Understanding Hand Tremors and Numbness: When to Seek Help
Tremors and hand numbness? Dear Vice Director, In the past, my hand tremors would only occur after drinking coffee or when my blood sugar was low. However, the situation has worsened; the tremors have become more pronounced and now occur even outside of those two conditions. Add...
Dr. Lan Shengxing Reply:
Dear Miss Lu, if your hand tremors occur without physiological causes, it may be essential tremor, which requires pharmacological treatment. Additionally, the symptoms of hand numbness necessitate a nerve conduction velocity test for proper evaluation, so you should visit a neuro...[Read More] Understanding Hand Tremors and Numbness: When to Seek Help
Understanding Strange Sleep Symptoms: Possible Links to Sleep Disorders
Strange Symptoms When Falling Asleep Hello, Doctor Gao: I've been experiencing a noticeable symptom for about the past six months. When I lie down to sleep, just as I'm about to fall asleep, I encounter what I can only describe as a sort of "dream," although m...
Dr. Gao Chunde Reply:
Based on your description, it is likely a type of rapid eye movement (REM) sleep disorder that occurs upon falling asleep, where one transitions directly into the dreaming phase, experiencing sleep paralysis and hypnagogic hallucinations. Many people occasionally experience this,...[Read More] Understanding Strange Sleep Symptoms: Possible Links to Sleep Disorders
Numbness in Big Toe: Understanding Nerve Compression Issues
Numbness in the big toe? Hello Doctor, I have been experiencing numbness at the base of my big toe. When I stand on the floor, only the other four toes feel cold, while the sensation in my big toe is not very pronounced. When I press on it with my fingers, there is a tingling pai...
Dr. Gao Chunde Reply:
The most common issue is indeed nerve compression, often due to a problem with a small branch of a peripheral nerve. Localized single nerve inflammation or ischemia can also occasionally occur. Generally, the problem is related to footwear that is too narrow or too rigid. It is r...[Read More] Numbness in Big Toe: Understanding Nerve Compression Issues
Persistent Hand Numbness: Seeking Answers After 4 Months of Symptoms
Numbness in both hands for the past four months? Hello doctor, I have been experiencing numbness in my hands since the beginning of September. Initially, it was only in my right hand, but within a week, my left hand started to feel numb as well. The numbness has not ceased, causi...
Dr. Gao Chunde Reply:
When experiencing hand numbness, it is important to determine whether the distribution of symptoms falls within the peripheral nerve range, nerve roots, or central nervous system. Particularly, if nerve conduction studies are normal, carpal tunnel syndrome is almost ruled out. Sy...[Read More] Persistent Hand Numbness: Seeking Answers After 4 Months of Symptoms
Understanding Sudden Drops in Blood Oxygen Levels After Surgery
Sudden drop in blood oxygen levels..? Hello Doctor, I have a question again. Originally, I had severe obstructive sleep apnea, but after a major surgery, I have seen significant improvement in my "fatigue" and the "snoring" has noticeably decreased. However, t...
Dr. Gao Chunde Reply:
If daytime sleepiness and fatigue are not caused by sleep apnea, other underlying conditions should be considered. Blood oxygen levels are typically measured using a fingertip pulse oximeter; however, if the extremities are cold or circulation is poor, or if the sensor is misalig...[Read More] Understanding Sudden Drops in Blood Oxygen Levels After Surgery
Understanding Involuntary Hand and Head Tremors: Next Steps for Patients
Involuntary shaking of the hands and head? Hello Doctor: I often experience involuntary shaking in my hands (more frequently in my left hand, especially noticeable in my little finger) and my head (shaking side to side). I do not smoke, drink alcohol, chew betel nut, or use drugs...
Dr. Gao Chunde Reply:
Some individuals experience primary tremors that do not progressively worsen into Parkinson's disease, and there is no need for excessive concern; medication can be used as needed to alleviate symptoms. Others may exhibit early signs of Parkinson's disease or other move...[Read More] Understanding Involuntary Hand and Head Tremors: Next Steps for Patients
Understanding Nerve Symptoms: Foot Tingling, Leg Cramps, and More
Tingling in the soles of the feet, leg numbness, and muscle twitching? Hello Doctor, 1. Symptom Description A. After sitting for a few seconds, I experience numbness, tingling, and a sensation like electric shocks in the soles of my feet, and sometimes there is a sudden sharp ...
