Unexplained Body Pain and Muscle Twitching: Seeking Neurological Insights
Widespread pain that is not fixed in time, muscle twitching for one month, and numbness in the hands? Hello Doctor, I started experiencing headaches around January 2024, and after visiting the hospital, the doctor conducted a preliminary assessment and diagnosed me with tension-t...
Dr. Jiang Junyi Reply:
Hello Ms. Hone, You mentioned that you were "initially diagnosed with tension-type headache... and prescribed antiarrhythmic medication (without relevant examinations), but you feel that the pain and muscle twitching have not improved with the medication." Typically, n...[Read More] Unexplained Body Pain and Muscle Twitching: Seeking Neurological Insights
Understanding Limb Weakness and Insomnia: A Neurological Perspective
Weakness in the limbs accompanied by insomnia? Hello Doctor, I have been experiencing weakness in my limbs since February 28, and now it is April 14. During this time, I have noticed that some sensory symptoms have disappeared, but they have reappeared. Currently, I am experienci...
Dr. Cai Zongzhang Reply:
Hello Mr. Hu: Based on the symptoms mentioned, it is recommended to consult a neurologist to investigate the underlying cause.[Read More] Understanding Limb Weakness and Insomnia: A Neurological Perspective
Understanding Syncope: What to Do When Someone Faints While Sitting
Syncope while sitting? Hello Doctor: A few days ago, my father fainted, which has caused me a lot of worry. I was originally going to the hospital to pick up a relative who was being discharged, but the discharge process took longer than expected. My father had been walking in th...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao, You mentioned that your father exhibited "chest rise and fall with noticeable and somewhat rapid breathing, and then hurriedly called the nursing staff, who first called out and then moved him to the adjacent bed, with the entire process taking less than 30 ...[Read More] Understanding Syncope: What to Do When Someone Faints While Sitting
Understanding Balance Issues: When to Consult a Neurologist
Please ask your question? Hello doctor, I would like to ask two questions. Occasionally, I feel a slight swaying sensation (usually after using my phone), but it goes away after a while, and I do not experience dizziness or nausea. What could be the possible causes of this? Addit...
Dr. Jiang Junyi Reply:
Hello Mr. Mo: You mentioned, "Are we testing for cerebellar issues? Is it related to my staying up late?" Staying up late can lead to neuroinflammation, which may result in various symptoms. The symptoms resemble proprioceptive dysfunction, which refers to the sensory i...[Read More] Understanding Balance Issues: When to Consult a Neurologist
Understanding Progressive Sensory Abnormalities: A Neurological Concern
Abnormal sensations on the right side are gradually spreading? Hello Doctor, last Saturday, February 24th, I experienced mild numbness in my right lip, right finger, and half of my palm. By Monday, the numbness worsened, so I visited a family medicine doctor who prescribed medica...
Dr. Jiang Junyi Reply:
Dear Miss Lily, You mentioned that on March 2nd, you woke up and noticed abnormal sensations in your scalp, the back of your head, and your eyelids. Additionally, the numbness in your hands has spread to your entire palm, and you can no longer distinguish objects by touch. You a...[Read More] Understanding Progressive Sensory Abnormalities: A Neurological Concern
Understanding Peripheral Neuropathy: Causes and Treatment Options
Peripheral neuropathy in the hands and feet? I was diagnosed with Meniere's disease due to dizziness. Recently, after being diagnosed with Eustachian tube obstruction in 2023, my hearing has been affected, and my dizziness has worsened. I am currently undergoing Eustachian t...
Dr. Peng Shiwei Reply:
It is recommended that you consult with your attending physician during your next follow-up appointment, or you may also seek evaluation at a neurology outpatient clinic. Thank you.[Read More] Understanding Peripheral Neuropathy: Causes and Treatment Options
Understanding Leg Pain and Numbness After Orthognathic Surgery
Swelling and pain in the calf, numbness in the dorsum of the foot? Hello Doctor, after undergoing orthognathic surgery (under general anesthesia for over 8 hours), I woke up to discomfort in my right leg, feeling similar to a calf cramp. I have intermittently visited traditional ...
