Understanding Back Pain: When to See a Neurologist or Orthopedist
Experiencing lower back pain when lying on your stomach? Hello Doctor: I have noticed that when I wake up, especially when lying flat, my entire back hurts, particularly when I inhale. After getting up, if I lean my body forward, my lower back hurts significantly. This discomfort...
Dr. Lan Shengxing Reply:
Dear Asheng, regarding your morning lower back pain, considering your age and gender, I would recommend that you visit a rheumatology or orthopedic specialist to rule out ankylosing spondylitis. Thank you.[Read More] Understanding Back Pain: When to See a Neurologist or Orthopedist
Understanding Numbness in the Right Foot: Possible Causes and Solutions
Numbness in the right foot dorsum? Hello, Doctor. My right foot's dorsum feels numb (around the area just below the little toe) and it has been like this for over a week. What could be the possible causes? Thank you!
Dr. Gao Chunde Reply:
This area may correspond to the distribution of a peripheral nerve or the first sacral nerve root. Therefore, it is important to consider other accompanying clinical symptoms, such as lower back pain, numbness or tingling in the posterior thigh, or weakness in the right foot when...[Read More] Understanding Numbness in the Right Foot: Possible Causes and Solutions
Understanding Facial Numbness: Possible Neurological Issues Explained
Abnormal sensation in the cheek? Hello, Doctor Gao. For the past few months, I've been experiencing occasional localized burning and numbness on the right side of my calf. Recently, in the past month, I've also felt some numbness and tightness below my left ear, as well...
Dr. Gao Chunde Reply:
It is unclear whether the right side of the calf refers to the outer side of the right calf or the inner side of the left calf, but it can be confirmed that there is a sensory dysfunction of a peripheral nerve. There are also localized sensory nerve issues in the neck below the l...[Read More] Understanding Facial Numbness: Possible Neurological Issues Explained
Understanding Lower Back Pain: When to Consult a Neurologist
Lower back pain Dear Doctor, I have been experiencing lower back pain for the past two weeks and am unsure which specialty to consult. I noticed that the neurology department addresses back pain, so I am seeking your advice. Here are my recent symptoms: 1. About a month ago, I ...
Dr. Gao Chunde Reply:
You can first consult a neurologist to assess whether there is an issue with the lumbar nerve roots, especially since you experience pain in the right thigh when leaning backward. Irritable bowel syndrome typically does not cause lower back pain; it is partially attributed to wha...[Read More] Understanding Lower Back Pain: When to Consult a Neurologist
Understanding Chronic Abdominal Pain and Its Impact on Back Pain
Pain issues Hello, doctor. I apologize for bothering you. I have been experiencing persistent pain in my lower abdomen, which has now progressed to almost daily pain in my lower back for over a year. A gastroenterologist diagnosed me with irritable bowel syndrome (IBS). The abdom...
Dr. Gao Chunde Reply:
Irritable bowel syndrome (IBS) is primarily a functional issue, which is why symptoms can fluctuate. If the lower back pain is simply due to a strain or muscle soreness, rest and medication should lead to improvement. However, since this has been ongoing for over a year, I would ...[Read More] Understanding Chronic Abdominal Pain and Its Impact on Back Pain
Persistent Headaches: When Pain Medications Fail to Provide Relief
If taking medication for headaches does not improve the symptoms, it is important to consult a healthcare professional for further evaluation and management? Hello Doctor: I have been experiencing persistent headaches lately. The pain subsides when I sleep, but as soon as I wake ...
Dr. Gao Chunde Reply:
In general, if a typical migraine improves after taking the medications you mentioned, it should be nearly resolved. If there is no improvement, one possibility is that it is a status migrainosus, which requires stronger injectable medications for ongoing treatment. Another consi...[Read More] Persistent Headaches: When Pain Medications Fail to Provide Relief
Unexplained Lower Back Pain: When to Seek Neurology Advice?
Unexplained lower back pain? About a week ago, I started experiencing an unexplained soreness in my lower back near the hips, especially when I sleep on my stomach. I haven't engaged in any activities or exercises that would typically cause muscle soreness recently, so I...
