Understanding Facial Twitching: Causes and Solutions for Your Smile
Facial twitching? Hello, Doctor. When I take photos, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this situation, I practice smiling frequently, and during those times, I can control the corners of my mouth well. However...
Dr. Jiang Junyi reply Neurology
Hello Miss An: I would like to know if you have any other symptoms besides the uncontrollable twitching at the left corner of your mouth? Muscle twitching while awake may warrant consideration of some metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Certain...[Read More] Understanding Facial Twitching: Causes and Solutions for Your Smile
Understanding Dizziness and Fatigue: Signs of Brain Issues or Just Fatigue?
Brain issues Hello, Doctor. Recently, I've been feeling a bit dizzy at times, but it doesn't last long. I don't have much headache, but there's just a strange sensation. I've also been feeling quite fatigued lately, and my concentration and memory seem to...
Dr. Jiang Junyi reply Neurology
Hello Mr. Lin: You mentioned feeling "a bit dizzy... for a short duration, not much headache, but just a strange feeling... Is it a precursor to a brain tumor? Or is it simply due to lack of sleep?" The symptoms are more indicative of sleep deprivation or other causes s...[Read More] Understanding Dizziness and Fatigue: Signs of Brain Issues or Just Fatigue?
Understanding Tension in the Temples: Causes and Solutions
Tightness in the temples? Hello Dr. Jiang, I have not experienced similar symptoms before (tightness in the temples, nausea, and a sense of imbalance). Here is a record of the process: On October 15, 2021, during a company health check (gastrointestinal endoscopy): a. Duodenal ...
Dr. Jiang Junyi reply Neurology
Dear Mr. William, You mentioned experiencing "headaches / slight imbalance / feelings of nausea... currently feeling tightness in the temples / forehead / between the eyebrows / back of the head" and that "lying on the sofa while using your phone" may indicat...[Read More] Understanding Tension in the Temples: Causes and Solutions
Understanding Your Body's Tension: Insights on Fibromyalgia and Beyond
The body feels as if it is bound by a rope, similar to Dongpo pork? Hello, doctor. Since March of last year, I have felt as if my body is bound by a rope, similar to Dongpo pork. The thickness of this rope feels about the same as the wire of earphones (the thinner ones for the le...
Dr. Jiang Junyi reply Neurology
Hello Mr. Franky, You mentioned that "the sensation travels from the left side up through the neck, passing through the left ear and splitting into two paths around the left eye, then running down the right side of the back to the right palm. Although there is no obvious fe...[Read More] Understanding Your Body's Tension: Insights on Fibromyalgia and Beyond
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can a person who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, could not close my right eye, and my mouth was slightly crooked. After receiving injections, medication, heat therapy, and facial exercises, my ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsiao-Mi, You mentioned, "Given my current situation, can I get vaccinated? Which vaccine should I choose? How should I decide? If I cannot get vaccinated, are there any other protective injections I can receive? I am hesitant to get vaccinated due to the side effe...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can a person who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, with my eye unable to close and my mouth slightly drooping. After receiving injections, medication, heat therapy, and facial exercises, my condi...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsiao Mi, In light of the recent surge in COVID-19 cases, please ensure to implement self-protection measures, including cleaning and disinfection, before and after seeking medical care, and adhere to the new preventive lifestyle. It is recommended to complete the two ...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Understanding Dizziness and Eye Twitching: Neurological Concerns Explained
Dizziness and right eye (globe) twitching? I started experiencing dizziness at the beginning of last year, which is not vertigo. I consulted an ENT specialist who diagnosed me with vestibular neuritis. I took medication for three months, but there was not much improvement. Recent...
Dr. Jiang Junyi reply Neurology
Dear Miss May, You mentioned that your right eye occasionally twitches and wondered if it could be a brain issue or a sign of a stroke. Typically, a stroke is accompanied by other symptoms, and there is often an increase in blood pressure. I would like to know if you have experi...[Read More] Understanding Dizziness and Eye Twitching: Neurological Concerns Explained
Understanding Left Shoulder Pain: When to See a Neurologist
Sharp pain in the back of the left shoulder? Hello Doctor, yesterday before finishing work, I suddenly experienced a sharp pain under the edge of my left scapula, around the middle area. I initially thought it was due to prolonged computer work and poor posture, which led to musc...
