Post-Car Accident Dizziness: Understanding Symptoms and Recovery
Dizziness caused by a car accident? Hello, Doctor Gao: About a week ago, I was involved in a car accident where I hit my head and also compressed my neck. Initially, I experienced headaches and dizziness. After visiting the hospital, I was informed that I might have a mild concus...
Dr. Gao Chunde reply Neurology
Hello, the preliminary assessment suggests that the issue is likely due to disturbances in the vestibular system and semicircular canals of the inner ear caused by the deceleration from a head impact. Some also mention the possibility of otolith dislodgement or displacement. Gene...[Read More] Post-Car Accident Dizziness: Understanding Symptoms and Recovery
Understanding Chronic Inflammation in the Dorsum of the Foot
Chronic inflammation of the dorsum of the foot? Hello Doctor: I am unsure why the tendons on the dorsum of my right foot frequently become inflamed. The inflamed tendon is located in the area between the fourth and fifth toes and the ankle, specifically on the outer side of the m...
Dr. Gao Chunde reply Neurology
The symptoms sound more like repetitive or habitual trauma, possibly resulting from improper use or poor posture combined with weight factors. As for the lump on the heel, it could also be due to the same reasons. However, the assistance from neurology in this area is quite limit...[Read More] Understanding Chronic Inflammation in the Dorsum of the Foot
Understanding Head Pain: Possible Causes and Connections to Past Injuries
Headache issues Hello Doctor: Recently, I've noticed some pain on the left side of my scalp when I press on it, which is accompanied by slight discomfort in my temple and neck. When I was a child, I injured the left side of my head by hitting a wall, and I'm unsure if t...
Dr. Gao Chunde reply Neurology
Based on your description, the stiffness and soreness in your neck and shoulder muscles are indeed related. The muscle tension on the left side of your neck is not due to an old injury; it may be caused by poor posture or excessive fatigue. Treatment and symptom relief methods to...[Read More] Understanding Head Pain: Possible Causes and Connections to Past Injuries
Medication Concerns in Parkinson's Disease: Symptoms and Stroke Risks
Medication Issues in Parkinson's Disease My father has hypertension and experiences tremors. A physician in Hsinchu, Dr. Chou Ping-Chen, prescribed Parkinson's medication for him. He has been taking it for nearly two weeks and has experienced drowsiness and dizziness. H...
Dr. Gao Chunde reply Neurology
The diagnosis of a stroke is not determined by unstable blood pressure or dizziness symptoms, but rather by the presence of neurological deficits assessed through a professional physician's interview and neurological examination. As for imaging studies, magnetic resonance an...[Read More] Medication Concerns in Parkinson's Disease: Symptoms and Stroke Risks
Managing Parkinson's Side Effects: Tips for Caregivers and Patients
Side effects of Parkinson's disease? My grandmother was recently diagnosed with stage three Parkinson's disease. Initially, her mobility was fine (just typical disease progression), but this week, after taking her medication, her condition has significantly worsened. Sh...
Dr. Gao Chunde reply Neurology
Many Parkinson's medications can cause orthostatic hypotension as a side effect. Additionally, patients may have autonomic nervous system dysfunction due to the disease, leading to unstable blood pressure, which is indeed a concern. It is recommended to have a blood pressure...[Read More] Managing Parkinson's Side Effects: Tips for Caregivers and Patients
Understanding Trigeminal Nerve Damage and Its Impact on Facial Sensation
Face Hello, doctor. The question is: Damage to the spinal trigeminal nucleus can lead to the loss of a "cylindrical onion-like" sensation in the face. Can you explain what this means? Is there an image? Thank you!
Dr. Gao Chunde reply Neurology
The trigeminal nerve has three nuclei, which are responsible for pain and temperature sensations. This distribution is similar to the dermatomes in the spinal cord, but differs from the distribution of touch and vibration sensations in the face. The branches of the trigeminal ner...[Read More] Understanding Trigeminal Nerve Damage and Its Impact on Facial Sensation
Understanding Toe Tremors in Comatose Patients: What You Need to Know
Toe twitching Hello Doctor, my mother previously underwent a tracheostomy due to tracheal stenosis. On October 27, she was hospitalized for emergency treatment due to tracheal spasms, but due to a delay in the ambulance, it took over an hour for her to arrive at the hospital, by ...
