Knee Pain When Touched: Causes, Recovery, and Treatment Options
Knee pain occurs upon impact? Hello, Doctor. I started experiencing mild pain in my knee about a week ago. I've noticed that it doesn't affect my daily activities, but it hurts when I lightly touch the outer side of my kneecap, while pressing firmly doesn't cause a...
Dr. Jiang Junyi Reply:
Hello Miss Hsiao-Hsiang, You mentioned that "light touch causes pain (on the outer side of the kneecap)," which may indicate "patellofemoral pain syndrome." The role of the patella is to increase the mechanical angle of the tendons and enhance muscle contract...[Read More] Knee Pain When Touched: Causes, Recovery, and Treatment Options
Understanding Neuromyelitis Optica: Treatment Options and Risks
Neuromyelitis optica Hello, Dr. Huang! Thank you very much for your previous guidance! After following your advice, I immediately went to the emergency room for treatment. Due to the rapid deterioration of my condition and the resident physician's concern that the situation ...
Dr. Huang Hongling Reply:
Hello: Neuromyelitis optica is a condition in which the body produces antibodies that attack its own nervous system, thus requiring immunosuppressants for treatment. Both corticosteroids and mycophenolate mofetil are immunosuppressants that can lead to decreased immunity. Long-te...[Read More] Understanding Neuromyelitis Optica: Treatment Options and Risks
Understanding Chronic Fatigue and Pain: Neurological Symptoms Explained
Severe fatigue, body aches, brain fog, eye pain, dizziness, and a feeling of head pressure? I have already undergone blood tests in the neurology department and the rheumatology and immunology department, and there were no significant issues. During the visits, I only emphasized ...
Dr. Chen Weida Reply:
Hello, Wu! In response to your inquiry regarding symptoms such as severe fatigue, widespread pain, brain fog, eye pain, dizziness, and head pressure, a preliminary assessment suggests that it may be fibromyalgia. It is recommended that you consult a neurologist or a rheumatologis...[Read More] Understanding Chronic Fatigue and Pain: Neurological Symptoms Explained
Post-Car Accident: Managing Persistent Leg Pain and Nerve Issues
Numbness and pain in the calf following a car accident? Hello Dr. Chen: It has been 3 months since my car accident. I underwent surgery on the outer side of my ankle to have a plate inserted, and the accident also impacted my right tibia. The orthopedic surgeon only addressed the...
Dr. Chen Weida Reply:
Hello Fei Fei! Regarding your inquiry about the numbness and pain on the right side of your lower leg tibia, I recommend that you return for a follow-up appointment with an orthopedic physician for evaluation and recommendations for further treatment. If it is determined that you...[Read More] Post-Car Accident: Managing Persistent Leg Pain and Nerve Issues
Understanding Autonomic Nervous System Disorders: A Patient's Inquiry
Inquiry for clarification? Hello Dr. Tsai, I would like to discuss my mother's condition. For the past 2 to 3 years, she has experienced symptoms such as elevated blood pressure, palpitations, and increased heart rate during times of labor, fatigue, or anxiety. Sometimes, r...
Dr. Cai Zongzhang Reply:
Hello Kris: Fatigue or anxiety can stimulate the sympathetic nervous system, affecting heart rate and blood pressure. This is a normal response of the sympathetic nervous system to stress. Treatment should focus on avoiding excessive fatigue and reducing anxiety. Additionally, in...[Read More] Understanding Autonomic Nervous System Disorders: A Patient's Inquiry
Understanding Carpal Tunnel Syndrome: Symptoms and Causes Explained
Inquiry for clarification? Hello Dr. Jiang, I would like to ask you about a situation. Today, my mother, while sleeping, wanted to get up to use the restroom but had difficulty doing so. When I went to help her get up, she was gripping my right wrist (the area where the bones pr...
Dr. Jiang Junyi Reply:
Dear Mr. Kris, You mentioned "Carpal Tunnel Syndrome." Carpal Tunnel Syndrome refers to the clinical symptoms caused by the compression of the median nerve as it passes through the wrist, which is surrounded by the carpal bones and ligaments forming the "carpal tu...[Read More] Understanding Carpal Tunnel Syndrome: Symptoms and Causes Explained
Understanding Mysterious Wrist Pain: When to Seek Neurological Advice
Skin prickling sensation Hello Doctor, for the past couple of days, I have been experiencing an unexplained sharp pain below my left index finger at the wrist when applying lotion. However, there are no visible external injuries, and I have been using this lotion for a long time....
