Understanding Facial Nerve Control Issues: Causes and Solutions
The facial nerve on the right side is not functioning properly? Hello, doctor. Since I can remember, my lower lip on the right side has always been crooked when I speak, and I can also notice that my cheeks are asymmetrical when I smile. My speech is somewhat unclear, and when I ...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "my dominant hand is the right hand, but its dexterity is not as good as my left hand. Although it does not affect my daily life, I would like to ask if this is related to the facial issues mentioned above." You noted that the function of your ...[Read More] Understanding Facial Nerve Control Issues: Causes and Solutions
Severe Pain in Left Thumb: Possible Nerve Issues After Injury
Severe pain in the webbing of the left thumb? Hello Doctor, a few days ago while using the computer, my left thumb accidentally got caught between two keys on the keyboard, resulting in a small laceration in the webbing of my left thumb, but there was no bleeding. However, the wo...
Dr. Jiang Junyi reply Neurology
Dear Mr. Chen, You mentioned, "I have pain in the spaces between my left fingers. If medication does not improve the condition, can it be treated with surgery?" Generally, surgical intervention primarily aims to remove potential lesions. In cases of nerve injury, we ty...[Read More] Severe Pain in Left Thumb: Possible Nerve Issues After Injury
Understanding Body Numbness: When to See a Neurologist
The body may experience numbness? Hello Doctor: Recently, I have been experiencing occasional numbness in my body, with varying frequency. Sometimes it affects my hands, sometimes my feet, and at times my face, neck, and the area around my collarbone. Additionally, I feel that my...
Dr. Jiang Junyi reply Neurology
Dear Ms. Wen, You mentioned feeling bodily numbness and experiencing faster-than-usual breathing, which may indicate hyperventilation leading to decreased carbon dioxide levels in the blood. This can result in an increase in blood pH, causing systemic reactions and symptoms. Com...[Read More] Understanding Body Numbness: When to See a Neurologist
Understanding Heat Sensation in the Back of the Head: Causes and Solutions
Heat sensation in the back of the head? Recently, I have been frequently experiencing a sensation of heat at the back of my head, sometimes at the crown as well. This occurs whether I am outdoors in the heat or indoors in an air-conditioned room. I am unsure what the cause might ...
Dr. Jiang Junyi reply Neurology
Dear Miss Hsiao-Hsuan, You mentioned experiencing a sensation of heat in your scalp, sometimes at the back of your head and other times at the top. This may indicate cervical myofascial pain syndrome, which can present with symptoms such as pain, discomfort, muscle stiffness, or...[Read More] Understanding Heat Sensation in the Back of the Head: Causes and Solutions
Understanding Foot Numbness and Small Steps: Neurological Insights
Numbness in the toes and shuffling gait? Hello Dr. Jiang, I am 72 years old this year. I previously visited a neurologist because I experience small shuffling steps when walking and cannot turn my head too quickly, otherwise I feel dizzy. Both of my feet feel numb, primarily in t...
