Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Cervical nerve compression Hello, I am 42 years old and have recently discovered that cervical spine compression is causing numbness and tingling in my hands and feet. I am currently taking medication (B12 and a nerve stabilizer) and undergoing rehabilitation (heat therapy, elect...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsiao-Chen, You mentioned cervical nerve root compression and mitral valve insufficiency. Neither of these conditions is a contraindication for receiving the COVID-19 vaccine. The reactions that may occur after vaccination are mostly mild and include pain and swelling a...[Read More] Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Understanding Inner Thigh Muscle Twitches: Causes and Management Tips
Medial pulsation of the vastus medialis muscle? Thank you, Doctor, for taking the time to respond despite your busy schedule. I would like to ask a follow-up question regarding your previous response. You mentioned that the cause of my muscle twitching is primarily related to inf...
Dr. Jiang Junyi reply Neurology
You mentioned that the side effects listed in the medication leaflet for "Flupentixol 0.5mg/Melitracen 10mg" are very common: drowsiness and akathisia. Common side effects include dizziness accompanied by or without orthostatic hypotension and tremors. Less common side ...[Read More] Understanding Inner Thigh Muscle Twitches: Causes and Management Tips
Muscle vs. Nerve Twitching: Understanding Your Thigh Symptoms
Muscle or nerve twitching persists? Hello Doctor, I have been experiencing an increasing frequency of twitching on the inner side of my left thigh. I have sent two short videos for your preliminary assessment. https://youtu.be/avo45DGnfH0 https://youtu.be/csDjJ8YggPs Could you pl...
Dr. Jiang Junyi reply Neurology
Hello Mr. Ben: Your YouTube video shows twitching of the vastus medialis muscle in the quadriceps. This muscle twitching is primarily related to inflammation, which can be caused by exercise, acute viral infections, anxiety, and medication use. Among these, prolonged exercise is ...[Read More] Muscle vs. Nerve Twitching: Understanding Your Thigh Symptoms
Could a Brain Tumor Cause Nasal Pressure and Discomfort?
Brain tumor issues? Since November of last year, I have been experiencing a feeling of pressure and tightness in my nasal cavity and bridge of the nose. I have seen an otolaryngologist who ruled out nasal issues. I would like to ask if it is possible that this could be caused by ...
Dr. Jiang Junyi reply Neurology
Dear Mr. Yan, You mentioned that you have been experiencing a feeling of pressure and tightness in your nasal cavity and bridge of the nose. After consulting an otolaryngologist, nasal issues have been ruled out, and you are inquiring whether it could be due to a brain tumor pre...[Read More] Could a Brain Tumor Cause Nasal Pressure and Discomfort?
Understanding Weakness and Numbness in Lower Legs: Causes and Solutions
Weakness in both calves below the knees, sometimes accompanied by numbness? Recently, I underwent a nerve conduction study, which indicated that there was slowed conduction in both legs. The physician provided a diagnosis of polyneuropathy and ordered blood tests, revealing a def...
Dr. Jiang Junyi reply Neurology
Hello Mr. Lin: You mentioned "polyneuropathy, with blood tests indicating folate deficiency that was supplemented for a while, yet still experiencing weakness. After retesting every three months, results showed normal, but the weakness persists. What could be the underlying ...[Read More] Understanding Weakness and Numbness in Lower Legs: Causes and Solutions
Why Do My Heels Feel Numb When Lying Flat? Causes and Solutions
Numbness in the legs while lying flat? When lying flat, if you experience soreness or numbness in your heels, and it alleviates when using a thin blanket or lying on your side, what could be the cause? Thank you, doctor.
Dr. Jiang Junyi reply Neurology
Hello Ms. Pin, You mentioned experiencing soreness or numbness in your heels while lying flat, which may indicate "piriformis syndrome" or compression of the sciatic nerve. The piriformis muscle is located deep in the buttocks and spans between the spine and the hip jo...[Read More] Why Do My Heels Feel Numb When Lying Flat? Causes and Solutions
Understanding Facial Twitching: Causes and When to Seek Medical Help
Lip twitching? Hello, I have recently been feeling a twitching sensation at the corner of my right mouth, similar to a pulsing feeling. What could be the cause, and should I seek medical attention?
