Understanding Electromyography Results: Insights on Chronic Denervation and Neuropathy
Electromyography Interpretation I'm sorry, doctor. Due to symptoms of a herniated disc in the early stages, I underwent a month of treatment, including various tests such as MRI of the spine, X-rays, and electromyography (EMG). The EMG doctor mentioned that aside from some a...
Dr. Jiang Junyi Reply:
Hello Mr. Shang: You mentioned that the "Needle EMG study showed chronic denervation changes in the right tibialis anterior," which suggests chronic localized peroneal nerve pathology. This is not a typical finding for motor neuron disease. I recommend discussing this w...[Read More] Understanding Electromyography Results: Insights on Chronic Denervation and Neuropathy
Exploring Neurological Causes of Cold, Numb Feet in Seniors
Foot problems I would like to ask about my mother, who is 65 years old. Since this year, she has been experiencing cold, numb, and tingling sensations in her feet. Her body does not feel cold, but she still needs to wear very thick socks on her feet. She has seen a cardiothoracic...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "numbness with a tingling sensation," which may indicate peripheral neuropathy. Common clinical symptoms include: 1. Pain characterized by burning or electric shock sensations. 2. Symptoms that have a specific dermatomal distribu...[Read More] Exploring Neurological Causes of Cold, Numb Feet in Seniors
Understanding Facial and Scalp Numbness: Causes and Next Steps
Regarding facial and scalp numbness (medical examination has been conducted)? Hello, doctor. For the past two months, I have been experiencing intermittent numbness on the right side of my scalp and cheek, and occasionally around my nose. I do not have diabetes, hypertension, or ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the right side of the scalp and cheek area experiences intermittent numbness, and occasionally there is a tingling sensation near the nose." The MRI report did not reveal any lesions related to the trigeminal nerve. The symptoms should b...[Read More] Understanding Facial and Scalp Numbness: Causes and Next Steps
Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Numbness in the hands and face accompanied by tinnitus? Previously, I visited a traditional Chinese medicine practitioner for a stiff neck, and after some time, my shoulder and neck pain improved. However, I suddenly started experiencing numbness in my hands, so I went to a nearb...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "sometimes when I wake up, I find my hands completely numb, and it takes about a few seconds to recover. The rehabilitation doctor said that invasive tests are needed to understand the symptoms." It may be necessary to consider compress...[Read More] Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Sometimes, there are goosebumps on the right foot? Why does my right foot sometimes have goosebumps and a tingling sensation? I have also experienced occasional sharp pain in my right chest; could this indicate a nerve issue or a potential stroke? Previously, I never experienced ...
Dr. Jiang Junyi Reply:
Dear Ms. Hui, You mentioned that "sometimes there are goosebumps and a tingling sensation in your right foot." Your symptoms may suggest that the lumbar nerve roots are being compressed. Peripheral nerve issues are typically evaluated using electrophysiological tests t...[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Understanding Foot Pain: Neurological Causes and Symptoms Explained
Foot pain issues? Hello Dr. Jiang, I would like to ask if lumbar nerve compression can cause swelling or inflammation in the soles of the feet, along with foot pain after prolonged standing, and symptoms such as tightness and stiffness in the calf muscles. Does slow nerve conduct...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao: You mentioned that "lumbar nerve compression... slow nerve conduction equals nerve compression." Symptoms of peripheral nerve compression are commonly observed as follows: 1. Pain characterized by burning sensations and tingling. 2. Symptoms have a spec...[Read More] Understanding Foot Pain: Neurological Causes and Symptoms Explained
Understanding MRI Limitations in Central Nervous System Assessment
Interpretation of Central Nervous System MRI Hello Dr. Jiang, after undergoing brain surgery last year, I developed symptoms related to the trigeminal and facial nerves. During this period, I have undergone blood tests, nerve conduction studies, and magnetic resonance imaging (MR...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, You mentioned that the tests for trigeminal and facial nerve symptoms, including blood tests, nerve conduction studies, and MRI scans, showed normal results for the first two, but the MRI results indicated that the physician could not accurately assess the conditi...[Read More] Understanding MRI Limitations in Central Nervous System Assessment
Understanding Facial Twitching: Risks and Treatment Options
Facial twitching or facial spasms? Is there a danger if the facial muscles are constantly twitching? How should it be treated? A friend told me that continuous facial twitching could harm the brain nerves. Thank you.
