Understanding Sudden Knee Numbness and Pain: When to Seek Help
Numbness and pain in the knee without an apparent cause? Hello Doctor: Since noon today, I suddenly felt numbness and slight swelling pain in my right knee. When I touch it, there is no swelling or other external injuries, but the sensation when touching the knee feels very stran...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider spinal-related diseases. Excessive force during lumbar spine rotation and other external factors may lead to lumbar instability, spondylolisthesis, and lumbar disc herniation. When lumbar nerve root pathology occur...[Read More] Understanding Sudden Knee Numbness and Pain: When to Seek Help
Understanding Leg Cramps and Twitches: Causes and Solutions
Sharp pain in the foot followed by twitching? Sometimes, when I'm about to fall asleep but still conscious (whether at night or during a nap), I experience an uncomfortable sensation in my legs (mainly in the calves), followed by involuntary jerking movements (usually in one...
Dr. Jiang Junyi Reply:
Hello: You mentioned muscle twitches before falling asleep, known as hypnic jerks. When the breathing rate decreases significantly during sleep or when dreaming of falling, the brain's nervous system perceives the body as being in danger and responds by quickly tensing the m...[Read More] Understanding Leg Cramps and Twitches: Causes and Solutions
Understanding ALS Concerns: A Student's Journey to Peace of Mind
Good evening, doctor? Hello, doctor. I am the college student who was previously worried about having ALS. I underwent electromyography (EMG) testing, where needles were inserted into my arms and left leg to assess muscle activity. The doctor reassured me that everything was norm...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms and examination, it does not appear to be amyotrophic lateral sclerosis (ALS), so there is no need to worry excessively.[Read More] Understanding ALS Concerns: A Student's Journey to Peace of Mind
Understanding Your EMG Results: Reassurance for Neurology Concerns
Regarding the previous question, please have the doctor respond briefly. Thank you? Hello, doctor. I am a college student who was previously worried about ALS. After completing the electromyography (EMG), the doctor told me that my nerves are normal and not to overthink or worry....
Dr. Hong Weibin Reply:
Hello: Based on your symptoms and examination, it does not appear to be amyotrophic lateral sclerosis (ALS), so there is no need to worry excessively.[Read More] Understanding Your EMG Results: Reassurance for Neurology Concerns
Understanding ALS Concerns: Insights from a Neurology Consultation
Hello, doctor, regarding the previous question? I have recently been worried about a college student with ALS. Today, I completed some tests (nerve conduction studies and electromyography). The doctor performed the electromyography (EMG) and mentioned something about "UP&quo...
Dr. Jiang Junyi Reply:
Hello: Amyotrophic lateral sclerosis (ALS) is a rare disease. Since the chances of developing it are low, it is better to focus on moderate exercise and balanced nutrition rather than worrying. Wishing you good health, peace, and joy. Dr. Jiang Junyi, Department of Neurology, Tao...[Read More] Understanding ALS Concerns: Insights from a Neurology Consultation
Understanding Mild Polyneuropathy: Symptoms, Treatment, and Care
Thigh soreness issue? I have a daily habit of walking or running, but I experience soreness in my thighs when going upstairs. During rehabilitation treatment, the rehabilitation physician arranged for a nerve conduction study, which indicated mild polyneuropathy. I was subsequent...
Dr. Jiang Junyi Reply:
Hello: 1. Is mild polyneuropathy referring to any issues or abnormalities in both feet? A: It typically indicates that nerve conduction is slower than normal or that the response waveforms are smaller. This is related to skin resistance during examination and lower external te...[Read More] Understanding Mild Polyneuropathy: Symptoms, Treatment, and Care
Understanding Leg Numbness and Back Pain: Possible Causes and Solutions
Leg numbness and lower back pain? Hello Doctor: About a month ago, I started experiencing a tingling sensation in my foot, but it would go away quickly. After receiving acupuncture treatment from a traditional Chinese medicine practitioner, the tingling became more persistent. Ab...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms related to a herniated disc compressing the nerves. A herniated disc can also occur due to sudden injuries, such as twisting the waist abruptly, bending to lift heavy objects, or experiencing sudden excess...[Read More] Understanding Leg Numbness and Back Pain: Possible Causes and Solutions
Understanding Muscle Twitches: Insights on Neurological Concerns
Muscle regeneration inquiry (Please let the doctor review this, thank you.) If the doctor sees this, please just reply to this post. Recently, I've been experiencing some symptoms that remind me of my concerns about multiple sclerosis from six months ago: sometimes, my muscl...
