Understanding Scalp Tingling: When to See a Neurologist
Scalp tingling? In the past couple of days, I've been experiencing sudden tingling sensations on my scalp, starting from the back of my head, moving to the top, and then to my forehead. The tingling comes in waves and is not constant, and I don't have any headaches or o...
Dr. Wu Mukhan Reply:
Hello, scalp tingling may be related to peripheral nerve disorders in the head and face, or it could be caused by issues with the cervical spine. It is recommended that you consult a neurologist for further evaluation or to arrange relevant tests.[Read More] Understanding Scalp Tingling: When to See a Neurologist
Understanding Congenital Mirror Movement Disorder: Symptoms and Consultation
Bimanual coordinated mirror movements? Hello, doctor. I have experienced mirror movement phenomenon in my fingers since childhood, particularly with the mirror-like movement of the flexor digiti minimi in both hands. When I exert force with one hand, the other hand tends to move ...
Dr. Wu Mukhan Reply:
Hello, this is a type of movement disorder that may have a genetic component. It is recommended to consult the movement disorders clinic in the neurology department at a medical center for further evaluation.[Read More] Understanding Congenital Mirror Movement Disorder: Symptoms and Consultation
Understanding Skin Sensations: Is It Post-Shingles Nerve Pain?
Skin prickling Hello, for the past week, I've been experiencing a tingling sensation on my thigh whenever it comes into contact with my pants. I had shingles (herpes zoster) in mid-June on my abdomen, and I'm wondering if this could be a residual effect of the shingles....
Dr. Jiang Junyi Reply:
Hello Ms. Anita: You mentioned that "the skin on my thighs feels a bit prickly when it comes into contact with my pants, and I had shingles (on my abdomen) in mid-June." It may be necessary to consider inflammation of the lumbar nerves, specifically the second and third...[Read More] Understanding Skin Sensations: Is It Post-Shingles Nerve Pain?
Understanding Sensory Differences Between Left and Right Feet
There is a difference in sensation between the left and right foot? Several months ago, I started to occasionally feel a difference in sensation between my right and left foot. When I touch both feet, the left foot has a clear sensation, while the right foot feels somewhat numb o...
Dr. Jiang Junyi Reply:
Dear Ms. Wang, You mentioned that you have a habit of crossing your legs and that your mother has diabetes, but your last fasting blood glucose level was normal. Should diabetes be ruled out first? If it is not diabetes, what other conditions should be considered? Which specialt...[Read More] Understanding Sensory Differences Between Left and Right Feet
Understanding Muscle Weakness and Twitching: Should You Worry?
Muscle issues Hello doctor, a few weeks ago I experienced weakness in one leg and muscle twitching throughout my body, but everything in my life was normal. Now the twitching has become less frequent, and the feeling of weakness has gradually diminished. Should I be concerned abo...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "unilateral leg weakness and muscle twitching in the body..." This may need to be considered in the context of typical discomfort symptoms associated with lumbar nerve root pathology, which includes pain radiating from the buttocks to the l...[Read More] Understanding Muscle Weakness and Twitching: Should You Worry?
Understanding Recovery Patterns After Prolotherapy for Neck Disc Issues
Recovery status after proliferative treatment? Hello Dr. Jiang, I was previously diagnosed by a physician with a tear in the annulus fibrosus of my cervical disc, which has caused some mechanical protrusion affecting my peripheral nerves. My symptoms are primarily located in the...