Dr. Gao Chunde reply Neurology
The patient has been in a coma for a month, and the chances of regaining consciousness are likely lower, but not entirely absent. There may be spontaneous twitching in the toes and legs, which could be related to muscle spasms and abnormal electrical discharges in the brain. If t...[Read More] Understanding Toe Tremors in Comatose Patients: What You Need to Know
Sudden Lower Back Pain and Numbness: Understanding Neurological Issues
Sudden numbness and tingling in the lower back? I have experienced sudden severe pain on both sides of my lower back, to the point of numbness, and this has happened two or three times now.
Dr. Gao Chunde reply Neurology
Are there certain positions or movements that trigger the pain, or does it occur spontaneously? Is the numbness localized to the lower back, or does it radiate down to the legs or knees? Did it start after an injury or improper use? There are many possible issues, but a more deta...[Read More] Sudden Lower Back Pain and Numbness: Understanding Neurological Issues
Understanding Chronic Pain in the Back of the Head: Causes and Solutions
Frequent pain in the occipital region? I often experience elevated intraocular pressure around 2 to 3 PM during work, accompanied by pain between my eyebrows and at the back of my head. Practicing yoga 2 to 3 times a week for 2 to 3 hours helps alleviate the symptoms, but without...
Dr. Gao Chunde reply Neurology
This is a typical tension-type headache. The term "tension" does not refer to psychological stress, but rather to the tightness of the muscles from the neck to the head. It is advisable to try to reduce prolonged fixed positions of the head and eyes, or to take breaks e...[Read More] Understanding Chronic Pain in the Back of the Head: Causes and Solutions
Understanding Finger and Foot Swelling During Walking: Causes and Solutions
During walking exercises, there is a sensation of swelling, stiffness, and numbness in the fingers? During walking exercises, my fingers and the soles of my feet experience swelling (similar to edema) and a tingling sensation. The swelling in my fingers gradually subsides only af...
Dr. Gao Chunde reply Neurology
During exercise, blood circulation to the extremities improves; however, the sensation of swelling and numbness is difficult for me to explain. If someone is not accustomed to regular exercise and suddenly introduces new physical activities, this could potentially be attributed t...[Read More] Understanding Finger and Foot Swelling During Walking: Causes and Solutions
Understanding Numbness and Pain in Toes: Causes and Solutions
Toe numbness and pain? Hello Doctor: I would like to ask on behalf of my mother, who is 45 years old and still working. She often experiences tingling in her toes and sometimes feels soreness. Her flexibility is quite good, but she exercises very little. I'm not sure what mi...
Dr. Gao Chunde reply Neurology
Hello: Numbness in the toes can be caused by nerve issues or poor circulation, so it's important to check for accompanying symptoms such as coldness or discoloration indicating circulatory problems. If the issue is more related to nerves, it could be peripheral neuropathy af...[Read More] Understanding Numbness and Pain in Toes: Causes and Solutions
Understanding Evening Headaches: Causes, Symptoms, and Treatment Options
Headache I would like to ask about a common issue I experience. Often in the evening, I start to feel pain in my head, specifically at the top, accompanied by a sensation of pressure. During this time, if I climb stairs, I can feel my blood vessels pulsating strongly. I would lik...
Dr. Gao Chunde reply Neurology
The most common types of headaches in modern individuals are tension-type headaches and migraines. After a detailed consultation with a physician, it is possible to diagnose whether the headache is due to muscle tension (tension-type headache) or vascular changes (migraine), or i...[Read More] Understanding Evening Headaches: Causes, Symptoms, and Treatment Options
Understanding the Effects of High Blood Sugar on Neurological Health
High blood sugar can lead to several conditions, including: 1. Increased thirst and frequent urination (polyuria). 2. Fatigue and weakness. 3. Blurred vision. 4. Headaches. 5. Dry mouth and skin. 6. Unexplained weight loss. 7. Slow healing Hello, Doctor Gao: My father is a diabe...
Dr. Gao Chunde reply Neurology
Metabolic encephalopathy can occur if blood sugar levels are high or if there is renal dysfunction. Patients may present with altered orientation, memory issues, cognitive changes, and temporary neurological deficits, which can be severe enough to lead to coma. However, as long a...[Read More] Understanding the Effects of High Blood Sugar on Neurological Health
Understanding Dizziness: Insights on Treatment and Medication Duration
Dizziness issues? Hello Doctor: When I walk, I feel lightheaded, and I also sense that the floor is floating. I went to the hospital for tests including posturography, hearing tests, eye movement tests, and temperature difference tests. During the temperature difference test, it ...