Dr. Jiang Junyi reply Neurology
Hello, Aunt Hsu: You mentioned, "Is it possible to improve small fiber symptoms through dopamine in non-Parkinson's disease?" The answer is no. You also noted that "both feet feel numb, primarily in the toes," which may indicate symptoms of peripheral ne...[Read More] Understanding Foot Numbness and Small Steps: Neurological Insights
Understanding Persistent Headaches: Causes and When to Seek Help
Persistent dull headache? Hello, doctor. Recently, I've been experiencing a higher frequency of headaches, which have become persistent over the past few days. The pain is usually located at the back of my head and is a dull ache. Taking pain relievers hasn't been effec...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned "developing persistent headaches, typically located at the back of the head, characterized as a dull pain, and pain relievers have little effect." This may suggest chronic daily headache, which is a type of primary headache defined as occurring for ...[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Understanding Numbness and Weakness in Limbs: Possible Causes and Solutions
Numbness and even weakness in the limbs? Recently, I started experiencing numbness in both hands that lasted all day. The next day, the numbness in my hands persisted and spread to my legs, along with stiffness and numbness in my right shoulder and neck. On the third day, the num...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that you have a noticeable loss of sensation in the soles of your feet, which may indicate a potential issue with nerve compression. This can occur due to prolonged fixed positions, repetitive movements over time, or excessive training, including situa...[Read More] Understanding Numbness and Weakness in Limbs: Possible Causes and Solutions
Understanding Unexplained Body Pain: A Guide for Teens
Unexplained tingling sensations throughout the body? Hello, doctor. I am currently a high school student, but I often experience unexplained pain or cramps throughout my body, with the chest and abdomen being the most frequent areas. Sometimes the pain subsides in a few seconds, ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Paul, You mentioned that you occasionally feel a tightness in your chest and experience shortness of breath, as well as episodes of unexplained stiffness and immobility in your limbs. These symptoms may be related to hyperventilation, which can lead to decreased carbon...[Read More] Understanding Unexplained Body Pain: A Guide for Teens
Understanding Morning Eye Muscle Numbness: Causes and Insights
Waking up with a tingling sensation in the muscles at the corners of the eyes? Dr. Jiang, in the past two days, has experienced a tingling sensation in the muscles at the back of his eyes upon waking, but his vision seems to be unaffected. What could this phenomenon be? I kindly ...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "the muscles at the back of the eyes feel numb, but vision seems to be fine." This may indicate symptoms related to the trigeminal nerve... facial sensation. Normal vision could suggest that there are no abnormalities with the optic nerve. It i...[Read More] Understanding Morning Eye Muscle Numbness: Causes and Insights
Understanding Muscle Cramps in Fingers During Daily Activities
The issue of experiencing cramps in the fingers while working with them in a bent position? In the past month, I have experienced muscle cramps in my fingers when using a toothbrush to brush my teeth, and also while washing dishes. Using dental floss causes even more severe cramp...
Dr. Jiang Junyi reply Neurology
Hello Mr. Kuo, You mentioned that your toes sometimes cramp during movement, and that most of the time, cramps occur when your fingers are bent or in use. Recently, you have been taking Prednisolone 5 mg for asthma treatment for about a month. Cramps are typically caused by musc...[Read More] Understanding Muscle Cramps in Fingers During Daily Activities
Should You Seek Medical Attention After a Head Injury?
Head trauma A few days ago, I bumped the front right side of my forehead against the corner of a car trunk. Since then, I've been waking up with a tingling pain in the back left side of my head, which isn't particularly severe, but I feel a bit dizzy overall. My neck is...
Dr. Jiang Junyi reply Neurology
Dear Miss Chiao, You mentioned that "the left back of my head feels numb and painful, but it's not particularly severe, and overall I feel a bit dizzy, with some stiffness in the back of my neck." Your symptoms may suggest cervical myofascial inflammation, possibl...[Read More] Should You Seek Medical Attention After a Head Injury?
Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Recently, I have been experiencing pain in the left occipital region? Hello, doctor. Recently, I've been experiencing pain in the left back of my head. At first, it didn't affect my daily life and I occasionally didn't feel it, but over the past few days, the pain ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Wu, You mentioned that "the pain feels like a sharp sensation, and the intensity is increasing. I have tried gentle massage... Does heavy smartphone usage have an impact?" It is important to first consider the possibility of myofascial inflammation around the ...[Read More] Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Understanding Tension Headaches: When to Consider MRI and Specialist Care
Tightness in the temples (EEG examination) Hello, Dr. Jiang. Thank you for your response in January (copied below). After your reply, I visited a nearby hospital (neurology department) and had an EEG, which came back normal. I asked the doctor if an MRI was necessary, and he said...
Dr. Jiang Junyi reply Neurology
Hello Mr. William, You mentioned, "If the EEG is normal, is there still a need for an MRI?" Due to health insurance limitations, typically when there are suspected structural abnormalities in the brain, an MRI can be requested under health insurance. Abnormal EEG findi...[Read More] Understanding Tension Headaches: When to Consider MRI and Specialist Care
Is Your Itchy Sensation a Sign of Restless Legs Syndrome?
