Understanding Numbness in Left Hand and Occipital Area: Causes and Insights
Numbness in the back of the head and tingling in the left hand? The left hand has been feeling numb for several days, and tonight the back of the head suddenly feels numb as well. I would like to know what could be causing this.
Dr. Jiang Junyi Reply:
Dear Ms. Ke, You may need to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. Symptoms typically include pain at the affected site, discomfort, muscle stiffness, and possibly neuro...[Read More] Understanding Numbness in Left Hand and Occipital Area: Causes and Insights
Understanding Sudden Numbness and Right-Sided Head Pain: Neurology Insights
Intermittent numbness in the body and a dull pain on the right side of the head? Hello, Doctor: Recently, I have been experiencing occasional tingling sensations throughout my body, similar to being suddenly shocked. Aside from my head, I don't feel discomfort anywhere else....
Dr. Jiang Junyi Reply:
Dear Mr. Chang, The symptoms you mentioned may initially suggest cervical nerve root compression, which is often related to tightness in the cervical muscles and degeneration of the cervical spine. This condition typically presents with pain at the affected site, discomfort, mus...[Read More] Understanding Sudden Numbness and Right-Sided Head Pain: Neurology Insights
Understanding Scalp Tingling: When to Seek Medical Attention
Scalp tingling? Hello doctor, for the past couple of days, I've been experiencing intermittent tingling sensations on the right side of my scalp and face. The tingling feels similar to goosebumps, and it occurs occasionally with varying intervals. I've also noticed that...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of neuropathic pain, which is usually caused by damage or disease of the somatosensory nervous system. Since your symptoms are localized on the right side of your body, it is important to consider pain caused by central nervous system diso...[Read More] Understanding Scalp Tingling: When to Seek Medical Attention
Understanding ALS: A Patient's Journey Through Uncertainty and Fear
About Amyotrophic Lateral Sclerosis (ALS) Hello, doctor. I am the patient who is worried that I might have ALS (167393/167456). After reading your response, I checked its Wikipedia page (my English is not very good). Although I still only partially understand, after hearing your ...
Dr. Jiang Junyi Reply:
Hello: During your medical appointment, if you are concerned about not understanding, you can ask a family member or friend to accompany you. Both multiple sclerosis (MS) and amyotrophic lateral sclerosis (ALS) are considered rare diseases in Taiwan. It is recommended to develop ...[Read More] Understanding ALS: A Patient's Journey Through Uncertainty and Fear
Understanding Itchy Skin and Tingling Sensations: Possible Causes and Solutions
Tingling sensations in the body and itchy skin? Hello, doctor. On April 24th, I went for a ride in the mountains, and after returning, I started to feel itchy skin without a specific area. Initially, I suspected that I might have brought back some bugs (like fleas), but there are...
Dr. Hong Weibin Reply:
Hello: Generally speaking, the possible factors for skin itching can be categorized as follows: Dermatological factors: excessive dryness, eczema, psoriasis, scabies, parasites, burns, insect bites, allergic urticaria. Internal factors: liver disease, kidney disease, anemia, di...[Read More] Understanding Itchy Skin and Tingling Sensations: Possible Causes and Solutions
Understanding Muscle Twitches: Insights on Neurological Concerns
Muscle regeneration inquiry (Please let the doctor review this, thank you.) If the doctor sees this, please just reply to this post. Recently, I've been experiencing some symptoms that remind me of my concerns about multiple sclerosis from six months ago: sometimes, my muscl...
Dr. Jiang Junyi Reply:
Hello: The differential diagnosis of multiple sclerosis is quite extensive, including factors such as genetics, infections, inflammation, metabolism, tumors, psychiatric conditions, toxins, and blood circulation issues. When spontaneous remission of neurological symptoms occurs, ...[Read More] Understanding Muscle Twitches: Insights on Neurological Concerns
Understanding Muscle Twitches and Visual Disturbances Before Sleep
Your own condition? Hello, doctor. I would like to describe my recent situation. Sometimes, just as I am about to fall asleep, I experience muscle twitches or my limbs move involuntarily. There have been instances where I wake up in the middle of the night to find my muscles twit...