Dr. Chen Weida Reply:
Hello! Thank you for your inquiry regarding symptoms of skin pain caused by touch. There are many possible causes, and a proper diagnosis can only be made through evaluation and examination by a physician. I recommend visiting a neurology clinic for further assessment. Wishing yo...[Read More] Understanding Mysterious Wrist Pain: When to Seek Neurological Advice
Understanding Involuntary Muscle Jerks During Sleep: Causes and Concerns
Involuntary twitching Hello doctor, recently I have been experiencing sudden body jerks while sleeping at night, especially when I am about to enter deep sleep. The jerks happen multiple times and in different areas, sometimes in my fingers, sometimes in my toes, and sometimes in...
Dr. Jiang Junyi Reply:
Dear Ms. Elsa, You mentioned that "when entering deep sleep, I experience multiple jerks in different areas, sometimes in my fingers, sometimes in my toes, and sometimes in my hands, accompanied by a sensation of rapid heartbeat and palpitations, which causes me to wake up....[Read More] Understanding Involuntary Muscle Jerks During Sleep: Causes and Concerns
Can Hand Pressure Cause Carpal Tunnel Syndrome? Expert Insights
Please provide the content you would like to have translated into English? Hello Dr. Jiang: Thank you very much for your response to the inquiry in “#208083” and for your detailed explanation regarding "Carpal Tunnel Syndrome." I have greatly benefited from it! I would ...
Dr. Jiang Junyi Reply:
Hello Kris, You mentioned a protrusion of bone on the back of your right wrist. I'm wondering if you are experiencing any tingling or numbness? The carpal tunnel is located on the inner side of the wrist and is not typically related to pressure on the back of the hand. Carp...[Read More] Can Hand Pressure Cause Carpal Tunnel Syndrome? Expert Insights
Understanding Sudden Limb Weakness: Possible Causes and Concerns
Sudden weakness in the limbs for a period of time? Hello Doctor: About a month ago, I suddenly lost my appetite, which has continued to the present, accompanied by diarrhea for about 1 to 2 weeks. I visited a gastroenterologist and underwent a gastroscopy, which showed normal res...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned "ANA: 1:160." Diseases associated with a positive ANA include systemic autoimmune diseases as well as specific organ autoimmune diseases and non-autoimmune conditions, such as pregnancy, infections, and cancer. However, a titer of 1:160 may sti...[Read More] Understanding Sudden Limb Weakness: Possible Causes and Concerns
Can Strong Grip Cause Carpal Tunnel Syndrome? Expert Insights
Please provide the content you would like me to translate? Hello Dr. Jiang, Thank you very much for your response and your willingness to discuss with the patient; I truly appreciate it. In your reply, you inquired about the condition of my right wrist. Currently, I do not feel ...
Dr. Jiang Junyi Reply:
Hello: You mentioned whether it could lead to "carpal tunnel syndrome." Carpal tunnel syndrome refers to the injury of the median nerve. There are many factors that could potentially damage the median nerve. If external forces impact the soft tissues near the median ner...[Read More] Can Strong Grip Cause Carpal Tunnel Syndrome? Expert Insights
Impact of Alcohol on Autonomic Nervous System Disorders: A Medical Perspective
Drinking alcohol with autonomic nervous system dysfunction? Hello doctor, I would like to ask you about my husband who has been suffering from autonomic nervous system dysfunction for many years. He takes sedatives before bed, but he has a bad habit of being unable to quit drinki...
Dr. Cai Zongzhang Reply:
Hello, A-Zhu: Long-term excessive alcohol consumption has many sequelae, including brain and peripheral nerve degeneration, as well as liver cirrhosis. It is advisable to moderate alcohol intake. If you need assistance from a physician to quit drinking, you can visit the psychiat...[Read More] Impact of Alcohol on Autonomic Nervous System Disorders: A Medical Perspective
Understanding the Differences Between Basilar Migraine and Vestibular Neuritis
Dizziness, occasional migraines, and mild diplopia? I would like to ask the doctor about persistent dizziness and double vision for two weeks, along with occasional migraines. After consulting different hospitals, I received various opinions. What is the difference between "...
Dr. Jiang Junyi Reply:
Dear Mr. Fan, You mentioned experiencing "two weeks of dizziness and double vision." Vestibular neuritis can cause dizziness, but it typically does not present with double vision. Basilar-type migraine can cause headaches that mimic stroke symptoms due to vascular cons...[Read More] Understanding the Differences Between Basilar Migraine and Vestibular Neuritis
Swollen Foot and Tingling Sensation: What Could Be the Cause?
