Understanding Muscle Twitches: Causes and Concerns After Injury
Regarding muscle twitching? Hello Doctor: I would like to ask about a concern. My left foot's fourth toe has been twitching for four days now. About ten days ago, I was in a car accident, and my left big toe was injured. During this time, I have been wearing flip-flops, whic...
Dr. Gao Chunde reply Neurology
Currently, we are not considering motor neuron diseases; however, it is important to pay attention to the actions of raising the foot and toes, as well as the action of curling the toes down, to check for any weakness. There may be related nerve injuries from a car accident or mu...[Read More] Understanding Muscle Twitches: Causes and Concerns After Injury
Persistent Dizziness in Elderly: Exploring Unresolved Neurological Issues
An 88-year-old elderly person is experiencing dizziness? Hello, doctor. My grandmother has been experiencing dizziness for many years. She has undergone examinations by an otolaryngologist with no issues found, and the cardiologist also reported no problems. She has visited vario...
Dr. Gao Chunde reply Neurology
Dizziness can have many causes, and not all of them can be detected through instruments or tests. Both physiological and pathological dizziness should be considered, and if no results are found, psychological causes must also be taken into account. Generally, neurologists, cardio...[Read More] Persistent Dizziness in Elderly: Exploring Unresolved Neurological Issues
Understanding Brain Congestion and Dizziness: When to Seek Medical Attention
Cerebral congestion and dizziness issues? Hello, Doctor Gao. In the past, I would often experience symptoms such as "tingling, congestion, and dizziness" in my brain due to anger, and at times, my vision would go completely black. I also tend to have migraines. Recently...
Dr. Gao Chunde reply Neurology
If you have a blood pressure monitor, you can measure your blood pressure during normal times and when symptoms occur. If there are issues with your blood pressure, further examination and management should be pursued. If there are no issues, it is likely a manifestation of tensi...[Read More] Understanding Brain Congestion and Dizziness: When to Seek Medical Attention
Understanding Fetal-Type Posterior Cerebral Artery: Should You Be Concerned?
What is fetal-type posterior cerebral artery? Hello Doctor: I have been troubled by dizziness for many years. I have seen both an otolaryngologist and a neurologist, and I have undergone several tests, all of which were normal. I decided to pay out of pocket for an MRI, and the r...
Dr. Gao Chunde reply Neurology
The posterior cerebral artery is typically supplied by the posterior circulation of the brain, which includes the vertebral arteries ascending to the basilar artery. However, there is a collateral circulation system at the base of the brain that protects against temporary blood s...[Read More] Understanding Fetal-Type Posterior Cerebral Artery: Should You Be Concerned?
Understanding Dizziness and Nausea: Possible Causes and Solutions
Dizziness, vision becoming dark, and cold sweats..? Hello doctor, about a month ago on the first day of my menstrual period, I experienced sudden dizziness, blurred vision, and nausea. I initially thought it was related to my period, but this morning at work, I had the same sympt...
Dr. Gao Chunde reply Neurology
It is important to check if blood pressure is too low or if there are signs of anemia. Based on these issues, we can investigate the causes of low blood pressure or low hemoglobin levels. Of course, fluctuations can occur around the menstrual cycle, and if the bleeding is excessi...[Read More] Understanding Dizziness and Nausea: Possible Causes and Solutions
Understanding Dizziness and Fainting: Possible Neurological Causes
Sudden vision loss, cold sweat, and dizziness? Hello, sometimes when I stand for a while, I start to see black in front of my eyes, the surrounding sounds become muffled, and I experience dizziness and cold sweats. Sometimes I also feel bloated and nauseous. Bending down with my ...
Dr. Gao Chunde reply Neurology
Possible causes of low blood pressure include hypotension, physical weakness, anemia, fatigue, insufficient sleep, colds, and gastroenteritis. These conditions can lead to inadequate cerebral perfusion when standing, resulting in symptoms similar to pre-shock. However, it may als...[Read More] Understanding Dizziness and Fainting: Possible Neurological Causes
Understanding Involuntary Muscle Twitches: Causes, Concerns, and Solutions
Involuntary muscle twitching? Hello, Doctor: I experience involuntary muscle twitching throughout my body, from my scalp to the soles of my feet, and I have also experienced soreness in my shoulders, neck, arms, and calves. At night, I sometimes wake up due to mild tremors in my ...
