Understanding Muscle Pain: Causes and Solutions for Burning Sensations
Muscle pain Hello, doctor. Recently, I've been experiencing a burning tearing sensation in the front thigh muscles during certain movements. This sensation disappears immediately after I stop the movement, and there is no pain when I press on it. However, I noticed that when...
Dr. Jiang Junyi reply Neurology
Hello Mr. TOP: You mentioned, "pressing when experiencing a burning tearing sensation causes pain." Your symptoms may suggest a peripheral nerve issue. This could be due to muscle compression of nearby nerves and blood vessels in specific positions. Symptoms of peripher...[Read More] Understanding Muscle Pain: Causes and Solutions for Burning Sensations
Understanding Muscle Atrophy: Is It ALS or Another Condition?
Amyotrophic lateral sclerosis (ALS), muscle atrophy? Hello doctor, I am a 40-year-old male. About six years ago, I suddenly felt unusual soreness in my left arm, and later the small thenar muscle in my left hand began to twitch. A few days later, I noticed slight atrophy. I consu...
Dr. Jiang Junyi reply Neurology
Dear Mr. Aze, You mentioned that "my arms suddenly tremble continuously, my muscles twitch, and I experience inexplicable spasms throughout my body. I also noticed that my thighs seem to be atrophying, and I wonder if I might have this disease." The muscle atrophy you ...[Read More] Understanding Muscle Atrophy: Is It ALS or Another Condition?
Understanding Mild Dizziness: Possible Causes and Connections to Menstruation
Mild dizziness Hello Doctor, I am currently a third-year junior high school student. I started feeling slightly dizzy during class the day before yesterday. Sometimes I feel like I might faint, but I don't actually fall. I would like to know if this is related to my menstrua...
Dr. Jiang Junyi reply Neurology
Dear Ms. Jian, You mentioned, "I would like to ask if this is related to my menstrual period, as I started experiencing symptoms on Tuesday, but my period began on Sunday." Typically, migraine-associated vertigo tends to occur within three days prior to menstruation. T...[Read More] Understanding Mild Dizziness: Possible Causes and Connections to Menstruation
Understanding Right Occipital Dizziness: Possible Inflammation and Treatment
Dizziness in the right posterior part of the brain / similar to intoxication / inflammation? Hello, doctor. I apologize for the lengthy description of my condition; I hope you don't mind. Background: About ten days ago, I visited Qingjing Farm. After being exposed to some su...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "the infection may have been caused by insect bites in the wild, and I was prescribed antibiotics along with anti-nausea and pain relief medications. After three days, I asked my family to check, and the redness and swelling at the back of my right ...[Read More] Understanding Right Occipital Dizziness: Possible Inflammation and Treatment
Facial Numbness After Waking: Possible Causes and When to Seek Help
Numbness in the upper left side of the face upon waking up? I have been noticing this phenomenon for at least a month now. The main symptom is numbness around my left eye (forehead, temples, cheekbones, etc.), which is not painful. It tends to occur upon waking, especially in the...
Dr. Jiang Junyi reply Neurology
Hello Mr. Wang: You mentioned that "the symptoms mainly involve numbness around the left eye (forehead, temples, cheekbone, etc.)." This symptom may suggest inflammation of the first branch of the trigeminal nerve (ophthalmic nerve). First, we need to rule out sinusitis...[Read More] Facial Numbness After Waking: Possible Causes and When to Seek Help
Understanding Increased Nerve Pain After Diagnosis: Causes and Treatments
Diagnosis leads to exacerbation of neuropathic pain? Recently, after being diagnosed, the previously occasional neuropathic pain has become frequent, primarily occurring in the abdomen and thighs, both during the day and night (persistent). After taking painkillers, the pain retu...
Dr. Jiang Junyi reply Neurology
Hello, Ms. Bai: You mentioned that the pain primarily occurs in the abdomen and thighs, is persistent both day and night, and continues after taking pain medication for three to four hours, causing tears. Is this situation common? How should it be assessed and treated? Your sympt...[Read More] Understanding Increased Nerve Pain After Diagnosis: Causes and Treatments
Is It True That Gut Autonomic Nervous Disorders Are Undetectable?