Dr. Jiang Junyi Reply:
Hello Mr. Cliff: You mentioned that there is a sudden stabbing pain in a specific area of your upper left back. This symptom may still warrant consideration of a localized issue. If the symptoms persist, it is advisable to undergo a musculoskeletal ultrasound examination to check...[Read More] Understanding Recovery Patterns After Prolotherapy for Neck Disc Issues
Understanding Nerve Pain from Foreign Objects: Risks and Concerns
Numbness and tingling in the hands and feet due to foreign objects? Hello Doctor, I would like to ask you about an issue I experienced a few days ago. My right pinky finger was struck by a foreign object, and I suspect there may be metal shavings in my skin or blood vessels. Sinc...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-An, You mentioned, "Is it possible for metal shavings to get lodged in blood vessels and cause infection? Is there a direct relationship between hand numbness and metal shavings getting stuck in nerves or blood vessels?" Foreign objects that enter the ar...[Read More] Understanding Nerve Pain from Foreign Objects: Risks and Concerns
Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
The face or the scalp at the back of the neck feels strange? Hello, doctor. About ten years ago, I had an MRI of my cervical spine that diagnosed a herniated disc at the C3-C4-C5 levels, which was compressing a nerve. At that time, my main symptoms included pain in the left shoul...
Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned that "the fingers on my right hand occasionally feel a bit numb, or my arm suddenly feels a bit cool (not sure if it's numbness)." In addition to cervical nerve root compression, we should also consider the possibility of peripheral ne...[Read More] Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
Understanding Sharp, Lightning-Like Pain in the Ankle: Causes and Solutions
Sharp, lightning-like needle sensations? Hello Dr. Jiang: In the past week, I have been experiencing intermittent sharp, lightning-like pain on the inner side of my left ankle. The frequency is irregular, and if it occurs while I am sleeping, it wakes me up. I also feel a crawlin...
Dr. Jiang Junyi Reply:
Dear Ms. Yen, Based on your description of experiencing a crawling sensation in your limbs and a lightning-like prickling feeling on the inner side of your right ankle, it is important to consider the possibility of lumbar nerve root compression. Symptoms of peripheral nerve com...[Read More] Understanding Sharp, Lightning-Like Pain in the Ankle: Causes and Solutions
High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
Frequent muscle twitching throughout the body and a feeling of weakness? Muscle twitching occurs frequently, with some localized spasms. It intensifies when I feel restless. I experience a tingling sensation similar to being electrocuted when sitting or lying down. I feel fatigue...
Dr. Jiang Junyi Reply:
Hello Mr. Pao, You mentioned experiencing a sensation similar to being electrocuted when sitting or lying down, which is a symptom of peripheral nerve compression. This is not indicative of amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. ALS present...[Read More] High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps
Is it amyotrophic lateral sclerosis (ALS)? Hello Doctor, last month a family elder was diagnosed with ALS, and blood tests are currently being analyzed to determine if there is a genetic mutation or hereditary cause. Since then, I have started to feel weakness in my right hand an...
Dr. Jiang Junyi Reply:
Dear Mr. Yu, You are concerned about ALS, which is a chronic muscle-wasting disease that can lead to muscle atrophy. If upper motor neurons die, abnormal signal transmission may cause muscle twitching. In the early stages, it is actually difficult to diagnose. Approximately only...[Read More] Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps
Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns
Heat in the right ankle? Hello, doctor. Recently, I've been experiencing sudden warmth in my right ankle that goes away quickly, but then returns after a while. I would like to know what could be causing this. Is it possible that it could be due to a brain tumor pressing on ...
Dr. Jiang Junyi Reply:
Hello Mr. Long: You mentioned that the area around your right ankle suddenly feels warm. I wonder if you are experiencing any abnormal sensations such as tingling or numbness? Are there any other neurological symptoms? We may need to consider peripheral tissue issues, particularl...[Read More] Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? I am a 35-year-old male, non-smoker, non-drinker, and I do not consume betel nut or coffee. I am 180 cm tall and weigh 55 kg. I have a regular exercise routine that includes both strength training and aerobic exercises. Over two years ago, I suddenly...
Dr. Jiang Junyi Reply:
Hello Mr. Hsuan, You mentioned experiencing "twitching in your toes, similar to after finishing a hike, a jog, walking a long distance, or sitting on a specific sofa..." The muscle twitching you are experiencing may be related to several factors: exercise, acute viral ...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Muscle Twitches: Causes and Concerns in Strength Training
I would like to inquire about muscle twitching issues? A few days ago, I experienced muscle twitching in my shoulder that occurs intermittently. I have been weight training, and although my performance has not declined or changed, the twitching in my left shoulder gives me a slig...