Dr. Lan Shengxing Reply:
Dear Mr. "Constantly Being Referred," your examination results appear to be normal, so the neurologist's ability to assist you is limited. I recommend that you seek treatment from the urology and rehabilitation departments. Rehabilitation may take some time, so ple...[Read More] Understanding Nerve Symptoms: Foot Tingling, Leg Cramps, and More
Understanding Hand Tremors and Numbness: When to Seek Medical Advice
Tremors and numbness in the hands? Hello, Dr. Lan! I would like to ask you about my left hand, which trembles involuntarily. Sometimes, when I clench my fist tightly, the shaking becomes more pronounced. For example, when I use my left hand to drink water, the cup shakes. Additio...
Dr. Lan Shengxing Reply:
Dear Xiao Fang, essential tremor generally worsens during exertion, which is different from the numbness in the little finger. The numbness is due to peripheral nerve compression. Both of these symptoms should be evaluated by a specialist in neurology.[Read More] Understanding Hand Tremors and Numbness: When to Seek Medical Advice
Understanding Long-Term Left-Sided Facial and Scalp Numbness Symptoms
Long-term numbness on the left side of the face and scalp? A patient with polio has been sitting for long periods. (1) The left side of the face experiences intermittent numbness, particularly in the cheek and scalp, with symptoms persisting for two to three years. The numbness d...
Dr. Gao Chunde Reply:
The sensation in the left forehead and left cheek is associated with the left trigeminal nerve pathway, while the ptosis of the left eye and the weakness in the movement of the left side of the face are related to the left facial nerve pathway. These two issues indicate a lesion ...[Read More] Understanding Long-Term Left-Sided Facial and Scalp Numbness Symptoms
Morning Hand Numbness: Causes and Concerns for Neurological Health
Numbness in the hands upon waking up? In recent months, I have experienced numbness in the fingers of my left hand upon waking up in the morning, lasting about one minute. This symptom does not occur if I am not in a deep sleep, and it does not happen at other times. I have under...
Dr. Lan Shengxing Reply:
Dear Kim, it is unlikely that permanent neuropathy caused by improper sleeping posture will occur, as people tend to change positions frequently while sleeping. This is unless your mattress makes it difficult to move, or if you are taking a significant amount of sleeping pills an...[Read More] Morning Hand Numbness: Causes and Concerns for Neurological Health
Understanding Children's Hand Cramps: Causes and Concerns
Childhood hand numbness Hello, Dr. Huang. I would like to ask about my child. Since she was little, when she gets upset and cries, her fingers tend to become stiff and spasm, and I can't straighten them out for her; she has to recover on her own. Although it hasn't caus...
Dr. Huang Yingzhe Reply:
It may still be necessary to take the child to a pediatric neurologist for evaluation. Epileptic seizures must be ruled out first, followed by other involuntary movements. There is insufficient information to make a judgment at this time, and I apologize for that.[Read More] Understanding Children's Hand Cramps: Causes and Concerns
Uncontrollable Twitching of the Right Index Finger: Causes and Solutions
Involuntary twitching of the right index finger? My spouse has a mental illness (depression combined with bipolar disorder, and even brief episodes of loss of reality). She has been continuously taking antidepressants for nearly three years without interruption. Recently, after b...
Dr. Gao Chunde Reply:
Of course, the physical symptoms resulting from excessive emotional stimulation can manifest in various ways, but these symptoms should not last too long and should not remain constant. The right cheek and right fingers, especially the thumb, are located close together in the bra...[Read More] Uncontrollable Twitching of the Right Index Finger: Causes and Solutions
Understanding Hand Tingling: When to Seek Further Medical Evaluation
Hand pain or hand prickling sensation? Hello doctor, I have been experiencing frequent sharp, needle-like pain in my hand. I visited a neurosurgery clinic and had a cervical X-ray, which showed no abnormalities. I also underwent nerve conduction studies that were normal. However,...
Dr. Gao Chunde Reply:
The sensation of tingling in the hands primarily requires determining the distribution of the symptoms—whether it affects one hand or both. The distribution may follow the territory of a cervical nerve root, or it could involve all fingertips, suggesting a peripheral neuropathy. ...[Read More] Understanding Hand Tingling: When to Seek Further Medical Evaluation
Understanding Right Arm Pain and Numbness: Is It a Stroke Warning?
