Could These Symptoms Indicate Amyotrophic Lateral Sclerosis?
Are these the symptoms of amyotrophic lateral sclerosis (ALS)? Last year, I experienced numbness in my left little toe, and sometimes it felt like there was no sensation when I touched it. I visited a neurologist, who mentioned that there was some inflammation in my calf, but I c...
Dr. Lan Shengxing reply Neurology
Hello Tor, the symptoms you described are different from those of amyotrophic lateral sclerosis (ALS). ALS is a motor neuron disease that primarily affects the motor neurons in the central nervous system, and it typically does not cause issues with sensory nerves. In other words,...[Read More] Could These Symptoms Indicate Amyotrophic Lateral Sclerosis?
Understanding Brain Tumor Diagnosis: Neurology vs. Neurosurgery
Suspicion of brain tumor? Hello, doctor. A few days ago, due to abnormal brain waves, the physician suspected a brain tumor and conducted an MRI scan. The results were interpreted by a neurologist, who found no tumors in the brain. However, it seems that brain tumors are primaril...
Dr. Lan Shengxing reply Neurology
If you have already undergone examinations by a neurologist regarding a brain tumor issue, it indicates that both the radiologist and the neurologist have confirmed the findings. If you still have concerns, it is also acceptable to seek confirmation from a neurosurgeon. In princi...[Read More] Understanding Brain Tumor Diagnosis: Neurology vs. Neurosurgery
Understanding Postherpetic Neuralgia: Treatment Challenges and Solutions
Postherpetic neuralgia I developed shingles a month ago. My skin has healed, but I am still experiencing persistent neuropathic pain. I am currently taking medication prescribed by a neurologist, but the pain continues without improvement. I am unsure if the medication is ineffec...
Dr. Lan Shengxing reply Neurology
Some postherpetic neuralgia can be more severe, and in such cases, it may be necessary to increase the dosage of medications or to combine different therapeutic agents, such as antidepressants, neuropathic pain patches, or analgesics with anesthetic effects. Therefore, your condi...[Read More] Understanding Postherpetic Neuralgia: Treatment Challenges and Solutions
Understanding My Mother's Chronic Back Pain: Neurology or Orthopedics?
My mom often experiences back pain? Hello, Doctor: My mother is about 53 years old and slightly overweight. In recent years, she has been experiencing intermittent back pain. She often asks us, her children, to give her "massage," but when we press on her painful areas,...
Dr. Lan Shengxing reply Neurology
Hello, the issue of lumbar pain can be addressed by various departments in the hospital, including neurology, orthopedic surgery, rehabilitation medicine, and rheumatology. From your description, it is difficult to determine whether the pain is caused by arthritis, disc disease, ...[Read More] Understanding My Mother's Chronic Back Pain: Neurology or Orthopedics?
Understanding Foot Numbness and Inner Thigh Pain: Possible Causes and Solutions
Numbness in the soles of the feet + occasional soreness in the inner thighs? Hello Doctor, in the past year, I have been experiencing a tingling sensation in the sole of my right foot, specifically in the area just below the toes. This tingling occasionally occurs while sitting i...
Dr. Lan Shengxing reply Neurology
The sensation of itching is often a symptom of nerve compression, especially if it occurs while sitting in a chair. This may not necessarily originate from the same nerve bundle as the soreness in the inner thigh. Whether to perform an electromyography (EMG) test depends on the c...[Read More] Understanding Foot Numbness and Inner Thigh Pain: Possible Causes and Solutions
Understanding Autonomic Nervous System Disorders: Treatment and Recovery Options
Autonomic nervous system dysfunction Autonomic nervous system dysfunction. I have been taking medication for over six months, but there has been no complete improvement. I would like to ask if the autonomic nervous system can gradually return to normal through medication, but is ...
Dr. Lan Shengxing reply Neurology
Autonomic nervous system dysfunction can present with a variety of symptoms, and it is unclear what the original symptoms were. Different symptoms may require different treatment strategies. Our hospital currently does not offer so-called retrograde nerve therapy and lacks releva...[Read More] Understanding Autonomic Nervous System Disorders: Treatment and Recovery Options
Persistent Neck Lymph Node Swelling: Seeking Solutions for Pain and Tremors
Swollen lymph nodes in the neck! Pain on the left side of the face, and the chin keeps trembling! My mother had lymph nodes swell near her salivary glands last year, and she underwent surgery to remove the lymphatic tissue. After examination by the doctor, it was determined to be...
