Understanding Right-Sided Muscle Pain: When to Seek Medical Attention
Right-sided muscle pain? Hello doctor, I would like to ask about a condition I experienced about a week ago. I felt a stiff neck on the right side but did not seek medical attention. The symptoms improved somewhat, but there is still some mild pain. Then, the night before last, w...
Dr. Gao Chunde reply Neurology
Sometimes poor posture or improper use, as well as overuse, can lead to localized muscle inflammation and pain. Rest, heat therapy, and moderate massage usually help with recovery. However, if the pain persists or recurs frequently, it is important to seek medical attention for a...[Read More] Understanding Right-Sided Muscle Pain: When to Seek Medical Attention
Chronic Insomnia and Headaches: Seeking Neurology Insights
Hello, Doctor. I have been experiencing chronic insomnia and migraines? Hello doctor, I have been experiencing chronic insomnia and migraines. I work in a labor-intensive job, and during my teenage years to early twenties, I was addicted to online gaming for a period of time afte...
Dr. Gao Chunde reply Neurology
Regarding the issue of migraines and the right eye, you can consult a neurologist. I find it difficult to understand the trigeminal nerve, but the physician will be able to assess it during the consultation and provide you with recommendations and treatment. If necessary, relevan...[Read More] Chronic Insomnia and Headaches: Seeking Neurology Insights
Understanding Sleep Disorders: Nightmares and Body Movements Explained
Sleep issues Since childhood, I have had vivid nightmares, and just before waking up, my body tends to move. I can remember the content of the dreams, and the movement occurs only during the final scene of the dream, but as soon as I move, I wake up immediately. Could this be cla...
Dr. Gao Chunde reply Neurology
Usually, dreams that occur just before waking are more memorable, and if the body moves during this time, it is considered normal. However, if there is movement during the dream itself, it may indicate a problem. If the movement occurs only when waking up, it falls within the nor...[Read More] Understanding Sleep Disorders: Nightmares and Body Movements Explained
Understanding Involuntary Thumb Tremors: Possible Causes and Concerns
Involuntary tremors of the left thumb? Hello, doctor. I am a 26-year-old male, and my dominant hand is my right hand. Recently, over the past two weeks, I have noticed a tremor in my left thumb. The tremor occurs when I am not intentionally using my left hand (when relaxed or res...
Dr. Gao Chunde reply Neurology
The type of tremor you described is indeed very similar to Parkinsonian tremor; however, it is essential for a specialized physician to conduct a personal examination to check for rigidity, bradykinesia, or postural reflexes in order to make an accurate diagnosis. Before confirmi...[Read More] Understanding Involuntary Thumb Tremors: Possible Causes and Concerns
Understanding Tension Around the Eye and Temple When Wearing Glasses or Headphones
Tension or discomfort when wearing glasses and headphones? Hello Doctor, I have a problem that has been bothering me for a long time. Whenever I wear glasses or earphones (in-ear type), I experience a strong tightness around my temples and eyes, but it only occurs on the right si...
Dr. Gao Chunde reply Neurology
It may be necessary to have some examinations conducted by a physician in the outpatient setting to determine whether the impairment is due to psychological factors or a certain type of neurological reflex.[Read More] Understanding Tension Around the Eye and Temple When Wearing Glasses or Headphones
Understanding Left-Sided Head Pain: Causes and Treatments
Left-sided headache? Hello doctor, two days ago I woke up with a sharp pain on the left side of my head, similar to scalp pain. At first, I thought there might be a wound, but there are no visible abnormalities. The pain is triggered by touching, pulling my hair, or exposure to w...
Dr. Gao Chunde reply Neurology
The symptoms described resemble neuropathic pain, accompanied by sensory abnormalities. Sometimes the pain resolves on its own within a day or two, while other times it may be a prodromal symptom of shingles, which can take five to six days before rashes and vesicles appear on th...[Read More] Understanding Left-Sided Head Pain: Causes and Treatments
Understanding Memory Loss After a Severe Head Injury: What to Expect
Severe head trauma after a fall? Hello Doctor: Three weeks ago, I slipped on wet tiles while exiting my bathroom at home and hit the back of my head near my left ear against the wall. The impact was quite severe, and I lost consciousness for a moment, feeling a tingling sensation...
