Understanding Pain Around the Big Toe: Possible Causes and Solutions
Pain in the front side and underneath of the big toe? Doctor, my big toe is experiencing pain around the nail and underneath the toe. It feels sore and has a tingling sensation. There is slight redness on the surface, and taking medication for gout has not been effective. I would...
Dr. Wu Mukhan Reply:
Hello, gout typically occurs at the metatarsophalangeal joint of the big toe, which is different from the location you described and is less likely to be gout. If there is redness, swelling, and pain, there may be inflammation or infection. It is recommended to visit a dermatolog...[Read More] Understanding Pain Around the Big Toe: Possible Causes and Solutions
Understanding Abnormal Sensations in Feet: Causes and Solutions
Abnormal sensation Hello Doctor, I have recently been experiencing a strange sensation in my feet, where they often feel cold (or hot? It's a peculiar feeling that starts from my toes and extends upwards). Although my feet feel cold, their actual temperature seems normal. I&...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "the neurologist said an MRI was not necessary, and only advised me to exercise more, maintain a regular sleep schedule, and eat more B vitamins, without prescribing any medication. At that time, I did not have the unusual symptom of coldn...[Read More] Understanding Abnormal Sensations in Feet: Causes and Solutions
Understanding Spinal Issues: Neurological Pain and Diagnosis
Spinal issues Due to pain in the lumbar spine, nerve conduction studies and electromyography were performed during military service medical examination. Attached are the relevant reports and X-rays. I would like to inquire whether there is a nerve issue, as the pain is severe eno...
Dr. Jiang Junyi Reply:
Dear Mr. W: (As the attached file is no longer readable.) You mentioned experiencing pain so severe that you cannot stand or sleep, and that it extends to your toes. This may indicate symptoms of nerve compression due to a herniated disc or peripheral nerve compression. 1. The...[Read More] Understanding Spinal Issues: Neurological Pain and Diagnosis
Understanding Leg Numbness and Weakness: When to Seek Medical Advice
Numbness and weakness in both legs? Hello Doctor, last Tuesday after a slight stretch, I suddenly felt a bit of numbness near my left calf and the little fingers of my limbs. A day or two later, the left calf started to hurt with a bit of numbness, and I'm not sure if it...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is necessary to rule out any issues with your lower back. However, since an online consultation cannot take into account the results of a physical examination, it is advisable to seek in-person consultation at a clinic. Thank you for your inquiry...[Read More] Understanding Leg Numbness and Weakness: When to Seek Medical Advice
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 Unexplained Body Tremors: A Neurological Perspective
Involuntary body shaking? Hello doctor, about a week ago while I was at work, I suddenly started feeling dizzy and unsteady. It’s not a spinning sensation, nor do I see objects moving; I don’t experience double vision. Occasionally, I feel a bit nauseous and uncomfortable, and so...
Dr. Jiang Junyi Reply:
Hello Ms. Joyce, Could you please clarify whether the "tingling sensation in the fingers of your right hand and the toes of your right foot" occurs simultaneously with the dizziness, or has this symptom been present for a long time? If they occur at the same time, we m...[Read More] Understanding Unexplained Body Tremors: A Neurological Perspective
Intermittent Sharp Pain in Left Pinky Toe: Possible Neurological Issues
Occasional sharp pain in the left little toe? Hello Doctor, since the end of March, I have been experiencing sharp pain around my left little toe every 5 to 6 days. It feels like an electric shock or like being bitten by an insect, and the pain lasts about 5 seconds before subsid...
Dr. Jiang Junyi Reply:
Dear Mr. You, You mentioned that "the area around my left little toe feels sharp, as if being electrocuted, or like being bitten by an insect." This is a symptom related to neuropathic pain. It may be necessary to consider symptoms of peripheral nerve compression: 1. ...[Read More] Intermittent Sharp Pain in Left Pinky Toe: Possible Neurological Issues
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
Sharp Foot Pain During Urination: What Could Be the Cause?
Pain in the soles of the feet during urination? Hello Doctor: Since the morning of March 13th, I have been experiencing severe stabbing pain in my left foot while urinating, similar to neuropathic pain, located near the center of the forefoot close to the big toe. I visited an in...
Dr. Jiang Junyi Reply:
Dear Mr. Hsieh, You mentioned that "there is a sharp pain in the left foot during urination," which may indicate nerve root pain, particularly involving the sciatic nerve. Symptoms of peripheral nerve compression include: 1. Pain characterized by burning or tingling se...[Read More] Sharp Foot Pain During Urination: What Could Be the Cause?
Sharp Pain in Foot During Urination: Possible Neurological Issues?
Pain in the soles of the feet during urination? Hello Doctor: Since the morning of March 13th, I have been experiencing severe stabbing pain in my left foot while urinating, similar to neuropathic pain, located near the center of the forefoot close to the big toe. I visited an in...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao, You mentioned that "there is a sharp pain in your left foot when urinating," which may suggest radicular pain, particularly from the sciatic nerve. I would like to know if your urinalysis has ruled out the presence of occult blood. If it has been ruled ...[Read More] Sharp Pain in Foot During Urination: Possible Neurological Issues?
Unexplained Leg Pain: Seeking Answers for Persistent Discomfort
Foot pain? Hello, doctor! I am 48 years old and I haven't fallen or twisted my ankle, but suddenly one of my legs started to hurt. The pain (in the back of my hip) has persisted for over a month. Physical therapy and rehabilitation have been ineffective. Initially, I had pai...
