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
Unexplained Weakness and Tremors in Children: A Neurological Concern
Unable to walk, feeling weak? Your question: A child was hospitalized due to severe abdominal pain and a Mycoplasma pneumoniae infection. The next day, they began experiencing continuous tremors in their hands and feet, generalized weakness, and shortness of breath. They have bee...
Dr. Jiang Junyi Reply:
Hello: You mentioned, "It has been 14 days, the cerebrospinal fluid has been tested and there are no issues, all necessary examinations have been conducted, and the symptoms remain the same. What other tests should be done?" In this case, it may be advisable to consult ...[Read More] Unexplained Weakness and Tremors in Children: A Neurological Concern
Understanding Muscle Twitches and Weakness: Is It a Sign of Atrophy?
Involuntary muscle twitching and weakness in the hands? Doctor, I apologize for bothering you. I have experienced involuntary twitching in various parts of my body, such as my calves, thighs, buttocks, arms, and soles of my feet, since I was young. I didn't pay much attentio...
Dr. Jiang Junyi Reply:
Hello Mr. Zhou: You mentioned that "after waking up, my hands feel weak and powerless, but my legs are normal, and it's difficult to hold a pen; this weakness lasts for about ten minutes." Such symptoms may suggest a possible issue with cervical nerve root compress...[Read More] Understanding Muscle Twitches and Weakness: Is It a Sign of Atrophy?
Uncontrollable Hand and Foot Tremors After Chemotherapy: Causes and Solutions
After chemotherapy, the hands and feet may experience involuntary shaking? My mother-in-law is 76 years old and has been undergoing immunotherapy and chemotherapy for bile duct cancer for the past three months. After these treatments, her hands have started to shake involuntarily...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Jie: You mentioned that your mother-in-law has experienced "involuntary shaking of her hands, and even after stopping treatment for a month, her hands and feet still shake involuntarily. Could this be caused by low potassium levels?" Symptoms of hypokale...[Read More] Uncontrollable Hand and Foot Tremors After Chemotherapy: Causes and Solutions
Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? I have recently noticed a numbness in my fingers and the soles of my feet, similar to having a layer of skin over them. A few days ago, I experienced numbness in my right fingers while sleeping, which made me uncomfortable and unable to sleep. The ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned experiencing a "numbness in your fingers and the soles of your feet." If this occurs bilaterally, it may be worth considering hyperventilation. This can lead to systemic reactions and symptoms, with common manifestations including vasoconstrict...[Read More] Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Weakness and Tremors in Hand Grip: A Neurology Perspective
Weakness and numbness in the hands? Hello doctor, recently I have been experiencing difficulty in gently making a fist with both hands. When I try to make a light fist, my hands feel very weak and slightly tremble, similar to the weakness I feel in the morning upon waking up (fee...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "when not using your arms, there may be a slight feeling of soreness or weakness in the arm muscles (especially when lying down or sitting)." It is important to consider cervical nerve root compression. The fascia around the cervical spine has ...[Read More] Understanding Weakness and Tremors in Hand Grip: A Neurology Perspective
Unexplained Tremors and Weakness in Children: A Neurological Concern
Continuous shaking of the limbs (weakness in the extremities), headache, and difficulty breathing? The child was hospitalized due to severe abdominal pain and a cough caused by a mycoplasma infection. Starting the next day, they experienced continuous tremors in their hands and f...
