Understanding Persistent Hand Numbness: Causes and Treatment Options
The issue of hand numbness has persisted for nearly a year without improvement? Hello, doctor. I work in the food service industry and frequently use my hands. I often experience numbness in my hands when lifting heavy objects. My dominant left hand often wakes me up at night due...
Dr. Jiang Junyi Reply:
Dear Ms. Chien, You mentioned, "What other methods can be used to determine the underlying cause of my hand numbness? Could it be related to my neck?" Common symptoms of peripheral nerve compression include pain, numbness, and weakness. Peripheral nerve examinations ca...[Read More] Understanding Persistent Hand Numbness: Causes and Treatment Options
Understanding Neuromyelitis Optica: Symptoms, Relapse, and Management
Neuromyelitis optica spectrum disorder (NMOSD) Two years ago, my mother was first diagnosed with neuromyelitis optica spectrum disorder (NMOSD). She has been managing her condition with corticosteroids and immunosuppressants, and there have been no relapses during this time. Howe...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Chi, You mentioned that your mother has some time until her next follow-up appointment and asked whether she should go to the emergency department. Can the emergency department quickly check if there is a relapse? How can we determine if there is a relapse? Is bl...[Read More] Understanding Neuromyelitis Optica: Symptoms, Relapse, and Management
Understanding Neck and Shoulder Pain: Symptoms and Solutions
I don't know what illness I have? Hello Doctor, I often use electronic devices and tend to look down and slouch, which has led to stiffness in my neck and shoulders. I sometimes feel a bit dizzy while sitting, and I experience tightness and pain around my shoulder blades. Oc...
Dr. Jiang Junyi Reply:
Hello, You mentioned experiencing tightness and pain in the area around your shoulder blades, occasional instability while walking, and a feeling of swelling and stiffness in your forearms. Your symptoms may be indicative of myofascial pain syndrome caused by cervical spine iss...[Read More] Understanding Neck and Shoulder Pain: Symptoms and Solutions
Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Long-term liver function abnormalities and bronchial sensitivity have recently led to increased ear ringing and worsening headaches? Hello, Doctor. Here is a summary of my pre-existing conditions and the issues that have arisen this past week. I have been a carrier of hepatitis B...
Dr. Jiang Junyi Reply:
Dear Miss Chiu, You mentioned that "the frequency of the popping sound in my left ear has decreased, but there are sudden sharp pains on the right side of my head, which are not the usual occasional dull aches. The pain is severe enough to furrow my brow and make my express...[Read More] Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Understanding Neurological Symptoms: From Limb Weakness to Dizziness
Weakness and soreness in the limbs, unilateral symptoms progressing to bilateral, along with headache, dizziness, and nausea? Hello, doctor. I will first describe my medical history. At the end of May, I experienced a severe impact on the left side of my left knee, so on May 26, ...
Dr. Jiang Junyi Reply:
Dear Mr. Xiao Wu, You mentioned "1. axonal motor neuropathy in the left peroneal nerve; 2. demyelinating motor neuropathy in the left tibial nerve." These results indicate that there is neuropathy affecting the motor nerves in your left lower limb. However, they do not...[Read More] Understanding Neurological Symptoms: From Limb Weakness to Dizziness
Understanding Facial Numbness and Tingling After Dental Procedures
Tightness, numbness, and itching on the right side of the face? Hello, Doctor Jiang. Three months ago, I underwent a microscopic root canal treatment on my tooth, which included the final filling. I received anesthesia, but I experienced tooth pain for the next two days. On the t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest trigeminal neuralgia. Trigeminal neuralgia often shows normal results in nerve conduction studies and imaging in some clinical cases. There are many causes of trigeminal neuralgia, with approximately eighty percent attributed to compression of the...[Read More] Understanding Facial Numbness and Tingling After Dental Procedures
Understanding Pulsatile Tinnitus: Symptoms and Next Steps for Relief
Pulsatile tinnitus in the right ear every night? I experience daily headaches, and at night, my feet feel numb up to my calves. My elbows and hands also go numb twice. At night, I feel something strange with my heart. When I measured my blood pressure, it was 96/52 with a heart r...
