Understanding CIDP: Treatment Options and Managing Symptoms
Polyneuropathy Hello, I have been diagnosed with CIDP. Initially, my doctor thought it was acute, so I underwent plasma exchange. Three weeks after being discharged, I started feeling unwell again, and during my follow-up appointment, the doctor mentioned that it should be CIDP a...
Dr. Peng Shiwei Reply:
Hello, I believe it would be better for you to discuss your concerns with your attending physician. However, according to medical standards, plasma exchange, steroid treatment, and immunoglobulin therapy are all standard treatments for Chronic Inflammatory Demyelinating Polyneuro...[Read More] Understanding CIDP: Treatment Options and Managing Symptoms
Understanding Body Tingling: Possible Causes and Concerns
Tingling sensation in the body? Hello, doctor. Last night, I suddenly felt a tingling sensation on the left side of my torso, which went away while I was sleeping after about 4-5 hours. I have experienced this symptom occasionally in the past, and it usually resolves within 1-2 d...
Dr. Jiang Junyi Reply:
Dear Mr. Guang, You mentioned, "Is it possible that it's multiple sclerosis, or is it multiple neuritis? ... Could it be caused by issues with the cervical and lumbar spine?" Your symptoms may need to first consider problems with the cervical and lumbar spine. The...[Read More] Understanding Body Tingling: Possible Causes and Concerns
Understanding Lower Back Pain and Leg Numbness: Causes and Solutions
Lower back pain with leg numbness? Hello, doctor. I originally had pain on the left side of my lower back near the iliac bone, but it was only occasional. Today, when my back hurt, I experienced numbness above my left knee and in my thigh. Although the numbness in my thigh has be...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "when experiencing lower back pain, there is numbness in the upper side of the left knee and thigh." Your symptoms may suggest compression of the lumbar nerve roots. Typical discomfort associated with lumbar nerve root pathology includes pain...[Read More] Understanding Lower Back Pain and Leg Numbness: Causes and Solutions
Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? Hello doctor, I started feeling a slight numbness in the area of my little fingers on both hands and little toes on both feet a couple of days ago. 1. Could you please tell me what this might be? 2. Or could the hands and feet be different issues t...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "numbness in the little fingers and toes" is commonly caused by peripheral nerve compression. The numbness is associated with the ulnar nerve, which innervates the little finger and half of the ring finger, as well as the corresponding are...[Read More] Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Left Toe Numbness: Possible Causes and Solutions
Numbness in the third and fourth toes of the left foot? Hello Dr. Jiang: About four months ago, I started experiencing a tingling and numbness in my left toes when I stood on my tiptoes, similar to an electric shock sensation. Later, during the Qingming holiday, I noticed that my...
Dr. Jiang Junyi Reply:
Dear Ms. Li, You mentioned "polyneuropathy," which typically shows abnormalities in nerve conduction studies. The symptoms you described, such as soreness in the entire left leg and buttock, as well as soreness in the left buttock and posterior thigh while sitting, and...[Read More] Understanding Left Toe Numbness: Possible Causes and Solutions
Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Numbness in the body after a cold? Hello Doctor, After experiencing a mild fever due to a cold on February 16, I have been feeling numbness in my arms and legs. Sometimes, when I change my body position, I feel a tingling sensation from my back to the back of my head, especiall...
Dr. Jiang Junyi Reply:
Hello Mr. Yang, You mentioned that "there is a slight stabbing pain when the left side of my head is pressed or rubbed while sleeping, and my left palm also has some tingling sensations." Based on your description, we may need to consider cervical nerve root compressio...[Read More] Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Numbness in the soles of the feet? Hello, doctor. Three years ago, I was diagnosed with autonomic nervous system dysfunction due to dizziness. After taking medication, my condition improved significantly, and I stopped taking the medication. However, I have experienced intermitte...
