Understanding Numbness in Fingers and Toes: Causes and Solutions
Numbness in the fingers and toes? Hello, doctor. My condition has been ongoing for a while now. My fingers and toes, extending to my palms and soles, often feel numb and tight. When I press my fingers together, the numbness intensifies and spreads outward from the point of contac...
Dr. Lan Shengxing Reply:
Dear little one, it sounds like you may have peripheral neuropathy. Please visit a neurology outpatient clinic for evaluation and treatment.[Read More] Understanding Numbness in Fingers and Toes: Causes and Solutions
Dizziness and Blurred Vision: Understanding Neurological Symptoms
Dizziness and blurred vision? Hello Doctor: Recently, I have been experiencing dizziness and blurred vision when sitting for long periods, standing up, or squatting down. I am unable to focus my gaze straight ahead. A week ago, I accidentally bumped my head against a wall quite h...
Dr. Jiang Junyi Reply:
Hello: Based on your description, dizziness is commonly caused by reflex syncope, which is due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. This can occur when transitioning from a supine to an upright position, standing up sud...[Read More] Dizziness and Blurred Vision: Understanding Neurological Symptoms
Persistent Numbness in Left Index Finger: Causes and Solutions
Numbness in the left index finger? I woke up with numbness in my left hand, and my index finger has been slightly numb since then. It has not improved even after sleeping until noon.
Dr. Jiang Junyi Reply:
Based on your description, peripheral neuropathy should be considered, particularly carpal tunnel syndrome. The median nerve passes through the wrist, traversing the "carpal tunnel" formed by the carpal bones and ligaments, where it can be compressed by the ligament loc...[Read More] Persistent Numbness in Left Index Finger: Causes and Solutions
Morning Numbness or Swelling in Legs: When to See a Doctor?
Waking up with numb or swollen feet? Hello, Doctor. In the morning when I wake up, I often feel a tingling or swelling sensation below my knees. I can't quite distinguish whether it's tingling or swelling. I also experience this sensation during my commute on the MRT an...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest peripheral neuropathy causing foot numbness. Diagnosis typically requires examinations including clinical neurological assessments, blood tests, electromyography (EMG), and lumbar spine X-rays. The treatment for lumbar d...[Read More] Morning Numbness or Swelling in Legs: When to See a Doctor?
Understanding and Managing Persistent Thigh Pain in Older Adults
Mother has thigh nerve pain? Hello, doctor. I actually came here to ask before. For the past two and a half years, my mother has been experiencing a burning sensation in her right thigh, which started last year. Now, her thigh is constantly numb and painful at irregular intervals...
Dr. Gao Chunde Reply:
General neurologists may find no issues during their examination, but if the pain is determined to be caused by peripheral neuropathy or central nervous system issues, there are medications available to manage the pain and improve quality of life. If the pain is difficult to cont...[Read More] Understanding and Managing Persistent Thigh Pain in Older Adults
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Suspected autonomic nervous system dysfunction? Hello, I have been experiencing neuropathic pain throughout my body, and after seeing a psychiatrist, I was diagnosed with anxiety disorder. Does this count as autonomic nervous system dysfunction? If so, how should I address it?
Dr. Jiang Junyi Reply:
Hello, based on your description, the autonomic nervous system is generally regulated by the sympathetic and parasympathetic nervous systems, with one acting as the accelerator and the other as the brake. The sympathetic nervous system is responsible for stimulating the "gas...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Limited Neck Movement and Discomfort: Possible Causes and Solutions
When turning the head to the left, there is a limited range of motion and significant discomfort on the left side of the neck? The symptoms began around March of last year. When I turn my head to the left, even a small angle causes significant discomfort compared to turning to th...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain...[Read More] Understanding Limited Neck Movement and Discomfort: Possible Causes and Solutions
Understanding Hand Tingling: When to Seek Further Medical Evaluation
Hand pain or hand prickling sensation? Hello doctor, I have been experiencing frequent sharp, needle-like pain in my hand. I visited a neurosurgery clinic and had a cervical X-ray, which showed no abnormalities. I also underwent nerve conduction studies that were normal. However,...
Dr. Gao Chunde Reply:
The sensation of tingling in the hands primarily requires determining the distribution of the symptoms—whether it affects one hand or both. The distribution may follow the territory of a cervical nerve root, or it could involve all fingertips, suggesting a peripheral neuropathy. ...[Read More] Understanding Hand Tingling: When to Seek Further Medical Evaluation
Understanding Dizziness: Causes and When to Seek Help
The sensation of dizziness? Dr. Jiang, I have been feeling lightheaded while walking sometimes, and I need to hold onto something for a moment until it passes. This has happened twice. Additionally, when I am sitting, I sometimes feel a sudden jolt in my head. Could this be due t...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider syncope, with the most common cause being reflex syncope due to excessive stimulation of the vagus nerve, which leads to bradycardia and decreased cardiac output. Other causes may include changes in posture from lying ...[Read More] Understanding Dizziness: Causes and When to Seek Help
Understanding Painful Blackened Feet: Possible Causes and Treatments
The lower legs and feet are dark in color, with holes present, and there is severe pain that feels like stabbing. Additionally, there is a sensation of hardness in the soles of the feet? 1. Several years ago, my mother developed dark discoloration in both of her lower legs. Initi...
