Understanding Muscle Twitches: When to Seek Medical Attention
Muscle twitching In the past few days, I've been experiencing muscle twitching in a specific area of my foot, approximately 7 to 8 cm below the tip of my big toe. My dad mentioned it might be a pulse, but I'm not sure what it is. If I need to seek medical attention, wha...
Dr. Gao Chunde Reply:
If the beats are regular, you can place one hand on the pulse at your foot and the other hand on your left chest to feel your heart beating. If the rates are the same, it should be the arterial pulse, and there is no need to worry. However, if they are not the same and you are ce...[Read More] Understanding Muscle Twitches: When to Seek Medical Attention
Understanding Left Lower Limb Numbness and Weakness: Causes and Solutions
Numbness and tingling in the left lower extremity? Doctor, I have noticed that for the past couple of days, my left lower body, from the waist to the outer thigh and down to the sole of my foot, has been experiencing soreness, numbness, and weakness without any apparent reason. A...
Dr. Lan Shengxing Reply:
Dear Xiao, this issue is likely caused by a herniated lumbar disc. Please seek treatment from a neurosurgeon as soon as possible.[Read More] Understanding Left Lower Limb Numbness and Weakness: Causes and Solutions
Understanding Tremors: Causes and Solutions for Hand and Foot Shaking
Tremors in the hands and feet? I have been experiencing tremors in my hands and feet for the past two to three years, which I did not have before. Initially, my hands would tremble during certain activities, usually during finer movements like folding paper or when holding them s...
Dr. Gao Chunde Reply:
It may be involuntary tremors, some of which are primary or hereditary, while others may have specific causes such as thyroid issues or medications. Additionally, it could also be an early symptom of muscle weakness. A related assessment can be conducted at a neurology outpatient...[Read More] Understanding Tremors: Causes and Solutions for Hand and Foot Shaking
Morning Numbness or Swelling in Legs: When to See a Doctor?
Waking up with numb or swollen feet? Hello, Doctor. In the morning when I wake up, I often feel a tingling or swelling sensation below my knees. I can't quite distinguish whether it's tingling or swelling. I also experience this sensation during my commute on the MRT an...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest peripheral neuropathy causing foot numbness. Diagnosis typically requires examinations including clinical neurological assessments, blood tests, electromyography (EMG), and lumbar spine X-rays. The treatment for lumbar d...[Read More] Morning Numbness or Swelling in Legs: When to See a Doctor?
Understanding Thigh Pain: When to See a Neurologist for Leg Cramps
Left leg cramp? Hello, Dr. Jiang: I am experiencing intermittent cramping pain on the inner side of my left thigh near the groin area, which sometimes radiates down to my calf and the sole of my foot. This pain mostly occurs while walking, to the point where I am temporarily unab...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms may resemble sciatica, which is caused by nerve root compression due to a herniated disc. The primary manifestation includes pain or abnormal sensations extending from one side of the buttock down to the sole of the foot. The pain often wor...[Read More] Understanding Thigh Pain: When to See a Neurologist for Leg Cramps
Understanding Heel and Arch Pain: Is It Plantar Fasciitis?
Plantar fasciitis? Recently, I traveled and walked for 8 days straight. After resting for 5 days, I still experience pain in my left heel while walking. When sitting, I feel pain in the middle of the inner side of my left foot. When lying down flat, both my heel and the middle of...
Dr. Gao Chunde Reply:
If it is not plantar fasciitis, then it may be necessary to consider neurological issues, such as tarsal tunnel syndrome, which can present with numbness and tingling. It is advisable to consult a neurologist for confirmation.[Read More] Understanding Heel and Arch Pain: Is It Plantar Fasciitis?
Sudden Toe Pain: What Could Be Causing Your Symptoms?
The toes feel like they are being electrocuted? Last night, the tip of the second toe on the left side of my right foot suddenly felt like it was being shocked, causing me to fall back into my chair. It was only one toe, with no visible wounds and intact skin. Upon closer inspect...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider neuropathic pain. Its manifestations differ from typical pain following tissue injury, including sensations such as tingling, stabbing, electric shock, tearing, burning, coldness, numbness, and itching, often accom...[Read More] Sudden Toe Pain: What Could Be Causing Your Symptoms?