Dr. Huang Yongquan Reply:
The most common cause of lower back pain is muscular pain, which can occur not only from exercise but also from poor posture habits. However, if there is an impact on mobility or if symptoms such as numbness or weakness appear, it is advisable to seek medical evaluation and treat...[Read More] Unexplained Lower Back Pain: When to Seek Neurology Advice?
Understanding Leg Numbness: When to See a Neurologist After Back Surgery
Numbness in both legs extending to the soles of the feet? Doctor, seven years ago I underwent an L5-S1 discectomy. I had no discomfort after the surgery, but four months ago I suddenly experienced lower back pain. The pain then subsided, but I developed tingling and numbness in m...
Dr. Gao Chunde Reply:
Since the MRI is fine, I believe it should be related to failed back surgery syndrome in neurosurgery. I'm not sure how to translate that into Chinese, but it sounds very similar to your description. You can search online or consult with a neurosurgeon who has extensive surg...[Read More] Understanding Leg Numbness: When to See a Neurologist After Back Surgery
Persistent Knee Pain and Numbness Six Weeks After a Fall: What to Do?
Persistent numbness and pain in the knee for six weeks after a fall? I fell six weeks ago, and although there were no external injuries to either knee, both were significantly bruised and painful. The pain was particularly pronounced on the outer side of the right knee and in an ...
Dr. Ye Boshou Reply:
If there is pain and numbness near the knee without any abnormalities in the lower limbs, calves, or feet, it is likely due to local inflammation or swelling. Applying a warm compress, engaging in mild activity, and taking medication can be helpful, but avoid excessive movement.[Read More] Persistent Knee Pain and Numbness Six Weeks After a Fall: What to Do?
Understanding Frequent Foot Cramps: Causes and Specialist Guidance
Leg cramps are common? Hello Dr. Liu, I have been struggling with frequent cramps in the front half of my feet for many years, and the frequency has been increasing, especially after standing for long periods at work. My feet feel heavier, and even slight movements can trigger c...
Dr. Liu Zhiyang Reply:
Foot cramps are associated with various factors such as poor blood circulation, calcium deficiency, endocrine issues, and electrolyte imbalances. It is recommended to visit a neurology or internal medicine outpatient clinic for an evaluation of the underlying causes. Sincerely, D...[Read More] Understanding Frequent Foot Cramps: Causes and Specialist Guidance
Chronic Lower Back Pain: Which Specialist Should You Consult?
Lumbar pain Hello, Doctor. I would like to ask a question before describing my issue. I have lower back pain; seeing an orthopedic specialist hasn't helped. Should I see a neurologist (either internal or external) or a rehabilitation specialist? Here's my situation: Abo...
Dr. Ye Boshou Reply:
As you mentioned, it may be myositis. Please consult a rehabilitation specialist first.[Read More] Chronic Lower Back Pain: Which Specialist Should You Consult?
Understanding Symmetrical Sensory Delays in the Lower Legs
Symmetrical sensory impairment on the lateral aspect of the lower leg? A 13-year-old daughter who practices dance is experiencing itching in her calves. After scratching, she feels a delay in sensation, which later spreads to her limbs. The next day, she has severe lower back pai...
Dr. Ye Boshou Reply:
Hello: I'm not sure if the sensation you mentioned as "slowed" refers to numbness or decreased sensation? Is there any accompanying motor function impairment? Based on the current description, I may not be able to provide you with a definitive answer. I recommend t...[Read More] Understanding Symmetrical Sensory Delays in the Lower Legs
Understanding Foot Numbness and Lower Back Pain: When to Seek Help
Numbness and pain in the big toe and lower back discomfort? Hello, I work as an operator who stands and walks for long periods, with a 12-hour shift and less than 1.5 hours of sitting time. Six months ago, I experienced sharp pain in my lower back and sought treatment in the reha...
Dr. Ye Boshou Reply:
Hello: Due to prolonged standing and posture-related issues, avoid standing for too long and engage in more foot exercises to improve the condition. If problems persist, both orthopedic and neurology specialists can provide treatment.[Read More] Understanding Foot Numbness and Lower Back Pain: When to Seek Help
Comprehensive Evaluation for Persistent Nerve and Muscle Symptoms
May I ask about a single examination? Hello, Doctor: I am an office worker who spends most of the day sitting in front of a computer and rarely exercises. I've been experiencing symptoms for about a year, and since I haven't received treatment, my condition has worsened...
