Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? In the past two weeks, I have noticed involuntary muscle twitching in various parts of my body, particularly around the shoulders, elbows, and knees, which are mostly near the joints. The twitching is quite pronounced and can be seen with the naked e...
Dr. Gao Chunde reply Neurology
Fibromyalgia rarely presents with the muscle twitching symptoms you described; however, arthritis is more commonly reported to have such symptoms. Some medications used to treat arthritis can also cause involuntary muscle twitching. If you have a follow-up appointment soon, you m...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Dizziness: Causes, Treatments, and Dietary Tips
Dizziness follow-up issues? Hello, I asked about dizziness this morning, and I later saw a doctor who prescribed the same dizziness medication, but added an anti-nausea medication. I would like to ask again about my frequent burping; is this also caused by the dizziness? How can ...
Dr. Gao Chunde reply Neurology
Vestibular dizziness may occasionally be accompanied by initial burping, but taking medication can significantly improve the condition. If your dizziness is persistent and not related to the paroxysmal episodes or changes in posture, along with continuous burping, it is important...[Read More] Understanding Dizziness: Causes, Treatments, and Dietary Tips
Understanding Leg Pain and Muscle Twitches: A Neurology Perspective
Foot pain, generalized muscle twitching? I have been experiencing pain from my toes up to my thighs for the past two years. There is a persistent feeling of tightness along a certain muscle, and I have visited many hospitals since the pain started. I have been in pain for two yea...
Dr. Gao Chunde reply Neurology
Some of your descriptions are not very clear, but I will analyze the parts I understand. These symptoms clearly exhibit characteristics of neurological disorders. In addition to amyotrophic lateral sclerosis (ALS), issues such as tremors, lack of coordination in the limbs, and po...[Read More] Understanding Leg Pain and Muscle Twitches: A Neurology Perspective
Is Your Dizziness a Sign of Concussion After a Head Injury?
Dizziness or concussion? Hello Doctor: Three days ago in the afternoon, I hit my head at work. At that time, I only experienced a headache for a while, and there were no other symptoms. However, during the night, I suddenly experienced severe dizziness and vomiting, and I was una...
Dr. Gao Chunde reply Neurology
If the dizziness and vomiting are episodic and related to changes in head position, it is likely due to vestibular imbalance in the inner ear rather than a concussion. Of course, inner ear dizziness can also be associated with head trauma, as external forces can cause dislocation...[Read More] Is Your Dizziness a Sign of Concussion After a Head Injury?
Understanding Intermittent Nerve Pain: A 48-Year Journey
Intermittent neuralgia My symptoms began at the age of 20, and after 48 years, I have visited many hospitals and undergone numerous tests, yet no answers have been found. About 90% of the symptoms occur in both feet, characterized by intermittent sharp pain. The pain comes and go...
Dr. Gao Chunde reply Neurology
Based on your symptom description, it is likely not a peripheral nerve issue, but rather something within the brain, resembling the nature of Restless Legs Syndrome. There are many possible causes, including iron deficiency, magnesium deficiency, liver and kidney dysfunction, thy...[Read More] Understanding Intermittent Nerve Pain: A 48-Year Journey
Understanding EEG Limitations: When MRI Reveals Hidden Brain Issues
Electroencephalogram (EEG) capabilities? Thank you for the previous response, Doctor. Recently, I found information online indicating that there are indeed a few patients whose EEG results appear normal, yet their symptoms are quite evident, and only an MRI ultimately reveals the...
Dr. Gao Chunde reply Neurology
Electroencephalography (EEG) differs from standard imaging techniques such as CT and MRI in that it records the electrical activity of the brain, focusing on functional issues, while the latter provide direct images, akin to photographs, that reveal structural problems. EEG can d...[Read More] Understanding EEG Limitations: When MRI Reveals Hidden Brain Issues
Understanding Neck Muscle Swelling: Causes, Treatments, and Concerns
The muscles in the neck are swollen? 30-year-old female with a history of anxiety disorder (currently on medication) experiences swollen cervical lymph nodes during periods of late nights and low immunity, which typically resolves with adequate sleep. One month ago, she noticed s...
