Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching accompanied by mild weakness? Hello Doctor, I am 21 years old. About a week ago, I caught a cold, and in the past few days, I have started to experience mild weakness in my right leg, especially noticeable when sitting. This is accompanied by occasional muscle tw...
Dr. Jiang Junyi Reply:
Hello, Mr. Mian: You mentioned experiencing "occasional muscle twitching sensations near the knee... but you are still able to perform squat jumps successfully." This is likely similar to typical muscle fasciculations. It may be worth considering some metabolic disorde...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Managing Parkinson's Disease: Can Medication Adjustments Reverse Decline?
Questions about Parkinson's disease? Hello Doctor: My mother, who is 72 years old, has been diagnosed with Parkinson's disease for about 10 years. Three months ago, her medication was adjusted, and she experienced severe dizziness. A month ago, her medication was adjust...
Dr. Peng Shiwei Reply:
Hello, regarding your question, I believe it would be more appropriate to discuss it with your mother's neurologist. Thank you.[Read More] Managing Parkinson's Disease: Can Medication Adjustments Reverse Decline?
Understanding Left Leg Weakness and Vibrations: Possible Nerve Issues
Weakness in the left foot and a vibrating sensation in the sole of the foot? Your question: Hello Doctor, about a month ago, I started experiencing soreness in both buttocks, with the left side being more painful. Sometimes my left leg feels weak. The rehabilitation doctor arrang...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Based on the nerve conduction study report you provided, there is evidence of left lumbar nerve root compression. The condition you are concerned about, amyotrophic lateral sclerosis (ALS), is a rare disease. Clinical diagnosis requires methods such as electromyog...[Read More] Understanding Left Leg Weakness and Vibrations: Possible Nerve Issues
Understanding Tightness in the Right Calf: Is It a Disc Issue or Muscle Imbalance?
Tightness in the right calf? Hello Doctor, since mid-June, I have been experiencing tightness in the back of my right calf (without pain). After that, I started to have numbness in my foot, which lasted for over a month. I then visited a neurologist who arranged for an X-ray and ...
Dr. Jiang Junyi Reply:
Dear Ms. N, You mentioned that "nerve testing revealed that the area innervated by L5 is associated with the left foot... muscle imbalance." Your symptoms may still need to consider underlying structural abnormalities, along with the possibility that emotional fluctuat...[Read More] Understanding Tightness in the Right Calf: Is It a Disc Issue or Muscle Imbalance?
Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Sleep disorders Hello Doctor, I usually have a habit of staying up late and drinking red tea and milk tea from aluminum foil packages. Recently, I have experienced insomnia for three consecutive days, poor appetite, constipation, occasional heart pain, and shortness of breath. I ...
Dr. Cai Zongzhang Reply:
Hello: Adequate sleep is related to health, and tea and coffee beverages can worsen insomnia. It is recommended to reduce tea consumption and avoid drinking tea in the evening to improve sleep duration. If symptoms do not improve, please visit a neurology clinic.[Read More] Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Dementia issues Hello Dr. Wu, At the beginning of this year, my father was involved in a motorcycle accident where he sustained a head injury and was unconscious. A CT scan of the brain was performed in the emergency department, which showed no abnormalities. However, one month...
Dr. Wu Mukhan Reply:
Hello, according to current research, chronic pain or head trauma can indeed lead to long-term cognitive decline (dementia) as a consequence. However, it is challenging to establish a direct causal relationship between dementia and these factors in medical terms, especially since...[Read More] Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Understanding Chronic Denervation and Its Impact on Calf Discomfort
Discomfort in the calf, abnormal electromyography (EMG) findings? Hello Doctor, since mid-June, I have been feeling tightness in the back of my right calf. It feels fine when I first get up, but the tightness increases the longer I stand, although it is not painful. As my anxiety...
