Understanding Hand Numbness: Causes, Treatments, and Solutions
Numbness in the palm? Hello, Dr. Gao. I frequently experience numbness in my palms, particularly in my left hand. This condition has significantly affected my daily activities, work, and sleep. I have already visited Hualien Tzu Chi Hospital for a consultation and have been presc...
Dr. Gao Chunde Reply:
If hand numbness has been confirmed as carpal tunnel syndrome through nerve conduction studies, the treatment will depend on the severity of the condition. In the acute phase, corticosteroids may be used, although they may not be effective for all patients. It is also important t...[Read More] Understanding Hand Numbness: Causes, Treatments, and Solutions
Next Steps in Neurology: Addressing Skull Deformities and Symptoms
What is the next step after neurology? I have a depression on the right side of my skull, which has been accompanied by a persistent feeling of pressure and tightness, even affecting my right eye. Additionally, the right eyeball appears to be noticeably lower than the left, and t...
Dr. Gao Chunde Reply:
Craniofacial structural defects fall under the scope of plastic surgery. However, regarding whether the 3D imaging reconstruction of the skull is covered by health insurance or is out-of-pocket, and whether surgical correction is necessary after the examination, there are specifi...[Read More] Next Steps in Neurology: Addressing Skull Deformities and Symptoms
Understanding the Causes of Delayed Recovery in Peripheral Nerve Injuries
Factors or causes affecting nerve regeneration? I am experiencing nerve damage in my right wrist. According to a diagnosis from a physician at Chi Mei Hospital, the conduction velocity is about one-third of that in my left hand. This may be a sequela from a car accident I had at ...
Dr. Huang Yingzhe Reply:
Based on the description, although the results of the nerve conduction study and electromyography are unknown, it sounds like an issue with the ulnar nerve. If, as you suspect, it is related to trauma, the reason for the lack of recovery could either be that the injury has caused...[Read More] Understanding the Causes of Delayed Recovery in Peripheral Nerve Injuries
Understanding Nerve Injury Symptoms After Surgery: What to Expect
How long does it take to be aware of nerve injury? I had a fracture in my arm that required surgery. On the day of the injury, I only knew that my humerus was fractured (Monday), and the doctor scheduled the surgery for the day after tomorrow (Wednesday). After the surgery, I inf...
Dr. Gao Chunde Reply:
Based on your symptoms, it appears that you have an ulnar nerve injury. Generally, symptoms arise when a nerve is injured; however, it is also possible that the nerve itself is not initially damaged but may gradually be compressed or stretched by surrounding edema, affecting its ...[Read More] Understanding Nerve Injury Symptoms After Surgery: What to Expect
Understanding Muscle Pain and Fatigue: When to Seek Further Testing
Muscle soreness and fatigue? Hello Doctor, I had an electromyography (EMG) and blood tests done last year, and the results were normal. However, I still experience muscle soreness throughout my body, and I have muscle twitches that occur randomly two to three times a day for a fe...
Dr. Gao Chunde Reply:
It is likely a benign muscle twitch. You can try to maintain a regular schedule, relax, and ensure a balanced diet. If there is no improvement, consider a follow-up examination in three months. Sometimes the condition is too mild to be detected, and a certain level of maturity is...[Read More] Understanding Muscle Pain and Fatigue: When to Seek Further Testing
Understanding Limb Pain and Fatigue: Possible Neurological Causes
Aching limbs and fatigue? Hello doctor, I often experience body aches, especially in my limbs, and my muscles twitch. My fingers also move involuntarily, and the joints in my fingers feel tight. This has caused me anxiety, and after visiting the hospital for examinations, no caus...
Dr. Gao Chunde Reply:
Proximal muscle soreness in the limbs, accompanied by muscle weakness and elevated muscle enzyme levels in the blood, should raise suspicion for myopathy or myositis. If muscle twitching occurs alongside progressive weakness, one should also be cautious of motor neuron diseases. ...[Read More] Understanding Limb Pain and Fatigue: Possible Neurological Causes
Understanding Nausea and Sound Sensitivity After Vomiting: A Neurological Perspective
After feeling nauseous and vomiting, certain sounds (auditory stimuli) can become particularly jarring or irritating? Dr. Gao: Hello, my mother (60 years old) suddenly felt nauseous (not vomiting) one night two months ago before going to bed, experiencing a strong urge to vomit b...
