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:
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:
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:
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:
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:
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
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:
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:
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:
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:
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:
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:
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:
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
Understanding Anxiety and Neurological Symptoms: MS or Autonomic Dysfunction?
Multiple Sclerosis / Autonomic Nervous System Dysregulation Hello, doctor. I have been feeling very anxious lately due to symptoms such as dizziness, palpitations, elevated body temperature, a sensation of something stuck in my throat, and difficulty breathing that appeared a few...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an examination.[Read More] Understanding Anxiety and Neurological Symptoms: MS or Autonomic Dysfunction?
Understanding Persistent Dizziness: Seeking the Right Medical Guidance
Dizziness while walking? Hello, doctor. I have been experiencing episodes of dizziness intermittently over the years, but it has become more frequent in the past six months. Two years ago, I suspected a stroke and went to a major hospital to see a neurologist, where I underwent a...
Dr. Hong Weibin Reply:
Hello: The majority of dizziness is caused by degenerative abnormalities of the vestibular structures in the inner ear. If you have already undergone thorough examinations and no dangerous underlying conditions have been found, the focus should be on identifying factors that exac...[Read More] Understanding Persistent Dizziness: Seeking the Right Medical Guidance
Understanding the Connection: Symptoms of Neck Pain and Head Pressure
Pressure sensation in the back of the head? Hello Doctor, I have been experiencing severe pain in the back of my neck due to cervical traction and electrical therapy during rehabilitation. I consulted a neurologist and underwent an MRI, which showed no signs of compression or bon...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to maintain proper neck posture, which can improve the aforementioned symptoms. Continuing rehabilitation is advised.[Read More] Understanding the Connection: Symptoms of Neck Pain and Head Pressure
Understanding Head Tremors: Causes and Solutions for Neurological Issues
I'm not sure what happened? Recently, when I lie down with my head resting against the back of the chair, and then sit up straight to write, my head starts to shake.
Dr. Jiang Junyi Reply:
Hello, Miss Han: You mentioned, "When I sit up straight to write, my head shakes?" This phenomenon is referred to as tremors. Physiological tremors occur only under certain conditions, such as stress, anxiety, or anger, and do not happen regularly. Some medications, suc...[Read More] Understanding Head Tremors: Causes and Solutions for Neurological Issues
Understanding Tailbone Pain and Nerve Issues in the Legs
Numbness in the feet and pain in the coccyx? After riding a motorcycle, I experience pain in my coccyx when I stand up. I also feel pain when getting up from a chair. This symptom has persisted for a year and a half. In mid-April, I started experiencing a tingling sensation that ...
Dr. Jiang Junyi Reply:
Hello, Miss Jiayou: The issue you mentioned may need to consider the possibility of sciatica. A common cause is a herniated disc leading to localized inflammatory responses, which can result in lower back pain that may extend to one or both sides of the buttocks. When a herniate...[Read More] Understanding Tailbone Pain and Nerve Issues in the Legs
Unexplained Leg Swelling and Pain: A Neurological Concern
Unexplained swelling and pain in both legs? Hello doctor, on the night of April 27th this year, I injured the bottom of my left foot on a plug, leaving a wound. I disinfected it and applied ointment, but the next evening, the top of my left foot suddenly swelled up like a hill. M...
Dr. Jiang Junyi Reply:
Dear Ms. Jill, You mentioned that the discomfort was initially localized below the ankle, but it has now extended to the thigh and is painful to the bone. This upward progression of abnormal sensations may suggest chronic polyneuropathy. However, you also noted symptoms of edema...[Read More] Unexplained Leg Swelling and Pain: A Neurological Concern
Can B12 and Micobalance Help Restore My Lost Sense of Smell?
Should I supplement with Micobalance for the loss of smell? What else can I do? Hello, doctor. Two years ago, I had an accident where I fell from a height, resulting in a skull fracture at the back of my head, intracranial hemorrhage, and a Glasgow Coma Scale score of 3. I was in...
Dr. Hong Weibin Reply:
Hello: If there has already been damage to the olfactory nerve, recovery may be more challenging. Vitamin B12 can be purchased over the counter at pharmacies or community drugstores; it may be worth trying, but it is likely to help maintain the current condition and reduce furthe...[Read More] Can B12 and Micobalance Help Restore My Lost Sense of Smell?
Understanding Isaac's Syndrome: Managing Muscle Spasms and Mobility Issues
Involuntary muscle twitching? Since July of last year, I have been experiencing involuntary muscle twitching in my legs, and now it has become difficult for me to move; even standing and walking are problematic. I have been to the hospital for examinations, and they diagnosed me ...
Dr. Hong Weibin Reply:
Hello: It is recommended that you discuss the disability assessment with your primary physician. Typically, to confirm whether it is amyotrophic lateral sclerosis (ALS), an electromyography (EMG) test will be conducted. You may want to discuss this with your physician.[Read More] Understanding Isaac's Syndrome: Managing Muscle Spasms and Mobility Issues