Understanding Essential Tremor: When to See a Neurologist or Psychologist?
Tremor issues Hello Doctor: My hands have been shaking since I was young. When I eat with a spoon or chopsticks, or when I use scissors or a utility knife, my hands tremble. Recently, I've also noticed some shaking when holding objects or keys (though not every time). Curren...
Dr. Jiang Junyi reply Neurology
Hello Benson: The essential tremor you mentioned is also known as primary tremor, where the exact cause of the tremor cannot be identified. It may be due to a specific constitution or hereditary tremor. Typically, individuals experience more tremors when holding objects, while so...[Read More] Understanding Essential Tremor: When to See a Neurologist or Psychologist?
Understanding Involuntary Muscle Twitches: Causes and Management Tips
Involuntary muscle twitching? Hello Doctor, I would like to ask a question. Since around October 10th, I have been experiencing some involuntary muscle twitching, starting with my left eyelid, then my right elbow joint, and my thighs and calves, which twitch intermittently for ab...
Dr. Jiang Junyi reply Neurology
Hello, sir: Your symptoms may suggest "benign fasciculation syndrome," which can be triggered by acute viral infections, anxiety, and medication use. Prolonged exercise is one of the main causes of muscle twitching. Common medications that can cause muscle twitching inc...[Read More] Understanding Involuntary Muscle Twitches: Causes and Management Tips
Understanding Persistent Muscle Twitching in the Right Buttock
Prolonged muscle twitching in the right buttock? Tonight, I suddenly experienced continuous muscle twitching in my right buttock. It seems to lessen or stop when I get up and walk around, but it keeps twitching when I sit or lie down. This has been going on for three hours. What ...
Dr. Jiang Junyi reply Neurology
Dear Mr. Wei, You mentioned experiencing "constant twitching in the muscles of the right buttock," which may suggest peripheral nerve symptoms, such as lumbar nerve inflammation, leading to instability in the affected muscles. Regarding your inquiry about "numbnes...[Read More] Understanding Persistent Muscle Twitching in the Right Buttock
Understanding Brain Atrophy: Do You Need Treatment Without Symptoms?
Symptoms of brain atrophy? Hello Dr. Jiang: I underwent an MRI scan of my head, and the report indicated "Diffuse widening of sulci and cisterns suggesting brain atrophy." However, I currently do not have any cognitive issues, and my memory is normal. Do I need treatmen...
Dr. Jiang Junyi reply Neurology
Dear Mr. Jiang, You mentioned "Diffuse widening of sulci and cisterns suggesting brain atrophy," which refers to brain atrophy. If there are no signs of functional decline in daily living, there is no need to worry too much. In diagnosing cognitive impairment, in addit...[Read More] Understanding Brain Atrophy: Do You Need Treatment Without Symptoms?
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Head pressure/pain/nausea? I have been experiencing headaches for over a year. Initially, I thought it was just a migraine, and taking painkillers and resting would help. However, the more I slept, the more intense the pain became, accompanied by nausea and a feeling of wanting t...
Dr. Jiang Junyi reply Neurology
Dear Miss Fei, You mentioned that "the pain location can vary, usually it is unilateral, occasionally in the middle of the forehead or associated with high eye pressure, and whenever a headache occurs, there is a feeling of nausea." First, we should consider typical mi...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Understanding Muscle Tremors: Causes and Solutions for Your Concerns
Muscle twitching Hello, I have noticed that my arms and thighs experience slight tremors when they are suspended, exerted, or stretched at certain angles, similar to the shaking sensation when stretching. Essentially, I can feel the tremors while exerting myself and when my limbs...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: You mentioned that "after playing the piano, my fingers shake more severely after movement or exertion." Your symptoms may suggest benign muscle tremors. Certain situations in daily life can trigger this issue, such as exercise, acute viral infections, a...[Read More] Understanding Muscle Tremors: Causes and Solutions for Your Concerns
Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Muscle twitching In May, I noticed that my heels felt numb when I got out of bed, but the sensation disappeared after I walked around for a bit. This symptom lasted for about one to two weeks. However, in August, the numbness returned and lasted for another one to two weeks. In m...
Dr. Jiang Junyi reply Neurology
Hello Ms. Yeh: Amyotrophic lateral sclerosis (ALS) is a term that encompasses a group of motor neuron diseases. Typically, there are no significant sensory abnormalities, such as the tingling sensations you mentioned. Motor neurons control muscle movement; generally, the motor ne...[Read More] Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Understanding Sudden Left Foot Pain and Heart Discomfort: A Neurology Perspective
Foot pain and palpitations? In the past year, I have been experiencing sudden pain in my left foot. It started with my big toe, and now the pain has progressed upwards, reaching below my knee. This issue only affects my left foot; my right foot is completely fine. The pain comes ...
Dr. Jiang Junyi reply Neurology
Dear Mr. Hsiang, You mentioned that "only the thumb... suddenly hurts a lot." I wonder if this pain is located at the joint? It may be necessary to first consider joint-related diseases, such as gout, among others. However, if you experience symptoms including pain, nu...[Read More] Understanding Sudden Left Foot Pain and Heart Discomfort: A Neurology Perspective
Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
I would like to know the difference between migraine and intracranial hypertension headache? Hello, I would like to inquire about my hospitalization this year due to headaches. The attending physician suspected I have migraines. Initially, they treated me with intracranial pressu...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "you were awakened by severe pain in the right occipital region in the early morning," which may need to be considered due to carbon dioxide accumulation causing vasodilation in the brain, leading to increased intracranial pressure. The d...[Read More] Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
Understanding Facial Twitching and Arm Symptoms: When to Seek Medical Advice
Facial twitching? Hello, Doctor Jiang. I have two questions to ask. About two years ago, I was rehabilitating at home for frozen shoulder when I suddenly noticed that my right cheek would involuntarily twitch while performing a stretching exercise that involved making large cir...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "the right cheek still has noticeable involuntary twitching. After testing, it was found that the twitching of the right cheek is triggered by movements involving the left arm," which may indicate a neurological dysfunction affecting the motor ...[Read More] Understanding Facial Twitching and Arm Symptoms: When to Seek Medical Advice
Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Muscle twitching Hello Doctor, I previously visited a neurologist due to mild tingling sensations in my limbs and underwent nerve conduction studies for my upper and lower extremities (but did not have an electromyography). The doctor said the results were very normal. Recently, ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: You mentioned experiencing a "slight tingling sensation in your limbs," which may suggest symptoms of hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition know...[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Understanding Hip and Thigh Pain: Possible Nerve Compression or Muscle Inflammation?
