Understanding Slow Nerve Conduction: Beyond Bone Spurs and MRI Follow-ups
Nerve conduction is slower - follow-up question? Continuing to ask Dr. Gao: The nerve conduction on the side of my waist is slower. Besides bone spurs, what other possibilities could there be? My doctor does not have any other X-rays for reference, so I am unsure how he concluded...
Dr. Gao Chunde Reply:
Slowed nerve conduction indicates that there may be an issue with that part of the nerve, prompting further investigation into potential underlying causes. For cerebral vascular malformations, regular monitoring is recommended, including assessment of clinical symptoms and imagin...[Read More] Understanding Slow Nerve Conduction: Beyond Bone Spurs and MRI Follow-ups
Understanding Hand Tremors: Causes and Treatment Options
Uncontrollable hand tremors? Hello Doctor, I've been experiencing constant shaking in both of my hands this year, especially in my right hand, which is hard to ignore. The tremor is not very pronounced, but it's noticeable even when using chopsticks. I'm only 30 ye...
Dr. Gao Chunde Reply:
Tremors can have many possible causes, ranging from simple issues related to medication or diet to endocrine problems, as well as neurological issues related to the cerebellum or Parkinson's disease. There are also cases of tremors with unknown causes or hereditary factors. ...[Read More] Understanding Hand Tremors: Causes and Treatment Options
Uncontrollable Body Tremors: Seeking Answers and Solutions
Involuntary shaking of the body? Hello, Dr. Gao: About a year ago, I experienced a fever that lasted for 1 to 2 months, after which I began to have involuntary tremors. Later, I had another episode of fever, and the tremors became particularly severe, leading me to be hospitalize...
Dr. Gao Chunde Reply:
China Medical University Hospital is a medical center, and if their neurology department cannot find the cause, it must be a complex issue. In fact, I am not sure either; perhaps you could consult another medical center's neurology department, such as National Taiwan Univers...[Read More] Uncontrollable Body Tremors: Seeking Answers and Solutions
Understanding Nighttime Muscle Vibrations and Weakness: Causes and Solutions
Involuntary muscle twitching before sleep? Since July of this year, I have been experiencing a sensation of soreness and weakness in my calves and thighs before bedtime, resembling poor blood circulation. This is accompanied by vibrations in my calf muscles, which feel similar to...
Dr. Lan Shengxing Reply:
Dear Queen, the symptoms you described are somewhat similar to Restless Legs Syndrome, which is a disorder of the central nervous system. There are effective treatment options available, and generally, a neurologist should be familiar with the diagnosis and management of this con...[Read More] Understanding Nighttime Muscle Vibrations and Weakness: Causes and Solutions
Feeling Lost After Neurology Tests: What Should I Do Next?
I'm not sure what to do? Hello Doctor: I visited due to hand numbness and tremors, and the doctor noticed that my left leg also had some weakness. I was asked to be hospitalized for further examination, and I stayed for two weeks during which I underwent MRI scans (of the he...
Dr. Gao Chunde Reply:
Medical centers are the places with the most healthcare resources and serve as the cradle for training specialized physicians. If one medical center cannot make a diagnosis, another may not necessarily be able to either. It is possible that the current medical equipment is unable...[Read More] Feeling Lost After Neurology Tests: What Should I Do Next?
Understanding Involuntary Hand and Head Tremors: Next Steps for Patients
Involuntary shaking of the hands and head? Hello Doctor: I often experience involuntary shaking in my hands (more frequently in my left hand, especially noticeable in my little finger) and my head (shaking side to side). I do not smoke, drink alcohol, chew betel nut, or use drugs...
Dr. Gao Chunde Reply:
Some individuals experience primary tremors that do not progressively worsen into Parkinson's disease, and there is no need for excessive concern; medication can be used as needed to alleviate symptoms. Others may exhibit early signs of Parkinson's disease or other move...[Read More] Understanding Involuntary Hand and Head Tremors: Next Steps for Patients
Understanding Hand Tremors and Numbness: A Neurological Perspective
Tremors and numbness? Hello: My friend experienced hand numbness and involuntary shaking after riding a motorcycle. He visited a neurology clinic, where the doctor suspected a median nerve issue. However, medication has not resolved the problem. He is currently receiving treatmen...
