Understanding Facial and Hand Numbness: Possible Neurological Causes
Numbness in the face, hands, and scalp (mild tingling sensation)? Hello, I would like to ask about experiencing symptoms of facial and scalp numbness that occur repeatedly. Sometimes it affects the right cheek and the scalp at the back of the head, and after a while, it may shift...
Dr. Cai Zongzhang Reply:
Hello Mr. Huang: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic to determine the cause.[Read More] Understanding Facial and Hand Numbness: Possible Neurological Causes
Understanding Sudden Limb Weakness: Possible Causes and Concerns
Sudden weakness in the limbs for a period of time? Hello Doctor: About a month ago, I suddenly lost my appetite, which has continued to the present, accompanied by diarrhea for about 1 to 2 weeks. I visited a gastroenterologist and underwent a gastroscopy, which showed normal res...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned "ANA: 1:160." Diseases associated with a positive ANA include systemic autoimmune diseases as well as specific organ autoimmune diseases and non-autoimmune conditions, such as pregnancy, infections, and cancer. However, a titer of 1:160 may sti...[Read More] Understanding Sudden Limb Weakness: Possible Causes and Concerns
Understanding Cervical Disc Herniation and Spinal Cord Edema: A Patient's Journey
Cervical intervertebral disc herniation, cervical spinal cord edema? Hello Dr. Huang, thank you very much! I had an MRI on March 7 that confirmed cervical disc herniation. Additionally, I had a contrast-enhanced MRI on March 22, but the spinal cord edema could not be visualized. ...
Dr. Huang Hongling Reply:
Hello, if the neurosurgeon believes that the right hand numbness is not related to cervical disc herniation, they would still recommend that you consult a neurologist to thoroughly investigate the cause, in order to avoid unnecessary surgical risks. If your symptoms significantly...[Read More] Understanding Cervical Disc Herniation and Spinal Cord Edema: A Patient's Journey
Understanding Cervical Nerve Compression and TMJ Disorders
Cervical nerve compression and temporomandibular joint arthritis? Hello, doctor. Starting from October 2023, I began experiencing hand numbness, which later progressed to spasms in my hands and feet. After undergoing X-rays at the neurology, orthopedics, and rehabilitation depart...
Dr. Chen Weida Reply:
Hello, Pain Patient: Your current pain may be due to chronic myofascial pain syndrome. Since the pain has spread from the upper back to affect the temporomandibular joint, it is recommended that you consult a neurologist for further evaluation and early treatment of the chronic p...[Read More] Understanding Cervical Nerve Compression and TMJ Disorders
Understanding Dizziness and Dry Mouth: When to Seek Neurological Care
Dizziness and dry mouth? Recently, I have been experiencing dizziness, a feeling of pressure in the back of my head, dry mouth, tinnitus, and occasional numbness in my hands. My walking is normal. I visited a family medicine clinic where I was prescribed medication for the dizzin...