Dr. Jiang Junyi reply Neurology
Hello Ms. JHL: You mentioned that "after taking a muscle relaxant purchased from the pharmacy, I slept and the pain decreased by at least half compared to last night." It may be necessary to consider thoracic myofascial inflammation or nerve root compression. A minority...[Read More] Understanding Left Shoulder Pain: When to See a Neurologist
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can someone who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, which made it difficult to close my eye and caused my mouth to appear slightly crooked. After receiving injections, medication, heat therapy, and...
Dr. Jiang Junyi reply Neurology
Hello, Ms. Hsiao-Mi: "Having a history of facial nerve palsy" is not a contraindication for vaccination. In the outpatient clinic, many patients with this condition have already received two doses of the vaccine (including AZ, BNT, and Medigen), and none have reported a...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Understanding Neurological Symptoms: When to Seek Further Testing
Electroencephalogram (EEG) brain wave examination? Hello Doctor: In May, I suddenly experienced severe dizziness, feeling as if I was about to die, unable to breathe, with a tingling sensation in my head and a near-death feeling. After visiting the emergency room, all tests came ...
Dr. Jiang Junyi reply Neurology
Dear Mr. Ren-Zhang, You mentioned that in May, there was a day when you suddenly felt dizzy, as if you were about to die, experiencing difficulty breathing, numbness, and a sensation of near-death. I would like to know if your symptoms have recurred. If this was an acute episode...[Read More] Understanding Neurological Symptoms: When to Seek Further Testing
Understanding Nerve Compression: Questions on Symptoms and Recovery
Follow-up questions regarding nerve compression..? Hello Doctor, I previously inquired about ulnar nerve compression, and I subsequently went to a neurologist for nerve conduction studies and X-rays. However, the doctor informed me that the nerve conduction in both of my median n...
Dr. Jiang Junyi reply Neurology
Hello Mr. JAM: 1. The doctor prescribed me a 30-day supply of B vitamins and medication to improve peripheral nerves, stating that it is for health maintenance. Additionally, he suggested wearing a wrist brace. Is this considered serious? 2. I found online that severe cases o...[Read More] Understanding Nerve Compression: Questions on Symptoms and Recovery
Persistent Numbness in Left Shoulder Blade After Lifting Heavy Objects
Numbness in the left scapula? Hello, Doctor. Last week, after lifting a heavy object with my left hand, I experienced muscle soreness the next day, accompanied by numbness. However, the numbness disappears when I stretch or change positions. As of today, the soreness has subsided...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "hunchback posture can easily lead to numbness in the left scapula." This symptom may indicate compression of the nerve roots at thoracic vertebrae 4-5, or injury to the brachial plexus nerves. Cervical nerve injuries require laboratory di...[Read More] Persistent Numbness in Left Shoulder Blade After Lifting Heavy Objects
Involuntary Foot Muscle Twitches: Causes and Treatment Options
There is involuntary twitching between the arch of the right foot and the big toe? Last night, before going to bed, I started experiencing involuntary twitching in the arch of my right foot, extending to the area between my big toe and the arch. The twitching occurs approximately...
