Muscle Twitching and Shrinking in Right Leg: Possible Neurological Issues
Twitching in the right buttock and right leg muscle? Hello Doctor, I have been experiencing muscle twitching in my right leg and foot since this year. It is more pronounced when I am lying down or on my side, but it occurs less frequently when I sit up or stand and walk. The twit...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the right leg and foot are experiencing muscle twitching." Your symptoms may suggest that there is nerve compression in the lumbar spine. Peripheral neuropathy caused by nerve compression may present with the following characteristics: 1....[Read More] Muscle Twitching and Shrinking in Right Leg: Possible Neurological Issues
Neurological Issues in Left Body After Right Brain Surgery: Seeking Solutions
Abnormal nerve sensations on the left side of the body? Hello, doctor. A year ago, I underwent a craniotomy for a right brain surgery, which resulted in numbness on the left side of my body. I have diminished sensitivity to temperature and pain, and at times, I experience a burni...
Dr. Jiang Junyi Reply:
Hello Mr. Hu: You mentioned that "the left side of your body has a numb sensation, with unclear perception of hot and cold as well as pain. Sometimes there is a burning sensation from the calf to the sole of the foot. You have undergone acupuncture rehabilitation this year b...[Read More] Neurological Issues in Left Body After Right Brain Surgery: Seeking Solutions
Understanding Cognitive Impairment: Navigating Neurology and Psychiatry
Cognitive impairment Hello doctor, I was diagnosed with affective psychosis and discharged from the hospital in Tucheng last October. At that time, the attending physician provided me with a diagnosis certificate stating depression. During my hospitalization, I had blood tests th...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "my mental reactions have become very unusual, my personality has also changed strangely, and I only know that my head has been uncomfortable and my left eye has been hurting for a long time." Your symptoms may suggest a migraine. Migrain...[Read More] Understanding Cognitive Impairment: Navigating Neurology and Psychiatry
Understanding Facial Twitching: Causes, Concerns, and Solutions
Facial twitching? Hello, doctor. I've been troubled by facial twitching for several years. The twitching mainly occurs on both sides of my cheeks. It used to happen primarily when I was nervous about going on stage, but now it occurs even during casual interactions like chat...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "nervousness occurs when going on stage." When the body is under stress, excessive fatigue, mental tension, and psychological anxiety, it may lead to involuntary muscle twitching. Muscle tremors while awake may warrant consideration of cer...[Read More] Understanding Facial Twitching: Causes, Concerns, and Solutions
Medication Consultation for Autonomic Nervous System Disorders
Medication Consultation Hello, Doctor: I would like to inquire about the use of medications for autonomic nervous system disorders. I have been taking Xanax and Mirtazapine for about a month. I take Xanax at least 1 to 3 times a day during panic attacks, and I take half a tablet ...
Dr. Cai Zongzhang Reply:
Hello: The side effects of Clomipramine may not occur in every patient taking the medication, so it is advisable to discuss this further with your physician.[Read More] Medication Consultation for Autonomic Nervous System Disorders
Understanding Muscle Tone Disorders After Cervical Spine Surgery
Dystonia Hello Doctor, I underwent a C4 to C7 discectomy and implantation of three artificial discs one and a half years ago. Three months post-surgery, I began experiencing stiffness on one side of my sternocleidomastoid muscle and stiffness in my shoulder and neck. I feel as th...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe it is important to rule out any cervical spine issues. You may want to consult a neurologist. Thank you for your inquiry.[Read More] Understanding Muscle Tone Disorders After Cervical Spine Surgery
Concerns About Drug Interactions: Lyrica and Circulating Medications
Please provide information regarding the drug interactions between medications used for fibromyalgia and cyclobenzaprine? Hello, Dr. Tsai. I would like to ask about my fibromyalgia issue. My doctor prescribed me Lyrica to take one capsule every night, but my family is concerned a...
Dr. Cai Zongzhang Reply:
Hello, Ms. Kuo: Circulin is a medication for peripheral circulation. It is essential to have a physician evaluate and confirm that the underlying cause is due to circulatory disorders before taking this medication. Please do not self-medicate.[Read More] Concerns About Drug Interactions: Lyrica and Circulating Medications
Dizziness and Numbness: Understanding Neurological Symptoms
Dizziness and numbness in both hands? Hello doctor, I experienced a situation that made me very agitated and loud. During that process, I suddenly felt dizzy and my hands became numb. After calming down, I felt much better, but since then, I occasionally experience dizziness, and...
Dr. Cai Zongzhang Reply:
Hello, Chen: If the above symptoms persist without improvement, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Dizziness and Numbness: Understanding Neurological Symptoms
Managing Dizziness from Vestibular Neuritis: Tips for Recovery
Dizziness for three months? Hello Doctor, I have been experiencing dizziness for three months. After ruling out cervical spine and brain issues, I was diagnosed with "vestibular neuritis." I would like to ask if I should avoid positions or movements that still cause diz...
Dr. Peng Shiwei Reply:
Hello, if you have already passed the acute phase, you can gradually train yourself to adapt to various positions. You may refer to this article: https://tcmc.tzuchi.com.tw/images/pdf/62/68-70.pdf Thank you for your question.[Read More] Managing Dizziness from Vestibular Neuritis: Tips for Recovery
Managing Low White Blood Cell Count in Myasthenia Gravis Patients
Myasthenia gravis with leukopenia? Hello: My mother is a patient with myasthenia gravis, specifically type I, which only affects the ocular muscles, resulting in muscle weakness around the eyes, leading to ptosis and diplopia. Since recovering from herpes zoster three months ago,...