Dr. Jiang Junyi Reply:
Dear Miss Lin, You mentioned that you are experiencing "numbness in the soles of your feet extending to your calves, and numbness from your elbows to your palms." It is advisable to consult a neurologist to rule out peripheral nerve issues. Regarding your symptoms of...[Read More] Understanding Pulsatile Tinnitus: Symptoms and Next Steps for Relief
Understanding Sleep Disturbances: When to Seek Neurology Help
Insomnia, sleep disorders Hello, doctor. Thank you very much for taking the time to respond. My symptoms are as follows: Two months ago, while preparing for an exam, I experienced some stress and started waking up occasionally in the middle of the night. However, more than a mont...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "there are no issues falling asleep, going to bed at 11 PM and usually falling asleep within half an hour, but I wake up in the middle of the night, and the timing and frequency of waking are inconsistent." I suggest you start by improving your...[Read More] Understanding Sleep Disturbances: When to Seek Neurology Help
Dizziness and Leg Weakness: Understanding Neurological Symptoms
Dizziness, leg numbness, and tremors? Hello, doctor. Today, I felt like the floor was shaking while standing on one leg, which I didn't experience last night or before. The leg I was standing on also felt particularly shaky. Sometimes, I experience numbness and slight weakne...
Dr. Jiang Junyi Reply:
Dear Ms. Bei, You mentioned that "when standing on one leg, I always feel like the floor is shaking, but this was not the case last night or before, and the leg I stand on is particularly shaky. Sometimes my legs and feet feel numb and slightly weak, but it does not affect ...[Read More] Dizziness and Leg Weakness: Understanding Neurological Symptoms
Understanding Ankle Numbness: When to See a Neurologist or Orthopedist
Numbness in the ankle? Doctor, lately when I lie down, I feel a noticeable tingling and swelling sensation on the outer sides of both ankles. Since I often sprain my ankles, I went to a traditional Chinese medicine clinic for an examination, and they mentioned it might be a herni...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Leh, You mentioned, "With a herniated disc, should I see a neurologist or an orthopedic specialist?" The spine is subjected to repetitive stress, particularly from improper activities such as bending to pick things up or prolonged bending and twisting, w...[Read More] Understanding Ankle Numbness: When to See a Neurologist or Orthopedist
Understanding Inner Thigh Numbness: Causes and When to Seek Help
Numbness in the inner thigh of the left leg? Hello Doctor, I would like to ask about my condition. Last month, I initially experienced pain in my right lower back, which after about a week progressed to pain in the upper back (around the scapula). Four days later, the pain shif...
Dr. Hong Weibin Reply:
Hello: Based on your description, there may be a possibility of a muscle strain or sprain, which could temporarily lead to peripheral nerve injury. It is advisable to rest more and avoid intense physical activity. You can observe the situation for about 1-2 months, and if symptom...[Read More] Understanding Inner Thigh Numbness: Causes and When to Seek Help
Understanding Anxiety and Neurological Symptoms: MS or Autonomic Dysfunction?
Multiple Sclerosis / Autonomic Nervous System Dysregulation Hello, doctor. I have been feeling very anxious lately due to symptoms such as dizziness, palpitations, elevated body temperature, a sensation of something stuck in my throat, and difficulty breathing that appeared a few...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an examination.[Read More] Understanding Anxiety and Neurological Symptoms: MS or Autonomic Dysfunction?
Understanding Inner Thigh Numbness: Causes and When to Seek Help
Numbness in the inner thigh of the left leg? Hello Doctor: I would like to ask about my condition. Last month, I initially experienced pain in my right lower back, which then shifted to the upper back (around the scapula) after about a week. Four days later, the pain transitioned...
Dr. Hong Weibin Reply:
Hello: Based on your description, there may be a possibility of a muscle strain or sprain, which could temporarily lead to peripheral nerve injury. It is recommended to rest more and avoid vigorous exercise. You can observe the situation for about 1-2 months, and if symptoms do n...[Read More] Understanding Inner Thigh Numbness: Causes and When to Seek Help
Understanding Persistent Dizziness: Seeking the Right Medical Guidance
Dizziness while walking? Hello, doctor. I have been experiencing episodes of dizziness intermittently over the years, but it has become more frequent in the past six months. Two years ago, I suspected a stroke and went to a major hospital to see a neurologist, where I underwent a...
