Understanding Muscle Atrophy and Polyneuropathy: Causes and Concerns
Muscle atrophy and polyneuropathy? Hello, Dr. Jiang! Recently, I noticed a depression and atrophy in my left upper arm. However, aside from a slight soreness when I extend my arm backward, there are no other symptoms. I then went to a neurology clinic for an examination, where th...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: Your symptoms may suggest a consideration of "brachial plexus injury... and polyneuropathy" for clinical diagnosis. In addition to physical examination, it is usually necessary to conduct peripheral nerve assessments. Peripheral nerve evaluations utilize...[Read More] Understanding Muscle Atrophy and Polyneuropathy: Causes and Concerns
Burning Sensation in Fingers: Is It Related to Smartphone Use?
Sharp pain and burning sensation in the hand without numbness? I have been experiencing a tingling and burning sensation in my hands due to prolonged smartphone use. Initially, I thought it was just from using my phone too much and didn't pay much attention to my hand condit...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsieh, You mentioned symptoms such as "tingling and burning sensations... and a feeling of electric shock," which are more indicative of neuropathic pain. Mexiletine is a medication used to treat arrhythmias. This drug can reduce cardiac nerve conduction becau...[Read More] Burning Sensation in Fingers: Is It Related to Smartphone Use?
Understanding Unexplained Abdominal Pulsations: Causes and Concerns
Intermittent pulsations in the lower abdomen? Hello doctor, I have recently been experiencing intermittent pulsations in my lower abdomen, similar to muscle twitches. They usually last for 1-2 seconds, but sometimes there are no twitches for an entire morning, and other times the...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned experiencing "intermittent pulsations in the lower abdomen, similar to muscle twitches." These muscle twitches are primarily related to several factors: exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the ...[Read More] Understanding Unexplained Abdominal Pulsations: Causes and Concerns
Managing Post-Stroke Pain and Rehabilitation Challenges: Expert Advice Needed
Please provide information regarding the sequelae of stroke? Hello Doctor: My family member had a stroke in the right hemisphere three years ago. After rehabilitation, he was able to walk normally, but he has reduced function in his left upper limb. In April, he suffered a stroke...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned experiencing "pain in the right lower limb upon waking during the day, with muscle tightness in the leg and toes splayed. Massage and stretching can provide relief, but the pain recurs shortly after." This symptom may suggest lower limb muscle cramp...[Read More] Managing Post-Stroke Pain and Rehabilitation Challenges: Expert Advice Needed
Sneezing-Induced Headache: Causes and When to Seek Medical Help
Sneezing headache? Hello, I would like to ask about my mother. A few days ago, she sneezed and then started experiencing sharp pain in her head. After a day or two, she said the pain has worsened compared to the previous days. I suggested she see a doctor, but she refuses to go. ...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that after your mother sneezed, she started experiencing sharp pain in her head. I'm wondering if there are any localized tender points that can be pressed. If there are, it might indicate an issue with the cervical muscle fascia. However, if the headach...[Read More] Sneezing-Induced Headache: Causes and When to Seek Medical Help
Understanding Right Leg Numbness: Causes and Treatment Options
Numbness in the right leg upon sitting down? Hello, doctor! I'm asking on behalf of my dad, who is 61 years old. Recently, whenever he sits down, his right leg starts to feel numb, along with symptoms of soreness and pain. This mainly occurs in the area from his knee to his ...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that your father experiences numbness, as well as soreness and pain in his right leg as soon as he sits down. It may be necessary to first consider a herniated disc leading to localized inflammatory responses that cause lower back pain, which may also extend ...[Read More] Understanding Right Leg Numbness: Causes and Treatment Options
Understanding Proximal Limb Pain and Tremors: Possible Neurological Issues
Numbness and tingling in the hands and feet may occur along with tremors? Hello, doctor. I would like to ask what could be causing proximal limb pain. In addition to the pain, my mobility is slightly affected; sometimes, after walking a little, my legs start to shake uncontrollab...
Dr. Jiang Junyi reply Neurology
Dear Ms. Winnie, You mentioned, "What could be the cause of proximal limb pain? Besides the pain, the symptoms slightly affect my mobility, and sometimes after walking a bit, my legs tremble uncontrollably." Your symptoms may indicate not only muscle pathology but also...[Read More] Understanding Proximal Limb Pain and Tremors: Possible Neurological Issues
Understanding Concussions: Symptoms, Risks, and When to Seek Help
Head injury / concussion I'm sorry to ask, but I would like to inquire about something. On June 7th, I had a dispute with my family and was slapped forcefully about 5 or 6 times. At the time, I didn't feel anything unusual, but after a while, by June 10th, I have been c...
