Understanding Muscle Twitching and Weakness: Possible Causes and Next Steps
Muscle twitching and weakness? Hello Doctor: At the end of February, I suddenly felt unusual sensations in my limbs, followed by involuntary muscle twitching throughout my arms and legs. Recently, I also noticed that when I try to open my left pinky finger from a fist, it feels s...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those ...[Read More] Understanding Muscle Twitching and Weakness: Possible Causes and Next Steps
Ankle Injury After Car Accident: Understanding Nerve Issues and Recovery
Ankle sprain after a car accident with numbness in the dorsum of the foot? Hello Doctor, I injured my ankle in a car accident when it was compressed by a motorcycle in an outward-turned position. At the emergency room, I was diagnosed with an ankle contusion and was unable to wal...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of damage to the sensory nerves in the dorsal aspect of the foot. Due to nerve damage, there is an abnormal sensation of touch. If pain occurs when pressure is applied, it usually involves the transmission of proprioceptive signals. For ne...[Read More] Ankle Injury After Car Accident: Understanding Nerve Issues and Recovery
Understanding Left Leg Numbness and Discomfort: When to See a Neurologist
Left leg soreness and numbness? Hello Doctor, about a year ago, I started experiencing swelling and numbness in my left leg. Initially, the swelling was more pronounced in the calf and ankle compared to my right leg, but it resolved after a few days. The numbness also lasted for ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, as posture can lead to sensations of numbness or tingling. However, the swelling you mentioned may warrant consideration of deep vein thrombosis (DVT). Poor ve...[Read More] Understanding Left Leg Numbness and Discomfort: When to See a Neurologist
Understanding Heel Walking and Toe Lift Issues After a Motorcycle Accident
Walking on the heels (unable to lift the toes of the right foot)? Hello Doctor: Three years ago, I fell off my motorcycle and injured my lower back. Now, when I walk, I can lift the toes of my left foot, but I cannot lift the toes of my right foot. Could this be due to nerve comp...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for leg weakness, such as muscle atrophy and lumbar nerve compression, which need to be evaluated. Your symptoms may suggest peroneal nerve dysfunction, one of the most common localized neuropathies in the lower ex...[Read More] Understanding Heel Walking and Toe Lift Issues After a Motorcycle Accident
Understanding Ankle Burning Sensation: Causes and Treatment Options
Burning sensation in the ankle? Hello Dr. Jiang, recently I have been experiencing an unexplained burning sensation on the outer side of my left ankle, which occurs many times a day. Besides that, I do not feel any soreness or pain, and the skin appears normal. I have been joggin...
Dr. Jiang Junyi Reply:
Hello, based on your description: it may be necessary to consider symptoms of nerve root compression due to intervertebral disc herniation, particularly in the distribution areas of the lumbar nerve roots L4 and L5. Disc herniation can also occur due to sudden injuries, such as t...[Read More] Understanding Ankle Burning Sensation: Causes and Treatment Options
Understanding Muscle Twitches and Weakness: A Neurology Perspective
Weakness in the legs and muscle tremors? Doctor, last week I experienced muscle twitching in multiple areas of my body, so I went to a neurologist for an electroencephalogram, which came back normal. Although the twitching is not very frequent, I sometimes notice significant musc...
Dr. Jiang Junyi Reply:
Hello: The ALS you are concerned about primarily refers to issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those in the brainstem and spinal cord are called lower motor neuro...[Read More] Understanding Muscle Twitches and Weakness: A Neurology Perspective
Understanding Numbness and Tension: When to Seek Medical Advice
Numbness issues? Hello Doctor, I have been experiencing tightness in my scalp recently, occasionally accompanied by tingling sensations. This has been going on for a while. I also feel discomfort on the left side of my neck, near the sternocleidomastoid muscle, which is sometimes...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned, such as "discomfort on the left side of the neck near the sternocleidomastoid muscle occasionally accompanied by slight headaches," are more indicative of cervicogenic headache or tension-type headache. However, the "numbness in t...[Read More] Understanding Numbness and Tension: When to Seek Medical Advice
Managing Severe Right Leg Pain: Insights from Neurology and Rehabilitation
The pain in my right foot is becoming increasingly severe? Hello Doctor, about a year ago, I went to the hospital for an examination because I frequently felt soreness in my right leg. After being evaluated by a neurologist, the electromyography showed weakness in my right leg, a...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, especially when hiking uphill or downhill, as the compression of the nerve roots can become more severe. A herniated disc can also result from sudden injuries,...[Read More] Managing Severe Right Leg Pain: Insights from Neurology and Rehabilitation
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 Right Leg Numbness: Causes and Next Steps
I often experience tingling on the right side of my body, but I have already been examined by a neurosurgeon? I have been examined by a neurosurgeon, and both my cervical and lumbar spine show bone spurs, but the doctor said they are very small and do not require rehabilitation. ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "piriformis syndrome." The piriformis muscle is located deep in the buttocks and spans between the spine and the hip joint. When the piriformis muscle becomes inflamed, it can compress the sciatic nerve, leading to symptoms of numbness a...[Read More] Understanding Persistent Right Leg Numbness: Causes and Next Steps
Unexplained Thigh Pain: Seeking Answers for Muscle Discomfort
Persistent thigh muscle soreness with no identifiable cause? Hello Doctor: I had sexual intercourse in early December, and since then, both my PCR and fourth-generation EIA tests have returned normal results. However, starting at the end of December, I began experiencing soreness...
