Understanding Unexplained Muscle Pain: When to Seek Medical Advice
Unexplained pain or discomfort? Hello, Doctor. Recently, I've been experiencing a sensation of soreness in my body, somewhat similar to the muscle aches associated with a cold or fever, but not quite the same (I feel fine and do not have a fever). The discomfort most frequen...
Dr. Gao Chunde Reply:
From a neurology perspective, issues related to the spinal cord from the cervical to thoracic region should be considered. It is advisable to refer the patient to a neurologist for a detailed history and physical examination. If there is evidence, further imaging studies or labor...[Read More] Understanding Unexplained Muscle Pain: When to Seek Medical Advice
Understanding Dizziness: Possible Links to Sleep Apnea and Other Conditions
Dizziness, I apologize for the previous text? Hello Doctor, on April 21st of this year, you asked me if I have sleep apnea. Seven years ago, I was diagnosed with sleep apnea, and the doctor recommended that I use a CPAP machine. I used it for a month but stopped. Could my persist...
Dr. Jiang Junyi Reply:
Hello, based on your description, the physician's professional judgment requires a complete medical history and examination data. If you plan to change healthcare facilities, comprehensive medical information is essential. This ensures continuity of care. I suggest you prepa...[Read More] Understanding Dizziness: Possible Links to Sleep Apnea and Other Conditions
Left Hand Numbness and Neck Burning: Which Specialist to Consult?
Numbness in the left hand and a burning sensation in the cervical spine? Hello doctor, my left ring finger and little finger initially had a numb sensation, and recently I visited a traditional Chinese medicine practitioner who said that there is a herniation at the cervical vert...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to cervical disc herniation. Symptoms often worsen with coughing or sneezing, which can exacerbate nerve root pain. A disc protruding posteriorly or posterolaterally can compress the nerve roots, leading to clinical s...[Read More] Left Hand Numbness and Neck Burning: Which Specialist to Consult?
Understanding Ulnar Nerve Damage: Recovery and Treatment Insights
The ulnar nerve has been consistently problematic? The conduction study indicates mild damage to the ulnar nerve. It has been over three months since the ulnar nerve anterior transposition surgery, yet there are still sensations of numbness, tightness, and stiffness. Could this b...
Dr. Jiang Junyi Reply:
Based on your description, it seems you may be experiencing nerve injury or nerve root compression, with symptoms manifesting as pain or sensory abnormalities. After general ulnar nerve surgery, it is important to immobilize the elbow with a splint to keep the arm stable and avoi...[Read More] Understanding Ulnar Nerve Damage: Recovery and Treatment Insights
Understanding Numbness in Hands and Face: When to Seek Help
Numbness in the hands and face? Hello, about one or two months ago, I started experiencing numbness in the fingers of both hands (mainly in the outermost joints, with the middle three fingers being the most affected and the thumb less so). Initially, it occurred only occasionally...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical disc herniation causing nerve compression, which can lead to symptoms of radiating abnormal sensations. Disc herniation can also occur due to sudden injuries, such as a rapid head turn, or due to prolonged...[Read More] Understanding Numbness in Hands and Face: When to Seek Help
Understanding Unexplained Neurological Decline: A Patient's Journey
Central nervous system degeneration? In March 2014, my weight inexplicably dropped from 70 kg to 58 kg within a month (and eventually down to 48 kg over the last six months) with no abnormalities found during health check-ups, and it was not due to intentional weight loss. Betwee...
Dr. Gao Chunde Reply:
You described your condition in great detail, and the persistent symptoms on one side of your body primarily suggest a central nervous system issue. However, your electromyography (EMG) and nerve conduction studies also show abnormalities, indicating that there may be peripheral ...[Read More] Understanding Unexplained Neurological Decline: A Patient's Journey
Understanding Neck Pain and Stiffness: Causes and Solutions
Neck pain and stiffness? I often experience soreness and stiffness in my neck, mostly on the left side. The neck pain is intermittent and not particularly worse in the morning. There is a loud "cracking" sound when I move my neck, and when it feels very stiff, I have to...
