Managing Nerve Pain and Discomfort in Hands and Feet
Numbness and pain in the hands and feet? Hello Dr. Jiang, I previously underwent rehabilitation treatment for my cervical spine issues, during which the numbness and tingling in my fingers were not as severe. However, after moving, I have had less opportunity to continue rehabil...
Dr. Jiang Junyi Reply:
Dear Ms. Peng, You mentioned that "I must lie down to feel better, and lifting heavy objects or walking exacerbates the numbness and pain in my fingers, which has recently become unbearable." Your symptoms may suggest peripheral nerve compression, and there could also ...[Read More] Managing Nerve Pain and Discomfort in Hands and Feet
Persistent Numbness in Foot and Leg: Seeking Medical Guidance
Numbness in the dorsum of the foot for over four months, and now there is also some numbness in the calf? Hello Doctor, I really don't know what to do now and would like to ask for your opinion. I am currently a senior in college and have recently been exercising, walking br...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, if they are gradually worsening, I recommend visiting a neurology outpatient clinic at a major hospital. To rule out nerve compression, more advanced imaging studies are necessary, so I suggest you start with regular follow-up for a while.[Read More] Persistent Numbness in Foot and Leg: Seeking Medical Guidance
Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? Hello Doctor, since September 25th, I have been experiencing numbness in my fingers upon waking up. Initially, I thought it would resolve on its own, but by September 26th, the numbness extended to my toes and the soles of my feet. As of now, Octob...
Dr. Jiang Junyi Reply:
Dear Ms. Apple, You mentioned that "blood tests, nerve conduction studies, and spinal tap examinations all reported normal results, and the cerebrospinal fluid analysis was also normal, with only a noted slowing of nerve conduction." You pointed out abnormal sensory ne...[Read More] Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions
Is My Recent Muscle Spasm a Sign of Epilepsy Relapse?
Previously, it was epilepsy caused by encephalitis? Hello, I had encephalitis in 2017 that led to epilepsy, and I was hospitalized and treated with medication until around 2020. I have been regularly following up with my doctor and have had no seizures, gradually tapering off the...
Dr. Cai Zongzhang Reply:
Hello Duoduo: Whether the above symptoms indicate a recurrence of epilepsy depends on whether they are similar to the previous epileptic symptoms. It is recommended to visit a neurologist for an EEG, which can provide a better assessment.[Read More] Is My Recent Muscle Spasm a Sign of Epilepsy Relapse?
Understanding Muscle Twitches: Neurological Insights and Concerns
Muscle twitching In the past few weeks, I have been experiencing muscle twitching, so I underwent nerve conduction studies and electromyography (EMG). 1. I would like to ask if it is sufficient to perform the EMG on just one side? 2. I have noticed that my left big toe does not l...
Dr. Hong Weibin Reply:
1. So I would like to ask, is it sufficient to perform an electromyography (EMG) test on just one side? Since EMG involves inserting needles into the muscles to measure physiological electrical activity, it can cause discomfort to the subject. Therefore, it is usually performed o...[Read More] Understanding Muscle Twitches: Neurological Insights and Concerns
Understanding Lower Leg Pain: When to See a Neurologist
Painful tingling below the calf? Today, the temperature is 20 degrees Celsius, and the tingling sensation is mild, only slightly felt on the dorsum of my feet. A few days ago, when the weather was hot and the air conditioning was set to 27 degrees, the tingling became severe and ...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "the tingling has severely spread to the calves, and it also occurs while sleeping." This symptom may indicate that the lumbar nerve roots are being compressed. Typical discomfort associated with lumbar nerve root pathology includes pain r...[Read More] Understanding Lower Leg Pain: When to See a Neurologist
Understanding Right-Sided Numbness: Causes and Treatment Options
Numbness in the right side of the limbs? Hello, I would like to ask about a condition I started experiencing about a week and a half ago. I began to feel a slight numbness in my right big toe (it's not painful, just a tingling sensation, more like a mild numbness without any...
Dr. Jiang Junyi Reply:
Hello Ms. Feny: You mentioned that "the second, third, and fourth toes of my right foot feel a bit numb, and then over the next two days, the numbness spread to the top of my foot, my calf, and my knee, and even my right hand started to feel numb, particularly around the fin...[Read More] Understanding Right-Sided Numbness: Causes and Treatment Options
Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Numbness and tingling in both hands, weakness in both legs? Since March of last year, I started feeling a foreign sensation behind my occiput upon waking up one day. I consulted a doctor and took medication, but it did not improve. Later, the foreign sensation suddenly disappeare...
Dr. Jiang Junyi Reply:
Dear Miss Vicky, You mentioned "Multiple sclerosis? Neuritis? Autoimmune diseases? Diabetes? Herniated disc? Amyotrophic lateral sclerosis? CIDP?... Which specialty should I consult to thoroughly identify and resolve the issue?" You also noted that "the discomfort...[Read More] Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction
Persistent sensation of shaking? Hello, Dr. Jiang. Last July, I went to the ENT department to check for ear stones, but no results were found. At that time, the ENT specialist asked me to perform the following tests related to cerebellar function and body movement. The public can...
