Understanding Unilateral Sensory Changes: A Neurological Perspective
Altered sensation on the left side of the body? A month ago, I swallowed a fish bone, and now I have different sensations on the left side of my body compared to the right (the right side is normal). My left cheek is slightly swollen and numb (the chin and cheek are noticeably mo...
Dr. Gao Chunde Reply:
Swelling and tenderness indicate the presence of inflammation or infection. It is recommended to promptly visit a major hospital's otolaryngology department for a detailed examination, as deep neck infections and cellulitis cannot be ruled out.[Read More] Understanding Unilateral Sensory Changes: A Neurological Perspective
Understanding Meralgia Paresthetica: Diagnosis, Treatment, and Surgery Options
Peripheral nerve issues Hello Doctor: I sought medical attention due to worsening numbness and burning pain on the outer side of my right thigh, which intensifies when lying flat. The physician arranged for electromyography (EMG) and nerve conduction studies (NCS), diagnosing me ...
Dr. Lan Shengxing Reply:
Your symptoms are quite complex, and it is not possible to diagnose or provide recommendations based solely on online descriptions, as any decisions should be made based on the current symptoms. Furthermore, the complications from this decompression surgery are not within my area...[Read More] Understanding Meralgia Paresthetica: Diagnosis, Treatment, and Surgery Options
Understanding Persistent Pain in Right Hand and Foot: Possible Causes
There is a slight tingling sensation in my right hand and right foot? Hello Doctor: For about seven years, I have been experiencing some soreness in my right hand (extending to my fingers) and my right foot. Occasionally, I also feel slight soreness in my right lower back (but it...
Dr. Gao Chunde Reply:
Of course, symptoms in the same side of the limbs and waist can raise suspicion of a single lesion above the cervical spine, including the brainstem or cerebrum, in neuroanatomy. However, symptoms such as numbness, weakness, lack of coordination, or stiffness are generally more i...[Read More] Understanding Persistent Pain in Right Hand and Foot: Possible Causes
Understanding Sacral Nerve Issues: Healing and Treatment Options
Issues related to sacral nerve? Hello, Doctor Gao. I previously asked about experiencing numbness in the right foot. If it is due to an injury to the sacral nerve, will it heal on its own, or does it require further treatment? Additionally, could it be related to my recent left f...
Dr. Gao Chunde Reply:
It is possible for a minor injury to heal on its own with some rest. A fracture of the left rib will not affect the peripheral nerve symptoms in the leg.[Read More] Understanding Sacral Nerve Issues: Healing and Treatment Options
Understanding Numbness in the Right Foot: Possible Causes and Solutions
Numbness in the right foot dorsum? Hello, Doctor. My right foot's dorsum feels numb (around the area just below the little toe) and it has been like this for over a week. What could be the possible causes? Thank you!
Dr. Gao Chunde Reply:
This area may correspond to the distribution of a peripheral nerve or the first sacral nerve root. Therefore, it is important to consider other accompanying clinical symptoms, such as lower back pain, numbness or tingling in the posterior thigh, or weakness in the right foot when...[Read More] Understanding Numbness in the Right Foot: Possible Causes and Solutions
Understanding Facial Nerve Issues: Diagnosis and Treatment Options
Continued inquiry: Involuntary twitching of the left cheek? Dear Dr. Gao, I consulted with a neurologist in the United States, who prescribed me Lyrica 50mg. However, I feel it only addresses the symptoms and not the root cause. Additionally, I found that the side effects are si...
Dr. Gao Chunde Reply:
If there is no muscle weakness (such as facial asymmetry or muscle atrophy), the primary approach to treatment is conservative management. There is no need for specific interventions like electromyography (EMG) or surgery (which would cause further damage), as it is merely a peri...[Read More] Understanding Facial Nerve Issues: Diagnosis and Treatment Options
Understanding Uncontrolled Facial Muscle Movements: Causes and Treatments
Continued inquiry: Involuntary twitching of the left cheek? Dear Dr. Gao, Thank you very much for your response. My cheeks appear completely normal, they move naturally, and there is no asymmetry or atrophy. If the issue is due to some irritation of the tissues surrounding the n...
