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?
Understanding Body Tingling: Causes and When to Seek Help
Tingling sensation in the body? Hello, doctor. I have been experiencing tinnitus, general weakness, and tightness along my neck, shoulders, and legs, along with numbness and pain. I consulted a neurosurgeon and had a cervical MRI, which showed degeneration and bone spurs, but the...
Dr. Jiang Junyi Reply:
Dear Mr. Ahao, You mentioned symptoms such as "tinnitus, generalized weakness, tightness and numbness in the neck, shoulders, and legs... pain in one elbow, swelling and tingling after prolonged bending." Your symptoms are more indicative of peripheral nerve injury. Th...[Read More] Understanding Body Tingling: Causes and When to Seek Help
Persistent Leg Cramps After Surgery: Seeking Solutions for Nerve Issues
The right foot is experiencing continuous cramps, indicating a possible neurological issue? I am inquiring on behalf of my mother. She has been experiencing lumbar pain and was advised to undergo surgery in December 2020. About three months post-surgery, she frequently feels cram...
Dr. Jiang Junyi Reply:
Dear Mr. Xiao Wu, You mentioned that "since April 2021, the situation has been the same every day without improvement, and the cramping in the sole of my right foot has not changed, but has instead intensified." If you are experiencing abnormal sensations, it may be ne...[Read More] Persistent Leg Cramps After Surgery: Seeking Solutions for Nerve Issues
Numbness in the Outer Side of Both Pinky Toes: Causes and Solutions
Numbness on the outer side of the little toe on both feet? Hello doctor, for the past few weeks, I have been experiencing numbness on the outer side of both little toes simultaneously. The numbness doesn't seem to be related to any specific position; sometimes it occurs whil...
Dr. Jiang Junyi Reply:
Dear Miss Joan, You mentioned that "the outer side of both little toes feels numb... and the numbness becomes more pronounced after walking for a long time." It is important to first consider abnormalities in the first sacral nerve root, which may be caused by a hernia...[Read More] Numbness in the Outer Side of Both Pinky Toes: Causes and Solutions
Sudden Electric Shock Sensation in Buttocks: What Could It Be?
The flesh on the buttocks feels like it has been punctured? About a month ago, I started experiencing a sensation in my left buttock while sitting, like an electric shock that lasts for about two seconds. This occurs occasionally, sometimes once a day or every two to three days, ...
Dr. Jiang Junyi Reply:
Hello, Ms. Gui: You mentioned experiencing a sensation in your buttock that feels like an electric shock lasting about two seconds, specifically on the left side. This symptom is more indicative of peripheral nerve compression. It may be worth considering "piriformis syndro...[Read More] Sudden Electric Shock Sensation in Buttocks: What Could It Be?
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
Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
I feel exhausted every day and I feel like I'm about to die! Last night, I suddenly felt unwell in the latter half of my sleep. I got up to check my blood pressure, which was 91/56. I felt like crying; I wanted to sleep but couldn't. At first, I experienced hand tremors...
Dr. Jiang Junyi Reply:
Hello: You mentioned symptoms such as "feeling sleepy but unable to sleep well, initially experiencing hand tremors and numbness in the legs... switching positions while sleeping, rapid internal shaking, left-sided numbness, and a fast heartbeat." These symptoms may sug...[Read More] Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
Understanding Muscle Tremors: Possible Causes and Next Steps
Muscle twitching for three weeks? Hello, doctor. At the end of 2021, I discovered that my prolactin levels were elevated (29.6), so my obstetrician prescribed cabergoline 0.5 mg, 1 tablet orally once a week, and Yasmin, 1 tablet orally daily. I started taking the medication on De...
