Understanding Hand Tremors: Causes and Diagnostic Tests Explained
Tremors and examination issues? Hello Doctor, I am Mr. Weng, the one who just asked a question. I forgot to mention that only my right hand shakes, and it seems to tremble more when I lift heavy objects. Could this possibly be due to nerve compression or muscle overuse? It has be...
Dr. Jiang Junyi Reply:
Hello: What you mentioned may refer to the examination of Hoffman’s sign: with one hand, pinch the middle finger with the index finger, and tap the nail of the middle finger with the thumb. If there is a reflexive flexion of the four fingers, it is considered positive, indicating...[Read More] Understanding Hand Tremors: Causes and Diagnostic Tests Explained
Understanding Hand Tremors: Causes, Concerns, and Management Tips
I would like to inquire about the issue of hand tremors? Hello Dr. Jiang, I would like to ask you about my hand tremors. About 4-5 years ago, my family noticed that one of my fingers would shake when I used chopsticks, and it would also tremble slightly when I tried to straighten...
Dr. Jiang Junyi Reply:
Hello: The physician should examine the eyes to rule out Wilson's disease, which is an autosomal recessive genetic disorder. It results in a deficiency of ceruloplasmin, a copper-carrying protein in the plasma, leading to abnormal copper metabolism and excessive copper depos...[Read More] Understanding Hand Tremors: Causes, Concerns, and Management Tips
Understanding Left Shoulder and Arm Pain with Heart-Related Symptoms
Pain and discomfort in the left shoulder and arm, along with a sharp pain in the area near the heart? Last week, I had a mild cold and took medication, which helped, but I started experiencing a dry cough and an itchy throat a few days ago. I'm not sure if it's because ...
Dr. Cai Zongzhang Reply:
Based on the described symptoms, in addition to cardiology, cervical nerve lesions may also present with the aforementioned symptoms. It is recommended to undergo an examination by a neurologist.[Read More] Understanding Left Shoulder and Arm Pain with Heart-Related Symptoms
White Fingertip and Numbness Months After Wasp Sting: Causes and Concerns
A few months after a bee sting, the ring finger occasionally appears pale? Hello: I'm not sure if this is a post-reaction to a wasp sting, but several months after being stung, my ring finger sometimes turns pale and feels numb. The sting occurred at the second joint of the ...
Dr. Cai Zongzhang Reply:
Hello: It may be peripheral nerve damage causing vasoconstriction. It is recommended to visit a neurologist for examination.[Read More] White Fingertip and Numbness Months After Wasp Sting: Causes and Concerns
Understanding Neck Discomfort: Symptoms and Treatment Options
Discomfort in the head and neck? I would like to ask the doctor, two months ago I underwent chiropractic treatment for my neck, but it seems it wasn't done properly. A few days later, I started experiencing mild dizziness when turning my head, and a tingling sensation on the...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders. The causes could include external factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rotation, which may lead to cervical insta...[Read More] Understanding Neck Discomfort: Symptoms and Treatment Options
Understanding Hand and Foot Numbness: When to Seek Neurology Help
The ring finger of the right hand cannot be straightened upon waking up in the morning? Hello Dr. Jiang, I have two questions I would like to ask: 1. My right ring finger is in a clenched position when I wake up in the morning and I cannot straighten it. I use my left hand to h...
Dr. Jiang Junyi Reply:
Hello: The first issue you raised concerns "trigger finger." It is generally believed that repetitive and forceful use of the fingers over a long period can lead to tendon and tendon sheath injuries, swelling, and poor blood circulation. If there is frequent exposure to...[Read More] Understanding Hand and Foot Numbness: When to Seek Neurology Help
Understanding Muscle Pain and Twitches: Causes and Solutions
Muscle pain and twitching? Hello Doctor, I have been experiencing soreness in my left hand and left foot for the past two months. A few days later, my right hand also started to hurt, and my fingers are painful as well. I have also noticed muscle twitches throughout my body (in m...