Dr. Hong Weibin Reply:
Hello: The majority of dizziness is caused by degenerative abnormalities of the vestibular structures in the inner ear. If you have already undergone thorough examinations and no dangerous underlying conditions have been found, the focus should be on identifying factors that exac...[Read More] Understanding Persistent Dizziness: Seeking the Right Medical Guidance
Understanding the Connection: Symptoms of Neck Pain and Head Pressure
Pressure sensation in the back of the head? Hello Doctor, I have been experiencing severe pain in the back of my neck due to cervical traction and electrical therapy during rehabilitation. I consulted a neurologist and underwent an MRI, which showed no signs of compression or bon...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to maintain proper neck posture, which can improve the aforementioned symptoms. Continuing rehabilitation is advised.[Read More] Understanding the Connection: Symptoms of Neck Pain and Head Pressure
Understanding Left Foot Numbness: Causes and Solutions
Numbness in the left foot? Hello, doctor. Due to the recent hot weather, I have been using a fan at home. I'm not sure if it's because the fan was blowing directly on my feet, but after a while, my feet felt unusually cold. After turning off the fan, my right foot retur...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned that you have been experiencing a persistent numbness in your left foot up to the ankle. This may be due to peripheral nerve compression, possibly from pressure on the fibular nerve during sleep. Common symptoms of peripheral nerve compression include...[Read More] Understanding Left Foot Numbness: Causes and Solutions
Understanding Facial and Limb Numbness: Possible Causes and Solutions
Numbness in the face and extremities? Recently, I have been experiencing frequent episodes of dizziness, tinnitus, and palpitations, which have made me very anxious. I constantly worry about whether I might be ill, and it has even affected my daily life, leading to emotional inst...
Dr. Jiang Junyi Reply:
Dear Miss Chi, Regarding your mention of "early symptoms of multiple sclerosis," your symptoms do not align with this issue, as they do not present as lesions in a single area of the nervous system. Multiple sclerosis is caused by inflammation in the central nervous sy...[Read More] Understanding Facial and Limb Numbness: Possible Causes and Solutions
Understanding Tailbone Pain and Nerve Issues in the Legs
Numbness in the feet and pain in the coccyx? After riding a motorcycle, I experience pain in my coccyx when I stand up. I also feel pain when getting up from a chair. This symptom has persisted for a year and a half. In mid-April, I started experiencing a tingling sensation that ...
Dr. Jiang Junyi Reply:
Hello, Miss Jiayou: The issue you mentioned may need to consider the possibility of sciatica. A common cause is a herniated disc leading to localized inflammatory responses, which can result in lower back pain that may extend to one or both sides of the buttocks. When a herniate...[Read More] Understanding Tailbone Pain and Nerve Issues in the Legs
Unexplained Leg Swelling and Pain: A Neurological Concern
Unexplained swelling and pain in both legs? Hello doctor, on the night of April 27th this year, I injured the bottom of my left foot on a plug, leaving a wound. I disinfected it and applied ointment, but the next evening, the top of my left foot suddenly swelled up like a hill. M...
Dr. Jiang Junyi Reply:
Dear Ms. Jill, You mentioned that the discomfort was initially localized below the ankle, but it has now extended to the thigh and is painful to the bone. This upward progression of abnormal sensations may suggest chronic polyneuropathy. However, you also noted symptoms of edema...[Read More] Unexplained Leg Swelling and Pain: A Neurological Concern
Can B12 and Micobalance Help Restore My Lost Sense of Smell?
Should I supplement with Micobalance for the loss of smell? What else can I do? Hello, doctor. Two years ago, I had an accident where I fell from a height, resulting in a skull fracture at the back of my head, intracranial hemorrhage, and a Glasgow Coma Scale score of 3. I was in...
Dr. Hong Weibin Reply:
Hello: If there has already been damage to the olfactory nerve, recovery may be more challenging. Vitamin B12 can be purchased over the counter at pharmacies or community drugstores; it may be worth trying, but it is likely to help maintain the current condition and reduce furthe...[Read More] Can B12 and Micobalance Help Restore My Lost Sense of Smell?