Dr. Jiang Junyi Reply:
Hello: The differential diagnosis of multiple sclerosis is quite extensive, including factors such as genetics, infections, inflammation, metabolism, tumors, psychiatric conditions, toxins, and blood circulation issues. When spontaneous remission of neurological symptoms occurs, ...[Read More] Understanding Muscle Twitches: Insights on Neurological Concerns
Understanding Muscle Twitches and Visual Disturbances Before Sleep
Your own condition? Hello, doctor. I would like to describe my recent situation. Sometimes, just as I am about to fall asleep, I experience muscle twitches or my limbs move involuntarily. There have been instances where I wake up in the middle of the night to find my muscles twit...
Dr. Hong Weibin Reply:
Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese). The causes are quite diverse, with the most common being stress, electrolyte imbalan...[Read More] Understanding Muscle Twitches and Visual Disturbances Before Sleep
Understanding Visual Disturbances: Insights on Flashing Lights and Eye Symptoms
Frequent bright spots and flashes in the eyes are indicative of enhanced Scherer's symptom? Hello Doctor, I am really very anxious and I seek your help to understand what might be wrong with me. I apologize for the lengthy message. My symptoms started in January after I boug...
Dr. Hong Weibin Reply:
Hello: 1-4. It is likely due to eye strain; I recommend reducing the use of VR, mobile phones, and computers, and taking more breaks. Improvement is expected in a few months. 5-6. It may be "typical aura without headache." In some patients, typical auras are always acco...[Read More] Understanding Visual Disturbances: Insights on Flashing Lights and Eye Symptoms
Understanding Leg Numbness and Pain After a Knee Injury
Leg problems Recently, I fell and hit my right knee, and since then, I have been experiencing persistent numbness in my right leg. There is pain when I press on my calf, and it feels like there is a sensation even when I'm not directly touching it. After walking or standing ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest the possibility of peripheral nerve injury, particularly involving dysfunction of the common peroneal nerve. It is recommended that you visit a neurology or rehabilitation clinic for evaluation (such as nerve conduction studies and electromyograph...[Read More] Understanding Leg Numbness and Pain After a Knee Injury
Understanding Uncomfortable Head Sensations: Neurological Insights and Advice
Head discomfort? In the past, I sometimes felt that my surroundings were chaotic, but it wasn't a visual issue; it was purely a personal sensation that occurred only occasionally. My head would feel uncomfortable, as if I was receiving messages from others that I couldn'...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest a migraine with aura, which typically presents with visual disturbances. These can include seeing stars and lightning-like flashes, as well as blurred or distorted vision, all of which are common migraine auras. A few mi...[Read More] Understanding Uncomfortable Head Sensations: Neurological Insights and Advice
Understanding Persistent Lightheadedness: When to See a Neurologist
The head feels unsteady (only a sensation of swaying and dizziness, without vertigo)? Hello, Doctor... I am 29 years old, 177 cm tall, weighing 64 kg, and I do not have any chronic diseases. I would like to ask a few questions. Recently, I have been experiencing dizziness for abo...