Dr. Hong Weibin Reply:
Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese). The causes are quite diverse, with the most common being stress, electrolyte imbalan...[Read More] Understanding Muscle Twitches and Visual Disturbances Before Sleep
Understanding Muscle Twitches: Concerns and Neurological Insights
Regarding muscle issues? Hello Doctor, I have recently been experiencing muscle twitching. The twitching occurs in specific areas after significant movements; for example, after sneezing, the muscles around my ribs twitch a few times. The twitching is more noticeable when I lie d...
Dr. Hong Weibin Reply:
Hello: There are many potential causes for muscle twitching. In addition to muscle fasciculation, there are muscle myokymia, muscle spasm, muscle myoclonus, and others that are difficult to translate. The causes are quite diverse, but the most common ones include stress, electrol...[Read More] Understanding Muscle Twitches: Concerns and Neurological Insights
Understanding Hand Weakness: A Deep Dive into Neurological Concerns
Occasionally, there is weakness in the fingertips? Last month, I occasionally experienced weakness in my fingertips (specifically, weakness in the distal phalanx of my left index finger), which would improve after about half a day. I also had brief episodes of pain in my hands an...
Dr. Jiang Junyi Reply:
Hello, here are a few suggestions for your consideration: 1. It is recommended to consult the same hospital for a comprehensive understanding of your medical history, which can help in diagnosing your condition more effectively. 2. Engaging in physical exercise and getting sunlig...[Read More] Understanding Hand Weakness: A Deep Dive into Neurological Concerns
Understanding Neurological Symptoms: Concerns About Hand Weakness
Regarding the previous question? Hello Doctor, I am the person who previously asked you about experiencing weakness in the first phalanx of my left finger, where it sometimes cannot be pressed down. I have read your response multiple times, but I still don't understand your ...
Dr. Jiang Junyi Reply:
Hello: You may be overthinking it. It is recommended to establish a complete medical history with the same hospital. The diagnosis of a disease requires a period of observation and assessment. It is advisable to develop a routine of moderate exercise and regular sleep patterns, i...[Read More] Understanding Neurological Symptoms: Concerns About Hand Weakness
Understanding Weakness in the First Finger Joint: Causes and Concerns
Weakness in the first phalanx of the left hand? Hello, I sometimes feel weakness in the first phalanx of my left index finger when pressing down, usually occurring at night, and it feels better after I wake up. My left thumb and middle finger have also experienced this once; my r...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be located in the joints of your hand. It may be necessary to consider issues related to the muscles and tendons. I recommend discussing further examinations with your attending physician, as many tests may not provide definitive answers. It might be ...[Read More] Understanding Weakness in the First Finger Joint: Causes and Concerns
Understanding Muscle Twitches: ALS Concerns and Neurological Insights
Amyotrophic Lateral Sclerosis (ALS) muscle twitching? I am Mr. Huang, referring to #159787. I have a few final questions for the doctor. I had an electromyography (EMG) test on August 19, which only involved needle insertions in my left forearm down to my palm and in my left calf...
Dr. Hong Weibin Reply:
Hello: The electromyography (EMG) examination for patients with amyotrophic lateral sclerosis (ALS) may vary in standard procedures from one hospital to another. If you feel that the examination is not thorough enough, you can seek opinions from other physicians. There are many t...[Read More] Understanding Muscle Twitches: ALS Concerns and Neurological Insights
Understanding Muscle Twitches: When to Seek Neurological or Psychological Help
Involuntary muscle twitching? Hello Doctor, I recently asked you about my muscle twitching, which has been occurring for nearly five months. Although it only lasts for two to three seconds at a time and the affected areas vary, primarily in my shoulders, buttocks, and thighs, it ...
Dr. Hong Weibin Reply:
Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese). The causes are numerous, with the most common being stress, electrolyte imbalances, ...[Read More] Understanding Muscle Twitches: When to Seek Neurological or Psychological Help
Understanding Muscle Twitches: Could They Indicate ALS Symptoms?
