Understanding Diabetic Peripheral Neuropathy: Symptoms, Treatment, and Family Links
Diabetic peripheral neuropathy Hello Doctor: My father has a history of diabetes for 11 years. Last year, he experienced numbness and pain in his limbs, sometimes feeling numb all over. He visited the neurology department at Taichung Veterans General Hospital, where he was diagno...
Dr. Lin Zijing Reply:
1. Does diabetic peripheral neuropathy cause severe pain and numbness throughout the body? Answer: It mostly causes numbness and pain in the extremities, with a small portion experiencing pain in a single nerve. 2. Can the numbness and pain from diabetic peripheral neuropathy ...[Read More] Understanding Diabetic Peripheral Neuropathy: Symptoms, Treatment, and Family Links
Understanding Trigeminal Nerve Damage and Its Impact on Facial Sensation
Face Hello, doctor. The question is: Damage to the spinal trigeminal nucleus can lead to the loss of a "cylindrical onion-like" sensation in the face. Can you explain what this means? Is there an image? Thank you!
Dr. Gao Chunde Reply:
The trigeminal nerve has three nuclei, which are responsible for pain and temperature sensations. This distribution is similar to the dermatomes in the spinal cord, but differs from the distribution of touch and vibration sensations in the face. The branches of the trigeminal ner...[Read More] Understanding Trigeminal Nerve Damage and Its Impact on Facial Sensation
Understanding CIDP: Recovery Rates, Relapse Risks, and Treatment Insights
Issues related to CIDP (Chronic Inflammatory Demyelinating Polyneu Dr. Lin, thank you for your response. I would like to ask about the general prognosis for patients with Chronic Inflammatory Demyelinating Polyneuropathy (CIDP). What is the likelihood of recovery? Is it possible ...
Dr. Lin Zijing Reply:
There are some case reports of complete recovery, but no statistical data. The treatment options are as follows: 1. If muscle strength is only mildly affected and does not impact daily life, observation is sufficient. 2. If muscle strength rapidly deteriorates to the point of dif...[Read More] Understanding CIDP: Recovery Rates, Relapse Risks, and Treatment Insights
Understanding CIDP: Treatment Options and Recovery Expectations
Chronic Inflammatory Dem Hello Dr. Lin, my friend (27 years old) sought medical attention a year ago due to muscle paralysis and weakness, and was diagnosed with Guillain-Barré Syndrome (GBS). He received one infusion of IVIg, which provided slight improvement, but after half a m...
Dr. Lin Zijing Reply:
Hello: The course of Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is slower and more prone to relapse compared to Acute Inflammatory Demyelinating Polyneuropathy (AIDP, also known as Guillain-Barré Syndrome). Some patients experience intermittent episodes, while other...[Read More] Understanding CIDP: Treatment Options and Recovery Expectations
Seeking Guidance for Sister's Left Brain Stroke Recovery in Taiwan
I would like to consult Dr. Huang Yong-Chuan. My sister has a left cerebral vascular embolism..? Hello Dr. Huang, I have an older sister who is currently in Japan. For some reason, the doctors have said that she has nerve damage in her left brain (it seems to be a left cerebral...
Dr. Huang Yongquan Reply:
Hello: I would like to respond as follows: Regarding your sister's subsequent medical treatment and hospitalization after returning to Taiwan, I have contacted Dr. Huang Yong-Chuan. Please obtain the relevant medical records summary and copies of related imaging studies (suc...[Read More] Seeking Guidance for Sister's Left Brain Stroke Recovery in Taiwan
Understanding Sudden Pain and Numbness in the Left Calf
Pain in the posterior left calf? Hello doctor, two nights ago I suddenly experienced sharp pain in the back of my left calf muscle, but it didn't feel like a cramp or muscle soreness; it was mainly localized at a specific point. The pain was more frequent at that time, but i...
Dr. Lin Zijing Reply:
Throbbing pain, numbness, electric shock-like pain, burning pain, and abnormal sensations are all types of neuropathic pain. Nerve pain can occur due to injury or inflammation, and proper treatment can alleviate the pain. However, some neuropathic pain arises from the hypersensit...[Read More] Understanding Sudden Pain and Numbness in the Left Calf
Post-Injection Numbness and Pain: Is Nerve Damage Possible?
Numbness, weakness, and pain after receiving an injection in the arm? Hello Doctor, I would like to ask about my mother. She has been experiencing significant pain in her right hand due to overuse (from household chores and work). She visited an orthopedic doctor and received a...
