Understanding Pulsating Dorsalis Pedis Artery: When to Seek Medical Attention
Dorsalis pedis artery pulsation is prominent? In the past two weeks, I have noticed a significant pulsation in the arteries on the dorsum of my right foot. There is no numbness in my foot, and I haven't been standing or walking for long periods. Most of the time, I can feel ...
Dr. Jiang Junyi Reply:
Hello Ms. BB: You mentioned that "the artery on the dorsum of your right foot is noticeably pulsating." Have you compared the pulsation of the dorsalis pedis arteries on both sides? Generally, we should not be able to feel the pulsation of blood vessels, but if the arte...[Read More] Understanding Pulsating Dorsalis Pedis Artery: When to Seek Medical Attention
Understanding Hand Tremors After an Accident: Is It Normal?
Tremor issues? A few weeks ago, after a car accident, my hand started to feel weak, and I noticed that it trembles when I make a fist. I had an MRI done by a neurosurgeon, who said there were no significant issues with my spinal nerves. Then I went to a rehabilitation specialist,...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "my hand started to feel weak, and then I noticed that my hand trembles when I make a fist. However, after an MRI examination by a neurosurgeon, the doctor said there were no significant issues with my spinal nerves." I wonder if you are...[Read More] Understanding Hand Tremors After an Accident: Is It Normal?
Understanding Electrical Sensations in the Upper Buttocks: Causes and Insights
It feels like there is an electric current passing through my buttocks? There is a prickling and tingling sensation in the upper left buttock, similar to an electric current, lasting for several seconds each time. It is neither painful nor sore, and daily activities are normal. T...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, You mentioned experiencing a tingling sensation in the upper left buttock, similar to an electric current, lasting for several seconds each time. It is neither painful nor uncomfortable, and your daily life remains normal. Your symptoms may suggest peripheral neur...[Read More] Understanding Electrical Sensations in the Upper Buttocks: Causes and Insights
Unexplained Tingling: Understanding Nerve Issues and Symptoms
Unexplained numbness? On a certain Saturday evening while sitting and watching TV, I felt numbness in the soles of my feet. I got up to move around and noticed that my ring finger and little finger on both hands were also numb. I thought it was due to poor posture and would impro...
Dr. Jiang Junyi Reply:
Dear Ms. Chi, You mentioned that "the location of the numbness changed after taking the medication, and now the entire abdomen feels numb." If you are only experiencing tingling sensations without any weakness, it may be worth considering hyperventilation. However, if ...[Read More] Unexplained Tingling: Understanding Nerve Issues and Symptoms
Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Struggling for nearly six months? Hello Dr. Jiang, I started experiencing chest tightness and pain in my pectoral muscles last October, accompanied by weakness, shoulder pain, and numbness in my back during certain movements, with a sensation like electric shocks. When I raise my...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned "multiple sclerosis," which affects fewer than 5 people per 100,000 in Taiwan, making it a rare disease. The diagnosis of multiple sclerosis is based on clinical history and examinations that reveal multiple lesions in the nervous system. A d...[Read More] Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Joint pain after COVID-19 vaccination? Doctor: Hello, I received my first dose of the AstraZeneca vaccine on July 30, 2021, and my second and third doses of Moderna on October 3, 2021, and March 14, 2022, respectively. I am approximately 50 years old. About 1 to 2 weeks after the...
Dr. Jiang Junyi Reply:
Hello: Your symptoms do not appear to be indicative of Guillain-Barré syndrome, which is formally known as acute inflammatory demyelinating polyneuropathy. It is an acute peripheral neuropathy that may affect the motor, sensory, and autonomic nervous systems of the body. Typical ...[Read More] Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Understanding Muscle Twitches and Weakness: When to Seek Help
Muscle twitching Recently, I have been experiencing muscle twitching that is not localized to a specific area. Sometimes, I notice a decrease in strength in my left hand, and at other times, it shifts to my left hand and left leg. After researching online, I came across the sympt...
