Persistent Pain Between Toes: Seeking Solutions for Ongoing Discomfort
There is a sharp pain in the dorsum of the foot upon touch (which has persisted for six months)? Hello Doctor, I used to stand for long periods at work, which often caused my feet to be very sore. Most of the soreness and pain would return to normal after a period of rest, but th...
Dr. Jiang Junyi Reply:
Hello, Miss 0w0: Your symptoms are clinically referred to as "allodynia" and "hyperesthesia," which are manifestations of sensory hypersensitivity. Clinically, in addition to physical therapy, certain medications can also help alleviate the symptoms. Furthermo...[Read More] Persistent Pain Between Toes: Seeking Solutions for Ongoing Discomfort
Understanding Sudden Hand Numbness: Causes and When to Seek Help
Sudden unexplained hand numbness? Hello Dr. Jiang, I would like to briefly describe my physical condition. I am 158 cm tall and weigh 58 kg, with an average build. I have never had any blood pressure issues, but in the past week or two, I have experienced intermittent numbness i...
Dr. Jiang Junyi Reply:
Dear Miss Zhenzhen, Your symptoms may suggest peripheral nerve involvement. Your cardiovascular disease risk is relatively low. It may be worth considering compression of the nerve roots at the seventh cervical or first thoracic vertebrae. If the peripheral neuropathy is due to ...[Read More] Understanding Sudden Hand Numbness: Causes and When to Seek Help
Understanding Nerve Pain: Causes and When to Seek Medical Attention
Numbness issues? The ring finger and little finger of my left hand suddenly started to feel numb and painful two days ago. After about 3-4 hours, the numbness in my elbow and shoulder improved, but my fingers continued to feel numb. Suddenly bending my index finger causes pain, b...
Dr. Jiang Junyi Reply:
Dear Mr. Yuan, Your symptoms may suggest peripheral nerve involvement. It is possible that the ulnar nerve is being compressed, or that the nerve roots at the seventh cervical or first thoracic vertebrae are under pressure. If the nerve compression is causing peripheral neuropat...[Read More] Understanding Nerve Pain: Causes and When to Seek Medical Attention
Understanding Pain Near the Ear: Possible Neurological Causes
Pain near the ear? Recently, I have been experiencing pain near my ear, including sharp and stabbing sensations. There is also pain when pressure is applied near the occipital nerve at the back of my head. Additionally, I feel a cool, burning, and tingling sensation in and around...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may suggest a peripheral nerve issue, as you are experiencing tingling sensations. The common cause of neck pain behind the ear is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the ...[Read More] Understanding Pain Near the Ear: Possible Neurological Causes
Understanding Perineal Neuropathy: Diagnosis and Testing Options
Pudendal neuropathy I previously asked you about pain at the tip of my penis, but my urine tests are normal. If it is perineal neuropathy, what tests are needed for diagnosis? Will it be very complicated?
Dr. Jiang Junyi Reply:
Hello: For peripheral nerve compression, the diagnosis is typically made using electromyography (EMG), which involves needle insertion and electrical stimulation to confirm nerve damage. This method is commonly used to locate spinal nerve injuries or brachial plexus injuries, amo...[Read More] Understanding Perineal Neuropathy: Diagnosis and Testing Options
Understanding Abnormal Skin Sensation: Causes and Recovery
Abnormal skin sensations? Hello, doctor. About a month ago, I suddenly experienced numbness and pain in my right knee. The numbness and pain have since subsided, but the skin in that area now feels less sensitive. After a neurological examination, the doctor concluded that there ...
