Leg, Neurology FAQ - Page 22

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Understanding Muscle Twitches and EMG Results: A Neurology Perspective

Muscle twitching and electromyography-related issues? Hello Doctor, Since around June 2017, I began to notice slight tremors in both of my hands, and when lying flat, I felt a sensation of my body vibrating. In July, I visited a neurologist for the first time, and the doctor ob...


Dr. Jiang Junyi Reply:
Hello: Generally speaking, about 70% of patients with motor neuron disease present with limb weakness, while around 20% exhibit weakness in the bulbar region as their clinical manifestation. In terms of limb involvement, the initial presentation is usually asymmetric hand weaknes...

[Read More] Understanding Muscle Twitches and EMG Results: A Neurology Perspective


Can Stroke Be Treated? Understanding Care Options and Concerns

Can a stroke be treated? My mother suddenly experienced facial drooping and weakness in her left arm and leg, and was urgently taken to the hospital. The doctor diagnosed her with a stroke and administered three doses of tissue plasminogen activator (tPA) and started an IV drip. ...


Dr. Hong Weibin Reply:
Currently, for the treatment of stroke, if a patient arrives at the hospital within 3 hours of the onset of acute stroke symptoms (calculated from the last time they were normal), thrombolytic therapy can be administered. If the patient arrives within 4 to 6 hours (and in some ca...

[Read More] Can Stroke Be Treated? Understanding Care Options and Concerns


Is Walking Considered Rehabilitation After a Stroke?

Is walking also considered rehabilitation? Hello Dr. Hong, my grandfather recently experienced a minor stroke and during his hospital stay, he had several episodes of minor strokes. He is currently unable to walk properly, has a crooked mouth, and drools. After some time, he reco...


Dr. Hong Weibin Reply:
Hello: Ischemic stroke is caused by the occlusion of blood vessels supplying brain tissue, leading to hypoxia and necrosis of normal brain tissue. The acute phase of an ischemic stroke lasts approximately 5-7 days from the onset of symptoms. Risk factors for stroke include age (t...

[Read More] Is Walking Considered Rehabilitation After a Stroke?


Understanding Dizziness and Leg Discomfort: A Neurological Perspective

Increased dizziness, swelling in the left leg, and occasional numbness in both hands, with the left hand being more affected? Hello, doctor. Basically, I'm experiencing dizziness and issues with my left leg (the hot weather affects me significantly; my dizziness worsens and ...


Dr. Jiang Junyi Reply:
Hello: The vascular stenosis you mentioned, if identified through a neck ultrasound, refers to the extracranial vessels, with the vertebral artery typically being more associated with dizziness. Controllable risk factors for stroke include metabolic syndrome, and your overweight ...

[Read More] Understanding Dizziness and Leg Discomfort: A Neurological Perspective


Can My Mother Fully Recover from Stroke-Related Weakness?

Can one regain their previous health? My mother recently experienced a minor stroke, which left her weak and unable to walk. She was urgently taken to the hospital for treatment and was hospitalized for a period during which she had daily episodes. After some time, she began to r...


Dr. Jiang Junyi Reply:
Hello, 1. I feel that my leg strength and overall physical stamina are not what they used to be. Why is that? The mild stroke you mentioned could lead to weakness in walking. I'm curious if the physician has explained the relevant areas of the brain and the corresponding c...

[Read More] Can My Mother Fully Recover from Stroke-Related Weakness?


Understanding Carotid Artery Occlusion After a Stroke: Key Concerns

What to do about carotid artery occlusion? My mother recently suffered a stroke, presenting with facial drooping, eye misalignment, drooling, and weakness in her legs. After being sent to the hospital for treatment, she was diagnosed with a cerebrovascular accident. The physician...


Dr. Jiang Junyi Reply:
Based on your description of the symptoms of generalized muscle pain, it is possible that during the magnetic resonance imaging (MRI) examination, patients are typically instructed to remain still to achieve better imaging, which can lead to muscle tension and discomfort. Your mo...

[Read More] Understanding Carotid Artery Occlusion After a Stroke: Key Concerns


Is Waking Up at Night with Head Pain a Sign of Brain Tumor?

Waking up in the middle of the night due to pain is not necessarily indicative of a brain tumor? Last night, I experienced a dull headache before going to bed, and I was awakened by the pain around 5 AM. I took some pain relievers, and after one or two hours, the pain subsided. I...


