Intermittent Numbness in the Sole: Should You Be Concerned?
Intermittent numbness in the soles of the feet? Hello doctor, I have suddenly noticed that the sole of my left foot feels numb for a second, then normal for a second, and then numb again, whether I am sitting or lying down. This has been ongoing. Is this a serious issue? Thank yo...
Dr. Jiang Junyi Reply:
Hello Mr. Ben: Your symptoms may suggest peripheral nerve compression, such as compression of the plantar nerve or injury to the sciatic nerve. Common symptoms of peripheral nerve compression include pain, numbness, and weakness. The causes may include acute direct injury: nerve ...[Read More] Intermittent Numbness in the Sole: Should You Be Concerned?
Child Experiences Sudden Speech Loss and Drooling: What to Do?
Unable to speak? The doctor would like to ask about a child who was attending an online class on June 29th. During the class, the child suddenly became unable to speak, experienced excessive drooling, and had involuntary twitching on the left side of the mouth. This episode laste...
Dr. Jiang Junyi Reply:
Hello Ying: You mentioned that "halfway through, suddenly unable to speak, excessive drooling, and continuous twitching of the left side of the mouth for about three minutes." These symptoms may suggest abnormal electrical discharges in the brain, possibly indicating an...[Read More] Child Experiences Sudden Speech Loss and Drooling: What to Do?
Post-Surgery Tinnitus: Understanding Symptoms and Next Steps
Tinnitus after brain surgery? Two years ago, a family member experienced a subarachnoid hemorrhage and underwent surgery. Subsequently, due to hydrocephalus, they had a ventriculoperitoneal shunt placed. There was damage to the language area, and it took nearly a year for their s...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the tinnitus is not constant; it appears about 2 hours after getting up and is accompanied by a feeling of fullness, sometimes in one ear and sometimes in both. However, the condition improves when lying down or bending forward." Your symptoms...[Read More] Post-Surgery Tinnitus: Understanding Symptoms and Next Steps
Understanding Random Numbness: Causes and Next Steps in Diagnosis
Numbness in the face, hands, toes, and random tingling sensations throughout the body? Hello Doctor, I have recently experienced some random tingling sensations throughout my body. It hasn't reached a point where I can't take care of myself, but it occurs quite frequent...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned experiencing some slight tingling sensations throughout your body. You have already undergone examinations to rule out structural abnormalities, including magnetic resonance imaging (MRI) of the cervical spine and nerve conduction studies of the limbs. A...[Read More] Understanding Random Numbness: Causes and Next Steps in Diagnosis
Understanding Neck Pain and Dizziness: Is It Autonomic Nervous System Dysfunction?
Sometimes when sitting, it feels like being in an elevator? Hello, doctor. I often use my computer and phone while looking down, but one day I suddenly started experiencing shoulder and neck pain, along with stiffness and pain in the occipital region. I also began to feel dizzy w...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned "shoulder and neck pain, dizziness similar to being in an elevator... could this be autonomic nervous system dysfunction?" Your symptoms do not align with autonomic nervous system issues. It may be necessary to first consider Benign Paroxysmal ...[Read More] Understanding Neck Pain and Dizziness: Is It Autonomic Nervous System Dysfunction?
Understanding Facial Nerve Control Issues: Causes and Solutions
The facial nerve on the right side is not functioning properly? Hello, doctor. Since I can remember, my lower lip on the right side has always been crooked when I speak, and I can also notice that my cheeks are asymmetrical when I smile. My speech is somewhat unclear, and when I ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "my dominant hand is the right hand, but its dexterity is not as good as my left hand. Although it does not affect my daily life, I would like to ask if this is related to the facial issues mentioned above." You noted that the function of your ...[Read More] Understanding Facial Nerve Control Issues: Causes and Solutions
Severe Pain in Left Thumb: Possible Nerve Issues After Injury
Severe pain in the webbing of the left thumb? Hello Doctor, a few days ago while using the computer, my left thumb accidentally got caught between two keys on the keyboard, resulting in a small laceration in the webbing of my left thumb, but there was no bleeding. However, the wo...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned, "I have pain in the spaces between my left fingers. If medication does not improve the condition, can it be treated with surgery?" Generally, surgical intervention primarily aims to remove potential lesions. In cases of nerve injury, we ty...[Read More] Severe Pain in Left Thumb: Possible Nerve Issues After Injury
Understanding Body Numbness: When to See a Neurologist
The body may experience numbness? Hello Doctor: Recently, I have been experiencing occasional numbness in my body, with varying frequency. Sometimes it affects my hands, sometimes my feet, and at times my face, neck, and the area around my collarbone. Additionally, I feel that my...
