Dr. Jiang Junyi reply Neurology Question - Page 32

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Understanding Left Foot Numbness: Causes and Solutions

Numbness in the left foot? Hello, doctor. Due to the recent hot weather, I have been using a fan at home. I'm not sure if it's because the fan was blowing directly on my feet, but after a while, my feet felt unusually cold. After turning off the fan, my right foot retur...


Dr. Jiang Junyi reply Neurology
Dear Ms. Liu, You mentioned that you have been experiencing a persistent numbness in your left foot up to the ankle. This may be due to peripheral nerve compression, possibly from pressure on the fibular nerve during sleep. Common symptoms of peripheral nerve compression include...

[Read More] Understanding Left Foot Numbness: Causes and Solutions


Understanding Facial and Limb Numbness: Possible Causes and Solutions

Numbness in the face and extremities? Recently, I have been experiencing frequent episodes of dizziness, tinnitus, and palpitations, which have made me very anxious. I constantly worry about whether I might be ill, and it has even affected my daily life, leading to emotional inst...


Dr. Jiang Junyi reply Neurology
Dear Miss Chi, Regarding your mention of "early symptoms of multiple sclerosis," your symptoms do not align with this issue, as they do not present as lesions in a single area of the nervous system. Multiple sclerosis is caused by inflammation in the central nervous sy...

[Read More] Understanding Facial and Limb Numbness: Possible Causes and Solutions


Understanding Head Tremors: Causes and Solutions for Neurological Issues

I'm not sure what happened? Recently, when I lie down with my head resting against the back of the chair, and then sit up straight to write, my head starts to shake.


Dr. Jiang Junyi reply Neurology
Hello, Miss Han: You mentioned, "When I sit up straight to write, my head shakes?" This phenomenon is referred to as tremors. Physiological tremors occur only under certain conditions, such as stress, anxiety, or anger, and do not happen regularly. Some medications, suc...

[Read More] Understanding Head Tremors: Causes and Solutions for Neurological Issues


Understanding Tailbone Pain and Nerve Issues in the Legs

Numbness in the feet and pain in the coccyx? After riding a motorcycle, I experience pain in my coccyx when I stand up. I also feel pain when getting up from a chair. This symptom has persisted for a year and a half. In mid-April, I started experiencing a tingling sensation that ...


Dr. Jiang Junyi reply Neurology
Hello, Miss Jiayou: The issue you mentioned may need to consider the possibility of sciatica. A common cause is a herniated disc leading to localized inflammatory responses, which can result in lower back pain that may extend to one or both sides of the buttocks. When a herniate...

[Read More] Understanding Tailbone Pain and Nerve Issues in the Legs


Unexplained Leg Swelling and Pain: A Neurological Concern

Unexplained swelling and pain in both legs? Hello doctor, on the night of April 27th this year, I injured the bottom of my left foot on a plug, leaving a wound. I disinfected it and applied ointment, but the next evening, the top of my left foot suddenly swelled up like a hill. M...


Dr. Jiang Junyi reply Neurology
Dear Ms. Jill, You mentioned that the discomfort was initially localized below the ankle, but it has now extended to the thigh and is painful to the bone. This upward progression of abnormal sensations may suggest chronic polyneuropathy. However, you also noted symptoms of edema...

[Read More] Unexplained Leg Swelling and Pain: A Neurological Concern


Understanding Right-Sided Headaches: Causes and Management Tips

Right-sided migraine? Hello, doctor. I am a first-year junior high school student. I have had a problem for a while where I feel that when my heart beats too fast (especially when I am more excited), it seems like the pressure in my head increases (this is purely my speculation),...


Dr. Jiang Junyi reply Neurology
Dear Ms. Shiau, You mentioned experiencing "transient headaches, which require me to gradually adjust my breathing for improvement... and I tend to overthink... I really want to improve this aspect and how to fall asleep quickly." If the headache symptoms are causing y...

[Read More] Understanding Right-Sided Headaches: Causes and Management Tips


Managing Persistent Facial and Head Numbness: Expert Insights

Numbness and swelling in the head and face? I have been experiencing numbness and swelling in my head and face every day for over ten years. Last year, I went to Fu Jen Catholic University Hospital for a facial nerve examination, and the results were normal. The doctor prescribed...


Dr. Jiang Junyi reply Neurology
Hello Mr. Cool Dragon 999, You mentioned experiencing daily numbness and swelling in your head and face. This could potentially indicate a vascular headache, such as a migraine. The clinical diagnosis relies on your medical history, including any triggers and alleviating factors...

