Understanding Neck Tension: Causes, Exercises, and Relief Options
Shoulder and neck issues? There are no specific underlying conditions. About three to four days ago, I started feeling a slight tightness in the back of my neck when I bend my neck while reading or looking at my phone, which I have never experienced before. This sensation only oc...
Dr. Jiang Junyi Reply:
Hello Mr. Lin, You mentioned that "the back of my neck feels a bit tight... it only happens when I sit and look down at a book... should I use cupping therapy to relieve it?" The common cause of neck pain is cervical myofascial pain syndrome. Prolonged periods of looki...[Read More] Understanding Neck Tension: Causes, Exercises, and Relief Options
Understanding Dizziness and Autonomic Nervous System Disorders
Dizziness, autonomic nervous system issues? Hello Doctor, Subject: 1. I experienced several episodes of fainting in early December 2022 after performing 100 sit-ups in a short period as part of my exercise routine. A few days later, while walking on the street, I suddenly lost...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned experiencing several episodes of syncope while walking, feeling as if you suddenly lost consciousness... Your symptoms are more likely caused by syncope. When cerebral blood flow drops below 30 ml per minute, it can lead to loss of consciousness, usu...[Read More] Understanding Dizziness and Autonomic Nervous System Disorders
Why Does My Thigh Skin Feel Numb? Understanding Possible Causes
Tingling sensation in the thigh skin? I'm not sure why sometimes a large area of skin on both thighs feels numb or tingling; it seems very strange! There are no symptoms in other areas. I would like to ask why this happens and if I need to see a doctor. Thank you!
Dr. Cai Zongzhang Reply:
Hello Lin: The symptoms mentioned above are indicative of a neurological disorder. It is recommended to consult a neurologist for an evaluation of the underlying cause.[Read More] Why Does My Thigh Skin Feel Numb? Understanding Possible Causes
Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Ear problems? Three months ago, I was diagnosed with COVID-19. I experienced loud tinnitus in my left ear, along with a pronounced heartbeat sound when I turned my head to the right. I consulted an otolaryngologist at a major hospital, who listened to the blood flow in my ear and...
Dr. Peng Shiwei Reply:
Hello, based on your description, your symptoms have improved by 80%. What you should do now is to maintain the current state and relax. Engaging in more physical activity is also beneficial. Wishing you a speedy recovery, and thank you for your question.[Read More] Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Understanding Your Brain CT Report: Key Findings Explained
Head issues The CT report indicates the following findings: - There is no evidence of intracranial hemorrhage (ICH), subdural hematoma (SDH), epidural hematoma (EDH), or subarachnoid hemorrhage (SAH). - The skull is intact. - There are no discernible space-occupying lesions. - ...
Dr. Jiang Junyi Reply:
Hello Ms. Lala: You mentioned that "CT of the brain without contrast shows: -Absence of ICH/SDH/EDH/SAH. -Skull intact. -No discernible space-occupying lesions. -No definite midline shift." This is a normal report: there is no evidence of any type of intracranial hemo...[Read More] Understanding Your Brain CT Report: Key Findings Explained
Understanding Dizziness While Driving: Potential Neurological Concerns
Feeling dizzy and unwell while driving? Hello, doctor. I am inquiring on behalf of my family, specifically my mother, who is 28-30 years old. She traveled from Taipei to Yilan and Lala Mountain, driving through the Snow Tunnel and navigating over four hours of mountainous roads. ...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing dizziness and discomfort... taking medications for lowering blood sugar, and having a history of cancer with ongoing medication. If, in addition to dizziness, there are sudden neurological deficits such as limb weakness or slurred speech, the fir...[Read More] Understanding Dizziness While Driving: Potential Neurological Concerns
Assessing Risk of Chronic Subdural Hematoma After Head Injury
Head trauma Hello Doctor, my father is 52 years old and has a history of liver cirrhosis, currently undergoing medication treatment. Last week, he accidentally hit his head hard when closing the car door. The pain lasted for about two minutes, and there was no loss of consciousne...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "the rear door accidentally hit my head after closing, it was quite forceful, and it hurt for about two minutes. There was no loss of consciousness, and I did not experience any other discomfort." Generally speaking, if there is no l...[Read More] Assessing Risk of Chronic Subdural Hematoma After Head Injury
Can You Have Myasthenia Gravis Without Obvious Symptoms?