Dr. Jiang Junyi Reply:
Dear Mr. Awei, You mentioned your concern about "signs of cerebellar atrophy." In fact, cerebellar atrophy is not primarily characterized by dizziness. The main symptoms of patients with spinocerebellar ataxia typically include: 1. Tremors, slowed movements, and decrea...[Read More] Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction
Understanding Numbness and Weakness: When to See a Neurologist
Numbness in both hands, toes, and scalp? Hello doctor, my situation is as follows: at the beginning of July, while stretching during breaks at work, I experienced dizziness and numbness in the third and fourth toes of my right foot for more than ten minutes. Then, two weeks later...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "suddenly both hands' fingers, or only the fingers of the right hand, experience a tingling sensation that extends to about ten centimeters into the palm, lasting approximately 10 to 30 minutes." This may indicate a potential issue...[Read More] Understanding Numbness and Weakness: When to See a Neurologist
Understanding Pain in the Second Toe When Pressing Down on the Foot
Sharp pain in the second toe of the left foot? When applying pressure downward on the sole of the left foot, there is a sharp pain in the second toe of the left foot. There are no other symptoms normally, and bending the toe directly does not cause pain; the pain only occurs when...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: It is recommended to visit the neurology outpatient clinic for an evaluation of the underlying cause.[Read More] Understanding Pain in the Second Toe When Pressing Down on the Foot
Understanding Random Numbness: Causes and Next Steps in Diagnosis
Numbness in the face, hands, toes, and random tingling sensations throughout the body? Hello Doctor, I have recently experienced some random tingling sensations throughout my body. It hasn't reached a point where I can't take care of myself, but it occurs quite frequent...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned experiencing some slight tingling sensations throughout your body. You have already undergone examinations to rule out structural abnormalities, including magnetic resonance imaging (MRI) of the cervical spine and nerve conduction studies of the limbs. A...[Read More] Understanding Random Numbness: Causes and Next Steps in Diagnosis
Understanding Foot Numbness and Small Steps: Neurological Insights
Numbness in the toes and shuffling gait? Hello Dr. Jiang, I am 72 years old this year. I previously visited a neurologist because I experience small shuffling steps when walking and cannot turn my head too quickly, otherwise I feel dizzy. Both of my feet feel numb, primarily in t...
Dr. Jiang Junyi Reply:
Hello, Aunt Hsu: You mentioned, "Is it possible to improve small fiber symptoms through dopamine in non-Parkinson's disease?" The answer is no. You also noted that "both feet feel numb, primarily in the toes," which may indicate symptoms of peripheral ne...[Read More] Understanding Foot Numbness and Small Steps: Neurological Insights
Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Involuntary muscle twitching on the inner side of the left foot? The inner side of my left foot has been twitching involuntarily, and sometimes the big toe also twitches along with it. This condition persisted for an entire day the day before yesterday, and since then it has not ...
Dr. Hong Weibin Reply:
Hello: The muscles in the body are controlled by nerves, which function like electrical wires, transmitting signals to control muscle movements. However, just as electrical wires can occasionally experience leakage due to external factors like temperature and humidity, muscles ma...[Read More] Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Understanding Muscle Cramps in Fingers During Daily Activities
The issue of experiencing cramps in the fingers while working with them in a bent position? In the past month, I have experienced muscle cramps in my fingers when using a toothbrush to brush my teeth, and also while washing dishes. Using dental floss causes even more severe cramp...
Dr. Jiang Junyi Reply:
Hello Mr. Kuo, You mentioned that your toes sometimes cramp during movement, and that most of the time, cramps occur when your fingers are bent or in use. Recently, you have been taking Prednisolone 5 mg for asthma treatment for about a month. Cramps are typically caused by musc...[Read More] Understanding Muscle Cramps in Fingers During Daily Activities
Managing Post-Stroke Pain and Rehabilitation Challenges: Expert Advice Needed
Please provide information regarding the sequelae of stroke? Hello Doctor: My family member had a stroke in the right hemisphere three years ago. After rehabilitation, he was able to walk normally, but he has reduced function in his left upper limb. In April, he suffered a stroke...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing "pain in the right lower limb upon waking during the day, with muscle tightness in the leg and toes splayed. Massage and stretching can provide relief, but the pain recurs shortly after." This symptom may suggest lower limb muscle cramp...[Read More] Managing Post-Stroke Pain and Rehabilitation Challenges: Expert Advice Needed
Understanding Right Leg Numbness: Causes and Treatment Options
Numbness in the right leg upon sitting down? Hello, doctor! I'm asking on behalf of my dad, who is 61 years old. Recently, whenever he sits down, his right leg starts to feel numb, along with symptoms of soreness and pain. This mainly occurs in the area from his knee to his ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your father experiences numbness, as well as soreness and pain in his right leg as soon as he sits down. It may be necessary to first consider a herniated disc leading to localized inflammatory responses that cause lower back pain, which may also extend ...[Read More] Understanding Right Leg Numbness: Causes and Treatment Options
Understanding Periodic Body Jerks During Sleep: A Neurological Insight
Rhythmic twitching of various body parts during sleep? Hello, doctor. I am a 28-year-old female, 160 cm tall and weighing 43 kg. I am a "sleep-onset" type. My partner has informed me that while I am asleep, my body exhibits rhythmic shaking or twitching, which feels lik...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you are experiencing Periodic Limb Movement Disorder (PLMD). I recommend seeking assistance from a neurologist or a sleep specialist, or visiting a hospital with a sleep center. Depending on the situation, blood tests and a po...[Read More] Understanding Periodic Body Jerks During Sleep: A Neurological Insight
Understanding Tailbone Pain and Nerve Issues in the Legs
Numbness in the feet and pain in the coccyx? After riding a motorcycle, I experience pain in my coccyx when I stand up. I also feel pain when getting up from a chair. This symptom has persisted for a year and a half. In mid-April, I started experiencing a tingling sensation that ...
Dr. Jiang Junyi Reply:
Hello, Miss Jiayou: The issue you mentioned may need to consider the possibility of sciatica. A common cause is a herniated disc leading to localized inflammatory responses, which can result in lower back pain that may extend to one or both sides of the buttocks. When a herniate...[Read More] Understanding Tailbone Pain and Nerve Issues in the Legs
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