Understanding Neuropathic Pain: Which Specialist Should You See?
Suspected neuropathic pain - unsure which specialty to consult? Hello, Dr. Jiang. I apologize for bothering you. My mother and grandmother have both reported experiencing "neuropathic pain" after reaching a certain age. They have occasional episodes, a few times a year,...
Dr. Jiang Junyi Reply:
Dear Miss Peng, You mentioned that "the pain usually starts at night when falling asleep and continues into the next day, occurring in episodes, and typically resolves within two days." Your symptoms may suggest Restless Legs Syndrome (RLS). The etiology of RLS is rela...[Read More] Understanding Neuropathic Pain: Which Specialist Should You See?
Persistent Leg Cramps After Surgery: Seeking Solutions for Nerve Issues
The right foot is experiencing continuous cramps, indicating a possible neurological issue? I am inquiring on behalf of my mother. She has been experiencing lumbar pain and was advised to undergo surgery in December 2020. About three months post-surgery, she frequently feels cram...
Dr. Jiang Junyi Reply:
Dear Mr. Xiao Wu, You mentioned that "since April 2021, the situation has been the same every day without improvement, and the cramping in the sole of my right foot has not changed, but has instead intensified." If you are experiencing abnormal sensations, it may be ne...[Read More] Persistent Leg Cramps After Surgery: Seeking Solutions for Nerve Issues
Is Your Nerve Healing Properly After Surgery? Understanding Recovery Challenges
The nerves did not grow in the correct position? Hello Doctor, I underwent ulnar nerve decompression injection on my right arm in mid-August last year. The next day, I noticed pain in the skin on the ulnar side of my forearm near the elbow when performing movements such as raisin...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the discovery of diminished touch sensation in the surrounding skin seems to induce a feeling of recovery, as if the nerves are not growing in the correct position. Currently, that area of skin still has abnormal sensations and numbness... but...[Read More] Is Your Nerve Healing Properly After Surgery? Understanding Recovery Challenges
Understanding Finger and Toe Tremors: Possible Neurological Causes
The left index finger exhibits bending and trembling, accompanied by a feeling of weakness, while the left foot's fourth toe shows slight trembling? Doctor, what is actually happening with my toes? I am currently taking online classes and spending all day in bed. For the pas...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may indicate peripheral neuropathy. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Finger and Toe Tremors: Possible Neurological Causes
Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Multiple Sclerosis or Autonomic Nervous System Dysfunction Hello Dr. Jiang, I have been experiencing a tingling and numbness in my hands and feet since early September. I visited a neurology clinic, and they suggested it could be either cervical spine inflammation or autonomic ne...
Dr. Jiang Junyi Reply:
Dear Miss Li, You mentioned that "the symptoms really seem very similar to those of multiple sclerosis, and considering that I am 21 years old, which is the age when this condition is more likely to occur..." I believe the chances are low, as multiple sclerosis is clas...[Read More] Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Understanding Intermittent Headaches and Dizziness: When to Seek Help
Intermittent headaches and dizziness? Hello Dr. Jiang, In the past week, I have been experiencing recurrent headaches that are different from my usual migraines caused by staying up late until 2 or 3 AM. Sometimes the pain is unilateral, while other times it affects my entire h...
Dr. Jiang Junyi Reply:
Dear Mr. You, You mentioned that "the night before last, I suddenly experienced blurred vision, dizziness, and a feeling of impending fainting, with my vision becoming increasingly dark. This lasted for about 5 minutes before gradually returning to normal, primarily occurri...[Read More] Understanding Intermittent Headaches and Dizziness: 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 Fainting: Causes and Concerns in Neurology
Fainting issues Hello Doctor: In late August 2019, at the age of 29, I experienced diarrhea for an hour accompanied by severe abdominal cramping. After walking to the living room, I felt faint and informed my family, after which I fainted for about 30 seconds. According to my fam...
Dr. Jiang Junyi Reply:
Hello, Miss: Based on your description, it may be necessary to consider vasovagal syncope. First, we should consider the symptoms of syncope, which are commonly associated with reflex syncope: excessive stimulation of the vagus nerve can lead to bradycardia and decreased cardiac ...[Read More] Understanding Fainting: Causes and Concerns in Neurology
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 Dizziness, Blurred Vision, and Nausea: When to Seek Help
Dizziness, blurred vision, and vomiting? Hello Doctor, I need your help! Last month, while waiting for my meal, my vision started to blur and darken, and I began to feel dizzy. After about five minutes, I started to vomit! I experienced weakness in my limbs, and the right side of...