Dr. Jiang Junyi reply Neurology
Dear Mr. A-Yan, You mentioned that "there is involuntary twitching between the arch of the right foot and the big toe, occurring approximately every ten seconds, and it has been ongoing. The sensation is more pronounced when sitting or lying down, making it difficult to sle...[Read More] Involuntary Foot Muscle Twitches: Causes and Treatment Options
Relieving Numbness and Pain: Understanding Ulnar Nerve Compression
Hand numbness: Ulnar nerve compression? Hello Doctor, today while sitting on the sofa watching TV, I unexpectedly experienced numbness and a burning sensation in my left hand, specifically in the ring and little fingers. Gradually, my entire forearm and the back of my hand starte...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned experiencing "numbness and a burning sensation in the left ring and little fingers, followed by a gradual feeling of discomfort and numbness in the entire forearm and back of the hand." This may indicate "cubital tunnel syndrome," primaril...[Read More] Relieving Numbness and Pain: Understanding Ulnar Nerve Compression
Understanding Nerve Damage and Recovery After Rhabdomyolysis
Numbness and weakness in the legs? Hello, doctor. On October 8th of this year, I drank too much at a social gathering and fell asleep on the floor. I woke up the next afternoon with my entire right leg feeling numb. I initially thought it would get better quickly, but I went to t...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chang: You mentioned that "the doctor said it takes time to repair the nerves, and currently, I am undergoing rehabilitation and taking B12, but it has been two months since the incident... will treatment help me recover faster?" The symptoms seem more like ne...[Read More] Understanding Nerve Damage and Recovery After Rhabdomyolysis
Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Issues with Eye Closure Hello Doctor, currently I am experiencing symptoms where I cannot close my left eye independently, but I can close both eyes simultaneously and also close my right eye alone. When I smile, my left side of the face appears significantly weaker. Additionally...
Dr. Jiang Junyi reply Neurology
Hello Mr. Sun: You mentioned that "the left side of your face is noticeably weaker when you smile, and there is also tinnitus in your left ear." This may indicate a left-sided facial nerve injury. Facial nerve paralysis is quite similar, primarily affecting the seventh ...[Read More] Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Sudden Tongue Numbness and Facial Redness After Exercise: Causes and Advice
Numbness of the tongue accompanied by facial flushing? Recently, about an hour after dinner, while doing aerobic exercise at home, I suddenly experienced numbness in my tongue, followed by facial flushing and swelling. I quickly stopped and rested for about an hour, after which I...
Dr. Jiang Junyi reply Neurology
Hello Mr. Lin, You mentioned that "suddenly my tongue went numb, followed by facial flushing and swelling. I quickly stopped and rested for about an hour, which improved a bit, but the numbness in my tongue is severe, making it difficult to speak." I would like to know...[Read More] Sudden Tongue Numbness and Facial Redness After Exercise: Causes and Advice
Understanding Dizziness, Headaches, and Nausea: Possible Causes
Dizziness, headache, and nausea? Hello, doctor. One night, I suddenly experienced a headache, dizziness, and nausea. The pain is concentrated in the front of my head, while the back of my head feels heavy. My neck is sore, but it goes away when I lie flat. This has been ongoing f...
Dr. Jiang Junyi reply Neurology
Hello, Ms. Hsiang: You mentioned experiencing "severe pain in the front of the head, a heavy feeling in the back of the head, and neck soreness that resolves when lying flat." In addition to common cervical myofascial inflammation, intracranial hypotension may need to ...[Read More] Understanding Dizziness, Headaches, and Nausea: Possible Causes
Understanding Leg Numbness and Back Pain After an Accident
Numbness in the legs and lower back pain? Hello doctor, I was involved in a car accident at the beginning of last month where a vehicle hit me while I was walking. I fell and sustained bruising and contusions on my knee. I can walk normally now, but I occasionally experience numb...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsiao-Ning, You mentioned that "the outer side of your right thigh occasionally feels numb, whether you are standing, sitting, or lying down." This may indicate compression of the nerve roots at the second and third lumbar vertebrae. Additionally, it could be ...[Read More] Understanding Leg Numbness and Back Pain After an Accident
Understanding Hand Numbness: Ulnar Nerve Compression and Neck Issues
Vague sensations of hand numbness? Hello Doctor, I have recently been experiencing a tingling and discomfort in my left hand fingers. Initially, it was a burning sensation in my ring and little fingers, and later the other three fingers on my left hand also started to feel numb, ...
Dr. Jiang Junyi reply Neurology
Hello Mr. JAM: You mentioned that "the other three fingers of my left hand also started to feel numb, and there is some weakness in my hand. I visited a rehabilitation specialist who said it is ulnar nerve compression." If it is ulnar nerve compression, it typically rel...[Read More] Understanding Hand Numbness: Ulnar Nerve Compression and Neck Issues