Pain and numbness in the right arm? Hello Doctor, my father is 56 years old, 172 cm tall, and weighs 68 kg. He smokes and is taking medication to lower his blood pressure. A few days ago, he experienced pain in his right arm, which was severe enough to cause numbness throughout t...
Dr. Lan Shengxing Reply:
Dear Ms. Huang, urgent issues like this may not be suitable for finding answers here. The symptoms you described could have several possibilities, ranging from serious conditions such as a stroke caused by arterial dissection to less severe issues like cervical nerve root compres...[Read More] Understanding Right Arm Pain and Numbness: Is It a Stroke Warning?
Persistent Cramps and Numbness in Left Hand and Leg: Possible Causes
Persistent cramping sensation in the left hand and left foot? Hello Doctor, recently I've been experiencing a persistent sensation in my left hand that feels somewhat like a mild cramping. Sometimes my palm feels a bit numb, and my fingers occasionally feel strange (for exam...
Dr. Lan Shengxing Reply:
Dear Xiao Ai, the symptoms mentioned above may require consideration of other conditions, such as mild cervical spine compression. However, I am unable to perform a neurological examination online, so I kindly ask you to visit the neurology outpatient department at various hospit...[Read More] Persistent Cramps and Numbness in Left Hand and Leg: Possible Causes
Understanding Hand Discomfort: Seeking Answers for Neurological Issues
About my hand? I have been experiencing discomfort in my hand for quite some time. A few years ago, I suddenly felt a tingling sensation in my left hand, particularly in the area where I grip things. It became difficult to grasp objects, and sometimes they would slip from my fing...
Dr. Lan Shengxing Reply:
Dear Xiao Chen, regarding your issue for the past four to five years, you have undergone several electromyography (EMG) tests and had detailed consultations with your physician. I believe there is not much I can assist you with online. I can only suggest that you seek another phy...[Read More] Understanding Hand Discomfort: Seeking Answers for Neurological Issues
Understanding Morning Hand Numbness and Involuntary Twitches
Numbness and twitching in the hands after waking up? Hello, Doctor: I would like to ask about something. Yesterday morning, after I woke up, I noticed that my left hand was numb, and my little finger was twitching involuntarily. I also felt soreness in my lower back and neck. The...
Dr. Gao Chunde Reply:
There is a high likelihood of cervical nerve compression; however, the presence of bruising is somewhat unusual. It is difficult to determine if there is internal bleeding. It is recommended to seek further evaluation at a neurology or neurosurgery outpatient clinic as soon as po...[Read More] Understanding Morning Hand Numbness and Involuntary Twitches
Uncontrollable Hand Tremors: When to Seek Neurological Evaluation
Hand tremors Hello Doctor: Recently, my right thumb and index finger have been twitching involuntarily, as if I'm rubbing something. The twitching becomes more pronounced when I watch tense or stimulating videos, and sometimes my entire palm also twitches involuntarily. I ha...
Dr. Gao Chunde Reply:
It is recommended to see a neurologist for further evaluation.[Read More] Uncontrollable Hand Tremors: When to Seek Neurological Evaluation
Understanding Persistent Pain in Right Hand and Foot: Possible Causes
There is a slight tingling sensation in my right hand and right foot? Hello Doctor: For about seven years, I have been experiencing some soreness in my right hand (extending to my fingers) and my right foot. Occasionally, I also feel slight soreness in my right lower back (but it...
Dr. Gao Chunde Reply:
Of course, symptoms in the same side of the limbs and waist can raise suspicion of a single lesion above the cervical spine, including the brainstem or cerebrum, in neuroanatomy. However, symptoms such as numbness, weakness, lack of coordination, or stiffness are generally more i...[Read More] Understanding Persistent Pain in Right Hand and Foot: Possible Causes
How Long Does Nerve Recovery Take After a Humerus Fracture?
How long does it take for nerves to recover? It has been over a year since I had surgery for a humeral fracture, and my little finger still feels swollen and somewhat uncontrollable. Initially, it was slightly bent, and my attending physician placed a splint to keep it straight. ...
Dr. Gao Chunde Reply:
Please have a neurologist evaluate the patient and arrange for nerve conduction studies and electromyography to assess whether there is any damage or abnormality in the nerves and muscles of the hand.[Read More] How Long Does Nerve Recovery Take After a Humerus Fracture?