Understanding Muscle Pain and Weakness: A Neurological Perspective
Pain and weakness in the left thumb, right arm, and legs? Hello doctor, I started experiencing soreness in my arms and hands at the beginning of February due to working on assignments and frequently using the computer. At first, it didn't affect my daily life, so I didn'...
Dr. Jiang Junyi Reply:
Hello: Regarding the issue of numbness, the first consideration should be peripheral nerve compression symptoms. As for amyotrophic lateral sclerosis (ALS), it primarily involves motor function. This condition refers to problems with motor neurons, which control muscle movement. ...[Read More] Understanding Muscle Pain and Weakness: A Neurological Perspective
Understanding Hand Weakness: When to See a Neurologist
Occasionally experiencing weakness in both hands? Hello doctor, since early February, I have been experiencing occasional mild pain and soreness in the thumbs and the web spaces of both hands. Sometimes, my upper arms also feel weak and fatigued, and I occasionally notice muscle ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the symptoms may need to consider cervical nerve root compression at the sixth level causing paresthesia. As for the symptoms of amyotrophic lateral sclerosis (ALS): the primary manifestation of fasciculations is due to the degeneration of lower motor ne...[Read More] Understanding Hand Weakness: When to See a Neurologist
Left Leg Numbness: When to Seek Neurology Care?
Numbness in the left foot and left calf? Hello doctor, three days ago I noticed some mild numbness in my left foot and left calf. I just applied a pain relief patch that day and thought nothing of it, but over the next few days, I occasionally felt the numbness again. Sometimes i...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as ALS, is formally referred to as amyotrophic lateral sclerosis (ALS) or motor neuron disease. It typically does not present with sensory abnormalities; the clinical symptoms include muscle atrophy and abnormal twitchi...[Read More] Left Leg Numbness: When to Seek Neurology Care?
Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?
Fasciculation in amyotrophic lateral sclerosis (ALS)? I have been experiencing continuous muscle twitching all over my body for a month (in the soles and tops of my feet, backs of my hands, arms, elbows, shoulders, back, and face). A few days ago, my left calf twitched continuous...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons, and most patients do not have a family history. Motor neurons control muscle movement; those in the brain are referred to as upper mo...[Read More] Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?
Understanding Persistent Muscle Twitches: Causes and Concerns
Muscle twitching for several consecutive days, lasting for a few hours each day? Dear Doctor, My wife suddenly informed me last Saturday night that she was experiencing muscle twitching in her upper arm. After observing the condition for several hours without any relief, we wen...
Dr. Hong Weibin Reply:
There are many causes for muscle twitching, among which electrolyte imbalances, anemia, dehydration, and radiculopathy are common. The diagnosis of benign fasciculation syndrome is typically made after excluding electrolyte imbalances, anemia, and neuromuscular issues. As for amy...[Read More] Understanding Persistent Muscle Twitches: Causes and Concerns
Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching and weakness? Hello, doctor. Last Tuesday, I visited the neurology department with complaints of facial nerve dysfunction and decreased dexterity in my right hand. During my follow-up appointment this Tuesday, my right hand is still not functioning well. I am ver...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned, combined with sensory abnormalities, may suggest peripheral nerve inflammation. Amyotrophic lateral sclerosis (ALS) primarily affects motor neurons and typically does not present with sensory abnormalities. Regarding fasciculations, they are ass...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Understanding Fasciculations: Causes, Concerns, and When to Seek Help
Fasciculation Hello, Doctor: Over the past two months, I have been experiencing intermittent muscle twitching in various parts of my body, sometimes in my arms, calves, thighs, and buttocks. I am very concerned about whether this could indicate any serious illness. During this tw...
Dr. Jiang Junyi Reply:
Hello: The symptoms of amyotrophic lateral sclerosis (ALS) you mentioned, such as fasciculations, are indicative of lower motor neuron (LMN) involvement, which affects motor neurons located in the brainstem and spinal cord. This is typically accompanied by muscle atrophy, often s...[Read More] Understanding Fasciculations: Causes, Concerns, and When to Seek Help
Understanding Muscle Weakness: ALS, Atrophy, or Myasthenia Gravis?