Dr. Jiang Junyi Reply:
According to your description, the likelihood of a brain tumor causing headaches is relatively low, and the pain tends to worsen over time. Given your age, the more common causes are tension-type headaches or migraines. The symptoms of tension-type headaches are typically bilater...

[Read More] Is Waking Up at Night with Head Pain a Sign of Brain Tumor?


Understanding Headaches and Numbness: Which Specialist to See?

Head numbness and headache? Hello Doctor: I have been experiencing headaches for the past six months. Sometimes they feel like sharp pains, other times they are more of a pressure pain, with no fixed pattern or location. Additionally, I have numbness in my head and face, and my e...


Dr. Jiang Junyi Reply:
Hello: Regarding the issue of high intraocular pressure, you can visit an ophthalmologist to measure your eye pressure, which can help rule out the problem of elevated intraocular pressure. As for the headache, it is advisable to first rule out migraine-related issues. Symptoms o...

[Read More] Understanding Headaches and Numbness: Which Specialist to See?


Understanding Essential Tremor: Causes, Treatments, and Next Steps

Tremors in the hands, feet, and body? Hello, doctor: I would like to ask about my condition. I noticed that my left hand has been trembling since high school, and now my right hand also has slight tremors. When I extend my five fingers forward, they tremble significantly. When I ...


Dr. Jiang Junyi Reply:
Hello, essential tremor: The exact cause of the tremor cannot be determined; it may be due to a specific constitution or hereditary tremor. Typically, the tremor is more pronounced when holding objects, while some individuals may experience shaking when writing or performing spec...

[Read More] Understanding Essential Tremor: Causes, Treatments, and Next Steps


Understanding Lumbar Nerve Root Disorders: Causes and Implications

Lumbar radiculopathy I have "L5 spondylolysis with spondylolisthesis," currently at grade one. The period of significant pain was during my sophomore year in high school, with symptoms localized to the lower right back (not affecting my legs), primarily characterized by...


Dr. Jiang Junyi Reply:
Hello: Spondylolysis is not the only cause of lower back pain. Some instances of lower back pain may only last two to three days, so pre-existing spondylolysis that has been present for years cannot be used to explain the pain. Many cases of lower back pain, particularly in acute...

[Read More] Understanding Lumbar Nerve Root Disorders: Causes and Implications


Understanding Nighttime Calf Cramps: Causes and Prevention Tips

Leg cramps? Doctor, I would like to ask about experiencing calf cramps during sleep, which cause pain upon waking. The pain lasts for a short duration, about 2 to 3 minutes. After the cramping episode, the calf area is tender to the touch. This occurs only during sleep. How can I...


Dr. Jiang Junyi Reply:
Hello: Common causes of nighttime calf cramps include: 1. Electrolyte imbalances, such as calcium deficiency. 2. Intense exercise leading to muscle contractions and the accumulation of metabolic byproducts like lactic acid in the leg muscles. 3. Poor sleeping positions, such as l...

[Read More] Understanding Nighttime Calf Cramps: Causes and Prevention Tips


Understanding Numbness in Limbs: Causes and Self-Care Tips

Numbness in all four limbs? Hello, I have a question! My hands and feet often feel numb, and the timing and location of these episodes are quite irregular, but they have been occurring frequently lately. Last month, it was only occasional, but recently, it happens quite often, mo...


Dr. Jiang Junyi Reply:
Based on your description: The symptoms of dizziness and numbness you mentioned are more likely caused by syncope or hyperventilation. A rapid drop in blood pressure or vasoconstriction can lead to decreased cerebral blood flow, which may trigger symptoms such as dizziness or blu...

[Read More] Understanding Numbness in Limbs: Causes and Self-Care Tips


Understanding Foot Muscle Twitches: Causes and Solutions for Sleep Disruption

Muscle twitching in the soles of the feet? Recently, I've been going to bed around 3 AM, and I've noticed that when I'm trying to fall asleep, my feet involuntarily twitch, which leads to insomnia. This has been very distressing.


Dr. Jiang Junyi Reply:
Hello, there are many causes for leg twitching or a prickling sensation. It may be necessary to consider conditions such as muscle diseases or lumbar nerve compression. Additionally, it could be related to restless legs syndrome (RLS), especially if there is a higher likelihood o...