Dr. Jiang Junyi Reply:
Hello Mr. Travis, You mentioned that "the strength in your hands has decreased, and sometimes the strength in your left hand and foot has also diminished..." Since these symptoms are on the same side, we should first rule out any cervical spine issues. You are concern...[Read More] Understanding Muscle Twitches and Weakness: When to Seek Help
Neck Pain Leading to Headaches and Numbness: Relief Tips
Cervical spine pain radiating to headaches and numbness in the back? I started experiencing neck pain about a week ago, possibly due to excessive use of my phone or computer. The soreness has persisted for over a week. I also noticed some numbness in my back after taking a nap at...
Dr. Jiang Junyi Reply:
Dear Ms. Ke, You mentioned that "the soreness has lasted for over a week. I noticed some numbness in my back when I got up after napping at work. Can I use heat or ice packs to relieve this soreness more quickly?" Generally, the principle of using ice is as follows: ...[Read More] Neck Pain Leading to Headaches and Numbness: Relief Tips
Understanding Frequent Heart Pain and Headaches: A Neurological Perspective
Frequent sharp pain in the heart, with headaches and tightness in the neck occurring approximately every 4.5 days? I have been evaluated by a neurologist and diagnosed with autonomic dysfunction, which fluctuates between good and bad. The main issue is that my symptoms have not i...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for evaluation.[Read More] Understanding Frequent Heart Pain and Headaches: A Neurological Perspective
Understanding Weakness and Numbness in Lower Legs: Causes and Solutions
Weakness in both calves below the knees, sometimes accompanied by numbness? Recently, I underwent a nerve conduction study, which indicated that there was slowed conduction in both legs. The physician provided a diagnosis of polyneuropathy and ordered blood tests, revealing a def...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned "polyneuropathy, with blood tests indicating folate deficiency that was supplemented for a while, yet still experiencing weakness. After retesting every three months, results showed normal, but the weakness persists. What could be the underlying ...[Read More] Understanding Weakness and Numbness in Lower Legs: Causes and Solutions
Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Numbness in the right hand and right side of the body? Hello doctor, last week I started experiencing mild numbness in the tips of my fingers. I visited a neurologist who prescribed medication, but a few days later the numbness worsened, and soon my entire palm began to feel numb...
Dr. Jiang Junyi Reply:
Dear Mr. Jame, You mentioned that after visiting the neurology department and receiving medication, you experienced increasing numbness over the following days. The doctor indicated that the cervical spine X-ray showed no abnormalities, but by the weekend, you even felt slight n...[Read More] Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Understanding Occipital Headaches: Causes, Symptoms, and Relief Strategies
Headache - Occipital Pain Hello, starting this Tuesday around noon to afternoon, I have been experiencing a feeling of pressure and pain in the back of my head, but it does not occur in the morning, evening, or before bed. During the episodes of pressure and pain, it sometimes af...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the back of your head feels swollen and painful, but it goes away in the morning, evening, or before sleep. During the period of swelling and pain, it can sometimes be unilateral or bilateral, and bending over makes it more pronounced." If you...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and Relief Strategies
Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Treatment Options
Carpal Tunnel Syndrome Hello, Doctor. Recently, I've been experiencing numbness in my left hand for over a month, specifically in my palm and fingers, which feel swollen and tingly. My mobility is generally fine, but I notice the symptoms more when I'm at rest. Occasion...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the electromyography (EMG) examination requires inserting a needle into the muscles of the hand." May I ask if your needle sensation is in the index, middle, and part of the ring finger? This would correspond to the area of the median ne...[Read More] Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Treatment Options
Understanding Nerve Disorders: Is Your Condition Related to ALS?
Neuropathy About ten years ago, my father underwent surgery on his right arm due to nerve compression, which caused atrophy and weakness in the entire arm. After the surgery, he did not experience further atrophy or weakness. Recently, however, he suddenly started to feel weaknes...
Dr. Jiang Junyi Reply:
Dear Ms. Hong, The condition you are concerned about, commonly referred to as "Lou Gehrig's disease," is known as amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. Generally, the motor neurons in the brain are referred to as upper motor...[Read More] Understanding Nerve Disorders: Is Your Condition Related to ALS?
Could It Be Trigeminal Neuralgia? Understanding Facial Pain Symptoms
Is it trigeminal neuralgia? Hello Doctor: For the past month, I have suddenly started to feel pain when pressing on the upper inner corner of my right eye socket, as if I am experiencing menstrual cramps. Raising my eyebrows also causes some pain, and pressing on the right side o...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "as the weather gets colder, I start to feel pain when pressing on the upper inner corner of my right eye, similar to menstrual cramps... there is also some pain when pressing on the right eyebrow." Generally speaking, pain that can be pressed ...[Read More] Could It Be Trigeminal Neuralgia? Understanding Facial Pain Symptoms
Understanding the Causes of Front-to-Back Swaying Sensation
Sensation of swaying back and forth? Hello, doctor. I have a concern. Suddenly, one day, I started to feel a swaying sensation back and forth while standing, especially when walking normally; the feeling of swaying back and forth is very pronounced (not side to side!). This has b...
Dr. Jiang Junyi Reply:
Dear Mr. Dong-Chen, You mentioned that "the most noticeable sensation during walking is a forward and backward swaying... my mind feels tight. Is this due to autonomic nervous system dysfunction or hyperthyroidism?" Hyperthyroidism should be considered. Typically, auto...[Read More] Understanding the Causes of Front-to-Back Swaying Sensation
Understanding Leg Numbness: Causes and Treatment Options for Your Family
I would like to inquire for a family member who is experiencing numbness in the calves and thighs? My father is unable to walk far; after just a block, his legs become very numb, and he needs to sit down to rest before he can walk a short distance again. However, the numbness ret...
Dr. Jiang Junyi Reply:
Hello Mr. Liang, You mentioned that "walking too far, perhaps just a block, can cause my legs to feel very numb, making it difficult to move, and I need to sit down to rest before I can walk a little further." Clinically, this is referred to as "intermittent claud...[Read More] Understanding Leg Numbness: Causes and Treatment Options for Your Family
Understanding Visual Disturbances Before Fainting: A Neurological Perspective
Visuals and sensations experienced before fainting? Before going to school, I felt completely normal, but suddenly at school, I started to feel unwell during the flag-raising ceremony. I initially thought it was just a mild stomachache and tried to endure it. However, after about...
Dr. Jiang Junyi Reply:
Dear Mr. Mo Wei, You mentioned, "But they said it shouldn't be completely black, right? I said no, so I'm confused. Was the scene I saw before fainting really completely black? How is it different from what I saw? Additionally, I really feel that a person is just ...[Read More] Understanding Visual Disturbances Before Fainting: A Neurological Perspective
Understanding Persistent Numbness in the Left Back: Causes and Solutions
Numbness in the left side of the back when squatting or sitting? Hello, doctor. At the end of last year, after carrying a heavy bag of books with one hand, I started experiencing numbness on the left side of my back the next day. This condition has persisted until now without imp...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the left side of my back started to feel numb the next day, and this condition has persisted without improvement... there is a numb sensation extending from the inner side of my left scapula to my arm... sitting up straight helps alleviate the...[Read More] Understanding Persistent Numbness in the Left Back: Causes and Solutions
Understanding the Causes of Occasional Pain in the Back of the Head
Occipital headache Hello Doctor: Recently, I have been experiencing frequent pain in the back of my head. Initially, I thought it was related to shoulder and neck pain, but these past few days while walking on the treadmill, I felt no pain in my head at first, but then the pain i...
Dr. Jiang Junyi Reply:
Dear Mr. Weng, You mentioned that "if I slightly pull my arm down, I feel pain at the back of my head, and the more I pull, the more it hurts." This may indicate cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle at ...[Read More] Understanding the Causes of Occasional Pain in the Back of the Head