Dr. Jiang Junyi Reply:
Hello Mr. CC: You mentioned that you have a slight feeling of weakness in your left hand, describing it as "soft and sore." This symptom may suggest cervical radiculopathy. This is a type of peripheral nerve abnormality that often presents with: 1. Pain characterized by...[Read More] Understanding Muscle Twitches: Causes and Concerns in Strength Training
Understanding Outer Thigh Numbness: Causes and Solutions for Active Individuals
Numbness in the outer thigh caused by exercise (I have already researched and found no similar conditions)? Hello Doctor, I have been troubled by this issue for some time, and it may be a bit lengthy. I hope you can provide me with advice and assistance. (I have not experienced a...
Dr. Jiang Junyi Reply:
Hello Mr. Tommy, You mentioned experiencing a tingling sensation on the outer side of your right thigh near the knee. In addition to possible compression of the lumbar nerve roots (L2 and L3), it may be necessary to consider inflammation of the lateral femoral cutaneous nerve. T...[Read More] Understanding Outer Thigh Numbness: Causes and Solutions for Active Individuals
Understanding Head and Tooth Pain: When to Seek Neurological Help
Head and tooth pain? Hello Doctor, I am a 23-year-old female. I have been experiencing pain in my head and teeth for a week. The headache is located on the left side, above the ear, extending to the top of the head. Accompanying symptoms include sharp pain in the lower left teeth...
Dr. Jiang Junyi Reply:
Hello Ms. Zhyn, You mentioned that "the location of the trigeminal nerve sometimes feels like being scratched by something, with a sharp pain similar to an electric shock lasting for a second; sometimes it occurs continuously, and other times with longer intervals. However,...[Read More] Understanding Head and Tooth Pain: When to Seek Neurological Help
Persistent Right Calf Pain: When to See a Specialist?
Right calf? If you have been experiencing pain in your right calf for over a month, and the pain persists even with Tramadol (37.5 mg) and Acetaminophen (325 mg), along with tenderness upon touch, it is advisable to consult a specialist. Given that you have a small varicose vein ...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned that "touching causes pain, and there is a small varicose vein that has been checked with ultrasound and found to be normal. Should I see a neurologist, a rehabilitation specialist, or a pain management specialist?" It is recommended that you...[Read More] Persistent Right Calf Pain: When to See a Specialist?
Understanding Pain in the Tips of Your Big Toes: Causes and Solutions
Painful sensation at the tip of the big toe? I have been experiencing a sharp pain at the tips of both my big toes recently. However, I couldn't find any similar symptoms online. The pain is located just below the front of the toenail and is in an area that does not touch th...
Dr. Wu Mukhan Reply:
Hello, it seems that your symptoms may be related to peripheral nerve issues. If there is no improvement, it is recommended to visit a neurology outpatient clinic for evaluation to determine if further testing is necessary.[Read More] Understanding Pain in the Tips of Your Big Toes: Causes and Solutions
Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective
Heavy and weak hips, abnormal tightness in leg muscles? Hello Doctor, I have been experiencing a heavy and weak sensation in my hip. When I try to sit up straight in a chair, it feels like my back muscles are doing all the work to lift my body. If I stand on my feet for a while (...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "the hip feels very heavy and weak, and when trying to sit up from a chair, it feels like the back muscles are the ones pulling the body up; standing on both feet for a while (5 minutes) makes them feel very tight, heavy, and weak; when one...[Read More] Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective
Understanding Knee Sensory Loss: Causes and Treatment Options
Diminished sensation in the anterior aspect of the knee? Hello, Doctor. I have been practicing aerial yoga once a week and occasionally doing light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my knee...
Dr. Jiang Junyi Reply:
Dear Ms. Tsao, You mentioned, "I feel numbness and still have the sensation of wanting to take anesthetics." This is a typical symptom of peripheral nerve injury. The statement "I feel pain when pressing on the inner side of my knee" indicates localized tissu...[Read More] Understanding Knee Sensory Loss: Causes and Treatment Options