Dr. Jiang Junyi Reply:
Hello, based on your description of limb weakness and muscle twitching pain, the causes may include not only muscle and nerve issues but also some metabolic diseases such as thyroid dysfunction and sleep disorders. It is recommended that you first consult an internist for evaluat...[Read More] Understanding Muscle Pain and Twitches: Causes and Solutions
Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Brain tumor, brain cancer I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and I smoke. My medi...
Dr. Hong Weibin Reply:
1. It is recommended that you directly inquire with the hospital's health examination center for clearer information. The same type of examination can have different modalities, and the purpose and results may vary. 2. Generally, a CT scan or MRI with contrast agent should b...[Read More] Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Understanding Hand Tremors: Causes and When to Seek Medical Help
Tremors in the fingers during exertion? Hello, doctor. When I exert force with my right index finger, it shakes (all five fingers do). When I place my hand on my thigh, it does not shake. When I exert force with my right biceps, I can clearly see the skin on the right side of the...
Dr. Jiang Junyi Reply:
Hello, based on your description, 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 but may arise in specif...[Read More] Understanding Hand Tremors: Causes and When to Seek Medical Help
Understanding Toe Twitching: Causes and Treatment Options
Toe twitching I have been experiencing twitching in the index finger of my left foot for over a year, and recently the index finger of my right foot has also started twitching. The twitching appears as a side-to-side shaking and is not very frequent at times, but it tends to occu...
Dr. Cai Zongzhang Reply:
Hello: It is advisable to conduct hospitalization for further investigation of the cause, but if there are constraints regarding budget or time, outpatient follow-up examinations can be an alternative.[Read More] Understanding Toe Twitching: Causes and Treatment Options
Sudden Cramps in Right Hand and Forearm: Causes and When to Seek Help
Sudden cramping in the center of the forearm near the wrist with the palm of the right hand facing up? Sudden cramping in the fingers of the right hand, followed by cramping in the center of the palm facing up near the end of the forearm, raises concerns about potential issues. I...
Dr. Jiang Junyi Reply:
Hello: Our bodies may experience muscle cramps due to stress, anxiety, or poor posture, which can lead to excessive tightness in the muscles and fascia. Additionally, certain electrolyte imbalances, such as hypocalcemia, can also make one more prone to cramps. You mentioned that ...[Read More] Sudden Cramps in Right Hand and Forearm: Causes and When to Seek Help
Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Brain cancer brain tumor I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and have a smoking hi...
Dr. Jiang Junyi Reply:
Hello: Here is the answer to your question. It is recommended to first undergo a non-contrast MRI to assess the lesions. (Generally, cerebrovascular diseases and brain tumors can be initially differentiated. As for dental issues, after the MRI, we can evaluate whether they signif...[Read More] Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Understanding Dementia Screening: Key Tests and Considerations
Dementia Assessment Items I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and do not sleep wel...
Dr. Jiang Junyi Reply:
Hello: MRI contrast agents typically do not cause common allergic reactions unless there is impaired kidney function. It is recommended to first perform an MRI without contrast to evaluate the lesions. You may consider consulting a neurologist for discussion and examination. Wish...[Read More] Understanding Dementia Screening: Key Tests and Considerations
Understanding Numbness in Limbs: When to Seek Medical Attention
Numbness in the limbs? Hello Doctor, I felt a tingling sensation below my left knee tonight. After taking a hot bath, I noticed a slight tingling in all my limbs. (Earlier today, I experienced a feeling of tightness and pain in my chest.) The last time I had a similar situation w...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing severe pain in your left foot. The next morning, you felt numbness from your left fingers to your wrist and in your left calf. There is also a feeling of pressure and pain in the left side of your chest (above the chest). It may be necessary to c...[Read More] Understanding Numbness in Limbs: When to Seek Medical Attention
Understanding PET Scans for Dementia Diagnosis: A Patient's Guide
Dementia Self-Paid PET Scan I have a history of type 2 diabetes for 8 years and have been taking tricyclic antidepressants (TCA) and Lyrica for depression for 15 years, but I still experience insomnia and do not achieve deep sleep. I have a history of smoking. My grandmother pass...
Dr. Hong Weibin Reply:
Hello: 1. There are many types of PET scans, and typically, the PET/CT scans performed at health check-up centers are used to detect suspected tumors throughout the body, not to assess for dementia. 2. You need to check if the hospital offers PET scans for dementia. Currently, th...[Read More] Understanding PET Scans for Dementia Diagnosis: A Patient's Guide
Relieving Ulnar Nerve Pain: Duration and Heart Impact Explained
Joint numbness and pain? 1. What methods can alleviate ulnar nerve paralysis, and how long does it typically last? Note: Since last night until now. 2. What impact can the aforementioned symptoms have on the heart? Thank you very much for the doctor's response. 3. What m...
Dr. Jiang Junyi Reply:
Hello: If the left chest discomfort and pain are caused by the heart, it may sometimes radiate to the shoulder, but it rarely affects a single finger. You mentioned ulnar nerve entrapment, which is primarily caused by resting the elbow on a hard surface or applying pressure to th...[Read More] Relieving Ulnar Nerve Pain: Duration and Heart Impact Explained
Understanding Muscle Twitches: ALS Concerns and Neurological Insights
Amyotrophic Lateral Sclerosis (ALS) muscle twitching? I am Mr. Huang, referring to #159787. I have a few final questions for the doctor. I had an electromyography (EMG) test on August 19, which only involved needle insertions in my left forearm down to my palm and in my left calf...
Dr. Hong Weibin Reply:
Hello: The electromyography (EMG) examination for patients with amyotrophic lateral sclerosis (ALS) may vary in standard procedures from one hospital to another. If you feel that the examination is not thorough enough, you can seek opinions from other physicians. There are many t...[Read More] Understanding Muscle Twitches: ALS Concerns and Neurological Insights
Post-Car Accident: Inability to Straighten Fingers - What to Expect?
After the car accident, the fingers cannot be straightened? Hello Doctor, about 20 days ago I was involved in a car accident, which resulted in fractures of the bones in my left forearm, the outer side of the elbow, and the inner side of the upper arm. I underwent surgery 10 days...
Dr. Jiang Junyi Reply:
Hello: I'm not sure about the function of your sensory nerves. If there is damage to the ulnar nerve, radial nerve, or median nerve, you may experience related sensory abnormalities. If there are limitations in motor function, it may be necessary to consider issues with the ...[Read More] Post-Car Accident: Inability to Straighten Fingers - What to Expect?
Understanding Widespread Bone Pain: Possible Causes and When to Seek Help
Widespread bone pain throughout the body? Hello, doctor. Recently, for about one to two weeks, I have been experiencing bone pain in multiple areas of my body, specifically in my right arm, upper back around the scapulae, head, cheekbones, tibia in my legs, and the bones in my fi...
Dr. Jiang Junyi Reply:
Hello: If you are experiencing joint pain throughout your body, you may want to consider pseudogout as a potential cause of your polyarticular joint disease. It is advisable to consult a rheumatologist to discuss examination and treatment options. Wishing you good health and peac...[Read More] Understanding Widespread Bone Pain: Possible Causes and When to Seek Help
Understanding Hand Tremors: When to Seek Medical Advice
Consulting a doctor about issues such as tremors? Hello Doctor, about 4-5 years ago, my family noticed that sometimes when I eat with chopsticks or pick up things, my fingers would tremble, especially when I am nervous, which is more pronounced. After a year or two, they finally ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider physiological tremors. In the early stages of Parkinson's disease, low-frequency tremors occur primarily at rest. The causes of tremors can be categorized into four types: physiological tremors, psychological ...[Read More] Understanding Hand Tremors: When to Seek Medical Advice