Dr. Gao Chunde reply Neurology
The nearby tissues could be considered for muscle inflammation, such as issues with the sternocleidomastoid muscle as assessed by an otolaryngologist, or even a portion of the area you later described may involve inflammation of the upper pectoralis major. However, thyroid enlarg...[Read More] Understanding Neck Muscle Swelling: Causes, Treatments, and Concerns
Understanding Tension Headaches: The Role of EEG and MRI in Diagnosis
Electroencephalography (EEG) and Magnetic Resonance Imaging (MRI) Hello, doctor. Previously, I inquired about symptoms such as eye pressure (discomfort when moving the eyeballs), soreness, dull pain in the head, tightness in the neck at the back, and a strong desire to rest with ...
Dr. Gao Chunde reply Neurology
After ruling out postoperative infection, both sinusitis and tension-type headaches may occur following treatment. Simple tension-type headaches can be managed with oral medications prescribed by a physician, or by adjusting lifestyle habits to reduce stressors, engaging in moder...[Read More] Understanding Tension Headaches: The Role of EEG and MRI in Diagnosis
Understanding Long-Term Left-Sided Facial and Scalp Numbness Symptoms
Long-term numbness on the left side of the face and scalp? A patient with polio has been sitting for long periods. (1) The left side of the face experiences intermittent numbness, particularly in the cheek and scalp, with symptoms persisting for two to three years. The numbness d...
Dr. Gao Chunde reply Neurology
The sensation in the left forehead and left cheek is associated with the left trigeminal nerve pathway, while the ptosis of the left eye and the weakness in the movement of the left side of the face are related to the left facial nerve pathway. These two issues indicate a lesion ...[Read More] Understanding Long-Term Left-Sided Facial and Scalp Numbness Symptoms
Understanding Hand Numbness in Motorcyclists: Causes and Concerns
Cyclists may experience numbness? Hello: My colleague experienced numbness in his hand while riding a motorcycle yesterday, to the point where he could not ride anymore. He has already scheduled an appointment at the hospital. What could be the possible symptoms, and is it seriou...
Dr. Gao Chunde reply Neurology
To determine which nerve is involved in the area of numbness, it is important to assess whether there is any weakness or motor impairment in addition to sensory changes. A common condition is carpal tunnel syndrome, which occurs due to excessive use of the hands, leading to compr...[Read More] Understanding Hand Numbness in Motorcyclists: Causes and Concerns
Understanding Eye Pressure Pain: Possible Causes and Solutions
Eye pressure and pain? Hello, doctor. Due to long-term fatigue from sleep apnea, I often experience a dull, mild pressure pain in the upper part of my eye sockets (not intense). After using CPAP, my fatigue has not improved, and this condition has become more pronounced (I have n...
Dr. Gao Chunde reply Neurology
The standard symptoms of sleep apnea include daytime fatigue and headaches, particularly upon waking. However, these headaches tend to improve after some activity during the day. The symptoms you mentioned warrant attention to whether there is inflammation or other issues in the ...[Read More] Understanding Eye Pressure Pain: Possible Causes and Solutions
Post-Car Accident Dizziness: Understanding Neurological Symptoms
Dizziness six months after a car accident? Hello Doctor, I was in a car accident on November 8th last year, and I sustained a head injury. I experienced a concussion at that time, and since then, I have been experiencing dizziness, which has worsened in the past few days. It feel...
Dr. Gao Chunde reply Neurology
The recent dizziness accompanied by headaches, along with a tendency to lean to one side while walking, suggests a new condition. It is advisable to return to the neurology department of the original hospital for evaluation. Generally, post-concussion symptoms tend to diminish ov...[Read More] Post-Car Accident Dizziness: Understanding Neurological Symptoms
Uncontrollable Twitching of the Right Index Finger: Causes and Solutions
Involuntary twitching of the right index finger? My spouse has a mental illness (depression combined with bipolar disorder, and even brief episodes of loss of reality). She has been continuously taking antidepressants for nearly three years without interruption. Recently, after b...
Dr. Gao Chunde reply Neurology
Of course, the physical symptoms resulting from excessive emotional stimulation can manifest in various ways, but these symptoms should not last too long and should not remain constant. The right cheek and right fingers, especially the thumb, are located close together in the bra...[Read More] Uncontrollable Twitching of the Right Index Finger: Causes and Solutions
Understanding Neck Pain and Facial Weakness: When to See a Specialist
Stiffness in the shoulders and neck, swelling in the neck, and facial weakness? I have numbness in the skin on the back of my right shoulder, and there is swelling extending along the right side of my neck. The right side of my face feels weak starting from the eyebrow area, whic...
