Understanding Nighttime Muscle Vibrations and Weakness: Causes and Solutions
Involuntary muscle twitching before sleep? Since July of this year, I have been experiencing a sensation of soreness and weakness in my calves and thighs before bedtime, resembling poor blood circulation. This is accompanied by vibrations in my calf muscles, which feel similar to...
Dr. Lan Shengxing Reply:
Dear Queen, the symptoms you described are somewhat similar to Restless Legs Syndrome, which is a disorder of the central nervous system. There are effective treatment options available, and generally, a neurologist should be familiar with the diagnosis and management of this con...[Read More] Understanding Nighttime Muscle Vibrations and Weakness: Causes and Solutions
Leg Cramps and Numbness: Causes and Solutions for Better Sleep
Numbness in the legs and leg cramps? I've been experiencing leg cramps at night while sleeping, and in the morning, the pain is so severe that it affects my ability to walk. After taking a nap for about half an hour during lunch, I wake up with numbness in my legs. I would l...
Dr. Gao Chunde Reply:
Cramps can have many causes. If you experience numbness after being in a fixed position for a while, it may indicate poor peripheral circulation. Engaging in gentle, consistent exercise is advisable, avoiding intense activities that could lead to muscle soreness or explosive move...[Read More] Leg Cramps and Numbness: Causes and Solutions for Better Sleep
Persistent Leg Numbness After Heavy Lifting: Possible Causes and Solutions
Persistent numbness near the tibia? Hello doctor, in July of this year, I experienced some soreness in my lower back while lifting heavy objects. After receiving a massage, I returned home and began to feel pain and numbness from my lower back to my buttocks, right thigh, right c...
Dr. Gao Chunde Reply:
Based on your medical history and symptom description, it strongly suggests that there is a herniated disc at the fifth lumbar vertebra compressing the nerve root. Typically, lumbar imaging (MRI or CT scan) would show this, so it is surprising that the results are normal. The phy...[Read More] Persistent Leg Numbness After Heavy Lifting: Possible Causes and Solutions
Feeling Lost After Neurology Tests: What Should I Do Next?
I'm not sure what to do? Hello Doctor: I visited due to hand numbness and tremors, and the doctor noticed that my left leg also had some weakness. I was asked to be hospitalized for further examination, and I stayed for two weeks during which I underwent MRI scans (of the he...
Dr. Gao Chunde Reply:
Medical centers are the places with the most healthcare resources and serve as the cradle for training specialized physicians. If one medical center cannot make a diagnosis, another may not necessarily be able to either. It is possible that the current medical equipment is unable...[Read More] Feeling Lost After Neurology Tests: What Should I Do Next?
Understanding Nerve Symptoms: Foot Tingling, Leg Cramps, and More
Tingling in the soles of the feet, leg numbness, and muscle twitching? Hello Doctor, 1. Symptom Description A. After sitting for a few seconds, I experience numbness, tingling, and a sensation like electric shocks in the soles of my feet, and sometimes there is a sudden sharp ...
Dr. Lan Shengxing Reply:
Dear Mr. "Constantly Being Referred," your examination results appear to be normal, so the neurologist's ability to assist you is limited. I recommend that you seek treatment from the urology and rehabilitation departments. Rehabilitation may take some time, so ple...[Read More] Understanding Nerve Symptoms: Foot Tingling, Leg Cramps, and More
Understanding Nighttime Toe Cramps: Causes and When to Seek Help
Experiencing muscle cramps in the toes before sleeping? Doctor, I've been experiencing a tingling sensation on the outer part of my lower legs, especially before going to bed at night or in the afternoon. Additionally, my middle toe, ring toe, and little toe occasionally cur...
Dr. Gao Chunde Reply:
It is more likely to be some form of involuntary movement related to sleep; however, issues within the fifth lumbar vertebra may also be a possibility. What examinations are needed will depend on the actual clinical evaluation and findings by the attending physician.[Read More] Understanding Nighttime Toe Cramps: Causes and When to Seek Help
Understanding Lower Back Pain: Causes and When to Seek Help
Lower back pain? At the beginning of the year, I slipped at work and experienced lower back pain. I applied some medicated patches a few times, and then I didn't feel the pain anymore. However, after the school semester started and I returned to work, I began to feel lower b...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more consistent with a herniated disc compressing the nerve root. The spine is subjected to repetitive stress, especially from abnormal pressures such as bending to pick things up or working in a bent or twisted position for ext...[Read More] Understanding Lower Back Pain: Causes and When to Seek Help
Understanding Pulsating Sensations in the Left Temple: Causes and Concerns
Pulsation on the left side of the temple? Hello, I would like to ask why my left temple is pulsating like a heartbeat. It has been ongoing for a while without stopping, and I don't feel nauseous, but I occasionally experience headaches. I would like to know the possible caus...
