Understanding Slower Nerve Conduction: Causes Beyond Bone Spurs
Nerve conduction on the lateral side is slower! Dear Dr. Gao, I recently underwent a nerve conduction study that revealed slower nerve activity on the lateral side of my lower back. You prescribed medication and mentioned that it could be due to bone spurs. I would like to ask i...
Dr. Gao Chunde reply Neurology
Nerve conduction studies can identify which specific nerve is affected, whether it is proximal, distal, or at an intermediate segment, and whether the issue lies in the axon or the myelin sheath, as well as the severity of the condition. Bone spurs can be inferred by physicians f...[Read More] Understanding Slower Nerve Conduction: Causes Beyond Bone Spurs
Managing Numbness in Hands and Feet: Insights from Neurology
Numbness in the hands and feet? Hello, Doctor! My company's health check-up was normal, but since October of this year, I have been experiencing intermittent numbness in my hands and feet. I visited a major hospital's neurology department, where I underwent nerve conduc...
Dr. Gao Chunde reply Neurology
It appears that the doctor has concluded that your stress levels are relatively high. They recommend adjusting your lifestyle and have prescribed medication to alleviate symptoms of stress and anxiety. If you are able to manage your stress effectively on your own, it is possible ...[Read More] Managing Numbness in Hands and Feet: Insights from Neurology
Understanding Left Abdominal Pain: Causes and When to Seek Help
Mild pain in the left abdominal area? Hello doctor, last week when I finished my bowel movement and turned to the side to reach for toilet paper, I experienced a cramping pain in my left abdomen that lasted for about a minute. The next morning when I woke up, I felt a slight pain...
Dr. Gao Chunde reply Neurology
It is most likely a muscle strain, although it has been some time. If no medication has been taken, local massage or heat application when possible can help. Applying or spraying topical treatments for muscle soreness can also accelerate improvement.[Read More] Understanding Left Abdominal Pain: Causes and When to Seek Help
Understanding MRI Options for Neurological Symptoms: What You Need to Know
How to check...2 Hello, doctor. Due to insufficient sleep (I have undergone surgery for sleep apnea), I am experiencing symptoms such as pressure and hardness in the upper part of my eyeballs, mental confusion, fatigue, and excessive sleepiness on a daily basis. I have already pa...
Dr. Gao Chunde reply Neurology
When examining the brain for abnormalities, MRI can already reveal a lot of information. Changes in large blood vessels and small arteries due to ischemia can mostly be observed. However, no single examination can visualize everything with 100% accuracy. Ultimately, whether to fo...[Read More] Understanding MRI Options for Neurological Symptoms: What You Need to Know
Understanding Sexual Activity-Related Headaches: When to Seek Medical Help
Sexual headache Experiencing severe headaches during sexual activity, followed by occasional pain in the back of the head, and having headaches even without sexual activity, warrants a medical evaluation. It is advisable to consult a healthcare professional to determine the under...
Dr. Gao Chunde reply Neurology
It's better to be cautious with this type of headache. Once common dangerous issues are ruled out, you can feel more at ease.[Read More] Understanding Sexual Activity-Related Headaches: When to Seek Medical Help
Soft Head Lump After Injury: Should You Be Concerned?
Soft lump on the head? Hello, doctor. A few years ago, I had a head injury from a car accident, and the swollen area has not subsided over the years. Instead, it has developed into a soft lump. Could this pose any harm to my body? I would like to have it removed from my head!
Dr. Gao Chunde reply Neurology
If the subdural hematoma from a head injury due to a car accident has mostly been absorbed, what remains may be some fatty tissue or fluid accumulation, which may not require special attention. If removal is necessary, it would be advisable to consult a plastic surgeon.[Read More] Soft Head Lump After Injury: Should You Be Concerned?
Numbness in Big Toe: Understanding Nerve Compression Issues
Numbness in the big toe? Hello Doctor, I have been experiencing numbness at the base of my big toe. When I stand on the floor, only the other four toes feel cold, while the sensation in my big toe is not very pronounced. When I press on it with my fingers, there is a tingling pai...