Dr. Peng Shiwei Reply:
Hello, in response to your questions: 1. Currently, there are no specific foods that can increase white blood cell counts. Typically, blood cell counts will gradually return to normal after the acute phase of an illness has passed. However, it is still recommended to consume nu...[Read More] Managing Low White Blood Cell Count in Myasthenia Gravis Patients
Understanding Finger Weakness: When to See a Neurologist
Finger weakness Because my husband works as a chef, he has recently been experiencing weakness in his fingers. He usually uses his thumb and index finger for pinching motions (specifically for making buns), but recently the weakness in his index finger has become so severe that h...
Dr. Wu Mukhan Reply:
Hello, the movements of the fingers are primarily commanded by the brain, transmitted through the central and peripheral nervous systems, which control the activity of the finger muscles and joints. Therefore, if there is an issue in any part of this process, it may lead to sympt...[Read More] Understanding Finger Weakness: When to See a Neurologist
Understanding Pulsating Headaches: Causes and When to Seek Help
Head pressure and tightness pain? Hello, doctor. I have been experiencing occasional headaches over the past two weeks. During these episodes, the upper half of my head feels tight and somewhat swollen, but the pain is mild and does not last long, nor does it significantly affect...
Dr. Jiang Junyi Reply:
Dear Miss Yang, You mentioned that "the upper half of my head feels like it's tightening and has a bit of a throbbing pain, the symptoms are mild... and they don't last very long." Your symptoms may suggest tension-type headache, which is caused by muscle tig...[Read More] Understanding Pulsating Headaches: Causes and When to Seek Help
Understanding Nerve Pain: Causes and Treatment Options
Is it neuropathic pain? Hello, doctor: I accidentally strained my left ear, and now it hurts. Is this nerve pain? I also feel a tingling and sharp pain in my left cheek, in front of my ear, under my jaw, and in my neck. What should I do? What could be the cause? Which specialist ...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may be indicative of neuropathic pain caused by nerve damage. If the symptoms persist without improvement, it is recommended to consult a neurologist for further evaluation.[Read More] Understanding Nerve Pain: Causes and Treatment Options
Persistent Dizziness: When to See a Neurologist and What to Consider
Dizziness persisting for a period of time? Hello, Dr. Jiang. I have been experiencing dizziness for about a month now. The dizziness is quite mild, but I feel it for most of the day. Recently, it has improved a bit compared to before; I don't feel dizzy all day, but I still ...
Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned, "My father previously had a brain tumor; is there a genetic link to brain tumors?" I would like to know what type of brain tumor your father was diagnosed with. Currently, only a small percentage of brain tumors, about 5%, are associated with...[Read More] Persistent Dizziness: When to See a Neurologist and What to Consider
Post-Radiation Facial Numbness After Trigeminal Neuroma Treatment: What to Do?
Facial numbness after radiation therapy for trigeminal nerve tumor? After undergoing radiation therapy for a trigeminal nerve tumor, will facial numbness improve two months later? I have consulted my doctor and have been taking vitamin B for three months, but there has been no si...
Dr. Cai Zongzhang Reply:
Hello: The function of the trigeminal nerve is to control the sensory functions of the face. After treatment for trigeminal neuralgia, it is difficult to avoid residual facial numbness; however, this symptom is not life-threatening and can be managed with ongoing treatment in the...[Read More] Post-Radiation Facial Numbness After Trigeminal Neuroma Treatment: What to Do?
Understanding Jaw Pain: Is It TMJ Disorder or Trigeminal Neuralgia?
Temporomandibular joint disorder (TMJ disorder)? Trigeminal neuralgia? Hello Doctor, recently I have been experiencing pain when biting down on the right side of my teeth, with a sensation of soreness and weakness. When the pain and tingling become severe, it radiates to the area...
Dr. Cai Zongzhang Reply:
Hello: Trigeminal neuralgia can vary in severity. The symptoms mentioned may still indicate trigeminal neuralgia. It is recommended to visit a neurology clinic for examination and treatment.[Read More] Understanding Jaw Pain: Is It TMJ Disorder or Trigeminal Neuralgia?
Understanding Unilateral Hand Tremors: Causes and Concerns
Unilateral hand tremor issue? Hello doctor, I recently noticed that my left hand shakes when I hold objects. The shaking is not very strong, but the frequency of the tremor is affected by the weight of the items. I have experienced this before, but it was not frequent. However, w...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Hsuan, You mentioned, "Whenever my hand tremors occur, it is always my left hand that shakes, while my right hand does not. I would like to know if this is a brain issue or a precursor to Parkinson's disease." Typical Parkinson's disease pre...[Read More] Understanding Unilateral Hand Tremors: Causes and Concerns
Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
Neck issues, numbness in the limbs, facial nerve twitching? Initially, I experienced tightness in my shoulders and neck along with numbness in my hands (more severe in the right hand). Subsequently, I began to feel numbness in my left foot, and the muscles on both sides of my nec...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned experiencing "tingling in the left foot" and "intermittent electric shock-like sensations and pain in the muscles on both sides of the neck (right side)." Based on your description, it may be necessary to consider cervical spine disor...[Read More] Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
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
Persistent Dizziness: When to Seek Neurology Consultation?
Dizziness persisting for a period of time? Hello, Dr. Jiang. I have been experiencing dizziness for about a month now. The dizziness is quite mild, but I feel it for most of the day. Recently, it has improved a bit compared to before; I don't feel dizzy all day, but I still ...
Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned, "My father previously had a brain tumor; is there a genetic link to brain tumors?" I would like to know what type of brain tumor your father was diagnosed with. Currently, only a small percentage, about 5%, of brain tumors are associated with...[Read More] Persistent Dizziness: When to Seek Neurology Consultation?