Dr. Gao Chunde Reply:
Neck pain and stiffness are generally due to muscle fatigue or inflammation in the cervical region. If accompanied by cracking or popping sounds, it is more likely to originate from the cervical joints. It is advisable to consult an orthopedic or neurosurgical specialist regardin...[Read More] Understanding Neck Pain and Stiffness: Causes and Solutions
Understanding Lumbar Pain: Causes, Symptoms, and Specialist Guidance
Lumbar pain Around the end of October 2011, I sprained my ankle while playing basketball at noon. However, when I went to play again in the afternoon, the pain that was originally located below my spine seemed to have disappeared. But at the moment I stepped out with my right foo...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more indicative of a lumbar disc herniation, where the intervertebral disc compresses one of the two nerve roots at each level. Patients typically complain of pain radiating down one leg, while simultaneous radiation to both leg...[Read More] Understanding Lumbar Pain: Causes, Symptoms, and Specialist Guidance
Post-Ulnar Nerve Release: When to Start Stretching Exercises?
Ulnar nerve surgery postoperative care Is it possible to perform a stretching exercise with a wrench on the fourth day after undergoing ulnar nerve release surgery due to elbow joint stiffness?
Dr. Jiang Junyi Reply:
According to your description, a typical ulnar nerve surgery involves making an incision along the direction of the ulnar nerve to decompress it from the cubital tunnel. After the surgery, a splint should be applied to immobilize the elbow at a 45-degree angle for three to four w...[Read More] Post-Ulnar Nerve Release: When to Start Stretching Exercises?
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? In the past two weeks, I have noticed involuntary muscle twitching in various parts of my body, particularly around the shoulders, elbows, and knees, which are mostly near the joints. The twitching is quite pronounced and can be seen with the naked e...
Dr. Gao Chunde Reply:
Fibromyalgia rarely presents with the muscle twitching symptoms you described; however, arthritis is more commonly reported to have such symptoms. Some medications used to treat arthritis can also cause involuntary muscle twitching. If you have a follow-up appointment soon, you m...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Muscle Cramps and Joint Discomfort: Possible Neurological Issues
Experiencing muscle cramps throughout the body daily and joint discomfort? Hello, doctor. My job does not involve much physical labor or walking, but recently I've been experiencing frequent muscle cramps in various areas, including my shoulders, neck, thighs, calves, feet, ...
Dr. Lan Shengxing Reply:
Dear Ms. Chen, since you are already attentive to supplementation and your work is not physically demanding, it is still recommended to visit a hospital's neurology outpatient clinic for an examination to rule out various neurological disorders.[Read More] Understanding Muscle Cramps and Joint Discomfort: Possible Neurological Issues
Understanding the Causes of Delayed Recovery in Peripheral Nerve Injuries
Factors or causes affecting nerve regeneration? I am experiencing nerve damage in my right wrist. According to a diagnosis from a physician at Chi Mei Hospital, the conduction velocity is about one-third of that in my left hand. This may be a sequela from a car accident I had at ...
Dr. Huang Yingzhe Reply:
Based on the description, although the results of the nerve conduction study and electromyography are unknown, it sounds like an issue with the ulnar nerve. If, as you suspect, it is related to trauma, the reason for the lack of recovery could either be that the injury has caused...[Read More] Understanding the Causes of Delayed Recovery in Peripheral Nerve Injuries
Understanding Limb Pain and Fatigue: Possible Neurological Causes
Aching limbs and fatigue? Hello doctor, I often experience body aches, especially in my limbs, and my muscles twitch. My fingers also move involuntarily, and the joints in my fingers feel tight. This has caused me anxiety, and after visiting the hospital for examinations, no caus...
Dr. Gao Chunde Reply:
Proximal muscle soreness in the limbs, accompanied by muscle weakness and elevated muscle enzyme levels in the blood, should raise suspicion for myopathy or myositis. If muscle twitching occurs alongside progressive weakness, one should also be cautious of motor neuron diseases. ...[Read More] Understanding Limb Pain and Fatigue: Possible Neurological Causes
Understanding Head Pain: Scalp Sounds and Neurological Concerns
Headache with a rubber band-like sensation in the scalp? Because my symptoms include similar headaches, a rubbing sound from the muscles on the right side of my scalp, and my right cheek is also atrophied, stiff, and painful. My right ear feels noticeably protruding, and I experi...