Dr. Jiang Junyi Reply:
Dear Ms. Hsuan, You mentioned experiencing dizziness that sometimes occurs with movement. Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of vertigo related to changes in head position, such as bending ov...[Read More] Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Understanding Polyneuropathy: Steroids vs. Immunoglobulin Treatment
Systemic neuropathy Dear Dr. Jiang, I visited a neurologist yesterday, and the doctor diagnosed me with "multiple neuritis." He prescribed corticosteroids for two weeks. I would like to ask whether it is more effective to receive intravenous immunoglobulin (IVIG) treatm...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "immunoglobulin" is clinically used in acute inflammatory demyelinating polyradiculoneuropathies (AIDP), also known as Guillain-Barré syndrome. The typical clinical symptoms include bilateral symmetric progressive weakness, limb pain, and tingl...[Read More] Understanding Polyneuropathy: Steroids vs. Immunoglobulin Treatment
Understanding Muscle Atrophy and Polyneuropathy: Causes and Concerns
Muscle atrophy and polyneuropathy? Hello, Dr. Jiang! Recently, I noticed a depression and atrophy in my left upper arm. However, aside from a slight soreness when I extend my arm backward, there are no other symptoms. I then went to a neurology clinic for an examination, where th...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may suggest a consideration of "brachial plexus injury... and polyneuropathy" for clinical diagnosis. In addition to physical examination, it is usually necessary to conduct peripheral nerve assessments. Peripheral nerve evaluations utilize...[Read More] Understanding Muscle Atrophy and Polyneuropathy: Causes and Concerns
Understanding Neurological Symptoms: From Limb Weakness to Dizziness
Weakness and soreness in the limbs, unilateral symptoms progressing to bilateral, along with headache, dizziness, and nausea? Hello, doctor. I will first describe my medical history. At the end of May, I experienced a severe impact on the left side of my left knee, so on May 26, ...
Dr. Jiang Junyi Reply:
Dear Mr. Xiao Wu, You mentioned "1. axonal motor neuropathy in the left peroneal nerve; 2. demyelinating motor neuropathy in the left tibial nerve." These results indicate that there is neuropathy affecting the motor nerves in your left lower limb. However, they do not...[Read More] Understanding Neurological Symptoms: From Limb Weakness to Dizziness
Unexplained Leg Swelling and Pain: A Neurological Concern
Unexplained swelling and pain in both legs? Hello doctor, on the night of April 27th this year, I injured the bottom of my left foot on a plug, leaving a wound. I disinfected it and applied ointment, but the next evening, the top of my left foot suddenly swelled up like a hill. M...
Dr. Jiang Junyi Reply:
Dear Ms. Jill, You mentioned that the discomfort was initially localized below the ankle, but it has now extended to the thigh and is painful to the bone. This upward progression of abnormal sensations may suggest chronic polyneuropathy. However, you also noted symptoms of edema...[Read More] Unexplained Leg Swelling and Pain: A Neurological Concern
Unexplained Tingling: Understanding Nerve Issues and Symptoms
Unexplained numbness? On a certain Saturday evening while sitting and watching TV, I felt numbness in the soles of my feet. I got up to move around and noticed that my ring finger and little finger on both hands were also numb. I thought it was due to poor posture and would impro...
Dr. Jiang Junyi Reply:
Dear Ms. Chi, You mentioned that "the location of the numbness changed after taking the medication, and now the entire abdomen feels numb." If you are only experiencing tingling sensations without any weakness, it may be worth considering hyperventilation. However, if ...[Read More] Unexplained Tingling: Understanding Nerve Issues and Symptoms
Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Joint pain after COVID-19 vaccination? Doctor: Hello, I received my first dose of the AstraZeneca vaccine on July 30, 2021, and my second and third doses of Moderna on October 3, 2021, and March 14, 2022, respectively. I am approximately 50 years old. About 1 to 2 weeks after the...