Dr. Gao Chunde reply Neurology
The area near the left ear corresponds to the left temporal lobe in the brain, which houses auditory processing, language functions, and deeper memory regions. Your symptoms could indicate a short-term neurological dysfunction due to a concussion, but they may also suggest other ...[Read More] Understanding Memory Loss After a Severe Head Injury: What to Expect
Nighttime Visual Disturbances: Could a Brain Aneurysm Be the Cause?
Waking up in the middle of the night and perceiving visual disturbances or vibrations? Hello Doctor: When I wake up at night and open my eyes, I feel a slight tremor in my vision, similar to watching a movie screen. I previously had an MRI of my brain, which revealed an aneurysm....
Dr. Gao Chunde reply Neurology
If the visual disturbance is very brief and resolves on its own within a few seconds, it is more likely related to an inner ear issue. However, a brain aneurysm is also a possibility. The exact cause can only be determined through a physical examination conducted by a physician.[Read More] Nighttime Visual Disturbances: Could a Brain Aneurysm Be the Cause?
Understanding Memory Loss and Attention Issues: When to Seek Help
Lack of memory regarding events. Difficulty concentrating. Inability to express thoughts suddenly? Hello doctor, I have recently been experiencing significant memory issues. I can't recall many things I've done, and often forget what I intended to do right after turning...
Dr. Gao Chunde reply Neurology
Sometimes, temporary memory lapses can occur, leading to forgetfulness, which means forgetting something in the moment and struggling to recall it. However, it often comes back later when it is no longer needed. This situation is usually related to stress, anxiety, depressive moo...[Read More] Understanding Memory Loss and Attention Issues: When to Seek Help
Understanding Side Effects of Nicametate Citrate 50mg: A Patient's Experience
The side effects of Nicametate Citrate 50 mg may include gastrointestinal disturbances such as nausea, vomiting, diarrhea, and abdominal pain. Other potential side effects Since October 2015, I have experienced involuntary body jerks that wake me up during sleep, leading to insom...
Dr. Gao Chunde reply Neurology
Based on the process you described, it seems to be a side effect of the medication. Generally, when we prescribe this medication to patients, the experience is relatively straightforward, and only a few have reported side effects similar to yours. Typically, these side effects re...[Read More] Understanding Side Effects of Nicametate Citrate 50mg: A Patient's Experience
Experiencing Sudden Shaking Sensations While Walking: Possible Causes
Often feel sudden shaking, but the body is stable? Hello Doctor: I often experience sudden sensations of the ground shaking and blurred dizziness while walking on flat surfaces or standing still, similar to being on a boat rocked by waves, but it lasts only two to three seconds b...
Dr. Gao Chunde reply Neurology
It is a type of episodic dizziness. If it occurs occasionally and does not affect daily life or work, it can be monitored, as some cases may resolve on their own. However, if it occurs frequently without improvement or if it impacts daily life or work, a consultation with a physi...[Read More] Experiencing Sudden Shaking Sensations While Walking: Possible Causes
Understanding Knee Jerk and Achilles Reflexes: Upper Motor Neuron Concerns
Knee jerk reflex 3+ and Achilles tendon reflex 3+ indicate hyperreflexia, which can be associated with upper motor neuron lesions? 1. During class, I performed some deep tendon reflex tests, and my knee jerk reflex was quite pronounced; a tap with my finger elicited a significant...
Dr. Gao Chunde reply Neurology
Quadriceps reflex is clonus, which indicates a problem. The triceps reflex is actually not uncommon in normal individuals; primarily, if there is an upper motor neuron issue, it will be accompanied by weakness. If there is asymmetry between the two sides, it may also indicate a p...[Read More] Understanding Knee Jerk and Achilles Reflexes: Upper Motor Neuron Concerns
Pain Behind the Ear: Causes and Treatment Options
The bone behind the ear is very painful? Hello doctor, today my friend was playing basketball and accidentally got hit on the bone behind the ear by someone's elbow. It has been painful since then, radiating from the bone near the ear down to the neck, making it very difficu...
Dr. Gao Chunde reply Neurology
This area is actually very close to some important nerves and blood vessels. If the position is off or the force applied is too strong, it could lead to serious consequences. If it's just a muscle contusion or a subcutaneous hematoma, it should heal on its own. However, if i...[Read More] Pain Behind the Ear: Causes and Treatment Options
Understanding Heel and Arch Pain: Is It Plantar Fasciitis?
