ALS, Neurology FAQ - Page 13

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Trigeminal Neuralgia After Root Canal Treatment: What to Know

Trigeminal neuralgia after root canal treatment? In mid-June 2023, after undergoing root canal treatment on the lower right second molar, the tooth pain subsided. On August 14, I proceeded to the crown fabrication stage. During this time, I mentioned to the dentist that I occasio...


Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, tooth pain may also be one of the symptoms of trigeminal neuralgia. Please complete dental treatment and confirm that there are no dental diseases; if pain persists, you may visit a neurology clinic for further evaluation.

[Read More] Trigeminal Neuralgia After Root Canal Treatment: What to Know


Understanding Unintentional Speech Errors in Older Adults: A Neurological Perspective

Mom often makes unintentional verbal slips? Hello Doctor: My mother is 60 years old and has been receiving treatment from a psychiatrist for some time. I am not entirely clear on her exact diagnosis, but I know she has sleep disorders. Living with her, I notice that she has a ver...


Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, there is a suspicion of cognitive decline. Both depression and dementia may present with the aforementioned symptoms. A differential diagnosis is necessary for treatment, and it is recommended to visit a neurology outpatient clinic.

[Read More] Understanding Unintentional Speech Errors in Older Adults: A Neurological Perspective


Understanding Unilateral Head Numbness: Causes and Relief Strategies

Unilateral head numbness Hello Doctor, I am 22 years old and a few weeks ago I suddenly started experiencing numbness on the left side of my head, specifically from the back of my skull to the top of my head. This occurs whether I am sitting, standing, or walking, and even while ...


Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned experiencing numbness on the left side of your head, specifically from the back of your skull to the top of your head. This symptom may be related to cervical nerve inflammation, particularly in individuals who frequently look down or overuse their c...

[Read More] Understanding Unilateral Head Numbness: Causes and Relief Strategies


Understanding Skin Sensations: Is It Post-Shingles Nerve Pain?

Skin prickling Hello, for the past week, I've been experiencing a tingling sensation on my thigh whenever it comes into contact with my pants. I had shingles (herpes zoster) in mid-June on my abdomen, and I'm wondering if this could be a residual effect of the shingles....


Dr. Jiang Junyi Reply:
Hello Ms. Anita: You mentioned that "the skin on my thighs feels a bit prickly when it comes into contact with my pants, and I had shingles (on my abdomen) in mid-June." It may be necessary to consider inflammation of the lumbar nerves, specifically the second and third...

[Read More] Understanding Skin Sensations: Is It Post-Shingles Nerve Pain?


Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?

Tremor of the left thumb? Hello, doctor. I have had a cervical disc herniation at the C3-C4 and C5 levels for over ten years. My symptoms fluctuate; sometimes they improve, and other times they worsen. Occasionally, I experience neck and shoulder pain, as well as arm pain. This a...


Dr. Peng Shiwei Reply:
Hello, your symptoms are usually not related to brain lesions, but if they persist and worsen, it is recommended to visit an outpatient clinic for evaluation by a physician. Thank you for your inquiry.

[Read More] Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?


Understanding Muscle Fasciculations: What Your EMG Results Mean

Fasciculation Hello Doctor, I have symptoms of muscle fasciculation. I previously underwent an electromyography (EMG) test on my left leg on June 20, 2023, and the report is as follows: Data: Report of EMG study: 1. The left vastus lateralis, tibialis anterior, and gastrocnemius...


Dr. Peng Shiwei Reply:
Hello, the report indicates that the electromyography (EMG) of your left foot is normal. If you have any further concerns, please discuss them with your attending physician. Thank you.

[Read More] Understanding Muscle Fasciculations: What Your EMG Results Mean


Understanding Side Effects of Rydan Tablets in Elderly Patients

Medication Issue - Rydapt (Midostaurin) My grandmother originally lived in Changhua, but she temporarily moved to Taoyuan to stay with us in July because she needed to get dentures. Since she has a long-standing issue with hand tremors, we took her to the hospital for an examinat...


Dr. Peng Shiwei Reply:
Hello, there are many medications available for treating tremors and Parkinson's disease. Since there is a possibility of duplicate prescriptions or drug interactions, it is recommended that your grandmother see the same physician for diagnosis and medication management. Tha...

