Understanding Hand Tremors: Causes and When to Seek Help
Tremor issues Hello doctor, this morning when I started using the computer, my right hand, which I use to hold the mouse, experienced significant shaking, especially when pressing the buttons. I also tried other movements and found that my hand trembles quite a bit when making a ...
Dr. Jiang Junyi Reply:
Hello Mr. Jam: You mentioned that "the shaking is more pronounced when pressing buttons, and after trying other movements, I found that there is also significant shaking when making a fist, which sometimes occurs and sometimes does not." This symptom seems to be related...[Read More] Understanding Hand Tremors: Causes and When to Seek Help
Understanding Accompanying Symptoms of Facial Nerve Paralysis
Symptoms accompanying facial nerve paralysis? Hello Dr. Jiang, after undergoing brain tumor surgery last year, I experienced postoperative complications such as facial paralysis. Recently, in addition to the typical symptoms of facial paralysis, including incomplete closure of th...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, Due to the occurrence of "tingling and burning sensations on the tip of the tongue," it may be necessary to consider lesions in the brainstem or cranial nerves. You mentioned, "Does the addition of these symptoms indicate a progression of the diseas...[Read More] Understanding Accompanying Symptoms of Facial Nerve Paralysis
Understanding Post-Exercise Numbness: Is It Thoracic Outlet Syndrome?
Mild numbness in the hand after exercise? Hello doctor, a couple of days ago I practiced riding a motorcycle. I'm not sure if it's because I haven't exercised much during the summer or if it's due to the weight of the motorcycle, but after pulling the bike, I ...
Dr. Jiang Junyi Reply:
Dear Miss Katie, You mentioned that "my left hand feels a bit numb, it's not very severe and I can move it without pain." This symptom resembles the signs of peripheral nerve compression affecting the sensory nerves. You may want to wait until the soreness and swe...[Read More] Understanding Post-Exercise Numbness: Is It Thoracic Outlet Syndrome?
Understanding Calf Pain: Is It a Neurological Issue?
Calf issues? Hello Dr. Jiang, I would like to ask about experiencing cramping sensations in one calf, along with occasional pain that encompasses the entire leg. The pain is particularly intense around the inner heel, and sometimes there is a feeling of warmth. Could these sympto...
Dr. Jiang Junyi Reply:
Hello Mr. Yu: You mentioned that "the inner heel is particularly painful... sometimes it feels a bit warm," which may indicate symptoms of nerve compression due to intervertebral disc pressure, accompanied by the following phenomena, which are characteristic of peripher...[Read More] Understanding Calf Pain: Is It a Neurological Issue?
Post-Surgery Complications of Brain Tumor: Understanding Discrepancies in Symptoms and Tests
Postoperative complications of brain tumors? Hello Dr. Jiang, I underwent brain tumor resection surgery last June, and I have been experiencing persistent postoperative complications such as tinnitus, diplopia, and facial numbness. However, a nerve conduction study conducted at a...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, You mentioned that "the nerve conduction study of the face is 'normal'," which is reasonable. This is because nerve conduction studies assess peripheral nerves. The tinnitus, diplopia, and facial paralysis you are experiencing following your br...[Read More] Post-Surgery Complications of Brain Tumor: Understanding Discrepancies in Symptoms and Tests
Effective Methods for Assessing Peripheral Nerve Issues in Neurology
Methods for assessing peripheral nerves around the head? I currently have double vision and facial numbness due to peripheral nerve issues. How should I assess my current neurological condition? Which diagnostic method is more effective in general medical facilities, nerve conduc...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned the issue of "diplopia." If the symptoms have occurred acutely, it may be necessary to consider structural abnormalities. Peripheral issues may involve the structures of the eyes and orbits, such as the eyeball and extraocular muscles. Central ...[Read More] Effective Methods for Assessing Peripheral Nerve Issues in Neurology
Post-Surgery Hand Numbness: When to Seek Medical Attention?
Postoperative hand numbness? Recently, I underwent general anesthesia for surgery. The first attempt to insert a peripheral intravenous catheter was on the lateral side of my wrist (at the extension of the thumb), but the vein was not successfully accessed. I experienced a pain t...