Dr. Gao Chunde reply Neurology
The most common issue is indeed nerve compression, often due to a problem with a small branch of a peripheral nerve. Localized single nerve inflammation or ischemia can also occasionally occur. Generally, the problem is related to footwear that is too narrow or too rigid. It is r...[Read More] Numbness in Big Toe: Understanding Nerve Compression Issues
Understanding Chronic Fatigue: When to Seek Neurological Evaluation
How to check..? Hello doctor, I would like to ask about my symptoms. Despite getting 6-7 hours of sleep each night without insomnia, I still feel extremely fatigued, drowsy, and have a foggy mind throughout the day. Recently, a traditional Chinese medicine practitioner diagnosed ...
Dr. Gao Chunde reply Neurology
Cerebrovascular ultrasound will be performed under the National Health Insurance regulations, and physicians will use insurance coverage if there are indications such as stroke, transient ischemic attack symptoms, or suspected cerebrovascular abnormalities. If the criteria are no...[Read More] Understanding Chronic Fatigue: When to Seek Neurological Evaluation
Understanding Hand Tremors: Causes and Treatment Options
Uncontrollable hand tremors? Hello Doctor, I've been experiencing constant shaking in both of my hands this year, especially in my right hand, which is hard to ignore. The tremor is not very pronounced, but it's noticeable even when using chopsticks. I'm only 30 ye...
Dr. Gao Chunde reply Neurology
Tremors can have many possible causes, ranging from simple issues related to medication or diet to endocrine problems, as well as neurological issues related to the cerebellum or Parkinson's disease. There are also cases of tremors with unknown causes or hereditary factors. ...[Read More] Understanding Hand Tremors: Causes and Treatment Options
Persistent Hand Numbness: Seeking Answers After 4 Months of Symptoms
Numbness in both hands for the past four months? Hello doctor, I have been experiencing numbness in my hands since the beginning of September. Initially, it was only in my right hand, but within a week, my left hand started to feel numb as well. The numbness has not ceased, causi...
Dr. Gao Chunde reply Neurology
When experiencing hand numbness, it is important to determine whether the distribution of symptoms falls within the peripheral nerve range, nerve roots, or central nervous system. Particularly, if nerve conduction studies are normal, carpal tunnel syndrome is almost ruled out. Sy...[Read More] Persistent Hand Numbness: Seeking Answers After 4 Months of Symptoms
Understanding Brain Microvascular Malformations: Risks, Treatment, and Management
Cerebral microangioma Hello, my girlfriend, who is 37 years old, often experiences dizziness and headaches. After undergoing a brain MRI at Linkou Chang Gung Memorial Hospital (without contrast agent), it was found that she has a cerebral microaneurysm with signs of hemorrhage (i...
Dr. Gao Chunde reply Neurology
Based on your description, it seems more like a cavernous hemangioma, but the actual situation should be explained by your attending physician, as there doesn't appear to be a specific term that corresponds to cerebral microangioma in the medical terminology. From what I und...[Read More] Understanding Brain Microvascular Malformations: Risks, Treatment, and Management
Seeing Transparent Grids Upon Waking: Is It Normal?
Waking up will reveal? Is it normal to see transparent grids when waking up? Thank you.
Dr. Gao Chunde reply Neurology
Based on my personal knowledge and the descriptions provided by patients I have encountered, I have not had such experiences. However, I can understand that within the realm of neurology, related issues may include phenomena associated with migraine aura and certain types of epil...[Read More] Seeing Transparent Grids Upon Waking: Is It Normal?
Understanding Visual Disturbances: A Neurological Perspective on Eye Symptoms
Seeing upon waking up Hello doctor, I have autonomic nervous system dysfunction. Since February of this year, whenever I focus on an object for a prolonged period, that object appears to vibrate back and forth, although my eyes themselves do not shake. This sensation sometimes co...
Dr. Gao Chunde reply Neurology
These symptoms can often occur in healthy individuals and fall within the range of physiological responses, so there is no need for excessive concern. It seems that you have a keen sense of observation and are noticing subtle physiological changes in your nervous system. As long ...[Read More] Understanding Visual Disturbances: A Neurological Perspective on Eye Symptoms
Understanding Nerve Damage After Leg Injury: Treatment and Rehabilitation Options
Neurological sluggishness Hello Doctor: I had a car accident in May that resulted in a tibial fracture in my lower leg, which has led to complex regional pain syndrome. Although I underwent emergency surgery, there has been nerve damage in the posterior part of my lower leg down ...