Dr. Gao Chunde Reply:
It may be an atypical episode of Meniere's disease or another transient alteration in brain function such as a seizure or ischemia. A detailed history and examination may be necessary for further evaluation by a neurologist. Once the underlying cause is determined, a treatme...[Read More] Understanding Nausea and Sound Sensitivity After Vomiting: A Neurological Perspective
Understanding Persistent Arm Tightness and Numbness: A Neurological Perspective
Numbness and tightness in the arm? Hello, doctor. I would like to ask you a question. My father has been suffering for seven years, and despite seeing many doctors, he hasn't found a solution. The entire right side of his body, from his back to above his waist, feels extreme...
Dr. Huang Yongquan Reply:
Hello: In response to your question, based on the symptoms you described, there is a higher likelihood of issues related to cerebrovascular problems or cervical spine nerve compression. Sometimes, after nerve injury, treatment may not lead to complete recovery, and there could be...[Read More] Understanding Persistent Arm Tightness and Numbness: A Neurological Perspective
Understanding Neurological Symptoms: When to Seek Help and Tests to Consider
What tests should be done or which specialty should I consult? Hello Doctor: For the past month or two, I have been experiencing persistent pain in my forehead, sometimes accompanied by tinnitus. I feel fatigued throughout the day, and my eyes have difficulty focusing on a single...
Dr. Lan Shengxing Reply:
Dear Little Gray, generally speaking, frontal headaches tend to be tension-type headaches, especially when accompanied by feelings of fatigue. However, when symptoms such as weakness occur, it is advisable to go to the hospital for imaging studies to rule out other intracranial i...[Read More] Understanding Neurological Symptoms: When to Seek Help and Tests to Consider
Understanding Dizziness and Tremors: Possible Causes and Next Steps
Shaking like an earthquake? Hello, last month I experienced dizziness (feeling like the ground was shaking, and I was unsteady while walking). During this time, my right little finger felt a bit numb. I went to National Taiwan University Hospital for a consultation. The doctor sa...
Dr. Gao Chunde Reply:
Your symptoms do not resemble those of cerebellar atrophy or Parkinson's disease, and since the MRI did not show any abnormalities, you can be temporarily reassured. The overall course of your condition is more consistent with what is referred to as inner ear imbalance, whic...[Read More] Understanding Dizziness and Tremors: Possible Causes and Next Steps
Uncontrollable Hand Contraction: When to Seek Neurological Help?
Involuntary hand flexion? Hello! I have recently experienced involuntary contractions in my right hand, resembling cramps, making it difficult to control my right palm. I can alleviate this by pulling my right hand with my left hand. This has occurred twice recently after taking ...
Dr. Lin Rongzhou Reply:
Hello, based on your description: In recent months, your right hand has been involuntarily curling inward, resembling a cramp, and you have difficulty controlling your right palm. You can alleviate this by pulling your right hand with your left hand. This has occurred twice recen...[Read More] Uncontrollable Hand Contraction: When to Seek Neurological Help?
Unexplained Toe Pain: When to Seek Medical Attention?
Unexplained toe pain? Hello Doctor: Since I woke up this morning, I have been experiencing inexplicable numbness and pain in all ten of my toes, feeling as if something has just hit my feet. There is a tingling sensation that can be slightly relieved by changing positions, but in...
Dr. Gao Chunde Reply:
If the numbness and pain are spreading upwards (from the calf to the thigh) and even affecting the fingertips, or if there is some weakness in the legs, it could be an early sign of acute neuritis, and it is important to seek medical attention promptly.[Read More] Unexplained Toe Pain: When to Seek Medical Attention?
Understanding Pinky Finger Numbness: Causes and Solutions
Pinky finger numbness? The phenomenon you described occurs only during sleep, specifically when lying on your back with your hands placed on your chest for a period of time, resulting in a tingling sensation in your little finger. This sensation resolves quickly after you straigh...
Dr. Gao Chunde Reply:
Many people experience this symptom. If it resolves upon changing positions, you can monitor it. However, if the duration of numbness increases gradually, it may be worth consulting a neurologist to examine whether there are other underlying causes affecting the nerve. It may be ...[Read More] Understanding Pinky Finger Numbness: Causes and Solutions
Muscle Twitches and Cramps: Seeking Solutions for Unexplained Symptoms
Muscle issues There are involuntary muscle twitches throughout my body, especially around the left rib area where the contractions, twitching, and tightness are particularly severe. I am unable to sleep. I consulted a neurologist who prescribed muscle relaxants, but they have not...
