Understanding Muscle Pain and Weakness: A Neurological Perspective
Pain and weakness in the left thumb, right arm, and legs? Hello doctor, I started experiencing soreness in my arms and hands at the beginning of February due to working on assignments and frequently using the computer. At first, it didn't affect my daily life, so I didn'...
Dr. Jiang Junyi Reply:
Hello: Regarding the issue of numbness, the first consideration should be peripheral nerve compression symptoms. As for amyotrophic lateral sclerosis (ALS), it primarily involves motor function. This condition refers to problems with motor neurons, which control muscle movement. ...[Read More] Understanding Muscle Pain and Weakness: A Neurological Perspective
Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Dopamine deficiency and medications such as Levodopa and Clonazepam? In mid-August last year, I started experiencing noticeable symptoms where sometimes while walking, my left foot would suddenly start to twitch involuntarily (possibly due to anxiety or other reasons), or my left...
Dr. Hong Weibin Reply:
You are very diligent! You've done a lot of homework. Occasionally, you experience muscle twitching in your left leg, sometimes accompanied by a tingling sensation, followed by pain in your left thigh. My thought is that it may be due to lumbosacral radiculopathy. Lumbosacra...[Read More] Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Post-Car Accident Numbness in Feet: Seeking Medical Advice
Doctor, is it common to experience numbness in the soles of the feet after a car accident? Hello Dr. Jiang, I had a car accident in November of this year. At that time, I was taken to the emergency room, where X-rays were performed. The diagnosis indicated left anterior chest con...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest the possibility of compression of the plantar nerves. However, if the numbness affects both the legs and feet, it may indicate compression of the lumbar nerves. It is recommended that you consult a neurologist for discussion and treatment regardin...[Read More] Post-Car Accident Numbness in Feet: Seeking Medical Advice
Understanding Sudden Leg Numbness and Pain: Causes and Concerns
Sudden numbness and pain in the foot? Hello, I often experience collisions during my workouts, but since I'm on tatami mats, they are soft. Recently, over the past two to three weeks, I've had episodes of numbness and pain in my left foot three times. This seems to occu...
Dr. Jiang Junyi Reply:
Hello: The numbness occurring on the outer side of your left foot may be due to peripheral nerve compression, with the fibular nerve being the primary consideration, especially in individuals who frequently cross their legs or sit with their legs crossed. Additionally, it is impo...[Read More] Understanding Sudden Leg Numbness and Pain: Causes and Concerns
Numbness in Right Big Toe: Possible Causes and Solutions
Numbness in the right big toe? Hello, Dr. Jiang. About two weeks ago, I started experiencing numbness on the outer side of my right big toe. There is no pain or insect bite, but I have a persistent tingling or numb sensation. Pressing on it makes the numbness feel more intense, b...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a consideration of peripheral nerve compression issues. The diagnosis of peripheral nerve injury can be assessed using nerve conduction studies. Nerve conduction studies involve the use of very fine electrical currents to stimulate the nerves in t...[Read More] Numbness in Right Big Toe: Possible Causes and Solutions
Understanding Hand Weakness: When to Seek Neurology Help
Hand issues? Hello Doctor: I often feel weakness in my hands and a lack of dexterity in my fingers. However, there are times when everything feels normal, and it currently does not affect my daily life. I frequently use my phone, often supporting it with the palms of both hands. ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a peripheral nerve compression issue, with carpal tunnel syndrome being quite common. Diagnosis of peripheral nerve injury can be performed using nerve conduction studies. Nerve conduction studies involve the use of very fine electrical currents t...[Read More] Understanding Hand Weakness: When to Seek Neurology Help
Unexplained Body Aches: Could Sleep Issues Be the Cause?
Unexplained body aches and pain? Hello Doctor, I would like to ask about something. Yesterday, I wore my sports bra all day due to exercising (I usually exercise every two days, and this has been a long-standing habit). After returning home and taking it off, I felt soreness all ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are medically referred to as hypersensitivity, which is usually associated with peripheral nerve pathology. However, in women, if such occurrences are frequent, fibromyalgia should be considered. The pathophysiology of fibromyalgia is generally b...[Read More] Unexplained Body Aches: Could Sleep Issues Be the Cause?
