Understanding Numbness in the Middle Toe: Causes and Diagnosis
Numbness in the middle toe? Hello, doctor... I noticed a tingling sensation in my left middle toe and its joint over ten years ago. Now, it has become very pronounced, with a feeling of numbness extending from my left middle toe to the entire toe, especially noticeable when I was...
Dr. Jiang Junyi Reply:
Hello, the lumbar nerve root compression you mentioned commonly presents with symptoms such as numbness and pain radiating to one side of the lower limb. If the numbness is limited to the middle finger, it may be necessary to consider peripheral nerve compression or inflammation ...[Read More] Understanding Numbness in the Middle Toe: Causes and Diagnosis
Understanding Neck and Shoulder Pain: Is It Nerve or Muscle Issues?
Stiffness in the shoulders and neck, numbness in the hands? I often feel tightness and soreness in my shoulders, neck, and upper back. The sides of my head, particularly around the temples, feel tense and swollen. My neck feels stiff, especially in the morning when I wake up and ...
Dr. Jiang Junyi Reply:
Hello, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but over time it can...[Read More] Understanding Neck and Shoulder Pain: Is It Nerve or Muscle Issues?
Understanding Toe Twitching After Fibula Fracture: Causes and Concerns
Toe twitching Hello doctor, I recently suffered a closed fibula fracture near my ankle. I have been in a cast for three weeks. Since then, I have mostly been lying flat or sitting up in bed with my leg elevated. Yesterday, I suddenly felt a slight tingling sensation in my big toe...
Dr. Jiang Junyi Reply:
Hello: The symptoms you described may suggest a peripheral nerve disorder. If your toe twitching is accompanied by pain or numbness, it could indicate nerve compression. The deep peroneal nerve and superficial peroneal nerve innervate the peroneus longus and brevis muscles, tibia...[Read More] Understanding Toe Twitching After Fibula Fracture: Causes and Concerns
Chronic Leg Pain: Seeking Solutions for Persistent Muscle Tension
Leg problems Hello Doctor, I have been experiencing chronic tightness and pain in the anterior tibialis muscle of my left leg since childhood, particularly around the area of the upper tibia, which prevents me from sleeping. I can only relax enough to sleep after receiving a mass...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for leg tightness, such as muscle inflammation and lumbar nerve compression, which need to be evaluated. It is also important to consider the possibility of restless legs syndrome (RLS), a condition characterized b...[Read More] Chronic Leg Pain: Seeking Solutions for Persistent Muscle Tension
Wrist Pain During Pull-Ups: Understanding Nerve and Ligament Issues
Experiencing intermittent pain in the wrist while doing pull-ups? Hello Dr. Jiang: I have a habit of weight training, and during my pull-up exercises, I experience an issue with my right wrist. While pulling up, I do not feel any tingling or pain in my right wrist (with both hand...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to carpal tunnel syndrome. This condition is caused by compression of the median nerve as it passes through the wrist, leading to numbness and tingling in the index finger, middle finger, and thumb. Clinically, a neurologist will arrange for ...[Read More] Wrist Pain During Pull-Ups: Understanding Nerve and Ligament Issues
Understanding Right-Sided Numbness: Possible Causes and Concerns
Numbness in the right side of the limbs? Hello doctor, I am 19 years old. About three weeks ago, I started feeling something unusual in my right hand, which felt different from my left hand, but it wasn't quite numb. I didn't pay much attention to it at the time, but re...
Dr. Hong Weibin Reply:
Hello: In addition to stroke, the most common cause of numbness in the hands and feet is peripheral nerve compression, such as cervical or lumbosacral radiculopathy, and peripheral nerve entrapment (for example, carpal tunnel syndrome, cubital tunnel syndrome, etc.). Additionally...[Read More] Understanding Right-Sided Numbness: Possible Causes and Concerns
Understanding Facial Nerve Issues: Symptoms, Diagnosis, and Treatment
Facial nerve Hello, Doctor. On January 6th (Friday), I woke up to find that my right eyelid could not fully open (currently covering half of my eyeball). I can close it, but I cannot open it completely. There are no other symptoms such as drooling. I initially thought there might...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many causes for eyelid drooping, such as myasthenia gravis, nerve compression, autoimmune diseases, and medications that need to be investigated. Currently, you have ruled out significant structural issues. If you are concerned, you can...[Read More] Understanding Facial Nerve Issues: Symptoms, Diagnosis, and Treatment
Understanding Hand Numbness After a Car Accident: Treatment Options
Numbness in the hands after a car accident? Hello Doctor, my mother was in a car accident on January 7 and was immediately taken to Cheng Kung University Hospital. Currently, we are most concerned about her hand numbness. The doctor mentioned that there is nerve damage near her c...
Dr. Hong Weibin Reply:
Hello: After a car accident, experiencing hand numbness could indeed be related to cervical spine issues. In addition to cervical nerve compression, peripheral nerve disorders may also be a possibility (such as compression resulting from an elbow fracture). It is advisable to fir...[Read More] Understanding Hand Numbness After a Car Accident: Treatment Options
Understanding Muscle Weakness and Twitching: Possible Causes and Concerns
Regarding muscle weakness and twitching? Hello Doctor, I have been troubled by this issue for a long time. In mid-September last year, I suddenly felt weakness in both legs and my right hand (a burning, sore sensation originating from the muscles, similar to a persistent feeling ...
Dr. Jiang Junyi Reply:
According to your description, the condition commonly referred to as "Lou Gehrig's disease" is formally known as amyotrophic lateral sclerosis (ALS), which is a rare neurodegenerative disease with a prevalence of approximately 5 in 100,000. The cause remains unknow...[Read More] Understanding Muscle Weakness and Twitching: Possible Causes and Concerns
Neck Pain and Hand Numbness: Understanding the Causes and Treatments
Neck pain and numbness in the hands? I often experience neck pain, and recently I've been waking up with numbness in my hands, especially when I sleep on my back with my hands on my stomach or when lying on my side. I also sometimes feel a tingling sensation in various parts...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be due to cervical nerve root compression or peripheral nerve compression. Clinically, the affected area of numbness can help determine which nerve is involved. For example, cervical radiculopathy from the sixth cervical nerve r...[Read More] Neck Pain and Hand Numbness: Understanding the Causes and Treatments
Chronic Neck and Shoulder Pain: Seeking Effective Treatment Options
Neck pain accompanied by right shoulder pain and limited mobility? Hello Doctor: Every day around 2-3 PM, I experience neck pain, followed by stiffness on the right side of my neck extending to the occipital bone, which then radiates to my right shoulder, causing sharp pain. The ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the treatment for cervical disc herniation is determined by the severity of pain and whether there is compression of the nerve roots or cervical spinal cord. Most symptoms are temporary and respond well to conservative treatments such as medicati...[Read More] Chronic Neck and Shoulder Pain: Seeking Effective Treatment Options
Understanding Your Nerve Conduction Study Results: Key Insights
Nerve Conduction Study Report Hello Doctor, this is my nerve conduction study report. The conclusion states: The NCS, F-wave, and H-reflex of the four limbs showed: - Prolonged distal latency (4.3 ms) of the right median compound muscle action potential (CMAP), normal amplitudes...
Dr. Gao Chunde Reply:
Relevant reports indicate that only the left fifth lumbar nerve and the left tibial nerve have issues that may be related to the foot; however, they are not associated with plantar fasciitis. Your symptoms are primarily consistent with plantar fasciitis.[Read More] Understanding Your Nerve Conduction Study Results: Key Insights
Understanding Persistent Numbness in the Left Middle Toe: Causes and Treatments
Numbness in the left foot's middle toe for an extended period? Dear Doctor, I have been experiencing significant numbness in the middle toe of my left foot for nearly ten years (the right foot is unaffected). This sensation is particularly uncomfortable when I walk barefoot...
Dr. Gao Chunde Reply:
In principle, the nerves in this area are quite peripheral, and it may not be easy to identify a specific nerve during examination. Compression refers to situations where shoes are too tight, causing the toes to be squeezed together, especially in pointed shoes. It can also refer...[Read More] Understanding Persistent Numbness in the Left Middle Toe: Causes and Treatments
Understanding Chronic Headaches: Causes, Treatments, and Nerve Compression
Acute chronic headache I have had issues with headaches and dizziness since childhood, starting from the back of my neck and skull. When the pain intensifies, I am unable to do anything. However, after undergoing spinal manipulation at a chiropractic clinic, the headaches and diz...
Dr. Gao Chunde Reply:
Your symptoms are indicative of neuropathic pain, but it is necessary for a neurologist to determine which specific nerve is involved. It could be the lesser occipital nerve emerging from the cervical spine or the trigeminal nerve originating from the brainstem. Additionally, neu...[Read More] Understanding Chronic Headaches: Causes, Treatments, and Nerve Compression
Pain and Numbness in the Right Pinky Toe: Causes and Solutions
The tip of the right little toe is numb, and there is a sharp pain at the front of the little toe when stepping down while walking? After getting a Thai massage, I initially only felt a slight numbness in my little toe. However, now when I walk, I experience sharp pain in the fro...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more likely related to nerve compression of the little toe, which may be caused by localized tissue swelling leading to sudden pressure and symptoms. I recommend that you consult a neurologist to discuss examination and treatmen...[Read More] Pain and Numbness in the Right Pinky Toe: Causes and Solutions
Loss of Sensation in Skin: Possible Causes and Solutions
The surface of the skin seems to have lost its tactile sensation? Hello Doctor, I was hospitalized for a week due to gastrointestinal issues and received intravenous fluids and antibiotics. It has been two weeks since my discharge. However, since then, I have noticed that the ski...
Dr. Gao Chunde Reply:
It is likely a case of nerve compression; however, since there is no muscle weakness, it may be caused by a sensory branch of the axillary nerve. Avoiding further compression should lead to gradual recovery. Of course, it could also be a case of mononeuritis. If symptoms occur wi...[Read More] Loss of Sensation in Skin: Possible Causes and Solutions
Debunking Myths: Can Fans Cause Stroke or Nerve Damage?
Recently, I came across some alarming rumors about electric fans on the internet. I'm not sure if anyone has actually experienced these situations or if they are true? Recently, I came across rumors online regarding electric fans. The article stated that excessive exposure t...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms commonly associated with prolonged exposure to an electric fan are localized discomfort, muscle stiffness, and soreness, which often improve with stretching activities. Localized weakness may be due to peripheral nerve compression. A...[Read More] Debunking Myths: Can Fans Cause Stroke or Nerve Damage?
Understanding Right Leg Weakness and Pain: Seeking Neurology Solutions
Lower back and leg pain (right leg weakness) Hello: I hold a mild physical and mental disability certificate (lower limb disability). Although I cannot walk quickly or run, I can stand and walk on my own without any issues. Recently, I suddenly noticed weakness in my right leg, a...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for leg weakness, such as muscle atrophy, lumbar nerve compression, and vascular obstruction, among others. A thorough examination is necessary. I recommend consulting with a neurologist or a rehabilitation physici...[Read More] Understanding Right Leg Weakness and Pain: Seeking Neurology Solutions
Understanding Muscle Twitches: Connection to ALS and Other Causes
The relationship between muscle twitching (spasms) and amyotrophic lateral sclerosis (ALS)? Hello, Doctor. I am 35 years old and started experiencing muscle twitches six months ago. At that time, the frequency was low, and I didn't pay much attention to it. However, for the ...
Dr. Gao Chunde Reply:
Amyotrophic lateral sclerosis (ALS) is characterized by the progressive loss of motor neurons, leading to a decrease in motor nerve function, muscle atrophy, and observable fasciculations. Concurrently, or at some point before or after, there is no definitive timeline; however, t...[Read More] Understanding Muscle Twitches: Connection to ALS and Other Causes
Understanding Left Lower Back Pain After Standing for Two Hours
Left lower back pain after standing for more than two hours? Standing for more than two hours causes pain in the left lower back. Since childhood, whenever I stand for an extended period while shopping, I experience some discomfort in the left side of my lower back. The longer I ...
Dr. Yang Shenggong Reply:
Based on your description, your issue seems to be lower back pain after prolonged standing, which can be alleviated by changing positions. There are several possible causes: 1) scoliosis, 2) nerve compression in the lumbar region, 3) inflammation of the lumbar muscles related to ...[Read More] Understanding Left Lower Back Pain After Standing for Two Hours