Understanding Forehead Twitches: Causes, Health Impact, and When to Seek Help
Consultation for Forehead Tics Dear Dr. Jiang, Recently, I have experienced occasional twitching in the area above my right eye on the forehead. The duration of the twitching varies; sometimes it lasts longer, and other times it disappears quickly. There are no noticeable discom...
Dr. Jiang Junyi reply Neurology
Dear Mr. Ah-Hsiang, You mentioned experiencing occasional twitching in the area above your right eye. If your symptoms involve muscle movements in the forehead region, these are typically controlled by the facial nerve. It is important to carefully observe the patient's fac...[Read More] Understanding Forehead Twitches: Causes, Health Impact, and When to Seek Help
Understanding the Duration of Drug Side Effects: A Neurology Perspective
Widespread acupuncture-related issues? Hello Dr. Jiang, I have listened to your concerns about the potential complications from too many medications. I have stopped taking the medication for one day, but I still experience a tingling sensation throughout my body. How long do comp...
Dr. Jiang Junyi reply Neurology
Dear Mr. Wu, You mentioned, "I have stopped taking my medication for one day." I am unsure which medication was discontinued based on your doctor's assessment. My recommendation is to consolidate your care at the same hospital. ===== It is crucial not to discont...[Read More] Understanding the Duration of Drug Side Effects: A Neurology Perspective
Understanding Dizziness and Neck Pain: When to Seek Medical Advice
Dizziness and neck pain? Hello, Dr. Jiang. For the past two or three days, I have occasionally experienced dizziness (a sensation of swaying or mild shaking while sitting or lying down). I often wake up in the middle of the night, and when I do, I feel some pain near the occipita...
Dr. Jiang Junyi reply Neurology
Dear Mr. KK, You mentioned experiencing a sensation of swelling and pain from the center of your forehead to the right eye socket, along with mild nasal congestion and pain on the right side, and ear fullness upon waking this morning. It is important to first consider benign par...[Read More] Understanding Dizziness and Neck Pain: When to Seek Medical Advice
Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Dorsalis pedis artery pulsation is prominent? In the past two weeks, I have noticed a significant pulsation in the artery 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 th...
Dr. Jiang Junyi reply Neurology
Dear Ms. 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, but if the art...[Read More] Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Understanding Pulsating Dorsalis Pedis Artery: When to Seek Medical Attention
Dorsalis pedis artery pulsation 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 ...
Dr. Jiang Junyi reply Neurology
Hello Ms. BB: You mentioned that "the artery on the dorsum of your right foot is noticeably pulsating." Have you compared the pulsation of the dorsalis pedis arteries on both sides? Generally, we should not be able to feel the pulsation of blood vessels, but if the arte...[Read More] Understanding Pulsating Dorsalis Pedis Artery: When to Seek Medical Attention
Understanding Hand Tremors After an Accident: Is It Normal?
Tremor issues? A few weeks ago, after a car accident, my hand started to feel weak, and I noticed that it trembles when I make a fist. I had an MRI done by a neurosurgeon, who said there were no significant issues with my spinal nerves. Then I went to a rehabilitation specialist,...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "my hand started to feel weak, and then I noticed that my hand trembles when I make a fist. However, after an MRI examination by a neurosurgeon, the doctor said there were no significant issues with my spinal nerves." I wonder if you are...[Read More] Understanding Hand Tremors After an Accident: Is It Normal?
Should I Seek Medical Attention After Nasal Swab Mishap?
I would like to ask Dr. Jiang whether this situation requires medical attention or if it can be monitored further. Thank you? Hello, Doctor Jiang. I recently had contact with a confirmed case, and during a rapid test, I mistakenly inserted the swab stick 11 centimeters into my no...
Dr. Jiang Junyi reply Neurology
Dear Ms. Chang, You mentioned that "an operational error led to the rapid test swab being inserted 11 centimeters into the nostril," which likely means it passed through the nasal turbinates and reached the oropharynx. Our nasopharynx contains bone, and unless there ha...[Read More] Should I Seek Medical Attention After Nasal Swab Mishap?
Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Many health issues with no identifiable cause? Hello Dr. Jiang: I would like to ask about my condition. About a year or two ago, I underwent tooth extraction for orthodontic treatment and had bone grafting done at the same time. The next day, I experienced severe dizziness and ne...
Dr. Jiang Junyi reply Neurology
Dear Mr. Hsiao-Kang, You mentioned that "lying down and changing positions causes dizziness," which may initially suggest benign paroxysmal positional vertigo (BPPV). The symptoms are characterized by brief episodes of vertigo related to changes in head position, such ...[Read More] Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Understanding Electrical Sensations in the Upper Buttocks: Causes and Insights
It feels like there is an electric current passing through my buttocks? There is a prickling and tingling sensation in the upper left buttock, similar to an electric current, lasting for several seconds each time. It is neither painful nor sore, and daily activities are normal. T...
Dr. Jiang Junyi reply Neurology
Dear Ms. Yang, You mentioned experiencing a tingling sensation in the upper left buttock, similar to an electric current, lasting for several seconds each time. It is neither painful nor uncomfortable, and your daily life remains normal. Your symptoms may suggest peripheral neur...[Read More] Understanding Electrical Sensations in the Upper Buttocks: Causes and Insights
Understanding Left-Sided Tingling: Possible Neurological Causes
Left-sided paresthesia? Hello, doctor. For the past few days, I've been experiencing mild tingling sensations on my left cheek, left hand, and left foot. Today, when I woke up, my fingers felt particularly sore and tingly. I'm curious about the cause, as there are no is...
Dr. Jiang Junyi reply Neurology
Dear Miss Cactus, You mentioned that you are experiencing mild tingling sensations in your left face, left hand, and left foot, particularly in your fingers upon waking up today. I would like to know if the area of your facial symptoms extends beyond your chin. Your symptoms may...[Read More] Understanding Left-Sided Tingling: Possible Neurological Causes
Understanding Systemic Tingling: Possible Causes and Next Steps
Generalized tingling and numbness? Hello Dr. Jiang, this is Mr. Wu, who inquired about multiple sclerosis last time. I had a follow-up appointment on May 6th, and the cervical MRI report showed normal results. I informed the physician about the tingling sensation in the soles of ...
Dr. Jiang Junyi reply Neurology
Hello: You are currently on too many medications, and many gastrointestinal drugs can actually be adjusted. For example, the side effects of EPILON may include dry mouth, vomiting, constipation, urinary retention, blurred vision, headache, fatigue, and skin flushing, among others...[Read More] Understanding Systemic Tingling: Possible Causes and Next Steps
Unexplained Tingling: Understanding Nerve Issues and Symptoms
Unexplained numbness? On a certain Saturday evening while sitting and watching TV, I felt numbness in the soles of my feet. I got up to move around and noticed that my ring finger and little finger on both hands were also numb. I thought it was due to poor posture and would impro...
Dr. Jiang Junyi reply Neurology
Dear Ms. Chi, You mentioned that "the location of the numbness changed after taking the medication, and now the entire abdomen feels numb." If you are only experiencing tingling sensations without any weakness, it may be worth considering hyperventilation. However, if ...[Read More] Unexplained Tingling: Understanding Nerve Issues and Symptoms
Is Nerve Biopsy Necessary for Diagnosing Diabetic Neuropathy?
Is a biopsy necessary for the diagnosis of neuropathy? Hello Doctor: I have a history of diabetes for 5 years and hypertension for 15 years. Over the past year, my hemoglobin A1c level has been around 6.5. A year ago, I noticed a tingling and painful sensation in my legs, which l...
Dr. Jiang Junyi reply Neurology
Dear Mr. Tong, You mentioned "early neuropathy caused by diabetes." Diabetic neuropathy is a common condition that can initially be treated with medication. Nerve biopsies are typically used to diagnose some rare neuropathies. Can the nerves regenerate after a biopsy? ...[Read More] Is Nerve Biopsy Necessary for Diagnosing Diabetic Neuropathy?
Understanding Involuntary Muscle Twitches in the Inner Thigh
Involuntary twitching of the adductor muscles? The doctor would like to continue asking about a previous issue: my left thigh's quadriceps, specifically the vastus medialis, experiences intermittent twitching. 1. Is this twitching related to autonomic nervous system dysfunct...
