Hands, Neurology FAQ - Page 18

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Understanding Dizziness and Visual Disturbances: When to Seek Help

Dizziness/headache with visual disturbances? Hello Doctor, last weekend I experienced a sudden sharp pain on the left side of my head, and since then I have felt as if a layer of bright glitter has been placed over my vision, which has persisted for about five days. (However, the...


Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider a migraine with aura. Symptoms include visual disturbances such as seeing stars and lightning-like flashes, as well as blurred or distorted vision, which are all common migraine auras. A few minutes after the aura ...

[Read More] Understanding Dizziness and Visual Disturbances: When to Seek Help


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 Sleep Tremors and Migraines: When to Seek Medical Advice

Muscle twitching, migraine? Hello doctor, I would like to ask if the following symptoms my friend experiences while sleeping are normal and if she needs to go to the hospital for an examination. She is 20 years old, does not smoke or drink alcohol, has a family history of diabete...


Dr. Cai Zongzhang Reply:
Hello, regarding your friend's issue, it is uncertain if he is simply too fatigued. Especially considering the sleep conditions you described, this phenomenon may occur due to excessive fatigue or long-term irregular sleep patterns. It is recommended that he maintains a regu...

[Read More] Understanding Sleep Tremors and Migraines: When to Seek Medical Advice


Understanding Numbness and Pain in Limbs: Possible Neurological Issues

Numbness and pain in the hands and feet? Hello doctor: For the past month, I have hardly eaten anything and only drank water. I am gradually starting to eat again, but I feel numbness in my scalp, chest, hands, and feet. My hands and feet are also sore and weak, and I am experien...


Dr. Jiang Junyi Reply:
Hello: I wonder if you have undergone any medical tests? Many electrolyte imbalances can cause symptoms such as weakness or numbness in the limbs. For nerve repair, it is recommended to supplement with B vitamins. I suggest you consult an internist to discuss examinations and tre...

[Read More] Understanding Numbness and Pain in Limbs: Possible Neurological Issues


Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?

Fasciculation in amyotrophic lateral sclerosis (ALS)? I have been experiencing continuous muscle twitching all over my body for a month (in the soles and tops of my feet, backs of my hands, arms, elbows, shoulders, back, and face). A few days ago, my left calf twitched continuous...


Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons, and most patients do not have a family history. Motor neurons control muscle movement; those in the brain are referred to as upper mo...

[Read More] Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?


Is There a Connection Between Dizziness and Lower Back Pain?

Is there a connection between dizziness and lower back pain? Hello Doctor: I have experienced lower back pain three times in the past five years, each lasting two to three days. The pain occurs when I bend my back slightly. During the first two episodes of back pain, I fainted on...


Dr. Jiang Junyi Reply:
Hello, based on your description, we can divide it into two parts: first, let's discuss the possible causes of syncope (fainting). Common causes include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues an...

[Read More] Is There a Connection Between Dizziness and Lower Back Pain?


Managing Seizures Triggered by Antidepressants: A Patient's Journey

Post-drug-induced epilepsy Hello Doctor, about 14 years ago, I experienced a head injury. I have a history of depression and sleep disorders, and my depression improved over time. However, approximately 12 years ago, I fainted in the bathroom after taking antidepressant medicatio...


Dr. Cai Zongzhang Reply:
Hello, epilepsy requires regular medication adherence and treatment according to the physician's instructions. Additionally, maintaining a stable daily routine can help stabilize the condition.

[Read More] Managing Seizures Triggered by Antidepressants: A Patient's Journey


Understanding Palsy Symptoms: Insights on Nerve Compression Issues

Pangshan syndrome Hello, I often feel weakness in my hands when lifting heavy objects or gripping things, and sometimes my fingers tremble involuntarily. I previously underwent MRI and nerve tests at Chang Gung Memorial Hospital. The doctor mentioned that I have a condition simil...


Dr. Jiang Junyi Reply:
Hello: Based on your description, if a diagnosis of Friedreich's ataxia is to be considered, long-term follow-up treatment may be necessary. Some motor neuron diseases may initially be diagnosed as this type of condition. If it is Friedreich's ataxia, prolonged improper...

[Read More] Understanding Palsy Symptoms: Insights on Nerve Compression Issues


Understanding Dizziness and Facial Numbness: Possible Neurological Causes

Dizziness, a feeling of pressure and fullness in both sides of the back of the head, numbness in the left side of the face, and discomfort in the left eye? Hello Doctor: I am a 37-year-old male. Since May of last year, I have been experiencing dizziness, a feeling of pressure in ...


Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with the autonomic nervous system. I'm not sure if you have undergone any tests related to this or arterial blood gas analysis. Hyperventilation can also cause similar symptoms. Excessive hyperventilation leads to a decrease in carbo...

[Read More] Understanding Dizziness and Facial Numbness: Possible Neurological Causes


Understanding Body Tingling: Possible Causes and Recommendations

Tingling sensation in the body? Hello Doctor, about a month ago I suddenly felt a tingling sensation all over my body, without a specific area, almost like it was moving around. I even experienced tingling in my face and head. For a period of time, I often had palpitations and ch...


Dr. Jiang Junyi Reply:
Hello: Your symptoms appear at the extremities, which may suggest a deficiency in B vitamins or abnormal electrolyte levels causing peripheral neuropathy. Clinically, many conditions can lead to hyperventilation, including sepsis, significant blood loss, hypoxia, and acute myocar...

