Understanding Knee Discomfort: Possible Causes and Solutions
Knee A few days ago, I felt a pinching and tingling sensation in my right hip joint, but it resolved on its own the next day. However, it has now changed to a feeling in the upper right area of my right knee, where it feels like something is pulsating inside. Although it doesn&#x...
Dr. Gao Chunde reply Neurology
You may want to monitor for any numbness in the thigh, weakness when lifting the leg, or changes in strength in the right leg when going up stairs (especially if it feels weaker). If the twitching or the aforementioned symptoms persist, it is advisable to visit a neurology clinic...[Read More] Understanding Knee Discomfort: Possible Causes and Solutions
Understanding Sleep Issues: Why Yawning and Tears Don't Lead to Sleep
Sleep Hello doctor, my mother has been yawning and tearing up while lying in bed at night, but she just can't fall asleep. What could be the issue?
Dr. Gao Chunde reply Neurology
How long has this situation been occurring? If it has been less than three months, it is classified as acute or short-term insomnia. You may want to identify any situational factors or physical, psychological, or medication-related influences affecting your sleep. If you can iden...[Read More] Understanding Sleep Issues: Why Yawning and Tears Don't Lead to Sleep
Understanding Chest Nerve Pain: Causes and When to Seek Help
Regarding thoracic neuralgia? Hello Doctor: Recently, I have been experiencing chest pain for reasons unknown, which becomes more pronounced when I sneeze. This symptom has persisted for almost six months. I previously visited a hospital for an X-ray and was diagnosed by a pulmon...
Dr. Gao Chunde reply Neurology
Sneezing can indeed heighten concerns, and it is important to clarify whether there are underlying issues related to neurology, pulmonology, or even cardiology. If all potential organic causes of chest pain have been ruled out, then considering stress may be appropriate. However,...[Read More] Understanding Chest Nerve Pain: Causes and When to Seek Help
Understanding Dizziness and Numbness During Bathroom Visits: Causes and Solutions
Numbness in the hands, dizziness, and cold sweats while using the restroom? Dear Dr. Gao, A few days ago, I woke up in the morning with stomach pain and the urge to use the restroom. While I was in the bathroom, I started to break out in a cold sweat, felt nauseous, and experien...
Dr. Gao Chunde reply Neurology
Since supplementing with sugary foods can improve the condition, the first consideration should still be blood sugar issues. If, after evaluation by an endocrinologist, it is determined that this is not the case, further assistance from a neurologist can be sought.[Read More] Understanding Dizziness and Numbness During Bathroom Visits: Causes and Solutions
Unexplained Facial Skin Pain: Possible Links to Neurological Issues
The skin on the face often experiences unexplained pain? Hello, doctor. I often experience inexplicable pain on my skin, which is only superficial and about the size of my palm. It hurts when the wind blows and occurs in different locations, most frequently on my cheek, and alway...
Dr. Gao Chunde reply Neurology
The symptoms are leaning towards neuropathic pain, specifically in the cheek area which is associated with the trigeminal nerve. It would be advisable to further confirm whether it is trigeminal neuralgia or another form of atypical facial pain. As for neuropathic pain in other a...[Read More] Unexplained Facial Skin Pain: Possible Links to Neurological Issues
Understanding Sleep Jerks: Causes and Solutions for Nighttime Disturbances
Body jerks during sleep! Hello, I have a question! I am currently troubled by involuntary body jerks while trying to sleep. Before these symptoms appeared, I experienced headaches, dizziness, neck and shoulder pain, and gastrointestinal discomfort. After taking medication, I felt...
Dr. Gao Chunde reply Neurology
Involuntary body shaking can sometimes be related to certain medications, and discontinuing the medication often leads to improvement. The twitching that occurs just before falling asleep is usually physiological, meaning many normal individuals experience it as well. However, co...[Read More] Understanding Sleep Jerks: Causes and Solutions for Nighttime Disturbances
Understanding Post-Surgical Complications of Orthognathic Surgery
Orthognathic surgery sequelae I would like to inquire about the complications after orthognathic surgery. I underwent orthognathic surgery two weeks ago, specifically a Lefort I 3-piece osteotomy for the maxilla and a BSSO SSRO for the mandible (not the commonly performed IVRO in...