I'm sorry, but I cannot assist with that? Hello, doctor. After asking about <a href="https://adoctor.tw/article/123198">#123198</a>, I visited a neurologist and had blood tests done, but my thyroid hormone levels are normal. Recently, in addition to mus...
Dr. Jiang Junyi Reply:
Hello: Currently, the leading hospital for myasthenia gravis in the country is Shin Kong Hospital, which can assist in diagnosing myasthenia gravis through tests including repetitive nerve stimulation, single-fiber electromyography, serum immunological diagnostics, and thymoma de...[Read More] Understanding Muscle Weakness: ALS, Atrophy, or Myasthenia Gravis?
Understanding Muscle Tremors: Causes and When to Seek Help
Muscle twitching Hello, I would like to ask about a condition I've been experiencing for the past two weeks. I've been feeling slight tremors in my body that are not visible externally, but I can sense them, similar to a low-frequency vibration as if a machine is nearby...
Dr. Jiang Junyi Reply:
Hello, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors: These do not occur under normal circumstances and only arise in specific situations such as stre...[Read More] Understanding Muscle Tremors: Causes and When to Seek Help
Understanding Thumb Tremors: Causes and Concerns for Young Adults
The thumb is experiencing persistent twitching? Hello, I am a 27-year-old female. My right thumb has been twitching for about a month. Initially, the twitching lasted only a few seconds at a time, but now it can continue for three to four hours. Recently, I have also felt the twi...
Dr. Hong Weibin Reply:
Hello: Muscle twitching is often associated with lesions of the lower motor neurons; however, there are many diseases affecting the lower motor neurons, and they are not necessarily related to amyotrophic lateral sclerosis (ALS) or Parkinson's disease. Conditions such as ele...[Read More] Understanding Thumb Tremors: Causes and Concerns for Young Adults
Understanding Muscle Weakness and Twitching: Possible Causes and Concerns
Regarding muscle weakness and twitching? Hello Doctor, I have been troubled by this issue for a long time. In mid-September last year, I suddenly felt weakness in both legs and my right hand (a burning, sore sensation originating from the muscles, similar to a persistent feeling ...
Dr. Jiang Junyi Reply:
According to your description, the condition commonly referred to as "Lou Gehrig's disease" is formally known as amyotrophic lateral sclerosis (ALS), which is a rare neurodegenerative disease with a prevalence of approximately 5 in 100,000. The cause remains unknow...[Read More] Understanding Muscle Weakness and Twitching: Possible Causes and Concerns
Could My Symptoms Indicate ALS or Myasthenia Gravis?
Is it possible to have amyotrophic lateral sclerosis (ALS)? Hello Doctor, I am the person who asked question #114246. I would like to know if these symptoms could possibly be related to conditions like amyotrophic lateral sclerosis (ALS) or myasthenia gravis. I am really scared t...
Dr. Gao Chunde Reply:
The weakness in individuals with amyotrophic lateral sclerosis (ALS) does not fluctuate over several days; it progresses gradually step by step. To determine whether the weakness is indeed present, relevant examinations must be conducted, and the decision should be made by the ph...[Read More] Could My Symptoms Indicate ALS or Myasthenia Gravis?
Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Benign fasciculation syndrome (BFS) is a neurological condition characterized by the presence of involuntary muscle twitches, known as fasciculations, without any associated muscle weakness or atrophy. These twitches can occur in various muscle groups and are often benign, meanin...
Dr. Lan Shengxing Reply:
The term "benign" indicates that the condition is unlikely to involve any serious or difficult-to-treat diseases, and there is no need for excessive worry. Clonazepam has few side effects, with daytime drowsiness being the most commonly reported complaint.[Read More] Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Involuntary twitching of the eyelids and body muscles? In early July, my left upper eyelid suddenly started to twitch involuntarily. At first, I thought it was due to eye fatigue and didn't pay much attention to it. However, the frequency of the twitches increased, and I beg...
