How Long Can I Take Micobalance for Nerve Repair?
How long can Micropore be taken? Hello Dr. Jiang, I participated in a half marathon in the second half of last year, and after finishing, I noticed pain in the ball of my foot. This later developed into numbness in my toes, and even in winter, my big toe becomes numb in colder we...
Dr. Jiang Junyi Reply:
Hello: Your issue may be related to compression of the plantar nerves causing metatarsal nerve damage. If you are experiencing recurrent pain in the forefoot, it may be worth considering excessive foot rotation while running and insufficient arch support. Regarding the use of vit...[Read More] How Long Can I Take Micobalance for Nerve Repair?
Understanding Right Leg Weakness: Possible Causes and When to See a Neurologist
Unilateral weakness? Hello Doctor: My mother has been experiencing weakness in her right leg for about three days. Aside from this, she has not felt any pain or numbness, and there are no issues with her right hand. My mother works in the sewing machine industry, similar to alter...
Dr. Jiang Junyi Reply:
Hello: Based on your description, your mother has a history of hypertension and other cardiovascular diseases, which places her in a high-risk group for stroke. If she experiences sudden neurological deficits such as weakness in limbs or slurred speech, the first consideration sh...[Read More] Understanding Right Leg Weakness: Possible Causes and When to See a Neurologist
Understanding Persistent Right Leg Numbness: Causes and Next Steps
I often experience tingling on the right side of my body, but I have already been examined by a neurosurgeon? I have been examined by a neurosurgeon, and both my cervical and lumbar spine show bone spurs, but the doctor said they are very small and do not require rehabilitation. ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "piriformis syndrome." The piriformis muscle is located deep in the buttocks and spans between the spine and the hip joint. When the piriformis muscle becomes inflamed, it can compress the sciatic nerve, leading to symptoms of numbness a...[Read More] Understanding Persistent Right Leg Numbness: Causes and Next Steps
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
Can Amputation Relieve Pain from Peripheral Neuropathy After Stroke?
Peripheral neuropathy after stroke? My mother is 77 years old and after a minor stroke in September 2016, she began experiencing swelling and numbness in her right foot, which was diagnosed as peripheral neuropathy. Any medications or treatments have only worsened her condition, ...
Dr. Jiang Junyi Reply:
Hello: I would like to know if your mother has a history of hypertension, diabetes, or tumors. There are many potential causes of lower limb pain, such as venous insufficiency, nerve root compression due to herniated discs, peripheral artery disease, and diabetes, among others. B...[Read More] Can Amputation Relieve Pain from Peripheral Neuropathy After Stroke?
Understanding Intermittent Dizziness: Causes and Concerns
Intermittent dizziness? Hello, I have been experiencing intermittent dizziness recently. Two days ago, I felt dizzy when I turned my head, and the dizziness intensified (with a slight feeling of instability). I thought it might be due to a lack of exercise since starting college,...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head position. Actions such as tilting your head back, lying down, getting up, turning over, or suddenly turning your head can trigger ...[Read More] Understanding Intermittent Dizziness: Causes and Concerns
Do You Need a Neurology Checkup for Numbness and Weakness?
Do I need to see a neurologist for an examination? Last year, around July and August 2017, I experienced numbness and some weakness on the left side of my hand, foot, waist, and neck. Sometimes, I even felt numbness behind my left ear. At that time, I went to the neurology depart...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may warrant consideration of brain lesions (sudden onset of blurred vision) and spinal cord nerve lesions (abnormal sensations in the left limbs), among others. May I ask what examinations you have undergone at our hospital? Please share your medical history ...[Read More] Do You Need a Neurology Checkup for Numbness and Weakness?
Can Frequent Hits to the Back of the Head Affect My Brain Function?
Frequently hit on the back of the head? Hello, doctor: I am currently in high school, but my classmates often make fun of me and frequently hit the back of my head (quite hard, and it makes me feel dizzy). This has been happening for almost a year... I would like to know if this ...
Dr. Hong Weibin Reply:
Hello: Chronic head trauma can indeed lead to brain damage and even pose a risk of intracranial hemorrhage, which over time may result in cognitive decline. Foreign studies have found that individuals who experience head injuries at a young age, such as boxers or football players...[Read More] Can Frequent Hits to the Back of the Head Affect My Brain Function?
Understanding Dizziness and Imbalance: Possible Neurological Causes
Dizziness and a sense of imbalance? Hello Doctor, I have been experiencing frequent headaches and dizziness lately. However, the dizziness is not like the room spinning; it feels more like a sudden moment of disorientation, accompanied by a sensation of my heart skipping a beat. ...
Dr. Jiang Junyi Reply:
Hello: If dizziness is related to head position, it may be necessary to consider benign paroxysmal positional vertigo (BPPV), which is usually caused by inner ear imbalance. However, since you mentioned symptoms of visual and sensory tilt, it may be important to consider issues r...[Read More] Understanding Dizziness and Imbalance: Possible Neurological Causes
Understanding Deep Foot Pain: Causes and Solutions for Your Symptoms
Deep pain in the soles of both feet? Hello, Doctor. I would like to ask you: A few days ago, I started experiencing mild pain in the soles of both feet, which has progressed to localized pain today. The affected area includes the five toes (with the big toe experiencing more stab...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest Tarsal Tunnel Syndrome, as the posterior tibial nerve is compressed while passing through the tarsal tunnel behind the medial malleolus. Common clinical symptoms include numbness, burning sensations, tingling, and other abnormal sensations in the ...[Read More] Understanding Deep Foot Pain: Causes and Solutions for Your Symptoms
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 Stroke Be Treated? Understanding Care Options and Concerns
Can a stroke be treated? My mother suddenly experienced facial drooping and weakness in her left arm and leg, and was urgently taken to the hospital. The doctor diagnosed her with a stroke and administered three doses of tissue plasminogen activator (tPA) and started an IV drip. ...
