Understanding Pain in the Second Toe When Pressing Down on the Foot
Sharp pain in the second toe of the left foot? When applying pressure downward on the sole of the left foot, there is a sharp pain in the second toe of the left foot. There are no other symptoms normally, and bending the toe directly does not cause pain; the pain only occurs when...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: It is recommended to visit the neurology outpatient clinic for an evaluation of the underlying cause.[Read More] Understanding Pain in the Second Toe When Pressing Down on the Foot
Persistent Headaches and Dizziness: Understanding Neurological Symptoms
Headache for several weeks? At the end of June, I suddenly woke up with moderate dizziness accompanied by a headache, which has persisted until now, the end of July (the dizziness has improved). The headache is usually located at the back of my head and extends to the occipital r...
Dr. Cai Zongzhang Reply:
Hello, the symptoms mentioned may indicate a peripheral nerve disorder. If the headache persists, it is recommended to visit a neurology clinic for evaluation.[Read More] Persistent Headaches and Dizziness: Understanding Neurological Symptoms
Understanding Sudden Headaches: When to Seek Further Evaluation
A few days ago, I experienced an unexplained headache right before going to bed at midnight? As described in the title, there is a sudden pain sensation that occurs approximately every few seconds, but it is not particularly intense and does not last long. In the following days, ...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: Headache is not the most common symptom of a brain tumor. It is recommended that if the headache persists and does not improve with medication, further evaluation should be conducted.[Read More] Understanding Sudden Headaches: When to Seek Further Evaluation
Understanding Unexplained Headaches: When to Seek Further Medical Evaluation
A few days ago, I experienced an unexplained headache right before going to bed at midnight? As mentioned in the title, there is a sensation similar to pressure building up, but it is not very painful. The episodes occur briefly and then reappear after a few seconds. For the past...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "during the neurology clinic appointment, the doctor inquired and performed some physical examinations (reflexes, vision, pupil size, etc.) and then stated that the likelihood of brain lesions is low, and it seems more like a headache cause...[Read More] Understanding Unexplained Headaches: When to Seek Further Medical Evaluation
Can Epilepsy Patients Safely Undergo Cosmetic Surgery?
Can patients with epilepsy undergo cosmetic surgery? Hello doctor, I have epilepsy, and my condition has been well-controlled with medication for about five years without any seizures. I am considering undergoing cosmetic surgery for under-eye bags, which requires local anesthesi...
Dr. Cai Zongzhang Reply:
Hello CHU: It is recommended to discuss medication and assess risks with your physician before proceeding with surgery.[Read More] Can Epilepsy Patients Safely Undergo Cosmetic Surgery?
How Long Will Facial Numbness Last After an Injury?
How long does facial tingling last? Hello, doctor. I fell and hit my face on a rock in the early morning of July 27th, resulting in significant bruising. I went to the emergency room that night for examination and was told there were no major issues. Two days later, I returned to...
Dr. Jiang Junyi Reply:
Dear Ms. Yu, You mentioned that "the impact has caused a noticeable tingling and numbness in the left nostril and upper lip, as well as mild pain in the teeth." Your symptoms may suggest compression or injury to the maxillary branch of the trigeminal nerve. Nerve repai...[Read More] How Long Will Facial Numbness Last After an Injury?
Understanding Eye Twitching and Facial Discomfort: Possible Causes and Solutions
After the twitching of the lower right eyelid, my face feels strange? Hello doctor, about four or five days ago, my right lower eyelid twitched for 2-3 days intermittently. Yesterday, the eyelid stopped twitching, but I felt some tightness in the area of my right cheekbone. Today...
Dr. Jiang Junyi Reply:
Dear Miss CC, You mentioned that "the apple of my right cheek feels a bit tight..." Have you looked in the mirror? Is there any asymmetry? Issues with the cervical spine typically manifest near the area behind the ear. If the symptoms persist, I recommend visiting a ne...[Read More] Understanding Eye Twitching and Facial Discomfort: Possible Causes and Solutions
Understanding Left Knee Numbness: Causes and Solutions
Numbness in the left knee? Hello, I've been experiencing some tingling in my left knee over the past couple of days, especially when standing or walking, but not much when sitting. I would like to know what kind of issue this might be and how I can improve it. Thank you.
