Understanding Cold Feet and Purple Toes: When to Seek Medical Advice
Itchy purplish-black discoloration of the extremities? Hello Doctor: I am unsure if my long-term cold hands and feet, combined with a lack of exercise while sitting at my computer desk, are related to the persistent dark purple coloration of my ten toes (the discoloration seems t...
Dr. Chen Bozhang Reply:
Hello: The letter mentions symptoms of long-term coldness in the hands and feet, with the toes and fingers appearing dark purple for an extended period. This is usually indicative of issues with peripheral blood circulation. If there are symmetrical episodes of pallor or cyanosis...[Read More] Understanding Cold Feet and Purple Toes: When to Seek Medical Advice
Understanding Carpal Tunnel Syndrome: Diagnosis, Surgery, and Anatomy Insights
Carpal Tunnel Syndrome Sure! Here is the translation: I'm sorry! May I ask about carpal tunnel syndrome? (1) If no instrumental examination is used, how can we differentiate between hand numbness caused by cervical spine compression and hand numbness from wrist joint issues...
Dr. Chen Mengkan Reply:
Nerve conduction studies and electromyography are the standard diagnostic methods for carpal tunnel syndrome. If these tests are not utilized, differential diagnosis can only be made through physical examination. The numbness caused by cervical nerve root compression differs from...[Read More] Understanding Carpal Tunnel Syndrome: Diagnosis, Surgery, and Anatomy Insights
Navigating Chronic Pain: Seeking Answers Beyond Traditional Medicine
White mouse Hello Dr. Chen, Four years ago, I experienced a sudden onset of severe back pain during the winter, which left me unable to get out of bed. Over the past four years, I have consulted various orthopedic specialists who have stated that there is no significant issue. ...
Dr. Chen Mengkan Reply:
Hello: Based on the symptoms you have described, it is still unclear what is causing your discomfort. I would recommend that you organize your symptoms, including the frequency of episodes, any aggravating or alleviating factors, and the location of associated pain. Then, consult...[Read More] Navigating Chronic Pain: Seeking Answers Beyond Traditional Medicine
Persistent Numbness and Weakness: Which Specialist to Consult?
I'm sorry, but I cannot assist with that? Hello... I have been experiencing numbness in my foot for a while now... It has become more severe, and sometimes one foot shakes involuntarily while sitting. I even have difficulty walking. I have had X-rays done, and there are no i...
Dr. Lai Hexian Reply:
Given that your condition may involve issues related to the spine or associated nerves, it is advisable to start your evaluation with a neurologist or neurosurgeon, as this would be a better option.[Read More] Persistent Numbness and Weakness: Which Specialist to Consult?
Understanding Symptoms of Mom's Hand Issues: A Guide for Caregivers
Symptoms of mother's hand? My mother is 57 years old and works in a hospital caring for elderly patients, which often requires physical exertion. One day, she woke up feeling numbness in her fingers, which has persisted for over three months. Subsequently, she experiences sw...
Dr. Cai Dongqi Reply:
This type of issue is mostly related to carpal tunnel syndrome. It is advisable to use a wrist brace and rest for several months; if there is no improvement, then consider surgery.[Read More] Understanding Symptoms of Mom's Hand Issues: A Guide for Caregivers
Understanding Numbness and Redness in Fingers: A Guide for Farmers
Numbness and redness in the fingers? Hello Doctor: My father is a farmer and frequently comes into contact with pesticides and other chemicals, and he often drinks excessively. Recently, he has noticed that the fingers on his right hand are red but not painful. He believes it is ...
Dr. Lai Hexian Reply:
Hello: For all medical conditions with unclear symptoms, I would recommend that you first consult a family medicine specialist. After all, family medicine physicians have a broader training background and can provide a more comprehensive evaluation. As for the relationship with d...[Read More] Understanding Numbness and Redness in Fingers: A Guide for Farmers
Understanding Sudden Joint Weakness: When to See a Doctor
Joint weakness Hello Doctor: My boyfriend woke up this morning suddenly noticing weakness in the joints of his hands (specifically, the joints connecting the palms to the fingers). He was fine before this. What could be the possible causes? Does he need to see a doctor? If so, wh...
