Burning Sensation from Calf to Sole: Possible Neurological Issues?
There is a warm sensation from the calf to the sole of the foot? It has been a while since I've experienced a warm sensation from my right calf to the sole of my foot. This feeling is more pronounced when sitting or standing, but it is less noticeable when lying down to slee...
Dr. Hong Weibin Reply:
Hello: It may be necessary to suspect the presence of varicose veins or poor venous return in the lower extremities. I recommend seeking assistance from a vascular surgeon.[Read More] Burning Sensation from Calf to Sole: Possible Neurological Issues?
Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Dopamine deficiency and medications such as Levodopa and Clonazepam? In mid-August last year, I started experiencing noticeable symptoms where sometimes while walking, my left foot would suddenly start to twitch involuntarily (possibly due to anxiety or other reasons), or my left...
Dr. Hong Weibin Reply:
You are very diligent! You've done a lot of homework. Occasionally, you experience muscle twitching in your left leg, sometimes accompanied by a tingling sensation, followed by pain in your left thigh. My thought is that it may be due to lumbosacral radiculopathy. Lumbosacra...[Read More] Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
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 Leg Numbness and Back Pain: When to Seek a Second Opinion
Numbness in the legs and lower back pain? Hello, doctor. Recently, I've been experiencing lower back pain and my legs feel sore and numb. I visited a neurologist, but the doctor only tapped my knee (the reflex test we learned in middle school) and concluded that my issues ar...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider symptoms related to nerve compression due to a herniated disc, which may also occur as a result of sudden injuries, such as twisting the waist, bending to lift heavy objects, or experiencing excessive force, for exampl...[Read More] Understanding Leg Numbness and Back Pain: When to Seek a Second Opinion
Understanding Your Symptoms: Lower Back Pain, Numbness, and Neck Issues
Lower back pain, numbness on the left side of the body, and a growth on the left side of the neck? Hello Doctor, I am a desk worker who sits for long hours every day, and I have the symptoms mentioned above. First, regarding the lower back pain, I started experiencing soreness in...
Dr. Jiang Junyi Reply:
Hello: The numbness you described in your left foot and left arm may be due to nerve compression in the neck or lower back. First, consider the possibility of cervical or lumbosacral disc herniation compressing the nerves. Disc herniation can also occur due to sudden injuries, su...[Read More] Understanding Your Symptoms: Lower Back Pain, Numbness, and Neck Issues
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 Chronic Calf Pain and Weakness: Causes and Treatments
Chronic calf pain and weakness? Hello Doctor, I have been experiencing persistent pain and weakness in my calves. Initially, it was occasional, but now it has become more frequent. Each time I experience this pain and weakness, I feel that my calf muscles are very tight, and my t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be related to the accumulation of lactic acid in your calves, causing soreness. You may want to consider your posture as a contributing factor. Additionally, it might be worth considering issues with venous blood flow in the lower extremities, as arte...[Read More] Understanding Chronic Calf Pain and Weakness: Causes and Treatments
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
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 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 Nighttime Calf Cramps: Causes and Prevention Tips
Leg cramps? Doctor, I would like to ask about experiencing calf cramps during sleep, which cause pain upon waking. The pain lasts for a short duration, about 2 to 3 minutes. After the cramping episode, the calf area is tender to the touch. This occurs only during sleep. How can I...
Dr. Jiang Junyi Reply:
Hello: Common causes of nighttime calf cramps include: 1. Electrolyte imbalances, such as calcium deficiency. 2. Intense exercise leading to muscle contractions and the accumulation of metabolic byproducts like lactic acid in the leg muscles. 3. Poor sleeping positions, such as l...[Read More] Understanding Nighttime Calf Cramps: Causes and Prevention Tips
Understanding Leg Numbness: When to See a Neurologist or Orthopedist
Numbness in the feet? In the past two weeks, I have experienced numbness in my legs (from the thigh to the calf) when I first sit down, lie down, or while walking. The numbness is accompanied by a cool sensation, and it occurs intermittently. About three years ago, I went to a ma...