Dr. Jiang Junyi Reply:
Dear Ms. Ruby, You mentioned that "the joint of the right big toe extends diagonally to the dorsum of the ankle, and touching it causes a tingling sensation, while not touching it does not elicit any numbness, although occasionally there is a sharp, electric pain in the mid...[Read More] Understanding Leg Pain and Numbness After Orthognathic Surgery
Understanding Headaches and Vascular Issues: A Neurological Perspective
Headaches and vascular-related issues? Hello, doctor. I have been experiencing frequent headaches and fatigue. Here are my detailed symptoms: I have two types of headaches; one is unilateral (more often on the left side, but sometimes on the right) accompanied by a feeling of pre...
Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned, "If I need to see a specific specialist, which one would you recommend (due to heart and head, neurological issues)?" I'm not sure which issue is most concerning for you. I suggest starting with a neurologist, focusing on cervical spine ...[Read More] Understanding Headaches and Vascular Issues: A Neurological Perspective
Understanding Numbness and Swelling in the Left Foot and Leg
There is swelling and numbness from the left big toe to the left leg? There is a slight numbness and swelling sensation in the left big toe, but it is not completely devoid of feeling. The nerve sensation extends all the way to the left groin. Although it is uncertain if there is...
Dr. Jiang Junyi Reply:
Dear Ms. Chiu, You mentioned that "there is some numbness and swelling in the left big toe... the sensation of nerve twitching extends all the way to the left leg." This may indicate the possibility of lumbar nerve root compression. Typical discomfort symptoms associat...[Read More] Understanding Numbness and Swelling in the Left Foot and Leg
Understanding Fluctuating Weakness: Is It Anxiety or a Neurological Issue?
The soft tissue in the area is moving around? Recently, I woke up with sudden weakness and soreness in my left arm (it felt as sour as squeezing a lemon), and the next day it shifted to my right leg. The following day, I woke up with a stiff neck. After visiting a rehabilitation ...
Dr. Cai Zongzhang Reply:
Hello, Ms. Shu: Based on the symptoms mentioned above, it is recommended to consult a neurologist for an examination.[Read More] Understanding Fluctuating Weakness: Is It Anxiety or a Neurological Issue?
Leg Numbness and Weakness After Walking: Diabetes Concerns
On Saturday, after walking a longer distance, I experienced numbness and weakness in my calves and thighs? Hello Doctor, my mother has a nearly 30-year history of diabetes. Recently, her hemoglobin A1c was 7.8. After visiting the clinic on Saturday, she walked about 800 meters to...
Dr. Jiang Junyi Reply:
Dear Ms. Xiao Wei, You mentioned that your mother experienced symptoms of numbness and weakness in her thighs after walking approximately 800 meters on Sunday. If the numbness is in the thighs, we may need to consider lumbar nerve root compression. Symptoms of peripheral nerve c...[Read More] Leg Numbness and Weakness After Walking: Diabetes Concerns
Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery
Tightness in the thigh muscles, numbness, and mild edema in the legs? My mother, who is 88 years old, participated in a volunteer trip on November 14, where she walked too much, resulting in foot pain and nerve compression that prevented her from sleeping and standing. During thi...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that your mother is experiencing numbness in her feet, along with a sensation that the tendons in her right foot seem to be pulling up towards her buttocks. This may indicate compression of the lumbar nerve roots. Post-surgery, it is common to encount...[Read More] Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery
Understanding Mild Numbness in the Feet: Causes and Concerns
Slight tingling in the soles of the feet? Hello, doctor. Recently (about two weeks ago), I suddenly noticed a slight tingling sensation in the soles of my feet while sitting at work. However, I had not experienced this phenomenon before while sitting in the same chair and positio...
Dr. Jiang Junyi Reply:
Hello Mr. Hou, You mentioned experiencing slight numbness in your feet, which may be a symptom of plantar fasciitis and indicates peripheral nerve compression. Prolonged fixed positions, repetitive motions, and overtraining can lead to peripheral nerve compression. Activities su...[Read More] Understanding Mild Numbness in the Feet: Causes and Concerns
Understanding Sports Injuries: When to See a Neurologist or Orthopedist?
Doctor, please help me? Hello, doctor. Back in August, I strained my lower back and hips while exercising. I felt a warm, painful sensation in my lower back and hips, and my legs would tingle and feel numb when walking. I had an X-ray done, and the doctor said there was damage to...
