Understanding Cervical Disc Herniation: Recovery and Treatment Insights
Cervical disc herniation issues? Hello Dr. Jiang: Recently, I have been experiencing back pain due to my fitness routine. Initially, I sought treatment from traditional Chinese medicine focusing on my thoracic spine. After some improvement, there was no further progress, so I dec...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-fu, You mentioned the issue of low bone density (seemingly below -3), which may be due to my consistently low body weight since birth. However, will this affect my recovery from a herniated disc? A herniated disc is typically caused by improper posture combined wi...[Read More] Understanding Cervical Disc Herniation: Recovery and Treatment Insights
Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective
Heavy and weak hips, abnormal tightness in leg muscles? Hello Doctor, I have been experiencing a heavy and weak sensation in my hip. When I try to sit up straight in a chair, it feels like my back muscles are doing all the work to lift my body. If I stand on my feet for a while (...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "the hip feels very heavy and weak, and when trying to sit up from a chair, it feels like the back muscles are the ones pulling the body up; standing on both feet for a while (5 minutes) makes them feel very tight, heavy, and weak; when one...[Read More] Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective
Understanding Knee Sensory Loss: Causes and Treatment Options
Diminished sensation in the anterior aspect of the knee? Hello, Doctor. I have been practicing aerial yoga once a week and occasionally doing light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my knee...
Dr. Jiang Junyi Reply:
Dear Ms. Tsao, You mentioned, "I feel numbness and still have the sensation of wanting to take anesthetics." This is a typical symptom of peripheral nerve injury. The statement "I feel pain when pressing on the inner side of my knee" indicates localized tissu...[Read More] Understanding Knee Sensory Loss: Causes and Treatment Options
Understanding Arm Numbness Upon Waking: Causes and Risks
Causes and Potential Risks of Experiencing Numbness in the Arm Upon Waking Up Hello, Doctor! Recently, I have noticed that sometimes while sleeping, I unconsciously raise one arm above my head (resting it on the pillow behind my head rather than pressing it underneath). When I wa...
Dr. Jiang Junyi Reply:
Dear Mr. Awei, Your symptoms, as you described, are due to nerve compression. You mentioned, "If this happens often, could it be harmful? For example, could my hand become necrotic one day and require amputation?" This is typically a consequence of vascular obstruction...[Read More] Understanding Arm Numbness Upon Waking: Causes and Risks
Understanding Knee Sensory Loss: Causes and When to Seek Neurology Help
Diminished sensation in the anterior knee? Hello, doctor. I have been doing aerial yoga once a week and occasionally engaging in light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my knee, similar to ...
Dr. Jiang Junyi Reply:
Dear Ms. Tsao, You mentioned that "there is a sensation of numbness and a desire for anesthesia." This is a typical symptom of peripheral nerve injury. The statement "there is pain when pressing on the inner side of the knee" indicates localized tissue inflam...[Read More] Understanding Knee Sensory Loss: Causes and When to Seek Neurology Help
Understanding Knee Sensory Loss: Causes and Treatment Options
Diminished sensation in the anterior aspect of the knee? Hello, doctor. I have been doing aerial yoga once a week and occasionally engaging in light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my kne...
Dr. Jiang Junyi Reply:
Dear Ms. Tsao, Your symptoms of "electric shock sensation have disappeared, and your knee can move freely, but the feeling of numbness and the desire for anesthesia still persist." It seems that the nerves are gradually healing. I recommend increasing your intake of B ...[Read More] Understanding Knee Sensory Loss: Causes and Treatment Options
Persistent Lip and Chin Numbness After Jaw Surgery: When to Seek Help?
Numbness of the lower lip and chin after orthognathic surgery? It has been one year and three months since my orthognathic surgery, and I am experiencing numbness in the left side of my lower jaw, including my chin, lip, and gums. The teeth in that area also feel numb when biting...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe that the chances of maintaining the current condition are relatively high. However, since you are still young, it may be worth waiting to see if the nerves can repair themselves. I recommend continuing with B12 supplementation, and you may...[Read More] Persistent Lip and Chin Numbness After Jaw Surgery: When to Seek Help?