[Read More] Understanding Side Effects of Rydan Tablets in Elderly Patients


Persistent Dizziness for Two Weeks: Possible Causes and Next Steps

Persistent dizziness throughout the day for half a month without improvement? On August 25, I suddenly started experiencing dizziness, headaches, pain around my right eye, vomiting, and difficulty focusing on the computer screen, especially with text, which made me feel nauseous....


Dr. Peng Shiwei Reply:
Hello, whether you need to undergo a CT scan should be discussed with your attending physician. Thank you for your question.

[Read More] Persistent Dizziness for Two Weeks: Possible Causes and Next Steps


Understanding Muscle Twitches and Weakness After Illness: A Neurological Perspective

Muscle twitching accompanied by mild weakness? Hello Doctor, I am 21 years old. About a week ago, I had 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 twitc...


Dr. Peng Shiwei Reply:
Hello, it is rare for individuals with amyotrophic lateral sclerosis (ALS) to occur at your age. Additionally, the exercises you have been practicing recently require frequent use of the knees. I recommend consulting with a sports medicine specialist or an orthopedic physician to...

[Read More] Understanding Muscle Twitches and Weakness After Illness: A Neurological Perspective


Intermittent Muscle Twitching in the Left Cheek: Causes and Solutions

Twitching in the left zygomatic bone area? Hello, doctor. For the past couple of days, I've been experiencing intermittent and irregular muscle twitching in the left cheekbone area (without pain). Each twitch lasts about one to two seconds. Sometimes, looking down triggers t...


Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned that "the muscles in the left cheekbone area intermittently but irregularly twitch... and this symptom may be triggered by looking down." This symptom may need to be considered in the context of cervical nerve inflammation, especially among...

[Read More] Intermittent Muscle Twitching in the Left Cheek: Causes and Solutions


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:
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?


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:
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:
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:
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 Thumb Tremors: Is It Neck Pressure or a Neurological Issue?

Tremor of the left thumb? Hello doctor, I have a long-standing issue with cervical disc herniation at C3-C4 and C5, which has persisted for over a decade. My symptoms fluctuate; sometimes they improve, and other times I experience shoulder and neck pain, as well as arm discomfort...


Dr. Peng Shiwei Reply:
Hello, your symptoms are usually caused by muscle stiffness. Stroke symptoms typically include unilateral weakness or sensory abnormalities, and they tend to persist. If you experience such conditions, please seek medical attention as soon as possible. Thank you for your inquiry.

[Read More] Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?


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:
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?


Should I See a Dentist or Neurologist for Jaw and Ear Pain?

Which department should I see? Hello Doctor, I have noticed swelling and pain in the gums around my right lower wisdom tooth for the past two days. Additionally, I am experiencing irregular sharp pain in the area of the right ear where the trigeminal nerve is located (each episod...


Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I recommend first visiting a dentist to assess your dental condition. If the dentist finds no issues, then you can see a neurologist. Thank you.

[Read More] Should I See a Dentist or Neurologist for Jaw and Ear Pain?


Understanding Muscle Twitches: Causes and Concerns for Teens

Muscle twitching Hello doctor, I have been experiencing muscle twitching all over my body for the past two months. Recently, I have also felt something unusual on my right side, a soft sensation that makes me fear it might be muscle atrophy. I am left-handed and do exercise, but ...


Dr. Peng Shiwei Reply:
Hello, if your issue has persisted for some time, it is recommended that you consult a neurologist. Thank you for your inquiry.

[Read More] Understanding Muscle Twitches: Causes and Concerns for Teens


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:
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


Understanding Skin Itching and Back Pain: Neurological Insights

Skin itching and lower back pain? Hello, doctor. A few months ago, I suddenly felt a tingling sensation in my mouth, and then I started experiencing itchy skin all over my body (like a prickling feeling). I visited a dermatologist, but the medication did not improve my condition;...


Dr. Cai Zongzhang Reply:
Hello Joanne: Based on the symptoms described, the tingling sensation in the mouth and the itchy feeling in the skin may be abnormal sensations caused by a neurological disorder. These symptoms are not exclusive to multiple sclerosis; brain tumors could also cause the aforementio...

[Read More] Understanding Skin Itching and Back Pain: Neurological Insights


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