Understanding Knee Sensory Loss: Causes and Treatment Options
Diminished sensation in the anterior aspect of the knee? Hello, doctor. I have been doing aerial yoga once a week and occasionally engaging in light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my kne...
Dr. Jiang Junyi Reply:
Dear Ms. Tsao, Your symptoms of "electric shock sensation have disappeared, and your knee can move freely, but the feeling of numbness and the desire for anesthesia still persist." It seems that the nerves are gradually healing. I recommend increasing your intake of B ...[Read More] Understanding Knee Sensory Loss: Causes and Treatment Options
Persistent Lip and Chin Numbness After Jaw Surgery: When to Seek Help?
Numbness of the lower lip and chin after orthognathic surgery? It has been one year and three months since my orthognathic surgery, and I am experiencing numbness in the left side of my lower jaw, including my chin, lip, and gums. The teeth in that area also feel numb when biting...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe that the chances of maintaining the current condition are relatively high. However, since you are still young, it may be worth waiting to see if the nerves can repair themselves. I recommend continuing with B12 supplementation, and you may...[Read More] Persistent Lip and Chin Numbness After Jaw Surgery: When to Seek Help?
Misaligned Lips: Which Specialist to Consult for Treatment?
Facial asymmetry with misaligned lips? Hello, doctor. When I graduated from junior high school, my portrait showed that my lips were noticeably misaligned, with my lower lip shifted to the right. Now that I'm in my second year of college, I had a dental check-up, and my bite...
Dr. Cai Zongzhang Reply:
Hello, V. It is recommended to visit the neurology outpatient clinic to check for any facial nerve disorders.[Read More] Misaligned Lips: Which Specialist to Consult for Treatment?
Understanding Sharp Pain Under Right Rib: When to Seek Medical Help
Sharp pain between the right chest and the ribs? Hello, doctor. I experience intermittent sharp pain at the junction of my ring finger and palm, as well as between my right chest and ribs. It feels like being pricked by a needle, and often occurs simultaneously. The pain lasts ab...
Dr. Cai Zongzhang Reply:
Hello Rachel: The symptoms mentioned may indicate a cervical spine nerve disorder. It is recommended to visit a neurology clinic for an examination to confirm the cause.[Read More] Understanding Sharp Pain Under Right Rib: When to Seek Medical Help
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
Can Piracetam Help Improve Brain Development in Adults?
Piracetam medication consultation? I am 27 years old and have attention deficit disorder. I have been taking Strattera and Piracetam. I have experienced slower cerebellar development compared to my peers, which has led to poor learning and comprehension abilities, affecting my wo...
Dr. Peng Shiwei Reply:
Hello, based on your question, I searched the medical literature. Although I may not be able to fully answer your question, here are some references for your consideration: 1. It is generally believed that "Nootropics" are cognitive enhancers. While they may not direct...[Read More] Can Piracetam Help Improve Brain Development in Adults?
Understanding Lower Back Pain: Causes and When to Seek Help
Lumbar pain Yesterday, I spent the entire day moving heavy objects. Since I rarely exercise, I relied heavily on my lower back for strength. After finishing the lifting, I felt fine until bedtime. However, this morning when I woke up, I noticed pain on my right side, specifically...
Dr. Jiang Junyi Reply:
Dear Mr. Yang, You mentioned, "It hurts a little when I press on it, but only on the right side. I'm not sure if this pain is due to a tendon strain or if it has affected my lumbar vertebrae or coccyx." Your symptoms, particularly the presence of tenderness, are m...[Read More] Understanding Lower Back Pain: Causes and When to Seek Help
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
Postpartum Hand Tremors: Understanding Causes and Treatment Options
Postpartum tremors Hello Doctor: In mid-February of this year, I had a natural delivery without epidural anesthesia. About ten days after being discharged, I occasionally experienced tremors in my right thumb, which later progressed to my entire arm shaking. Before the tremors st...
Dr. Wu Mukhan Reply:
Your symptoms may indicate a movement disorder, and a personal evaluation by a physician is necessary for further assessment. It is recommended to visit a medical center where a neurologist with expertise in movement disorders can arrange for subsequent examinations and treatment...[Read More] Postpartum Hand Tremors: Understanding Causes and Treatment Options
Understanding Thumb Tremors: Causes and Concerns After Napping
The right thumb is bent and trembling? This afternoon, I slept on my desk for about 40 minutes, and later in the evening, my right thumb started to tremble when I bent it (but I don't feel weak, and I can use it normally). The trembling is quite noticeable. Additionally, whe...
Dr. Wu Mukhan Reply:
Your symptoms may be due to compression of the peripheral motor nerves while sleeping on your stomach, leading to weakness and abnormal movements. It is advisable to avoid this sleeping position. Typically, rest, heat therapy, and massage can help alleviate the symptoms. If there...[Read More] Understanding Thumb Tremors: Causes and Concerns After Napping
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
Addressing Soft Palate Dysfunction After Stroke: Seeking Solutions
My dad's soft palate is not moving? Hello, Doctor. My father suffered a stroke affecting the left and right corona radiata, which has resulted in very unclear speech, significant nasal voice, excessive drooling, inability to elevate his tongue, and weakness in elevating the ...