Understanding Abnormal Sensations in Feet: Causes and Solutions
Abnormal sensation Hello Doctor, I have recently been experiencing a strange sensation in my feet, where they often feel cold (or hot? It's a peculiar feeling that starts from my toes and extends upwards). Although my feet feel cold, their actual temperature seems normal. I&...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "the neurologist said an MRI was not necessary, and only advised me to exercise more, maintain a regular sleep schedule, and eat more B vitamins, without prescribing any medication. At that time, I did not have the unusual symptom of coldn...[Read More] Understanding Abnormal Sensations in Feet: Causes and Solutions
Understanding Thumb Tremors: Causes and Concerns After Napping
The right thumb is bent and trembling? This afternoon, I slept on my desk for about 40 minutes, and later in the evening, my right thumb started to tremble when I bent it (but I don't feel weak, and I can use it normally). The trembling is quite noticeable. Additionally, whe...
Dr. Wu Mukhan Reply:
Your symptoms may be due to compression of the peripheral motor nerves while sleeping on your stomach, leading to weakness and abnormal movements. It is advisable to avoid this sleeping position. Typically, rest, heat therapy, and massage can help alleviate the symptoms. If there...[Read More] Understanding Thumb Tremors: Causes and Concerns After Napping
Understanding Spinal Issues: Neurological Pain and Diagnosis
Spinal issues Due to pain in the lumbar spine, nerve conduction studies and electromyography were performed during military service medical examination. Attached are the relevant reports and X-rays. I would like to inquire whether there is a nerve issue, as the pain is severe eno...
Dr. Jiang Junyi Reply:
Dear Mr. W: (As the attached file is no longer readable.) You mentioned experiencing pain so severe that you cannot stand or sleep, and that it extends to your toes. This may indicate symptoms of nerve compression due to a herniated disc or peripheral nerve compression. 1. The...[Read More] Understanding Spinal Issues: Neurological Pain and Diagnosis
Understanding Leg Neuropathic Pain: Causes and Management Strategies
Leg neuropathy, polyneuropathy? Hello Doctor, I have consulted multiple physicians (in rehabilitation, orthopedics, neurosurgery, and neurology), but I still cannot identify the problem... I am 32 years old and work as a software engineer. My symptoms seem quite variable, and I h...
Dr. Jiang Junyi Reply:
Hello Mr. Zac, You mentioned that "when walking, the outer side of my left ankle feels like it's being electrified, and after this pain sensation appeared, my outer calf and the sole of my foot began to feel numb and tingly (which may indicate nerve damage)." This...[Read More] Understanding Leg Neuropathic Pain: Causes and Management Strategies
Electromyography and Nerve Conduction Study: Contraindications and Alternatives
Contraindications for Electromyography (EMG) and Nerve Conduction Studies (NCS) Hello Dr. Jiang, my family member is scheduled to undergo electromyography (EMG) and nerve conduction studies (NCS). They have a pacemaker and have previously undergone mechanical valve replacement. W...
Dr. Jiang Junyi Reply:
Hello Mr. Wang, I am not sure what disease your family suspects that requires electromyography (EMG) and nerve conduction studies (NCS) for diagnosis. Generally, "patients with a history of artificial valve replacement are not suitable for these tests" because they req...[Read More] Electromyography and Nerve Conduction Study: Contraindications and Alternatives
Understanding Right Side Abdominal and Back Nerve Sensations: Causes and Next Steps
Electric, numb, swollen, and prickling sensations appeared in the right side of the abdomen and right side of the back? Hello Doctor, two years ago I started experiencing electric, numb, bloated, and prickling sensations in the right side of my abdomen and right side of my back. ...