Dr. Jiang Junyi Reply:
Dear Ms. KiKi, You mentioned that your left knee suddenly feels a bit numb. This symptom may suggest possible compression of the third lumbar vertebra or the femoral nerve. Symptoms of peripheral nerve compression include: 1. Pain characterized by burning or tingling sensation...[Read More] Understanding Left Knee Numbness: Causes and Solutions
Understanding Head Pain: Causes and When to Seek Help
Brain Issues - Headache Three days ago, I started experiencing pain in the back of my head. When I woke up today, I felt a heavy sensation in the entire area of the back of my head, and it is also painful. There is no vomiting, and my memory and balance seem fine, but whenever I ...
Dr. Jiang Junyi Reply:
Hello Mr. Jim, You mentioned that "the back of my head started to hurt, and when I woke up today, I felt a heavy sensation throughout the back of my head, and it also hurts." I would like to know if you are experiencing any blurred vision or fever. If your symptoms are...[Read More] Understanding Head Pain: Causes and When to Seek Help
Managing Facial Pain After Incomplete Recovery from Bell's Palsy
Incomplete recovery from facial nerve paralysis has resulted in facial pain? Hello Doctor, I would like to ask for your advice: My wife has developed facial nerve paralysis. Due to a delay in seeking medical attention, her recovery has not been complete. The doctor has diagnosed ...
Dr. Jiang Junyi Reply:
Dear Mr. San Ge, You mentioned that "the facial nerve paralysis has not healed due to the delay in seeking medical attention, and in the afternoon, the facial nerve becomes tense and painful, as if the nerve is about to snap, requiring pain medication." This symptom ma...[Read More] Managing Facial Pain After Incomplete Recovery from Bell's Palsy
Understanding Hand Tremors: Causes and When to Seek Help
Tremor issues Hello doctor, this morning when I started using the computer, my right hand, which I use to hold the mouse, experienced significant shaking, especially when pressing the buttons. I also tried other movements and found that my hand trembles quite a bit when making a ...
Dr. Jiang Junyi Reply:
Hello Mr. Jam: You mentioned that "the shaking is more pronounced when pressing buttons, and after trying other movements, I found that there is also significant shaking when making a fist, which sometimes occurs and sometimes does not." This symptom seems to be related...[Read More] Understanding Hand Tremors: Causes and When to Seek Help
Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment
Cervical spine issues Hello Doctor, I have been experiencing numbness in the tips of my fingers on both hands (more pronounced in the left hand) for over a year now, since I first noticed it. I visited a neurologist in May of this year. The doctor performed an X-ray and an electr...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "an MRI of the cervical spine has been scheduled, but it won't be until November. I would like to ask the doctor, with three months to wait, will this delay be too long to determine the extent of the compression?" If symptoms progr...[Read More] Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment
Understanding Accompanying Symptoms of Facial Nerve Paralysis
Symptoms accompanying facial nerve paralysis? Hello Dr. Jiang, after undergoing brain tumor surgery last year, I experienced postoperative complications such as facial paralysis. Recently, in addition to the typical symptoms of facial paralysis, including incomplete closure of th...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, Due to the occurrence of "tingling and burning sensations on the tip of the tongue," it may be necessary to consider lesions in the brainstem or cranial nerves. You mentioned, "Does the addition of these symptoms indicate a progression of the diseas...[Read More] Understanding Accompanying Symptoms of Facial Nerve Paralysis
Understanding Post-Exercise Numbness: Is It Thoracic Outlet Syndrome?
Mild numbness in the hand after exercise? Hello doctor, a couple of days ago I practiced riding a motorcycle. I'm not sure if it's because I haven't exercised much during the summer or if it's due to the weight of the motorcycle, but after pulling the bike, I ...