Dr. Jiang Junyi Reply:
Hello: Based on your description, can shoulder and neck pain lead to dizziness? It is important to consider that tightness in the neck muscles may affect proprioception. Is it a problem with blood circulation, or is there another issue? Can a rapid heartbeat also cause dizziness?...[Read More] Understanding Persistent Lightheadedness: When to See a Neurologist
Understanding Lower Back Pain: Causes, Symptoms, and Treatment Options
Lumbar issues? I used to wear high heels frequently for work, but I haven't worn any heeled shoes for almost two years now. However, I feel like I have an issue with anterior pelvic tilt. I have tried chiropractic adjustments, but they didn't seem to help much. To lose ...
Dr. Cai Zongzhang Reply:
It is recommended to consult a neurologist to check for symptoms caused by lumbar nerve compression.[Read More] Understanding Lower Back Pain: Causes, Symptoms, and Treatment Options
Understanding Numbness: When to See a Doctor for Nerve Issues
Numbness issues? Hello, doctor. I have recently noticed numbness extending from my right leg to my buttocks over the past two days. When I touch it, it feels like there is a layer blocking the sensation, which is different from my left leg. There is no tingling, just numbness. Sh...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, commonly known as sciatica. A herniated disc can also occur due to sudden injuries, such as twisting the waist suddenly, bending to lift heavy objects, or expe...[Read More] Understanding Numbness: When to See a Doctor for Nerve Issues
Understanding Auditory Hallucinations: Are They a Sign of Serious Illness?
Suspected auditory hallucinations? Hello doctor, I am a college student. Sometimes during classes, I feel like I hear a bell ringing, but there is actually no bell. Does this count as auditory hallucination? I went to see a doctor, and they performed an EEG, which appeared normal...
Dr. Jiang Junyi Reply:
Hello: Auditory hallucinations refer to patients believing they hear sounds that do not actually exist. Typically, patients with schizophrenia may hear meaningful speech. A single bell sound is less characteristic of schizophrenia symptoms. It is recommended to monitor your sympt...[Read More] Understanding Auditory Hallucinations: Are They a Sign of Serious Illness?
Understanding Diplopia in Myasthenia Gravis: Diagnosis and Treatment Insights
Diplopia caused by myasthenia gravis? Hello Doctor: I have been experiencing double vision for nearly a year, and since the situation has worsened, I went to a neurologist for an examination. The tests included a contrast-enhanced brain MRI, skin sympathetic nerve reflex (SSR), R...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the effects of the medication typically begin around thirty minutes after administration, with peak effects occurring approximately two hours later, followed by a gradual decline. There are many causes of diplopia: binocular causes include ocular...[Read More] Understanding Diplopia in Myasthenia Gravis: Diagnosis and Treatment Insights
Understanding Widespread Pain: When to See a Specialist for Neurological Issues
Multiple areas of pain in a short period of time? Over the past month, I have been experiencing various pains throughout my body. Initially, I consulted a specialist, but due to the wide range of symptoms and the duration of the issue, I began to wonder if it might be related to ...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you print out the detailed description and discuss it with your physician. Based on your description, fibromyalgia should be considered. Clinically, it is differentiated from other conditions that present with widespread pain, such as inflammatory or...[Read More] Understanding Widespread Pain: When to See a Specialist for Neurological Issues
Understanding Muscle Twitching and Weakness: Possible Causes and Next Steps
Muscle twitching and weakness? Hello Doctor: At the end of February, I suddenly felt unusual sensations in my limbs, followed by involuntary muscle twitching throughout my arms and legs. Recently, I also noticed that when I try to open my left pinky finger from a fist, it feels s...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those ...[Read More] Understanding Muscle Twitching and Weakness: Possible Causes and Next Steps
Understanding Nerve Issues: Left Thumb Sensation and Foot Pain Explained
Abnormal sensation in the left thumb and pain on the dorsum of the left foot? Hello, doctor. I would like to explain my main symptoms, which are twofold: 1. I have abnormal sensations in my left thumb (a tingling feeling, but not like an electric shock). The sensation is most p...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc. The numbness in your hands could be due to compression of the sixth cervical nerve root. The pain in your lower limbs may be related to compression of the fift...[Read More] Understanding Nerve Issues: Left Thumb Sensation and Foot Pain Explained