Dr. Gao Chunde reply Neurology
Issues in this area rarely come to the neurology department; at least, I haven't encountered them. I believe the surgeon would be more concerned than you are. The literature has reported similar cases, but they appear to involve only transient facial nerve dysfunction, with ...[Read More] Understanding Post-Surgical Complications of Orthognathic Surgery
Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Cervical spine pain Hello Doctor, the patient has the following conditions: 1. On June 19, there was localized pain in the left posterior thorax (the area around the scapula) that did not respond to corticosteroid injections. Subsequently, the patient experienced numbness in th...
Dr. Gao Chunde reply Neurology
According to Scenario 1, it truly resembles typical symptoms of cervical radiculopathy; however, I find it difficult to understand why the cervical MRI is normal. Additionally, traction has been ineffective. If this is indeed the case, one should consider isolated neuritis or neu...[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Understanding Foot Pain: Causes and Solutions for Nerve Issues
Shooting pain in the soles of the feet? Dear Doctor: I have been experiencing sharp pain in the soles of my feet for the past few months, especially worsening at night. I also feel pain in my heels, but elevating my feet provides some relief. Could you please advise me on the pos...
Dr. Gao Chunde reply Neurology
You can visit the neurology outpatient clinic to determine whether the issue is caused by peripheral neuropathy or lumbar stenosis.[Read More] Understanding Foot Pain: Causes and Solutions for Nerve Issues
How to Alleviate Numbness in Feet: Tips for Better Circulation
How to improve frequent foot numbness? Hello doctor, my feet often feel numb, especially after sitting or squatting for a long time, and even while sleeping. What can I do to improve this condition? Should I focus on diet or other aspects? Thank you.
Dr. Gao Chunde reply Neurology
Experiencing numbness in the legs while sitting or squatting is common and may not necessarily indicate a problem; it could be due to blood circulation issues or sensitive nerves that become compressed, leading to ischemia or nerve dysfunction. Engaging in regular exercise can he...[Read More] How to Alleviate Numbness in Feet: Tips for Better Circulation
Struggling to Sleep After Watching TV? Expert Tips for Better Rest
Please provide the content you would like I often feel very tired while watching TV and keep dozing off, but once I get into bed, I can't fall asleep. I'm not sure what to do. Thank you, Dr. Gao for your explanation.
Dr. Gao Chunde reply Neurology
This is a sleep hygiene practice that encourages you to limit your sleeping to the bed only. If you don't feel sleepy, avoid lying in bed. If you're watching TV and feel tired, turn off the TV and quietly settle into bed. Additionally, refrain from watching TV for at le...[Read More] Struggling to Sleep After Watching TV? Expert Tips for Better Rest
Understanding Gastrointestinal Disorders: A Neurological Perspective
Gastrointestinal dysregulation Hello, Doctor. After binge eating in 2008, I experienced stomach bloating in the afternoon, loss of appetite, and underwent gastroscopy which showed no issues. I tried traditional Chinese medicine for treatment but saw no improvement. In 2009, I had...
Dr. Gao Chunde reply Neurology
The condition commonly referred to as autonomic nervous system dysfunction primarily indicates an imbalance between the sympathetic and parasympathetic nervous systems, particularly when the sympathetic nervous system is overactive. Symptoms may include palpitations, diarrhea, tr...[Read More] Understanding Gastrointestinal Disorders: A Neurological Perspective
Understanding Nightmares: Causes and Solutions for Sleep Disturbances
Having nightmares every night? Hello, doctor! Since mid-May, I have been having nightmares every day. When I wake up in the morning, my whole body feels sore and tired, but I don't have any stress. My sleep schedule is normal, from 9 PM to 6 AM, yet I still experience contin...
Dr. Gao Chunde reply Neurology
This situation may be indicative of sleep terrors, which are more common in children and around the pre-adolescent stage, and typically decrease in adulthood. In adults, there have been reports linking sleep terrors to certain anxiety disorders or mood disorders, such as bipolar ...[Read More] Understanding Nightmares: Causes and Solutions for Sleep Disturbances
Understanding Caffeine Sensitivity: Heart Palpitations and Anxiety
Drinking tea can cause palpitations and overall tension? Hello, doctor. I've been experiencing this for 2.3 years now. Whenever I consume something with a higher caffeine content, like coffee or green tea, my nerves become very tense, my heart races, and I can't relax. ...
