Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Muscle twitching In May, I noticed that my heels felt numb when I got out of bed, but the sensation disappeared after I walked around for a bit. This symptom lasted for about one to two weeks. However, in August, the numbness returned and lasted for another one to two weeks. In m...
Dr. Jiang Junyi Reply:
Hello Ms. Yeh: Amyotrophic lateral sclerosis (ALS) is a term that encompasses a group of motor neuron diseases. Typically, there are no significant sensory abnormalities, such as the tingling sensations you mentioned. Motor neurons control muscle movement; generally, the motor ne...[Read More] Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Understanding Sudden Left Foot Pain and Heart Discomfort: A Neurology Perspective
Foot pain and palpitations? In the past year, I have been experiencing sudden pain in my left foot. It started with my big toe, and now the pain has progressed upwards, reaching below my knee. This issue only affects my left foot; my right foot is completely fine. The pain comes ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiang, You mentioned that "only the thumb... suddenly hurts a lot." I wonder if this pain is located at the joint? It may be necessary to first consider joint-related diseases, such as gout, among others. However, if you experience symptoms including pain, nu...[Read More] Understanding Sudden Left Foot Pain and Heart Discomfort: A Neurology Perspective
Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Muscle twitching Hello Doctor, I previously visited a neurologist due to mild tingling sensations in my limbs and underwent nerve conduction studies for my upper and lower extremities (but did not have an electromyography). The doctor said the results were very normal. Recently, ...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned experiencing a "slight tingling sensation in your limbs," which may suggest symptoms of hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition know...[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Numbness from Foot to Outer Calf: Possible Causes and Concerns
Numbness from the dorsum of the foot to the lateral side of the calf? Hello, Doctor. I would like to consult you. About six months ago, I noticed a tingling sensation on the outer side of my right calf extending to the dorsum of my right foot (approximately from the middle toe to...
Dr. Cai Zongzhang Reply:
Hello, Hsiao-Ting: The symptoms mentioned above may indicate a peripheral neuropathy. Please visit a neurologist for an examination to determine the underlying cause for appropriate treatment.[Read More] Numbness from Foot to Outer Calf: Possible Causes and Concerns
Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Four limbs numbness, neck pain, headache, various minor ailments? Hello Dr. Jiang, this is Ms. Li who inquired about some issues at the beginning of September. Since early September, I have been experiencing tingling and numbness in my entire arms and legs, along with occasional ...
Dr. Jiang Junyi Reply:
Dear Ms. Li, I am not sure if there is a medical center near your residence. The examination of neurological diseases requires a period of follow-up for comparison. For instance, if a score drops from 80 to 70, it may still be considered passing from a 60-point perspective. The ...[Read More] Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Understanding Neck Stiffness and Hand Numbness: When to Seek Help
Numbness in the hands and stiffness in the neck and shoulders? Hello, about two months ago, I started experiencing significant stiffness in my shoulders and neck, particularly when tilting my head forward to the right, which stretches the muscles on the left side. Initially, I th...
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned experiencing slight numbness in your left hand, specifically in the shoulder, outer arm, and the back of the hand (most notably in the middle finger, ring finger, and little finger). This may indicate potential compression of the nerve root at the se...[Read More] Understanding Neck Stiffness and Hand Numbness: When to Seek Help
Understanding Hand Numbness and Headaches: Possible Causes and When to Seek Help
Numbness in the hands and headaches? Hello Doctor, I have been experiencing numbness in my hands and headaches for quite some time. 1. Numbness: This mainly occurs after taking a shower. Sometimes both hands are affected, other times just one hand, and occasionally only a few f...
Dr. Cai Zongzhang Reply:
Hello, Miss Apei: The symptoms mentioned may be due to cranial nerve compression. It is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Hand Numbness and Headaches: Possible Causes and When to Seek Help
Understanding Numb Fingers and Dizziness: When to Seek Medical Advice
Numbness in the fingers accompanied by dizziness? In the past, I occasionally experienced numbness in my fingers and dizziness. Recently, due to the need to work while preparing for exams, my sleep time has been relatively insufficient, leading to an increased frequency of these ...
