Understanding Uncontrollable Leg Stretching During Sleep
The foot unconsciously wants to stretch forward? Hello, doctor! My right foot experiences difficulty sleeping due to an urge to stretch it forward, and even after stretching, there is no improvement. Could you please tell me what kind of symptoms this might be?
Dr. Cai Zongzhang Reply:
Hello, Ms. Tsai! It is recommended that you visit the neurology outpatient clinic for an examination.[Read More] Understanding Uncontrollable Leg Stretching During Sleep
Chronic Pain in Left Second Toe: Seeking Answers and Solutions
Pain in the second toe of the left foot? Hello Dr. Jiang, I have been experiencing pain in my toe for nearly ten years (the exact duration is hard to remember). I have been seeing a neurologist at the hospital and have been taking medication intermittently for four years (the pai...
Dr. Jiang Junyi Reply:
Dear Ms. Chang, In your description, you mentioned, "The pain starts again once the medication is stopped, and it varies in intensity, coming and going, which affects my sleep and makes it difficult to fall asleep." This provides clues to potential underlying causes, w...[Read More] Chronic Pain in Left Second Toe: Seeking Answers and Solutions
Persistent Pain Between Toes: Seeking Solutions for Ongoing Discomfort
There is a sharp pain in the dorsum of the foot upon touch (which has persisted for six months)? Hello Doctor, I used to stand for long periods at work, which often caused my feet to be very sore. Most of the soreness and pain would return to normal after a period of rest, but th...
Dr. Jiang Junyi Reply:
Hello, Miss 0w0: Your symptoms are clinically referred to as "allodynia" and "hyperesthesia," which are manifestations of sensory hypersensitivity. Clinically, in addition to physical therapy, certain medications can also help alleviate the symptoms. Furthermo...[Read More] Persistent Pain Between Toes: Seeking Solutions for Ongoing Discomfort
Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. This week, I have been trying to massage and improve my sleep quality (going to bed around 10:00 PM and waking up at 5:30 AM, waking up once or twice during the night). The muscle twitching in my ...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, In the previous two responses, I believe I have addressed some of your concerns. Nerves require adequate sleep and nutritional support for repair. Fortunately, there are two experts in peripheral nerves at National Taiwan University Hospital—Professors Chih-Chao Y...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Understanding Muscle Issues: Insights from Neurology for Better Health
Muscle issues? Hello Doctor, I am the person who previously inquired about muscle twitching issues. Recently, before my graduation, I visited a physician and mentioned the strange sensation in the muscles on the back of my right hand (which feels odd when I use my arm). I also me...
Dr. Jiang Junyi Reply:
Hello, Sir: Your concern about ALS primarily refers to issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those in the brainstem and spinal cord are called lower motor neurons. ...[Read More] Understanding Muscle Issues: Insights from Neurology for Better Health
Understanding Left Leg Numbness: Causes and When to Seek Help
Numbness in the left big toe? Hello, doctor. In recent months, I have been experiencing frequent pain in my left lower back, as well as occasional pain in my left pelvis and numbness in my left calf. Sometimes the pain is so severe that I cannot stand up straight. I would like to...
Dr. Jiang Junyi Reply:
Hello Ms. Cheng, The symptoms you mentioned may be related to nerve compression caused by posture. A herniated disc can lead to localized inflammatory responses resulting in lower back pain, which may extend to one or both sides of the buttocks or hips. If the herniated disc com...[Read More] Understanding Left Leg Numbness: Causes and When to Seek Help
Understanding Sudden Neck and Head Pain: When to Seek Neurology Help
Headache and neck pain, with the size and intensity of the pain points being consistent? Hello Doctor, thank you for taking the time to address my concerns amidst your busy schedule. Two days ago, while standing and working on a report, I suddenly experienced severe pain below my...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned wanting to know if this is a sign of a blood clot. A: If a blood clot is present, you can check the D-dimer to see if the clotting index has risen. In the case of vertebral artery embolism, it is usually accompanied by symptoms of loss of motor function...[Read More] Understanding Sudden Neck and Head Pain: When to Seek Neurology Help
Understanding Dizziness: Heavy Head and Light Feet Symptoms Explained
Dizziness characterized by a heavy head and light feet? Hello Dr. Jiang, I've been experiencing dizziness for the past two mornings upon waking up. It's a sensation of feeling heavy-headed and light-footed, with the dizziness being most severe when standing, somewhat l...
