Understanding Myofascial Pain Syndrome: Symptoms and Treatment Options
Suspected myofascial pain syndrome Hello, doctor. My husband was fine when he rode me out on his motorcycle yesterday, but suddenly he experienced chest pain upon returning. Since my late father-in-law had a history of myocardial infarction, my husband thought he might be having ...
Dr. Cai Zongzhang reply Neurology
Hello, based on the symptoms mentioned, it is suspected to be either cranial fasciitis or cranial nerve root compression. If the symptoms do not improve with adequate rest, it is recommended to visit a neurology clinic for examination to determine the underlying cause and treatme...[Read More] Understanding Myofascial Pain Syndrome: Symptoms and Treatment Options
Understanding Pulsatile Tinnitus: Causes, Concerns, and Care
Heartbeat sound in the ear? Hello, Doctor. A few months ago, when I was diagnosed, I experienced a loud ringing in my left ear that made it almost impossible to hear. At the same time, when I sat cross-legged or on the toilet, I could hear a pounding heartbeat sound whenever I sl...
Dr. Cai Zongzhang reply Neurology
Hello Wendy: There are various causes of pulsatile tinnitus, and the treatment methods differ accordingly. Among them, tinnitus caused by cerebrovascular diseases poses the greatest potential risk. If the symptoms persist, it is advisable to visit a neurology clinic for a detaile...[Read More] Understanding Pulsatile Tinnitus: Causes, Concerns, and Care
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle contractions? Recently, my left thumb often twitches involuntarily when relaxed. After researching some information online, I tried pointing my index finger at my nose and found that my whole hand shakes; sometimes it happens when I lift heavy objects as well. ...
Dr. Cai Zongzhang reply Neurology
Hello, the involuntary twitching of fingers can have many causes. A differential diagnosis is necessary before treatment, and it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Do Screen Time and TV Watching Affect Memory in Teens?
Brain issues Is it true that prolonged use of mobile phones and watching television can impair memory, as often mentioned by older generations? I've been watching TV and using my phone all day since I was young. I'm currently in my second year of high school, and I stil...
Dr. Cai Zongzhang reply Neurology
Hello: Watching mobile phones and television does not directly affect memory; however, spending too much time on these activities can deprive individuals of self-learning time, which can indirectly impact the retention of learned material.[Read More] Do Screen Time and TV Watching Affect Memory in Teens?
Trigeminal Neuralgia After Root Canal Treatment: What to Know
Trigeminal neuralgia after root canal treatment? In mid-June 2023, after undergoing root canal treatment on the lower right second molar, the tooth pain subsided. On August 14, I proceeded to the crown fabrication stage. During this time, I mentioned to the dentist that I occasio...
Dr. Cai Zongzhang reply Neurology
Hello: Based on the symptoms mentioned, tooth pain may also be one of the symptoms of trigeminal neuralgia. Please complete dental treatment and confirm that there are no dental diseases; if pain persists, you may visit a neurology clinic for further evaluation.[Read More] Trigeminal Neuralgia After Root Canal Treatment: What to Know
Understanding Unintentional Speech Errors in Older Adults: A Neurological Perspective
Mom often makes unintentional verbal slips? Hello Doctor: My mother is 60 years old and has been receiving treatment from a psychiatrist for some time. I am not entirely clear on her exact diagnosis, but I know she has sleep disorders. Living with her, I notice that she has a ver...
Dr. Cai Zongzhang reply Neurology
Hello: Based on the symptoms mentioned, there is a suspicion of cognitive decline. Both depression and dementia may present with the aforementioned symptoms. A differential diagnosis is necessary for treatment, and it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Unintentional Speech Errors in Older Adults: A Neurological Perspective
Understanding Schizophrenia: Symptoms, Diagnosis, and Treatment Options
Schizophrenia Hello, doctor. I have a question. When I read sentences, my mind often feels stuck, and occasionally I automatically add unnecessary words, which leads me to reread. Does this count as a form of thought disorder? What would be the best way to treat it? Thank you.