Dr. Cai Zongzhang Reply:
There are various possible causes for involuntary facial muscle twitching. If the symptoms persist and do not improve, it is recommended to visit a neurology clinic for evaluation.[Read More] Understanding Facial Twitching: Risks and Treatment Options
Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Hello, doctor. I would like to ask about some unusual phenomena related to tinnitus? Hello Dr. Jiang, I have been experiencing unilateral tinnitus with a buzzing sound in my left ear for about two weeks. I have already undergone hearing and tympanometry tests at other large hosp...
Dr. Jiang Junyi Reply:
Hello HJK: You mentioned that "when chewing food or yawning, the tinnitus becomes louder..." This could potentially be related to issues with the nerves or muscles around the ear. One possible cause is related to the Eustachian tube, as yawning and chewing help to equal...[Read More] Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? Hello Doctor, since September 25th, I have been experiencing numbness in my fingers upon waking up. Initially, I thought it would resolve on its own, but by September 26th, the numbness extended to my toes and the soles of my feet. As of now, Octob...
Dr. Jiang Junyi Reply:
Dear Ms. Apple, You mentioned that "blood tests, nerve conduction studies, and spinal tap examinations all reported normal results, and the cerebrospinal fluid analysis was also normal, with only a noted slowing of nerve conduction." You pointed out abnormal sensory ne...[Read More] Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Systemic Neuropathy: Symptoms, Diagnosis, and Next Steps
Systemic neuropathy Hello Doctor, I received the AZ vaccine on August 9th last year and experienced redness, swelling, heat, and pain in my knee. Then on September 8th, I had a burning sensation in my palms and soles, followed by numbness and electric sensations in my hands. This...
Dr. Jiang Junyi Reply:
Hello: You mentioned symptoms of "burning in the feet, sometimes extending to the thighs, or sensations that fluctuate between warmth and coolness." These symptoms may indicate peripheral nerve issues. Common characteristics of peripheral nerve symptoms include: 1. Pain...[Read More] Understanding Systemic Neuropathy: Symptoms, Diagnosis, and Next Steps
Managing Medication for Diabetic Neuropathy: Key Considerations
Regarding the issue of discontinuing medication for neuropathy? Hello Dr. Tsai, I would like to ask about my father who has diabetes. About a month ago, he experienced discomfort with symptoms such as pain and cramps in his limbs, as well as headaches, and he visited a neurologis...
Dr. Cai Zongzhang Reply:
Hello Ms. Lin: If there is no pain, the anticonvulsant medication can be discontinued, and Methycobal, which is a high-dose vitamin B12, can be continued.[Read More] Managing Medication for Diabetic Neuropathy: Key Considerations
Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Sometimes there are goosebumps on the right foot? Why does my right foot sometimes have goosebumps and a tingling sensation? I have also experienced occasional sharp pain in my right chest; could this indicate a nerve issue or a sign of a potential stroke? Previously, I never exp...
Dr. Jiang Junyi Reply:
Dear Ms. Hui, You mentioned that "after the activity, there was a persistent soreness in the entire right arm until the next day," which may warrant consideration of cervical nerve or peripheral nerve compression issues. Peripheral neuropathy caused by nerve compressio...[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Understanding Thumb Weakness: Possible Causes and When to Seek Help
Bilateral soft tissue swelling of the thumbs? Hello Doctor: I have been experiencing a feeling of weakness in the joints of my left thumb at the two phalangeal joints, which occurred intermittently for about a month. The sensation became more pronounced when I pressed on the join...