Understanding Disc Herniation: Causes of Foot Vibrations and Muscle Twitches
Herniated disc with foot vibration? Recently, I experienced numbness and pain in my left foot, which later progressed to muscle twitching in both legs, prompting me to see a neurosurgeon. An MRI diagnosis revealed a herniated lumbar disc, centrally located, which is causing the m...
Dr. Jiang Junyi Reply:
Hello: The symptom of vibration in the feet is generally indicative of peripheral nerve damage, and it may be necessary to consider cervical nerve root compression. I recommend that you visit a neurology or rehabilitation clinic for an examination to determine the location of the...[Read More] Understanding Disc Herniation: Causes of Foot Vibrations and Muscle Twitches
Understanding Muscle Indentation and Tingling Sensations in the Thigh
Slightly painful muscle indentation? Hello doctor, one day I suddenly noticed a horizontal indentation on my left thigh muscle. It doesn't seem to be a depression between muscle groups, and at first, I didn't think much of it. However, recently I've been feeling a ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned may be due to peripheral nerve compression causing tingling sensations. Possible causes include soft tissue fibromas, among others. If the symptoms are not progressing rapidly, the tingling sensations usually improve with rest. I recommend consul...[Read More] Understanding Muscle Indentation and Tingling Sensations in the Thigh
Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching and weakness? Hello, doctor. Last Tuesday, I visited the neurology department with complaints of facial nerve dysfunction and decreased dexterity in my right hand. During my follow-up appointment this Tuesday, my right hand is still not functioning well. I am ver...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned, combined with sensory abnormalities, may suggest peripheral nerve inflammation. Amyotrophic lateral sclerosis (ALS) primarily affects motor neurons and typically does not present with sensory abnormalities. Regarding fasciculations, they are ass...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Understanding Intermittent Dizziness: Causes and Concerns
Intermittent dizziness? Hello, I have been experiencing intermittent dizziness recently. Two days ago, I felt dizzy when I turned my head, and the dizziness intensified (with a slight feeling of instability). I thought it might be due to a lack of exercise since starting college,...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head position. Actions such as tilting your head back, lying down, getting up, turning over, or suddenly turning your head can trigger ...[Read More] Understanding Intermittent Dizziness: Causes and Concerns
Understanding Forehead Pain Near Eyebrows: Trigeminal Nerve Inflammation
Pain near the forehead close to the eyebrows? Hello Doctor, I have been feeling quite fatigued recently and have also experienced cold symptoms. Three days ago, I started feeling a tingling sensation around my eyebrows, which feels very tight. I initially thought it was due to we...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest that localized pressure is causing peripheral nerve damage, which can result in localized numbness. As for shingles, in addition to tingling, there may also be pain involved. If you notice the appearance of a rash, it is essential to visit a derma...[Read More] Understanding Forehead Pain Near Eyebrows: Trigeminal Nerve Inflammation
Understanding Facial Tingling and Muscle Twitches: Neurological Insights
Muscle twitching and a slight tingling sensation in the face that can be relieved by touching it? Hello doctor, I have been experiencing muscle twitching for over a year without addressing it. Recently, in the past month, I have noticed slight tingling and numbness in my face, wh...
Dr. Jiang Junyi Reply:
Hello: The symptoms you are experiencing, particularly the burning sensation, should first raise concerns about peripheral nerve issues, which typically suggest nerve compression. However, since your symptoms are localized to the face, it may be necessary to consider inflammation...[Read More] Understanding Facial Tingling and Muscle Twitches: Neurological Insights
Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Increased dizziness, swelling in the left leg, and occasional numbness in both hands, with the left hand being more affected? Hello, doctor. Basically, I'm experiencing dizziness and issues with my left leg (the hot weather affects me significantly; my dizziness worsens and ...
