Understanding Central Back Pain During Movement: Causes and Solutions
Pain when turning over in bed? Hello, doctor. I have been experiencing this issue for quite some time, occurring approximately every two to three days. When I lie on my side in bed and prepare to turn onto my back, I feel a sharp pain in the center of my back. The pain is intense...
Dr. Gao Chunde reply Neurology
It is recommended to visit a neurology outpatient clinic for a detailed medical history and physical examination to determine whether the issue is neurological, related to the thoracic spine, or deeper.[Read More] Understanding Central Back Pain During Movement: Causes and Solutions
Understanding Leg Tremors: Causes and Concerns in Neurology
The left leg is shaking? A month ago, I noticed that my legs started shaking after waking up, which I had never experienced before. The shaking only occurs when I'm standing. Previously, I also had headaches and occasional fevers. I have undergone many tests, all of which ca...
Dr. Gao Chunde reply Neurology
Walking may also be interrupted; there has been a trend of improvement in just one month. It is recommended to visit a neurology clinic for a detailed consultation and physical examination to determine whether the issue is due to central nervous system discharges or involuntary m...[Read More] Understanding Leg Tremors: Causes and Concerns in Neurology
Differentiating Benign Muscle Twitches from ALS and Atrophy Symptoms
What is the difference between muscle twitches in benign fasciculation syndrome and those in ALS and muscle atrophy? Doctor, is there a difference between benign muscle twitches and those associated with ALS and muscle atrophy? Do the symptoms of ALS and certain muscle atrophy-re...
Dr. Gao Chunde reply Neurology
As far as I know, they cannot be distinguished. The sequence should be muscle twitching, muscle weakness, and atrophy, which may overlap in timing. Temporarily exclude and need to monitor.[Read More] Differentiating Benign Muscle Twitches from ALS and Atrophy Symptoms
Unexplained Discomfort Behind the Ear and Neck: A Neurology Perspective
Discomfort behind the ear and in the neck of unknown origin? Hello Doctor: About a month ago, I started experiencing a noticeable feeling of pressure in my left ear, similar to the sensation of having water trapped in the ear while showering. In quieter surroundings, I can hear a...
Dr. Gao Chunde reply Neurology
Left hand weakness is a new symptom; it is advisable to see a neurologist as soon as possible to arrange for further evaluation.[Read More] Unexplained Discomfort Behind the Ear and Neck: A Neurology Perspective
Understanding Headaches, Dizziness, and Vision Issues: When to Seek Help
Headache accompanied by dizziness and difficulty focusing vision? Doctor, I would like to ask about my condition. A few months ago, I experienced severe headaches for the first time, and I had difficulty focusing my vision while using the computer screen. After taking painkillers...
Dr. Gao Chunde reply Neurology
The symptoms resemble those of a visual aura migraine. The subsequent symptoms are less specific and may not necessarily indicate a problem. For the headache component, it would be advisable to consult a neurologist.[Read More] Understanding Headaches, Dizziness, and Vision Issues: When to Seek Help
Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Involuntary twitching of the eyelids and body muscles? In early July, my left upper eyelid suddenly started to twitch involuntarily. At first, I thought it was due to eye fatigue and didn't pay much attention to it. However, the frequency of the twitches increased, and I beg...
Dr. Gao Chunde reply Neurology
The reasons are as you described: tension and stress, sometimes due to lack of sleep. The examination will not show any abnormalities; it is the nerves that are more excitable due to the aforementioned conditions. Your medication can help improve this. Additionally, maintaining a...[Read More] Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Managing Neck and Throat Discomfort: Tips for Relief and Exercises
Including above the throat and neck? In the past, while sleeping, I unknowingly ended up lying on my back, and when I woke up in the morning, my jaw was misaligned, causing one side to protrude. When I pressed on it and swallowed repeatedly, it went back into place, but I felt ti...
Dr. Gao Chunde reply Neurology
Symptoms are more related to nervous tension and tightness in the shoulder and neck muscles. It is advisable to spend more time outdoors and avoid prolonged staring at computers or electronic devices. Taking a break every half hour to move your eyes, neck, and stretch is recommen...[Read More] Managing Neck and Throat Discomfort: Tips for Relief and Exercises
Understanding Sudden Dizziness and Sweating: Is It Low Blood Sugar?