Dr. Gao Chunde reply Neurology
It is suspected that there may be inflammation, infection, or other mass lesions in the skull base or deep right neck. A consultation with a neurologist or an otolaryngologist is recommended, and further examinations should be arranged if necessary.[Read More] Understanding Neck Pain and Facial Weakness: When to See a Specialist
Understanding Head Numbness: Causes, Concerns, and When to Seek Help
Numbness in the head? I had been taking sleeping pills for about three years, but switched to traditional Chinese medicine over a month ago, which has caused frequent headaches and a tingling sensation in my head. Now, I feel dizzy every day, and after a hospital examination, the...
Dr. Gao Chunde reply Neurology
To assess whether the headache, head numbness, and dizziness in the center of the head are longstanding issues or have recently emerged due to medication changes, it is important to consider that, from a Western medicine perspective, there are many causes for headaches, numbness,...[Read More] Understanding Head Numbness: Causes, Concerns, and When to Seek Help
Understanding Arm Nerve Issues: Causes and Solutions for Weakness
Brachial plexus Doctor, I have a question. Since I was in the ninth grade, whenever I sleep on my left arm, it becomes completely numb, and the muscles in my arm feel completely soft. Sometimes I experience weakness for over a week, while other times it resolves in just half an h...
Dr. Gao Chunde reply Neurology
This symptom and phenomenon are indeed quite rare. To cause numbness and weakness, it could originate from the brain, brainstem, spinal nerves, the nerve roots exiting the spinal cord, or the brachial plexus. If pressure is applied during sleep, one might consider whether there i...[Read More] Understanding Arm Nerve Issues: Causes and Solutions for Weakness
Sudden Hand Weakness and Pain: Possible Causes and Concerns
Sudden weakness and pain in the palm? It seems that starting from yesterday evening, I suddenly felt pain when pressing on my left palm, with a bit of weakness, although I can still exert some force. However, after one night, the soreness has become more pronounced, and there is ...
Dr. Gao Chunde reply Neurology
I am not sure if you have any wounds on your hand, but if you do, along with redness, swelling, and heat in the hand and arm, you should be cautious about the possibility of an infection. If you consumed raw food, it should not be an issue unless there was a puncture or abrasion ...[Read More] Sudden Hand Weakness and Pain: Possible Causes and Concerns
Understanding Hand Tingling: When to Seek Further Medical Evaluation
Hand pain or hand prickling sensation? Hello doctor, I have been experiencing frequent sharp, needle-like pain in my hand. I visited a neurosurgery clinic and had a cervical X-ray, which showed no abnormalities. I also underwent nerve conduction studies that were normal. However,...
Dr. Gao Chunde reply Neurology
The sensation of tingling in the hands primarily requires determining the distribution of the symptoms—whether it affects one hand or both. The distribution may follow the territory of a cervical nerve root, or it could involve all fingertips, suggesting a peripheral neuropathy. ...[Read More] Understanding Hand Tingling: When to Seek Further Medical Evaluation
Understanding Involuntary Muscle Twitches: Could It Be ALS?
Involuntary muscle twitching? Hello doctor, at the end of last year, my muscles started to twitch involuntarily. Initially, it lasted for 2-3 weeks, and then it stopped. Around February of this year, the muscle twitching started again and has continued to this day. I visited a ne...
Dr. Gao Chunde reply Neurology
Motor neuron disease is a progressive condition characterized by the degeneration of motor neurons. Therefore, in addition to involuntary muscle twitching, there will be subsequent symptoms such as impaired movement, muscle weakness, and atrophy. Whether this is the case can only...[Read More] Understanding Involuntary Muscle Twitches: Could It Be ALS?
Post-Concussion Syndrome: Managing Persistent Dizziness and Headaches
Post-concussion syndrome after a car accident with persistent dizziness and headaches? Hello Doctor: Last year, I had a motorcycle accident that resulted in a head injury, during which I experienced about an hour of unconsciousness and cannot recall. I was taken to the emergency ...
Dr. Gao Chunde reply Neurology
Patients who experience a head injury but have normal imaging results are classified as having post-concussion syndrome. Symptoms may include dizziness, headaches, difficulty concentrating, decreased attention or cognitive function, and sleep disturbances. Literature indicates th...[Read More] Post-Concussion Syndrome: Managing Persistent Dizziness and Headaches