Dr. Cai Zongzhang reply Neurology
Hello, Mr. Ke: Based on the symptoms mentioned, it is recommended to first consult a neurologist to check for any tumor-related conditions.[Read More] Understanding Schizophrenia: Symptoms, Diagnosis, and Treatment Options
Managing Epilepsy: Navigating Medication Side Effects and Emotional Health
Antiepileptic drugs I had surgery on my head due to a car accident during high school. I was fine for many years, but after 20 years, I developed post-traumatic epilepsy, which occurs occasionally when I am very tired. Initially, I was only taking one medication, but after experi...
Dr. Cai Zongzhang reply Neurology
Hello, regarding post-traumatic brain injury sequelae, seizures are quite common. Physicians often choose to use antiepileptic drugs; however, there are various medications available. It is advisable to discuss with your doctor whether the seizures are a side effect of the medica...[Read More] Managing Epilepsy: Navigating Medication Side Effects and Emotional Health
Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients
Tremor issues? Yesterday, after taking a nap on the sofa, I woke up feeling tightness in my neck and shoulders, along with a slight headache. I have a history of C3-C4-C5 cervical disc herniation causing nerve compression (approximately 10 years), with symptoms that fluctuate. Oc...
Dr. Cai Zongzhang reply Neurology
Hello, Cheng: Neck pain is closely related to neck posture. It is recommended to avoid napping on the sofa, as it can have adverse effects on the cervical spine.[Read More] Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients
Understanding Dizziness and Imbalance: Neurological Insights
Dizziness and imbalance? In the past two months, I have been experiencing dizziness and a feeling of imbalance upon waking up. My body feels unsteady, and the next day I have a sensation of ear fullness and decreased hearing. After a few days, my hearing improves, but the dizzine...
Dr. Cai Zongzhang reply Neurology
Hello, there are various causes of dizziness. If the examination by an otolaryngologist shows no abnormalities, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Dizziness and Imbalance: Neurological Insights
Understanding Skin Itching and Back Pain: Neurological Insights
Skin itching and lower back pain? Hello, doctor. A few months ago, I suddenly felt a tingling sensation in my mouth, and then I started experiencing itchy skin all over my body (like a prickling feeling). I visited a dermatologist, but the medication did not improve my condition;...
Dr. Cai Zongzhang reply Neurology
Hello Joanne: Based on the symptoms described, the tingling sensation in the mouth and the itchy feeling in the skin may be abnormal sensations caused by a neurological disorder. These symptoms are not exclusive to multiple sclerosis; brain tumors could also cause the aforementio...[Read More] Understanding Skin Itching and Back Pain: Neurological Insights
Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Sleep disorders Hello Doctor, I usually have a habit of staying up late and drinking red tea and milk tea from aluminum foil packages. Recently, I have experienced insomnia for three consecutive days, poor appetite, constipation, occasional heart pain, and shortness of breath. I ...
Dr. Cai Zongzhang reply Neurology
Hello: Adequate sleep is related to health, and tea and coffee beverages can worsen insomnia. It is recommended to reduce tea consumption and avoid drinking tea in the evening to improve sleep duration. If symptoms do not improve, please visit a neurology clinic.[Read More] Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Understanding Arm Numbness: Causes and What to Do Next
Numbness sensation Hello doctor, yesterday when I woke up, a part of my arm suddenly felt like there was something covering it (it wasn't like that the day before). Compared to other areas, it feels somewhat numb and not as sensitive as before, but the surrounding areas do n...
Dr. Cai Zongzhang reply Neurology
Hello: The symptoms mentioned are indicative of neurological dysfunction, with the most common cause being local nerve compression during sleep. If the symptoms persist and do not resolve, it is recommended to consult a neurologist.[Read More] Understanding Arm Numbness: Causes and What to Do Next
Understanding Head Injuries: Symptoms, Risks, and Necessary Evaluations
Head injury Hello, Doctor. About four years ago, I was physically abused by a family member who struck me on the head and forcefully pulled my hair. At that time, the injured area swelled, and I experienced headaches and dizziness. However, due to threats from other family member...