[Read More] Understanding Foot Muscle Twitches: Causes and Solutions for Sleep Disruption


Understanding Nerve Compression Symptoms: Insights and Concerns

Nerve compression symptoms Hello Dr. Jiang, I previously experienced lower back pain due to prolonged standing and heavy lifting at work. A month ago, I consulted with traditional Chinese medicine, orthopedics, and neurosurgery. All the doctors indicated that my spinal X-ray res...


Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms should first consider lumbar nerve pathology, which is usually accompanied by decreased ankle and plantar reflexes. The calves often exhibit congestion and swelling, with sensory abnormalities on the outer side of the lower leg belo...

[Read More] Understanding Nerve Compression Symptoms: Insights and Concerns


Understanding Leg Numbness: When to See a Neurologist or Orthopedist

Numbness in the feet? In the past two weeks, I have experienced numbness in my legs (from the thigh to the calf) when I first sit down, lie down, or while walking. The numbness is accompanied by a cool sensation, and it occurs intermittently. About three years ago, I went to a ma...


Dr. Jiang Junyi Reply:
Hello, your foot numbness may be due to a herniated lumbar disc causing nerve root compression. This often presents with radiation into the calf. Clinically, a neurologist may arrange for a nerve conduction study to assess the extent of nerve compression. If the symptoms are more...

[Read More] Understanding Leg Numbness: When to See a Neurologist or Orthopedist


Experiencing Dizziness and Lightheadedness: Causes and Solutions

I have been experiencing frequent dizziness lately, and even when sitting still, I feel like I'm swaying? I have been staying up late every day last week, almost going to bed around 3 AM and waking up at 6 AM. I took short naps around noon and in the late afternoon. This wee...


Dr. Jiang Junyi Reply:
Hello, based on your description, the headaches related to your menstrual cycle are likely migraines, characterized by visual disturbances. Symptoms may include seeing stars and lightning-like flashes, as well as blurred or distorted vision, which are all common aura symptoms of ...

[Read More] Experiencing Dizziness and Lightheadedness: Causes and Solutions


Understanding Weakness in the Left Leg: A Neurological Perspective

My 82-year-old mother has weakness in her left leg? Hello, my mother says that when she tries to get up from bed or stand up from sitting, she feels a tightness and weakness in her left leg. When she takes the first step, it feels like she might step into empty space. Could this ...


Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for leg weakness, such as muscle atrophy, lumbar nerve compression, and joint degeneration leading to instability. A thorough examination is necessary. Additionally, elderly individuals may sometimes experience ort...

[Read More] Understanding Weakness in the Left Leg: A Neurological Perspective


Could Your Symptoms Indicate a Brain Tumor? A Doctor's Insight

Could you please tell me if the following symptoms could possibly be caused by a brain tumor? Hello Doctor, I would like to ask for your advice. Since middle school, I have frequently experienced palpitations, dizziness, a sensation of my body vibrating, and a feeling similar t...


Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with the autonomic nervous system, specifically the sympathetic and parasympathetic nervous systems, where one acts as the accelerator and the other as the brake. The sympathetic nervous system is responsible for stimulating the "gas...

[Read More] Could Your Symptoms Indicate a Brain Tumor? A Doctor's Insight


Understanding Nerve Compression: Symptoms of Tingling in Limbs and Face

Numbness in the hands and feet, and even the face is starting to feel numb? Hello, Dr. Jiang. Last month, I suddenly woke up one morning with simultaneous numbness in my left arm and leg. This sensation felt different from just an abnormal sleeping position. Even during the day, ...


Dr. Jiang Junyi Reply:
Hello, you mentioned that the issue of unilateral limb numbness is more indicative of cervical nerve root compression. As for the tingling sensations around the mouth and in the limbs, it may be necessary to consider hyperventilation syndrome. The typical symptoms include chest t...

[Read More] Understanding Nerve Compression: Symptoms of Tingling in Limbs and Face


Post-Car Accident: Dealing with Right Leg Weakness and Numbness

After the car accident, there is weakness in the right leg muscles and frequent sensations of numbness? Hello, Dr. Jiang. I was in a car accident on June 4, 2017, during which I sustained noticeable abrasions on my right foot and right hand. However, after 2-3 weeks, the abrasion...


Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to a tendon injury. The lumbar spine can become inflamed or compress the nerve roots due to external forces. If rehabilitation treatment is not pursued due to pain, muscle atrophy may occur from disuse. In addition to...

[Read More] Post-Car Accident: Dealing with Right Leg Weakness and Numbness


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