Dr. Jiang Junyi Reply:
Hello Mr. Ah-Ming, You mentioned that "your back, waist, and hips feel hot and painful, and your legs feel tingling and numb while walking." Your symptoms may suggest possible sciatic nerve compression. A common cause is a herniated disc leading to localized inflammato...[Read More] Understanding Sports Injuries: When to See a Neurologist or Orthopedist?
Understanding Sports Injuries: When to See a Neurologist or Orthopedist
Doctor, please help me? Hello doctor, back in August, I strained my lower back and hips while exercising. I have been feeling a warm, painful sensation in my lower back and hips, and my legs have been experiencing tingling and numbness when I walk. I had an X-ray done, and the do...
Dr. Jiang Junyi Reply:
Hello Mr. Amin, You mentioned experiencing "heat and pain in your back, waist, and hips, along with tingling and numbness in your legs while walking." Your symptoms may suggest possible sciatic nerve compression. A common cause is a herniated disc, which can lead to lo...[Read More] Understanding Sports Injuries: When to See a Neurologist or Orthopedist
Understanding Back and Hip Pain: When to See a Neurologist or Orthopedist
Doctor, please help me? Hello, doctor. Back in August, I strained my lower back and hips while exercising. I felt a warm, painful sensation in my lower back and hips, and my legs would tingle and feel numb when walking. I had an X-ray done, and the doctor said there was damage to...
Dr. Jiang Junyi Reply:
Hello Mr. Ah Ming, You mentioned experiencing "heat and pain in your back, waist, and hips, along with tingling and numbness in your legs while walking." Your symptoms may suggest possible sciatic nerve compression. A common cause of this is a herniated disc, which can...[Read More] Understanding Back and Hip Pain: When to See a Neurologist or Orthopedist
Understanding Knee Pain: When to Seek Neurological Evaluation
Knee pain Hello, Dr. Jiang... My mother has been experiencing knee pain for the past three months, with symptoms fluctuating. However, in the last two weeks, not only has the knee pain worsened, but she is also experiencing pain throughout her entire leg, making it difficult for ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "knee pain" may need to consider knee joint inflammation. Pain or swelling in the joint, especially during excessive activity or when going up and down stairs, or when standing up after prolonged sitting, can be more pronounced. In the m...[Read More] Understanding Knee Pain: When to Seek Neurological Evaluation
Exploring Causes of Leg Weakness: Beyond MRI and Dopamine Imaging
The left foot feels weak when starting to walk, and MRI, electromyography, and dopamine imaging have all shown no abnormalities? Hello Doctor, my family member has experienced foot drop for the past five years. When changing positions (from sitting to standing, starting to walk, ...
Dr. Peng Shiwei Reply:
It is recommended to take your family member to a neurosurgery department for evaluation. Thank you.[Read More] Exploring Causes of Leg Weakness: Beyond MRI and Dopamine Imaging
Unexplained Right Leg Pain and Numbness: Possible Nerve Compression?
Unexplained tremors, pain, and numbness in the right foot? Hello Doctor, during my middle school years, I was diagnosed with a herniated disc after a classmate pulled my chair, causing me to fall. I tried physical therapy and corticosteroid injections, but they were not very effe...
Dr. Jiang Junyi Reply:
Dear Ms. W, You mentioned experiencing sudden severe pain in your right heel and persistent numbness and tingling. How should this be addressed? Thank you, doctor. Your symptoms indeed warrant consideration of lumbar nerve root compression. Typical discomfort associated with l...[Read More] Unexplained Right Leg Pain and Numbness: Possible Nerve Compression?
Understanding Weakness in Legs: When Standing Becomes Impossible
Leg weakness ~ inability to stand? Hello, my mother was born in 1938 (in her seventies)! She is approximately 162 cm tall and weighs 80 kg. Today, when I returned to my hometown, I discovered that my mother is unable to stand or walk. Since she lives with a family member, we init...
Dr. Jiang Junyi Reply:
Dear Yu-Jie, You mentioned that "she is unable to go out for medical treatment on the second floor and currently cannot walk even with family support." The symptoms you described may suggest a lumbar compression fracture. I recommend requesting assistance from a rehabi...[Read More] Understanding Weakness in Legs: When Standing Becomes Impossible