Dr. Peng Shiwei Reply:
Hello, from a neurology perspective, both limb weakness and soft palate weakness can be caused by a stroke. Therefore, it is recommended to focus on rehabilitation. I am not sure if your father is undergoing speech therapy. Generally, the first 3 to 6 months after a stroke is con...[Read More] Addressing Soft Palate Dysfunction After Stroke: Seeking Solutions
Understanding Memory Loss: When Familiar Experiences Fade Away
No memory or impression? Hello, Doctor. I have been experiencing something for quite some time now. I often have no memory of events I have shared with friends and family, even during outings. Regardless of whether my friends mention these experiences or I see photos of us togeth...
Dr. Peng Shiwei Reply:
Hello, I believe your condition warrants a visit to a neurology outpatient clinic to determine the specific issue. Thank you for your inquiry.[Read More] Understanding Memory Loss: When Familiar Experiences Fade Away
Understanding Neck Stiffness and Muscle Tension: Causes and Solutions
Stiffness when turning the neck and tightness in the muscles at the back of the head? Hello doctor, for the past six months, I have been experiencing stiffness in my neck muscles when turning my head, often unable to turn it fully, especially when using my phone or computer. I fi...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is likely that chronic tension in the upper neck is caused by prolonged poor posture. I recommend starting with improving your posture and incorporating relaxation exercises for your neck. If these methods provide limited improvement, it would be...[Read More] Understanding Neck Stiffness and Muscle Tension: Causes and Solutions
Understanding Leg Neuropathic Pain: Causes and Management Strategies
Leg neuropathy, polyneuropathy? Hello Doctor, I have consulted multiple physicians (in rehabilitation, orthopedics, neurosurgery, and neurology), but I still cannot identify the problem... I am 32 years old and work as a software engineer. My symptoms seem quite variable, and I h...
Dr. Jiang Junyi Reply:
Hello Mr. Zac, You mentioned that "when walking, the outer side of my left ankle feels like it's being electrified, and after this pain sensation appeared, my outer calf and the sole of my foot began to feel numb and tingly (which may indicate nerve damage)." This...[Read More] Understanding Leg Neuropathic Pain: Causes and Management Strategies
Understanding Your Neck Ultrasound Results: A Guide to Carotid Atherosclerosis
Neck ultrasound examination Hello, doctor. In 2020, I had a neck ultrasound examination, and the doctor said everything was normal, did not prescribe any medication, and did not mention the need for follow-up tests. However, I found on Google Translate that there might be issues ...
Dr. Jiang Junyi Reply:
Dear Ms. Heifetz, You mentioned, "Neck ultrasound report: Conclusion Mild carotid atherosclerosis without significant hemodynamic change." Essentially, this examination report indicates that the level of atherosclerosis is within the normal range. Common risk factors f...[Read More] Understanding Your Neck Ultrasound Results: A Guide to Carotid Atherosclerosis
Understanding Dizziness and Neck Tension After Weightlifting: A Neurology Perspective
Brain issues (hypoxia, dizziness) Two weeks ago, while working out (performing incline bench press with a barbell), I struggled to lift the barbell on the last rep due to near exhaustion. Immediately after, I felt tightness around my forehead extending to the back of my head, fol...
Dr. Jiang Junyi Reply:
Hello Mr. L: You mentioned that "there is a tightness around the forehead extending to the back of the head... and I have been experiencing tightness in the back of the neck and dizziness due to exertion and hypoxia." It may be necessary to first consider issues related...[Read More] Understanding Dizziness and Neck Tension After Weightlifting: A Neurology Perspective
Electromyography and Nerve Conduction Study: Contraindications and Alternatives
Contraindications for Electromyography (EMG) and Nerve Conduction Studies (NCS) Hello Dr. Jiang, my family member is scheduled to undergo electromyography (EMG) and nerve conduction studies (NCS). They have a pacemaker and have previously undergone mechanical valve replacement. W...
Dr. Jiang Junyi Reply:
Hello Mr. Wang, I am not sure what disease your family suspects that requires electromyography (EMG) and nerve conduction studies (NCS) for diagnosis. Generally, "patients with a history of artificial valve replacement are not suitable for these tests" because they req...[Read More] Electromyography and Nerve Conduction Study: Contraindications and Alternatives
Understanding Unexplained Dry Heaving: Possible Neurological Causes
Frequent unexplained dry heaving? Hello Doctor, I am currently 21 years old and a university student. For the past three years, I have occasionally experienced dry heaving and nausea. Initially, I suspected that it might be due to eye strain from prolonged use of my phone or comp...
Dr. Jiang Junyi Reply:
Hello Mr. Kevin, You mentioned experiencing symptoms of bright vision and dry heaving occurring simultaneously, which typically requires a day of rest and sleep for the symptoms to resolve the next day. I wonder if you are also experiencing headaches? It may be worth considering...[Read More] Understanding Unexplained Dry Heaving: Possible Neurological Causes
Understanding Tremors and Weakness: When to Seek Neurological Help
Tremors, weakness in the hands, Parkinson's disease, and weakness in the limbs? Hello, doctor. I am a third-year junior high school student. Recently, after watching some reports about amyotrophic lateral sclerosis (ALS), I have become very anxious and fear that I might also...
Dr. Peng Shiwei Reply:
Hello, from an epidemiological perspective, individuals with ALS (amyotrophic lateral sclerosis) may differ significantly in age. You can refer to the article from the Rare Disease Foundation at https://www.tfrd.org.tw/tfrd/library_b2/content/category_id/1/id/38. If you still fee...[Read More] Understanding Tremors and Weakness: When to Seek Neurological Help