Dr. Jiang Junyi Reply:
Hello, Miss Ke: The symptoms you mentioned may initially suggest syncope. The most common causes to consider are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitio...[Read More] Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help
Understanding Neuropathic Pain Treatment: Comparing Medications and Risks
Treatment of neuropathic pain Hello Doctor: I recently visited a urologist due to penile pain, but after taking multiple antibiotics without improvement and experiencing severe pain, the urologist believes I may have neuropathic pain. A neurologist also mentioned that this condit...
Dr. Jiang Junyi Reply:
Hello Peter, Rivotril, Neurontin, and Lyrica have different mechanisms of action and different criteria for insurance coverage. Rivotril does not have a significant analgesic effect but can reduce muscle tension and alleviate emotional distress; it is commonly used for restless ...[Read More] Understanding Neuropathic Pain Treatment: Comparing Medications and Risks
Understanding Body Tremors When Rising: Causes and Concerns
Whole-body tremors when rising from a sitting or lying position? The frequency of episodes is very low, occurring about two to three times a year. I often experience dizziness and blackouts after squatting or sitting, but I can still manage to stand steadily until the blackout en...
Dr. Jiang Junyi Reply:
Hello, Ms. Jiu: Your symptoms may suggest a concern regarding syncope. The most common causes are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitioning from a supi...[Read More] Understanding Body Tremors When Rising: Causes and Concerns
Understanding Dizziness and Headaches: Insights into Neurological Disorders
Headache and dizziness? About a year ago, I started experiencing dizziness, but a few months ago, the dizziness began to be accompanied by severe shaking in my arms. However, the shaking stops as soon as the dizziness subsides. Sometimes, when I feel dizzy, my vision suddenly goe...
Dr. Jiang Junyi Reply:
Dear Ms. Hsu, Your symptoms may suggest a consideration of syncope. The most common causes include reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. This can also happen when transitioning from a...[Read More] Understanding Dizziness and Headaches: Insights into Neurological Disorders
Morning Hand Pain: Understanding Stiffness and Discomfort in Pinky Joints
In the morning upon waking, there is pain, stiffness, and tightness in the joints where the little fingers connect to the palms? Hello, Doctor. Since mid-June of this year, I have been experiencing tightness and pain in the joints connecting the little fingers to the palms of bot...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest bilateral ulnar nerve compression. It could also be caused by thoracic nerve root compression. If the nerve compression leads to peripheral neuropathy, the following characteristics may be present: 1. Pain with a burning or electric shock-li...[Read More] Morning Hand Pain: Understanding Stiffness and Discomfort in Pinky Joints
Left-Side Numbness and Dizziness: Understanding Neurological Concerns
Numbness on the left side and dizziness? In the past two to three days, I've been experiencing a tingling and aching sensation in my left palm, arm, back, and rib area. My jaw also feels a bit unusual and uncomfortable, which I can't quite describe. For the past month, ...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may be indicative of cervical nerve root compression. If the nerve compression leads to peripheral neuropathy, the following characteristics may be present: 1. Pain with a burning or electric shock-like quality. 2. Symptoms with a specific dermatomal di...[Read More] Left-Side Numbness and Dizziness: Understanding Neurological Concerns
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 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 Symptoms of Autonomic Nervous System Dysfunction
I feel like I have autonomic nervous system dysregulation? Since June, I have been experiencing nasal congestion and difficulty breathing. Initially, I was worried about being diagnosed with COVID-19, but I eventually realized that it was just nasal congestion that I hadn't ...
Dr. Jiang Junyi Reply:
Dear Miss Yang, Regarding your issue, we need to first consider the problem of syncope, particularly the experience of "seeing a black screen for over ten seconds before slowly recovering." The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction
Why Does My Scalp Tingle When I Use the Bathroom?
Scalp tingling? Hello doctor, may I ask why my scalp tingles every time I use the restroom (for urination)?
Dr. Hong Weibin Reply:
Hello: This may be due to the interaction between the sympathetic and parasympathetic nervous systems during urination. Additionally, it is important to consider the possibility of peripheral neuropathy.[Read More] Why Does My Scalp Tingle When I Use the Bathroom?