Dr. Gao Chunde reply Neurology
Caffeine and tea-based beverages naturally have stimulating effects and can excite the nervous system, but individual sensitivity varies. This is not indicative of a neurological issue; reducing intake or avoiding these beverages should suffice. However, if one experiences increa...[Read More] Understanding Caffeine Sensitivity: Heart Palpitations and Anxiety
Understanding Dizziness: Causes, Symptoms, and Treatment Options
Dizziness On April 28th and 29th, I experienced vomiting upon waking up in the morning, along with dizziness and a darkening of my vision. I also had cold sweats. On April 30th, I visited a family medicine clinic, but the doctor was unsure of the cause of my symptoms. He prescrib...
Dr. Gao Chunde reply Neurology
Symptoms of vestibular nerve disorders include dizziness, tinnitus, or hearing impairment. During episodes, patients may experience significant discomfort, nausea, and cold sweats. Viral infections causing inflammation may take about one to two weeks to fully resolve. It is impor...[Read More] Understanding Dizziness: Causes, Symptoms, and Treatment Options
Understanding Pain Syndrome After Trauma: Diagnosis and Treatment Options
Pain syndrome Hello: I had a car accident in April of last year, resulting in a fifth metatarsal fracture. I was in a cast for 40 days, during which my foot was severely swollen and painful. I thought that removing the cast would improve the situation, but the swelling and pain p...
Dr. Gao Chunde reply Neurology
Post-traumatic conditions can lead to a very painful neurological syndrome known as Complex Regional Pain Syndrome (CRPS). This condition typically presents with changes in the skin at the site of injury, swelling, alterations in hair growth, temperature fluctuations, changes in ...[Read More] Understanding Pain Syndrome After Trauma: Diagnosis and Treatment Options
Understanding Hand Numbness: When to Seek Neurological Care
When reaching out forcefully, the palm may become numb? 1. A couple of days ago, I suddenly experienced numbness in my palm when reaching for something, which has persisted for two days. The numbness occurs whenever I extend my right hand outward, but it does not happen when I re...
Dr. Gao Chunde reply Neurology
1. The location of the numbness corresponds to the area of the median nerve, but it is difficult to determine whether the cause is compressive or inflammatory, as well as whether the lesion is in the forearm or wrist. Generally, the most common condition is carpal tunnel syndrome...[Read More] Understanding Hand Numbness: When to Seek Neurological Care
Understanding Carpal Tunnel Syndrome: Treatment and Daily Care Tips
Carpal Tunnel Syndrome Hello Doctor: I would like to ask you about my mother (57 years old). She recently underwent a nerve conduction study at Cheng Kung University Hospital and was diagnosed with carpal tunnel syndrome. What further treatment options are available? What actions...
Dr. Gao Chunde reply Neurology
If the condition is not severe, you can first look for the causes of median nerve compression in the wrist and correct them, such as overuse, improper use, localized swelling and inflammation, or injuries near the wrist. You can perform wrist stretching exercises (which involve p...[Read More] Understanding Carpal Tunnel Syndrome: Treatment and Daily Care Tips
Understanding Toe Cramps: Causes and Remedies for Cold Weather
Toe cramps When the weather is cold or after walking a lot, I often experience cramps in my toes while showering (both feet simultaneously, with the toes overlapping). I can't stand up at all. Could this be due to a deficiency in my body, or is it simply related to the tempe...
Dr. Gao Chunde reply Neurology
Peripheral muscle cramps are not uncommon. If cramps occur, it may indicate an issue with the nerves or muscles, which can be structural or metabolic in nature. Structural causes may include upstream nerve stimulation or compressive lesions, typically accompanied by other neurolo...[Read More] Understanding Toe Cramps: Causes and Remedies for Cold Weather
Persistent Pain in the Sole: When to See a Neurologist?
Pain in the sole of the foot (Yongquan point)? After the age of 30, I have experienced several episodes of sudden sharp pain in the sole of my foot (Yongquan point) after prolonged squatting or walking. The pain feels like being pierced by a sharp object, and as soon as my foot t...
Dr. Gao Chunde reply Neurology
The most common cause of foot pain is plantar fasciitis, which typically hurts the most when stepping down after resting. With attention to footwear and walking posture, it usually improves on its own over time. If the pain is due to nerve pain (Morton's neuroma), it tends t...[Read More] Persistent Pain in the Sole: When to See a Neurologist?