Dr. Hong Weibin Reply:
Currently, for the treatment of stroke, if a patient arrives at the hospital within 3 hours of the onset of acute stroke symptoms (calculated from the last time they were normal), thrombolytic therapy can be administered. If the patient arrives within 4 to 6 hours (and in some ca...[Read More] Can Stroke Be Treated? Understanding Care Options and Concerns
Understanding Neurological Symptoms After Eating Undercooked Crab
Brain issues, neck issues, infection issues? About 3.4 weeks ago, I ate an undercooked crab. A few hours after eating, I developed a headache. The next day, I woke up feeling dizzy, and during the first week, I experienced nausea and tingling in my scalp. I then visited a neurolo...
Dr. Jiang Junyi Reply:
Hello: You mentioned brain parasites, which should be quite rare in Taiwan. However, if you travel to other countries and consume undercooked food, you may become infected. For example, in the country where I am currently serving (Eswatini, Africa), traces of certain brain parasi...[Read More] Understanding Neurological Symptoms After Eating Undercooked Crab
Understanding Nerve Sensations: Tingling in the Left Pinky Toe
Tingling sensation in the left little toe when going down the stairs? Hello doctor, recently I have been experiencing a tingling sensation in my left little toe when going down the stairs. If I jump on my left foot, the little toe also feels tingling. Additionally, after standing...
Dr. Jiang Junyi Reply:
Hello: Numbness in the left little toe may indicate nerve compression, with the first consideration being compression of the lateral plantar nerve, which is often associated with uneven pressure on the foot, such as ill-fitting shoes. Additionally, it may be necessary to consider...[Read More] Understanding Nerve Sensations: Tingling in the Left Pinky Toe
Understanding Foot Muscle Twitches: Causes and Solutions for Sleep Disruption
Muscle twitching in the soles of the feet? Recently, I've been going to bed around 3 AM, and I've noticed that when I'm trying to fall asleep, my feet involuntarily twitch, which leads to insomnia. This has been very distressing.
Dr. Jiang Junyi Reply:
Hello, there are many causes for leg twitching or a prickling sensation. It may be necessary to consider conditions such as muscle diseases or lumbar nerve compression. Additionally, it could be related to restless legs syndrome (RLS), especially if there is a higher likelihood o...[Read More] Understanding Foot Muscle Twitches: Causes and Solutions for Sleep Disruption
Understanding Left-Sided Numbness: When to See a Doctor?
Numbness on the left side of the body? Initially, I felt numbness on the left side of my buttocks, which then spread to my left hand and foot, followed by numbness in my left face. These sensations of numbness are accompanied by slight soreness and weakness, and they are persiste...
Dr. Jiang Junyi Reply:
Hello, your abnormal neurological sensations from the lower limbs to the face may warrant consideration of lesions above the cervical spine, including the brain. I recommend that you consult a neurologist to discuss examination and treatment options. Wishing you good health, peac...[Read More] Understanding Left-Sided Numbness: When to See a Doctor?
Understanding Nerve Compression Symptoms: Insights and Concerns
Nerve compression symptoms Hello Dr. Jiang, I previously experienced lower back pain due to prolonged standing and heavy lifting at work. A month ago, I consulted with traditional Chinese medicine, orthopedics, and neurosurgery. All the doctors indicated that my spinal X-ray res...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms should first consider lumbar nerve pathology, which is usually accompanied by decreased ankle and plantar reflexes. The calves often exhibit congestion and swelling, with sensory abnormalities on the outer side of the lower leg belo...[Read More] Understanding Nerve Compression Symptoms: Insights and Concerns
Understanding Leg Numbness: When to See a Neurologist or Orthopedist
Numbness in the feet? In the past two weeks, I have experienced numbness in my legs (from the thigh to the calf) when I first sit down, lie down, or while walking. The numbness is accompanied by a cool sensation, and it occurs intermittently. About three years ago, I went to a ma...
Dr. Jiang Junyi Reply:
Hello, your foot numbness may be due to a herniated lumbar disc causing nerve root compression. This often presents with radiation into the calf. Clinically, a neurologist may arrange for a nerve conduction study to assess the extent of nerve compression. If the symptoms are more...[Read More] Understanding Leg Numbness: When to See a Neurologist or Orthopedist
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-Car Accident: Dealing with Right Leg Weakness and Numbness
After the car accident, there is weakness in the right leg muscles and frequent sensations of numbness? Hello, Dr. Jiang. I was in a car accident on June 4, 2017, during which I sustained noticeable abrasions on my right foot and right hand. However, after 2-3 weeks, the abrasion...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to a tendon injury. The lumbar spine can become inflamed or compress the nerve roots due to external forces. If rehabilitation treatment is not pursued due to pain, muscle atrophy may occur from disuse. In addition to...[Read More] Post-Car Accident: Dealing with Right Leg Weakness and Numbness