Dr. Gao Chunde Reply:
You may first consider local massage to relax the nerves and muscles, or supplement with some B vitamins. Some physicians may prescribe medications to calm the nerves and relax the muscles. If the symptoms persist or if there are new changes, it is advisable to consult a neurolog...[Read More] Understanding Uncontrolled Facial Muscle Movements: Causes and Treatments
Understanding Facial Myokymia: Causes, Symptoms, and Treatment Options
Continued inquiry: Involuntary twitching of the left cheek? Dear Dr. Gao, Thank you very much for your response. If the second reason is correct, that the facial nerve was injured due to the cosmetic surgery and subsequent impact, could my symptoms be due to abnormal adhesions b...
Dr. Gao Chunde Reply:
If there is damage to the facial nerve, which primarily consists of motor fibers that control facial muscle movements, it will inevitably lead to related functional impairments. One can self-assess whether facial expressions appear unnatural (indicating weakness in certain facial...[Read More] Understanding Facial Myokymia: Causes, Symptoms, and Treatment Options
Understanding Persistent Dizziness and Blood Flow Sensations: A Neurology Perspective
Dizziness accompanied by the sensation of blood flow? I have been experiencing headaches for six months, with a sensation of nerve pulsation. I can also feel the blood flowing. I hear a sound like water flowing in my ears, and sometimes when I turn my head, I hear a noise like sa...
Dr. Gao Chunde Reply:
Pulsating headaches, which can be accompanied by severe nausea, may indicate migraines or other types of headaches. It can be challenging to determine the exact symptoms when blood flow in the head is affected. Facial and bodily numbness is generally associated with discomfort fr...[Read More] Understanding Persistent Dizziness and Blood Flow Sensations: A Neurology Perspective
Understanding Facial and Limb Numbness: Possible Neurological Causes
Numbness in the face and limbs? I have been experiencing a tingling sensation in my face and limbs, similar to the residual numbness after anesthesia, for about three days. I am also noticing occasional difficulty concentrating and poor memory. Currently, there are no signs of se...
Dr. Gao Chunde Reply:
The face and limbs are experiencing a tingling sensation. It is essential to determine whether this nerve distribution is confined to the distal limbs or if it involves all limbs. Additionally, we need to ascertain whether the symptoms progressed from the distal to the proximal a...[Read More] Understanding Facial and Limb Numbness: Possible Neurological Causes
Understanding Hand Numbness: Causes, Treatments, and Solutions
Numbness in the palm? Hello, Dr. Gao. I frequently experience numbness in my palms, particularly in my left hand. This condition has significantly affected my daily activities, work, and sleep. I have already visited Hualien Tzu Chi Hospital for a consultation and have been presc...
Dr. Gao Chunde Reply:
If hand numbness has been confirmed as carpal tunnel syndrome through nerve conduction studies, the treatment will depend on the severity of the condition. In the acute phase, corticosteroids may be used, although they may not be effective for all patients. It is also important t...[Read More] Understanding Hand Numbness: Causes, Treatments, and Solutions
Understanding the Causes of Delayed Recovery in Peripheral Nerve Injuries
Factors or causes affecting nerve regeneration? I am experiencing nerve damage in my right wrist. According to a diagnosis from a physician at Chi Mei Hospital, the conduction velocity is about one-third of that in my left hand. This may be a sequela from a car accident I had at ...
Dr. Huang Yingzhe Reply:
Based on the description, although the results of the nerve conduction study and electromyography are unknown, it sounds like an issue with the ulnar nerve. If, as you suspect, it is related to trauma, the reason for the lack of recovery could either be that the injury has caused...[Read More] Understanding the Causes of Delayed Recovery in Peripheral Nerve Injuries
Understanding Persistent Headaches: Causes, Symptoms, and When to Seek Help
Headaches in many situations? Hello, I often experience headaches in various situations, such as when it's cold or windy. I also get headaches when I don't get enough sleep, and I find it quite strange that I feel discomfort in my stomach when it's bloated and food...
Dr. Gao Chunde Reply:
Migraine is a type of moderate to severe headache that can be intolerable. It is often triggered by various factors such as temperature changes, wind, insufficient or excessive sleep, hunger or overeating, emotional stress, and certain foods or odors. Accompanying symptoms may in...[Read More] Understanding Persistent Headaches: Causes, Symptoms, and When to Seek Help
Understanding Tongue Issues: Neurological Connections and Concerns
Tongue issues? Hello Doctor, I would like to inquire about an issue related to my tongue. Since February, I have felt something unusual on the surface of the front of my tongue, similar to the rough sensation after being scalded by hot water. I also feel that my taste sensitivity...