Dr. Jiang Junyi Reply:
Hello: The vascular stenosis you mentioned, if identified through a neck ultrasound, refers to the extracranial vessels, with the vertebral artery typically being more associated with dizziness. Controllable risk factors for stroke include metabolic syndrome, and your overweight ...[Read More] Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Understanding Hand Numbness and Arm Tightness: Possible Causes and Solutions
Numbness in the hands and tightness in the arms? Hello Doctor, for the past two weeks, I have been waking up at night due to numbness in my palms. Upon waking, I notice that the sensation in my forearms becomes very dull, as if they have been compressed for a long time. However, ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms related to peripheral nerve compression, as the symptoms are associated with posture. Generally speaking, during sleep, our bodies only remain still during the rapid eye movement (REM) phase; throughout th...[Read More] Understanding Hand Numbness and Arm Tightness: Possible Causes and Solutions
Why Do I Feel No Sensation When Scratching My Arm?
Itching in the arm without sensation? Hello Doctor: Recently, when I scratch my left arm, I often feel little sensation, as if there is a thick layer of skin in between, but there is no numbness. I am very worried that there might be something wrong with my body. Could you please...
Dr. Jiang Junyi Reply:
Hello, based on your description, if there are sensory abnormalities in the peripheral nerves, the first consideration should be nerve compression. I wonder if you have a habit of carrying a backpack on one shoulder? If the symptoms worsen, it may be necessary to consider other a...[Read More] Why Do I Feel No Sensation When Scratching My Arm?
Understanding Involuntary Finger Twitches: Causes and Concerns
Finger twitching Hello doctor, recently my right hand's ring finger has been twitching on its own for no apparent reason! The frequency is irregular and it occurs throughout the day (but is easier to observe when at rest). I'm really worried that it might be ALS...
Dr. Jiang Junyi Reply:
Hello: You mentioned the issue of finger twitching, which is commonly associated with peripheral nerve disorders or instability. The area of the ulnar nerve distribution in your fingers may present clinical symptoms such as numbness, tingling, or muscle atrophy. In contrast, the ...[Read More] Understanding Involuntary Finger Twitches: Causes and Concerns
Unusual Sensations in the Ring Toe: What Could It Mean?
The toe (ring toe) feels very strange? I experience a strange sensation in both of my toes when my ring fingers are touched or intentionally moved. It's not an itch that makes me want to scratch; rather, it's an odd feeling that's hard to describe, and it doesn...
Dr. Jiang Junyi Reply:
Hello, based on your description, the cause of toe numbness should first consider peripheral nerve compression. This uncomfortable sensation may feel like crawling, pain, itching, or tingling. It is recommended that you consult a neurologist for discussion, examination, and treat...[Read More] Unusual Sensations in the Ring Toe: What Could It Mean?
Understanding Nerve Pain and Muscle Twitches: When to Seek Help
Numbness in the limbs and nerve twitching? Recently, I have been experiencing a tingling and painful sensation in my left pinky finger and the last three toes of my right foot. Prior to these symptoms, I often felt muscle twitches in various areas, but I'm not sure if there&...
Dr. Jiang Junyi Reply:
Hello, you mentioned that the discomfort in your hand's nerves may be a symptom of ulnar nerve injury, which is most commonly associated with numbness in the areas supplied by the ulnar nerve (the little finger, half of the ring finger, and the corresponding area of the palm...[Read More] Understanding Nerve Pain and Muscle Twitches: When to Seek Help
Understanding Loss of Sensation in Skin After Flea Bites
Loss of sensation in the skin? Recently, I have many wounds on my foot from flea bites, but the wounds are about to heal. I am still applying medication because I am afraid of cellulitis. However, while applying the medication, I noticed that the skin near the flea bites is compl...
Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest peripheral neuropathy, which is generally categorized into motor and sensory types, each presenting with various symptoms. Sensory nerve disorders can cause numbness in the hands and feet (especially at the tips), which may feel like tingling, cra...[Read More] Understanding Loss of Sensation in Skin After Flea Bites