Is Nerve Biopsy Necessary for Diagnosing Diabetic Neuropathy?
Is a biopsy necessary for the diagnosis of neuropathy? Hello Doctor: I have a history of diabetes for 5 years and hypertension for 15 years. Over the past year, my hemoglobin A1c level has been around 6.5. A year ago, I noticed a tingling and painful sensation in my legs, which l...
Dr. Jiang Junyi Reply:
Dear Mr. Tong, You mentioned "early neuropathy caused by diabetes." Diabetic neuropathy is a common condition that can initially be treated with medication. Nerve biopsies are typically used to diagnose some rare neuropathies. Can the nerves regenerate after a biopsy? ...[Read More] Is Nerve Biopsy Necessary for Diagnosing Diabetic Neuropathy?
Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Struggling for nearly six months? Hello Dr. Jiang, I started experiencing chest tightness and pain in my pectoral muscles last October, accompanied by weakness, shoulder pain, and numbness in my back during certain movements, with a sensation like electric shocks. When I raise my...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned "multiple sclerosis," which affects fewer than 5 people per 100,000 in Taiwan, making it a rare disease. The diagnosis of multiple sclerosis is based on clinical history and examinations that reveal multiple lesions in the nervous system. A d...[Read More] Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Chest tightness, numbness in hands and feet, mouth sores, palpitations, insomnia? Hello, doctor. I have the following questions regarding possible causes and which specialty I should consult. Thank you. 1. I experience numbness, tingling, and a burning sensation in the joints of...
Dr. Jiang Junyi Reply:
Dear Ms. Vivian, You mentioned experiencing symptoms such as numbness, tingling, and a burning sensation around the finger joints, the back and palm of the hands up to the elbows, as well as around the knees, the tops of the feet, the ankles, and the toes. These symptoms do not ...[Read More] Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Coccydynia (tailbone pain) issues? I had an X-ray of my coccyx, and the bones are fine. However, I experience significant pain when I stand up while riding my motorcycle, and some chairs cause pain when I sit down and then stand up. This has been bothering me for a long time. I a...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "it hurts a lot when I stand up after riding a motorcycle, and some chairs also cause pain when I sit and then stand up." Your symptoms may indicate a potential issue with the sciatic nerve. Herniated discs are often caused by spinal dege...[Read More] Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Numbness in the Outer Side of Both Pinky Toes: Causes and Solutions
Numbness on the outer side of the little toe on both feet? Hello doctor, for the past few weeks, I have been experiencing numbness on the outer side of both little toes simultaneously. The numbness doesn't seem to be related to any specific position; sometimes it occurs whil...
Dr. Jiang Junyi Reply:
Dear Miss Joan, You mentioned that "the outer side of both little toes feels numb... and the numbness becomes more pronounced after walking for a long time." It is important to first consider abnormalities in the first sacral nerve root, which may be caused by a hernia...[Read More] Numbness in the Outer Side of Both Pinky Toes: Causes and Solutions
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 Your Neurological Concerns: A Guide to ALS Anxiety
Regarding one's own condition? I used to come to you with questions often, and back then (8 months ago), I was very worried about amyotrophic lateral sclerosis (ALS), and I still am. My muscles have been twitching lately, and my left leg feels strange, almost like a reflex s...
Dr. Jiang Junyi Reply:
Hello: You mentioned that you feel strain in your bite when chewing on tough foods. If the masticatory muscles are not frequently used, it is indeed possible to experience this strain. I recommend maintaining appropriate exercise to preserve your muscle mass (you can purchase a b...[Read More] Understanding Your Neurological Concerns: A Guide to ALS Anxiety
Understanding Nerve Pain: When to See a Neurologist or Specialist
Pain and numbness in the hands and feet? Hello doctor, I have pain from my lower back to my buttocks and down to my calves, with pain in my heels and soles. My fourth toe has an angle that causes discomfort, possibly due to tight shoes compressing it, which feels like it might be...
Dr. Jiang Junyi Reply:
Dear Mr. Ming-Ting, You mentioned that the pain from the lower back to the buttocks, down to the calves, and from the heels to the soles of the feet resembles a condition related to the sciatic nerve. Additionally, the tingling and numbness in your ring and little fingers are mo...[Read More] Understanding Nerve Pain: When to See a Neurologist or Specialist
Morning Numbness and Cramps in Fingers: Possible Causes and Solutions
Numbness and cramping in the middle and ring fingers upon waking up? Hello, doctor. About three months ago, I started experiencing numbness in my right middle and ring fingers every morning after waking up. After moving my neck a bit, it would feel better. I initially thought it ...
Dr. Hong Weibin Reply:
Hello: It is possible that the nerves are being compressed, such as in cases of cervical radiculopathy or carpal tunnel syndrome. You may seek assistance from a neurologist and arrange for an examination.[Read More] Morning Numbness and Cramps in Fingers: Possible Causes and Solutions
Morning Numbness and Cramps in Fingers: Possible Causes and Solutions
Numbness and even cramping in the middle and ring fingers upon waking up? Hello, doctor. About three months ago, I started experiencing numbness in my right middle and ring fingers every morning after waking up. After moving my neck a bit, the sensation would improve. I initially...