Dr. Huang Yongquan Reply:
Hello: In response to your question, your symptoms do not appear to be directly related to cerebral blood vessels, and the MRI seems to have ruled out any significant concerns. Blood vessels outside the scalp are less likely to cause any diseases. It is recommended to gently mass...[Read More] Understanding Head Pain: Scalp Sounds and Neurological Concerns
Understanding Finger Pain: Is It a Nerve Issue?
Tingling sensation in the index finger? Could the sharp, needle-like pain I feel when pressing on my index finger be a neurological issue, especially since an X-ray taken during my visit to the surgeon showed no abnormalities?
Dr. Chen Haorong Reply:
Hello: A tingling sensation is a symptom of neuropathic pain, but inflammation of the joints or tendons in the index finger can also cause localized tingling, especially if only the index finger experiences pain while the thumb and middle finger are asymptomatic. This issue may b...[Read More] Understanding Finger Pain: Is It a Nerve Issue?
Understanding Long-Term Effects of Arm Trauma After a Truck Accident
The left hand was once run over by a truck? Hello, Dr. Lan. Four years ago, I was involved in a car accident where a truck, which was going to repair the road, ran over my left hand. Although it wasn't broken, my arm swelled up to the size of my thigh, and I was discharged f...
Dr. Lan Shengxing Reply:
Dear Jiung, the sensation of abnormality is indeed a symptom that is more difficult to diagnose, and there are no specific criteria that fit. No wonder you feel perplexed. Currently, your issue may require an evaluation by an orthopedic physician to assess the function of your jo...[Read More] Understanding Long-Term Effects of Arm Trauma After a Truck Accident
Understanding Muscle Cramps in Limbs: A Guide for Patients with Hyperthyroidism
Muscle cramps in the joints of the limbs? Hello Dr. Lin: I have been diagnosed with hyperthyroidism and have been on medication for nearly five months. However, for the past month or two, I have started experiencing sharp pain in my limbs and joints (specifically in the armpits a...
Dr. Lin Zijing Reply:
Pain in areas related to posture or angle is more akin to muscle pain, and it is important to monitor for any signs of muscle weakness that may affect daily activities. Sometimes, hyperthyroidism may be associated with other autoimmune diseases that lead to muscle inflammation; i...[Read More] Understanding Muscle Cramps in Limbs: A Guide for Patients with Hyperthyroidism
Understanding Arm Pain and Numbness: When to Seek Neurology Help
excuse me? Doctor, my mother is in her 60s and has been experiencing soreness and numbness in the inner area of her left arm's armpit for the past few weeks. Sometimes it gets so severe that she feels no sensation when touching the area, and it can be painful! She has had an...
Dr. Ye Boshou Reply:
Hello: It may be a lesion in the joints or brachial plexus. It is recommended to see a neurologist for an examination.[Read More] Understanding Arm Pain and Numbness: When to Seek Neurology Help
Chronic Headaches in Seniors: Seeking Solutions for Persistent Pain
Chronic headache Dear Vice Dean, My mother is 73 years old and has been frequently complaining about persistent headaches. Over the past couple of years, she has seen numerous doctors but continues to experience pain, feeling groggy throughout the day. Sometimes she suffers from...
Dr. Zeng Kongyan Reply:
Hello: In response to your question, headaches are merely a symptom with many possible causes. It is essential to rule out life-threatening conditions such as intracranial tumors, chronic subdural hematomas, and central nervous system infections. As mentioned in your message, if ...[Read More] Chronic Headaches in Seniors: Seeking Solutions for Persistent Pain
Persistent Leg Cramps in Elderly After Stroke: Seeking Solutions
Persistent leg cramps in the elderly? After my mother suffered a thrombotic stroke, she has been experiencing persistent leg cramps, averaging a small cramp every ten minutes (tight cramps from the calf to the foot) and a larger cramp once an hour (with her body arching). She has...
Dr. Gao Chunde Reply:
Although post-stroke patients are prone to seizures as a sequela, the characteristics you described seem to exhibit a regular periodicity. Another common condition in the elderly is periodic limb movement disorder, which typically occurs during the onset of sleep or in light slee...[Read More] Persistent Leg Cramps in Elderly After Stroke: Seeking Solutions