Dr. Jiang Junyi Reply:
Hello Ms. Ju, You mentioned that you are experiencing electric, numb, swollen, and prickling sensations in your right abdomen and right back. Your symptoms may suggest an abnormality in the lumbar nerve roots. A common cause is nerve root compression, but a minority of cases may...[Read More] Understanding Right Side Abdominal and Back Nerve Sensations: Causes and Next Steps
Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? Hello doctor, I started feeling a slight numbness in the area of my little fingers on both hands and little toes on both feet a couple of days ago. 1. Could you please tell me what this might be? 2. Or could the hands and feet be different issues t...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "numbness in the little fingers and toes" is commonly caused by peripheral nerve compression. The numbness is associated with the ulnar nerve, which innervates the little finger and half of the ring finger, as well as the corresponding are...[Read More] Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Unexplained Body Tremors: A Neurological Perspective
Involuntary body shaking? Hello doctor, about a week ago while I was at work, I suddenly started feeling dizzy and unsteady. It’s not a spinning sensation, nor do I see objects moving; I don’t experience double vision. Occasionally, I feel a bit nauseous and uncomfortable, and so...
Dr. Jiang Junyi Reply:
Hello Ms. Joyce, Could you please clarify whether the "tingling sensation in the fingers of your right hand and the toes of your right foot" occurs simultaneously with the dizziness, or has this symptom been present for a long time? If they occur at the same time, we m...[Read More] Understanding Unexplained Body Tremors: A Neurological Perspective
Intermittent Sharp Pain in Left Pinky Toe: Possible Neurological Issues
Occasional sharp pain in the left little toe? Hello Doctor, since the end of March, I have been experiencing sharp pain around my left little toe every 5 to 6 days. It feels like an electric shock or like being bitten by an insect, and the pain lasts about 5 seconds before subsid...
Dr. Jiang Junyi Reply:
Dear Mr. You, You mentioned that "the area around my left little toe feels sharp, as if being electrocuted, or like being bitten by an insect." This is a symptom related to neuropathic pain. It may be necessary to consider symptoms of peripheral nerve compression: 1. ...[Read More] Intermittent Sharp Pain in Left Pinky Toe: Possible Neurological Issues
Understanding Finger Tingling: Causes and When to Seek Help
Numbness in the fingertips? Hello, doctor. For the past three days, I have been experiencing a sensation in the fingertips of both hands (more so in the right hand) that feels like there is a foreign object present, intermittently. Occasionally, I also feel a tingling sensation, ...
Dr. Jiang Junyi Reply:
Dear Mr. A-Jia, You mentioned that "sometimes there is, sometimes there isn't... occasionally feeling like an electric current flowing through the back of the hand and fingers," which may suggest a peripheral nerve issue. Common causes include sensory nerve abnorm...[Read More] Understanding Finger Tingling: Causes and When to Seek Help
Numbness in Left Thigh: When to See a Neurologist?
Loss of sensation in the left thigh? I have numbness and slight tingling in my left thigh. I can feel a bit when I pinch it, but it hurts a lot when I pinch the surrounding area. I'm not sure which specialist to see.
Dr. Jiang Junyi Reply:
Dear Ms. Hsuan, You mentioned that "the left thigh has a bit of numbness and some sensation when pinched," which may indicate peripheral nerve issues such as lumbar nerve compression. Symptoms of peripheral nerve compression include: 1. Pain characterized by burning ...[Read More] Numbness in Left Thigh: When to See a Neurologist?
Understanding Finger Numbness: Insights on Herniated Discs and Treatment
Numbness in the fingers? Hello, doctor. My fingers are numb, and my arm hurts. I went to the neurology department for an MRI, which was done on the 17th. They said it would take seven working days to get the report. Is that true? I want to see the report sooner in the outpatient ...
Dr. Jiang Junyi Reply:
Hello, Sir: Due to the fixed consultation hours of the physician, if there is no progression in your condition, follow-up appointments are usually scheduled biweekly. In case of an urgent condition, you may visit the emergency department or see a different physician within the sa...[Read More] Understanding Finger Numbness: Insights on Herniated Discs and Treatment
Understanding Left Shoulder Blade Tension: Causes and Treatments
Tightness in the upper left back and shoulder blade? Hello, Doctor: I previously had an examination due to discomfort in my back, which revealed that there was a knot formed in the spinal ligaments. It was eventually resolved through manual therapy, but I have noticed that my lef...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-fu, You mentioned experiencing "a sudden sharp pain that then returns to normal," which may suggest nerve root compression at the C7 vertebra or upper thoracic spine. If there is a herniated disc, it could lead to localized inflammatory responses causing...[Read More] Understanding Left Shoulder Blade Tension: Causes and Treatments