Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology
Fasciculation with partial weakness? Hello Doctor, since March of last year, I have been experiencing muscle twitching all over my body. Sometimes the twitching is localized to my left upper arm, which feels slightly weak and the muscle has noticeably softened. My left arm is sli...
Dr. Peng Shiwei Reply:
Hello, if the electromyography (EMG) is normal, it cannot be diagnosed as ALS. However, based on your description, I would still prioritize considering neurological issues (such as brachial plexus or cervical spine problems). I'm not sure if the physician you consulted menti...[Read More] Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology
Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Postoperative neurological sequelae Hello, Dr. Jiang. I underwent brain tumor resection surgery two years ago, and I have been experiencing facial nerve issues corresponding to CN4 through CN8 (such as diplopia, tinnitus, facial paralysis, headaches, etc.). After undergoing treat...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "diplopia, tinnitus, facial numbness, and headaches," which may warrant consideration of hyperbaric oxygen therapy to improve circulation in the affected areas post-surgery. Additionally, recent repetitive transcranial magnetic stimulation ...[Read More] Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Understanding Tingling Sensation Above the Toenail: Possible Nerve Issues
Tingling sensation in the skin above the toenail of the big toe? Hello, during the New Year period, I suddenly experienced a slight tingling sensation in the skin above my right big toe nail when it touched the blanket at night. After a few days, it improved and became less sensi...
Dr. Jiang Junyi Reply:
Hello Mr. AM: You mentioned that "the skin feels a tingling sensation whenever it is touched or lightly pulled," which may indicate a potential issue with peripheral nerve compression. Common symptoms of peripheral nerve compression include pain, numbness, and weakness....[Read More] Understanding Tingling Sensation Above the Toenail: Possible Nerve Issues
Understanding Neck Tension: Causes, Exercises, and Relief Options
Shoulder and neck issues? There are no specific underlying conditions. About three to four days ago, I started feeling a slight tightness in the back of my neck when I bend my neck while reading or looking at my phone, which I have never experienced before. This sensation only oc...
Dr. Jiang Junyi Reply:
Hello Mr. Lin, You mentioned that "the back of my neck feels a bit tight... it only happens when I sit and look down at a book... should I use cupping therapy to relieve it?" The common cause of neck pain is cervical myofascial pain syndrome. Prolonged periods of looki...[Read More] Understanding Neck Tension: Causes, Exercises, and Relief Options
Understanding Dizziness and Autonomic Nervous System Disorders
Dizziness, autonomic nervous system issues? Hello Doctor, Subject: 1. I experienced several episodes of fainting in early December 2022 after performing 100 sit-ups in a short period as part of my exercise routine. A few days later, while walking on the street, I suddenly lost...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned experiencing several episodes of syncope while walking, feeling as if you suddenly lost consciousness... Your symptoms are more likely caused by syncope. When cerebral blood flow drops below 30 ml per minute, it can lead to loss of consciousness, usu...[Read More] Understanding Dizziness and Autonomic Nervous System Disorders
Assessing Risk of Chronic Subdural Hematoma After Head Injury
Head trauma Hello Doctor, my father is 52 years old and has a history of liver cirrhosis, currently undergoing medication treatment. Last week, he accidentally hit his head hard when closing the car door. The pain lasted for about two minutes, and there was no loss of consciousne...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "the rear door accidentally hit my head after closing, it was quite forceful, and it hurt for about two minutes. There was no loss of consciousness, and I did not experience any other discomfort." Generally speaking, if there is no l...[Read More] Assessing Risk of Chronic Subdural Hematoma After Head Injury
Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Numbness in the soles of the feet? Hello, doctor. Three years ago, I was diagnosed with autonomic nervous system dysfunction due to dizziness. After taking medication, my condition improved significantly, and I stopped taking the medication. However, I have experienced intermitte...