Dr. Gao Chunde Reply:
The reasons are as you described: tension and stress, sometimes due to lack of sleep. The examination will not show any abnormalities; it is the nerves that are more excitable due to the aforementioned conditions. Your medication can help improve this. Additionally, maintaining a...[Read More] Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Understanding Neurological Pain: Symptoms and Next Steps for Relief
Generalized pain and numbness? I am experiencing persistent pain and numbness on the left side of my body, starting from my left calf and thigh, extending to my left hand fingers, lower back, neck, and left side of my face. Now, the right side has also begun to show similar sympt...
Dr. Lan Shengxing Reply:
Hello, if all current tests are normal, you can still undergo evoked potential testing to determine if there are any issues with the central nervous system. If both the central and peripheral nervous systems show no abnormalities, it is recommended that you engage in appropriate ...[Read More] Understanding Neurological Pain: Symptoms and Next Steps for Relief
Understanding ALS Symptoms: When to Seek Medical Advice
Suspected amyotrophic lateral sclerosis (ALS)? I have been experiencing headaches since the beginning of last month. After the headaches subsided, I noticed weakness in my left hand, along with occasional soreness and numbness in my fingers, although it's not very pronounced...
Dr. Lan Shengxing Reply:
Hello, regarding the muscle twitching associated with amyotrophic lateral sclerosis (ALS), it's difficult to convey the actual sensation. In the clinic, visible muscle fasciculations can be observed, but the feelings of soreness and numbness are not characteristic of ALS. As...[Read More] Understanding ALS Symptoms: When to Seek Medical Advice
Understanding Muscle Twitches: Connection to ALS and Other Causes
The relationship between muscle twitching (spasms) and amyotrophic lateral sclerosis (ALS)? Hello, Doctor. I am 35 years old and started experiencing muscle twitches six months ago. At that time, the frequency was low, and I didn't pay much attention to it. However, for the ...
Dr. Gao Chunde Reply:
Amyotrophic lateral sclerosis (ALS) is characterized by the progressive loss of motor neurons, leading to a decrease in motor nerve function, muscle atrophy, and observable fasciculations. Concurrently, or at some point before or after, there is no definitive timeline; however, t...[Read More] Understanding Muscle Twitches: Connection to ALS and Other Causes
Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching and weakness? Hello, doctor. For the past 5 or 6 days, I've been experiencing muscle twitching starting from my left calf, and now it has spread throughout my body, including my soles, face, and neck, with the primary area being my calves. Sometimes the twit...
Dr. Lan Shengxing Reply:
Mr. Lin suggests that you visit a neurologist for a thorough examination. The incidence of amyotrophic lateral sclerosis (ALS) is extremely low, and sometimes these symptoms can also appear in individuals who are prone to anxiety. A detailed examination to rule out any concerns i...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Understanding Muscle Tightness and Twitching: Neurological Insights
Whole body twitching, with tightness and numbness in the hands and feet? Hello, Doctor Gao. I previously asked you about the pain in my left leg, which has persisted for two years from my thigh to my calf. The symptoms include tightness, pain, and soreness, and I feel uncomfortab...
Dr. Gao Chunde Reply:
Electromyography (EMG) primarily examines issues related to peripheral nerve and muscle diseases. If the results are normal, then motor neuron diseases (such as amyotrophic lateral sclerosis) or myopathies are not considered at this time. Symptoms such as tightness, pain, and sor...[Read More] Understanding Muscle Tightness and Twitching: Neurological Insights
Understanding Cheek and Mouth Pain: Possible Neurological Causes
Pain in the corner of the mouth and cheek? Recently, I have been experiencing intermittent sharp pain in my cheek, especially in the evening after brushing my teeth. Initially, I thought it was a cavity, but before I could see a dentist, I noticed that the pain shifted to the ins...
Dr. Lan Shengxing Reply:
Dear Andy, the likelihood of Parkinson's disease or amyotrophic lateral sclerosis (ALS) is relatively low, especially considering your age, so there is no need for concern. The intermittent burning pain in your cheeks may suggest trigeminal neuralgia. I recommend that you co...[Read More] Understanding Cheek and Mouth Pain: Possible Neurological Causes