Is it impossible to detect autonomic nervous system dysfunction in the intestines? Hello, doctor. I have been experiencing long-term issues with irritable bowel syndrome (IBS) of the diarrhea type. My doctor mentioned that it is caused by autonomic nervous system dysregulation. A...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned "autonomic nervous system examinations specifically targeting the intestines," which can utilize questionnaires or tests to assess the activity speed of various parts of the gut. The principle is similar to using a small transmitter (like a dashcam)...[Read More] Is It True That Gut Autonomic Nervous Disorders Are Undetectable?
Understanding Persistent Dizziness: When to Seek Treatment and Management Tips
Dizziness issues? Hello, doctor. I have been experiencing dizziness, but it is not severe and does not affect my daily life. The symptoms usually occur suddenly, making me feel like I'm swaying, and they are particularly noticeable in crowded places. I have previously underg...
Dr. Jiang Junyi reply Neurology
Hello Ms. Chen, You mentioned that you "suddenly feel a sense of swaying, often thinking it's an earthquake, or that the symptoms become particularly pronounced in crowded situations." There are many causes of dizziness. If your dizziness is related to your menstr...[Read More] Understanding Persistent Dizziness: When to Seek Treatment and Management Tips
Understanding Visual Disturbances and Leg Weakness: A Neurological Perspective
Visual abnormalities and weakness or numbness in the calves? Hello Doctor, since June, I have been experiencing unclear vision on the edges of my left eye. After an ophthalmological examination, a visual field defect was found, raising concerns about a possible neurological issue...
Dr. Jiang Junyi reply Neurology
Dear Miss Abo, You mentioned that "the edges of things appear unclear in my left eye." The report seems unable to explain this condition, but it does mention "suspect hypoplasia of the right vertebral artery." I wonder if you have any risk factors for cerebro...[Read More] Understanding Visual Disturbances and Leg Weakness: A Neurological Perspective
Understanding Neck Pain and Numbness: Is It Just a Strain or a Stroke?
Neck pain / unilateral numbness? I am currently in the postpartum period and woke up early in the morning to pump breast milk. During this time, I suddenly felt some pain in my right neck, but I can still move my head up, down, and side to side. After going back to sleep and waki...
Dr. Jiang Junyi reply Neurology
Dear Ms. Jill, You mentioned experiencing "some numbness in your right hand and right cheek." I would like to clarify whether the numbness in your face includes the area around your mouth and nose. If only the jaw area is affected, we may need to consider the possibili...[Read More] Understanding Neck Pain and Numbness: Is It Just a Strain or a Stroke?
Can Devices Accurately Diagnose Autonomic Nervous System Disorders?
Is there a device that can detect autonomic nervous system dysfunction? Hello, doctor. I have been suffering from irritable bowel syndrome (diarrhea type) since my student days. Recently, I finally mustered the courage to undergo an endoscopy, and the results showed that my intes...
Dr. Jiang Junyi reply Neurology
Hello, You asked, "Is there a specialized instrument to test for autonomic nervous system disorders? Do general clinics have this, or is it only available in large hospitals?" Here are four commonly used tools for assessing autonomic nervous system disorders: ● Hea...[Read More] Can Devices Accurately Diagnose Autonomic Nervous System Disorders?
Understanding Left Jaw Pain: When to See a Neurologist or Dentist
Sharp pain in the left lower jaw and cheek? Hello Doctor: For the past two days, I've been experiencing intermittent sharp pain on the left side of my cheek, feeling like someone is poking me with a needle or giving me an electric shock, which is quite uncomfortable. The pai...
Dr. Jiang Junyi reply Neurology
Hello Ms. Chen, You mentioned that "the pain extends from the jaw up to the temples, around the eyes, and the scalp, and down to the chin, occurring several times a minute or suddenly once every few hours. The pain intensifies during activities such as eating, yawning, turn...[Read More] Understanding Left Jaw Pain: When to See a Neurologist or Dentist
Understanding Deep Eye Pain and Swelling: Possible Causes and Solutions
Deep pain in the orbit and a sensation of eye swelling? Hello Doctor: I have been experiencing headaches for a year, with a persistent feeling of swelling deep in the area around the right eye socket and nasal bridge. I feel pressure in my right eye (there is a noticeable differe...