Understanding Involuntary Movements: Causes and Concerns in Teens
Involuntary movements When I first started high school, my right leg would sometimes start to twitch involuntarily, and I thought it was probably nothing serious. Recently, I've noticed that it has become more frequent, and now my left pinky finger also twitches involuntaril...
Dr. Yang Shenggong Reply:
Based on your description, your issue seems to involve intermittent involuntary movements in your right leg and left foot. Common possible causes include: 1) focal epilepsy 2) paroxysmal movement disorders 3) hyperthyroidism 4) myoclonus 5) cramps: this condition may involve pain...[Read More] Understanding Involuntary Movements: Causes and Concerns in Teens
Understanding Sleep-Related Numbness: Causes and Solutions
Numbness while sleeping? Hello, doctor. Recently, I often wake up in the middle of the night with numbness on the same side of my body. My head, hand, and foot on the right side feel numb. When I move a bit, it gets better, but I'm not sure what's going on. Thank you, D...
Dr. Gao Chunde Reply:
Generally, poor peripheral blood circulation affects at most one limb, either a hand or a foot, especially if there is compression. If both the head and the same side limb are involved, it indicates a problem above the cervical spine, particularly in the brain. It is advisable to...[Read More] Understanding Sleep-Related Numbness: Causes and Solutions
Post-Surgery Nerve Pain: Causes, Treatment, and Recovery Time
Postoperative neuropathic pain Hello doctor, I have been experiencing nerve pain in my foot and toes for the past few months after undergoing surgery for a thigh fracture. Is this normal? How can nerve pain be treated? The doctor prescribed me Neurobion F50. How long does it usua...
Dr. Jiang Junyi Reply:
Hello, based on your description, peripheral nerves can generally repair themselves, but the nerve growth rate is slow, averaging about 1mm per day. It is recommended that you consult a neurologist to discuss undergoing nerve conduction studies and treatment. Additionally, please...[Read More] Post-Surgery Nerve Pain: Causes, Treatment, and Recovery Time
Understanding Unexplained Neurological Decline: A Patient's Journey
Central nervous system degeneration? In March 2014, my weight inexplicably dropped from 70 kg to 58 kg within a month (and eventually down to 48 kg over the last six months) with no abnormalities found during health check-ups, and it was not due to intentional weight loss. Betwee...
Dr. Gao Chunde Reply:
You described your condition in great detail, and the persistent symptoms on one side of your body primarily suggest a central nervous system issue. However, your electromyography (EMG) and nerve conduction studies also show abnormalities, indicating that there may be peripheral ...[Read More] Understanding Unexplained Neurological Decline: A Patient's Journey
Understanding Persistent Leg Numbness: Causes and Treatments
Foot pain On the morning of March 13, I suddenly experienced numbness and swelling in my left foot, making it feel strange when I walk. The numbness has persisted since then. This sensation is different from the numbness I usually get from sitting on the toilet for too long, whic...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for leg numbness. Your symptoms may indicate compression of the sciatic nerve, which can occur due to localized pressure in the buttock or upper thigh, leading to nerve numbness. In severe cases, this may result in...[Read More] Understanding Persistent Leg Numbness: Causes and Treatments
Can Aspirin Users Still Experience Stroke? Insights from Neurology
During the use of aspirin, is there still a risk of having a stroke? Hello, in mid-October last year, I experienced a right brain vascular embolism, which resulted in my left foot being unable to bear weight. I received TPA injection in the emergency department and was diagnosed ...
Dr. Huang Yingzhe Reply:
Clinically, there are still many cases where patients experience a recurrent stroke despite taking aspirin. Currently, there is no method that can absolutely prevent a second stroke.[Read More] Can Aspirin Users Still Experience Stroke? Insights from Neurology
Understanding Foot Pain: When to Seek Neurology Help for Your Father
Foot pain issues? My father is 56 years old, but recently he has been complaining of severe foot pain, to the point where he limps when walking. In the past two to three weeks, the pain has become so intense that he can't stand or walk. He has visited two or three major hosp...