Dr. Jiang Junyi reply Neurology
Hello Ms. Yang, You mentioned that "the right corner of my mouth keeps twitching, like a pulsing sensation. What could be the cause?" Your symptoms may suggest facial nerve spasms, which typically involve twitching of the same side of the cheek and mouth (hemifacial sp...[Read More] Understanding Facial Twitching: Causes and When to Seek Medical Help
Understanding Sleep Issues in Fathers: The Impact of Alcohol and Smoking
Father's sleep issues? Hello doctor, my dad usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less). He has mentioned that he has had trouble sleeping since he was a child (he also can't nap during the day). A...
Dr. Jiang Junyi reply Neurology
Dear Mr. Zhu, You mentioned that your father usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less). He has said that he has had trouble sleeping since childhood (he also struggles to nap during the day). I wonder if ...[Read More] Understanding Sleep Issues in Fathers: The Impact of Alcohol and Smoking
Unexplained Bump on the Back of the Head: When to Seek Medical Attention
A sudden protrusion at the back of the head? Hello, doctor. I would like to ask about a change in the shape of my occipital region; there is a protrusion. Over the past year, I have also noticed changes in my vision, as my field of view seems to have expanded, making things that ...
Dr. Jiang Junyi reply Neurology
Dear Ms. ViVI, You mentioned that "your vision has changed over the past year, and the range of what you see feels larger; things that once seemed quite large now appear smaller... Your thoughts also seem unclear, and you often forget things..." I wonder if you are exp...[Read More] Unexplained Bump on the Back of the Head: When to Seek Medical Attention
Understanding the Sensation of Head Pressure and Balance Issues
Feeling of pressure in the head? In the past month, I have occasionally felt a sensation of pressure in my head, and sometimes I feel like my body is leaning to one side. There was also an instance when I felt like the floor was spinning, making it difficult to stand, but it quic...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "sometimes I feel like my body is tilting to one side, and once I felt like the floor was spinning, making it hard to stand, but I quickly recovered." These symptoms are more indicative of Benign Paroxysmal Positional Vertigo (BPPV). The c...[Read More] Understanding the Sensation of Head Pressure and Balance Issues
Understanding Sleep Issues: When to Consult a Neurologist for Snoring
Father's Sleep Issues 2 Hello Doctor, thank you for your response. My father does snore at night, and it happens quite frequently (sometimes it lasts longer, and sometimes it's shorter). If we want to have this checked, would you recommend seeing a neurologist?
Dr. Jiang Junyi reply Neurology
Dear Mr. Zhu, Your father belongs to a high-risk group for moderate to severe COVID-19. Given the current tight situation of the COVID-19 pandemic, it is advisable to wait until the situation stabilizes before going to the hospital for examinations. Regarding the sleep center: ...[Read More] Understanding Sleep Issues: When to Consult a Neurologist for Snoring
Understanding Dizziness After Cold: Possible Causes and Solutions
Consultation regarding dizziness issues? Hello, Doctor. About six weeks ago, I had a cold (nasal congestion and runny nose). After recovering, I started experiencing two new symptoms: a cough and dizziness. Both symptoms have not improved since then. The dizziness feels like a ge...
Dr. Jiang Junyi reply Neurology
Hello Mr. Tsai, You mentioned feeling "dizzy and somewhat pressure in your ears... due to poor sleep, the imbalance in your inner ear has persisted for a long time, and it was only after seeing a psychiatrist and taking medication that you recovered. Perhaps this is related...[Read More] Understanding Dizziness After Cold: Possible Causes and Solutions
Understanding Post-Ride Dizziness: Causes and Self-Care Tips
dizzy Hello doctor, last week I went to an amusement park and rode a roller coaster. After returning home, I have been experiencing mild dizziness for the past few days. It doesn't feel like the room is spinning, but rather like being on a boat swaying. The sensation is more...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "after returning home, I have been experiencing mild dizziness for the past few days, not a spinning sensation but more like the feeling of being on a boat, which is more pronounced when sitting." Your issue may involve the vestibular nerv...[Read More] Understanding Post-Ride Dizziness: Causes and Self-Care Tips
Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Numbness in the right hand and right side of the body? Hello doctor, last week I started experiencing mild numbness in the tips of my fingers. I visited a neurologist who prescribed medication, but a few days later the numbness worsened, and soon my entire palm began to feel numb...