Dr. Jiang Junyi Reply:
Hello: Your symptoms do not appear to be indicative of Guillain-Barré syndrome, which is formally known as acute inflammatory demyelinating polyneuropathy. It is an acute peripheral neuropathy that may affect the motor, sensory, and autonomic nervous systems of the body. Typical ...[Read More] Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Understanding Weakness and Numbness in Lower Legs: Causes and Solutions
Weakness in both calves below the knees, sometimes accompanied by numbness? Recently, I underwent a nerve conduction study, which indicated that there was slowed conduction in both legs. The physician provided a diagnosis of polyneuropathy and ordered blood tests, revealing a def...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned "polyneuropathy, with blood tests indicating folate deficiency that was supplemented for a while, yet still experiencing weakness. After retesting every three months, results showed normal, but the weakness persists. What could be the underlying ...[Read More] Understanding Weakness and Numbness in Lower Legs: Causes and Solutions
Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Numbness in the right hand and right side of the body? Hello doctor, last week I started experiencing mild numbness in the tips of my fingers. I visited a neurologist who prescribed medication, but a few days later the numbness worsened, and soon my entire palm began to feel numb...
Dr. Jiang Junyi Reply:
Dear Mr. Jame, You mentioned that after visiting the neurology department and receiving medication, you experienced increasing numbness over the following days. The doctor indicated that the cervical spine X-ray showed no abnormalities, but by the weekend, you even felt slight n...[Read More] Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Numbness in the limbs, numbness in the abdomen and back? Hello Doctor: Starting from January 1st of this year, I experienced a progressive numbness in both legs, beginning from the soles and extending up to the waist over a span of five days. The numbness persisted 24 hours a day...
Dr. Jiang Junyi Reply:
Dear Mr. Lai, You mentioned that "the numbness gradually spread from the soles of both feet to the waist over five days." I wonder if you have been exposed to nitrous oxide? If the numbness is rapidly ascending, we may consider acute demyelinating polyneuropathy. Las...[Read More] Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Understanding Lateral Calf Numbness: Sciatica or Disc Herniation?
Bilateral calf paresthesia? In the morning, I experienced sudden numbness on the outer sides of my calves, and sometimes my ankles feel weak when walking, although I can still walk. I initially thought it was just a common foot numbness, but I noticed that the front of my calves ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that the symptoms of numbness and weakness may suggest compression of the peroneal nerve. This could be due to improper exercise leading to muscle tightness, or prolonged sitting, which can also cause compression (sometimes sitting on the toilet for too ...[Read More] Understanding Lateral Calf Numbness: Sciatica or Disc Herniation?
Understanding Sudden Knee Numbness and Pain: When to Seek Help
Numbness and pain in the knee without an apparent cause? Hello Doctor: Since noon today, I suddenly felt numbness and slight swelling pain in my right knee. When I touch it, there is no swelling or other external injuries, but the sensation when touching the knee feels very stran...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider spinal-related diseases. Excessive force during lumbar spine rotation and other external factors may lead to lumbar instability, spondylolisthesis, and lumbar disc herniation. When lumbar nerve root pathology occur...[Read More] Understanding Sudden Knee Numbness and Pain: When to Seek Help
Understanding Nerve Pain: Causes of Numbness and Discomfort in Limbs
Numbness and stiffness in the hands and feet, pain in the shoulders and neck? Hello, Doctor. About a month ago, I started waking up at night to find my left hand completely numb and I couldn't feel my little finger. After a few minutes of movement, I regained sensation, but ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "every night when I lie down, if my neck is compressed (by the bed or pillow), it gradually becomes numb and painful to the point of waking me up." This symptom may resemble cervical radiculopathy due to nerve root compression. "After abou...[Read More] Understanding Nerve Pain: Causes of Numbness and Discomfort in Limbs
Understanding Mild Polyneuropathy: Symptoms, Treatment, and Care
Thigh soreness issue? I have a daily habit of walking or running, but I experience soreness in my thighs when going upstairs. During rehabilitation treatment, the rehabilitation physician arranged for a nerve conduction study, which indicated mild polyneuropathy. I was subsequent...
Dr. Jiang Junyi Reply:
Hello: 1. Is mild polyneuropathy referring to any issues or abnormalities in both feet? A: It typically indicates that nerve conduction is slower than normal or that the response waveforms are smaller. This is related to skin resistance during examination and lower external te...[Read More] Understanding Mild Polyneuropathy: Symptoms, Treatment, and Care