Can myasthenia gravis occur without obvious symptoms? Hello Doctor: Previously, I visited an ophthalmologist due to tightness around my eye muscles and dry eye syndrome. I informed the doctor that after using a medication containing "neostigmine" for about a month, my p...
Dr. Jiang Junyi Reply:
Hello, Miss: The main clinical manifestation of myasthenia gravis is muscle weakness, with weakness of the extraocular muscles that control eye movement being the most common. "Night sweats and palpitations" typically occur when the myasthenia gravis worsens and affects...[Read More] Can You Have Myasthenia Gravis Without Obvious Symptoms?
Understanding Your Brain CT Report: What It Means for Your Health
Head issues The CT report indicates the following findings: - There is no evidence of intracranial hemorrhage (ICH), subdural hematoma (SDH), epidural hematoma (EDH), or subarachnoid hemorrhage (SAH). - The skull is intact. - There are no identifiable space-occupying lesions in...
Dr. Jiang Junyi Reply:
Hello Ms. Lala, You mentioned that "CT of the brain without contrast shows: -Absence of ICH/SDH/EDH/SAH. -Skull intact. -No discernible space-occupying lesions. -No definite midline shift." This is a normal CT scan report: there is no evidence of any type of intracrani...[Read More] Understanding Your Brain CT Report: What It Means for Your Health
Is It Panic Attack or Seizure? Understanding Your Symptoms
Could you please clarify if this is considered a panic attack or an epileptic seizure? Hello Dr. Jiang: For the past three days, in addition to my pre-existing muscle twitching, I have been experiencing shortness of breath, panic, generalized weakness, and difficulty concentratin...
Dr. Jiang Junyi Reply:
Dear Mr. Jim Than, You mentioned experiencing "shortness of breath, panic, generalized weakness, and difficulty concentrating." Your symptoms may suggest a panic disorder. Generalized seizures typically result in loss of consciousness. If panic attacks lead to hyperven...[Read More] Is It Panic Attack or Seizure? Understanding Your Symptoms
Is It Panic Attack or Seizure? Understanding Your Symptoms
Could you please clarify if this is considered a panic attack or an epileptic seizure? Hello, Dr. Jiang: For the past three days, in addition to my pre-existing muscle twitching, I have been experiencing difficulty breathing, panic, generalized weakness, and difficulty concentrat...
Dr. Jiang Junyi Reply:
Dear Mr. Jim Than, You mentioned experiencing "shortness of breath, panic, generalized weakness, and difficulty concentrating." Your symptoms may suggest a panic disorder. Generalized seizures typically result in loss of consciousness. Approximately 50% of patients wit...[Read More] Is It Panic Attack or Seizure? Understanding Your Symptoms
Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Numbness in the soles of the feet? Hello, doctor. Three years ago, I was diagnosed with autonomic nervous system dysfunction due to dizziness. After taking medication, my condition improved significantly, and I stopped taking the medication. However, I have experienced intermitte...
Dr. Jiang Junyi Reply:
Dear Ms. Hsuan, You mentioned experiencing dizziness that sometimes occurs with movement. Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of vertigo related to changes in head position, such as bending ov...[Read More] Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Understanding Neck Ultrasound Follow-Up for Dizziness and Heart Issues
Regarding cervical ultrasound follow-up examination? Dr. Peng, previously, due to dizziness, I underwent three cervical ultrasounds: in 1993 (at Shou-Ji Family Medicine), in 2014 (at Chang Gung Neurology), and in 20XX (at Shou-Ji Neurology). From 2003 to 2013, my dizziness was al...
Dr. Peng Shiwei Reply:
Hello Mr. Chang, no problem! You can register first, and then I will help you with the assessment. Thank you for your inquiry.[Read More] Understanding Neck Ultrasound Follow-Up for Dizziness and Heart Issues
Understanding Facial Twitching: When to See a Neurologist
Facial twitching? Doctor, I started experiencing muscle twitching on the left side of my nose bridge while at work yesterday. The twitching is particularly noticeable when my body is relaxed, and it has persisted until now. Should I see a neurologist, or should I observe the symp...