Dr. Gao Chunde Reply:
Generally, benign muscle fasciculations occur without a specific cause or as a simple response to overuse of the muscles. They are also common in individuals who experience stress and have difficulty relaxing. This is due to an increase in neurotransmitters that control muscle co...[Read More] Muscle Twitches and Cramps: Seeking Solutions for Unexplained Symptoms
Understanding Tennis Elbow Symptoms and Associated Tremors
Symptoms of tennis elbow? Hello, Doctor! Description of symptoms: For the past two months, I have experienced occasional weakness between my left elbow and wrist. Sometimes, I also feel sensations of cold and heat (similar to the feeling of numbness in hands and feet after a pe...
Dr. Gao Chunde Reply:
After intense exercise, it is common to experience temporary localized muscle weakness and slight muscle twitching; however, these symptoms should naturally improve after rest. As for sensations of cold or heat, it is important to pay attention to the location of these sensations...[Read More] Understanding Tennis Elbow Symptoms and Associated Tremors
Understanding Nerve Issues After a Fall: Symptoms and Solutions
The nerves in my toes feel strange..? Two months ago, I fell from a workbench about 15 centimeters high. Aside from a bruise approximately 10 centimeters in diameter on the back of my calf near the ankle, I didn't have any major issues. However, the bruise hasn't faded,...
Dr. Gao Chunde Reply:
The nerve on the outer side of the foot runs along the outer ankle, so any bruising or swelling in this area that compresses the tissue could cause the symptoms you described. Removing the source of compression will allow the nerve to gradually recover. If there is no swelling or...[Read More] Understanding Nerve Issues After a Fall: Symptoms and Solutions
Understanding Numbness in Toes: Causes and When to Seek Help
Numbness in the toes? Hello Doctor: I am a 40-year-old female, and I occasionally experience tingling in my toes and fingertips. Recently, I have been feeling frequent numbness in my left big toe, especially noticeable when I lie in bed before sleeping. What could be the cause of...
Dr. Gao Chunde Reply:
Peripheral neuropathy at the extremities is often due to specific causes such as peripheral nerve damage or peripheral circulation disorders. If symptoms worsen when lying in bed at night, it is important to consider whether there is lumbar spinal stenosis. When the lumbar region...[Read More] Understanding Numbness in Toes: Causes and When to Seek Help
Understanding Finger Pain: Is It a Nerve Issue?
Tingling sensation in the index finger? Could the sharp, needle-like pain I feel when pressing on my index finger be a neurological issue, especially since an X-ray taken during my visit to the surgeon showed no abnormalities?
Dr. Chen Haorong Reply:
Hello: A tingling sensation is a symptom of neuropathic pain, but inflammation of the joints or tendons in the index finger can also cause localized tingling, especially if only the index finger experiences pain while the thumb and middle finger are asymptomatic. This issue may b...[Read More] Understanding Finger Pain: Is It a Nerve Issue?
Progressive Asymmetrical Numbness and Weakness in Hands and Feet
Progressive numbness and weakness with asymmetry in the limbs? The mother is 51 years old and has been experiencing numbness and weakness in her fingers and toes for the past month. Initially, the symptoms were limited to the tips of her fingers, but this month they have progress...
Dr. Gao Chunde Reply:
Peripheral neuropathy is progressing quite rapidly, especially in terms of weakness. It is recommended to seek further detailed examination at a major hospital's neurology department as soon as possible. If the progression is too fast, hospitalization may be necessary, but t...[Read More] Progressive Asymmetrical Numbness and Weakness in Hands and Feet
Understanding Pulsating Blood Vessels in the Nose and Headaches
Pulsating blood vessels in the nasal bridge and headache? Hello! About three years ago, I started to notice a pronounced pulsation of the blood vessels on the left side of my nasal bridge. Initially, this was accompanied by a feeling of pressure in the facial area near the nasal ...
Dr. Lan Shengxing Reply:
Hello, anonymous patient. The pulsation of the blood vessels can indeed be a bothersome issue. It may be necessary to have a blood test to determine if it is vasculitis. Additionally, you might consider consulting an otolaryngologist for further advice.[Read More] Understanding Pulsating Blood Vessels in the Nose and Headaches