Dr. Gao Chunde reply Neurology
CERENIN is designed to improve your inner ear circulation; however, any established damage must rely on the body's own repair and adaptation mechanisms. At this point, the effectiveness of CERENIN is less related to your current residual symptoms. Identifying and preventing ...[Read More] Understanding Dizziness: Insights on Treatment and Medication Duration
Understanding Foot Numbness: Causes and Solutions for Neurological Issues
Numbness in the soles of the feet? Hello, Dr. Gao. Recently, I have been experiencing numbness in both legs, along with lower back pain and finger discomfort. The numbness in my legs feels like intermittent tingling, similar to the rhythm of my pulse, and this sensation is persis...
Dr. Gao Chunde reply Neurology
Based on your symptoms, if we consider a neurological issue, it is focused on the fingers and soles of the feet, which we refer to as "peripheral." If it is not a peripheral circulation problem, we need to be aware of the possibility of peripheral neuropathy. This can b...[Read More] Understanding Foot Numbness: Causes and Solutions for Neurological Issues
Understanding Dizziness and Fainting: Possible Causes and Next Steps
Experiencing dizziness and having fainted before..? Hello, doctor. A year ago, I briefly fainted after a fall, and another time I fainted briefly after squatting for too long and then sitting up. I consulted a neurologist and underwent an electroencephalogram, and the doctor said...
Dr. Gao Chunde reply Neurology
First, orthostatic hypotension should be considered (it is possible to have this issue even with a history of hypertension). Blood pressure and heart rate can be measured in lying, sitting, and standing positions. If the difference in systolic blood pressure exceeds 20 mmHg, it m...[Read More] Understanding Dizziness and Fainting: Possible Causes and Next Steps
Understanding and Treating Persistent Heel Pain: A Neurological Perspective
Heel pain in one foot? Hello, Dr. Gao. I have read your responses related to the e-hospital in Taiwan and I am very impressed. I would like to share my personal issue with my lower limbs. Over five years ago, I noticed that my left leg, from the hip down to the knee and all the w...
Dr. Gao Chunde reply Neurology
Hello Mr. Dong, your symptoms are indeed indicative of issues related to the first sacral nerve root or slightly downstream affecting the sciatic nerve. Since the MRI has ruled out nerve root compression, the lesions affecting the sciatic nerve should consider the most common cau...[Read More] Understanding and Treating Persistent Heel Pain: A Neurological Perspective
Understanding Persistent Numbness and Tingling in the Left Foot
Numbness in the left foot? Hello Doctor: Last year, I noticed a tingling sensation in my left foot when sitting down, occasionally accompanied by sharp pain, which made it almost impossible for me to sit. I had an X-ray done last year, which showed no bone spurs. However, an elec...
Dr. Gao Chunde reply Neurology
To determine whether the current symptoms have worsened or remained stable after rehabilitation traction, if they have worsened, a detailed examination by a neurologist may be necessary. If they have remained stable but still cause concern, it may be advisable to return to physic...[Read More] Understanding Persistent Numbness and Tingling in the Left Foot
Understanding Nerve Issues: Why Is My Left Leg Numb and Painful?
Numbness in the foot? Hello, Doctor: When I was 13 years old, I had a car accident. At that time, my left calf was severely injured, and the small bones were fractured. I was initially treated at Chengqing Hospital (near Zhongshan Park) and then transferred to 803 Hospital. They ...
Dr. Gao Chunde reply Neurology
The symptoms sound like a sequela of nerve injury known as "Complex Regional Pain Syndrome." It is generally difficult to treat. As for the second car accident causing a dent, the issue depends on the location of the dent and any accompanying neurological symptoms to de...[Read More] Understanding Nerve Issues: Why Is My Left Leg Numb and Painful?
Managing Nerve Injuries: Recovery Tips and Insights
Management of Nerve Injury Hello Doctor: I would like to ask you about the management of nerve injuries. I have undergone a needle electromyography (EMG) test, which revealed that the nerve running from my right calf to the dorsum of my foot, connecting to the ring toe and little...
Dr. Gao Chunde reply Neurology
Based on the description, the affected nerve is likely the common peroneal nerve. If the symptoms are bilateral, it is more related to kneeling, while unilateral symptoms are more associated with crossing the legs. If one frequently crosses the right leg, the likelihood of nerve ...[Read More] Managing Nerve Injuries: Recovery Tips and Insights