Dr. Jiang Junyi Reply:
Dear Ms. Hsuan, You mentioned experiencing dizziness that sometimes occurs with movement. Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of vertigo related to changes in head position, such as bending ov...[Read More] Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Understanding Toe Numbness: Causes and Nerve Conduction Testing Insights
What causes numbness in the toes? Hello, doctor. If bone spurs or spinal instability are compressing the nerves, will it only cause numbness in the toes (a dull sensation without sharp pain), or could it also affect the calf area? If spinal instability is compressing the nerves, ...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned, "Could spinal spondylolisthesis compressing the nerves potentially cause only toe numbness? Would a nerve conduction study show abnormalities in this case, or would it be normal since only the toes are numb?" The electrodes for the nerve co...[Read More] Understanding Toe Numbness: Causes and Nerve Conduction Testing Insights
Understanding Toe Numbness: Insights on Nerve Conduction Tests
Toe nerve conduction study? Hello, Dr. Jiang. I previously inquired about the issue of toe numbness due to lumbar spondylolisthesis, and I would like to ask two more questions: 1. Since I have lumbar spondylolisthesis and toe numbness, but my tests (blood tests and nerve conduc...
Dr. Jiang Junyi Reply:
Hello: You mentioned, "If the nerve conduction study is normal, can we rule out nerve compression caused by lumbar spondylolisthesis as the reason for toe numbness?" It may be necessary to perform an electromyography (EMG) to check for abnormalities in the muscles inner...[Read More] Understanding Toe Numbness: Insights on Nerve Conduction Tests
Understanding Tooth and Temple Pain: Is It Related to Neck Nerve Compression?
Pain in the upper and lower right teeth, as well as pain in the temples? This afternoon, I suddenly experienced pain in my upper and lower right teeth, which later extended to my right temple. Last year, I visited a neurosurgeon due to neck pain, and an MRI revealed a herniated d...
Dr. Jiang Junyi Reply:
Dear Mr. Ze, You mentioned, "Is the toothache along with the pain in the temples possibly due to cervical nerve compression?" This symptom indeed warrants consideration of high cervical nerve root compression, specifically involving the first to third cervical vertebra...[Read More] Understanding Tooth and Temple Pain: Is It Related to Neck Nerve Compression?
Understanding Foot Pain and Numbness: Causes and Next Steps
Light pressure on the sole of the foot causes sharp pain? Numbness below the ankle (including toes and soles) is often experienced, with light pressure causing sharp pain and a sensation of poor blood circulation, making walking difficult. There is also numbness in the calves and...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "below the ankle (including toes, soles, etc.) often feels numb... The MRI only indicated that the spine is slightly smaller, and it seems there is no compression on the nerves." Since lumbar MRI is performed while lying down, it cannot tr...[Read More] Understanding Foot Pain and Numbness: Causes and Next Steps
Understanding Nerve Sensations: Addressing Tingling and Discomfort
Experiencing numbness in multiple areas? Hello Doctor: I often feel soreness and numbness in my neck and hip joints, as well as a tingling sensation in various joint areas, such as the inner elbows, popliteal fossa, thenar, second joint of the middle finger, and the dorsum of the...
Dr. Jiang Junyi Reply:
Hello Ms. QQ, You mentioned that "many joint areas feel itchy and numb." Your symptoms may suggest typical signs of neuropathy: numbness, tingling, and symptoms related to peripheral nerve compression. 1. The nature of the pain may include burning and electric sensat...[Read More] Understanding Nerve Sensations: Addressing Tingling and Discomfort
Understanding Numbness and Tingling in Hands and Feet: When to Seek Help
Numbness and tingling in the hands and feet? Since Monday, I have been experiencing a tingling and numb sensation in my foot, particularly in the fourth toe of my right foot. This sensation occurs whether I am sitting or standing, but it is less noticeable when I walk. It is not ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, there could be issues related to peripheral circulation or peripheral nerves. It is recommended that you consult a neurologist. Thank you for your inquiry.[Read More] Understanding Numbness and Tingling in Hands and Feet: When to Seek Help
Understanding Muscle Pain: Causes and Solutions for Burning Sensations
Muscle pain Hello, doctor. Recently, I've been experiencing a burning tearing sensation in the front thigh muscles during certain movements. This sensation disappears immediately after I stop the movement, and there is no pain when I press on it. However, I noticed that when...