Dr. Jiang Junyi Reply:
Dear Ms. Li, Your symptoms may suggest peripheral nerve injury. This is typically due to acute direct trauma such as nerve traction, tearing, or direct compression, and can also include chronic overuse, which may result from sustained muscle contractions, hypertrophy, or edema c...[Read More] Understanding Abnormal Skin Sensation: Causes and Recovery
Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. This week, I have been trying to massage and improve my sleep quality (going to bed around 10:00 PM and waking up at 5:30 AM, waking up once or twice during the night). The muscle twitching in my ...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, In the previous two responses, I believe I have addressed some of your concerns. Nerves require adequate sleep and nutritional support for repair. Fortunately, there are two experts in peripheral nerves at National Taiwan University Hospital—Professors Chih-Chao Y...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Understanding Nerve Issues: From Tingling Limbs to Facial Symptoms
Numbness starting from the limbs to the face? Hello, I recently discovered that I often wake up with numbness in both arms while sleeping. Last week, I noticed that my left leg started to feel numb, followed by my right leg, both hands, and my scalp, which have been alternating i...
Dr. Jiang Junyi Reply:
Dear Ms. Sumi, Regarding the issue of sensory abnormalities you mentioned, since your symptoms are atypical, a comprehensive evaluation is recommended. Sensory nerve abnormalities can occur in various conditions and are generally classified as symmetrical or unilateral. In sym...[Read More] Understanding Nerve Issues: From Tingling Limbs to Facial Symptoms
Understanding Potential Allergic Reactions to Ganderston Ointment
Follow-up on suspected drug allergy? Hello Dr. Jiang, thank you very much for taking the time to respond to my previous question. However, I still have some doubts. I applied a small amount of Ganderson ointment on the back of my left hand, which has no wounds. About a minute lat...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms do not seem to be caused by the ointment. Ganderston ointment contains a higher concentration of steroids. I would like to know the area of your numbness. It may still be necessary to consider peripheral nerve compression, which could be due to nerve roo...[Read More] Understanding Potential Allergic Reactions to Ganderston Ointment
Understanding the Severity of Numbness and Tingling in Neurology
Numbness and pain in the hands and feet? The sensations of tingling, dullness (like skin), itching (like ants crawling), and electric shock can vary in severity. If pinching still causes pain, it indicates that the nerves are likely still intact and functioning.
Dr. Jiang Junyi Reply:
Hello: Our peripheral nerves can be classified into large fiber nerves and small fiber nerves. Large fiber nerves are responsible for motor functions (muscle movement) and proprioception (sensation from muscles, joints, etc.). Small fiber nerves are responsible for sensations of ...[Read More] Understanding the Severity of Numbness and Tingling in Neurology
Understanding Leg Numbness and Pain After a Knee Injury
Leg problems Recently, I fell and hit my right knee, and since then, I have been experiencing persistent numbness in my right leg. There is pain when I press on my calf, and it feels like there is a sensation even when I'm not directly touching it. After walking or standing ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest the possibility of peripheral nerve injury, particularly involving dysfunction of the common peroneal nerve. It is recommended that you visit a neurology or rehabilitation clinic for evaluation (such as nerve conduction studies and electromyograph...[Read More] Understanding Leg Numbness and Pain After a Knee Injury
Understanding ALS: Coping with Muscle Twitches and Anxiety
About Amyotrophic Lateral Sclerosis (ALS) I consulted a doctor regarding my muscle twitching, and he said it is unlikely to be Parkinson's disease. He prescribed medication and ordered blood tests to check my ion levels. I have a follow-up appointment on April 30 to review t...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you engage in stretching exercises and strength training. Avoid the intake of tobacco, alcohol, and coffee to reduce muscle tremors. It is advisable to consult a neurologist (peripheral nerve specialist) to discuss examinations and treatment. Wishing...[Read More] Understanding ALS: Coping with Muscle Twitches and Anxiety
Numbness and Pain Around the Achilles Tendon: What You Need to Know
The skin over the Achilles tendon at the back of the ankle is experiencing tingling sensations? Hello Doctor, about two weeks ago, I started experiencing pain in my left Achilles tendon area when performing certain positions or movements, such as stretching my knee straight and p...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest the possibility of peripheral nerve injury, particularly involving the sciatic nerve. Generally, nerve conduction studies and electromyography can assist in the diagnosis. I recommend consulting with a rehabilitation specialist or a neurologist/ne...[Read More] Numbness and Pain Around the Achilles Tendon: What You Need to Know
White Fingertip and Numbness Months After Wasp Sting: Causes and Concerns
A few months after a bee sting, the ring finger occasionally appears pale? Hello: I'm not sure if this is a post-reaction to a wasp sting, but several months after being stung, my ring finger sometimes turns pale and feels numb. The sting occurred at the second joint of the ...
