Understanding Neck Pain: When to Seek Further Medical Advice
Pain occurs at the hairline three fingerbreadths to the right of the cervical spine? Hello Doctor: I originally experienced intermittent pain in my shoulder that radiated to my collarbone, and there was also intermittent pain at the hairline three finger widths to the right of my...
Dr. Jiang Junyi Reply:
Hello: The entire cervical spine to the occipital region of the head is where the neck muscles attach. Therefore, your symptoms are more indicative of myofascial inflammation in the neck. Regarding the medications you mentioned, if you are planning to become pregnant, it is advis...[Read More] Understanding Neck Pain: When to Seek Further Medical Advice
Chronic Hand Numbness and Pain: Which Specialist Should You See?
For years of paralysis and pain, which specialty should I consult? Hello, doctor. I often experience numbness, stiffness, and pain in both my hands, which has been ongoing for several years. The pain tends to be particularly severe in winter, waking me up at night in tears, espec...
Dr. Jiang Junyi Reply:
Hello: Carpal tunnel syndrome occurs when the median nerve is compressed by ligaments as it passes through the wrist, leading to numbness in the hand from the thumb to half of the ring finger. Generally, sensory nerves are affected first, and after some time, motor nerves may als...[Read More] Chronic Hand Numbness and Pain: Which Specialist Should You See?
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
Can Cervical Nerve Compression Cause Redness in Hands and Fingers?
Cervical nerve compression can cause redness in the palms? My mother is 51 years old and has been experiencing cervical nerve compression and degeneration for the past two years. In the last month, her palms and fingers have turned a reddish-dark color, but she has no other disco...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, cervical spine curvature and narrowing deformities, along with intervertebral disc compression at the C4-C5 level affecting the nerves that innervate the shoulders, can lead to neck and shoulder pain. Additionally, compression at the C5-C6 level affecti...[Read More] Can Cervical Nerve Compression Cause Redness in Hands and Fingers?
Is Walking Considered Rehabilitation After a Stroke?
Is walking also considered rehabilitation? Hello Dr. Hong, my grandfather recently experienced a minor stroke and during his hospital stay, he had several episodes of minor strokes. He is currently unable to walk properly, has a crooked mouth, and drools. After some time, he reco...
Dr. Hong Weibin Reply:
Hello: Ischemic stroke is caused by the occlusion of blood vessels supplying brain tissue, leading to hypoxia and necrosis of normal brain tissue. The acute phase of an ischemic stroke lasts approximately 5-7 days from the onset of symptoms. Risk factors for stroke include age (t...[Read More] Is Walking Considered Rehabilitation After a Stroke?
Understanding Involuntary Finger Twitches: Causes and Concerns
Finger twitching Hello doctor, recently my right hand's ring finger has been twitching on its own for no apparent reason! The frequency is irregular and it occurs throughout the day (but is easier to observe when at rest). I'm really worried that it might be ALS...
Dr. Jiang Junyi Reply:
Hello: You mentioned the issue of finger twitching, which is commonly associated with peripheral nerve disorders or instability. The area of the ulnar nerve distribution in your fingers may present clinical symptoms such as numbness, tingling, or muscle atrophy. In contrast, the ...[Read More] Understanding Involuntary Finger Twitches: Causes and Concerns
Understanding Essential Tremor: Causes, Treatments, and Next Steps
Tremors in the hands, feet, and body? Hello, doctor: I would like to ask about my condition. I noticed that my left hand has been trembling since high school, and now my right hand also has slight tremors. When I extend my five fingers forward, they tremble significantly. When I ...
Dr. Jiang Junyi Reply:
Hello, essential tremor: The exact cause of the tremor cannot be determined; it may be due to a specific constitution or hereditary tremor. Typically, the tremor is more pronounced when holding objects, while some individuals may experience shaking when writing or performing spec...[Read More] Understanding Essential Tremor: Causes, Treatments, and Next Steps
Understanding Arm Compression During Sleep: Risks and Solutions
Medical Consultation: Blood circulation issues caused by arm compression or elevation during sleep? Hello doctor, sometimes during my sleep, I find myself pressing down on or raising my arm (similar to raising my hand, but without my head pressing down on it). Recently, I've...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of compression of the radial nerve through the axilla rather than vascular compression. The radial nerve is responsible for motor and sensory functions of the arm: in terms of motor function, it primarily controls elbow extension, forearm ...[Read More] Understanding Arm Compression During Sleep: Risks and Solutions
Understanding Numbness in Limbs: Causes and Self-Care Tips
Numbness in all four limbs? Hello, I have a question! My hands and feet often feel numb, and the timing and location of these episodes are quite irregular, but they have been occurring frequently lately. Last month, it was only occasional, but recently, it happens quite often, mo...
Dr. Jiang Junyi Reply:
Based on your description: The symptoms of dizziness and numbness you mentioned are more likely caused by syncope or hyperventilation. A rapid drop in blood pressure or vasoconstriction can lead to decreased cerebral blood flow, which may trigger symptoms such as dizziness or blu...[Read More] Understanding Numbness in Limbs: Causes and Self-Care Tips
Unusual Sensations in the Ring Toe: What Could It Mean?
The toe (ring toe) feels very strange? I experience a strange sensation in both of my toes when my ring fingers are touched or intentionally moved. It's not an itch that makes me want to scratch; rather, it's an odd feeling that's hard to describe, and it doesn...
Dr. Jiang Junyi Reply:
Hello, based on your description, the cause of toe numbness should first consider peripheral nerve compression. This uncomfortable sensation may feel like crawling, pain, itching, or tingling. It is recommended that you consult a neurologist for discussion, examination, and treat...[Read More] Unusual Sensations in the Ring Toe: What Could It Mean?