Dr. Peng Shiwei Reply:
Hello, it is more appropriate for the physician who is treating you to answer your questions. Thank you.[Read More] Understanding Chronic Denervation and Its Impact on Calf Discomfort
Understanding Left Leg Pain: When to See a Neurologist
The left leg is experiencing soreness? Hello Doctor, my mother is about 70 years old. She has been experiencing pain starting from the lower left side of her buttock, slightly towards the outside (not directly on the outer side), extending down to just outside the knee pit. When ...
Dr. Cai Zongzhang Reply:
Hello Mr. Yang: Based on the symptoms mentioned, it is suspected that you have lumbar radiculopathy. It is recommended that you visit a neurology outpatient clinic.[Read More] Understanding Left Leg Pain: When to See a Neurologist
Understanding Left Leg Weakness and Vibrations: Possible Nerve Compression?
Weakness in the left foot and a vibrating sensation in the sole of the foot? Hello Doctor, about a month ago, I started experiencing soreness in both buttocks, with the left side being more painful. Sometimes my left leg feels weak. The rehabilitation doctor arranged for an elect...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: The symptoms mentioned above could be indicative of a neurological disorder. It is recommended that you visit a neurology outpatient clinic.[Read More] Understanding Left Leg Weakness and Vibrations: Possible Nerve Compression?
Understanding Arm Muscle Pain and Tremors: Possible Neurological Causes
Arm muscle tenderness and tremors? Hello doctor, I currently have the following symptoms and would like to ask about possible causes: 1. When I raise both arms, I often feel soreness in my hands. When holding my phone with one hand, my hand shakes slightly. My fingers tremble w...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: Based on the symptoms mentioned, it is recommended to visit the neurology outpatient clinic (please bring your MRI results).[Read More] Understanding Arm Muscle Pain and Tremors: Possible Neurological Causes
Understanding Occasional Numbness and Tingling in Limbs: Causes and Concerns
Occasional tingling or numbness in the hands and feet? Hello doctor, last week I experienced soreness in my left eye for four to five days and consulted a physician who mentioned that my eyes were fatigued. During this time, I occasionally felt tingling sensations in my left arm ...
Dr. Jiang Junyi Reply:
Hello Mr. Zhe, You mentioned that "the right side has somewhat similar symptoms," which may still warrant consideration of spinal nerve root compression. Additionally, cerebrovascular diseases should also be ruled out. Multiple sclerosis is considered a rare disease in...[Read More] Understanding Occasional Numbness and Tingling in Limbs: Causes and Concerns
Understanding Left Back and Thigh Discomfort: A Neurological Perspective
When sitting and lying flat, there is something unusual in the left back area and the left thigh? Hello, doctor! This issue has been troubling me for two years, but it has become particularly severe in the past few months. When I sit upright (with my back relatively straight) and...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it cannot be ruled out that they are related to deep muscle issues. If you are feeling very troubled, you may consider going to a major hospital to check your muscle enzymes, or consult with your physician about whether an MRI is necessary. Thank yo...[Read More] Understanding Left Back and Thigh Discomfort: A Neurological Perspective
Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Could this be classified as autonomic nervous system dysfunction? Hello, doctor. I am 23 years old, with a height of 157 cm and a weight of 65 kg. (Personal experience: I have had nasal allergies since childhood, but the condition has not been severe as I grew up, experiencing oc...
Dr. Cai Zongzhang Reply:
Hello J: Based on the symptoms mentioned, it is recommended to visit an otolaryngologist to check if nasal issues are causing difficulty in ventilation. The symptoms described are not caused by autonomic nervous system disorders, and regular exercise may help improve the conditio...[Read More] Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Understanding Body Tremors: When to Seek Medical Attention
Body tremors Hello doctor, yesterday while I was sleeping, I suddenly noticed that the left side of my body and my left hand were trembling. I was abruptly awakened by the shaking, and the symptoms lasted for several seconds. After waking up, I found that the entire left upper ha...