Dr. Jiang Junyi Reply:
Based on your description, it is unclear whether your mother has a history of hypertension, diabetes, or tumors. There are many potential causes for chronic inflammation and sensory abnormalities in the lower extremities, which can lead to changes in skin color, such as venous in...[Read More] Understanding Painful Blackened Feet: Possible Causes and Treatments
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 Frequent Cramps in the Left Foot: Causes and Solutions
Frequent cramping in the left foot? Hello Dr. Huang: In recent years, I have been experiencing frequent cramps in my left foot while sitting in a chair, before going to sleep, or during sleep. If it occurs during sleep, I am unable to fall asleep. The frequent cramps in my foot a...
Dr. Huang Yongquan Reply:
Based on your symptoms, it may be peripheral neuropathy or restless legs syndrome. It is recommended that you visit an outpatient clinic for examination and medication treatment.[Read More] Understanding Frequent Cramps in the Left Foot: Causes and Solutions
Understanding Numbness in Toes: Causes and When to Seek Help
Numbness in the toes? Hello Doctor: I am a 40-year-old female, and I occasionally experience tingling in my toes and fingertips. Recently, I have been feeling frequent numbness in my left big toe, especially noticeable when I lie in bed before sleeping. What could be the cause of...
Dr. Gao Chunde Reply:
Peripheral neuropathy at the extremities is often due to specific causes such as peripheral nerve damage or peripheral circulation disorders. If symptoms worsen when lying in bed at night, it is important to consider whether there is lumbar spinal stenosis. When the lumbar region...[Read More] Understanding Numbness in Toes: Causes and When to Seek Help
Understanding Finger Pain: Is It a Nerve Issue?
Tingling sensation in the index finger? Could the sharp, needle-like pain I feel when pressing on my index finger be a neurological issue, especially since an X-ray taken during my visit to the surgeon showed no abnormalities?
Dr. Chen Haorong Reply:
Hello: A tingling sensation is a symptom of neuropathic pain, but inflammation of the joints or tendons in the index finger can also cause localized tingling, especially if only the index finger experiences pain while the thumb and middle finger are asymptomatic. This issue may b...[Read More] Understanding Finger Pain: Is It a Nerve Issue?
Progressive Asymmetrical Numbness and Weakness in Hands and Feet
Progressive numbness and weakness with asymmetry in the limbs? The mother is 51 years old and has been experiencing numbness and weakness in her fingers and toes for the past month. Initially, the symptoms were limited to the tips of her fingers, but this month they have progress...
Dr. Gao Chunde Reply:
Peripheral neuropathy is progressing quite rapidly, especially in terms of weakness. It is recommended to seek further detailed examination at a major hospital's neurology department as soon as possible. If the progression is too fast, hospitalization may be necessary, but t...[Read More] Progressive Asymmetrical Numbness and Weakness in Hands and Feet
Understanding Nerve Conduction Studies: When to Seek Further Testing
Regarding nerve conduction studies? Hello Doctor~~~ Previously, I had a soft tissue indentation in my calf and underwent nerve conduction studies in the neurology department, which showed everything was normal (although it was only for the legs). Today, I noticed a more pronounce...
Dr. Lan Shengxing Reply:
Hello, the Nerve Conduction Velocity (NCV) test primarily assesses the function of peripheral nerves. In principle, unless there is a systemic peripheral neuropathy, conducting tests on the upper and lower limbs at different times should not lead to inaccurate results. Regarding ...[Read More] Understanding Nerve Conduction Studies: When to Seek Further Testing
Burning Sensation in Feet: Understanding Neurological Causes and Solutions
Burning sensation in the soles of the feet? I have a burning sensation and tingling in the soles of my feet, as if I'm wearing socks.
Dr. Ye Boshou Reply:
Hello: 1. Do you have diabetes or any other chronic diseases? 2. Numbness in the soles of your feet may be due to peripheral neuropathy; please see a neurologist for evaluation.[Read More] Burning Sensation in Feet: Understanding Neurological Causes and Solutions
Understanding Unexplained Foot Twitches: Causes and Concerns
The area of the sole of the foot (the plantar region) experiences intermittent twitching? Hello, doctor. Recently, I've been experiencing intermittent twitching in the soles of my feet (the arches). I'm unsure if it's related to blood vessels or nerves. There is no...
Dr. Lin Zijing Reply:
Blood vessels can only produce sensations similar to heartbeats. Peripheral neuropathy, such as localized compression, can lead to discharges that cause muscle twitching.[Read More] Understanding Unexplained Foot Twitches: Causes and Concerns
Understanding Foot Pain: Causes and Solutions for Nerve Issues
Shooting pain in the soles of the feet? Dear Doctor: I have been experiencing sharp pain in the soles of my feet for the past few months, especially worsening at night. I also feel pain in my heels, but elevating my feet provides some relief. Could you please advise me on the pos...
Dr. Gao Chunde Reply:
You can visit the neurology outpatient clinic to determine whether the issue is caused by peripheral neuropathy or lumbar stenosis.[Read More] Understanding Foot Pain: Causes and Solutions for Nerve Issues
Muscle Twitches and Right Foot Tingling: Possible Neurological Causes
Muscle twitching accompanied by a tingling sensation in the right foot? Hello Doctor: For the past month or so, I have started experiencing muscle twitching. Initially, it only occurred in my legs, about every 2 to 3 days. However, recently it has also appeared in my upper limbs ...
Dr. Lin Zijing Reply:
This situation is somewhat similar to muscle fasciculations, which are involuntary twitches of the skeletal muscles. If this symptom occurs alongside decreased tendon reflexes, muscle atrophy, or muscle weakness, it typically indicates a lower motor neuron disease. This can invol...[Read More] Muscle Twitches and Right Foot Tingling: Possible Neurological Causes