Muscle twitching I have recently been experiencing muscle twitching in various parts of my body, particularly in my arms. The twitching occurs intermittently, and it seems to stop when I change positions. After some research, I found that muscle twitching can also be a symptom of...
Dr. Hong Weibin Reply:
Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese). The causes are numerous, with the most common being stress, electrolyte imbalances, ...[Read More] Understanding Muscle Twitches: Could They Indicate ALS Symptoms?
Understanding MRI Findings: What Do Bright Spots in the Spine Mean?
Questions about the examination report? Hello Doctor, I visited a neurologist because I occasionally experience numbness in my hands and feet. I underwent an MRI with contrast, and the report showed some white spots in a portion of my spinal cord. The physician mentioned that thi...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your "hands and feet occasionally feel numb" and that you underwent an MRI (with contrast), which showed some white spots in a portion of your spinal cord. Because MRI imaging is highly sensitive, along with the nature of nerve damage that cann...[Read More] Understanding MRI Findings: What Do Bright Spots in the Spine Mean?
Unexplained Skin Pain Without Visible Injury: Possible Neurological Causes
There are no wounds on the skin, but there is a tingling sensation when friction occurs? Dr. Jiang, I would like to ask about a recent issue I've been experiencing. The skin on my abdomen and chest feels sharp and painful when it rubs against clothing, even though there are ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of neuropathic pain, which is typically caused by damage or disease affecting the somatosensory nervous system. It particularly resembles peripheral nervous system disorders, commonly seen in postherpetic neuralgia, but can also arise from...[Read More] Unexplained Skin Pain Without Visible Injury: Possible Neurological Causes
Understanding Numbness in Limbs: Possible Causes and Concerns
Causes of Limb Numbness Hello Doctor, I have been experiencing numbness in my limbs for about two to three weeks. It started one night when I woke up, and the previous evening I had taken a steam bath. Sometimes it is painful and feels like an electric shock. About 80% of the tim...
Dr. Hong Weibin Reply:
Hello: Your symptoms indeed suggest the possibility of multiple sclerosis; another potential diagnosis could be polyneuropathy. Typically, further examinations are required to confirm the diagnosis, which may include nerve conduction studies, evoked potentials, lumbar puncture, a...[Read More] Understanding Numbness in Limbs: Possible Causes and Concerns
Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
An 85-year-old father experiences easy fatigue, unsteady gait with shuffling steps, and nighttime finger numbness. His physical strength has declined significantly over the past six months. What kind of examinations should be conducted? An 85-year-old father has experienced a sta...
Dr. Jiang Junyi Reply:
Hello, Your father, due to his advanced age, is experiencing several degenerative diseases. First, I would like to correct the medications you mentioned. They should be GENIQUIN for dry syndrome and NOOTROPIL for cerebral white matter issues. You noted that over the past six mo...[Read More] Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
Understanding Occasional Neck and Shoulder Pain: Causes and Insights
Shoulder and neck pain? Experiencing sharp pain in the left shoulder and neck when swallowing saliva, described as an electric shock-like sensation, occurs occasionally, about 1 to 2 times a month or even less frequently. Additionally, there are instances when raising the arm or ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. Symptoms typically include pain at the affected site, discomfort, muscle st...[Read More] Understanding Occasional Neck and Shoulder Pain: Causes and Insights
Understanding Nerve Pain: A Case of Throat and Neck Discomfort
I got shocked and it hurts a lot? On the first day, I experienced dizziness, nausea, and a slightly elevated temperature of about 37.5°C. On the second day, I developed a fever of 38.5°C, and my throat began to hurt, accompanied by sharp pain on the right side of my neck (located...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of neuropathic pain, which is typically caused by damage to the sensory nervous system. Particularly, peripheral nervous system disorders are common, such as postherpetic neuralgia, but some central nervous system diseases can also cause s...[Read More] Understanding Nerve Pain: A Case of Throat and Neck Discomfort