Dr. Jiang Junyi Reply:
Hello: You mentioned Reiter's syndrome, which is associated with the HLA-B27 gene in approximately 60-80% of patients. Symptoms typically appear about 2-4 weeks after a bacterial infection. The most common pathogens are Chlamydia trachomatis and gastrointestinal bacteria suc...[Read More] Unexplained Thigh Pain: Seeking Answers for Muscle Discomfort
Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Muscle twitching and electromyography-related issues? Hello Doctor, Since around June 2017, I began to notice slight tremors in both of my hands, and when lying flat, I felt a sensation of my body vibrating. In July, I visited a neurologist for the first time, and the doctor ob...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, about 70% of patients with motor neuron disease present with limb weakness, while around 20% exhibit weakness in the bulbar region as their clinical manifestation. In terms of limb involvement, the initial presentation is usually asymmetric hand weaknes...[Read More] Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Understanding Nerve Compression Symptoms: Insights and Concerns
Nerve compression symptoms Hello Dr. Jiang, I previously experienced lower back pain due to prolonged standing and heavy lifting at work. A month ago, I consulted with traditional Chinese medicine, orthopedics, and neurosurgery. All the doctors indicated that my spinal X-ray res...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms should first consider lumbar nerve pathology, which is usually accompanied by decreased ankle and plantar reflexes. The calves often exhibit congestion and swelling, with sensory abnormalities on the outer side of the lower leg belo...[Read More] Understanding Nerve Compression Symptoms: Insights and Concerns
Post-Car Accident: Dealing with Right Leg Weakness and Numbness
After the car accident, there is weakness in the right leg muscles and frequent sensations of numbness? Hello, Dr. Jiang. I was in a car accident on June 4, 2017, during which I sustained noticeable abrasions on my right foot and right hand. However, after 2-3 weeks, the abrasion...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to a tendon injury. The lumbar spine can become inflamed or compress the nerve roots due to external forces. If rehabilitation treatment is not pursued due to pain, muscle atrophy may occur from disuse. In addition to...[Read More] Post-Car Accident: Dealing with Right Leg Weakness and Numbness
Understanding Toe Twitching After Fibula Fracture: Causes and Concerns
Toe twitching Hello doctor, I recently suffered a closed fibula fracture near my ankle. I have been in a cast for three weeks. Since then, I have mostly been lying flat or sitting up in bed with my leg elevated. Yesterday, I suddenly felt a slight tingling sensation in my big toe...
Dr. Jiang Junyi Reply:
Hello: The symptoms you described may suggest a peripheral nerve disorder. If your toe twitching is accompanied by pain or numbness, it could indicate nerve compression. The deep peroneal nerve and superficial peroneal nerve innervate the peroneus longus and brevis muscles, tibia...[Read More] Understanding Toe Twitching After Fibula Fracture: Causes and Concerns
Unexplained Leg Pain Without Exercise: What Could Be Wrong?
Experiencing unexplained soreness in certain areas of the body without engaging in physical activity? Initially, I experienced pain in the tendons behind my ankles without engaging in any exercise. This pain then shifted to my calves, and now it has progressed to a point where th...
Dr. Gao Chunde Reply:
It is recommended to visit a rheumatologist for further examination and treatment.[Read More] Unexplained Leg Pain Without Exercise: What Could Be Wrong?
Understanding Sciatica: Symptoms, Causes, and Treatment Options
Sciatica Hello Doctor: Five months ago, I started experiencing some weakness in the sole of my left foot, which soon progressed to weakness in my left ankle as well. In July, I began to experience soreness in my lower back (which lasted until about August), but the soreness has n...
Dr. Lan Shengxing Reply:
You are very likely experiencing sciatica; please seek medical attention promptly.[Read More] Understanding Sciatica: Symptoms, Causes, and Treatment Options
Understanding Nerve Issues: Persistent Discomfort in Right Foot and Shoulder
Numbness in the right foot, discomfort throughout the right foot making it difficult to stand, slight numbness in the right hand, and stiffness and pain in the left shoulder and neck? At the end of last year, during winter, I felt something unusual with my right foot. I consulted...
Dr. Gao Chunde Reply:
Have you seen a neurologist? Perhaps a detailed consultation and analysis by a specialist in neurology could provide different considerations and examinations, leading to more targeted treatment.[Read More] Understanding Nerve Issues: Persistent Discomfort in Right Foot and Shoulder
Understanding Nerve Damage: Causes and Treatment for Hand and Foot Numbness
Numbness in the hands and feet? Hello, Doctor: I have a few questions to ask. My left hand, including the palm and the back, has been experiencing persistent numbness for a long time. A month ago, I visited a neurologist and underwent an electromyography (EMG) test. When I return...
Dr. Gao Chunde Reply:
The most common condition is carpal tunnel syndrome. You can look up the causes and treatments online. Your primary physician has only prescribed Methylcobalamin, which is a supplement that aids in the repair of nerve tissue and is classified as a medical treatment, typically use...[Read More] Understanding Nerve Damage: Causes and Treatment for Hand and Foot Numbness
Which Specialist to Consult for Persistent Leg Discomfort in Seniors?
Which specialty should I see? Hello Doctor, my mother is 80 years old and generally in good health without any issues related to hypertension, diabetes, or hyperlipidemia. Since February of this year, she has been experiencing extreme soreness around her left ankle extending to h...
Dr. Jiang Junyi Reply:
Based on your description, there are many factors to consider regarding discomfort and numbness in the lower limbs. Restless Legs Syndrome (RLS) has recently gained more attention as a symptom. The exact cause is unclear; however, it is currently believed to be related to iron le...[Read More] Which Specialist to Consult for Persistent Leg Discomfort in Seniors?