Dr. Gao Chunde Reply:
First, it is important to identify the injection site. Generally, unless there are specific needs, physicians will avoid injecting into nerves and will try to steer clear of areas where nerves may be present to prevent complications. Secondly, regarding the condition, in addition...[Read More] Post-Injection Numbness and Pain: Is Nerve Damage Possible?
Understanding Nerve Conduction Velocity Tests for Upper and Lower Limbs
"Measurement of Motor Nerve Conduction Velocity in Upper and Lower Extremities" examination? Dear Dr. Lin, Thank you for your detailed explanation regarding the electromyography (EMG) and nerve injury during my last visit. I went to the neurology department for an EMG ...
Dr. Lin Zijing Reply:
According to what you described, your muscle twitching may be simple localized fasciculations, which are not a disease and will improve on their own. However, since this phenomenon can also be an early symptom of some motor neuron diseases, it is important to monitor its progress...[Read More] Understanding Nerve Conduction Velocity Tests for Upper and Lower Limbs
Understanding Electromyography: Insights on Nerve Damage and Concerns
Electromyography (EMG) Hello Dr. Lin: I went to the neurology department for an electromyography (EMG) test due to slight tremors in my right thumb and mild muscle twitching in my right upper arm. The report ruled out the possibility of cervical degeneration and indicated signs o...
Dr. Lin Zijing Reply:
Hello, in the clinical diagnosis of neurological diseases, electromyography (EMG) plays an important role in helping to localize lesions in the peripheral nervous system, including motor neurons, nerve roots, peripheral nerves, neuromuscular junctions, and muscle lesions. You hav...[Read More] Understanding Electromyography: Insights on Nerve Damage and Concerns
Understanding Guillain-Barré Syndrome: Recovery Time and Prognosis Explained
Guillain-Barré Syndrome Hello Doctor, I would like to ask a question. My friend (male, 27 years old) went to the doctor several months ago because he was experiencing numbness in his limbs, muscle weakness, and slow walking. He was diagnosed with Guillain-Barré Syndrome. After ne...
Dr. Ye Boshou Reply:
Hello: The recovery time for Guillain-Barré Syndrome (GBS) can be very long, even 1-2 years, and the extent of recovery is related to the severity of nerve damage at the time. The chances of recurrence are low, but there are indeed a small number of cases that progress to chronic...[Read More] Understanding Guillain-Barré Syndrome: Recovery Time and Prognosis Explained
Understanding Thigh Cramps After Surgery: Causes and Solutions
Thigh cramp Hello Doctor, I had surgery on my thigh and knee due to a car accident last April, where steel pins were inserted. I had the pins removed in mid-October this year. Since the removal, I've been experiencing cramps on the inner side of my thigh over the past week...
Dr. Lin Zijing Reply:
Muscle cramps are often caused by instability in the electrical potential of the nerves controlling the muscles or the muscles themselves, leading to spontaneous discharges and symptoms such as cramps or neuropathic pain. Electrolyte imbalances, the recovery period following nerv...[Read More] Understanding Thigh Cramps After Surgery: Causes and Solutions
Understanding Long-Term Effects of Electrical Burns on Neurological Health
Electrical burn Dear Dr. Lin, I would like to ask about my condition. I was electrocuted on the left temple with 380 volts, and the current exited through the right temple. After two months of treatment, the left side has a wound measuring 10cm by 6cm deep enough to see the bone...
Dr. Lin Zijing Reply:
Hello, the extent of damage from electrical burns typically occurs in the area through which the current passes, specifically from the entry point to the exit point of the current. The human nervous system transmits signals via microcurrents, so when a small current travels throu...[Read More] Understanding Long-Term Effects of Electrical Burns on Neurological Health
Post-Surgical Nerve Damage: Treatment Options for Pain and Numbness
Postoperative management and treatment after nerve injury during surgery? I have a tumor in my left buttock, and the tumor is located quite deep, close to the bone. The surgeon mentioned that surgery cannot go too deep for fear of damaging the nerves. Unfortunately, during the su...
Dr. Ye Boshou Reply:
Hello: I'm sorry to hear about your situation. If you are experiencing pain due to nerve damage, you may consider medication treatments such as Gabapentin or Neurontin. However, if the pain cannot be controlled, you might explore nerve block procedures, which can help manage...[Read More] Post-Surgical Nerve Damage: Treatment Options for Pain and Numbness
Understanding Multiple Sclerosis: Causes, Symptoms, and Treatment Options
How to treat multiple sclerosis and its causes? This is a question I am asking on behalf of my friend, who currently has pediatric diabetes. Recently, she was hospitalized for nearly two weeks due to pneumonia triggered by a cold. After being discharged, she noticed that her left...