Dr. Cai Zongzhang reply Neurology
Hello: A scalp swelling caused by a head impact does not necessarily indicate intracranial brain injury. If headaches occur more than 10 days a month, it is advisable to visit a neurology clinic.[Read More] Understanding Head Injuries: Symptoms, Risks, and Necessary Evaluations
Understanding Left Leg Pain: When to See a Neurologist
The left leg is experiencing soreness? Hello Doctor, my mother is about 70 years old. She has been experiencing pain starting from the lower left side of her buttock, slightly towards the outside (not directly on the outer side), extending down to just outside the knee pit. When ...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Yang: Based on the symptoms mentioned, it is suspected that you have lumbar radiculopathy. It is recommended that you visit a neurology outpatient clinic.[Read More] Understanding Left Leg Pain: When to See a Neurologist
Understanding Persistent Head Sensations: Causes and Solutions
It feels like my brain is shaking? Hello Doctor, recently I have been feeling like my head is swaying almost all day long. It feels as if someone is tightly wrapping my head with a string and pulling it back and forth, side to side. It’s very tense, and I constantly feel like my ...
Dr. Cai Zongzhang reply Neurology
Hello HSN: The symptoms mentioned above are suspected to be caused by vestibular nerve dysfunction leading to balance disorders. It is recommended to continue follow-up treatment at the neurology outpatient clinic. An MRI scan should only be considered if there is no improvement ...[Read More] Understanding Persistent Head Sensations: Causes and Solutions
Post-Exercise Headaches: When to Seek Medical Advice
Headache after exercise? Hello Doctor, sometimes I experience pain in the back of my head, but it only occurs when I shake my head vigorously or engage in intense movements. Pressing on the area does not cause pain. When my head is still, the pain is minimal. It occasionally hurt...
Dr. Cai Zongzhang reply Neurology
Hello Allen: It is recommended to visit a neurologist to determine the cause of the above symptoms.[Read More] Post-Exercise Headaches: When to Seek Medical Advice
Understanding Left Leg Weakness and Vibrations: Possible Nerve Compression?
Weakness in the left foot and a vibrating sensation in the sole of the foot? Hello Doctor, about a month ago, I started experiencing soreness in both buttocks, with the left side being more painful. Sometimes my left leg feels weak. The rehabilitation doctor arranged for an elect...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Chen: The symptoms mentioned above could be indicative of a neurological disorder. It is recommended that you visit a neurology outpatient clinic.[Read More] Understanding Left Leg Weakness and Vibrations: Possible Nerve Compression?
Understanding Tinnitus: Causes, Concerns, and Treatment Options
Tinnitus issues? Hello, Doctor. I hope it's not too presumptuous to ask about my tinnitus issue, as it has been bothering me for several days. Initially, it was due to post-nasal drip, which also led to tinnitus, and my ear feels slightly stuffy and painful. I have visited s...
Dr. Cai Zongzhang reply Neurology
Hello: There are many causes of tinnitus. If the examination results show no abnormalities in the ear, you may consider seeing a neurologist for further evaluation. Additionally, insufficient sleep can also contribute to tinnitus.[Read More] Understanding Tinnitus: Causes, Concerns, and Treatment Options
Understanding Dizziness and Mild Headaches: A Neurological Perspective
Dizziness and mild headache? Hello Doctor, I started experiencing symptoms of dizziness and lightheadedness in May. I visited an ENT clinic, but it was ineffective. Then I went to Chi Mei Hospital's ENT department, where I underwent tests including a posturography, pure tone...
Dr. Cai Zongzhang reply Neurology
Hello: Based on the symptoms mentioned, if the ENT examination is normal, it is recommended to visit the neurology outpatient clinic.[Read More] Understanding Dizziness and Mild Headaches: A Neurological Perspective