Dr. Lin Zijing Reply:
Normal lumbar spine X-rays and MRIs can differentiate between intervertebral disc and lumbar spine lesions. Therefore, it is important to consider lower pathologies such as piriformis syndrome, which may arise from piriformis injury, inflammation, overuse, or hemorrhage. Nearby t...[Read More] Comprehensive Evaluation for Persistent Nerve and Muscle Symptoms
Sudden Lower Back Pain and Numbness: Understanding Neurological Issues
Sudden numbness and tingling in the lower back? I have experienced sudden severe pain on both sides of my lower back, to the point of numbness, and this has happened two or three times now.
Dr. Gao Chunde Reply:
Are there certain positions or movements that trigger the pain, or does it occur spontaneously? Is the numbness localized to the lower back, or does it radiate down to the legs or knees? Did it start after an injury or improper use? There are many possible issues, but a more deta...[Read More] Sudden Lower Back Pain and Numbness: Understanding Neurological Issues
Understanding Right-Sided Muscle Tension and Back Pain: A Neurology Perspective
Tightness and pain on the right side of the body, along with lower back and upper back pain? Hello Doctor, When I was in the third grade, I started experiencing tightness on the right side of my body. At that time, I didn't think it was serious and didn't seek medical...
Dr. Ye Boshou Reply:
Hello: X-rays and CT scans have been performed, and no abnormalities were found. However, the symptoms persist, so a consultation with a neurologist is recommended for a physical examination to determine if everything is normal.[Read More] Understanding Right-Sided Muscle Tension and Back Pain: A Neurology Perspective
Understanding Lower Back Pain: Causes and Insights from Neurology
Lower back pain? Doctor, may I ask why my lower back has been feeling sore lately? Could you please explain what this might be?
Dr. Chen Haorong Reply:
There are many causes of lower back pain, and it is essential to clarify the following questions first: 1. Is there a history of strain? 2. Has there been any intense physical activity? 3. Did the pain occur after lifting heavy objects? 4. How long has the pain lasted? 5. Does th...[Read More] Understanding Lower Back Pain: Causes and Insights from Neurology
Understanding Foot Numbness: Causes and Solutions for Neurological Issues
Numbness in the soles of the feet? Hello, Dr. Gao. Recently, I have been experiencing numbness in both legs, along with lower back pain and finger discomfort. The numbness in my legs feels like intermittent tingling, similar to the rhythm of my pulse, and this sensation is persis...
Dr. Gao Chunde Reply:
Based on your symptoms, if we consider a neurological issue, it is focused on the fingers and soles of the feet, which we refer to as "peripheral." If it is not a peripheral circulation problem, we need to be aware of the possibility of peripheral neuropathy. This can b...[Read More] Understanding Foot Numbness: Causes and Solutions for Neurological Issues
Understanding Right-Sided Lower Back Pain: Causes and When to Seek Help
Hello, I have pain in the middle of my lower back, slightly to the right? Hello Doctor, about a month or two ago, I started experiencing pain in my lower back. It doesn't hurt when I apply external pressure or maintain the same position for a long time, but it does hurt when...
Dr. Ye Boshou Reply:
Hello: For tendon-like issues, continue to follow up on kidney problems with internal medicine. If there is no improvement, then proceed to the neurology clinic for a physical examination.[Read More] Understanding Right-Sided Lower Back Pain: Causes and When to Seek Help
Unexplained Pain Above Knee: Possible Nerve or Spine Issues?
Occasional unexplained pain approximately 12 centimeters above the knee joint on the front of the thigh and calf? 1. Occasional unexplained pain is felt about 12 centimeters above the front joint of the calf and thigh, occurring in both legs, but more frequently in the left leg. ...
Dr. Gao Chunde Reply:
It is highly likely that there is a lesion at the level of the fourth lumbar nerve root. A detailed neurological examination has not yet been performed to confirm this. It is recommended to visit a neurologist for further evaluation and treatment.[Read More] Unexplained Pain Above Knee: Possible Nerve or Spine Issues?