Dr. Jiang Junyi Reply:
Hello Ms. Li: You mentioned that "the tremor sensation in the left chest almost never stops, and even when I wake up and open my eyes, I start shaking. If I shake my body and legs vigorously, there is a temporary improvement, and it feels like the tremor disappears, but it q...[Read More] Understanding Muscle Tremors: Possible Causes and Next Steps
Understanding Anxiety and Discomfort: A Neurology Perspective
Anxiety and multiple discomforts? I have mitral valve prolapse, and my doctor prescribed medication for palpitations, which helped a lot. The doctor didn't mention the need for a follow-up appointment, so I stopped taking the medication after finishing it. However, about a m...
Dr. Cai Zongzhang Reply:
Hello, Ms. Jan: It is recommended to visit the neurology and psychiatry outpatient clinics for examination and treatment.[Read More] Understanding Anxiety and Discomfort: A Neurology Perspective
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 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 Muscle Atrophy, Weakness, and Fasciculations: A Neurology Perspective
Muscle atrophy, twitching, weakness? Hello, doctor. I would like to ask you about something. About two months ago, I suddenly noticed a depression on the right side of my thigh near the groin area. Later, I found a similar depression on the left side, measuring approximately 5x5 ...
Dr. Jiang Junyi Reply:
Hello Ms. Chychy, You mentioned that "...but because I feel that the area of indentation has increased, I am now worried every day that I might be in the early stages of ALS..." The symptoms you describe are more indicative of localized muscle or peripheral nerve issue...[Read More] Understanding Muscle Atrophy, Weakness, and Fasciculations: A Neurology Perspective
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 Sudden Thigh Pain: Causes and Solutions for Nerve Issues
Leg issue - intermittent sharp pain in the inner thigh (similar to an electric shock sensation)? Last year, between September and October, I frequently experienced sudden sharp pains in the inner thigh of my right leg, close to that side. The pain felt like an electric shock and ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsieh, You mentioned experiencing intermittent sharp pain on the inner side of your right thigh (similar to an electric shock), with each episode being a momentary severe pain. This may warrant consideration of nerve root compression at the lumbar vertebrae L2 and L3. N...[Read More] Understanding Sudden Thigh Pain: Causes and Solutions for Nerve Issues
Early Signs of ALS: Understanding Symptoms and Prevention Strategies
Early stage of amyotrophic lateral sclerosis (ALS) Hello, doctor. Recently, when I stand on my left foot, I feel a constant urge to engage my calf muscles (similar to the feeling of trying to maintain balance). I am aware of this urge before it happens. Additionally, when lying i...
Dr. Jiang Junyi Reply:
Hello Mr. Ju, You mentioned "the early reactions of amyotrophic lateral sclerosis (ALS)?" ALS primarily refers to issues with motor neurons, which control muscle movement. Generally, the motor neurons in the brain are referred to as upper motor neurons, while those in ...[Read More] Early Signs of ALS: Understanding Symptoms and Prevention Strategies
Persistent Nausea and Facial Tremors: Should You Worry About Brain Issues?
Persistent headache, nausea, and facial muscle twitching throughout the day? Hello doctor, in recent days I have been experiencing frequent nausea and dry heaving. The left side of my face involuntarily twitches, and I constantly feel a sense of heaviness in my head, which has si...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "your mental state is poor and you lack motivation at work, which severely affects your daily life." Since this impacts your life, I recommend seeking medical advice for discussion and examination. The brain tumor you are concerned about i...[Read More] Persistent Nausea and Facial Tremors: Should You Worry About Brain Issues?
Understanding Dizziness and Fatigue: Signs of Brain Issues or Just Fatigue?
Brain issues Hello, Doctor. Recently, I've been feeling a bit dizzy at times, but it doesn't last long. I don't have much headache, but there's just a strange sensation. I've also been feeling quite fatigued lately, and my concentration and memory seem to...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned feeling "a bit dizzy... for a short duration, not much headache, but just a strange feeling... Is it a precursor to a brain tumor? Or is it simply due to lack of sleep?" The symptoms are more indicative of sleep deprivation or other causes s...[Read More] Understanding Dizziness and Fatigue: Signs of Brain Issues or Just Fatigue?