Dr. Cai Zongzhang Reply:
Hello, Song: The symptoms mentioned above may indicate a neurological disorder. It is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Body Tremors: When to Seek Medical Attention
Understanding Sensory Loss: Possible Causes and Solutions
Numbness sensation Hello Doctor: About three days ago, I noticed a reduction of approximately 80% in the sensation of cold and heat in my left hand's ring and little fingers, along with a slight decrease in strength, but there is no significant numbness or pain. In addition ...
Dr. Jiang Junyi Reply:
Dear Ms. K: You mentioned that you have decreased sensitivity to temperature in your left ring and little fingers. Your symptoms may suggest an abnormality in ulnar nerve function. The ulnar nerve innervates part of the little finger, half of the ring finger, and the correspondi...[Read More] Understanding Sensory Loss: Possible Causes and Solutions
Understanding Lower Back Pain and Leg Numbness: Causes and Solutions
Lower back pain with leg numbness? Hello, doctor. I originally had pain on the left side of my lower back near the iliac bone, but it was only occasional. Today, when my back hurt, I experienced numbness above my left knee and in my thigh. Although the numbness in my thigh has be...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "when experiencing lower back pain, there is numbness in the upper side of the left knee and thigh." Your symptoms may suggest compression of the lumbar nerve roots. Typical discomfort associated with lumbar nerve root pathology includes pain...[Read More] Understanding Lower Back Pain and Leg Numbness: Causes and Solutions
High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
Frequent muscle twitching throughout the body and a feeling of weakness? Muscle twitching occurs frequently, with some localized spasms. It intensifies when I feel restless. I experience a tingling sensation similar to being electrocuted when sitting or lying down. I feel fatigue...
Dr. Jiang Junyi Reply:
Hello Mr. Pao, You mentioned experiencing a sensation similar to being electrocuted when sitting or lying down, which is a symptom of peripheral nerve compression. This is not indicative of amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. ALS present...[Read More] High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
Dizziness After Exercise or Work: Understanding Your Symptoms
Dizziness or lightheadedness after exercise or work? Hello, recently I have been experiencing dizziness after intense exercise or during activities that involve holding my breath. I often feel dizzy when there is significant movement or shaking of my head and neck, especially aft...
Dr. Jiang Junyi Reply:
Hello Ms. Alex, You mentioned that you often feel dizzy after intense exercise or breath-holding activities, and after exertion (or standing up too quickly after bending down for a long time). This may indicate symptoms similar to syncope. When cerebral blood flow drops below 30...[Read More] Dizziness After Exercise or Work: Understanding Your Symptoms
Muscle Twitches and Crawling Sensation in Legs: Possible ALS Concerns
Muscle twitching and a sensation of ants crawling in the legs? In the past month, I have experienced muscle twitching, and while sitting or lying down, my legs feel tingly as if ants are crawling on them. After researching online, I found that it could possibly be amyotrophic lat...
Dr. Peng Shiwei Reply:
Based on the symptoms you described, the likelihood of amyotrophic lateral sclerosis (ALS) is extremely low. If you are still concerned, it is advisable to seek consultation at an outpatient clinic. Thank you for your inquiry.[Read More] Muscle Twitches and Crawling Sensation in Legs: Possible ALS Concerns
Understanding Outer Thigh Numbness: Causes and Solutions for Active Individuals
Numbness in the outer thigh caused by exercise (I have already researched and found no similar conditions)? Hello Doctor, I have been troubled by this issue for some time, and it may be a bit lengthy. I hope you can provide me with advice and assistance. (I have not experienced a...
Dr. Jiang Junyi Reply:
Hello Mr. Tommy, You mentioned experiencing a tingling sensation on the outer side of your right thigh near the knee. In addition to possible compression of the lumbar nerve roots (L2 and L3), it may be necessary to consider inflammation of the lateral femoral cutaneous nerve. T...[Read More] Understanding Outer Thigh Numbness: Causes and Solutions for Active Individuals