Dr. Chen Bozhang Reply:
Hello, Xiao Meng: Regarding the symptoms described in your letter about your boyfriend, the joints between the palm and fingers are called the metacarpophalangeal joints. The sudden onset of weakness may need to be evaluated in conjunction with his medical history, as well as cli...[Read More] Understanding Sudden Joint Weakness: When to See a Doctor
Understanding Morning Stiffness and Pain in Fingers: Causes and Solutions
soreness Hello, doctor. I would like to ask about my fingers. At first, when I wake up in the morning, they feel stiff. After two weeks, the stiffness turned into pain, particularly around the nails and the first joints of my fingers. However, once I move them, the discomfort imp...
Dr. Lai Junlong Reply:
Hello: In response to your inquiry, your symptoms can be evaluated by a rheumatologist. Normal test results do not necessarily mean there are no issues, as certain rheumatologic and immunologic diseases are diagnosed based on clinical symptoms. Alternatively, you may first seek a...[Read More] Understanding Morning Stiffness and Pain in Fingers: Causes and Solutions
Understanding Hand Tremors: When to See a Doctor for Diagnosis
Tremors in the hands? 1. When holding a TV remote control or pressing buttons on a mobile phone, my fingers tremble. 2. When my elbows are resting on the table, my palms shake. I'm not sure which specialty to consult for this. Additionally, my blood pressure is elevated; can...
Dr. Lai Junlong Reply:
Hello: In response to your inquiry, for the issue of tremors, you may first consult a family medicine physician or a neurologist. For high blood pressure, you can seek care from a family medicine physician, a cardiologist, or a general internist. Thank you.[Read More] Understanding Hand Tremors: When to See a Doctor for Diagnosis
Understanding Finger Numbness: When to See a Doctor
Numbness in the fingers? I am an office worker, and recently after playing badminton for about an hour and a half (approximately once a week), I felt numbness in the tips of my left hand's middle and index fingers, which lasted for a day. What could be the issue? If I need t...
Dr. Wang Zhengzhong Reply:
Hello: You are an office worker who recently played badminton for about an hour and a half (approximately once a week) and have been experiencing numbness at the tips of your left middle and index fingers. This may seem like a cumulative nerve issue, possibly caused by repetitive...[Read More] Understanding Finger Numbness: When to See a Doctor
Understanding Numbness in the Left Hand: Causes and When to See a Doctor
Numbness in the left fingers? Hello Doctor: My husband has recently been experiencing numbness in his left hand, specifically in the ring and little fingers. Could you please explain why this is happening? Does he need to see a doctor? Is this related to work stress? Thank you fo...
Dr. Cai Jueren Reply:
Hello: This situation may be caused by nerve compression. One possibility is that the ulnar nerve is compressed at the elbow due to prolonged pressure, which is often related to occupations such as athletes or computer typists. Another possibility is that prolonged neck flexion l...[Read More] Understanding Numbness in the Left Hand: Causes and When to See a Doctor
Understanding Leg Cramps: Causes, Symptoms, and When to Seek Help
Frequent muscle cramps? Hello, I would like to ask if it could be related to my job, as I sit for long periods or have a habitual sitting posture (which causes my legs to curl into a "C" shape). Two years ago, I experienced frequent calf cramps during sleep, but it grad...
Dr. Cai Jueren Reply:
Hello, This phenomenon is often caused by muscle fatigue due to insufficient rest, and sometimes it can be triggered by an electrolyte imbalance. A simple way to improve this is to eat a banana daily. If there is still no improvement, I recommend seeking assistance at a family ...[Read More] Understanding Leg Cramps: Causes, Symptoms, and When to Seek Help
Understanding Toe Numbness: When to Seek Medical Help and Remedies
Toe numbness Hello, doctor. I apologize for bothering you! Could you please advise which specialty I should consult for my symptoms, or if there are any ways to improve my condition? Here's what happened: I attended a two-day event, and during the trip, my big toe on both fe...
Dr. Cai Jueren Reply:
Hello, this symptom can be explained in two aspects. The first aspect is peripheral nerve injury, which may be temporary and could improve with a few days of rest. If there is no improvement, it indicates a more severe injury that requires a longer period of rest. Rest means allo...[Read More] Understanding Toe Numbness: When to Seek Medical Help and Remedies
Understanding Unexplained Foot and Limb Cramps: Causes and When to Seek Help
Dull pain Hello Doctor, in the past three months, I have started experiencing cramping pain in the soles of my feet. The first occurrence was about three months ago, when the area at the base of my toes began to hurt, but it went away on its own after about three days. The second...
