Understanding Muscle Weakness and Twitching: Should You Worry?
Muscle issues Hello doctor, a few weeks ago I experienced weakness in one leg and muscle twitching throughout my body, but everything in my life was normal. Now the twitching has become less frequent, and the feeling of weakness has gradually diminished. Should I be concerned abo...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: You mentioned "unilateral leg weakness and muscle twitching in the body..." This may need to be considered in the context of typical discomfort symptoms associated with lumbar nerve root pathology, which includes pain radiating from the buttocks to the l...[Read More] Understanding Muscle Weakness and Twitching: Should You Worry?
Understanding Inner Thigh Pain: Causes and Treatment Options
Inner thigh pain Hello Doctor, my father does not experience any pain in his legs while sitting, and there are no pain points upon touch or pressure. However, when he stands up and walks, he experiences pain and weakness in the inner side of his left thigh. The pain point is not ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Shen, You mentioned that your father experiences "no pain points upon touch or pressure, but has pain and weakness in the inner left thigh when standing or walking." This may suggest compression of the lumbar nerve roots, particularly at the second lumbar vert...[Read More] Understanding Inner Thigh Pain: Causes and Treatment Options
Chronic Lower Back Pain After Childbirth: Seeking Solutions and Diagnosis
Lumbar pain I have been experiencing lower back pain for over two years after giving birth. I have undergone traditional rehabilitation and paid for shockwave therapy, but despite continuous rehabilitation, I still wake up at night due to pain. Recently, when pressing on the post...
Dr. Jiang Junyi reply Neurology
Hello Ms. Siro: You mentioned that "the posterior pelvic region and right hip are very painful," which may still suggest an issue with the lumbar spine structure, such as lumbar spondylolisthesis, among others. In addition to pain relief medications, I recommend strengt...[Read More] Chronic Lower Back Pain After Childbirth: Seeking Solutions and Diagnosis
Persistent Numbness in Right Foot: Seeking Further Insights and Advice
Numbness in the skin on the dorsum of the right foot? Hello, I have been experiencing symptoms for about three weeks. Mainly, the right half of the skin on the dorsum of my right foot feels tingling when touched. Generally, there are no other abnormalities, but sometimes I feel a...
Dr. Jiang Junyi reply Neurology
Hello Mr. Huang: You mentioned that "the right half of the skin on the dorsum of the right foot feels tingly when touched... there is a slight tingling sensation from the right temple to the right back of the head." This may indicate cervical nerve root compression, whi...[Read More] Persistent Numbness in Right Foot: Seeking Further Insights and Advice
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 Neurology
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 Neurology
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?
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 Neurology
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 Neurology
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?
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 Neurology
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
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 Neurology
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 Neurology
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 Neurology
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 Neurology
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 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 Neurology
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 Neurology
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?
Mild Forehead and Temple Pain: When to Seek Further Medical Advice
Mild pain in the head and forehead? Hello, doctor. I have been experiencing some pain in my head for about a week now. The pain is located from my forehead to my temples and feels tight and dull. It’s not severe enough to affect my daily life, and it doesn’t worsen with coughing ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Hsiao-Chien: You mentioned that "the location is approximately from the forehead to the temples." Your symptoms may suggest tension-type headache. This is caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the for...[Read More] Mild Forehead and Temple Pain: When to Seek Further Medical Advice
Understanding Nerve Pain from Foreign Objects: Risks and Concerns
Numbness and tingling in the hands and feet due to foreign objects? Hello Doctor, I would like to ask you about an issue I experienced a few days ago. My right pinky finger was struck by a foreign object, and I suspect there may be metal shavings in my skin or blood vessels. Sinc...
Dr. Jiang Junyi reply Neurology
Dear Mr. Hsiao-An, You mentioned, "Is it possible for metal shavings to get lodged in blood vessels and cause infection? Is there a direct relationship between hand numbness and metal shavings getting stuck in nerves or blood vessels?" Foreign objects that enter the ar...[Read More] Understanding Nerve Pain from Foreign Objects: Risks and Concerns
Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Difficulties with complex medical conditions and stroke issues? Hello, doctor. I would like to consult you regarding the prediction and prevention of strokes in the elderly. My mother is 75 years old and has been managing diabetes for over 20 years without any other chronic or ma...
Dr. Jiang Junyi reply Neurology
Hello Ms. Water, You mentioned that "after finishing household chores, she suddenly felt a wave of fatigue." This may indicate a potential sleep disorder. I recommend undergoing multiple sleep physiology tests. Regarding your question about whether a stroke requires wa...[Read More] Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
The face or the scalp at the back of the neck feels strange? Hello, doctor. About ten years ago, I had an MRI of my cervical spine that diagnosed a herniated disc at the C3-C4-C5 levels, which was compressing a nerve. At that time, my main symptoms included pain in the left shoul...
Dr. Jiang Junyi reply Neurology
Dear Mr. Wang, You mentioned that "the fingers on my right hand occasionally feel a bit numb, or my arm suddenly feels a bit cool (not sure if it's numbness)." In addition to cervical nerve root compression, we should also consider the possibility of peripheral ne...[Read More] Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
Can Facial Nerve Issues from Childhood Be Treated in Adulthood?
Facial nerve I had facial nerve paralysis when I was in elementary school, and I underwent electrotherapy for treatment. My parents said it was cured, but now at 22 years old, I notice that when I blink in front of a mirror or on video, the corner of my mouth moves as well. Docto...
Dr. Jiang Junyi reply Neurology
Dear Mr. John Wick, You mentioned that "the corners of the mouth move when blinking," which may indicate facial nerve damage and the subsequent misinnervation of muscles during nerve regeneration. Additionally, some metabolic disorders, such as hyperthyroidism and elec...[Read More] Can Facial Nerve Issues from Childhood Be Treated in Adulthood?