Dr. Lan Shengxing Reply:
Dear Mandy, the pulsating sensation in your temple may be due to nearby arteries, typically the temporal artery in that area. Generally, if it does not trigger headaches, it can be monitored. Additionally, restless leg syndrome is usually unrelated to the symptoms in your temple....[Read More] Understanding Pulsating Sensations in the Left Temple: Causes and Concerns
Understanding Leg Pain and Muscle Twitches: A Neurology Perspective
Foot pain, generalized muscle twitching? I have been experiencing pain from my toes up to my thighs for the past two years. There is a persistent feeling of tightness along a certain muscle, and I have visited many hospitals since the pain started. I have been in pain for two yea...
Dr. Gao Chunde Reply:
Some of your descriptions are not very clear, but I will analyze the parts I understand. These symptoms clearly exhibit characteristics of neurological disorders. In addition to amyotrophic lateral sclerosis (ALS), issues such as tremors, lack of coordination in the limbs, and po...[Read More] Understanding Leg Pain and Muscle Twitches: A Neurology Perspective
Understanding Intermittent Nerve Pain: A 48-Year Journey
Intermittent neuralgia My symptoms began at the age of 20, and after 48 years, I have visited many hospitals and undergone numerous tests, yet no answers have been found. About 90% of the symptoms occur in both feet, characterized by intermittent sharp pain. The pain comes and go...
Dr. Gao Chunde Reply:
Based on your symptom description, it is likely not a peripheral nerve issue, but rather something within the brain, resembling the nature of Restless Legs Syndrome. There are many possible causes, including iron deficiency, magnesium deficiency, liver and kidney dysfunction, thy...[Read More] Understanding Intermittent Nerve Pain: A 48-Year Journey
Understanding Post-Surgery Back Pain: Causes and Recovery Tips
Spinal pain Hello Dr. Lan, I had a car accident on April 1st of this year. The other driver hit me from behind, causing me to fall. The most severe injury was a rupture of the cartilage in my spine, which compressed my nerves and left me unable to walk. After surgery, I had two s...
Dr. Lan Shengxing Reply:
Dear A-Juan, the old injury in your lower back has been treated but is starting to hurt again. There could be many reasons for this, so it's important to follow up at the hospital. Regarding rehabilitation and activities after surgery, it's best to consult with the orth...[Read More] Understanding Post-Surgery Back Pain: Causes and Recovery Tips
Understanding Dizziness and Headaches: Possible Neurological Conditions
Dizziness, headache? Hello Dr. Jiang, I often experience a feeling of pressure at the back of my head, sudden dizziness, blurred vision, headaches, and increased sleepiness. These symptoms have been ongoing for almost two months. Could you please tell me what diseases these sympt...
Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration should be the symptoms of migraine, which typically include visual disturbances. These may manifest as scintillating scotomas or flashes of light, as well as blurred or distorted vision as an aura. A few minutes after the ...[Read More] Understanding Dizziness and Headaches: Possible Neurological Conditions
Why Does Shaking My Legs Make Me Feel Dizzy? A Neurology Insight
Dizziness when shaking the legs? Hello Dr. Jiang, recently whenever I shake my leg, I experience an up-and-down sensation and feel dizzy. What could be the possible cause?
Dr. Jiang Junyi Reply:
According to your description, there are many causes of dizziness. If the dizziness is characterized by a spinning sensation, it may be caused by vestibular nerve dysfunction. As for the feeling of lightheadedness, common causes include anxiety, sympathetic nervous system dysfunc...[Read More] Why Does Shaking My Legs Make Me Feel Dizzy? A Neurology Insight
Understanding Numbness Above the Knee: Possible Causes and Solutions
A localized area above the right knee on the outer thigh? Hello doctor, since yesterday afternoon, I've been experiencing a localized numbness in the outer side of my right thigh, just above the knee. It feels like my phone is vibrating, and it stops intermittently. There is...