Dr. Jiang Junyi Reply:
Hello Ms. Cheng, Based on your description, the first consideration for your symptoms is mild heat syncope associated with heat-related illnesses. The primary cause is vasodilation of the skin microvasculature in high-temperature outdoor environments, leading to blood pooling in...[Read More] Understanding Dizziness: Heavy Head and Light Feet Symptoms Explained
Understanding Lateral Calf Numbness: Sciatica or Disc Herniation?
Bilateral calf paresthesia? In the morning, I experienced sudden numbness on the outer sides of my calves, and sometimes my ankles feel weak when walking, although I can still walk. I initially thought it was just a common foot numbness, but I noticed that the front of my calves ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that the symptoms of numbness and weakness may suggest compression of the peroneal nerve. This could be due to improper exercise leading to muscle tightness, or prolonged sitting, which can also cause compression (sometimes sitting on the toilet for too ...[Read More] Understanding Lateral Calf Numbness: Sciatica or Disc Herniation?
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? Hello Doctor, recently I have been experiencing a pulsating sensation in the sole of my right foot, which has become more noticeable in the past week or two, especially when lying down, and I can also feel it while sitting. I've been having trou...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest benign muscle twitching. Certain situations in daily life could trigger this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additionally, som...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Possible Drug Allergies: Neurological Symptoms and Treatment Options
Suspected drug allergy Dear Dr. Jiang, I have a few questions regarding my condition. About a month and a half ago, I had a small foreign object penetrate my left foot's fourth toe. During a skin biopsy at the hospital, I was prescribed a topical ointment called "Shipe...
Dr. Jiang Junyi Reply:
Hello David, Regarding the medication allergy you mentioned, particularly with ointments, it is rarely expressed in a neurological manner. Your symptoms may suggest lumbar nerve root compression. A common cause is inflammation resulting from a herniated disc, which can lead to l...[Read More] Understanding Possible Drug Allergies: Neurological Symptoms and Treatment Options
Understanding Numbness in the Right Foot: Causes and Solutions
Numbness in the dorsal aspect of the right foot? It has been about five days since I accidentally noticed that the top of my right foot feels numb. Initially, I thought it might be due to poor sitting posture, so I tried to improve my posture, but it didn't help. Yesterday, ...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may be indicative of a herniated disc, which could also be caused by sudden injuries such as twisting your waist, bending to lift heavy objects, or experiencing sudden excessive force. A herniated disc can lead to localized inflammatory responses resulti...[Read More] Understanding Numbness in the Right Foot: Causes and Solutions
Persistent Left-Sided Pain: A Year of Unexplained Symptoms
Pain and discomfort on the left side of the body, from the face to the ankle? I have been experiencing these symptoms for almost a year now. I have undergone many tests, but no cause has been identified. All symptoms occur on the left side of my body. 1. My left cheek constantly ...
Dr. Jiang Junyi Reply:
Hello Ms. Hou, Based on your description, it seems that you may be experiencing issues related to spinal nerve root compression. If the cervical nerve roots are involved, they may affect the arms. When a herniated disc causes compression of the nerve roots, it can lead to neurop...[Read More] Persistent Left-Sided Pain: A Year of Unexplained Symptoms
Should You See a Neurologist for Unexplained Shoulder Tremors?
Involuntary shoulder twitching and the sensation of goosebumps? Since I was a child, I sometimes experience involuntary shoulder twitching and goosebumps all over my body. During these episodes, I do not have any emotional fluctuations. Should I see a doctor for an examination? I...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned symptoms that may need to consider involuntary movement disorders caused by instability of dopamine in the basal ganglia of the brain, resulting in involuntary muscle movements. The manifestations can be divided into two types: one primarily involves mo...[Read More] Should You See a Neurologist for Unexplained Shoulder Tremors?