Dr. Huang Yongquan Reply:
Hello: The sensations of touch and taste on the tongue are governed by different cranial nerves. If both issues occur simultaneously, it is often due to peripheral nerve damage affecting the taste buds on the surface of the tongue, which can be caused by dietary habits, stress, o...[Read More] Understanding Tongue Issues: Neurological Connections and Concerns
Understanding Numbness in Limbs: Causes and Concerns
Numbness in the hands and feet? Hello, for the past two days, I've been experiencing numbness in the left side of my body, including my arms and legs, lasting from half an hour to several hours. Sometimes, my left limbs feel cold, while the right side does not. I often have ...
Dr. Gao Chunde Reply:
Please visit the neurology outpatient department of the hospital as soon as possible to determine the cause and receive symptomatic treatment. This symptom raises concern for transient ischemic attack (TIA), which is a warning sign of an ischemic stroke.[Read More] Understanding Numbness in Limbs: Causes and Concerns
Understanding Leg Pain: Causes and Solutions for Seniors
Leg pain? Hello, doctor. My mother, who is about 70 years old, has been experiencing soreness in the left femur for the past few weeks, which radiates down to her thigh and calf. She feels aching and cramping in her thigh, and her calf has a sensation similar to cramping. She has...
Dr. Gao Chunde Reply:
Scoliosis can sometimes lead to lumbar nerve root compression or spinal stenosis, resulting in pain or cramping in the areas supplied by the affected nerves, and even numbness. Calf cramps may also arise from the same underlying issues. A detailed examination by a neurologist can...[Read More] Understanding Leg Pain: Causes and Solutions for Seniors
Experiencing Numbness in Left Hand: When to See a Specialist?
Numbness and tingling in the left hand without pain? For the past couple of weeks, I have been experiencing intermittent sensations of tingling and numbness in my left hand, but no pain. When I tilt my head back to the left, I feel that the muscles on that side are tighter compar...
Dr. Huang Yongquan Reply:
It could be cervical nerve compression or carpal tunnel syndrome. It is recommended to rest more and pay attention to posture. You may consider visiting a rehabilitation specialist or a neurologist for examination and treatment.[Read More] Experiencing Numbness in Left Hand: When to See a Specialist?
Understanding Abdominal Numbness: When to Seek Medical Advice
Abdominal paresthesia? Hello Doctor: In the past few months, while sitting for long periods, I have experienced a slight tingling sensation in the area just above my navel when bending over to read or use the computer. However, there is no discomfort when standing or sitting up s...
Dr. Huang Yongquan Reply:
I'm not sure if you have poor posture or have been sitting for too long, but if you're experiencing back pain or have a previous injury, it is likely due to improper sitting posture, which can compress the nerves on the surface of the skin or the intercostal nerves. Imp...[Read More] Understanding Abdominal Numbness: When to Seek Medical Advice
Understanding Left-Sided Brain Pain: Causes and Solutions
There is a sharp pain in a vein on the left side of the brain? In recent days, I have noticed a sharp pain in the left side of my brain, which intensifies when I swallow saliva with my left ear. It feels like there is a lot of heat in my body. Could you please provide some insigh...
Dr. Gao Chunde Reply:
At this age, there is a common type of ice pick headache that occurs sporadically, resembling neuralgia, but the cause is not very clear. It usually resolves on its own after a few days. However, if there is soreness in the back of the neck or numbness in the scalp, one should be...[Read More] Understanding Left-Sided Brain Pain: Causes and Solutions
Experiencing Earthquake-like Head Movements: Which Specialist to Consult?
If you are experiencing shaking sensations similar to an earthquake, whether sitting or lying down, you should consult a neurologist? Hello! For the past month, I have been experiencing a sensation of my head shaking, similar to an earthquake, and it has been getting worse. Howev...
Dr. Gao Chunde Reply:
It is more common to feel that objects are spinning, but some may also experience a sensation of the head swaying. If these episodes are brief, lasting from a few seconds to a couple of minutes and resolve on their own, the issue likely lies within the vestibular nerve function o...[Read More] Experiencing Earthquake-like Head Movements: Which Specialist to Consult?