Dr. Jiang Junyi Reply:
Hello, your foot numbness may be due to a herniated lumbar disc causing nerve root compression. This often presents with radiation into the calf. Clinically, a neurologist may arrange for a nerve conduction study to assess the extent of nerve compression. If the symptoms are more...[Read More] Understanding Leg Numbness: When to See a Neurologist or Orthopedist
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
Post-Surgery Numbness in Hands and Feet: Seeking Solutions
Numbness in the hands and feet and inability to walk normally after lumbar spine surgery? Hello, doctor. My mother went to the emergency department at Dalin Tzu Chi Hospital last July due to pain that prevented her from sitting up and weakness in her legs. During her visit, the e...
Dr. Jiang Junyi Reply:
Hello: If you experience persistent pain and numbness, it is advisable to consult a neurologist for pain management. Additionally, after surgery, patients often experience muscle atrophy due to prolonged bed rest. It is recommended to continue physical therapy with a rehabilitati...[Read More] Post-Surgery Numbness in Hands and Feet: Seeking Solutions
Can Antibiotics Cause Peripheral Neuropathy? Symptoms and Treatment Options
Peripheral neuropathy? Doctor: Hello, may I ask if antibiotics (such as Levofloxacin) can potentially cause peripheral neuropathy? If it does occur, what relief and treatment options are available? I have experienced peripheral neuropathy after taking antibiotics for an extended ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your report mentions polyneuropathy, but cervical radiculopathy cannot be ruled out. There are many potential causes, and in addition to medications, some internal diseases such as diabetes can also lead to neuropathy. I recommend that you consul...[Read More] Can Antibiotics Cause Peripheral Neuropathy? Symptoms and Treatment Options
Understanding Numbness and Weakness in the Left Calf: Causes and Solutions
I've been feeling something unusual in the front of my lower leg for a while now? 1. The symptoms are located in the left calf. When applying the same pressure to other areas of the skin compared to the affected area, the affected area feels significantly more numb. The sens...
Dr. Lan Shengxing Reply:
Hello, it is difficult to diagnose sensory nerve issues online. Please visit a neurology clinic for an in-person evaluation.[Read More] Understanding Numbness and Weakness in the Left Calf: Causes and Solutions
Understanding Leg Pain: When to See a Neurologist for Symptoms
Leg problems In recent days, I have noticed that after waking up, the outer side of my calf initially felt numb, and after a few days, I began to experience pain. The discomfort is less noticeable when standing or sitting, but becomes more pronounced when lying down, especially w...
Dr. Lan Shengxing Reply:
If you are experiencing symptoms that appear to be related to lumbar nerve issues, please seek medical attention from a neurosurgeon or neurologist.[Read More] Understanding Leg Pain: When to See a Neurologist for Symptoms
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 Leg Pain and Numbness After Injury: A Neurology Perspective
Numbness in the limbs and foot pain? Hello, doctor. I gave birth on November 7, 2015, and on February 19, 2016, I suffered a fibula fracture in my left calf with slight displacement. I was treated by an orthopedic doctor and had a cast for one month, followed by one month of non-...
Dr. Gao Chunde Reply:
There may be intermittent numbness and pain in the extremities, particularly noticeable in the soles of the feet. This could indicate a peripheral nerve dysfunction. As for the type of neuropathy and its underlying cause, further examination by a neurologist may provide clarity.[Read More] Understanding Leg Pain and Numbness After Injury: A Neurology Perspective
Understanding Leg Cramps: Causes, Symptoms, and Relief Strategies
Leg cramps? I have been experiencing a sensation of warmth in my right calf at night for the past few months. My middle toe, ring toe, and little toe tend to curl up and then relax. However, if I get up and sit for a few minutes, the symptoms improve. Now, the symptoms start when...
Dr. Gao Chunde Reply:
The distribution of these symptoms corresponds to the innervation of the fifth lumbar nerve. The exact cause of the condition is unclear, and a detailed evaluation is necessary. A neurologist who examines you in person will perform differential diagnosis and relevant tests for tr...[Read More] Understanding Leg Cramps: Causes, Symptoms, and Relief Strategies