Understanding the Babinski Reflex: What Your Foot Responses Mean
Regarding the reflection of the bottom? Hello, doctor. I often check the soles of my feet for atrophy (worried about amyotrophic lateral sclerosis), and I recently came across a neurological reflex test called the Babinski reflex. I tried it myself while sitting with my feet bent...
Dr. Hong Weibin Reply:
The correct method for performing the Babinski reflex test is to have someone else conduct it and observe the responses on both sides for comparison, as doing it oneself can easily lead to inaccuracies.[Read More] Understanding the Babinski Reflex: What Your Foot Responses Mean
Understanding Numbness in the Top of Your Foot: Causes and Relief
Numbness in the dorsum of the foot? In the past few days, I have experienced numbness in the dorsum of my left foot, but there is no pain. Recently, I have been practicing yoga at home, including poses such as Cow Face Pose, Baddha Konasana (Bound Angle Pose), and seated forward ...
Dr. Jiang Junyi Reply:
Dear Ms. Wang, Based on your description, we need to consider two issues: symptoms related to nerve compression from a herniated disc or compression of the peroneal nerve. A herniated disc can also occur due to sudden injuries, such as twisting the waist abruptly or experiencing...[Read More] Understanding Numbness in the Top of Your Foot: Causes and Relief
Understanding Right Hand Issues: Symptoms and Concerns in Neurology
My right hand feels strange? Hello, doctor. I'm sorry to bother you again. Since I had the electromyography (EMG) test on my right hand, it felt strange for a while, and recently I've noticed it feels a bit off again, like it’s not functioning properly when I try to gra...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be related to poor posture. It is recommended to: 1. Change your position: Change your posture every 15 minutes to allow the neck tissues to rest. Maintaining any posture (including a normal one) for an extended period can lead to tissue fatigue and infla...[Read More] Understanding Right Hand Issues: Symptoms and Concerns in Neurology
Understanding Anxiety About Physical Health: A Neurology Perspective
Constantly worrying about one's health? Hello, doctor. Last time I asked you about the reflexes in my feet, and later that day, I couldn't bear the psychological burden anymore and went to see a doctor. This time, I found a different neurologist. After explaining my sit...
Dr. Hong Weibin Reply:
Hello: It's normal to be concerned about your health, but there's no need to worry excessively. You can exercise at home or read books to distract yourself, which will help prevent you from overthinking every day.[Read More] Understanding Anxiety About Physical Health: A Neurology Perspective
Understanding Leg Cramps and Twitches: Causes and Solutions
Sharp pain in the foot followed by twitching? Sometimes, when I'm about to fall asleep but still conscious (whether at night or during a nap), I experience an uncomfortable sensation in my legs (mainly in the calves), followed by involuntary jerking movements (usually in one...
Dr. Jiang Junyi Reply:
Hello: You mentioned muscle twitches before falling asleep, known as hypnic jerks. When the breathing rate decreases significantly during sleep or when dreaming of falling, the brain's nervous system perceives the body as being in danger and responds by quickly tensing the m...[Read More] Understanding Leg Cramps and Twitches: Causes and Solutions
Understanding Standing Discomfort: Causes of Dizziness and Imbalance
Discomfort while standing and dizziness after prolonged standing? I have a flat foot, and I tend to walk slightly to the left unless I concentrate hard to walk in a straight line. I find it difficult to maintain stability while standing, and I often experience chest tightness and...
Dr. Cai Zongzhang Reply:
Hello Dale! There are many reasons for difficulty standing for long periods. Based on the symptoms mentioned, possible causes could be low blood pressure or insufficient physical activity, leading to decreased muscle tone in the lower extremities. It is recommended to visit a neu...[Read More] Understanding Standing Discomfort: Causes of Dizziness and Imbalance