmed by nerve conduction studies indicating nerve impairment). If there is only significant functional loss, both ankles must be affected to apply. If the issue is o...

[Read More] Can You Apply for Disability Benefits After Nerve Injury in Taiwan?


Understanding Narcolepsy: Causes, Symptoms, and Safety Concerns

Narcolepsy Hello, Dr. Chen! Here is my question: Sometimes when I sit in a chair for class or while using the computer, I fall asleep involuntarily and without awareness! It feels completely different from just being tired and resting my head down; I don't even realize how I...


Dr. Chen Haorong reply Neurology
Hello, thank you for your question. Daytime sleepiness typically indicates insufficient nighttime sleep, but before I respond, I need you to answer the following questions: 1. Is your sleep duration sufficient? 2. Is your sleep schedule regular? 3. Do you have good sleep quality?...

[Read More] Understanding Narcolepsy: Causes, Symptoms, and Safety Concerns


Understanding Finger Nerve Sensitivity After Injury: Causes and Solutions

Digital nerve microtrauma I am a student at a tutoring center. After my teacher hit my palm, the nerve near the base of my index finger became more pronounced, and when I hold a pen, it touches that nerve, causing my index finger to feel numb. What could be the problem, and how s...


Dr. Chen Haorong reply Neurology
In fact, a micro protrusion is an indication of ligament swelling rather than nerve swelling. The swelling occurs due to external force and injury, leading to ligament inflammation and edema. The treatment approach includes local ice application, the use of non-steroidal anti-inf...

[Read More] Understanding Finger Nerve Sensitivity After Injury: Causes and Solutions


Understanding Neurological Concerns: From Inflammation to Meningitis

Thank you, Dr. Chen, for your response? Thank you, Dr. Chen, for your response. You mentioned it could likely be neuritis, or something more serious. I'm really worried; what could be the more serious possibilities? I looked up spinal fluid tests online; could it be meningit...


Dr. Chen Haorong reply Neurology
It is correct to consult a neurologist; there is no need to see other specialties. Currently, my assessment indicates that your condition is not related to severe neuritis, and you do not exhibit symptoms associated with meningitis (e.g., neck stiffness, fever, headache). Please ...

[Read More] Understanding Neurological Concerns: From Inflammation to Meningitis


Understanding Neurological Symptoms: Dizziness, Fatigue, and Unusual Sensations

Dizziness, fatigue, electric shock sensations, and occasional numbness? Hello Doctor, I have always been healthy, exercising daily (running 10 kilometers per hour) and going to the gym four times a week for strength training. I have maintained an athlete's physique since my ...


Dr. Chen Haorong reply Neurology
Based on the content of your inquiry, it is indeed possible that you are experiencing neuritis, and in some cases, the condition may be more severe than neuritis. It is recommended that you promptly visit a large hospital for further evaluation, which may include blood tests, neu...

[Read More] Understanding Neurological Symptoms: Dizziness, Fatigue, and Unusual Sensations


Understanding Foot Pressure Sensation: Possible Causes and Insights

Inquiry Hello, Doctor: 1. I would like to ask about a sensation I experience upon waking up. I feel a pressure sensation on both sides of the sole of my right foot, which is particularly noticeable when I first get out of bed and walk. Although there is no visible swelling or t...


Dr. Chen Haorong reply Neurology
Hello: It is common to experience slight swelling in the feet after a night's sleep due to poor circulation, which may not always be visibly noticeable. Therefore, feeling pressure when stepping on the floor is a normal phenomenon. Another common cause is plantar fasciitis, ...

[Read More] Understanding Foot Pressure Sensation: Possible Causes and Insights


Understanding Neck Rigidity: Is It Due to Accessory Nerve or Cervical Nerves?

Accessory nerve Hello, I would like to ask this question: Meningeal irritation signs include neck stiffness. Is the neck stiffness caused by stimulation of the 11th cranial nerve (accessory nerve) or by stimulation of the cervical spinal nerves C3 and C4? Can neck stiffness occur...


Dr. Chen Haorong reply Neurology
It is neither a cranial nerve nor C3 or C4; rather, it is due to inflammation of the meninges along the distribution of the head and neck. At this point, the meninges become thickened and painful, resulting in neck stiffness.

[Read More] Understanding Neck Rigidity: Is It Due to Accessory Nerve or Cervical Nerves?


Understanding Lower Back Pain: Causes and Insights from Neurology

Lower back pain? Doctor, may I ask why my lower back has been feeling sore lately? Could you please explain what this might be?


Dr. Chen Haorong reply Neurology
There are many causes of lower back pain, and it is essential to clarify the following questions first: 1. Is there a history of strain? 2. Has there been any intense physical activity? 3. Did the pain occur after lifting heavy objects? 4. How long has the pain lasted? 5. Does th...

[Read More] Understanding Lower Back Pain: Causes and Insights from Neurology


Persistent Numbness After Finger Laceration: When to Consider Surgery?

A laceration on the finger that has not regained sensation two weeks after suturing? My brother accidentally punctured his right hand at the junction of the ring and middle fingers with a pneumatic tool, resulting in a wound approximately one centimeter deep. After emergency sutu...


Dr. Chen Haorong reply Neurology
1. If there is a nerve rupture, in principle, the sooner the repair surgery is performed, the better. 2. Numbness is usually less critical; the most important factor is the mobility of the ring finger. As long as the mobility is good, numbness can be improved with medication an...

[Read More] Persistent Numbness After Finger Laceration: When to Consider Surgery?