Dr. Lan Shengxing Reply:
This matter is currently awaiting test results, and it is not appropriate to speculate before the results are clear, as it may cause unnecessary confusion. We appreciate your understanding regarding any inconvenience this may cause.[Read More] Understanding Hand Tremors and Numbness: A Neurological Perspective
Understanding Hand Tremors and Numbness: When to Seek Medical Advice
Tremors and numbness in the hands? Hello, Dr. Lan! I would like to ask you about my left hand, which trembles involuntarily. Sometimes, when I clench my fist tightly, the shaking becomes more pronounced. For example, when I use my left hand to drink water, the cup shakes. Additio...
Dr. Lan Shengxing Reply:
Dear Xiao Fang, essential tremor generally worsens during exertion, which is different from the numbness in the little finger. The numbness is due to peripheral nerve compression. Both of these symptoms should be evaluated by a specialist in neurology.[Read More] Understanding Hand Tremors and Numbness: When to Seek Medical Advice
Understanding Leg Pain and Muscle Twitches: A Neurology Perspective
Foot pain, generalized muscle twitching? I have been experiencing pain from my toes up to my thighs for the past two years. There is a persistent feeling of tightness along a certain muscle, and I have visited many hospitals since the pain started. I have been in pain for two yea...
Dr. Gao Chunde Reply:
Some of your descriptions are not very clear, but I will analyze the parts I understand. These symptoms clearly exhibit characteristics of neurological disorders. In addition to amyotrophic lateral sclerosis (ALS), issues such as tremors, lack of coordination in the limbs, and po...[Read More] Understanding Leg Pain and Muscle Twitches: A Neurology Perspective
Understanding Body Tremors Upon Waking: Neurological Insights
Waking up feeling shaky? Hello doctor, recently I have been feeling my body shaking while sitting, and it seems to be worse when I wake up. What could be the cause of this?
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms seem to resemble physiological tremors, which can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors: These do not occur under normal ...[Read More] Understanding Body Tremors Upon Waking: Neurological Insights
Managing Medication Side Effects in Elderly Stroke Patients
Medication consultation Hello, my father is 75 years old. In April 2013, he underwent surgery for cancer, during which he experienced thrombosis and a stroke, resulting in weakness on the right side. After more than two years of rehabilitation, he can walk slowly. He did not see ...
Dr. Jiang Junyi Reply:
Hello, based on your description, Piracetam has a mild pharmacological profile. Syntam (Piracetam) 1200mg: The drug's prescribing information states that Piracetam acts on the central nervous system by regulating neurotransmission, promoting neuroplasticity, and protecting n...[Read More] Managing Medication Side Effects in Elderly Stroke Patients
Understanding the Use of Adan Tablets for Neurological Concerns
Taking Adan tablets? Sitting in a chair, I often shake my legs or tense my body, crossing my toes and applying pressure while touching my hair. I consulted a psychiatrist who prescribed Adderall and I want to ask the doctor if these behaviors are related to neurology. What is you...
Dr. Jiang Junyi Reply:
Hello, based on your description, Artane (Trihexyphenidyl) is a medication used to treat Parkinsonism. Parkinson's disease is primarily caused by an imbalance between two neurotransmitters in the brain: acetylcholine and dopamine. This medication can reduce the levels of ace...[Read More] Understanding the Use of Adan Tablets for Neurological Concerns
Understanding Eye and Hand Tremors: Causes and Solutions
Eyelid twitching and hand tremors? Hello Doctor, 12 days ago, I started experiencing twitching in my left lower eyelid. The frequency is quite rapid, and the amplitude of the twitching varies from large to small. However, it has occurred every day for the past 12 days, and I feel...
Dr. Lan Shengxing Reply:
Dear concerned individual, this condition is commonly referred to as eyelid spasm. The exact cause is unknown, but it may be related to factors such as late nights and stress. Most of the time, it resolves on its own; however, if your situation has persisted for a longer duration...[Read More] Understanding Eye and Hand Tremors: Causes and Solutions
Understanding Involuntary Muscle Twitches: Causes, Concerns, and Solutions
Involuntary muscle twitching? Hello, Doctor: I experience involuntary muscle twitching throughout my body, from my scalp to the soles of my feet, and I have also experienced soreness in my shoulders, neck, arms, and calves. At night, I sometimes wake up due to mild tremors in my ...