Dr. Jiang Junyi reply Neurology
Dear Mr. Lan, You mentioned that "the pressure and pain around the eye area have increased and radiate to the upper right teeth, and there is also discomfort in the right posterior neck and occipital region. The pain is persistent..." Your symptoms may suggest the poss...[Read More] Understanding Deep Eye Pain and Swelling: Possible Causes and Solutions
Understanding Pulsatile Tinnitus: When to Seek Further Evaluation
Please ask again? Hello Doctor: A few days ago, I asked about experiencing a pulsating sensation in my ear when turning my head after being diagnosed, but it doesn't happen every time. Sometimes I don't hear it at all. You mentioned it could be an issue with the Eustach...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned "brain MRI? Can I find this examination at a health check-up center with self-payment?" Typically, MRI is available only at regional hospitals. "Regarding the time to improve allergies, may I ask how many months should I wait before actively se...[Read More] Understanding Pulsatile Tinnitus: When to Seek Further Evaluation
Is Coexisting with Symptoms Enough? Insights on Post-COVID Neurological Issues
Is peaceful coexistence enough? Hello Doctor, I gave birth in September and was diagnosed with COVID-19 in October after completing my postpartum confinement. Since the diagnosis, I have noticed that I feel more fatigued and easily drowsy. Additionally, I have suddenly experience...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "the left ear is more affected by allergies (the left side is more prone to nasal congestion and post-nasal drip, etc.)," which may indicate a problem with the Eustachian tube. It is recommended to identify the allergens and reduce the occurren...[Read More] Is Coexisting with Symptoms Enough? Insights on Post-COVID Neurological Issues
Understanding Sensory Disturbances in Schizophrenia and Migraine Auras
Feeling troubled? I am a patient with schizophrenia, but sometimes I often feel a sense of foreignness or sometimes I dislike thinking of sweating as bleeding. Additionally, I would like to ask what a prodromal migraine is; I would like to understand it better.
Dr. Jiang Junyi reply Neurology
Hello: You mentioned "What is aura migraine?" The symptoms of aura migraine include visual disturbances such as seeing bright lights resembling stars and lightning, as well as blurred or distorted vision. These are all precursors to a migraine. A few minutes after the a...[Read More] Understanding Sensory Disturbances in Schizophrenia and Migraine Auras
Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Neck issues? Recently, after taking a shower (bending over to wash my hair) and using the computer, I notice a clicking sound at the junction of my neck and shoulder, approximately at the trapezius muscle area, specifically on the right side. This occurs only in the evening and r...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that the "cracking sound at the junction of the neck and shoulders" may indicate cervical joint pathology, primarily due to degeneration of the cervical facet joints or symptoms caused by cervical disc herniation. This is commonly seen in cases of p...[Read More] Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Suspected cerebrospinal fluid leak? Hello Doctor: I have been experiencing very severe headaches intermittently since childhood. Sometimes they occur due to excessive exertion or fatigue, while at other times the cause is unclear. The symptoms are generally very painful whether I...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "the location of the headache changes with different positions, and if I eat on one side, I feel nauseous (if not, I don't feel anything special).... I suspect it might be a cerebrospinal fluid leak." Your symptoms may need to be co...[Read More] Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Understanding Sudden Nerve Pain: When to Seek Medical Help
Neuralgia The left side of the body near the clavicle (close to the esophagus) experiences intermittent sharp, stabbing pain that lasts about one to two seconds. This condition has been present for more than two years, initially occurring infrequently but has recently become more...
Dr. Jiang Junyi reply Neurology
Dear Miss Rongrong, You mentioned experiencing intermittent sharp, stabbing pain near the anterior clavicle (close to the esophagus) that lasts about one to two seconds. Your symptoms may need to rule out cervical nerve root compression. The symptoms of cervical nerve root compr...[Read More] Understanding Sudden Nerve Pain: When to Seek Medical Help
Persistent Numbness in Thumb and Index Finger After Yoga: What to Know
Numbness in the right thumb and index finger after yoga? Hello Doctor: A few days ago, I practiced yoga as usual, and this particular class focused more on wrist usage. After the class, I felt numbness in my right thumb and index finger. I thought it would go away in a few minute...
Dr. Jiang Junyi reply Neurology
Dear Ms. Wang, You mentioned experiencing numbness in your right thumb and index finger, which may warrant consideration of typical discomfort symptoms associated with cervical radiculopathy. These symptoms can include pain in the shoulder or arm, as well as numbness, tingling, ...[Read More] Persistent Numbness in Thumb and Index Finger After Yoga: What to Know