[Read More] Managing Persistent Facial and Head Numbness: Expert Insights


Post-COVID Neurological Symptoms: Understanding Balance and Coordination Issues

The center of gravity feels concentrated in the back of the body? Around the middle of the month, I tested positive for COVID-19. On the fourth day, I suddenly experienced stiffness in my neck in the morning. After sleeping until noon, it improved, but I felt like my entire cente...


Dr. Jiang Junyi reply Neurology
Hello Ms. E: You mentioned feeling soreness in your neck and back... and you're unsure if it's due to lingering effects of COVID-19. Typically, the recovery time from COVID-19 is longer than that of the flu. Some colleagues around you have experienced symptoms such as f...

[Read More] Post-COVID Neurological Symptoms: Understanding Balance and Coordination Issues


Understanding Dizziness and Nerve Issues: When to Seek Medical Attention

Dizziness and issues related to the lumbar and cervical spine? Recently, I experienced dizziness followed by numbness in my left limbs. I visited a clinic, and they suggested that the numbness in my legs was due to issues with cervical and lumbar disc herniation. However, the num...


Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned, "Can X-rays alone reveal any issues with the spine and cervical spine?" This seems insufficient to explain the symptoms of dizziness. There are many factors that need clarification. The causes of dizziness are numerous; if your dizziness is r...

[Read More] Understanding Dizziness and Nerve Issues: When to Seek Medical Attention


Headaches After a Childhood Injury: What You Need to Know

I hit my temple when I was a child, and since then, I've been experiencing headaches? At the beginning of seventh grade, I tripped over my shoelaces and fell, hitting my temple. Since then, I've noticed that I occasionally have headaches, specifically in the area where ...


Dr. Jiang Junyi reply Neurology
Dear Ms. Xing, You mentioned that "the temples sometimes hurt..." If the issue is related to trauma, the body typically heals within 2 to 4 weeks. Your symptoms may suggest a vascular headache, specifically a migraine. This type of headache can last from 4 to 72 hours....

[Read More] Headaches After a Childhood Injury: What You Need to Know


Breathing and Thinking: Understanding Cognitive Disruption in Neurology

Breathing and thinking cannot occur simultaneously? I have recently been experiencing issues where I often forget to breathe while thinking or talking to others. Sometimes I realize I need to breathe halfway through my thoughts, which interrupts my thinking process. To ensure I b...


Dr. Jiang Junyi reply Neurology
Hello Mr. MJ: You mentioned, "When I woke up that morning, my mind was blank, and I felt a dullness in my head, almost like a sensation of hypoxia?" Your symptoms may warrant consideration of certain medications that can cause memory difficulties, such as antihistamines...

[Read More] Breathing and Thinking: Understanding Cognitive Disruption in Neurology


Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options

Pulsatile tinnitus I experience pulsatile tinnitus in my right ear every night. I had an EEG done, which showed no issues, and the medication prescribed has not improved my condition. My hearing is fine. I am scheduled for an MRI on the 24th, but due to the peak of the pandemic a...


Dr. Jiang Junyi reply Neurology
Dear Miss Lin, You asked, "Can a metal dental implant undergo MRI?" The imaging from an MRI may be affected by metal, potentially causing artifacts. However, the physician will interpret the results based on the available data. You also mentioned, "Straining durin...

[Read More] Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options


Severe Abdominal Pain Leading to Fainting: When to Seek Medical Help?

Abdominal pain leading to fainting? Sudden severe abdominal pain, accompanied by blurred vision, complete darkness, and a feeling of weakness leading to fainting, followed by waking up in a cold sweat and persistent nausea, could indicate a serious medical condition. Although you...


Dr. Jiang Junyi reply Neurology
Dear Miss Tzu-Yan, You mentioned experiencing symptoms such as "pain, blurred vision, complete darkness in front of me, feeling weak and collapsing to the ground, and waking up a few seconds later." Your symptoms may suggest reflex syncope. This can occur due to intens...

[Read More] Severe Abdominal Pain Leading to Fainting: When to Seek Medical Help?


Understanding Left Foot Weakness: A Comprehensive Neurological Evaluation

Weakness in the left foot? The current situation is as follows: Since November 2021, there has been poor walking posture. In January 2022, weakness was noted in the left foot, with an inability to press down or lift up. Additionally, there have been frequent involuntary muscle tw...