Dr. Jiang Junyi Reply:
Dear Ms. CH, You mentioned that "the joints of both thumbs near the palm feel weak and soft (not at the joints), lasting for about a week. The weakness is particularly noticeable when the fingers are pointed towards the palm." Your symptoms may suggest the possibility ...[Read More] Understanding Thumb Weakness: Possible Causes and When to Seek Help
Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Sometimes, there are goosebumps on the right foot? Why does my right foot sometimes have goosebumps and a tingling sensation? I have also experienced occasional sharp pain in my right chest; could this indicate a nerve issue or a potential stroke? Previously, I never experienced ...
Dr. Jiang Junyi Reply:
Dear Ms. Hui, You mentioned that "after the activity, my entire right hand felt sore until the next day," which may indicate a potential issue with cervical nerve compression. Peripheral neuropathy caused by nerve compression may present with the following characterist...[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Persistent Headaches After Head Injury: When to Seek Help?
Intermittent headaches following a head contusion? Hello, doctor. I was diagnosed with a head contusion after a car accident, and over a month later, I am still experiencing headaches. Recently, the frequency has increased, and I have pain about five days a week, all in the same ...
Dr. Jiang Junyi Reply:
Hello, Miss Xiaoshan. You mentioned, "I experience severe headaches during these exercises. What should I do? Which specialist should I see?" Your symptoms may suggest cervical spine disorders. External factors such as traffic accidents, falls, head impacts against hard...[Read More] Persistent Headaches After Head Injury: When to Seek Help?
Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Neck pain Hello, doctor! A year ago, I have been experiencing a heavy sensation in the back of my neck and occiput, along with fatigue. Sometimes, I also feel pain and swelling in my jaw, as well as partial numbness in my face. My left ear feels stuffy, and I have tinnitus, which...
Dr. Jiang Junyi Reply:
Hello Mr. Kuan, You mentioned that your left hand experiences numbness, tingling, soreness, and weakness, and that the rehabilitation clinic indicated it might be due to nerve compression. I'm curious about the specific area where you feel the numbness and tingling. Based o...[Read More] Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Understanding Lower Leg Pain: When to See a Neurologist
Painful tingling below the calf? Today, the temperature is 20 degrees Celsius, and the tingling sensation is mild, only slightly felt on the dorsum of my feet. A few days ago, when the weather was hot and the air conditioning was set to 27 degrees, the tingling became severe and ...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "the tingling has severely spread to the calves, and it also occurs while sleeping." This symptom may indicate that the lumbar nerve roots are being compressed. Typical discomfort associated with lumbar nerve root pathology includes pain r...[Read More] Understanding Lower Leg Pain: When to See a Neurologist
Understanding Muscle Fasciculations: Causes, Symptoms, and Diagnosis
Fasciculation Hello doctor, I started experiencing muscle fasciculations on the outer side of my left thigh around October 3rd, which lasted continuously for half an hour. After that, it would occur every few days for a few minutes at a time, several times a day. I suspect this s...
Dr. Jiang Junyi Reply:
Dear Mr. Shang, You mentioned that you are "very anxious and worried whether it is ALS..." Your symptoms should still consider lumbar spine issues. ALS is a motor neuron disease, and your mention of "easily feeling numb" does not align with the characteristic...[Read More] Understanding Muscle Fasciculations: Causes, Symptoms, and Diagnosis
Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Numbness and tingling in both hands, weakness in both legs? Since March of last year, I started feeling a foreign sensation behind my occiput upon waking up one day. I consulted a doctor and took medication, but it did not improve. Later, the foreign sensation suddenly disappeare...
Dr. Jiang Junyi Reply:
Dear Miss Vicky, You mentioned "Multiple sclerosis? Neuritis? Autoimmune diseases? Diabetes? Herniated disc? Amyotrophic lateral sclerosis? CIDP?... Which specialty should I consult to thoroughly identify and resolve the issue?" You also noted that "the discomfort...[Read More] Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey