Post-Stroke Care: Essential Tips for Recovery After 6 Months
Stroke, Care Recommendations for Patients After 6 Months Dear Dr. Tsai, My father is 68 years old and suffered a hemorrhagic stroke in early May this year, resulting in hemiplegia. After three months in a PAC (Post-Acute Care) unit, he was discharged in August. During his treatm...
Dr. Cai Zongzhang Reply:
Hello, regarding your father's situation, for the medication aspect, it is recommended that you continue follow-up visits and discuss the physiological effects of the medication with the physician. The physician will assess the possibility of any adjustments. The decision to...[Read More] Post-Stroke Care: Essential Tips for Recovery After 6 Months
Managing Life After a Stroke: Blood Pressure Monitoring Challenges
Some aspects of life after a stroke and the pain of measuring blood pressure? The first minor stroke caused weakness in the left side of my limbs, and I collapsed. I consulted at Hospital A, where they started measuring my blood pressure, but I felt discomfort from the cuff and t...
Dr. Cai Zongzhang Reply:
Hello, in advanced countries in Europe and America, seeking a second opinion has been a common practice for many years and is a recognized aspect of medical care. In Taiwan, some physicians and hospitals are gradually adopting this concept as well. You can consider the opinions o...[Read More] Managing Life After a Stroke: Blood Pressure Monitoring Challenges
Understanding Hand Weakness: When to Seek Neurology Help
Hand issues? Hello Doctor: I often feel weakness in my hands and a lack of dexterity in my fingers. However, there are times when everything feels normal, and it currently does not affect my daily life. I frequently use my phone, often supporting it with the palms of both hands. ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a peripheral nerve compression issue, with carpal tunnel syndrome being quite common. Diagnosis of peripheral nerve injury can be performed using nerve conduction studies. Nerve conduction studies involve the use of very fine electrical currents t...[Read More] Understanding Hand Weakness: When to Seek Neurology Help
Understanding Sleep Tremors and Migraines: When to Seek Medical Advice
Muscle twitching, migraine? Hello doctor, I would like to ask if the following symptoms my friend experiences while sleeping are normal and if she needs to go to the hospital for an examination. She is 20 years old, does not smoke or drink alcohol, has a family history of diabete...
Dr. Cai Zongzhang Reply:
Hello, regarding your friend's issue, it is uncertain if he is simply too fatigued. Especially considering the sleep conditions you described, this phenomenon may occur due to excessive fatigue or long-term irregular sleep patterns. It is recommended that he maintains a regu...[Read More] Understanding Sleep Tremors and Migraines: When to Seek Medical Advice
Understanding Finger and Palm Numbness: When to Seek Medical Help
Numbness and tingling in the fingers and palm? Doctor, I have a question: My left pinky finger is numb, and the half of my ring finger next to the pinky is also numb (the other half is normal). The palm of my left hand is partially numb, and there is no significant sensation in m...
Dr. Cai Zongzhang Reply:
Hello, your description does not allow us to determine whether your numbness is caused by trauma, external forces, or other factors, or if it is related to other disease symptoms. If the symptoms persist or if you have concerns, it is advisable to consult a neurologist.[Read More] Understanding Finger and Palm Numbness: When to Seek Medical Help
Understanding Shoulder Pain, Numbness, and Dizziness: A Neurology Perspective
Shoulder pain, facial numbness, and dizziness? Sometimes I feel dizzy, but the surrounding objects do not spin. Occasionally, I experience slight pressure at the back of my head, and my left arm, from the upper arm to the ring and little fingers, sometimes feels a bit numb, altho...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider degenerative changes in the cervical and thoracic spine causing compression of the nerve root at the first thoracic vertebra. This is primarily due to prolonged poor posture with the head bent forward, leading to c...[Read More] Understanding Shoulder Pain, Numbness, and Dizziness: A Neurology Perspective
Understanding Palsy Symptoms: Insights on Nerve Compression Issues
Pangshan syndrome Hello, I often feel weakness in my hands when lifting heavy objects or gripping things, and sometimes my fingers tremble involuntarily. I previously underwent MRI and nerve tests at Chang Gung Memorial Hospital. The doctor mentioned that I have a condition simil...
Dr. Jiang Junyi Reply:
Hello: Based on your description, if a diagnosis of Friedreich's ataxia is to be considered, long-term follow-up treatment may be necessary. Some motor neuron diseases may initially be diagnosed as this type of condition. If it is Friedreich's ataxia, prolonged improper...[Read More] Understanding Palsy Symptoms: Insights on Nerve Compression Issues
Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments
Pain in the right hand and numbness in the left hand? Hello, I would like to ask about my right hand. Initially, I experienced pain in my wrist (extending from my thumb to my wrist), which later spread to my forearm and then to my right shoulder. The pain started about a year ago...
Dr. Jiang Junyi Reply:
Hello: Your symptoms in the right hand resemble those of nerve root compression in the cervical spine. Preventive measures include: 1. Change positions: Change your posture every 15 minutes to allow the neck tissues to rest. Any posture (including normal ones) maintained for a pe...[Read More] Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments
Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Numbness and weakness in the left hand and foot? Hello Doctor: For the past two weeks, I have been experiencing numbness in my left hand and foot, particularly in my fingers. Additionally, my left hand has been shaking uncontrollably. The numbness is persistent and spreads quickl...