Dr. Gao Chunde reply Neurology
Since the current medical examinations show normal results and the doctor has informed you that it is benign, relax your mind, maintain a regular lifestyle, have a normal daily routine, and engage in regular exercise. Spend time outdoors in nature when possible. As for benign mus...[Read More] Understanding Involuntary Muscle Twitches: Causes, Concerns, and Solutions
Understanding Post-Workout Headaches: Causes and Solutions
Post-exercise headache? Hello, Dr. Gao. Ten days ago, I was doing squats at the gym (with a barbell on my shoulders, performing deep squats) and gradually increased the weight to a total of 30 kg. During the last two sets, I experienced severe pain in the back of my head. Since t...
Dr. Gao Chunde reply Neurology
This is a type of headache known as exertional headache. It typically occurs during intense physical exertion or activities that increase intrathoracic pressure. The exact physiological mechanism is unclear, but it may be related to impaired autoregulation of intracranial blood v...[Read More] Understanding Post-Workout Headaches: Causes and Solutions
Understanding Sudden Pulsations in the Back of the Head: Causes and Concerns
Often suddenly feel the blood vessels at the back of the head? I often suddenly feel a constriction in the blood vessels at the back of my head, which leads to a feeling of pressure and discomfort. It's a kind of dull ache that is very uncomfortable. Could you please explain...
Dr. Gao Chunde reply Neurology
The sensation of sudden vascular constriction at the back of the head, followed by a feeling of pressure and tightness, may be attributed to a sudden contraction and tension of the muscles in the occipital region. This can create a sensation of vascular constriction due to muscle...[Read More] Understanding Sudden Pulsations in the Back of the Head: Causes and Concerns
Understanding Anesthesia in the Anterior Lower Leg: Causes and Recovery
Numbness in the anterior aspect of the lower leg? Hello, Doctor Gao: A few days ago, I inquired about the lack of sensation above my ankle. I forgot to mention that there is also a similar condition about 10 centimeters on the outer front side of my lower leg, just below the knee...
Dr. Gao Chunde reply Neurology
This is another nerve (the common peroneal nerve) that is typically compressed or injured at the fibular head on the lateral side of the lower leg. However, if we are to consider a common source of pathology, we must look into issues related to the fifth lumbar nerve root, which ...[Read More] Understanding Anesthesia in the Anterior Lower Leg: Causes and Recovery
Understanding Muscle Tension: Symptoms and Possible Syndromes
General muscle tension? Hello, I currently do not have any chronic or congenital diseases, but there is something that has troubled me since childhood, and I would like to ask whether it might be a specific syndrome or if treatment is necessary. I have had a stuttering problem si...
Dr. Gao Chunde reply Neurology
Based on the symptom description, there are indications of Parkinsonian syndrome or dystonia. To determine the specific underlying condition, further evaluation and examination are necessary. Treatment should be tailored according to the diagnosis. It is recommended to visit a ma...[Read More] Understanding Muscle Tension: Symptoms and Possible Syndromes
Numbness Above the Inner Ankle: Possible Nerve Compression?
Numbness above the medial ankle? Hello, Dr. Gao: Last Thursday, I noticed that the skin about 10 centimeters above my inner ankle to my calf feels numb to the touch, but I do not experience any discomfort (pain or tingling). I only feel the numbness when I touch it. I did Pilates...
Dr. Gao Chunde reply Neurology
There is a branch of the saphenous nerve, which is a sensory nerve that branches off from the femoral nerve beneath the adductor magnus muscle on the inner thigh. Therefore, in addition to numbness or tingling and pain, there should be no weakness symptoms. If there is weakness w...[Read More] Numbness Above the Inner Ankle: Possible Nerve Compression?
Understanding Morning Hand Numbness and Involuntary Twitches
Numbness and twitching in the hands after waking up? Hello, Doctor: I would like to ask about something. Yesterday morning, after I woke up, I noticed that my left hand was numb, and my little finger was twitching involuntarily. I also felt soreness in my lower back and neck. The...
Dr. Gao Chunde reply Neurology
There is a high likelihood of cervical nerve compression; however, the presence of bruising is somewhat unusual. It is difficult to determine if there is internal bleeding. It is recommended to seek further evaluation at a neurology or neurosurgery outpatient clinic as soon as po...[Read More] Understanding Morning Hand Numbness and Involuntary Twitches
Managing Intermittent Neck Pain: Causes and Treatment Options
Intermittent neck pain? I would like to ask the doctor if the intermittent neck pain is due to a muscle strain. I previously had an injury from a collision and went to the hospital for an examination, where they diagnosed it as a muscle strain. However, I frequently experience ne...