Dr. Jiang Junyi Reply:
Dear Ms. Wen, You mentioned feeling bodily numbness and experiencing faster-than-usual breathing, which may indicate hyperventilation leading to decreased carbon dioxide levels in the blood. This can result in an increase in blood pH, causing systemic reactions and symptoms. Com...[Read More] Understanding Body Numbness: When to See a Neurologist
Understanding Heat Sensation in the Back of the Head: Causes and Solutions
Heat sensation in the back of the head? Recently, I have been frequently experiencing a sensation of heat at the back of my head, sometimes at the crown as well. This occurs whether I am outdoors in the heat or indoors in an air-conditioned room. I am unsure what the cause might ...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Hsuan, You mentioned experiencing a sensation of heat in your scalp, sometimes at the back of your head and other times at the top. This may indicate cervical myofascial pain syndrome, which can present with symptoms such as pain, discomfort, muscle stiffness, or...[Read More] Understanding Heat Sensation in the Back of the Head: Causes and Solutions
Understanding Foot Numbness and Small Steps: Neurological Insights
Numbness in the toes and shuffling gait? Hello Dr. Jiang, I am 72 years old this year. I previously visited a neurologist because I experience small shuffling steps when walking and cannot turn my head too quickly, otherwise I feel dizzy. Both of my feet feel numb, primarily in t...
Dr. Jiang Junyi Reply:
Hello, Aunt Hsu: You mentioned, "Is it possible to improve small fiber symptoms through dopamine in non-Parkinson's disease?" The answer is no. You also noted that "both feet feel numb, primarily in the toes," which may indicate symptoms of peripheral ne...[Read More] Understanding Foot Numbness and Small Steps: Neurological Insights
Understanding Persistent Headaches: Causes and When to Seek Help
Persistent dull headache? Hello, doctor. Recently, I've been experiencing a higher frequency of headaches, which have become persistent over the past few days. The pain is usually located at the back of my head and is a dull ache. Taking pain relievers hasn't been effec...
Dr. Jiang Junyi Reply:
Hello: You mentioned "developing persistent headaches, typically located at the back of the head, characterized as a dull pain, and pain relievers have little effect." This may suggest chronic daily headache, which is a type of primary headache defined as occurring for ...[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Understanding Numbness and Weakness in Limbs: Possible Causes and Solutions
Numbness and even weakness in the limbs? Recently, I started experiencing numbness in both hands that lasted all day. The next day, the numbness in my hands persisted and spread to my legs, along with stiffness and numbness in my right shoulder and neck. On the third day, the num...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that you have a noticeable loss of sensation in the soles of your feet, which may indicate a potential issue with nerve compression. This can occur due to prolonged fixed positions, repetitive movements over time, or excessive training, including situa...[Read More] Understanding Numbness and Weakness in Limbs: Possible Causes and Solutions
Understanding Unexplained Body Pain: A Guide for Teens
Unexplained tingling sensations throughout the body? Hello, doctor. I am currently a high school student, but I often experience unexplained pain or cramps throughout my body, with the chest and abdomen being the most frequent areas. Sometimes the pain subsides in a few seconds, ...
