Seeking Medical Guidance for Involuntary Movement Disorders
Please advise on the medical approach for involuntary movements? Hello Doctor, my mother is 69 years old and has been experiencing involuntary movements in her left leg since around July of last year. Initially, she would only have a few shakes during specific times in the evenin...
Dr. Jiang Junyi Reply:
Hello: You mentioned "significant weight loss and muscle fat reduction (about 52 kg last July, now approximately 46 kg), which have been ongoing issues that have not truly improved despite intermittent consultations." The decrease in mobility has led to a vicious cycle ...[Read More] Seeking Medical Guidance for Involuntary Movement Disorders
Understanding Right Leg Numbness: Causes and Treatment Options
Numbness in the right leg upon sitting down? Hello, doctor! I'm asking on behalf of my dad, who is 61 years old. Recently, whenever he sits down, his right leg starts to feel numb, along with symptoms of soreness and pain. This mainly occurs in the area from his knee to his ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your father experiences numbness, as well as soreness and pain in his right leg as soon as he sits down. It may be necessary to first consider a herniated disc leading to localized inflammatory responses that cause lower back pain, which may also extend ...[Read More] Understanding Right Leg Numbness: Causes and Treatment Options
Understanding Widespread Numbness and Tingling: Possible Causes and Insights
Generalized body pain? Hello, I started experiencing numbness from the soles of my feet to my upper body about two weeks ago. This has now extended to my face, including my eyes, throat, tongue, and lips. I have intermittent numbness and tingling throughout my entire body. The nu...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to continue follow-up treatment in the neurology department.[Read More] Understanding Widespread Numbness and Tingling: Possible Causes and Insights
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 Left Foot Numbness: Causes and Solutions
Numbness in the left foot? Hello, doctor. Due to the recent hot weather, I have been using a fan at home. I'm not sure if it's because the fan was blowing directly on my feet, but after a while, my feet felt unusually cold. After turning off the fan, my right foot retur...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned that you have been experiencing a persistent numbness in your left foot up to the ankle. This may be due to peripheral nerve compression, possibly from pressure on the fibular nerve during sleep. Common symptoms of peripheral nerve compression include...[Read More] Understanding Left Foot Numbness: Causes and Solutions
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
Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Joint pain after COVID-19 vaccination? Doctor: Hello, I received my first dose of the AstraZeneca vaccine on July 30, 2021, and my second and third doses of Moderna on October 3, 2021, and March 14, 2022, respectively. I am approximately 50 years old. About 1 to 2 weeks after the...
Dr. Jiang Junyi Reply:
Hello: Your symptoms do not appear to be indicative of Guillain-Barré syndrome, which is formally known as acute inflammatory demyelinating polyneuropathy. It is an acute peripheral neuropathy that may affect the motor, sensory, and autonomic nervous systems of the body. Typical ...[Read More] Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Chest tightness, numbness in hands and feet, mouth sores, palpitations, insomnia? Hello, doctor. I have the following questions regarding possible causes and which specialty I should consult. Thank you. 1. I experience numbness, tingling, and a burning sensation in the joints of...
Dr. Jiang Junyi Reply:
Dear Ms. Vivian, You mentioned experiencing symptoms such as numbness, tingling, and a burning sensation around the finger joints, the back and palm of the hands up to the elbows, as well as around the knees, the tops of the feet, the ankles, and the toes. These symptoms do not ...[Read More] Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Understanding Neuropathic Pain: Which Specialist Should You See?
Suspected neuropathic pain - unsure which specialty to consult? Hello, Dr. Jiang. I apologize for bothering you. My mother and grandmother have both reported experiencing "neuropathic pain" after reaching a certain age. They have occasional episodes, a few times a year,...
Dr. Jiang Junyi Reply:
Dear Miss Peng, You mentioned that "the pain usually starts at night when falling asleep and continues into the next day, occurring in episodes, and typically resolves within two days." Your symptoms may suggest Restless Legs Syndrome (RLS). The etiology of RLS is rela...[Read More] Understanding Neuropathic Pain: Which Specialist Should You See?
Understanding Left-Side Numbness: Causes and When to Seek Help
Numbness in the left hand and left foot? Hello Dr. Jiang, I would like to ask about a condition I've been experiencing recently. For the past few days, when I wake up in the morning, I feel numbness from my left elbow to my fingers, and also from my left ankle to my toes. To...
Dr. Jiang Junyi Reply:
Hello Ms. Liu, You mentioned that "the left elbow to the fingers often feels numb," which may suggest a common condition of ulnar nerve compression. However, you also noted that "even the left side of the face feels numb, and there are involuntary twitching episod...[Read More] Understanding Left-Side Numbness: Causes and When to Seek Help
Understanding Ankle Pain: Causes and Solutions for Flat Feet
Pain above the ankle? There is a slight pain above the inner side of the left ankle when walking, and pressing on the area causes discomfort, although the range is not extensive. I have flat feet and have been hiking frequently lately.
Dr. Jiang Junyi Reply:
Dear Mr. A-Kuo, You mentioned that there is a slight pain above the inner side of your left ankle when walking, which may indicate localized tendonitis. It is important to promote recovery from the inflammation of the injured tendon and to prevent adhesions of the tendon sheath....[Read More] Understanding Ankle Pain: Causes and Solutions for Flat Feet
Muscle Twitches, Cramps, and Weakness: Understanding Neurological Issues
Involuntary muscle twitching, cramping, weakness in the left leg, and difficulties in walking? Hello Dr. Jiang! For the past three to four months, I have been experiencing involuntary muscle twitching, particularly noticeable on the left side of my body compared to the right. My ...