Dr. Jiang Junyi Reply:
Hello Mr. Tian: You mentioned that "the muscle twitching on the left side of the nasal bridge, especially noticeable when the body is relaxed, has persisted until now." Facial movements are controlled by the facial nerve, and during the consultation, the physician will ...[Read More] Understanding Facial Twitching: When to See a Neurologist
Understanding Muscle Twitches: Causes and When to Seek Help
Muscle twitching is common? For the past ten years, I have experienced frequent muscle twitching throughout my body. However, since each episode lasted only a short time, I did not pay much attention to it. Now, this twitching has not ceased over time, and I find it quite distres...
Dr. Jiang Junyi Reply:
Dear Mr. Peter Zhan, You mentioned that "the muscles throughout my body often twitch, but since each twitch does not last long, I haven't paid much attention to it. However, this twitching has not stopped over time." Muscle twitching is primarily related to severa...[Read More] Understanding Muscle Twitches: Causes and When to Seek Help
Managing Post-Trauma Headaches: Causes and Treatment Options
Headaches are common after a car accident? Hello Dr. Jiang! My name is Nick. I had a severe car accident 10 years ago, resulting in a brain hemorrhage and subarachnoid hemorrhage. I was in a coma for about a day before waking up. After my recovery, I started experiencing headache...
Dr. Jiang Junyi Reply:
Hello Mr. Nick, You mentioned experiencing "migraine and tension headaches that often recur for 2 to 3 days, sometimes accompanied by discomfort in the eyes and rapid pulsation of the temporal artery." This may indicate a vascular headache issue, particularly cluster h...[Read More] Managing Post-Trauma Headaches: Causes and Treatment Options
Understanding Toe Numbness: Causes and Nerve Conduction Testing Insights
What causes numbness in the toes? Hello, doctor. If bone spurs or spinal instability are compressing the nerves, will it only cause numbness in the toes (a dull sensation without sharp pain), or could it also affect the calf area? If spinal instability is compressing the nerves, ...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned, "Could spinal spondylolisthesis compressing the nerves potentially cause only toe numbness? Would a nerve conduction study show abnormalities in this case, or would it be normal since only the toes are numb?" The electrodes for the nerve co...[Read More] Understanding Toe Numbness: Causes and Nerve Conduction Testing Insights
Understanding Toe Numbness: Insights on Nerve Conduction Tests
Toe nerve conduction study? Hello, Dr. Jiang. I previously inquired about the issue of toe numbness due to lumbar spondylolisthesis, and I would like to ask two more questions: 1. Since I have lumbar spondylolisthesis and toe numbness, but my tests (blood tests and nerve conduc...
Dr. Jiang Junyi Reply:
Hello: You mentioned, "If the nerve conduction study is normal, can we rule out nerve compression caused by lumbar spondylolisthesis as the reason for toe numbness?" It may be necessary to perform an electromyography (EMG) to check for abnormalities in the muscles inner...[Read More] Understanding Toe Numbness: Insights on Nerve Conduction Tests
Understanding Occasional Earthquake Sensations: A Neurological Perspective
Occasional sensation of tremors? Hello Doctor, over the past year, I occasionally feel like there is an earthquake, but in reality, there is none. When I am sitting, the sensation is quite pronounced, sudden, and lasts for a short time, but it happens from time to time. Sometimes...
Dr. Peng Shiwei Reply:
Hello, some people experience dizziness that feels like an earthquake. It is advisable to observe whether it occurs more frequently during movement or rotation. If the symptoms are frequent, it is recommended to consult a neurologist. Thank you for your question.[Read More] Understanding Occasional Earthquake Sensations: A Neurological Perspective
Understanding Headaches and Facial Flushing: When to Seek Neurology Help
Headache and facial flushing? I suddenly experienced constipation one time, and after straining, I had a sudden headache. The next day, I was still constipated, and straining caused an even worse headache accompanied by facial flushing and chest pain. After that, every time I str...
Dr. Cai Zongzhang Reply:
Hello, Xiaomi: If the headache symptoms do not improve, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Headaches and Facial Flushing: When to Seek Neurology Help