Dr. Gao Chunde reply Neurology Question - Page 33

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Understanding Electromyography: What to Expect During Nerve Testing

Pain in the posterior thigh? My mom has been experiencing numbness in the back of her thigh and toes recently, so she went to Mackay Memorial Hospital to see a neurologist. The doctor recommended nerve and blood tests, as well as an electromyography (EMG) because they are unsure ...


Dr. Gao Chunde reply Neurology
The "nerve conduction study" tests the nerves by applying microelectrical stimulation at one end and recording the amount and speed of conduction at the other end. This includes both sensory and motor nerves. In layman's terms, it is often referred to as "elec...

[Read More] Understanding Electromyography: What to Expect During Nerve Testing


Understanding Intermittent Chest and Armpit Pain: When to Seek Help

Nerve I am experiencing sharp pain in my left armpit and rib area, as well as in my right armpit and chest. The pain occurs only on one side at a time. I have had similar sharp pains in the past, but they were infrequent. Recently, they have become more common, primarily on the l...


Dr. Gao Chunde reply Neurology
This symptom is not very specific. If it is accompanied by abnormal sensations or numbness in the chest or back in certain specific dermatomes or peripheral nerve distributions, it may be more significant. Additionally, it is important to note any exacerbation or triggering facto...

[Read More] Understanding Intermittent Chest and Armpit Pain: When to Seek Help


Unexplained Pain Above Knee: Possible Nerve or Spine Issues?

Occasional unexplained pain approximately 12 centimeters above the knee joint on the front of the thigh and calf? 1. Occasional unexplained pain is felt about 12 centimeters above the front joint of the calf and thigh, occurring in both legs, but more frequently in the left leg. ...


Dr. Gao Chunde reply Neurology
It is highly likely that there is a lesion at the level of the fourth lumbar nerve root. A detailed neurological examination has not yet been performed to confirm this. It is recommended to visit a neurologist for further evaluation and treatment.

[Read More] Unexplained Pain Above Knee: Possible Nerve or Spine Issues?


Post-Injection Numbness and Pain: Is Nerve Damage Possible?

Numbness, weakness, and pain after receiving an injection in the arm? Hello Doctor, I would like to ask about my mother. She has been experiencing significant pain in her right hand due to overuse (from household chores and work). She visited an orthopedic doctor and received a...


Dr. Gao Chunde reply Neurology
First, it is important to identify the injection site. Generally, unless there are specific needs, physicians will avoid injecting into nerves and will try to steer clear of areas where nerves may be present to prevent complications. Secondly, regarding the condition, in addition...

[Read More] Post-Injection Numbness and Pain: Is Nerve Damage Possible?


Understanding Hand and Foot Pain, Numbness, and Dizziness Symptoms

Regarding the issues of pain and numbness in the fingers and toes, as well as dizziness? The tips of my fingers (the area with fingerprints) hurt and feel numb when I apply pressure or exert force. I also have difficulty sensing objects with my fingers, and when I hold a cup, it ...


Dr. Gao Chunde reply Neurology
Based on your description of symptoms, weakness and loss or abnormal sensation in the fingertips, as well as pain with exertion or pressure, it is important to consider neuropathy, particularly in elderly patients. This could be related to peripheral nerve issues or problems with...

[Read More] Understanding Hand and Foot Pain, Numbness, and Dizziness Symptoms


Chronic Headaches and Vomiting: Seeking Answers Beyond Pain Relief

Chronic headaches with vomiting that are unresponsive to medication? Hello doctor, my mother has been experiencing severe headaches for several months now, with pain so intense that it causes vomiting. She has been vomiting all night long. We went to Fengyuan Hospital for an exam...


Dr. Gao Chunde reply Neurology
Not all headaches are ruled out by a normal MRI. Some headaches may be due to chronic meningitis or changes in intracranial pressure (either elevated or decreased), which must be evaluated through a lumbar puncture for pressure measurement and cerebrospinal fluid analysis. Howeve...

[Read More] Chronic Headaches and Vomiting: Seeking Answers Beyond Pain Relief


Understanding Hand Numbness: Causes and Solutions for Your Symptoms

Numbness in the hands? I have recently noticed that my right hand feels numb, starting from the wrist and extending along a nerve pathway to the palm and some fingers (but not above the wrist). I haven't injured my right hand. I tend to experience numbness in the following s...


Dr. Gao Chunde reply Neurology
If the numbness is located on the inner side of the forearm below the elbow (i.e., the ulnar side), accompanied by numbness in the last two fingers of the hand, it is highly likely that the ulnar nerve is damaged at the elbow due to prolonged compression (such as from talking on ...

[Read More] Understanding Hand Numbness: Causes and Solutions for Your Symptoms


Understanding Nerve Pain in Hands and Feet: Causes and Treatment Options

Nerve pain in the hands and feet? Hello, Doctor Gao: Recently, I have been experiencing nerve pain in my hands and the tops of my feet, along with some stiffness, especially when exposed to air conditioning or a fan, which makes the pain particularly worse. What could be the reas...


Dr. Gao Chunde reply Neurology
Generally, numbness and pain in the extremities may suggest peripheral neuropathy; however, the location of your pain is not typical for such conditions. Additionally, the presence of stiffness should prompt consideration of early signs of joint degeneration. Once autoimmune or r...

[Read More] Understanding Nerve Pain in Hands and Feet: Causes and Treatment Options


When to Use Cell Activators in Neurology: Costs and Manufacturers Explained

Neurology方面 In neurology, cell activators or cell revitalizers are used in various conditions such as neurodegenerative diseases, traumatic brain injuries, and certain types of stroke to promote neuronal survival and regeneration. The specific pharmaceutical companies that manufa...