Plantar fasciitis? Recently, I traveled and walked for 8 days straight. After resting for 5 days, I still experience pain in my left heel while walking. When sitting, I feel pain in the middle of the inner side of my left foot. When lying down flat, both my heel and the middle of...
Dr. Gao Chunde reply Neurology
If it is not plantar fasciitis, then it may be necessary to consider neurological issues, such as tarsal tunnel syndrome, which can present with numbness and tingling. It is advisable to consult a neurologist for confirmation.[Read More] Understanding Heel and Arch Pain: Is It Plantar Fasciitis?
Understanding Numbness in Legs: When to See a Neurologist
Loss of sensation in both feet? Hello doctor, since around last winter, I have been experiencing some numbness from my thigh to the soles of my feet and toes. There is no weakness, just a feeling of slight dullness. I initially thought it was due to the cold weather, but it hasn&...
Dr. Gao Chunde reply Neurology
In neurology, nerve conduction studies are typically arranged, and additional relevant tests may be added as necessary.[Read More] Understanding Numbness in Legs: When to See a Neurologist
Understanding and Managing Persistent Thigh Pain in Older Adults
Mother has thigh nerve pain? Hello, doctor. I actually came here to ask before. For the past two and a half years, my mother has been experiencing a burning sensation in her right thigh, which started last year. Now, her thigh is constantly numb and painful at irregular intervals...
Dr. Gao Chunde reply Neurology
General neurologists may find no issues during their examination, but if the pain is determined to be caused by peripheral neuropathy or central nervous system issues, there are medications available to manage the pain and improve quality of life. If the pain is difficult to cont...[Read More] Understanding and Managing Persistent Thigh Pain in Older Adults
Ultrasound Fat Reduction: Risks of Nerve Damage and Hand Numbness
Cosmetic medicine: Ultrasound fat reduction may cause hand numbness, potentially injuring the nerves? On April 5th, I underwent "Liposonix" ultrasound fat reduction treatment at a medical aesthetics clinic to slim down my arms. This treatment is non-invasive and claims ...
Dr. Gao Chunde reply Neurology
If there is a trend of progression or worsening of the condition, it is advisable to schedule an appointment with a neurologist at Chang Gung Memorial Hospital to inquire whether there are any treatments or medications that can be initiated, as electromyography is primarily a dia...[Read More] Ultrasound Fat Reduction: Risks of Nerve Damage and Hand Numbness
Understanding Sudden Dizziness: Causes and Concerns for Teens
Sudden dizziness? Hello, doctor. Since elementary school (I am now in high school), I have experienced sudden dizziness, numbness in my hands and feet, and blurred vision whenever I get an injection, have blood drawn, exercise, or stand in the sun for a while. Eventually, I can’t...
Dr. Gao Chunde reply Neurology
These symptoms are more indicative of syncope, which typically involves a transient decrease in cerebral blood flow, such as a drop in heart rate and blood pressure, especially in response to certain specific stimuli. This can be related to neurological or cardiac factors. It is ...[Read More] Understanding Sudden Dizziness: Causes and Concerns for Teens
Is My Mother's Numbness and Weakness a Sign of Stroke?
Could you please tell me if my mother's symptoms indicate a stroke? Hello, Dr. Gao. My mother has been a long-term patient at your hospital. Recently, she has been experiencing numbness and weakness on the right side of her body from head to toe, and she is unable to walk no...
Dr. Gao Chunde reply Neurology
Unilateral numbness and weakness are highly indicative of a stroke. The physician will arrange for relevant examinations to determine the cause and treatment.[Read More] Is My Mother's Numbness and Weakness a Sign of Stroke?
Understanding Dizziness and Weakness: Symptoms and Prevention Tips
Dizziness, numbness throughout the body, and generalized weakness? I often experience sudden dizziness, numbness throughout my body, and a lack of strength. Then I squat down and lean against the wall, and after a while, I feel better. What could these symptoms indicate? Could it...
Dr. Gao Chunde reply Neurology
There are several possibilities: one is benign paroxysmal positional vertigo (BPPV), which is triggered by changes in position or certain movements; another is abnormal electrical discharges in the brain, leading to symptoms in the head and body; and the last is anxiety-induced s...[Read More] Understanding Dizziness and Weakness: Symptoms and Prevention Tips