Dr. Jiang Junyi Reply:
Hello, based on your description, the medication Micobalamin is Vitamin B12, while Baclofen is a muscle relaxant that may cause muscle weakness. A common cause of neck pain is cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle ...[Read More] Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Understanding Hand Weakness and Numbness: When to See a Specialist
Weakness and numbness in the hands? Hello Doctor, I have been experiencing issues with my hand for several years. Whenever I perform actions like wringing a towel or tying my hair, my right wrist sometimes becomes immobile for a period of time. It feels as if the tendons inside a...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the action of twisting a towel to tie your hair has caused symptoms such as numbness and weakness in your wrist. From the perspective of potential causes, this may be related to compression of the median nerve. However, you also mentioned experiencing nu...[Read More] Understanding Hand Weakness and Numbness: When to See a Specialist
Understanding Hand Weakness and Muscle Twitches: Neurological Insights
Hand issues and muscle tremors? Hello Doctor, I have been experiencing weakness in the grip of my bilateral index and middle fingers for over three months, but it does not significantly affect my daily life. Additionally, I occasionally experience sudden twitching in the thenar m...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned may indicate a problem with cervical nerve root compression, possibly at the C5-C6 level, as there is weakness present on both sides. This is less characteristic of a stroke, which typically presents with unilateral limb symptoms. I recommend tha...[Read More] Understanding Hand Weakness and Muscle Twitches: Neurological Insights
Numbness in the Outer Side of the Left Pinky: Should You See a Doctor?
Loss of sensation on the outer side of the left little finger? Hello, doctor! A week ago, my mom gave me a jade bracelet to celebrate my acceptance into college. After the shopkeeper forced the bracelet onto my wrist, I couldn't take it off at all. I struggled for an entire ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more consistent with ulnar nerve neuropathy (affecting the sensory area near the little finger). When the wrist rests on a hard surface like a table, pressure can lead to ulnar nerve neuropathy. This condition typically causes n...[Read More] Numbness in the Outer Side of the Left Pinky: Should You See a Doctor?
Numbness on Half of the Back of My Hand: When to See a Neurologist?
Numbness in half of the back of the hand? I have numbness on the left half of the back of my left hand and half of my little finger, but the palm is not numb, and I do not feel weakness or pain. It has been like this for about a week. Should I see a neurologist for this?
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of ulnar nerve entrapment, particularly affecting the branches on the back of the hand. When the elbow rests on a hard surface, such as a table, or when pressure is applied to the elbow, it can likely lead to ulnar nerve entrapment, especi...[Read More] Numbness on Half of the Back of My Hand: When to See a Neurologist?
Understanding Finger Tremors: Causes and Solutions for Gamers
Finger twitching I occasionally notice that when I raise my pinky finger while gaming at night (like when playing "Turtle"), it tends to shake a bit (the movement is quick, and if I relax my whole hand while only raising my pinky, the amplitude is slightly larger). Some...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing numbness and abnormal twitching in your little toe. First, we should consider the possibility of muscle hypertonicity causing abnormal contractions. Additionally, tremors may be due to thyroid dysfunction. I recommend that you visit a neurology o...[Read More] Understanding Finger Tremors: Causes and Solutions for Gamers
Why Can't I Open My Fingers? Understanding Hand Pain and Treatment Options
Inability to open fingers? I would like to ask about experiencing pain when clenching both fists, and having difficulty opening the ring finger after clenching for about three months. What could this condition be, and should I see a neurologist or a surgeon? Thank you.
Dr. Jiang Junyi Reply:
Hello: You mentioned that you are unable to open your ring finger. If there are no symptoms of numbness or tingling, the first consideration might be trigger finger. Trigger finger, also known as stenosing tenosynovitis, occurs when the tendons in the finger become inflamed, lead...[Read More] Why Can't I Open My Fingers? Understanding Hand Pain and Treatment Options
Understanding Thumb Pain: Causes and When to Seek Neurology Help
Sharp pain upon pressing the right thumb? Two days ago, I experienced a sharp pain at the tip of my thumb when I pressed on it, thinking something might be embedded. Upon closer inspection, there was no visible wound. By the evening, the pain shifted to the right side of the thum...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing a tingling sensation around your right thumb. If there are symptoms of redness, swelling, heat, and pain, it may be necessary to consider inflammation or infection of the soft tissue near the thumb. If there is nerve compression at the fingertip,...[Read More] Understanding Thumb Pain: Causes and When to Seek Neurology Help
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: Neurological Symptoms Explained
Muscle twitching Initially, there was just a feeling of soreness in the muscles of the arms and legs, and standing for a longer period causes pain. The right hand experiences pain in the little finger, there is persistent noise and echo in the ears, and the left side of the face ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are quite atypical and involve multiple different neurological areas that need to be analyzed individually: 1. Pain in the little finger of the right hand: This may indicate a joint issue, but if there are symptoms of numbness or tingling, ulnar nerve patholo...[Read More] Understanding Muscle Twitches: Neurological Symptoms Explained
Persistent Dizziness After Cold: What Could Be the Cause?
Dizziness throughout the day? Hello, Doctor Jiang... Three weeks ago, I had a cold with fever, sore throat, cough, and overall body weakness and aches. After two weeks, most of the symptoms improved, leaving only a slight cough. However, since last Wednesday, I have been feeling ...
Dr. Jiang Junyi Reply:
Hello: There are many factors that can cause symptoms of dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. Since your symptoms appeared after a cold, it is important to first rule out side effects from medications (many decongestants or cold symptom relie...[Read More] Persistent Dizziness After Cold: What Could Be the Cause?
Understanding Numbness in the Right Upper Arm: Causes and Solutions
Numbness in the right upper arm? Hello Doctor: Recently, I've been experiencing a tingling sensation on the outer side of my right upper arm, and there is a slight pain when I perform chin-down movements, similar to feeling a tendon being pulled. I'm unsure what this co...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest that the nerve roots at the first thoracic vertebra or the seventh cervical vertebra are being compressed, leading to numbness. A physical examination and electromyography can assist in the diagnosis. It is recommended that you consult with a neur...[Read More] Understanding Numbness in the Right Upper Arm: Causes and Solutions