Dr. Jiang Junyi Reply:
Dear Miss Katie, You mentioned that "my left hand feels a bit numb, it's not very severe and I can move it without pain." This symptom resembles the signs of peripheral nerve compression affecting the sensory nerves. You may want to wait until the soreness and swe...[Read More] Understanding Post-Exercise Numbness: Is It Thoracic Outlet Syndrome?
Understanding Headaches: Potential Causes and When to Seek Help
Headache issues Hello Doctor: I would like to consult you about a friend who has depression and has been experiencing severe headaches recently. Sometimes, they need to take a considerable amount of painkillers in a day to manage the pain. Recently, they went out to eat at an all...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic to investigate potential causes.[Read More] Understanding Headaches: Potential Causes and When to Seek Help
Managing Epilepsy in Autistic Children: Medication Concerns and Solutions
Antiepileptic drugs Dear Dr. Tsai, I have a child with autism who suffers from epilepsy. He has been taking Apo-Divalproex (250mg & 500mg) for two years and seven months without any recurrence of seizures. However, since starting this medication, he has changed significantly...
Dr. Cai Zongzhang Reply:
Hello Mr. Yeh: It is recommended to discuss medication with the prescribing physician and not to discontinue the medication on your own.[Read More] Managing Epilepsy in Autistic Children: Medication Concerns and Solutions
Understanding Tongue Twitches: Causes and Anxiety Connection
Tongue twitching Hello doctor, my tongue keeps twitching in the middle, and the entire tongue feels very tense and cannot relax. It feels a bit numb, and I constantly have the urge to swallow saliva. What could be the reason for this? I have a history of anxiety disorder; could t...
Dr. Cai Zongzhang Reply:
Hello, Wan-Ting: It is recommended to visit a neurologist for an examination of possible causes.[Read More] Understanding Tongue Twitches: Causes and Anxiety Connection
Understanding Leg and Wrist Pain: When to Seek Neurology Care
Pain in the posterior right calf and discomfort in the wrist? Hello, doctor. Last month, due to a confirmed diagnosis, I spent nearly a week lying on a recliner or sitting. Since then, I have experienced pain when pressing on the back of my right calf (which is not present now). ...
Dr. Hong Weibin Reply:
Hello: It may be due to prolonged rest, which has caused the muscles to become tight and stiff. You can start by consulting a rehabilitation specialist or a physical therapist for assistance in relaxing the tight muscles, and then gradually increase your activity level, which sho...[Read More] Understanding Leg and Wrist Pain: When to Seek Neurology Care
Understanding Ear Pain, Headaches, and Dizziness: A Neurology Perspective
Ear pain, headache, and dizziness? I am 29 years old and a month ago I was diagnosed with acute sinusitis at the hospital. Currently, my symptoms of nasal congestion and post-nasal drip have improved. However, I have been experiencing persistent headaches accompanied by dizziness...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned that "the pain in your ears feels like it's coming from inside," which may still require ruling out sinusitis-related headaches. Consider the possibility of occipital sinusitis. When diagnosing "sinus headaches," the primary g...[Read More] Understanding Ear Pain, Headaches, and Dizziness: A Neurology Perspective
Understanding Calf Pain: Is It a Neurological Issue?
Calf issues? Hello Dr. Jiang, I would like to ask about experiencing cramping sensations in one calf, along with occasional pain that encompasses the entire leg. The pain is particularly intense around the inner heel, and sometimes there is a feeling of warmth. Could these sympto...
Dr. Jiang Junyi Reply:
Hello Mr. Yu: You mentioned that "the inner heel is particularly painful... sometimes it feels a bit warm," which may indicate symptoms of nerve compression due to intervertebral disc pressure, accompanied by the following phenomena, which are characteristic of peripher...[Read More] Understanding Calf Pain: Is It a Neurological Issue?