Dr. Gao Chunde reply Neurology
The neck is primarily composed of muscles, but it also contains other structures such as bones (cervical vertebrae), cartilage (intervertebral discs), ligaments, nerves, and even blood vessels. Most of the muscles are concentrated in the posterior and lateral areas, and common ca...[Read More] Managing Intermittent Neck Pain: Causes and Treatment Options
Understanding Occipital Headaches: Causes, Symptoms, and When to Seek Help
Occipital headache Hello doctor, about a week ago, I experienced a sudden tightening pain in the back of my head while masturbating before bed. The pain stopped when I ceased the activity. The next day, I repeated the same behavior and felt the pain again, but it was less intense...
Dr. Gao Chunde reply Neurology
This is a rare type of headache known as sexual headache, which occurs during sexual activity, masturbation, or orgasm. Individuals who experience this type of headache may not have it every time they engage in these activities, and the headache typically diminishes within a few ...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and When to Seek Help
Understanding Sudden Headaches When Standing Up: Causes and Solutions
Sudden standing can cause headaches? Hello doctor, recently when I suddenly stand up after lying down or sitting, I experience a throbbing pain near my right temple that gradually expands. I'm not sure why this happens. Additionally, I often have headaches that occur at irre...
Dr. Gao Chunde reply Neurology
The symptoms sound very much like a migraine, characterized by pulsating pain, nausea, and vomiting. Some individuals may experience photophobia and phonophobia. Activities such as suddenly standing up, bending over, or squatting can exacerbate the headache, which is typically mo...[Read More] Understanding Sudden Headaches When Standing Up: Causes and Solutions
Understanding Parkinson's Disease: Symptoms and Progression Explained
Parkinson's disease Hello doctor, my mother was diagnosed with Parkinson's disease six years ago. In the early stages, she experienced tremors in her right hand and right leg, which have been managed with long-term medication. However, she still occasionally suffers fro...
Dr. Gao Chunde reply Neurology
More than half of patients with Parkinson's disease experience pain, which may stem from joint and muscle wear and inflammation due to improper posture, nerve pain caused by spinal degeneration and nerve root compression, pain resulting from abnormal muscle tone, discomfort ...[Read More] Understanding Parkinson's Disease: Symptoms and Progression Explained
Understanding Headaches and Vision Issues: When to Seek Neurology Care
Please provide the content you would like to have translated into English? Hello, Doctor: I would like to ask you a question. If a vision test shows 1.2, indicating normal vision, but I occasionally experience stiffness in my shoulders and neck, along with headaches (possibly aro...
Dr. Gao Chunde reply Neurology
Vision is normal, but sometimes it becomes blurry or unfocused when looking at the computer, which may be caused by eye fatigue leading to weakened accommodation of the ciliary muscle. To alleviate this, it is recommended to take a break after using the eyes for thirty minutes, m...[Read More] Understanding Headaches and Vision Issues: When to Seek Neurology Care
Understanding Nerve Entrapment: Causes, Symptoms, and Treatment Options
Nerve entrapment Hello, Doctor Gao: Last Friday, on the 10th, I sustained a strong impact to my left shoulder. X-rays, MRI, and CT scans showed no fractures or dislocations. As of today, the 16th, I still cannot perform specific movements with my left shoulder, such as raising it...
Dr. Gao Chunde reply Neurology
If the swelling, pain, or weakness is limited to the shoulder joint and the bone examination is completely normal, it is important to consider injuries and inflammation of the muscles or ligaments surrounding the shoulder joint. This requires the expertise and experience of an or...[Read More] Understanding Nerve Entrapment: Causes, Symptoms, and Treatment Options
Exploring Autonomic Nerve Therapy for Gastroesophageal Reflux Disease
Gastroesophageal reflux disease (GERD) Hello, Dr. Gao: I am a patient with gastroesophageal reflux disease (GERD). I have visited a large hospital, but there has been no effective treatment for this condition, and the problem persists. I came across a webpage that suggests that a...
Dr. Gao Chunde reply Neurology
Some stubborn cases of gastroesophageal reflux disease (GERD) or irritable bowel syndrome (IBS) may be influenced by an imbalance in autonomic nervous system function (either overactivity or underactivity). While treating gastrointestinal issues, medications that adjust autonomic...[Read More] Exploring Autonomic Nerve Therapy for Gastroesophageal Reflux Disease