Dr. Gao Chunde Reply:
To assess the location of the foot pain and whether there are accompanying neurological deficits such as numbness or weakness, we can then infer the causes of the pain and weakness for targeted treatment. It may be advisable to consult a neurologist, who will further investigate ...[Read More] Understanding Foot Pain: When to Seek Neurology Help for Your Father
Effective Rehabilitation Strategies After Hemorrhagic Stroke
Stroke rehabilitation Hello! I would like to ask a question. About two months ago, I had a hemorrhagic stroke, but I was sent to the hospital in time, so the impact wasn't severe. The symptoms affected my right side, including my right hand, right foot, and slightly my speec...
Dr. Gao Chunde Reply:
In conjunction with the physician's treatment plan, engage in more physical activity in daily life, increase communication, and strive to train yourself to accomplish tasks independently.[Read More] Effective Rehabilitation Strategies After Hemorrhagic Stroke
Numbness in Left Big Toe: When to See a Specialist?
Numbness in the left big toe? Hello, I noticed about two to three weeks ago that the tip of my left big toe has a tingling sensation. When I press on the flesh, it seems to recover more slowly than my right foot. In cold weather, if I don't wear socks or keep warm enough, I ...
Dr. Gao Chunde Reply:
This is mostly due to insufficient peripheral blood circulation. It is advisable to pay more attention to keeping warm and to engage in gentle, sustained lower limb exercises such as walking, cycling, or playing sports.[Read More] Numbness in Left Big Toe: When to See a Specialist?
Understanding Numbness and Pain in Your Fourth Toe: Causes and Solutions
Numbness in the toes? The fourth toe on my right foot feels like the bone at its base is clicking when I walk, and sometimes it even hurts. Additionally, that toe is the only one that feels numb. This has been ongoing for several months. What could be the cause?
Dr. Gao Chunde Reply:
Generally, if the issue is related to the soles of the feet and there is no sprain or trauma, one should pay attention to whether the shoes have a hard sole or are too tight. If there is no improvement, it may be advisable to consult a neurosurgeon or a neurologist.[Read More] Understanding Numbness and Pain in Your Fourth Toe: Causes and Solutions
Understanding Lumbar Pain: Causes, Symptoms, and Specialist Guidance
Lumbar pain Around the end of October 2011, I sprained my ankle while playing basketball at noon. However, when I went to play again in the afternoon, the pain that was originally located below my spine seemed to have disappeared. But at the moment I stepped out with my right foo...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more indicative of a lumbar disc herniation, where the intervertebral disc compresses one of the two nerve roots at each level. Patients typically complain of pain radiating down one leg, while simultaneous radiation to both leg...[Read More] Understanding Lumbar Pain: Causes, Symptoms, and Specialist Guidance
Understanding Neonatal Hypoxia: Early Seizures and Prognosis
Neonatal brain hypoxia Hello, doctor. I am the one who just inquired about the issue of hypoxia in newborns. I would like to ask again, when you mentioned that seizures detected within 24 hours indicate a certain condition, does that mean the baby experienced seizures within 24 h...
Dr. Gao Chunde Reply:
It refers to symptoms that begin within 24 hours of birth, are localized, and can be quickly controlled with medication. The prognosis pertains to the overall damage caused by hypoxic-ischemic encephalopathy.[Read More] Understanding Neonatal Hypoxia: Early Seizures and Prognosis
Understanding Neonatal Brain Injury: Causes, Effects, and Treatment Options
Neonatal brain hypoxia Hello Doctor, my daughter was born ten days ago. After her birth, the pediatrician examined her and found everything to be normal. However, the next day, we noticed that her right hand and foot were involuntarily twitching, rather than stretching. Later, th...
Dr. Gao Chunde Reply:
Neonatal brain hypoxia can be assessed based on the timing of seizure onset. If seizures occur within the first 24 hours after birth, they are generally easier to control and are classified as moderate hypoxic-ischemic encephalopathy, with a possibility of complete recovery withi...[Read More] Understanding Neonatal Brain Injury: Causes, Effects, and Treatment Options