[Read More] Understanding Body Tingling: Possible Causes and Recommendations


Understanding Nerve Issues: Numbness, Cold Sweats, and Nausea Explained

Numbness in the hands and feet, accompanied by cold sweats and a feeling of nausea? Hello, doctor. In the past month, whenever I take a bus, I experience nausea, cold sweats, and tingling in my hands and feet. These episodes last about 10-15 seconds and occur 3-4 times during a o...


Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of hyperventilation syndrome. When this occurs, it leads to a decrease in carbon dioxide levels in the blood, resulting in an increased pH level, which triggers systemic reactions and symptoms. Common manifestations include dizziness and n...

[Read More] Understanding Nerve Issues: Numbness, Cold Sweats, and Nausea Explained


Why Your Hands Go Numb After Climbing: Understanding Nerve Issues

After climbing, my hands felt numb until the evening? Hello, I haven't exercised for a while, and today I hiked uphill for an hour. As a result, my hand gradually became numb, and by the evening, the numbness extended from my palm to my forearm. Is this normal? Thank you.


Dr. Jiang Junyi Reply:
Hello: Regarding the hand tingling sensation you mentioned related to exercise, the first thing that comes to mind is hyperventilation syndrome. This condition can lead to decreased carbon dioxide levels in the blood, resulting in an increased pH level. Consequently, blood flow t...

[Read More] Why Your Hands Go Numb After Climbing: Understanding Nerve Issues


Understanding Essential Tremor: Symptoms, Causes, and Concerns

Tremors and muscle twitching? Hello Doctor: Recently, I have noticed that my hands are trembling. After an examination at a large hospital, the doctor told me it is essential tremor. However, I learned that essential tremor is often hereditary, but my parents don't seem to h...


Dr. Jiang Junyi Reply:
Hello: Based on your description, primary tremor is primarily a symptom caused by instability in muscle coordination. Generally, physicians may prescribe Propranolol to stabilize the symptoms. This medication works by reducing sympathetic nervous system activity. Our autonomic ne...

[Read More] Understanding Essential Tremor: Symptoms, Causes, and Concerns


Unexplained Limb Numbness: Causes, Treatments, and Next Steps

Numbness in the limbs with no identifiable cause? A 57-year-old man started experiencing slight numbness and tingling in his hands and feet after quitting smoking in October last year. The symptoms have become more frequent, and at times he feels weakness in his right hand. Neuro...


Dr. Jiang Junyi Reply:
Hello: I am not sure if your husband has metabolic syndrome (characterized by abdominal obesity, hypertension, elevated fasting blood glucose, and high blood pressure). If he does, he may be at a higher risk for stroke. It takes five years of complete smoking cessation for the ri...

[Read More] Unexplained Limb Numbness: Causes, Treatments, and Next Steps


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 Numbness in Hands and Feet: Causes and Solutions

Numbness in hands and feet? Hello Dr. Jiang: I apologize for the interruption. I have a medical concern that I would like to consult with you. For the past three months, every time I take a nap during my lunch break (lying face down for about 10 to 20 minutes), I wake up with num...


Dr. Jiang Junyi Reply:
Hello: If you do not experience numbness while lying down, your symptoms may suggest localized nerve compression. This can occur when sleeping on your stomach, which may compress the radial nerve in both arms, or when sitting, which may compress the sciatic nerve and the posterio...

[Read More] Understanding Numbness in Hands and Feet: Causes and Solutions


Understanding Involuntary Muscle Twitches: Causes and Solutions

Involuntary muscle twitching throughout the body? Long-term sitting in the office has caused my legs to feel numb while sitting, and my muscles are twitching continuously throughout my body, especially in my thighs, calves, and face, which twitches quite frequently. Sometimes I a...


Dr. Jiang Junyi Reply:
Hello: There are many potential causes for the symptoms of leg numbness and tingling, such as lumbar nerve compression and electrolyte imbalances, which need to be evaluated. Additionally, the numbness in your hands may suggest hyperventilation syndrome, which can lead to decreas...

[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions


Understanding Headaches and Visual Disturbances: When to Seek Help

Headache and visual disturbances? Hello Doctor, I often experience jumping lines and words when reading, and I frequently notice discrepancies between what I see and what I write or say. However, my eye examination showed no issues with my vision (only nearsightedness, with no ot...


Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration for common prodromal migraine symptoms in women is the occurrence of visual disturbances. These may include seeing bright lights resembling stars and lightning, as well as blurred or distorted vision, which are all prodrom...

[Read More] Understanding Headaches and Visual Disturbances: When to Seek Help


Why Can't I Open My Fingers? Understanding Hand Pain and Treatment Options

Inability to open fingers? I would like to ask about experiencing pain when clenching both fists, and having difficulty opening the ring finger after clenching for about three months. What could this condition be, and should I see a neurologist or a surgeon? Thank you.


Dr. Jiang Junyi Reply:
Hello: You mentioned that you are unable to open your ring finger. If there are no symptoms of numbness or tingling, the first consideration might be trigger finger. Trigger finger, also known as stenosing tenosynovitis, occurs when the tendons in the finger become inflamed, lead...

[Read More] Why Can't I Open My Fingers? Understanding Hand Pain and Treatment Options


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


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