Low blood sugar!? While at work, I suddenly experienced dizziness and profuse sweating (more than sweating under the sun in summer), followed by a feeling of cold that lasted for almost half an hour. I've had these episodes since high school, although they occur infrequently...
Dr. Gao Chunde reply Neurology
Experiencing dizziness after eating or consuming chocolate does not necessarily indicate hypoglycemia. Dizziness can be accompanied by autonomic nervous system symptoms such as nausea, diarrhea, sweating, or palpitations. Additionally, it is important to be cautious of other issu...[Read More] Understanding Sudden Dizziness and Sweating: Is It Low Blood Sugar?
Understanding Chronic Headaches: Causes, Treatments, and Nerve Compression
Acute chronic headache I have had issues with headaches and dizziness since childhood, starting from the back of my neck and skull. When the pain intensifies, I am unable to do anything. However, after undergoing spinal manipulation at a chiropractic clinic, the headaches and diz...
Dr. Gao Chunde reply Neurology
Your symptoms are indicative of neuropathic pain, but it is necessary for a neurologist to determine which specific nerve is involved. It could be the lesser occipital nerve emerging from the cervical spine or the trigeminal nerve originating from the brainstem. Additionally, neu...[Read More] Understanding Chronic Headaches: Causes, Treatments, and Nerve Compression
Chronic Fatigue and Brain Fog: Seeking Answers for Persistent Symptoms
Excessive sleepiness and mental fatigue? Hello Doctor... The patient's condition is as follows: They do not experience insomnia at night, fall asleep normally, sleep for 8 hours, but still wake up feeling very fatigued, with slight headaches and persistent brain fog througho...
Dr. Gao Chunde reply Neurology
It would be advisable to have a neurologist reassess whether the issue is related to intracranial pressure. If none of the neurologists can provide a reasonable explanation, chronic fatigue syndrome could be considered, which seems to be an area of expertise for family medicine p...[Read More] Chronic Fatigue and Brain Fog: Seeking Answers for Persistent Symptoms
Understanding Hand Tremors: Possible Causes and Solutions
Hand problems The hands tremble, often occurring when holding a pen, using chopsticks to eat, pouring drinks, or serving food. Sometimes there is intense shaking (usually in the right hand). Occasionally, there is sharp pain in the middle finger nerve, lasting about 2 to 3 minute...
Dr. Gao Chunde reply Neurology
It may be a central nervous system issue; you should schedule an appointment with a neurologist for evaluation and examination.[Read More] Understanding Hand Tremors: Possible Causes and Solutions
Understanding Nerve Issues: Persistent Numbness and Neck Stiffness
Numbness in the legs and stiffness in the neck? Hello Doctor, I would like to ask you about my condition. I have been experiencing mild numbness in both of my legs throughout the day for a long time. I often wake up at night with either my hands or feet feeling numb, and at times...
Dr. Gao Chunde reply Neurology
Symptoms such as poor blood circulation may indicate issues with the blood vessels or the composition of the blood itself. It is advisable to seek medical attention for further evaluation. Generally, you can consult a neurologist or a family medicine physician, and if necessary, ...[Read More] Understanding Nerve Issues: Persistent Numbness and Neck Stiffness
Severe Pain in Right Eye Socket and Forehead: Possible Neurological Issues
Severe pain in the right orbital area, right eyebrow, and right forehead? About a week ago, while watching television, I suddenly experienced severe pain in my right eye socket, right eyebrow, and right forehead without any warning. It felt like it was about to split open or expl...
Dr. Gao Chunde reply Neurology
If accompanied by tearing, conjunctival injection, or nasal congestion, it may be related to trigeminal autonomic cephalalgias, which can occur in recurrent episodes and be severe enough to seek medical attention. In your case, if there have been no subsequent episodes, you can o...[Read More] Severe Pain in Right Eye Socket and Forehead: Possible Neurological Issues
Loss of Sensation in Skin: Possible Causes and Solutions
The surface of the skin seems to have lost its tactile sensation? Hello Doctor, I was hospitalized for a week due to gastrointestinal issues and received intravenous fluids and antibiotics. It has been two weeks since my discharge. However, since then, I have noticed that the ski...