Dr. Cai Zongzhang Reply:
Hello: It may be peripheral nerve damage causing vasoconstriction. It is recommended to visit a neurologist for examination.[Read More] White Fingertip and Numbness Months After Wasp Sting: Causes and Concerns
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching issue inquired again? Hello doctor, I am the one from <a href="https://adoctor.tw/article/160457">#160457</a>. My entire body experiences muscle twitching, including my thighs, buttocks, eyelids, and cheeks (though these are infrequent, occu...
Dr. Jiang Junyi Reply:
Hello: Based on your description. 1. Since muscle twitching can occur throughout the body (though less frequently in other areas), could this still be a symptom of peripheral nerve issues? A: This may warrant consideration of electrolyte imbalances or muscle tension. 2. Is it pos...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Muscle Twitches: Are They a Sign of ALS?
Muscle twitching Hello Doctor, I have been experiencing muscle twitching recently, especially when lying on my side and pressing on my arm. My arm tends to twitch more easily, or when I am sitting and using the computer (my desk is a bit high), my calves, knees, and the area arou...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may indicate peripheral nerve issues. The condition you are concerned about, amyotrophic lateral sclerosis (ALS), primarily involves problems with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to ...[Read More] Understanding Muscle Twitches: Are They a Sign of ALS?
Understanding Allodynia: When Touch Causes Pain and What to Do
Pain upon touch (tactile allodynia) Hello, doctor. I have a problem that has been bothering me for a long time, but I don't know which specialist to consult. Sometimes, certain areas of my body (arms, abdomen, lower back, thighs, and calves) suddenly become very painful when...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems less likely to be an autonomic nervous system issue. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the accelerator and the other as the brake. The sympathet...[Read More] Understanding Allodynia: When Touch Causes Pain and What to Do
Numbness in the Left Foot: Is It Related to a Cold?
Numbness in the dorsal aspect of the left foot? Numbness in the dorsum of the left foot is experienced only when touched or when water from a shower hits the area, with no numbness in other regions. This sensation appeared suddenly without any external injury and has persisted fo...
Dr. Jiang Junyi Reply:
Hello: If your symptoms are localized to the same area and do not extend upward, you should consider the possibility of local nerve compression. However, if you experience bilateral upward radiating numbness and weakness, you may need to consider acute demyelinating polyneuropath...[Read More] Numbness in the Left Foot: Is It Related to a Cold?
Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
An 85-year-old father experiences easy fatigue, unsteady gait with shuffling steps, and nighttime finger numbness. His physical strength has declined significantly over the past six months. What kind of examinations should be conducted? An 85-year-old father has experienced a sta...
Dr. Jiang Junyi Reply:
Hello, Your father, due to his advanced age, is experiencing several degenerative diseases. First, I would like to correct the medications you mentioned. They should be GENIQUIN for dry syndrome and NOOTROPIL for cerebral white matter issues. You noted that over the past six mo...[Read More] Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options
Vestibular Neuritis Hello, doctor. I am a graduate student. My usual routine involves going to bed around midnight and waking up at 9 AM. I regularly go to the gym about twice a week and also play basketball and jog. My BMI is normal, and I rarely smoke, drink alcohol, or consume...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may also be a central issue. One condition that combines both dizziness and headache is called vertiginous migraine (migraine associated with vertigo), also known as vestibular migraine. You can refer to the following information (from the Tai...[Read More] Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options