Dr. Wu Mukhan Reply:
Hello, X-rays can be used to examine the bones and joints of the limbs for any issues; however, problems related to nerves, muscles, blood vessels, and soft tissues cannot be fully diagnosed using X-rays alone. Elevated uric acid levels can lead to arthritis known as gout, which ...[Read More] Unexplained Leg Pain: Seeking Answers for Persistent Discomfort
Understanding Sciatica: Causes, Treatment, and Prevention Tips
Sciatica Hello, Dr. Jiang! I have been experiencing sciatica for a month. The doctor took an X-ray and said it is not serious. However, taking anti-inflammatory painkillers and undergoing rehabilitation have been ineffective. I feel pain when sitting or standing. I work while sit...
Dr. Jiang Junyi Reply:
Dear Ms. Christine, You mentioned, "I have pain when sitting and standing. I work sitting down every day. I haven't fallen or twisted anything. It happened suddenly, and I don't know the cause..." A herniated disc can cause compression of the nerve roots, lea...[Read More] Understanding Sciatica: Causes, Treatment, and Prevention Tips
Understanding Skin Pain and Spasms: A Neurological Perspective
Skin prickling sensation? Hello Doctor: Last week, Mr. Zhang suddenly experienced spasms, occurring several times within a minute, with episodes recurring every few minutes. He reported sensitivity on the right side of his skin, accompanied by a burning and stabbing pain, as well...
Dr. Jiang Junyi Reply:
Dear Mr. Chang, You mentioned that "the frequency of spasms has gradually decreased, but they have shifted to the right leg, and there are times when I experience sudden weakness; difficulty urinating; and sharp pain upon touching the right calf, right thigh, right abdomen,...[Read More] Understanding Skin Pain and Spasms: A Neurological Perspective
Understanding Tingling Sensation Above the Toenail: Possible Nerve Issues
Tingling sensation in the skin above the toenail of the big toe? Hello, during the New Year period, I suddenly experienced a slight tingling sensation in the skin above my right big toe nail when it touched the blanket at night. After a few days, it improved and became less sensi...
Dr. Jiang Junyi Reply:
Hello Mr. AM: You mentioned that "the skin feels a tingling sensation whenever it is touched or lightly pulled," which may indicate a potential issue with peripheral nerve compression. Common symptoms of peripheral nerve compression include pain, numbness, and weakness....[Read More] Understanding Tingling Sensation Above the Toenail: Possible Nerve Issues
Understanding Toe Numbness: Causes and Nerve Conduction Testing Insights
What causes numbness in the toes? Hello, doctor. If bone spurs or spinal instability are compressing the nerves, will it only cause numbness in the toes (a dull sensation without sharp pain), or could it also affect the calf area? If spinal instability is compressing the nerves, ...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned, "Could spinal spondylolisthesis compressing the nerves potentially cause only toe numbness? Would a nerve conduction study show abnormalities in this case, or would it be normal since only the toes are numb?" The electrodes for the nerve co...[Read More] Understanding Toe Numbness: Causes and Nerve Conduction Testing Insights
Understanding Toe Numbness: Insights on Nerve Conduction Tests
Toe nerve conduction study? Hello, Dr. Jiang. I previously inquired about the issue of toe numbness due to lumbar spondylolisthesis, and I would like to ask two more questions: 1. Since I have lumbar spondylolisthesis and toe numbness, but my tests (blood tests and nerve conduc...
Dr. Jiang Junyi Reply:
Hello: You mentioned, "If the nerve conduction study is normal, can we rule out nerve compression caused by lumbar spondylolisthesis as the reason for toe numbness?" It may be necessary to perform an electromyography (EMG) to check for abnormalities in the muscles inner...[Read More] Understanding Toe Numbness: Insights on Nerve Conduction Tests
Understanding Foot Pain and Numbness: Causes and Next Steps
Light pressure on the sole of the foot causes sharp pain? Numbness below the ankle (including toes and soles) is often experienced, with light pressure causing sharp pain and a sensation of poor blood circulation, making walking difficult. There is also numbness in the calves and...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "below the ankle (including toes, soles, etc.) often feels numb... The MRI only indicated that the spine is slightly smaller, and it seems there is no compression on the nerves." Since lumbar MRI is performed while lying down, it cannot tr...[Read More] Understanding Foot Pain and Numbness: Causes and Next Steps
Understanding Numbness and Tingling in Hands and Feet: When to Seek Help
Numbness and tingling in the hands and feet? Since Monday, I have been experiencing a tingling and numb sensation in my foot, particularly in the fourth toe of my right foot. This sensation occurs whether I am sitting or standing, but it is less noticeable when I walk. It is not ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, there could be issues related to peripheral circulation or peripheral nerves. It is recommended that you consult a neurologist. Thank you for your inquiry.[Read More] Understanding Numbness and Tingling in Hands and Feet: When to Seek Help
Sudden Leg Tremors: Causes and When to Seek Medical Attention
Sudden involuntary shaking of the legs? Hello, doctor. Today, while sitting in a meditation position on my toes, my left calf and thigh suddenly began to tremble violently. The shaking stopped when I placed my foot flat. I've never experienced this before; today was the firs...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is more likely that the tremors are caused by excessive muscle contractions. However, a detailed assessment by a physician through an in-person consultation and physical examination is necessary for a definitive diagnosis. You may continue to mon...[Read More] Sudden Leg Tremors: Causes and When to Seek Medical Attention
Understanding Lower Back Pain After Surgery: Causes and Solutions
Lower back pain issues? Hello doctor, I have been experiencing lower back pain since my surgery in July (I had surgery on my left toe under spinal anesthesia; I also had surgery on my right foot earlier this year, also under spinal anesthesia). Today, I felt a recurrence of achin...
Dr. Peng Shiwei Reply:
Hello, issues with the lower back or intervertebral discs can still occur in young individuals. If you are concerned, you can visit a neurology clinic for consultation. Thank you for your question.[Read More] Understanding Lower Back Pain After Surgery: Causes and Solutions