Dr. Jiang Junyi Reply:
Hello Mr. Ming: You mentioned feeling "pressure in the back of your head, dry mouth, tinnitus, and occasional hand numbness." Could you clarify the numbness in your hands? Is it bilateral or unilateral? If it is unilateral, we may need to consider cervical spine issues....[Read More] Understanding Dizziness and Dry Mouth: When to Seek Neurological Care
Understanding Nerve Pain from Foreign Objects: Risks and Concerns
Numbness and tingling in the hands and feet due to foreign objects? Hello Doctor, I would like to ask you about an issue I experienced a few days ago. My right pinky finger was struck by a foreign object, and I suspect there may be metal shavings in my skin or blood vessels. Sinc...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-An, You mentioned, "Is it possible for metal shavings to get lodged in blood vessels and cause infection? Is there a direct relationship between hand numbness and metal shavings getting stuck in nerves or blood vessels?" Foreign objects that enter the ar...[Read More] Understanding Nerve Pain from Foreign Objects: Risks and Concerns
Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
Neck issues, numbness in the limbs, facial nerve twitching? Initially, I experienced tightness in my shoulders and neck along with numbness in my hands (more severe in the right hand). Subsequently, I began to feel numbness in my left foot, and the muscles on both sides of my nec...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned experiencing "tingling in the left foot" and "intermittent electric shock-like sensations and pain in the muscles on both sides of the neck (right side)." Based on your description, it may be necessary to consider cervical spine disor...[Read More] Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Numbness in the hands and face accompanied by tinnitus? Previously, I visited a traditional Chinese medicine practitioner for a stiff neck, and after some time, my shoulder and neck pain improved. However, I suddenly started experiencing numbness in my hands, so I went to a nearb...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "sometimes when I wake up, I find my hands completely numb, and it takes about a few seconds to recover. The rehabilitation doctor said that invasive tests are needed to understand the symptoms." It may be necessary to consider compress...[Read More] Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Understanding Hand Numbness and Memory Lapses in Seniors
Numbness in the hands and brief episodes of mental blankness? Hello, my father is 68 years old and has been experiencing insomnia and numbness in his hands for about six months. Recently, while playing Mahjong with friends at night, he found it difficult to arrange the tiles. He ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "you found it difficult to arrange the Mahjong tiles... and your father is concerned whether it is dementia." This symptom is indeed indicative of cognitive dysfunction. Clinically, we would inquire about the patient's medical history and ...[Read More] Understanding Hand Numbness and Memory Lapses in Seniors
Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Numbness and tingling in both hands, weakness in both legs? Since March of last year, I started feeling a foreign sensation behind my occiput upon waking up one day. I consulted a doctor and took medication, but it did not improve. Later, the foreign sensation suddenly disappeare...
Dr. Jiang Junyi Reply:
Dear Miss Vicky, You mentioned "Multiple sclerosis? Neuritis? Autoimmune diseases? Diabetes? Herniated disc? Amyotrophic lateral sclerosis? CIDP?... Which specialty should I consult to thoroughly identify and resolve the issue?" You also noted that "the discomfort...[Read More] Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Right arm swelling and pain extending to finger numbness? Hello, I have been working in the food industry for a long time, and recently my right wrist appears more swollen compared to my left wrist and is less flexible. It hurts whenever I exert force, and I even struggle to push...
Dr. Jiang Junyi Reply:
Hello, Ms. Ruby: The symptoms you mentioned seem to indicate two issues combined. You noted that "the palms and fingers also feel numb, and at their worst, even the vibrations while riding a bike can cause the entire palm to go numb and unable to grip." This symptom re...[Read More] Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Understanding Medication Side Effects: When to Consult Your Doctor
Drug side effects Hello Doctor: I have migraines and have seen a doctor who prescribed me an anticonvulsant medication (Topiramate). The doctor informed me that it might cause hand numbness. I have been taking it for about a week and only experienced hand numbness, but today I su...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned, "Is this a normal side effect of the medication, or should I inform my doctor immediately or stop taking it? Am I at risk of having a stroke?" If you do not smoke, use birth control pills, or have a history of hypertension, diabetes, or oth...[Read More] Understanding Medication Side Effects: When to Consult Your Doctor
Understanding Left Hand Numbness and Pulsatile Tinnitus: A Medical Inquiry
Numbness in the left palm, with no sensation when touched? I often wake up around 2:30 to 3:30 AM, and I have experienced numbness in my left hand 3 to 4 times. Today, I noticed that my left palm has no sensation, and even when I press my fingers hard, there is no feeling. Before...
Dr. Cai Zongzhang Reply:
Hello, Hsin-Yi: The symptoms mentioned may be caused by nerve compression in the hand during sleep. If the symptoms persist and do not improve, it is recommended to visit a neurologist for further evaluation of the underlying causes.[Read More] Understanding Left Hand Numbness and Pulsatile Tinnitus: A Medical Inquiry
Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Right ear pain? Doctor: I wake up at night with numbness in my left hand, which feels like an electric shock type of numbness, or just numbness. I also feel a sense of emptiness and swelling at the top of my head. I woke up at 1:20 AM, with blood pressure readings of 94/58/73 on ...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Does autonomic nervous system dysfunction cause hand numbness that is not due to pressure points?" If it is due to hyperventilation leading to decreased carbon dioxide levels in the blood, resulting in an increased pH, this condition is m...[Read More] Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Post-Surgery Hand Numbness: When to Seek Medical Attention?