Dr. Jiang Junyi Reply:
Dear Ms. Zhao, You mentioned experiencing a tingling sensation in your index finger that feels like an electric shock at the back of your hand. I would like to know if you have also noticed any weakness in your wrist or fingers. Your symptoms may indicate that the sensory fibers...[Read More] Post-Surgery Hand Numbness: When to Seek Medical Attention?
Intermittent Numbness in the Sole: Should You Be Concerned?
Intermittent numbness in the soles of the feet? Hello doctor, I have suddenly noticed that the sole of my left foot feels numb for a second, then normal for a second, and then numb again, whether I am sitting or lying down. This has been ongoing. Is this a serious issue? Thank yo...
Dr. Jiang Junyi Reply:
Hello Mr. Ben: Your symptoms may suggest peripheral nerve compression, such as compression of the plantar nerve or injury to the sciatic nerve. Common symptoms of peripheral nerve compression include pain, numbness, and weakness. The causes may include acute direct injury: nerve ...[Read More] Intermittent Numbness in the Sole: Should You Be Concerned?
Severe Pain in Left Thumb: Possible Nerve Issues After Injury
Severe pain in the webbing of the left thumb? Hello Doctor, a few days ago while using the computer, my left thumb accidentally got caught between two keys on the keyboard, resulting in a small laceration in the webbing of my left thumb, but there was no bleeding. However, the wo...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned, "I have pain in the spaces between my left fingers. If medication does not improve the condition, can it be treated with surgery?" Generally, surgical intervention primarily aims to remove potential lesions. In cases of nerve injury, we ty...[Read More] Severe Pain in Left Thumb: Possible Nerve Issues After Injury
Understanding Foot Numbness and Small Steps: Neurological Insights
Numbness in the toes and shuffling gait? Hello Dr. Jiang, I am 72 years old this year. I previously visited a neurologist because I experience small shuffling steps when walking and cannot turn my head too quickly, otherwise I feel dizzy. Both of my feet feel numb, primarily in t...
Dr. Jiang Junyi Reply:
Hello, Aunt Hsu: You mentioned, "Is it possible to improve small fiber symptoms through dopamine in non-Parkinson's disease?" The answer is no. You also noted that "both feet feel numb, primarily in the toes," which may indicate symptoms of peripheral ne...[Read More] Understanding Foot Numbness and Small Steps: Neurological Insights
Understanding Numbness and Weakness in Limbs: Possible Causes and Solutions
Numbness and even weakness in the limbs? Recently, I started experiencing numbness in both hands that lasted all day. The next day, the numbness in my hands persisted and spread to my legs, along with stiffness and numbness in my right shoulder and neck. On the third day, the num...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that you have a noticeable loss of sensation in the soles of your feet, which may indicate a potential issue with nerve compression. This can occur due to prolonged fixed positions, repetitive movements over time, or excessive training, including situa...[Read More] Understanding Numbness and Weakness in Limbs: Possible Causes and Solutions
Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Involuntary muscle twitching on the inner side of the left foot? The inner side of my left foot has been twitching involuntarily, and sometimes the big toe also twitches along with it. This condition persisted for an entire day the day before yesterday, and since then it has not ...
Dr. Hong Weibin Reply:
Hello: The muscles in the body are controlled by nerves, which function like electrical wires, transmitting signals to control muscle movements. However, just as electrical wires can occasionally experience leakage due to external factors like temperature and humidity, muscles ma...[Read More] Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Should You Seek Medical Attention After a Head Injury?
Head trauma A few days ago, I bumped the front right side of my forehead against the corner of a car trunk. Since then, I've been waking up with a tingling pain in the back left side of my head, which isn't particularly severe, but I feel a bit dizzy overall. My neck is...
Dr. Jiang Junyi Reply:
Dear Miss Chiao, You mentioned that "the left back of my head feels numb and painful, but it's not particularly severe, and overall I feel a bit dizzy, with some stiffness in the back of my neck." Your symptoms may suggest cervical myofascial inflammation, possibl...[Read More] Should You Seek Medical Attention After a Head Injury?
Is Your Itchy Sensation a Sign of Restless Legs Syndrome?