Dr. Jiang Junyi reply Neurology
Hello Mr. Ben: You mentioned that "autonomic nervous system dysfunction" is generally regulated by the sympathetic and parasympathetic nervous systems, one acting as the accelerator and the other as the brake. The sympathetic nervous system is responsible for revving up...[Read More] Understanding Involuntary Muscle Twitches in the Inner Thigh
Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Struggling for nearly six months? Hello Dr. Jiang, I started experiencing chest tightness and pain in my pectoral muscles last October, accompanied by weakness, shoulder pain, and numbness in my back during certain movements, with a sensation like electric shocks. When I raise my...
Dr. Jiang Junyi reply Neurology
Dear Mr. Wu, You mentioned "multiple sclerosis," which affects fewer than 5 people per 100,000 in Taiwan, making it a rare disease. The diagnosis of multiple sclerosis is based on clinical history and examinations that reveal multiple lesions in the nervous system. A d...[Read More] Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Managing Exam-Related Headaches: Tips for Students
Exam-related headache Hello, doctor. I don't experience pressure headaches before exams, but during long exams like midterms or finals, I feel a lot of pressure in my head and a sense of heaviness. My eyes become strained and dry from overuse, which affects my performance. I...
Dr. Jiang Junyi reply Neurology
Dear Mr. Ke, You mentioned whether taking Tylenol during exams could lead to dependence. Pure Tylenol (acetaminophen) does not cause dependence. However, the extra-strength Tylenol contains caffeine, which may lead to dependence. Will taking Tylenol affect your exam performanc...[Read More] Managing Exam-Related Headaches: Tips for Students
Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Joint pain after COVID-19 vaccination? Doctor: Hello, I received my first dose of the AstraZeneca vaccine on July 30, 2021, and my second and third doses of Moderna on October 3, 2021, and March 14, 2022, respectively. I am approximately 50 years old. About 1 to 2 weeks after the...
Dr. Jiang Junyi reply Neurology
Hello: Your symptoms do not appear to be indicative of Guillain-Barré syndrome, which is formally known as acute inflammatory demyelinating polyneuropathy. It is an acute peripheral neuropathy that may affect the motor, sensory, and autonomic nervous systems of the body. Typical ...[Read More] Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Understanding Right Arm Pain: Possible Causes and Solutions
Right arm pain? Hello Dr. Jiang: Since mid-April, I have been experiencing pain in my right arm upon waking up, but it usually subsides after about an hour. Recently, by the end of April, the pain has persisted for a long time after waking up. The affected areas include a tinglin...
Dr. Jiang Junyi reply Neurology
Dear Mr. A-Jeng, You mentioned experiencing a tingling sensation in your fingers and pain in your arm near the neck, particularly above the elbow (which becomes more pronounced when pressed). This may indicate cervical nerve root compression and related myofascial pain syndrome....[Read More] Understanding Right Arm Pain: Possible Causes and Solutions
Understanding Muscle Twitches and Weakness: When to Seek Help
Muscle twitching Recently, I have been experiencing muscle twitching that is not localized to a specific area. Sometimes, I notice a decrease in strength in my left hand, and at other times, it shifts to my left hand and left leg. After researching online, I came across the sympt...
Dr. Jiang Junyi reply Neurology
Hello Mr. Travis, You mentioned that "the strength in your hands has decreased, and sometimes the strength in your left hand and foot has also diminished..." Since these symptoms are on the same side, we should first rule out any cervical spine issues. You are concern...[Read More] Understanding Muscle Twitches and Weakness: When to Seek Help
Neck Pain Leading to Headaches and Numbness: Relief Tips
Cervical spine pain radiating to headaches and numbness in the back? I started experiencing neck pain about a week ago, possibly due to excessive use of my phone or computer. The soreness has persisted for over a week. I also noticed some numbness in my back after taking a nap at...
Dr. Jiang Junyi reply Neurology
Dear Ms. Ke, You mentioned that "the soreness has lasted for over a week. I noticed some numbness in my back when I got up after napping at work. Can I use heat or ice packs to relieve this soreness more quickly?" Generally, the principle of using ice is as follows: ...[Read More] Neck Pain Leading to Headaches and Numbness: Relief Tips