Dr. Hong Weibin Reply:
Hello: It is possible that there is nerve compression, such as cervical radiculopathy or carpal tunnel syndrome. You may seek assistance from a neurologist and arrange for an examination.[Read More] Morning Numbness and Cramps in Fingers: Possible Causes and Solutions
Involuntary Foot Muscle Twitches: Causes and Treatment Options
There is involuntary twitching between the arch of the right foot and the big toe? Last night, before going to bed, I started experiencing involuntary twitching in the arch of my right foot, extending to the area between my big toe and the arch. The twitching occurs approximately...
Dr. Jiang Junyi Reply:
Dear Mr. A-Yan, You mentioned that "there is involuntary twitching between the arch of the right foot and the big toe, occurring approximately every ten seconds, and it has been ongoing. The sensation is more pronounced when sitting or lying down, making it difficult to sle...[Read More] Involuntary Foot Muscle Twitches: Causes and Treatment Options
Understanding Nerve Sensations After Injections: Causes and Concerns
Numbness in the leg after an injection? Hello, doctor. A neurosurgeon administered glucose prolotherapy to me, injecting it into the back of my knee. During the injection, it stimulated a nerve, causing my calf to go numb all the way to the sole of my foot. I reported this to the...
Dr. Jiang Junyi Reply:
Hello Ms. Mi: You mentioned that "it only takes about 30 seconds to trim my toenails while bending my knees, and when I stretch my legs, I feel a tingling sensation in the soles of my feet." Your symptoms seem to be posture-related, and it may be worth considering perip...[Read More] Understanding Nerve Sensations After Injections: Causes and Concerns
Understanding Persistent Throat Pain: Is It a Neurological Issue?
Is there a problem with the nervous system? Hello Doctor, I have been experiencing a sensation of a foreign body and sharp pain in my oral and pharyngeal walls, which becomes particularly pronounced when swallowing saliva. There is also sharp pain and a foreign body sensation nea...
Dr. Jiang Junyi Reply:
Dear Miss Lin, Regarding the "medication for post-nasal drip" you mentioned, it may cause discomfort such as dry mouth. Additionally, it is important to consider female hormones and autoimmune issues. Since your symptoms are atypical and you have sought multiple medica...[Read More] Understanding Persistent Throat Pain: Is It a Neurological Issue?
Understanding Left-Side Numbness: Causes and When to Seek Help
Numbness in the left hand and left foot? Hello Dr. Jiang, I would like to ask about a condition I've been experiencing recently. For the past few days, when I wake up in the morning, I feel numbness from my left elbow to my fingers, and also from my left ankle to my toes. To...
Dr. Jiang Junyi Reply:
Hello Ms. Liu, You mentioned that "the left elbow to the fingers often feels numb," which may suggest a common condition of ulnar nerve compression. However, you also noted that "even the left side of the face feels numb, and there are involuntary twitching episod...[Read More] Understanding Left-Side Numbness: Causes and When to Seek Help
Understanding Thigh and Buttock Discomfort: Possible Nerve Issues
The fascia in the thigh and buttocks feels painful? Do you feel immediate pressure when sitting down? It's not too painful, but there is a sensation of compression and pulling?
Dr. Jiang Junyi Reply:
Hello, Mr. Bread: You mentioned that you feel pain in the fascia around your thigh and buttocks. Based on the distribution of nerves, it may be necessary to consider issues related to the sciatic nerve. When external forces cause inflammation, such as from a herniated disc, it ca...[Read More] Understanding Thigh and Buttock Discomfort: Possible Nerve Issues
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not related to sexual arousal. This has led to abnormal erections and discomfort that radiates to the right leg, persist...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort extending to the right leg..." which may warrant consideration of lumbar nerve root compression. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg,...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not driven by sexual desire. This condition has led to abnormal erections and discomfort radiating down the right leg, p...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort radiating down the right leg..." which may indicate compression of the lumbar nerve roots. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg, as we...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not related to sexual arousal. This has led to abnormal erections and discomfort extending to the right leg, lasting for...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort extending to the right leg..." which may indicate compression of the lumbar nerve roots. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg, as well...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Muscle twitching In May, I noticed that my heels felt numb when I got out of bed, but the sensation disappeared after I walked around for a bit. This symptom lasted for about one to two weeks. However, in August, the numbness returned and lasted for another one to two weeks. In m...
Dr. Jiang Junyi Reply:
Hello Ms. Yeh: Amyotrophic lateral sclerosis (ALS) is a term that encompasses a group of motor neuron diseases. Typically, there are no significant sensory abnormalities, such as the tingling sensations you mentioned. Motor neurons control muscle movement; generally, the motor ne...[Read More] Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Understanding Sudden Left Foot Pain and Heart Discomfort: A Neurology Perspective
Foot pain and palpitations? In the past year, I have been experiencing sudden pain in my left foot. It started with my big toe, and now the pain has progressed upwards, reaching below my knee. This issue only affects my left foot; my right foot is completely fine. The pain comes ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiang, You mentioned that "only the thumb... suddenly hurts a lot." I wonder if this pain is located at the joint? It may be necessary to first consider joint-related diseases, such as gout, among others. However, if you experience symptoms including pain, nu...[Read More] Understanding Sudden Left Foot Pain and Heart Discomfort: A Neurology Perspective