Itching in the muscles could be a symptom of Restless Legs Syndrome (RLS), but it is important to consider other potential causes as well. RLS is characterized by an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations. If you are experiencing persi...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "I can't even reach the itchy spot, and later discovered that the itch is deep inside." If it is an allergy, it could potentially be systemic. However, if your symptoms are localized to specific areas of nerve distribution, peripheral...[Read More] Is Your Itchy Sensation a Sign of Restless Legs Syndrome?
Burning Feet: Understanding Causes and Seeking the Right Specialist
Burning sensation in the soles of the feet? I constantly feel a burning sensation in the soles of my feet, and they become sore and weak after standing for a long time. I have consulted many specialties, but no cause has been identified. Could you please advise if there might be ...
Dr. Jiang Junyi Reply:
Dear Ms. Su, You mentioned that you feel a constant burning sensation in the soles of your feet, which is indicative of peripheral neuropathy. Symptoms of peripheral nerve compression include: 1. Pain characterized by burning and tingling sensations. 2. Symptoms that have a spec...[Read More] Burning Feet: Understanding Causes and Seeking the Right Specialist
Burning Feet: Understanding Neurological Causes and Solutions
Burning sensation in the soles of the feet? I constantly feel a burning sensation in the soles of my feet, and they become sore and weak after standing for a long time. I have consulted various specialists, but no cause has been identified. Could you please advise if there might ...
Dr. Jiang Junyi Reply:
Dear Miss Su, You mentioned that "the soles of my feet feel hot all the time," which is a symptom associated with peripheral neuropathy. Symptoms of peripheral nerve compression include: 1. Pain characterized by burning sensations and tingling; 2. Symptoms that have a ...[Read More] Burning Feet: Understanding Neurological Causes and Solutions
Understanding Muscle Atrophy and Polyneuropathy: Causes and Concerns
Muscle atrophy and polyneuropathy? Hello, Dr. Jiang! Recently, I noticed a depression and atrophy in my left upper arm. However, aside from a slight soreness when I extend my arm backward, there are no other symptoms. I then went to a neurology clinic for an examination, where th...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may suggest a consideration of "brachial plexus injury... and polyneuropathy" for clinical diagnosis. In addition to physical examination, it is usually necessary to conduct peripheral nerve assessments. Peripheral nerve evaluations utilize...[Read More] Understanding Muscle Atrophy and Polyneuropathy: Causes and Concerns
Understanding Right Leg Numbness: Causes and Treatment Options
Numbness in the right leg upon sitting down? Hello, doctor! I'm asking on behalf of my dad, who is 61 years old. Recently, whenever he sits down, his right leg starts to feel numb, along with symptoms of soreness and pain. This mainly occurs in the area from his knee to his ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your father experiences numbness, as well as soreness and pain in his right leg as soon as he sits down. It may be necessary to first consider a herniated disc leading to localized inflammatory responses that cause lower back pain, which may also extend ...[Read More] Understanding Right Leg Numbness: Causes and Treatment Options
Understanding Proximal Limb Pain and Tremors: Possible Neurological Issues
Numbness and tingling in the hands and feet may occur along with tremors? Hello, doctor. I would like to ask what could be causing proximal limb pain. In addition to the pain, my mobility is slightly affected; sometimes, after walking a little, my legs start to shake uncontrollab...
Dr. Jiang Junyi Reply:
Dear Ms. Winnie, You mentioned, "What could be the cause of proximal limb pain? Besides the pain, the symptoms slightly affect my mobility, and sometimes after walking a bit, my legs tremble uncontrollably." Your symptoms may indicate not only muscle pathology but also...[Read More] Understanding Proximal Limb Pain and Tremors: Possible Neurological Issues
Understanding Proximal Limb Pain and Tremors: Possible Causes and Solutions
Numbness and tingling in the hands and feet may occur along with tremors? Hello, doctor. I would like to ask what could be the possible issues causing proximal limb pain. In addition to the pain, my mobility is slightly affected; sometimes when I walk a little, my legs start to s...
Dr. Jiang Junyi Reply:
Hello, Miss Winnie: You mentioned, "What could be the cause of proximal limb pain? Besides the pain, my mobility is slightly affected, and sometimes when I walk a little, my legs tremble continuously." Your symptoms may indicate not only muscle pathology but also a pot...[Read More] Understanding Proximal Limb Pain and Tremors: Possible Causes and Solutions