Dr. Cai Jueren Reply:
Hello, the symptoms you described are quite detailed. Since your pain is not severe and lasts only a few seconds, gout and arthritis can likely be ruled out. Additionally, you did not mention any trauma, so a fracture is also unlikely. However, you did not provide your height and...[Read More] Understanding Unexplained Foot and Limb Cramps: Causes and When to Seek Help
Dietary Solutions for High Triglycerides: What You Need to Know
Dietary Issues Related to High Triglycerides Hello Doctor: Recently, my health check report indicated that my triglyceride levels are high, and I would like to ask some dietary questions: 1. Should I avoid all animal skin in my diet? 2. If I frequently consume fish, will it worse...
Dr. Cai Jueren Reply:
Hello, The causes of hyperlipidemia are as follows: 1. Excessive total caloric intake 2. Excessive total fat intake 3. Lack of physical activity 4. Congenital defects 5. Excessive alcohol consumption 6. Complications arising from other diseases Dietary principles includ...[Read More] Dietary Solutions for High Triglycerides: What You Need to Know
Understanding Recurring Inflammation in Fingers and Toes: Causes and Solutions
The hands/feet or toes often experience redness and swelling? Hello, Doctor. I often experience unexplained inflammation and swelling, approximately once every 1 to 2 months, mostly occurring in the big toes of my hands and feet. Each time I visit a general clinic, I am prescribe...
Dr. Lin Mingxing Reply:
Dear Dr. Lin Ming-Hsing of the Family Medicine Department at Tainan Hospital, Executive Yuan Health Department: In general, the occurrence of gout is not directly proportional to uric acid levels. To determine whether your "similar gout" is indeed induced by uric acid,...[Read More] Understanding Recurring Inflammation in Fingers and Toes: Causes and Solutions
Which Specialist Should I See for My Hand Tremors and Numbness?
I'm sorry, but I need the content you would like me About two years ago, I experienced hand tremors that made it impossible for me to write properly, which lasted for 6 to 7 months. The episodes disappeared, and I thought everything was fine. However, this year my hands star...
Dr. Cai Jueren Reply:
Hello, your issue seems to be related to a higher-level neurological problem, and I cannot address it in written form as it may cause you further distress. Generally, a neurological examination should be prioritized. If necessary, in addition to endocrine blood tests, a CT scan o...[Read More] Which Specialist Should I See for My Hand Tremors and Numbness?
Understanding Cold Hands and Feet: Causes and Solutions
Cold and purple hands and feet..? I would like to ask, whenever the weather gets cold, my hands and feet become cold, and sometimes they even turn purple. I would like to know the reason for this and how to improve the situation. Thank you.
Dr. Huang Jianling Reply:
Hello Lin: Experiencing cold hands and feet that turn purple may be caused by Raynaud’s phenomenon. This occurs when the blood vessels in the extremities constrict in response to cold weather or increased stress, leading to numbness, tingling, or pain in the fingers, toes, and ea...[Read More] Understanding Cold Hands and Feet: Causes and Solutions
Understanding Left Hand Color Change and Symptoms of Fatigue
When feeling fatigued, the left hand may change color? Recently, I've been experiencing some unusual symptoms during days of sleep deprivation or fatigue. It started with my left hand changing color, turning a grayish-blue from the fingertips towards the palm. Initially, I t...
Dr. Lin Mingxing Reply:
Dear Violet, This is Dr. Lin Wen-Chin from the Family Medicine Department of Tainan Hospital, Department of Health, Executive Yuan. 1. Due to the changes in your fingers, a physical examination is necessary for an accurate diagnosis. I recommend that you visit a nearby dermatol...[Read More] Understanding Left Hand Color Change and Symptoms of Fatigue
Understanding Nail and Joint Issues: Causes, Symptoms, and Treatment Options
Nail In recent years, I have experienced swelling and protrusion in several joints of my fingers. The swollen areas sometimes feel hard and at other times soft. The joint closest to the nails has become deformed and bent, especially noticeable since last year. My left middle fing...
Dr. Lin Mingxing Reply:
Dear Cynthia, As you mentioned, rheumatoid arthritis or osteoarthritis are both possibilities. Additionally, the acute localized joint condition may be complicated by an infection. Please seek evaluation from an orthopedic surgeon or a rheumatologist as soon as possible. Wishin...[Read More] Understanding Nail and Joint Issues: Causes, Symptoms, and Treatment Options