Dr. Jiang Junyi Reply:
Hello: You mentioned "Mycoplasma infection, which led to hospitalization, and starting the next day, there has been continuous trembling of the hands and feet, general weakness, and difficulty breathing." Some species of mycoplasma can potentially affect the nervous sys...[Read More] Unexplained Tremors and Weakness in Children: A Neurological Concern
Is Your Nerve Healing Properly After Surgery? Understanding Recovery Challenges
The nerves did not grow in the correct position? Hello Doctor, I underwent ulnar nerve decompression injection on my right arm in mid-August last year. The next day, I noticed pain in the skin on the ulnar side of my forearm near the elbow when performing movements such as raisin...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the discovery of diminished touch sensation in the surrounding skin seems to induce a feeling of recovery, as if the nerves are not growing in the correct position. Currently, that area of skin still has abnormal sensations and numbness... but...[Read More] Is Your Nerve Healing Properly After Surgery? Understanding Recovery Challenges
Understanding Your Neurological Concerns: A Guide to ALS Anxiety
Regarding one's own condition? I used to come to you with questions often, and back then (8 months ago), I was very worried about amyotrophic lateral sclerosis (ALS), and I still am. My muscles have been twitching lately, and my left leg feels strange, almost like a reflex s...
Dr. Jiang Junyi Reply:
Hello: You mentioned that you feel strain in your bite when chewing on tough foods. If the masticatory muscles are not frequently used, it is indeed possible to experience this strain. I recommend maintaining appropriate exercise to preserve your muscle mass (you can purchase a b...[Read More] Understanding Your Neurological Concerns: A Guide to ALS Anxiety
Understanding Hand Tremors: Insights on Parkinsonism in Young Adults
Regarding hand tremors and juvenile Parkinson's disease? Hello, pharmacist. About three years ago, during my sophomore year, I visited Datong Hospital due to movement disorders (PKD) and restless legs syndrome. The restless legs syndrome has been an issue since I became awar...
Dr. Hong Weibin Reply:
Hello: Based on your description, "the tremor does not occur when the hand is completely relaxed with the palm facing up on the thigh, but it does tremble when the fingers slowly make a fist or when clenching and then slowly relaxing," this type of tremor is more indica...[Read More] Understanding Hand Tremors: Insights on Parkinsonism in Young Adults
Understanding Right-Side Numbness: Causes and Concerns in Neurology
Numbness in the right side of the face, hands, and feet? Hello, I initially experienced numbness in my right hand's ring and little fingers, as well as numbness on the right side of my face. Sometimes, I feel saliva pooling in my mouth. I consulted a neurologist who performe...
Dr. Jiang Junyi Reply:
Hello Ms. Ping, You mentioned that "the ring finger and little finger are numb," which is more indicative of ulnar nerve pathology. You also mentioned that "the MRI of the spine shows mild disc herniation." Often, because the MRI is performed while lying down...[Read More] Understanding Right-Side Numbness: Causes and Concerns in Neurology
Understanding Nerve Pain: When to See a Neurologist or Specialist
Pain and numbness in the hands and feet? Hello doctor, I have pain from my lower back to my buttocks and down to my calves, with pain in my heels and soles. My fourth toe has an angle that causes discomfort, possibly due to tight shoes compressing it, which feels like it might be...
Dr. Jiang Junyi Reply:
Dear Mr. Ming-Ting, You mentioned that the pain from the lower back to the buttocks, down to the calves, and from the heels to the soles of the feet resembles a condition related to the sciatic nerve. Additionally, the tingling and numbness in your ring and little fingers are mo...[Read More] Understanding Nerve Pain: When to See a Neurologist or Specialist
Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Numbness in the limbs, numbness in the abdomen and back? Hello Doctor: Starting from January 1st of this year, I experienced a progressive numbness in both legs, beginning from the soles and extending up to the waist over a span of five days. The numbness persisted 24 hours a day...
Dr. Jiang Junyi Reply:
Dear Mr. Lai, You mentioned that "the numbness gradually spread from the soles of both feet to the waist over five days." I wonder if you have been exposed to nitrous oxide? If the numbness is rapidly ascending, we may consider acute demyelinating polyneuropathy. Las...[Read More] Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm unsure if they are related: 1. I frequently experience numbness in the upper left back (around the scapula) that started about three...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned, "Could the physician determine if it is due to thoracic nerve compression or a brain issue?" The symptoms include "involuntary muscle twitching in small, localized areas throughout the body, visible to the naked eye, which has persisted...[Read More] Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm not sure if they are related: 1. I have frequent numbness in the upper left back area, which started about three years ago. X-rays a...