Dr. Jiang Junyi reply Neurology
Hello, In general, head trauma without loss of consciousness, anticoagulant use, or obvious local hematomas tends to be mild. However, the following conditions warrant consideration of delayed bleeding and a visit to the emergency room: (1) Deterioration of vision, seeing doubl...[Read More] Understanding Concussions: Symptoms, Risks, and When to Seek Help
Understanding Proximal Limb Pain and Tremors: Possible Causes and Solutions
Numbness and tingling in the hands and feet may occur along with tremors? Hello, doctor. I would like to ask what could be the possible issues causing proximal limb pain. In addition to the pain, my mobility is slightly affected; sometimes when I walk a little, my legs start to s...
Dr. Jiang Junyi reply Neurology
Hello, Miss Winnie: You mentioned, "What could be the cause of proximal limb pain? Besides the pain, my mobility is slightly affected, and sometimes when I walk a little, my legs tremble continuously." Your symptoms may indicate not only muscle pathology but also a pot...[Read More] Understanding Proximal Limb Pain and Tremors: Possible Causes and Solutions
Understanding Proximal Limb Pain and Tremors: Possible Neurological Issues
Numbness and tingling in the hands and feet may occur along with tremors? Hello, doctor. I would like to ask what could be the possible issues related to proximal limb pain. In addition to the pain, my mobility is slightly affected; sometimes, after walking a bit, my legs start t...
Dr. Jiang Junyi reply Neurology
Dear Miss Winnie, You mentioned, "What could be the cause of proximal limb pain? Besides the pain, my mobility is slightly affected, and sometimes when I walk a little, my legs tremble uncontrollably." Your symptoms may indicate not only muscle pathology but also a pot...[Read More] Understanding Proximal Limb Pain and Tremors: Possible Neurological Issues
Understanding Persistent Hand Numbness: Causes and Treatment Options
The issue of hand numbness has persisted for nearly a year without improvement? Hello, doctor. I work in the food service industry and frequently use my hands. I often experience numbness in my hands when lifting heavy objects. My dominant left hand often wakes me up at night due...
Dr. Jiang Junyi reply Neurology
Dear Ms. Chien, You mentioned, "What other methods can be used to determine the underlying cause of my hand numbness? Could it be related to my neck?" Common symptoms of peripheral nerve compression include pain, numbness, and weakness. Peripheral nerve examinations ca...[Read More] Understanding Persistent Hand Numbness: Causes and Treatment Options
Understanding Neuromyelitis Optica: Symptoms, Relapse, and Management
Neuromyelitis optica spectrum disorder (NMOSD) Two years ago, my mother was first diagnosed with neuromyelitis optica spectrum disorder (NMOSD). She has been managing her condition with corticosteroids and immunosuppressants, and there have been no relapses during this time. Howe...
Dr. Jiang Junyi reply Neurology
Dear Miss Hsiao-Chi, You mentioned that your mother has some time until her next follow-up appointment and asked whether she should go to the emergency department. Can the emergency department quickly check if there is a relapse? How can we determine if there is a relapse? Is bl...[Read More] Understanding Neuromyelitis Optica: Symptoms, Relapse, and Management
Understanding Neck and Shoulder Pain: Symptoms and Solutions
I don't know what illness I have? Hello Doctor, I often use electronic devices and tend to look down and slouch, which has led to stiffness in my neck and shoulders. I sometimes feel a bit dizzy while sitting, and I experience tightness and pain around my shoulder blades. Oc...
Dr. Jiang Junyi reply Neurology
Hello, You mentioned experiencing tightness and pain in the area around your shoulder blades, occasional instability while walking, and a feeling of swelling and stiffness in your forearms. Your symptoms may be indicative of myofascial pain syndrome caused by cervical spine iss...[Read More] Understanding Neck and Shoulder Pain: Symptoms and Solutions
Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Long-term liver function abnormalities and bronchial sensitivity have recently led to increased ear ringing and worsening headaches? Hello, Doctor. Here is a summary of my pre-existing conditions and the issues that have arisen this past week. I have been a carrier of hepatitis B...