Dr. Gao Chunde Reply:
Since the current medical examinations show normal results and the doctor has informed you that it is benign, relax your mind, maintain a regular lifestyle, have a normal daily routine, and engage in regular exercise. Spend time outdoors in nature when possible. As for benign mus...[Read More] Understanding Involuntary Muscle Twitches: Causes, Concerns, and Solutions
Understanding Weakness and Tremors in the Legs: Causes and Solutions
Weakness and tremors in both legs? I am experiencing weakness in both legs, with noticeable shaking when standing and even more pronounced tremors when squatting and standing up. My neurological reflexes are heightened, and I often feel a tingling sensation, similar to being pric...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for leg weakness, such as muscle atrophy and lumbar nerve compression. A thorough examination is necessary to identify the underlying cause for appropriate intervention. As for the tingling sensation in your legs, ...[Read More] Understanding Weakness and Tremors in the Legs: Causes and Solutions
Understanding Parkinson's Disease: Symptoms and Progression Explained
Parkinson's disease Hello doctor, my mother was diagnosed with Parkinson's disease six years ago. In the early stages, she experienced tremors in her right hand and right leg, which have been managed with long-term medication. However, she still occasionally suffers fro...
Dr. Gao Chunde Reply:
More than half of patients with Parkinson's disease experience pain, which may stem from joint and muscle wear and inflammation due to improper posture, nerve pain caused by spinal degeneration and nerve root compression, pain resulting from abnormal muscle tone, discomfort ...[Read More] Understanding Parkinson's Disease: Symptoms and Progression Explained
Uncontrollable Hand Tremors: When to Seek Neurological Evaluation
Hand tremors Hello Doctor: Recently, my right thumb and index finger have been twitching involuntarily, as if I'm rubbing something. The twitching becomes more pronounced when I watch tense or stimulating videos, and sometimes my entire palm also twitches involuntarily. I ha...
Dr. Gao Chunde Reply:
It is recommended to see a neurologist for further evaluation.[Read More] Uncontrollable Hand Tremors: When to Seek Neurological Evaluation
Understanding Uncontrollable Hand and Foot Tremors: Possible Causes and Solutions
Uncontrollable shaking of the hands and feet? Hello doctor, I would like to ask why my hands and feet keep shaking at irregular times throughout the day. My classmates say it might be due to the cold weather, but I don't feel cold or hot, and the shaking persists for about 5...
Dr. Gao Chunde Reply:
This symptom is still caused by unstable electrical discharges in the brain, which is due to incomplete control of epilepsy. It is necessary to return to the prescribing physician for epilepsy medication to inform them and make some adjustments to the medication. Once the brain...[Read More] Understanding Uncontrollable Hand and Foot Tremors: Possible Causes and Solutions
Understanding Dizziness and Tremors: Possible Causes and Next Steps
Shaking like an earthquake? Hello, last month I experienced dizziness (feeling like the ground was shaking, and I was unsteady while walking). During this time, my right little finger felt a bit numb. I went to National Taiwan University Hospital for a consultation. The doctor sa...
Dr. Gao Chunde Reply:
Your symptoms do not resemble those of cerebellar atrophy or Parkinson's disease, and since the MRI did not show any abnormalities, you can be temporarily reassured. The overall course of your condition is more consistent with what is referred to as inner ear imbalance, whic...[Read More] Understanding Dizziness and Tremors: Possible Causes and Next Steps
Recognizing Parkinson's Disease: Symptoms and Home Care Tips
Parkinson's disease? Dear Doctor, My father is 66 years old and has been exhibiting the following behaviors since October of last year: 1. Weakness in the lower limbs, 2. Shuffling gait, 3. Forward stooping posture, 4. Sitting on the couch watching TV with a bent body, 5. S...
Dr. Gao Chunde Reply:
The symptoms are very consistent with Parkinson's disease, including rigidity, bradykinesia, and tremors, which are the three main symptoms. However, not everyone presents with the same symptoms. It is recommended to visit a hospital for an evaluation by a neurologist. Curre...[Read More] Recognizing Parkinson's Disease: Symptoms and Home Care Tips