Itching in the muscles could be a symptom of Restless Legs Syndrome (RLS), but it is important to consider other potential causes as well. RLS is characterized by an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations. If you are experiencing persi...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "I can't even reach the itchy spot, and later discovered that the itch is deep inside." If it is an allergy, it could potentially be systemic. However, if your symptoms are localized to specific areas of nerve distribution, peripheral...[Read More] Is Your Itchy Sensation a Sign of Restless Legs Syndrome?
Understanding Perceptual Disturbances in Children After Gastroenteritis
Surrounding speed increases? The child is currently 10 years old. On June 12, he was diagnosed with gastroenteritis due to fever and vomiting. During the week of rest and medication for the fever, he experienced sensations of others speaking faster or moving more quickly, as well...
Dr. Jiang Junyi reply Neurology
Hello Emily: You mentioned that "during the week of fever and vomiting confirming gastroenteritis, there were 1-2 instances where I felt that others were speaking faster." This may need to be considered as drug-induced extrapyramidal symptoms, specifically Akathisia, wh...[Read More] Understanding Perceptual Disturbances in Children After Gastroenteritis
Burning Feet: Understanding Causes and Seeking the Right Specialist
Burning sensation in the soles of the feet? I constantly feel a burning sensation in the soles of my feet, and they become sore and weak after standing for a long time. I have consulted many specialties, but no cause has been identified. Could you please advise if there might be ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Su, You mentioned that you feel a constant burning sensation in the soles of your feet, which is indicative of peripheral neuropathy. Symptoms of peripheral nerve compression include: 1. Pain characterized by burning and tingling sensations. 2. Symptoms that have a spec...[Read More] Burning Feet: Understanding Causes and Seeking the Right Specialist
Burning Feet: Understanding Neurological Causes and Solutions
Burning sensation in the soles of the feet? I constantly feel a burning sensation in the soles of my feet, and they become sore and weak after standing for a long time. I have consulted various specialists, but no cause has been identified. Could you please advise if there might ...
Dr. Jiang Junyi reply Neurology
Dear Miss Su, You mentioned that "the soles of my feet feel hot all the time," which is a symptom associated with peripheral neuropathy. Symptoms of peripheral nerve compression include: 1. Pain characterized by burning sensations and tingling; 2. Symptoms that have a ...[Read More] Burning Feet: Understanding Neurological Causes and Solutions
Seeking Medical Guidance for Involuntary Movement Disorders
Please advise on the medical approach for involuntary movements? Hello Doctor, my mother is 69 years old and has been experiencing involuntary movements in her left leg since around July of last year. Initially, she would only have a few shakes during specific times in the evenin...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned "significant weight loss and muscle fat reduction (about 52 kg last July, now approximately 46 kg), which have been ongoing issues that have not truly improved despite intermittent consultations." The decrease in mobility has led to a vicious cycle ...[Read More] Seeking Medical Guidance for Involuntary Movement Disorders
Understanding Persistent Burning Sensation in the Feet: Causes and Solutions
Burning sensation in the soles of the feet? I constantly feel a burning sensation in the soles of my feet, and after standing for a long time, they become sore and painful. I have consulted many specialists, but no cause has been identified. Could you please advise what might be ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Su, You mentioned that "the soles of my feet feel hot all the time, and I have consulted many specialties without finding the cause." Your symptoms may suggest peripheral nerve abnormalities. I recommend seeking care at a nearby hospital with an emergency depa...[Read More] Understanding Persistent Burning Sensation in the Feet: Causes and Solutions
Unexplained Weakness: Understanding Sudden Fatigue and Possible Causes
Sudden onset of generalized weakness ~ waiting for the ambulance ~ the body returns to normal ~ a troubling mystery illness? Hello, Dr. Jiang. My symptoms are as follows: I often experience sudden, generalized weakness without warning, lasting about 10 to 30 minutes each time. Re...
Dr. Jiang Junyi reply Neurology
Hello Mr. Wang: You mentioned feeling "generalized weakness... resting and lying down feels better." Your symptoms are more indicative of insufficient cerebral blood flow, leading to symptoms similar to syncope. A "tilt table test" can be used to diagnose vaso...[Read More] Unexplained Weakness: Understanding Sudden Fatigue and Possible Causes