Dr. Jiang Junyi Reply:
Based on your description, localized muscle twitching may occur due to abnormal signals sent from the nerves that innervate the muscles, such as compression of the L3-L4 nerve roots or local nerve inflammation. It can also happen when there is a deficiency of minerals (such as ma...[Read More] Understanding Numbness Above the Knee: Possible Causes and Solutions
Understanding the Use of Adan Tablets for Neurological Concerns
Taking Adan tablets? Sitting in a chair, I often shake my legs or tense my body, crossing my toes and applying pressure while touching my hair. I consulted a psychiatrist who prescribed Adderall and I want to ask the doctor if these behaviors are related to neurology. What is you...
Dr. Jiang Junyi Reply:
Hello, based on your description, Artane (Trihexyphenidyl) is a medication used to treat Parkinsonism. Parkinson's disease is primarily caused by an imbalance between two neurotransmitters in the brain: acetylcholine and dopamine. This medication can reduce the levels of ace...[Read More] Understanding the Use of Adan Tablets for Neurological Concerns
Understanding Facial Paresthesia: Causes, Symptoms, and Concerns
Facial paresthesia Over two months ago, I first noticed a slight tingling sensation in my lips while I was seriously reading analytical articles. Later, I also experienced tinnitus. More than a month ago, after the tinnitus disappeared, one morning I felt that my mouth was slight...
Dr. Lan Shengxing Reply:
Dear Little D, functional issues are not impossible. Although the likelihood of epilepsy is low, it cannot be completely ruled out, so it would be advisable to consult a neurologist for an examination. The idea of practicing martial arts leading to obsession is more akin to an ur...[Read More] Understanding Facial Paresthesia: Causes, Symptoms, and Concerns
Understanding Flashing Lights in Vision: Possible Neurological Causes
Flashes of light in the eyes? I have floaters in my vision, but after an examination by an ophthalmologist, the doctor confirmed that my retina is fine. However, some of my symptoms resemble those of a migraine, so I was advised to see a neurologist. I experience flashes of light...
Dr. Jiang Junyi Reply:
Hello, based on your description, common symptoms of migraine with aura include visual disturbances such as seeing stars and lightning-like flashes, as well as blurred or distorted vision. These are all signs of a migraine aura. A few minutes after the aura appears, you may exper...[Read More] Understanding Flashing Lights in Vision: Possible Neurological Causes
Persistent Cramps and Numbness in Left Hand and Leg: Possible Causes
Persistent cramping sensation in the left hand and left foot? Hello Doctor, recently I've been experiencing a persistent sensation in my left hand that feels somewhat like a mild cramping. Sometimes my palm feels a bit numb, and my fingers occasionally feel strange (for exam...
Dr. Lan Shengxing Reply:
Dear Xiao Ai, the symptoms mentioned above may require consideration of other conditions, such as mild cervical spine compression. However, I am unable to perform a neurological examination online, so I kindly ask you to visit the neurology outpatient department at various hospit...[Read More] Persistent Cramps and Numbness in Left Hand and Leg: Possible Causes
Understanding Weakness and Tremors in the Legs: Causes and Solutions
Weakness and tremors in both legs? I am experiencing weakness in both legs, with noticeable shaking when standing and even more pronounced tremors when squatting and standing up. My neurological reflexes are heightened, and I often feel a tingling sensation, similar to being pric...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for leg weakness, such as muscle atrophy and lumbar nerve compression. A thorough examination is necessary to identify the underlying cause for appropriate intervention. As for the tingling sensation in your legs, ...[Read More] Understanding Weakness and Tremors in the Legs: Causes and Solutions
Seeking Advice on Persistent Leg Symptoms: Should I Worry?
Hello, doctor. I have some more questions to ask you? Doctor, I apologize for bothering you again. I am the patient who previously inquired about the tingling and soreness in my right foot. A few days ago, I visited a clinic, and the doctor told me that it was caused by poor post...
Dr. Lan Shengxing Reply:
Dear Xiao Cheng, injuries like this are unlikely to improve in a short period of time. A herniated disc is indeed a possibility, but given your condition, further intervention may not be necessary. It is advisable to maintain proper posture, rest, and engage in moderate exercise....[Read More] Seeking Advice on Persistent Leg Symptoms: Should I Worry?