Understanding Parkinson's and ALS: Addressing Anxiety and Symptoms
Hello, doctor. I would like to inquire about concerns regarding Parkinson's disease and amyotrophic lateral sclerosis (ALS)? Hello Doctor: I have been experiencing depression, anxiety, panic, and health anxiety for a year now. Prior to this, I was doing well. I have been mak...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned, "Am I really overthinking and living in fear every day... Could my depression and anxiety cause dopamine scans to show abnormalities, and is there a chance that a doctor might diagnose me with Parkinson's?" In clinical practice, neurologi...[Read More] Understanding Parkinson's and ALS: Addressing Anxiety and Symptoms
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 Hand Tremors After an Accident: Is It Normal?
Tremor issues? A few weeks ago, after a car accident, my hand started to feel weak, and I noticed that it trembles when I make a fist. I had an MRI done by a neurosurgeon, who said there were no significant issues with my spinal nerves. Then I went to a rehabilitation specialist,...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "my hand started to feel weak, and then I noticed that my hand trembles when I make a fist. However, after an MRI examination by a neurosurgeon, the doctor said there were no significant issues with my spinal nerves." I wonder if you are...[Read More] Understanding Hand Tremors After an Accident: Is It Normal?
Understanding Hand Weakness: When to Seek Medical Advice
Hand problems Hello, doctor. I am currently in high school, and I recently noticed that when I write with my right hand, I suddenly experience a feeling of weakness, making it difficult to apply force. If I force myself to write, my handwriting becomes crooked, and it feels like ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more indicative of ulnar nerve neuropathy, particularly affecting the branches on the back of the hand. This condition can occur when the elbow rests on a hard surface or when pressure is applied to the elbow, such as during com...[Read More] Understanding Hand Weakness: When to Seek Medical Advice
Understanding Hand Weakness: A Deep Dive into Neurological Concerns
Occasionally, there is weakness in the fingertips? Last month, I occasionally experienced weakness in my fingertips (specifically, weakness in the distal phalanx of my left index finger), which would improve after about half a day. I also had brief episodes of pain in my hands an...
Dr. Jiang Junyi Reply:
Hello, here are a few suggestions for your consideration: 1. It is recommended to consult the same hospital for a comprehensive understanding of your medical history, which can help in diagnosing your condition more effectively. 2. Engaging in physical exercise and getting sunlig...[Read More] Understanding Hand Weakness: A Deep Dive into Neurological Concerns
Understanding Neurological Symptoms: Concerns About Hand Weakness
Regarding the previous question? Hello Doctor, I am the person who previously asked you about experiencing weakness in the first phalanx of my left finger, where it sometimes cannot be pressed down. I have read your response multiple times, but I still don't understand your ...
Dr. Jiang Junyi Reply:
Hello: You may be overthinking it. It is recommended to establish a complete medical history with the same hospital. The diagnosis of a disease requires a period of observation and assessment. It is advisable to develop a routine of moderate exercise and regular sleep patterns, i...[Read More] Understanding Neurological Symptoms: Concerns About Hand Weakness
Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Hello, Dr. Jiang? In April 2019, I received a combined measles vaccine and was taking medication for Helicobacter pylori. After 1-3 days, I experienced severe throat pain, persistent phlegm, general weakness, and fatigue. I consulted an otolaryngologist and underwent a neck ultra...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether you are experiencing overweight issues. It may also be necessary to consider sleep apnea: if you have this condition, it can lead to daytime concentration difficulties and frequent drowsiness. There are generally two types...[Read More] Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Understanding Hand Weakness: When to See a Neurologist
Occasionally experiencing weakness in both hands? Hello doctor, since early February, I have been experiencing occasional mild pain and soreness in the thumbs and the web spaces of both hands. Sometimes, my upper arms also feel weak and fatigued, and I occasionally notice muscle ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the symptoms may need to consider cervical nerve root compression at the sixth level causing paresthesia. As for the symptoms of amyotrophic lateral sclerosis (ALS): the primary manifestation of fasciculations is due to the degeneration of lower motor ne...[Read More] Understanding Hand Weakness: When to See a Neurologist
Understanding Hand Weakness: When to Seek Neurology Help
Hand issues? Hello Doctor: I often feel weakness in my hands and a lack of dexterity in my fingers. However, there are times when everything feels normal, and it currently does not affect my daily life. I frequently use my phone, often supporting it with the palms of both hands. ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a peripheral nerve compression issue, with carpal tunnel syndrome being quite common. Diagnosis of peripheral nerve injury can be performed using nerve conduction studies. Nerve conduction studies involve the use of very fine electrical currents t...[Read More] Understanding Hand Weakness: When to Seek Neurology Help
Understanding Hand Weakness and Numbness: When to See a Specialist
Weakness and numbness in the hands? Hello Doctor, I have been experiencing issues with my hand for several years. Whenever I perform actions like wringing a towel or tying my hair, my right wrist sometimes becomes immobile for a period of time. It feels as if the tendons inside a...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the action of twisting a towel to tie your hair has caused symptoms such as numbness and weakness in your wrist. From the perspective of potential causes, this may be related to compression of the median nerve. However, you also mentioned experiencing nu...[Read More] Understanding Hand Weakness and Numbness: When to See a Specialist
Understanding Hand Weakness and Muscle Twitches: Neurological Insights
Hand issues and muscle tremors? Hello Doctor, I have been experiencing weakness in the grip of my bilateral index and middle fingers for over three months, but it does not significantly affect my daily life. Additionally, I occasionally experience sudden twitching in the thenar m...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned may indicate a problem with cervical nerve root compression, possibly at the C5-C6 level, as there is weakness present on both sides. This is less characteristic of a stroke, which typically presents with unilateral limb symptoms. I recommend tha...[Read More] Understanding Hand Weakness and Muscle Twitches: Neurological Insights
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
Sudden Hand Weakness: Understanding Possible Neurological Issues
Sudden weakness in the hand? Recently, an elder in my family has been experiencing sudden hand weakness and trembling for a brief period (about 1 to 2 minutes) while holding objects. However, they are able to keep hold of the items without dropping them. What could be the cause o...