Dr. Jiang Junyi reply Neurology
Hello Mr. Gao: You mentioned that in January 2022, you noticed weakness in pressing down and lifting up your left foot, as well as involuntary muscle twitching in the left foot. It seems that similar examinations are being conducted, and the lumbar MRI has been repeated. This is ...

[Read More] Understanding Left Foot Weakness: A Comprehensive Neurological Evaluation


Why Do My Fingers Tingle After Intense Soccer Matches?

Numbness in the hands after intense exercise? Hello doctor, I usually play soccer regularly. Generally, I don't have any issues, but if I play more intensely on a given day (for example, during a match), my fingers on both hands start to feel numb after the activity and this...


Dr. Jiang Junyi reply Neurology
Dear Mr. George, You mentioned that "after a day of intense kicking (such as during a match), my fingers on both hands start to feel numb." I would like to know if your numbness has a band-like distribution. We need to rule out the possibility of cervical nerve compres...

[Read More] Why Do My Fingers Tingle After Intense Soccer Matches?


Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention

Dorsalis pedis artery pulse is prominent? In the past two weeks, I have noticed a significant pulsation in the arteries on the dorsum of my right foot. There is no numbness in my foot, and I haven't been standing or walking for long periods. Most of the time, I can feel the ...


Dr. Jiang Junyi reply Neurology
Dear Miss BB, You mentioned that "the artery on the dorsum of your right foot is noticeably pulsating." Have you compared the pulsations of the dorsalis pedis arteries on both sides? Generally, we should not be able to feel the pulsation of blood vessels; however, if t...

[Read More] Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention


Understanding Sudden Body Jerks Before Sleep: What Could It Be?

What is this problem? When I am about to fall asleep while lying in bed, my lower back suddenly jerks (I'm not sure if "jerk" is the right term). The movement is somewhat similar to kicking my legs out and then pulling them back in while sitting, with more force du...


Dr. Jiang Junyi reply Neurology
Dear Miss Chi Li, You mentioned that "when I am about to fall asleep while lying in bed, my lower back suddenly jerks (I'm not sure if 'jerk' is the right term), and the movement is somewhat like kicking my legs out and then pulling them back in, with more fo...

[Read More] Understanding Sudden Body Jerks Before Sleep: What Could It Be?


Why Lying Down Worsens Your Headache: Understanding Neurological Pain

Headache worsens when lying down? Hello: I have a condition where there is a mild herniation at the C4-C5 cervical vertebrae, and I am undergoing rehabilitation. Previously, I experienced pain in multiple areas (only once), and a neurologist diagnosed it as fibromyalgia. However,...


Dr. Jiang Junyi reply Neurology
Dear Ms. Tsai, You mentioned that "I have been experiencing headaches every day for the past two months." Your symptoms may suggest chronic migraine. If you have migraine on more than 15 days in a month, with varying severity, it can easily be confused with tension-typ...

[Read More] Why Lying Down Worsens Your Headache: Understanding Neurological Pain


Understanding the Connection Between Meningitis and Fever Symptoms

The correlation between meningitis and fever? Last week, I suddenly had a fever of 38 degrees Celsius. I took antipyretics, but they were ineffective. However, I continued taking them for 5 days, and my body temperature gradually decreased to around 36.5 degrees Celsius. I would ...


Dr. Jiang Junyi reply Neurology
Dear Mr. Jan, You mentioned the analysis of cerebrospinal fluid (CSF), which is primarily used for patients with meningitis. Common symptoms include fever, headache, photophobia, chills, tachycardia, neck stiffness, fatigue, drowsiness, and agitation. In the case of encephalitis...

[Read More] Understanding the Connection Between Meningitis and Fever Symptoms


Understanding Post-Nuchal Muscle Pain and Its Recovery Timeline

Suboccipital muscles Hello, Dr. Jiang. I apologize for bothering you with another question. I have been experiencing discomfort in the muscles at the back of my neck (the area around the occipital nerve) due to acute inflammation during my rehabilitation period. It has been nearl...


Dr. Jiang Junyi reply Neurology
Hello Mr. Wu: You asked, "Can an MRI detect inflammation of muscles or nerves?" Typically, muscle inflammation can be observed after the administration of contrast agents. Without contrast, it is usually only identifiable in more severe cases where there is infiltration...

[Read More] Understanding Post-Nuchal Muscle Pain and Its Recovery Timeline


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