Postoperative hand numbness? Recently, I underwent general anesthesia for surgery. The first attempt to insert a peripheral intravenous catheter was on the lateral side of my wrist (at the extension of the thumb), but the vein was not successfully accessed. I experienced a pain t...
Dr. Jiang Junyi Reply:
Dear Ms. Zhao, You mentioned experiencing a tingling sensation in your index finger that feels like an electric shock at the back of your hand. I would like to know if you have also noticed any weakness in your wrist or fingers. Your symptoms may indicate that the sensory fibers...[Read More] Post-Surgery Hand Numbness: When to Seek Medical Attention?
Understanding Persistent Hand Numbness: Causes and Treatment Options
The issue of hand numbness has persisted for nearly a year without improvement? Hello, doctor. I work in the food service industry and frequently use my hands. I often experience numbness in my hands when lifting heavy objects. My dominant left hand often wakes me up at night due...
Dr. Jiang Junyi Reply:
Dear Ms. Chien, You mentioned, "What other methods can be used to determine the underlying cause of my hand numbness? Could it be related to my neck?" Common symptoms of peripheral nerve compression include pain, numbness, and weakness. Peripheral nerve examinations ca...[Read More] Understanding Persistent Hand Numbness: Causes and Treatment Options
Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues
Numbness in the hands? Hello Doctor, I have visited you before and was diagnosed with abnormalities in the parasympathetic nervous system. Currently, I am taking Fluxel and related vitamins. I went back to the rehabilitation department where I was previously diagnosed with cervic...
Dr. Jiang Junyi Reply:
Dear Mr. Sheng, You mentioned that "the numbness in your right thumb and index finger has not improved," which may indicate the need to consider compression of the median nerve rather than an issue with the autonomic nervous system. The median nerve is responsible for ...[Read More] Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues
Understanding Dizziness and Neck Issues: When to Seek Further Evaluation
Cervical spine, dizziness Hello Doctor, I started experiencing dizziness and hand numbness on January 17. I initially went to a general clinic where my blood pressure and heart rate were normal. After taking medication, my dizziness improved slightly, but I still occasionally fee...
Dr. Cai Zongzhang Reply:
Hello, cervical spine pain can cause nerve or vascular compression, leading to the symptoms mentioned above. It is recommended to consult a neurologist for evaluation and examination.[Read More] Understanding Dizziness and Neck Issues: When to Seek Further Evaluation
Understanding Hand Numbness and Arm Pain: When to See a Neurologist
Numbness in the hands and arm pain? I'm not sure if it's due to nerve compression in the wrist from exercising or prolonged computer use, but my fingers are numb, and my wrist cannot extend back to 90 degrees like it used to. I visited a clinic where I was prescribed an...
Dr. Jiang Junyi Reply:
Dear Mr. August, You mentioned that "after prolonged computer use, my fingers feel numb," which may indicate common median nerve injury or ulnar nerve injury. Median nerve injury, also known as carpal tunnel syndrome, typically occurs in individuals who perform repetit...[Read More] Understanding Hand Numbness and Arm Pain: When to See a Neurologist
Neck Compression and Sleep Issues: Choosing the Right Pillow
Cervical spine compression and sleep issues? Hello, doctor. I have compressed nerves in my cervical spine. After rehabilitation, the pain has subsided, but I still experience occasional hand numbness and intermittent neck pain while sleeping. In this condition, are there any spec...
Dr. Jiang Junyi Reply:
Hello Mr. Ben, You mentioned that you still experience intermittent hand numbness and neck pain while sleeping. I would like to know which cervical vertebrae you have issues with. I recommend using a supportive neck pillow, as cervical spine disorders are closely related to the ...[Read More] Neck Compression and Sleep Issues: Choosing the Right Pillow