Dr. Gao Chunde reply Neurology
I apologize, but I must admit that my knowledge is limited. In conventional medicine, neurology may use Coenzyme Q10 or Parkinson's medications to slow degeneration. As for cellular activation, I have not heard of it being used; it may be more relevant in dermatology and pla...

[Read More] When to Use Cell Activators in Neurology: Costs and Manufacturers Explained


Understanding Scalp Tingling: Causes and Concerns in Neurology

Scalp tingling? Hello Doctor: Recently, I've been experiencing sudden tingling sensations on my scalp, and sometimes in my arms and other areas as well. It feels similar to the tingling sensation you get before goosebumps, like when you see something disgusting or are emotio...


Dr. Gao Chunde reply Neurology
Medication should certainly be considered, and if necessary, it can be discussed with the prescribing physician. Additionally, the following should be taken into account: 1. Autonomic nervous system manifestations of epilepsy 2. Transient bacteremia 3. Endocrine-related symptoms....

[Read More] Understanding Scalp Tingling: Causes and Concerns in Neurology


Frequent Headaches After a Fall: When to Seek Medical Attention

I have been experiencing frequent headaches lately? Hello Doctor: For the past three weeks, I have been experiencing headaches or dizziness starting around 4 or 5 PM, which continue into the evening. Since last Thursday until now, the pain has even started in the morning. I suspe...


Dr. Gao Chunde reply Neurology
The physician will also assess the location of the headache, the nature of the pain, accompanying symptoms, triggering factors, and frequency, along with a neurological examination, to determine whether it could be a concerning headache or a common tension-type headache or migrai...

[Read More] Frequent Headaches After a Fall: When to Seek Medical Attention


Understanding Lip and Ear Numbness: Neurological Insights and Concerns

Numbness in the upper lip and ear? Hello, Doctor Gao: Recently, I have been experiencing a tingling sensation and dryness in my upper lip for over a week (since August 8). However, today (August 17), I noticed that the tingling has extended to my right cheek and ear. Is this seri...


Dr. Gao Chunde reply Neurology
Based on your symptoms and medical history, a trigeminal nerve maxillary branch lesion could explain your condition. If the electromyography (EMG) also shows a single nerve lesion, caution should be taken regarding the possibility of an autoimmune disease causing multifocal monon...

[Read More] Understanding Lip and Ear Numbness: Neurological Insights and Concerns


Understanding Morning Dizziness: Causes and Remedies for Better Energy

excuse me? Hello Doctor: I experience dizziness every morning when I wake up and feel a strong urge to continue sleeping, yet I feel quite alert in the evenings before bed. This morning dizziness has been occurring for one to two years. Recently, after my menstrual period, I have...


Dr. Gao Chunde reply Neurology
It sounds like your sleep schedule has shifted later, which is quite common among modern young people. They tend to go to bed after midnight and wake up late, sometimes even until noon. If this does not affect work or daily life, there is no need to force yourself to change. Howe...

[Read More] Understanding Morning Dizziness: Causes and Remedies for Better Energy


Understanding Involuntary Foot Tremors: Causes and Concerns

Tremors in the legs? Hello, doctor. My father has been experiencing involuntary shaking in his legs for a long time. One night, after eating too many sweets before bed, his legs shook quite severely during the night. It was only after my mother massaged his legs that the situatio...


Dr. Gao Chunde reply Neurology
This is a common minor issue among the elderly, known as Periodic Leg Movement Syndrome (PLMS). Physicians typically take a detailed medical history and assess clinical manifestations to rule out renal dysfunction and iron deficiency anemia, which are then corrected if present. A...

[Read More] Understanding Involuntary Foot Tremors: Causes and Concerns


Understanding Numbness in Your Fingers: Causes and Solutions

Numbness in the fingers? Recently, the tips of my left fingers have been numb. Why is that? It's been a long time! Please help me answer this.


Dr. Gao Chunde reply Neurology
Numbness in the hands can arise from common causes such as median nerve compression or ulnar nerve compression, as well as from cervical disc herniation compressing the nerve roots. A thorough assessment by a qualified physician, including a detailed medical history and neurologi...

[Read More] Understanding Numbness in Your Fingers: Causes and Solutions


Understanding Dizziness: Causes, Symptoms, and When to Seek Help

Dizziness Hello Doctor, since the evening of July 4th, I have been feeling a sensation of my head swaying, and I often experience this feeling. It is still the same today. I would like to ask if I have poor balance? Right now, I feel like my head is swaying, and my body is too, b...


Dr. Gao Chunde reply Neurology
In adolescents, the occurrence of these symptoms is often related to inner ear imbalance. If associated with a specific posture, it may be benign paroxysmal positional vertigo (BPPV). If there is no relation to posture and is accompanied by ear fullness and tinnitus, it could ind...

[Read More] Understanding Dizziness: Causes, Symptoms, and When to Seek Help


Seeking Solutions for Neurological Issues After AVM Treatment

Cerebral arteriovenous malformation... hemiparesis? Five years ago, I was unexpectedly diagnosed with a cerebral arteriovenous malformation. Over the past five years, I have undergone numerous tests and treatments. However, at the beginning of last year, I started experiencing gr...


Dr. Gao Chunde reply Neurology
In the internationally renowned academic journal "Cerebrovascular Disease," a study published in 2001 discussed that although surgical excision of cerebral arteriovenous malformations (AVMs) can be confirmed as complete through postoperative angiography, there have been...

[Read More] Seeking Solutions for Neurological Issues After AVM Treatment


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