Dr. Jiang Junyi Reply:
Hello Mr. CooK: You mentioned that "when the palm is open and the thumb is pushed towards the palm, it can also cramp. The same situation applies to the index finger (both hands can experience this), and sneezing can cause cramps in the upper abdomen near the ribs." Thi...[Read More] Muscle Twitches, Cramps, and Weakness: Understanding Neurological Issues
Understanding Nerve Pain: Insights on Tingling and Numbness
Tingling sensations in the hands and feet? Hello Doctor, on August 14th, after waking up from my afternoon nap, I felt a stabbing pain in the pad of my index finger. The next day, the stabbing pain improved, but I started to experience slight numbness in my right hand, which last...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may suggest a peripheral nerve issue. Pain accompanied by burning sensations, tingling, or even muscle weakness should raise concerns about nerve problems. Common causes of peripheral nerve injury include acute direct trauma such as nerve traction, t...[Read More] Understanding Nerve Pain: Insights on Tingling and Numbness
Understanding Ankle Tightness After Sitting: Causes and Solutions
Tightness in the ankle when standing up from a seated position? Hello Doctor, recently whenever I sit and then stand up, I feel tightness and numbness in my right ankle. Sometimes, the sensation extends to my calf muscles as well. However, after walking for a while, I no longer e...
Dr. Jiang Junyi Reply:
Dear Sir: Your symptoms may suggest peripheral nerve compression, particularly related to the sciatic nerve. It is possible that a herniated disc is causing nerve root compression, leading to neuropathic pain (sciatica). The symptoms are often located in the posterior thigh, late...[Read More] Understanding Ankle Tightness After Sitting: Causes and Solutions
Understanding Leg Cramps: Causes and When to Seek Help
Leg cramps and pain? Hello doctor, I usually do not have an exercise routine, but recently I have noticed that certain parts of my body experience brief, mild pain that feels somewhat like an electric shock. Yesterday, I walked briskly for 40 minutes, and today I am experiencing ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned feeling "shocked." This is a typical symptom of neuropathic pain, which may be due to poor posture or localized nerve compression. Regarding the "cramping and aching sensation near the left calf and ankle" that you mentioned, it coul...[Read More] Understanding Leg Cramps: Causes and When to Seek Help
Understanding Ankle Pain and Numbness in Children: A Guide for Parents
Ankle pain. Numbness extending to the hand as well? Hello, Doctor. I apologize for bothering you. My child has been complaining of leg pain since he was four years old. At first, we thought it was growing pains, but after a while, it didn't seem right. When I asked him, he s...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to visit the pediatric neurology department at a medical center.[Read More] Understanding Ankle Pain and Numbness in Children: A Guide for Parents
Understanding Lateral Calf Numbness: Sciatica or Disc Herniation?
Bilateral calf paresthesia? In the morning, I experienced sudden numbness on the outer sides of my calves, and sometimes my ankles feel weak when walking, although I can still walk. I initially thought it was just a common foot numbness, but I noticed that the front of my calves ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that the symptoms of numbness and weakness may suggest compression of the peroneal nerve. This could be due to improper exercise leading to muscle tightness, or prolonged sitting, which can also cause compression (sometimes sitting on the toilet for too ...[Read More] Understanding Lateral Calf Numbness: Sciatica or Disc Herniation?
Post-Car Accident Injuries: Should I See a Neurologist?
Injury issues due to a car accident? Hello, doctor. I was sent to the emergency room due to a car accident, and I experienced pain in multiple areas, including my head, lower back, hands, ankles, and toes. The hospital performed a CT scan on my head and lower back, and X-rays on ...
Dr. Cai Zongzhang Reply:
Hello, Xiao Fangkuai! The process of injury from a car accident can cause multiple contusions. The purpose of an X-ray is solely to check for fractures; contusions can only be assessed based on external signs such as redness, swelling, and pain, as X-rays cannot visualize contusi...[Read More] Post-Car Accident Injuries: Should I See a Neurologist?
Understanding Diplopia in Myasthenia Gravis: Diagnosis and Treatment Insights
Diplopia caused by myasthenia gravis? Hello Doctor: I have been experiencing double vision for nearly a year, and since the situation has worsened, I went to a neurologist for an examination. The tests included a contrast-enhanced brain MRI, skin sympathetic nerve reflex (SSR), R...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the effects of the medication typically begin around thirty minutes after administration, with peak effects occurring approximately two hours later, followed by a gradual decline. There are many causes of diplopia: binocular causes include ocular...[Read More] Understanding Diplopia in Myasthenia Gravis: Diagnosis and Treatment Insights
Understanding Widespread Pain: When to See a Specialist for Neurological Issues
Multiple areas of pain in a short period of time? Over the past month, I have been experiencing various pains throughout my body. Initially, I consulted a specialist, but due to the wide range of symptoms and the duration of the issue, I began to wonder if it might be related to ...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you print out the detailed description and discuss it with your physician. Based on your description, fibromyalgia should be considered. Clinically, it is differentiated from other conditions that present with widespread pain, such as inflammatory or...[Read More] Understanding Widespread Pain: When to See a Specialist for Neurological Issues