Swelling on the dorsum of the foot, with a tingling sensation upon pressure? Hello, doctor. Recently, I experienced pain in the dorsum of my left foot when bending it forward while walking, possibly due to walking for too long or poor posture. The pain subsided after a few days, ...
Dr. Huang Hongling Reply:
Hello, you can start by changing to shoes that do not put pressure on the top of your foot, such as certain sandals or high heels that tend to cause pressure in that area. Avoid wearing them to prevent compression of the nerves in the foot. If the numbness persists, it is recomme...[Read More] Swollen Foot and Tingling Sensation: What Could Be the Cause?
Managing Post-Seizure Muscle Pain: Tips for Relief and Recovery
Muscle soreness throughout the body after a seizure? I have epilepsy due to the development of the amygdala, and I have been taking 500 mg of Depakote and 500 mg of Keppra for a long time. Sometimes I experience focal seizures, and I have a generalized seizure approximately once ...
Dr. Chen Weida Reply:
Hello! In response to your inquiry regarding post-seizure care, it is recommended to rest in a quiet environment, preferably with the company of friends or family. They can assist in keeping a detailed record of the seizure's duration and characteristics for your physician&#...[Read More] Managing Post-Seizure Muscle Pain: Tips for Relief and Recovery
Understanding Headaches, Dizziness, and Ear Congestion: Causes and Solutions
Headache, dizziness, ear congestion? Hello, doctor. Six days ago, after taking a shower, I suddenly felt dizzy. Since then, I've had persistent pain in the back of my head, a feeling of dizziness, and my ears feel clogged, making it hard to hear. I have a constant sense of i...
Dr. Jiang Junyi Reply:
Dear Ms. Jia, You mentioned experiencing "sudden dizziness, followed by persistent pain in the back of the head... sudden dizziness, difficulty hearing, and an overall feeling of imbalance." Your symptoms may suggest sudden sensorineural hearing loss, which is an otola...[Read More] Understanding Headaches, Dizziness, and Ear Congestion: Causes and Solutions
Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options
Dizziness and tinnitus with no identifiable cause? Hello Doctor: I started experiencing dizziness about a month ago. It's not a spinning sensation but rather a feeling of heaviness in my head and lightness in my legs. Occasionally, I feel a tingling sensation on my scalp, an...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned: "1. Is the dizziness symptom caused by autonomic nervous system dysfunction the same as the continuous dizziness I am currently experiencing? 2. Could dizziness caused by cervical nerve compression present as my current persistent dizziness? ...[Read More] Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options
Understanding Cervical Spine Issues and Central Sleep Apnea Symptoms
Cervical spine issues and sleep apnea? Hello, Doctor. Thank you very much for your response. I have been suspecting that I might have central sleep apnea. About a year ago, I frequently stayed up late and later began to feel extremely fatigued. Whenever I didn't get enough s...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptom description, the cause may be related to cervical spine disease. It is recommended to visit a neurologist for a definitive diagnosis.[Read More] Understanding Cervical Spine Issues and Central Sleep Apnea Symptoms
Understanding Weakness and Numbness in the Left Leg and Foot
Weakness from the left calf to the dorsum of the foot? Hello doctor, this morning when I got up, I sometimes felt a strange sensation in my foot as if I were about to trip. When walking, it also feels like my left foot is making a heavy impact with the ground. At first, I didn&#x...
Dr. Jiang Junyi Reply:
Hello Mr. Ahong, You mentioned that "my left ankle cannot be lifted as easily as usual (I can do it with my hands), it feels a bit strenuous. When I lift my left ankle or the top of my left foot, I feel a tingling sensation in the dorsum of my foot, but not in my calf. Sinc...[Read More] Understanding Weakness and Numbness in the Left Leg and Foot
Understanding Dizziness and Numbness: Neurological Concerns Explained
Dizziness and numbness in the face and hands? Hello Doctor, on Thursday night, I started feeling a warm sensation in the back of my head. On Friday, my temperature ranged from 37 to 37.5 degrees Celsius (the weather has been getting warmer), and my head still felt warm. I had lit...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "neck tightness and tilting back or forward can cause dizziness, and sometimes I experience headaches... my left hand is numb, and I feel numbness in my left teeth and left side of my face, with occasional headaches (the pain radiates outward)....[Read More] Understanding Dizziness and Numbness: Neurological Concerns Explained