Dr. Gao Chunde reply Neurology
It is likely a case of nerve compression; however, since there is no muscle weakness, it may be caused by a sensory branch of the axillary nerve. Avoiding further compression should lead to gradual recovery. Of course, it could also be a case of mononeuritis. If symptoms occur wi...[Read More] Loss of Sensation in Skin: Possible Causes and Solutions
Understanding Chronic Neck Discomfort: Causes and Solutions
Discomfort in the neck? Hello doctor, I often feel discomfort in my neck, and I tend to twist my neck, shaking it left and right. This symptom has persisted for a long time, about 1 to 2 years. I have seen a doctor before, who took X-rays and mentioned some inflammation but said ...
Dr. Gao Chunde reply Neurology
When reading or using a computer, it's important to get up and stretch your limbs and neck muscles every thirty minutes. If you have time, you can also perform some localized massage or apply heat while taking a shower to alleviate local fatigue and soreness.[Read More] Understanding Chronic Neck Discomfort: Causes and Solutions
Understanding Tension Headaches: Causes and Remedies for Occipital Pain
Pain in the back of the head with a feeling of tightness? Hello, doctor. I have been experiencing pain in the back of my head (the area where the bone behind the ear protrudes), along with a tight feeling in my head and some dizziness. I tend to be more anxious, and I am currentl...
Dr. Gao Chunde reply Neurology
What you mentioned is possible. You can avoid direct exposure to the air conditioning, and additionally, make sure to get up regularly to move your shoulders and neck. Consider trying local massage and heat therapy as well.[Read More] Understanding Tension Headaches: Causes and Remedies for Occipital Pain
Understanding Neurological Issues: Sleep Disorders and Medication Concerns
Brain issues Dear Doctor Gao, I have been taking the following medications for about four years due to insomnia, as recommended by a friend who suggested I see a neurologist at a clinic: 1. B-complex capsules (Mecobalamin) 0.5 mg 2. "Yuli Shupan" tablets 0.25 mg afte...
Dr. Gao Chunde reply Neurology
If you experience symptoms such as insomnia or feelings of tension and pressure after discontinuing medication, you should have a reassessment with your physician. Medications that are necessary should be continued, while those that are not needed may be considered for discontinu...[Read More] Understanding Neurological Issues: Sleep Disorders and Medication Concerns
Understanding Chronic Neck Pain: Seeking Solutions for Persistent Discomfort
This issue is really troubling me? I would like to ask the doctor for some guidance. For the past year or two, I have been experiencing a sensation of heaviness and dizziness in the back of my head and neck. I used to spend a lot of time on the computer, and I wondered if I had a...
Dr. Gao Chunde reply Neurology
If the neurological examination shows no significant issues, you may consider a rehabilitation assessment to evaluate your shoulder and neck muscle condition and receive recommendations for some lifestyle maintenance strategies. Additionally, it is important to consider stress ma...[Read More] Understanding Chronic Neck Pain: Seeking Solutions for Persistent Discomfort
Could Muscle Pain and Weakness Indicate Parkinson's Disease?
Prolonged muscle soreness and weakness in the limbs could be symptoms of Parkinson's disease? Hello, Doctor Gao! I am 40 years old. Three months ago, after going out, I returned home feeling extremely fatigued. Since then, my condition has fluctuated, with a decline in physi...
Dr. Gao Chunde reply Neurology
It is recommended to visit a neurology clinic for further evaluation to determine if there is a motor neuron disease or other movement disorder issues. Parkinson's disease is also a possible cause, but a face-to-face neurological examination by a physician is necessary to id...[Read More] Could Muscle Pain and Weakness Indicate Parkinson's Disease?
Understanding Nerve Issues in Upper Right Teeth: Causes and Solutions
Nerve numbness in the upper right teeth? Dear Doctor, my teeth have been numb for five years, centered around my upper right incisors. It's not just one tooth that's the issue. Could it be that other nerves are infected with a virus or is there some other problem? Denti...
Dr. Gao Chunde reply Neurology
The teeth here are innervated by a branch of the third division of the trigeminal nerve, and there may be a specific reason for damage to this nerve. Further evaluation and examination by a neurologist could be beneficial.[Read More] Understanding Nerve Issues in Upper Right Teeth: Causes and Solutions