Persistent Hand Numbness After Retinal Surgery: Next Steps?
Hand issues? I underwent retinal detachment surgery at the end of May and was on bed rest for a month. After that, I started experiencing slight numbness in my fingertips. I consulted a rehabilitation specialist and began neck stretching exercises, but after 14 sessions, my condi...
Dr. Jiang Junyi Reply:
Hello, I recommend discussing with your rehabilitation physician the possibility of undergoing nerve conduction studies and electromyography to determine if, in addition to cervical compression, you may also have carpal tunnel syndrome. Wishing you good health and happiness. Best...[Read More] Persistent Hand Numbness After Retinal Surgery: Next Steps?
Understanding Nerve Pain in the Left Hand: Causes and When to Seek Help
Pain in the dorsal aspect of the left hand? Today, I have a sharp pain on the far left side of my left hand, just below the little finger, in the very edge area. Why is this happening? I often stay up late, have insufficient sleep, and rely on takeout food. I am under significant...
Dr. Jiang Junyi Reply:
Hello: The distribution of your neurological symptoms is located in the area of the ulnar nerve. This is caused by compression of the ulnar nerve at the wrist, resulting in numbness and tingling in the ring finger, middle finger, and little finger. Clinically, a neurologist will ...[Read More] Understanding Nerve Pain in the Left Hand: Causes and When to Seek Help
Understanding Nerve Compression: Symptoms of Tingling in Limbs and Face
Numbness in the hands and feet, and even the face is starting to feel numb? Hello, Dr. Jiang. Last month, I suddenly woke up one morning with simultaneous numbness in my left arm and leg. This sensation felt different from just an abnormal sleeping position. Even during the day, ...
Dr. Jiang Junyi Reply:
Hello, you mentioned that the issue of unilateral limb numbness is more indicative of cervical nerve root compression. As for the tingling sensations around the mouth and in the limbs, it may be necessary to consider hyperventilation syndrome. The typical symptoms include chest t...[Read More] Understanding Nerve Compression: Symptoms of Tingling in Limbs and Face
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
Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?
Multiple areas of numbness throughout the body - Poor blood circulation? Hello, Doctor. Recently, I've noticed that when I sleep with my arms bent over my chest, my hands become numb. In the past, certain positions didn't cause this numbness, but it has changed in the l...
Dr. Jiang Junyi Reply:
Hello, your symptoms may be related to hyperventilation syndrome. Rapid or deep breathing can lead to excessive carbon dioxide elimination from the body, resulting in respiratory alkalosis, which is characterized by an elevated blood pH. This condition can disrupt the normal elec...[Read More] Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?
Understanding Nerve Pain and Muscle Twitches: When to Seek Help
Numbness in the limbs and nerve twitching? Recently, I have been experiencing a tingling and painful sensation in my left pinky finger and the last three toes of my right foot. Prior to these symptoms, I often felt muscle twitches in various areas, but I'm not sure if there&...
Dr. Jiang Junyi Reply:
Hello, you mentioned that the discomfort in your hand's nerves may be a symptom of ulnar nerve injury, which is most commonly associated with numbness in the areas supplied by the ulnar nerve (the little finger, half of the ring finger, and the corresponding area of the palm...[Read More] Understanding Nerve Pain and Muscle Twitches: When to Seek Help
Understanding Loss of Sensation in Skin After Flea Bites
Loss of sensation in the skin? Recently, I have many wounds on my foot from flea bites, but the wounds are about to heal. I am still applying medication because I am afraid of cellulitis. However, while applying the medication, I noticed that the skin near the flea bites is compl...
Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest peripheral neuropathy, which is generally categorized into motor and sensory types, each presenting with various symptoms. Sensory nerve disorders can cause numbness in the hands and feet (especially at the tips), which may feel like tingling, cra...[Read More] Understanding Loss of Sensation in Skin After Flea Bites
Understanding Loss of Sensation in Skin After Flea Bites
Loss of sensation in the skin? Recently, I have many wounds on my foot from flea bites, but the wounds are about to heal. I am still applying medication because I am afraid of cellulitis. However, while applying the medication, I noticed that the skin near the flea bite sites is ...
Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest peripheral neuropathy, which is generally categorized into motor and sensory types, each presenting with various symptoms. Sensory nerve disorders can cause tingling or numbness in the hands and feet, particularly at the tips, and may feel like pi...[Read More] Understanding Loss of Sensation in Skin After Flea Bites
Understanding Tremors: Could They Be Primary Essential Tremor?
The body may tremble? My symptoms are as follows: 1. My hands tremble. I've had this for a long time (since around middle school). When I lift a cup to drink, my hands shake, and my head shakes as well. When typing or using the mouse, both hands tremble, with my left hand sh...
Dr. Hong Weibin Reply:
Hello: Based on your inquiry, in addition to primary tremor, physiological tremor may also be a possible cause. A consultation with a neurologist can help clarify the situation. If it does not affect your daily life, there is generally no need for excessive concern.[Read More] Understanding Tremors: Could They Be Primary Essential Tremor?
Understanding Postural Nerve Issues: From Shoulder Pain to Facial Numbness
Numbness in the hand after a medical appointment? Hello, Dr. Jiang. Last month, after changing my pillow, I woke up with soreness in my left trapezius muscle. By the 15th day, the symptoms had significantly improved. On the 16th day, I experienced some numbness from my left upper...
Dr. Jiang Junyi Reply:
Hello: Cervical nerve compression can explain the symptoms you mentioned in your left hand, but it cannot account for the issues with your upper jaw or tongue. It may be necessary to consider lesions in the brainstem or brain. I recommend that you consult a neurologist to discuss...[Read More] Understanding Postural Nerve Issues: From Shoulder Pain to Facial Numbness