Dr. Lan Shengxing reply Neurology
It still seems that a foreign body in the head and neck region is the most likely cause. Local discomfort may manifest as this type of movement disorder. If the otolaryngologist is unable to provide treatment for this area, a neurologist can be consulted to address the movement d...[Read More] Persistent Neck Lymph Node Swelling: Seeking Solutions for Pain and Tremors
Understanding Imbalance: Exploring Neurological Issues in Teens
Walking with an unsteady gait and feeling heavy-headed while the legs feel light? Since early March, I have been experiencing a very mild sense of imbalance while walking, an uncontrollable feeling, as if my head is heavy and my legs are light. I sometimes walk off course and str...
Dr. Lan Shengxing reply Neurology
There are many possible causes for walking imbalance, affecting organs from head to toe. Regardless of the underlying reason, clinical symptoms or biochemical blood tests can help identify a direction for diagnosis. Instrumental examinations can only serve as an adjunct in the fa...[Read More] Understanding Imbalance: Exploring Neurological Issues in Teens
Numbness and Weakness in Left Toes: Causes and Solutions
Numbness and weakness in the toes of the left foot? In the past week, I have experienced numbness and weakness in the toes of my left foot (excluding the big toe), especially noticeable in the morning upon waking up.
Dr. Lan Shengxing reply Neurology
Numbness and weakness in the limbs are commonly seen in peripheral nerve disorders. If there is a localized lesion in the peripheral nerve, it can easily lead to symptoms in a specific area on one side. It is recommended that you visit a neurology clinic for a detailed neurologic...[Read More] Numbness and Weakness in Left Toes: Causes and Solutions
Comparing PPLS and Neurotrophic Agents: Which is More Effective?
excuse me? I have someone recommending the use of PPLS, but my mother's friend mentioned that neurotrophic agents are cheaper than PPLS, so I would like to discuss the differences between the two.
Dr. Lan Shengxing reply Neurology
Hello, Mr. Dong. Regarding the PPLs, individuals are not clear about the actual ingredients. If it is indeed the so-called Taiwanese green propolis extract, its efficacy or whether it is classified as a drug remains uncertain. To address your concerns, I just identified myself an...[Read More] Comparing PPLS and Neurotrophic Agents: Which is More Effective?
Understanding 'Heartbone Pain' in Elderly: Causes and Concerns
Chest pain in the elderly? Recently, my father often complains of "heart bone pain." When it occurs, the pain is very intense but usually subsides within three to five minutes. Applying some menthol balm can help alleviate the pain. Occasionally, it can happen consecuti...
Dr. Lan Shengxing reply Neurology
Dear Amanda, chest pain may not only be related to heart issues; gastrointestinal problems, intercostal nerve irritation, and other factors could also contribute. It is important to consider the timing of the pain in relation to lifestyle changes, exercise, and other factors. Esp...[Read More] Understanding 'Heartbone Pain' in Elderly: Causes and Concerns
Understanding Unexplained Dizziness: Causes and Solutions
Recent strange sensations? Hello, doctor. Recently, I've suddenly been feeling dizzy, but I can't describe any specific sensations in my head. It feels like I can't concentrate, and looking at something makes me feel slightly uncomfortable and a bit pressure-like. ...
Dr. Lan Shengxing reply Neurology
Dear Jill, your question is not very easy to understand. I will try to discuss it based on the symptoms. If you notice that looking at something causes more discomfort, it may be worth considering binocular diplopia caused by differences in the two eyes, or a change in your visua...[Read More] Understanding Unexplained Dizziness: Causes and Solutions
Blurred Vision and Weakness After Walking: Possible Causes Explained
Experiencing poor vision after walking a distance or exercising? Hello doctor, after walking a certain distance or exercising, I experience poor vision, occasional dizziness, and weakness in my limbs. I feel more comfortable when lying down. I'm not sure what the cause is. T...
Dr. Lan Shengxing reply Neurology
Hello Peter, poor vision, floaters, or weakness in the limbs can actually have many possible causes. If these symptoms occur after exercising or walking a certain distance, several issues should be considered: 1. Is there any abnormality in heart function? 2. Is there any dysfunc...[Read More] Blurred Vision and Weakness After Walking: Possible Causes Explained
Understanding Hallucinations and Self-Talk in Elderly Patients
Soliloquy Hello Doctor, My grandmother is 83 years old and has a history of heart disease and hypertension. Currently, she is experiencing hallucinations, talking to herself, trembling hands, loss of appetite, and weakness in her legs, although she still has sensation (the hall...
Dr. Lan Shengxing reply Neurology
Hello Ayong, the symptoms mentioned are quite numerous. If we consider the history of heart disease and hypertension, side effects from medications such as hyponatremia and hypokalemia, or complications from diseases such as stroke, could potentially cause similar symptoms. Addit...[Read More] Understanding Hallucinations and Self-Talk in Elderly Patients