Dr. Jiang Junyi Reply:
Hello Mr. TOP: You mentioned, "pressing when experiencing a burning tearing sensation causes pain." Your symptoms may suggest a peripheral nerve issue. This could be due to muscle compression of nearby nerves and blood vessels in specific positions. Symptoms of peripher...[Read More] Understanding Muscle Pain: Causes and Solutions for Burning Sensations
Understanding Muscle Atrophy: Is It ALS or Another Condition?
Amyotrophic lateral sclerosis (ALS), muscle atrophy? Hello doctor, I am a 40-year-old male. About six years ago, I suddenly felt unusual soreness in my left arm, and later the small thenar muscle in my left hand began to twitch. A few days later, I noticed slight atrophy. I consu...
Dr. Jiang Junyi Reply:
Dear Mr. Aze, You mentioned that "my arms suddenly tremble continuously, my muscles twitch, and I experience inexplicable spasms throughout my body. I also noticed that my thighs seem to be atrophying, and I wonder if I might have this disease." The muscle atrophy you ...[Read More] Understanding Muscle Atrophy: Is It ALS or Another Condition?
Understanding Increased Nerve Pain After Diagnosis: Causes and Treatments
Diagnosis leads to exacerbation of neuropathic pain? Recently, after being diagnosed, the previously occasional neuropathic pain has become frequent, primarily occurring in the abdomen and thighs, both during the day and night (persistent). After taking painkillers, the pain retu...
Dr. Jiang Junyi Reply:
Hello, Ms. Bai: You mentioned that the pain primarily occurs in the abdomen and thighs, is persistent both day and night, and continues after taking pain medication for three to four hours, causing tears. Is this situation common? How should it be assessed and treated? Your sympt...[Read More] Understanding Increased Nerve Pain After Diagnosis: Causes and Treatments
Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Neck issues? Recently, after taking a shower (bending over to wash my hair) and using the computer, I notice a clicking sound at the junction of my neck and shoulder, approximately at the trapezius muscle area, specifically on the right side. This occurs only in the evening and r...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the "cracking sound at the junction of the neck and shoulders" may indicate cervical joint pathology, primarily due to degeneration of the cervical facet joints or symptoms caused by cervical disc herniation. This is commonly seen in cases of p...[Read More] Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Understanding Sudden Nerve Pain: When to Seek Medical Help
Neuralgia The left side of the body near the clavicle (close to the esophagus) experiences intermittent sharp, stabbing pain that lasts about one to two seconds. This condition has been present for more than two years, initially occurring infrequently but has recently become more...
Dr. Jiang Junyi Reply:
Dear Miss Rongrong, You mentioned experiencing intermittent sharp, stabbing pain near the anterior clavicle (close to the esophagus) that lasts about one to two seconds. Your symptoms may need to rule out cervical nerve root compression. The symptoms of cervical nerve root compr...[Read More] Understanding Sudden Nerve Pain: When to Seek Medical Help
Persistent Numbness in Thumb and Index Finger After Yoga: What to Know
Numbness in the right thumb and index finger after yoga? Hello Doctor: A few days ago, I practiced yoga as usual, and this particular class focused more on wrist usage. After the class, I felt numbness in my right thumb and index finger. I thought it would go away in a few minute...
Dr. Jiang Junyi Reply:
Dear Ms. Wang, You mentioned experiencing numbness in your right thumb and index finger, which may warrant consideration of typical discomfort symptoms associated with cervical radiculopathy. These symptoms can include pain in the shoulder or arm, as well as numbness, tingling, ...[Read More] Persistent Numbness in Thumb and Index Finger After Yoga: What to Know
Managing Nerve Pain and Discomfort in Hands and Feet
Numbness and pain in the hands and feet? Hello Dr. Jiang, I previously underwent rehabilitation treatment for my cervical spine issues, during which the numbness and tingling in my fingers were not as severe. However, after moving, I have had less opportunity to continue rehabil...
Dr. Jiang Junyi Reply:
Dear Ms. Peng, You mentioned that "I must lie down to feel better, and lifting heavy objects or walking exacerbates the numbness and pain in my fingers, which has recently become unbearable." Your symptoms may suggest peripheral nerve compression, and there could also ...[Read More] Managing Nerve Pain and Discomfort in Hands and Feet