Dr. Jiang Junyi Reply:
Hello: Sudden tremors may be caused by a lack of coordination in muscle and nerve function, commonly referred to as "movement disorders." The muscle groups involved in executing a movement include the agonist and antagonist muscles, which coordinate to produce posture o...[Read More] Sudden Hand Weakness: Understanding Possible Neurological Issues
Unexplained Discomfort Behind the Ear and Neck: A Neurology Perspective
Discomfort behind the ear and in the neck of unknown origin? Hello Doctor: About a month ago, I started experiencing a noticeable feeling of pressure in my left ear, similar to the sensation of having water trapped in the ear while showering. In quieter surroundings, I can hear a...
Dr. Gao Chunde Reply:
Left hand weakness is a new symptom; it is advisable to see a neurologist as soon as possible to arrange for further evaluation.[Read More] Unexplained Discomfort Behind the Ear and Neck: A Neurology Perspective
Sudden Left Hand Weakness: Is It a Neurological Concern?
Sudden loss of dexterity in the left hand? Hello, Doctor. Since this morning, I've noticed that my left palm becomes very slow when I try to open it after closing it (it slows down when opening), but then it gets better. This situation occurs again when I unconsciously clasp...
Dr. Gao Chunde Reply:
This is a phenomenon of muscle stiffness, where the muscles continue to contract involuntarily during exertion and have a delayed relaxation. It may be an early symptom of certain specific muscle diseases, and it is recommended to consult a neurologist for further examination and...[Read More] Sudden Left Hand Weakness: Is It a Neurological Concern?
Sudden Hand Weakness and Pain: Possible Causes and Concerns
Sudden weakness and pain in the palm? It seems that starting from yesterday evening, I suddenly felt pain when pressing on my left palm, with a bit of weakness, although I can still exert some force. However, after one night, the soreness has become more pronounced, and there is ...
Dr. Gao Chunde Reply:
I am not sure if you have any wounds on your hand, but if you do, along with redness, swelling, and heat in the hand and arm, you should be cautious about the possibility of an infection. If you consumed raw food, it should not be an issue unless there was a puncture or abrasion ...[Read More] Sudden Hand Weakness and Pain: Possible Causes and Concerns
Understanding Ischemic Stroke: Treatment Options and Next Steps
Ischemic stroke On February 7th of this year, my husband visited a neurosurgeon due to weakness in his right hand. After examinations, he was diagnosed with an ischemic stroke accompanied by right hand weakness. However, a year ago, he had already shown some slurred speech, which...
Dr. Ye Boshou Reply:
Hello: 1. The recovery of nerves after a stroke depends on the extent of the damage and the rehabilitation process. 2. Aspirin only plays a preventive role. 3. There should be no issues with transferring to another specialty; these are within the scope of neurology, so there is n...[Read More] Understanding Ischemic Stroke: Treatment Options and Next Steps
Understanding Nerve Damage: Managing Hand Weakness and Numbness
Numbness and weakness in the right hand, unable to exert force freely? Hello Dr. Lai: I would like to ask about my brother, who was in a car accident in 1991. I'm not sure where he was injured, but at that time, he experienced significant numbness and pain in both hands, whi...
Dr. Lai Lunxiang Reply:
I believe there may be nerve damage. This time, I think it's important to check for any issues in the brain regarding the problem with the left hand, so please consult a neurosurgeon.[Read More] Understanding Nerve Damage: Managing Hand Weakness and Numbness
Understanding Hand Weakness and Numbness: When to Seek Neurology Care
Numbness and weakness in both hands? My wife has been experiencing weakness in her hands and has even developed numbness since she started doing heavier cement work. Could you please advise on the possible reasons for this? If she needs to see a doctor, which specialty should she...
Dr. Jiang Siyi Reply:
Based on the information provided regarding this issue, it is not possible to accurately locate the lesion. It is recommended that the patient visit a neurology clinic in person for evaluation and treatment.[Read More] Understanding Hand Weakness and Numbness: When to Seek Neurology Care
Post-Injection Hand Weakness and Tremors: What You Need to Know
Since I received the injection, my arm has been weak and it keeps shaking a little? Last week, on the 2nd, I went to the clinic for an injection due to a fever. After the injection, the next day my hand felt a bit weak and it keeps shaking a little. I can't even write. My da...
Dr. Huang Yingzhe Reply:
There are many causes of tremors, and the characteristics of the tremors are also important. Whether it is in both hands or one hand, and the location of the injection, all affect the conclusion! If the symptoms have not improved when receiving this message, it is advisable to co...[Read More] Post-Injection Hand Weakness and Tremors: What You Need to Know