Dr. Jiang Junyi Reply:
Hello Mr. Paul, You mentioned that you occasionally feel a tightness in your chest and experience shortness of breath, as well as episodes of unexplained stiffness and immobility in your limbs. These symptoms may be related to hyperventilation, which can lead to decreased carbon...[Read More] Understanding Unexplained Body Pain: A Guide for Teens
Understanding Morning Eye Muscle Numbness: Causes and Insights
Waking up with a tingling sensation in the muscles at the corners of the eyes? Dr. Jiang, in the past two days, has experienced a tingling sensation in the muscles at the back of his eyes upon waking, but his vision seems to be unaffected. What could this phenomenon be? I kindly ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the muscles at the back of the eyes feel numb, but vision seems to be fine." This may indicate symptoms related to the trigeminal nerve... facial sensation. Normal vision could suggest that there are no abnormalities with the optic nerve. It i...[Read More] Understanding Morning Eye Muscle Numbness: Causes and Insights
Sudden Dizziness and Weakness: Could It Be Epilepsy?
Dizziness and weakness in the limbs? Hello doctor, I suddenly felt dizzy and weak all over while walking, and I lost control of my body, almost losing consciousness. During this episode, I felt twitching at the junction of my neck and head (but there was no twitching in my limbs)...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned are not indicative of epilepsy; they are suspected to be related to orthostatic hypotension. It is recommended to visit a neurology outpatient clinic.[Read More] Sudden Dizziness and Weakness: Could It Be Epilepsy?
Understanding Muscle Cramps in Fingers During Daily Activities
The issue of experiencing cramps in the fingers while working with them in a bent position? In the past month, I have experienced muscle cramps in my fingers when using a toothbrush to brush my teeth, and also while washing dishes. Using dental floss causes even more severe cramp...
Dr. Jiang Junyi Reply:
Hello Mr. Kuo, You mentioned that your toes sometimes cramp during movement, and that most of the time, cramps occur when your fingers are bent or in use. Recently, you have been taking Prednisolone 5 mg for asthma treatment for about a month. Cramps are typically caused by musc...[Read More] Understanding Muscle Cramps in Fingers During Daily Activities
Should You Seek Medical Attention After a Head Injury?
Head trauma A few days ago, I bumped the front right side of my forehead against the corner of a car trunk. Since then, I've been waking up with a tingling pain in the back left side of my head, which isn't particularly severe, but I feel a bit dizzy overall. My neck is...
Dr. Jiang Junyi Reply:
Dear Miss Chiao, You mentioned that "the left back of my head feels numb and painful, but it's not particularly severe, and overall I feel a bit dizzy, with some stiffness in the back of my neck." Your symptoms may suggest cervical myofascial inflammation, possibl...[Read More] Should You Seek Medical Attention After a Head Injury?
Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Recently, I have been experiencing pain in the left occipital region? Hello, doctor. Recently, I've been experiencing pain in the left back of my head. At first, it didn't affect my daily life and I occasionally didn't feel it, but over the past few days, the pain ...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned that "the pain feels like a sharp sensation, and the intensity is increasing. I have tried gentle massage... Does heavy smartphone usage have an impact?" It is important to first consider the possibility of myofascial inflammation around the ...[Read More] Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Understanding Tension Headaches: When to Consider MRI and Specialist Care
Tightness in the temples (EEG examination) Hello, Dr. Jiang. Thank you for your response in January (copied below). After your reply, I visited a nearby hospital (neurology department) and had an EEG, which came back normal. I asked the doctor if an MRI was necessary, and he said...
Dr. Jiang Junyi Reply:
Hello Mr. William, You mentioned, "If the EEG is normal, is there still a need for an MRI?" Due to health insurance limitations, typically when there are suspected structural abnormalities in the brain, an MRI can be requested under health insurance. Abnormal EEG findi...[Read More] Understanding Tension Headaches: When to Consider MRI and Specialist Care
Is Your Itchy Sensation a Sign of Restless Legs Syndrome?
Itching in the muscles could be a symptom of Restless Legs Syndrome (RLS), but it is important to consider other potential causes as well. RLS is characterized by an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations. If you are experiencing persi...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "I can't even reach the itchy spot, and later discovered that the itch is deep inside." If it is an allergy, it could potentially be systemic. However, if your symptoms are localized to specific areas of nerve distribution, peripheral...[Read More] Is Your Itchy Sensation a Sign of Restless Legs Syndrome?