Dr. Jiang Junyi reply Neurology
Dear Miss Chiu, You mentioned that "the frequency of the popping sound in my left ear has decreased, but there are sudden sharp pains on the right side of my head, which are not the usual occasional dull aches. The pain is severe enough to furrow my brow and make my express...[Read More] Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Understanding Neurological Symptoms: From Limb Weakness to Dizziness
Weakness and soreness in the limbs, unilateral symptoms progressing to bilateral, along with headache, dizziness, and nausea? Hello, doctor. I will first describe my medical history. At the end of May, I experienced a severe impact on the left side of my left knee, so on May 26, ...
Dr. Jiang Junyi reply Neurology
Dear Mr. Xiao Wu, You mentioned "1. axonal motor neuropathy in the left peroneal nerve; 2. demyelinating motor neuropathy in the left tibial nerve." These results indicate that there is neuropathy affecting the motor nerves in your left lower limb. However, they do not...[Read More] Understanding Neurological Symptoms: From Limb Weakness to Dizziness
Understanding Facial Numbness and Tingling After Dental Procedures
Tightness, numbness, and itching on the right side of the face? Hello, Doctor Jiang. Three months ago, I underwent a microscopic root canal treatment on my tooth, which included the final filling. I received anesthesia, but I experienced tooth pain for the next two days. On the t...
Dr. Jiang Junyi reply Neurology
Hello: Your symptoms may suggest trigeminal neuralgia. Trigeminal neuralgia often shows normal results in nerve conduction studies and imaging in some clinical cases. There are many causes of trigeminal neuralgia, with approximately eighty percent attributed to compression of the...[Read More] Understanding Facial Numbness and Tingling After Dental Procedures
Understanding Pulsatile Tinnitus: Symptoms and Next Steps for Relief
Pulsatile tinnitus in the right ear every night? I experience daily headaches, and at night, my feet feel numb up to my calves. My elbows and hands also go numb twice. At night, I feel something strange with my heart. When I measured my blood pressure, it was 96/52 with a heart r...
Dr. Jiang Junyi reply Neurology
Dear Miss Lin, You mentioned that you are experiencing "numbness in the soles of your feet extending to your calves, and numbness from your elbows to your palms." It is advisable to consult a neurologist to rule out peripheral nerve issues. Regarding your symptoms of...[Read More] Understanding Pulsatile Tinnitus: Symptoms and Next Steps for Relief
Understanding Sleep Disturbances: When to Seek Neurology Help
Insomnia, sleep disorders Hello, doctor. Thank you very much for taking the time to respond. My symptoms are as follows: Two months ago, while preparing for an exam, I experienced some stress and started waking up occasionally in the middle of the night. However, more than a mont...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "there are no issues falling asleep, going to bed at 11 PM and usually falling asleep within half an hour, but I wake up in the middle of the night, and the timing and frequency of waking are inconsistent." I suggest you start by improving your...[Read More] Understanding Sleep Disturbances: When to Seek Neurology Help
Dizziness and Leg Weakness: Understanding Neurological Symptoms
Dizziness, leg numbness, and tremors? Hello, doctor. Today, I felt like the floor was shaking while standing on one leg, which I didn't experience last night or before. The leg I was standing on also felt particularly shaky. Sometimes, I experience numbness and slight weakne...
Dr. Jiang Junyi reply Neurology
Dear Ms. Bei, You mentioned that "when standing on one leg, I always feel like the floor is shaking, but this was not the case last night or before, and the leg I stand on is particularly shaky. Sometimes my legs and feet feel numb and slightly weak, but it does not affect ...[Read More] Dizziness and Leg Weakness: Understanding Neurological Symptoms
Understanding Ankle Numbness: When to See a Neurologist or Orthopedist
Numbness in the ankle? Doctor, lately when I lie down, I feel a noticeable tingling and swelling sensation on the outer sides of both ankles. Since I often sprain my ankles, I went to a traditional Chinese medicine clinic for an examination, and they mentioned it might be a herni...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsiao-Leh, You mentioned, "With a herniated disc, should I see a neurologist or an orthopedic specialist?" The spine is subjected to repetitive stress, particularly from improper activities such as bending to pick things up or prolonged bending and twisting, w...[Read More] Understanding Ankle Numbness: When to See a Neurologist or Orthopedist