Dr. Gao Chunde reply Neurology
The causes of compression have been addressed, and now it is important to be patient and continue with acupuncture nerve stimulation and rehabilitation. Regular follow-up visits to the outpatient clinic for monitoring are essential, as there is still a good chance for gradual rec...[Read More] Understanding Nerve Damage After Leg Injury: Treatment and Rehabilitation Options
Understanding Thigh Pain and Nerve Issues: A Guide for Patients
Mother experiences numbness and pain with a burning sensation in the groin area? My mother previously had sciatica, but it was treated successfully. However, in the past two and a half years, due to prolonged driving, it seems to have recurred. This time, the pain is not in her l...
Dr. Gao Chunde reply Neurology
I'm not quite sure if you are referring to the groin area when you mention the upper thigh, and whether the symptoms occur only during sleep. If it is indeed the groin area, the nerve involved would not be the sciatic nerve, but rather the femoral nerve or obturator nerve, o...[Read More] Understanding Thigh Pain and Nerve Issues: A Guide for Patients
Chronic Pain in Right Second Toe: Causes and Treatment Options
Pain in the toes of the right foot? Hello Doctor, the information above pertains to my mother. She has been experiencing pain in her right foot's second toe for nearly 40 years, with no interruption, only varying in intensity. The pain is described as a sharp, shooting pain ...
Dr. Gao Chunde reply Neurology
It may be worth considering a rare condition known as "leg pain toe movement syndrome," which was previously reported by Taipei Veterans General Hospital. You can search for it online. The related diseases and underlying mechanisms are still somewhat complex, but there ...[Read More] Chronic Pain in Right Second Toe: Causes and Treatment Options
Severe Headache and Vomiting: Is It Related to Neurological Issues?
Severe headache accompanied by persistent vomiting? Doctor, I have a headache that makes me vomit continuously until there's nothing left to vomit. The pain is located below my right eye socket. Could this be related to something inside my head?
Dr. Gao Chunde reply Neurology
Such severe headaches and vomiting should prompt a visit to a healthcare provider for immediate evaluation and management of the acute discomfort. As for the cause of the headache, it needs to be determined through a careful assessment of the timing and characteristics of the epi...[Read More] Severe Headache and Vomiting: Is It Related to Neurological Issues?
Understanding Dizziness: When to See a Neurologist for Symptoms
Dizziness issues Hello, doctor. I would like to ask about my recent dizziness issues. Two years ago, I was hospitalized for hyperthyroidism and heart failure. After being discharged, I occasionally experienced a sensation similar to the shaking of an elevator or the feeling of be...
Dr. Gao Chunde reply Neurology
It could be vestibular migraine, or it may be caused by benign paroxysmal positional vertigo (BPPV) or vestibular neuritis. It is recommended to consult a neurologist, who will conduct a thorough history and examination to determine the appropriate direction for further diagnosti...[Read More] Understanding Dizziness: When to See a Neurologist for Symptoms
Understanding Lateral Calf Pain: Is It Nerve-Related?
Lateral calf pain? A few months ago, I was diagnosed with patellar chondromalacia by an orthopedic doctor, but I have been experiencing significant pain on the outer side of my calf. The pain often starts as soon as I get out of bed. I would like to ask the doctor if this is rela...
Dr. Gao Chunde reply Neurology
You can check if there is numbness in the skin on the outer side of the calf, whether raising the foot while walking causes weakness or difficulty in walking, and if there is any discomfort or soreness in the lower back. Symptoms related to nerve compression may present with vari...[Read More] Understanding Lateral Calf Pain: Is It Nerve-Related?
Head Injury Symptoms: Do You Need to See a Doctor for a Concussion?
Did I get a concussion from hitting my head? Last time, I had an accident and hit my head, causing a bump. After the impact on Saturday, November 28, I started experiencing dizziness and headaches, but they come and go. Sometimes I have them, and sometimes I don't. Occasiona...
Dr. Gao Chunde reply Neurology
It is important to monitor whether the dizziness, headache, and nausea are gradually decreasing or alleviating; it is not sufficient to simply observe the disappearance of any swelling or lumps. If symptoms continue to increase, or if there is a response of drowsiness and letharg...[Read More] Head Injury Symptoms: Do You Need to See a Doctor for a Concussion?