Dr. Jiang Junyi reply Neurology
Dear Mr. Jame, You mentioned that after visiting the neurology department and receiving medication, you experienced increasing numbness over the following days. The doctor indicated that the cervical spine X-ray showed no abnormalities, but by the weekend, you even felt slight n...[Read More] Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Understanding Recent Memory Decline: Causes and Concerns
Recent memory decline? For the past 2 to 3 months, I have frequently experienced a situation where I think about what information I need to look up one moment, and then the next moment I forget it. It takes about 20 seconds for me to remember. This happens very often, every day, ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Sean, You mentioned, "I was thinking about what information I wanted to look up one second, and then the next second I forgot, and it takes about 20 seconds for me to remember." Your symptoms are indicative of short-term memory dysfunction. Short-term memory ...[Read More] Understanding Recent Memory Decline: Causes and Concerns
Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Chest tightness, numbness in hands and feet, mouth sores, palpitations, insomnia? Hello, doctor. I have the following questions regarding possible causes and which specialty I should consult. Thank you. 1. I experience numbness, tingling, and a burning sensation in the joints of...
Dr. Jiang Junyi reply Neurology
Dear Ms. Vivian, You mentioned experiencing symptoms such as numbness, tingling, and a burning sensation around the finger joints, the back and palm of the hands up to the elbows, as well as around the knees, the tops of the feet, the ankles, and the toes. These symptoms do not ...[Read More] Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Deep pain in the left eye (radiating to the left shoulder and neck)? Hello, Dr. Jiang. Three months ago, I experienced eye pain and visited an ophthalmologist. The doctor diagnosed my intraocular pressure at the critical value of 21. I continued to use the prescribed eye drops re...
Dr. Jiang Junyi reply Neurology
Hello Mr. Bai: You mentioned that "the assessment indicated a neurological issue, and I was referred to the neurology department, where the neurologist suggested the possibility of migraine?" The symptoms you described may need to consider Trigeminal Autonomic Cephalalg...[Read More] Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Neck Pain When Bending: Should You Seek Medical Advice?
Neck pain due to neck strain? Hello: When I bend my neck to the left (not turning) at a certain angle, I feel a sharp pain extending from the left back of my neck to the left side of my head, almost like a muscle is being pulled. It is extremely painful and sometimes accompanied ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Amy, You mentioned that "there is a muscle in the left side of my brain that gets strained, causing extreme pain, sometimes accompanied by a bit of dizziness and nausea. However, as soon as I change my position, it immediately alleviates..." Your symptoms seem...[Read More] Neck Pain When Bending: Should You Seek Medical Advice?
Understanding Occipital Headaches: Causes, Symptoms, and Relief Strategies
Headache - Occipital Pain Hello, starting this Tuesday around noon to afternoon, I have been experiencing a feeling of pressure and pain in the back of my head, but it does not occur in the morning, evening, or before bed. During the episodes of pressure and pain, it sometimes af...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "the back of your head feels swollen and painful, but it goes away in the morning, evening, or before sleep. During the period of swelling and pain, it can sometimes be unilateral or bilateral, and bending over makes it more pronounced." If you...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and Relief Strategies
Managing Medication Side Effects and Dosage Reduction in Neurology
Drug side effects and dosage reduction issues? Hello Doctor: I previously inquired about my mother's condition, and you suggested that the tremors in her throat might be a side effect of her medications. Therefore, we have started to taper her current medications: Entacapone...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "after reducing the dosage for just one week, the aforementioned symptoms appeared. I wonder if the reduction time was too short or if the reduction caused the symptoms to recur." In clinical practice, medication adjustments should be accompani...[Read More] Managing Medication Side Effects and Dosage Reduction in Neurology