Dr. Jiang Junyi Reply:
Hello Mr. Wu, You mentioned, "Could the physician determine if the issue is due to thoracic nerve compression or a brain problem?" The symptoms include "involuntary muscle twitching in small, non-fixed areas of the body, visible to the naked eye, which has persist...[Read More] Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness
Understanding Early Symptoms of Amyotrophic Lateral Sclerosis (ALS)
Symptoms of amyotrophic lateral sclerosis (ALS) Hello, doctor. Recently, I have been experiencing some involuntary muscle twitching in my legs, and I also feel a lack of strength. However, I don't have much trouble when lifting things normally. About two months ago, I visite...
Dr. Hong Weibin Reply:
Hello: Regarding the symptoms of amyotrophic lateral sclerosis (ALS), you can refer to the CommonHealth Knowledge Base at https://kb.commonhealth.com.tw/library/417.html#data-3-collapse. However, if your symptoms are not progressively worsening, you can be reassured that it is us...[Read More] Understanding Early Symptoms of Amyotrophic Lateral Sclerosis (ALS)
Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Multiple Sclerosis or Autonomic Nervous System Dysfunction Hello Dr. Jiang, I have been experiencing a tingling and numbness in my hands and feet since early September. I visited a neurology clinic, and they suggested it could be either cervical spine inflammation or autonomic ne...
Dr. Jiang Junyi Reply:
Dear Miss Li, You mentioned that "the symptoms really seem very similar to those of multiple sclerosis, and considering that I am 21 years old, which is the age when this condition is more likely to occur..." I believe the chances are low, as multiple sclerosis is clas...[Read More] Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Understanding Neurological Symptoms: When to Seek Further Testing
Electroencephalogram (EEG) brain wave examination? Hello Doctor: In May, I suddenly experienced severe dizziness, feeling as if I was about to die, unable to breathe, with a tingling sensation in my head and a near-death feeling. After visiting the emergency room, all tests came ...
Dr. Jiang Junyi Reply:
Dear Mr. Ren-Zhang, You mentioned that in May, there was a day when you suddenly felt dizzy, as if you were about to die, experiencing difficulty breathing, numbness, and a sensation of near-death. I would like to know if your symptoms have recurred. If this was an acute episode...[Read More] Understanding Neurological Symptoms: When to Seek Further Testing
Understanding Hand Numbness: Ulnar Nerve Compression and Neck Issues
Vague sensations of hand numbness? Hello Doctor, I have recently been experiencing a tingling and discomfort in my left hand fingers. Initially, it was a burning sensation in my ring and little fingers, and later the other three fingers on my left hand also started to feel numb, ...
Dr. Jiang Junyi Reply:
Hello Mr. JAM: You mentioned that "the other three fingers of my left hand also started to feel numb, and there is some weakness in my hand. I visited a rehabilitation specialist who said it is ulnar nerve compression." If it is ulnar nerve compression, it typically rel...[Read More] Understanding Hand Numbness: Ulnar Nerve Compression and Neck Issues
Can Treating Sympathetic Nervous System Disorders Help Allergic Rhinitis?
Can treating sympathetic nervous system abnormalities help in the treatment of allergic rhinitis? I believe I have vasomotor rhinitis, which has not improved. Medical reports indicate that the pathogenesis of chronic rhinitis is related to the autonomic nervous system. Both "...
Dr. Cai Zongzhang Reply:
Hello, Mr. Li: It is recommended to undergo desensitization therapy and to minimize external stimuli in daily life. You may consider visiting a neurology or otolaryngology clinic for treatment.[Read More] Can Treating Sympathetic Nervous System Disorders Help Allergic Rhinitis?