Dr. Jiang Junyi Reply:
Hello, Miss Minzhu: You mentioned experiencing "numbness in the fingers and dizziness." I would like to know the specific area of your finger numbness. If the numbness occurs around the lips and fingers, it may be indicative of symptoms caused by hyperventilation syndr...[Read More] Understanding Numb Fingers and Dizziness: When to Seek Medical Advice
Understanding Post-Impact Brain Symptoms: Numbness, Pressure, and Nausea
Numbness, heat, and swelling in a localized area after a head injury, along with nausea while driving? Hello, the day before yesterday, I experienced some emotional instability and hit the table hard, resulting in a strong impact felt in the left posterior part of my head, follow...
Dr. Jiang Junyi Reply:
Dear Mr. Micky, Your symptoms may suggest cervical nerve root compression. This condition is often associated with tightness in the cervical muscles and fascia, as well as cervical degeneration. It typically presents as pain, discomfort, muscle stiffness, or neurological symptom...[Read More] Understanding Post-Impact Brain Symptoms: Numbness, Pressure, and Nausea
Understanding Chest Tightness and Fainting: Could It Be Autonomic Dysfunction?
Chest tightness followed by numbness in the hands, suddenly fainting, and waking up a few minutes later? Hello doctor, my mother has recently been experiencing sudden chest tightness and shortness of breath, followed by numbness in her right hand, and then she fainted. After a fe...
Dr. Jiang Junyi Reply:
Dear Miss JX, You mentioned experiencing sudden chest tightness and shortness of breath, followed by numbness in your right hand and then fainting. First, we need to consider the symptoms of syncope. The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Chest Tightness and Fainting: Could It Be Autonomic Dysfunction?
Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Dizziness, headache, and optic nerve edema? Hello Doctor, since May 20th of this year, I have experienced symptoms such as blurred vision, dizziness, headaches, a sensation of something stuck in my throat, and difficulty breathing. After visiting an ENT clinic, the doctor suggest...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, There are many causes of headaches. If your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance may also contribute to your symptoms. First, it is im...[Read More] Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Brain MRI white matter lesions / Multiple sclerosis Hello Dr. Jiang, due to long-term headaches and sudden changes in my symptoms, I paid out of pocket for a brain MRI. (1) The attending physician said that my images showed no issues, and I even asked her to review them again, bu...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that the MRI showed numerous white matter lesions. It may be necessary to consider some central nervous system inflammation and myelin injury. Myelin is an insulating substance that surrounds nerves, and if it is damaged, the inflammatory process (pat...[Read More] Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Post-Vaccine Numbness: Understanding Neurological Reactions
Numbness after vaccine injection? Hello, Dr. Jiang. This morning (9/27), after receiving the BNT vaccine, I experienced a tingling sensation in my head and face in the afternoon (including the back of my head, above my mouth, and my cheeks). I looked up the vaccine information an...
Dr. Jiang Junyi Reply:
Hello Mr. JAM: You mentioned the sensation of "numbness in the head and face (including the back of the head, above the mouth, and the cheeks)" which is different from facial nerve paralysis. Facial nerve paralysis primarily affects the seventh cranial nerve, mainly cha...[Read More] Post-Vaccine Numbness: Understanding Neurological Reactions
Head Injury and Thrombocytopenia: When to Seek Medical Attention?
Head trauma with purpura (thrombocytopenia) I have thrombocytopenia (usually below 10,000 platelets) and accidentally bumped my head against the corner of a table while standing up (it hurt quite a bit at the moment), specifically on the left side towards the middle of my scalp. ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsien, Generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious localized hematoma, head trauma is mostly mild. However, due to your condition of thrombocytopenia, it is important to pay special attention to clinical symptoms. If you ex...[Read More] Head Injury and Thrombocytopenia: When to Seek Medical Attention?
Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Mild pain in the left occipital region and slight numbness in the left hand? Hello Doctor: My irregular sleep schedule has been ongoing for about six years, compounded by significant stress from university exams. In mid-May of this year, I suddenly experienced a ringing in my lef...
Dr. Jiang Junyi Reply:
Dear Ms. Irene, The description you provided, "lying on your side using your left hand to use your phone, and then experiencing numbness in your entire left arm the following morning that has not improved," may suggest symptoms related to cervical spine issues. Additio...[Read More] Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Understanding Limb Numbness and Pain: Vaccine Concerns and Treatment Options
Numbness, tingling, and weakness in the limbs? Hello Dr. Jiang, this is Ms. Li. On September 17, I inquired about symptoms of transient and recurrent cramping, numbness, tingling, and weakness in my limbs, as well as occasional burning sensations in the soles of my feet. I apprec...
Dr. Jiang Junyi Reply:
Dear Ms. Li, I apologize for the delay in my response. You mentioned that you received the first dose of the AZ vaccine on September 22, and today, September 23, is likely when you are feeling the most uncomfortable. I recommend that you drink plenty of water and get ample rest....[Read More] Understanding Limb Numbness and Pain: Vaccine Concerns and Treatment Options
Understanding Limb Nerve Pain: Causes, Symptoms, and Treatment Options
Intermittent neuropathic pain in the limbs? Hello Dr. Jiang: Since early September this year, one night I suddenly experienced sharp pain in my thigh nerves while sleeping. A few days later, the frequency of these sharp pains increased, but they only last for a few seconds. The...
Dr. Jiang Junyi Reply:
Hello Ms. Li, You mentioned symptoms such as "a sensation of heat, pain in the limbs, numbness, tingling, and weakness," which are less characteristic of myofascial inflammation. It may be more appropriate to consider symptoms related to nerve inflammation. I recommend...[Read More] Understanding Limb Nerve Pain: Causes, Symptoms, and Treatment Options
Is It Autonomic Nervous System Disorder or Something Else?
Is it autonomic nervous system dysfunction or another condition? Hello doctor, I started experiencing symptoms suggestive of autonomic nervous system dysfunction last year. During episodes, I experience palpitations, chest tightness, shortness of breath, dizziness, and abdominal ...
Dr. Jiang Junyi Reply:
Dear Ms. Wang, You mentioned that you have been frequently waking up due to hand numbness and purple nails (even without any pressure), which may indicate carpal tunnel syndrome. Carpal tunnel syndrome typically occurs in individuals who perform repetitive wrist movements, such ...[Read More] Is It Autonomic Nervous System Disorder or Something Else?
Understanding Pulsating Sensations Between the Left Temple and Ear
I feel a nerve twitching between my left temple and left ear? Hello Doctor, I have recently been experiencing a sensation of nerve pulsation between my left temple and the area above my left ear (it is not painful, occurs in intermittent bursts, and each episode does not last lon...
Dr. Jiang Junyi Reply:
Dear Ms. Min, You mentioned feeling a pulsing sensation between your left temple and left ear, which is not painful and occurs intermittently, with each episode not lasting too long. This may suggest localized muscle spasms. Nerve compression typically presents with symptoms suc...[Read More] Understanding Pulsating Sensations Between the Left Temple and Ear
Is Stress Causing My Blurry Vision and Confusion?
Is it too much stress? Hello, doctor. I would like to ask about experiencing flashing lights in my eyes over the past week or two. I have seen an ophthalmologist, and the tests showed no abnormalities. However, in the last couple of days, I have been feeling very confused and una...
Dr. Jiang Junyi Reply:
Dear Ms. Xiao Wu, You mentioned that your eyes are "twinkling." I wonder if you are also experiencing headaches? Symptoms of migraine with aura can include visual disturbances. These may manifest as bright lights resembling stars or lightning, as well as blurred or dis...[Read More] Is Stress Causing My Blurry Vision and Confusion?