Dr. Ye Boshou Reply:
Hello: Multiple sclerosis is an autoimmune disease that is not related to antibiotics or diabetes. It is important to confirm whether it is multiple sclerosis, and the medication treatment should be managed by a physician.[Read More] Understanding Multiple Sclerosis: Causes, Symptoms, and Treatment Options
Can Neck Nerve Injuries Fully Heal? Recovery Time and Treatment Options Explained
Can a neck nerve injury fully recover? How long does it take? Hello, Dr. Yeh: I have been experiencing chronic headaches and consulted a neurologist who performed an X-ray. The doctor mentioned that there is nerve damage, which can affect the autonomic nervous system, consequentl...
Dr. Ye Boshou Reply:
1. First, determine the nature of the nerve damage: is it cervical nerve damage, or is it simply autonomic nervous system dysregulation? If it is only autonomic nervous system dysregulation, the recovery will depend on muscle relaxation and emotional control. However, if there is...[Read More] Can Neck Nerve Injuries Fully Heal? Recovery Time and Treatment Options Explained
Experiencing Hand Numbness After a Bike Accident: What to Know
Numbness in my hand~ I fell off my bike last Saturday~ I have numbness in my hand. Last Saturday, I fell off my bike, and just yesterday, I started feeling numbness in the area right in front of my thumb. It has been numb for a whole day now and is still numb. I'm not sure i...
Dr. Ye Boshou Reply:
Hello: If there is still numbness, please see a neurologist for an examination.[Read More] Experiencing Hand Numbness After a Bike Accident: What to Know
Post-Car Accident: Understanding Sensory Loss and Recovery
Does a car accident cause sensory loss? Hello Dr. Yeh, I’m not sure if this question falls under the scope of neurology, and I apologize if I’m mistaken. I was involved in a car accident on the morning of May 24th (the car tipped to the right). I landed on my buttocks first, and ...
Dr. Ye Boshou Reply:
Hello, if the described tactile sensation (on the right side) is diminished, are the sensations of warmth and cold also abnormal? If so, it may indicate nerve damage, and a detailed examination by a neurologist is necessary.[Read More] Post-Car Accident: Understanding Sensory Loss and Recovery
Understanding Brain Hypoxia: Recovery Chances and MRI Insights
Please ask your question? Hello! I would like to ask about issues related to cerebral hypoxia. 1. Is a brain MRI used to observe brain activity? For patients with brain damage, how can we determine if their brain cells have recovered? 2. Do individuals with brain damage have ...
Dr. Ye Boshou Reply:
The principle of magnetic resonance imaging (MRI) is based on altering the magnetic properties of small molecules within cells and observing their response. Therefore, cell death results in the absence of signals. Neurons lack the ability to regenerate, so nerve damage that does ...[Read More] Understanding Brain Hypoxia: Recovery Chances and MRI Insights
Understanding Muscle Atrophy: Causes, Symptoms, and Treatment Options
Muscle atrophy Hello, Dr. Yeh. I have had severe muscle atrophy in my right calf for over ten years, which prevents me from walking long distances and causes feelings of weakness and pain. I also experience symptoms similar to panic disorder, which leads to difficulty breathing, ...
Dr. Ye Boshou Reply:
Muscle atrophy in the right calf can be caused by various factors, including disuse, nerve damage, vascular issues, or underlying medical conditions such as muscular dystrophy or neuropathy. The function of the calf muscles is primarily to facilitate movement, including walking, ...[Read More] Understanding Muscle Atrophy: Causes, Symptoms, and Treatment Options
Elbow Injury: Nerve Damage Concerns for Pianists and Recovery Tips
Elbow bump? Hello Doctor: In early June, I hit a protruding area next to my elbow very hard, which caused intense pain, heat, and nearly made me faint. Now, that area is still very sensitive to touch, and I experience numbness in my ring and little fingers. I am a piano student a...
Dr. Ye Boshou Reply:
An elbow injury typically takes 2-3 weeks to gradually heal. If there is no improvement, medical treatment should be sought.[Read More] Elbow Injury: Nerve Damage Concerns for Pianists and Recovery Tips