Hip and thigh pain? Hello, doctor. I experience soreness in my lower back, hips, and thighs after sitting for about 15 minutes. It feels better when I stand up, but the soreness returns when I sit down again, sometimes to the point where it makes it difficult to sleep. I have see...
Dr. Jiang Junyi reply Neurology
Dear Ms. Umbrella, Muscle inflammation typically presents with localized tenderness. You mentioned experiencing "pain in the lower back, hips, and thighs," which is more indicative of lumbar nerve root compression (possibly at levels L2, L3, or L4). You also noted that...[Read More] Understanding Hip and Thigh Pain: Possible Nerve Compression or Muscle Inflammation?
Understanding Hip and Thigh Pain: Nerve Compression or Muscle Inflammation?
Hip and thigh pain? Hello, doctor. I experience pain in my lower back, hips, and thighs after sitting for about 15 minutes. Standing up alleviates the discomfort, but sitting down again causes the pain to persist, sometimes making it difficult to sleep. I have seen a rehabilitati...
Dr. Jiang Junyi reply Neurology
Dear Miss Umbrella, You mentioned experiencing "lower back, hip, and thigh pain," which is more indicative of lumbar nerve root compression (possibly at lumbar levels 2, 3, or 4). You also noted that "bending at the waist and knees does not cause pain," which...[Read More] Understanding Hip and Thigh Pain: Nerve Compression or Muscle Inflammation?
Understanding Finger Tremors: Could It Indicate Cerebellar Issues?
Only one finger trembles? I recently noticed that my right index finger shakes when I press the water dispenser at work. Could this possibly be related to cerebellar dysfunction? I have tried the finger-to-nose test, and my finger does not shake during that. If it were cerebellar...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: You mentioned that "when I need to use the water dispenser at work, it seems like my right index finger shakes." This may indicate a possibility of postural tremor. Issues related to the cerebellum typically do not manifest in just one finger. Tremors ca...[Read More] Understanding Finger Tremors: Could It Indicate Cerebellar Issues?
Understanding Autonomic Nervous System Disorders in Teens
Autonomic nervous system dysfunction? Hello, doctor… I apologize for the interruption. I am currently a senior in high school, and since the beginning of the semester, I have not been getting enough sleep due to my studies (around three to five hours). Since mid-September, I have...
Dr. Jiang Junyi reply Neurology
Dear Ms. Lan Yu, Your symptoms may suggest the phenomenon of sympathetic nervous system hyperactivation. Anxiety can exacerbate these symptoms. Additionally, anemia or fluid deficiency may lead to insufficient cerebral circulation. Symptoms can be improved by replenishing fluids...[Read More] Understanding Autonomic Nervous System Disorders in Teens
Is Nortriptyline HCL Recommended for Tension Headache Prevention in Taiwan?
Is Nortriptyline HCL one of the options for the standard treatment regimen for the prevention of tension-type headaches in Taiwan? Hello, I have been experiencing tension-type headaches for many years. Currently, I reside abroad and have found that Nortriptyline HCL has the best ...
Dr. Jiang Junyi reply Neurology
Dear Mr. Bob, You mentioned that "the tension headache issue has been a problem, and after trying several medications while living abroad, I found that Nortriptyline HCL has the best preventive effect." Nortriptyline HCL is classified as a tricyclic antidepressant (TCA...[Read More] Is Nortriptyline HCL Recommended for Tension Headache Prevention in Taiwan?
Understanding Lateral Arm Nerve Pain: Causes and Specialist Guidance
Sharp pain in the lateral aspect of the right upper arm? Hello, two nights ago I suddenly experienced sharp nerve pain on the outer side of my right upper arm (near the joint). I would like to know which department to consult and what this might be a sign of. Additionally, I woul...
Dr. Jiang Junyi reply Neurology
Dear Mr. Gao, You mentioned experiencing "sharp pain along the outer side of the right upper arm (near the joint)." If there is localized tenderness, it may be necessary to consider the possibility of musculoskeletal inflammation. It might also be worth considering &qu...[Read More] Understanding Lateral Arm Nerve Pain: Causes and Specialist Guidance
Understanding the Effects of High Voltage Electric Shock on the Body
Electrocution by high voltage electricity? I would like to ask the doctor, my husband was electrocuted on October 17 (Sunday) by high voltage electricity. The current entered through the web of his right hand and exited through the sole of his left foot and the calf of his right ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsiao, Electrical injuries can cause tissue swelling and burns at the entry and exit points of the current. Typically, localized paresthesia will resolve within a few hours. Generally, the tissues through which the current flows sustain more severe damage. Your mention ...[Read More] Understanding the Effects of High Voltage Electric Shock on the Body
Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Facial nerve paralysis Hello Doctor, two weeks ago I noticed symptoms of left facial nerve paralysis: I cannot close my eye, my mouth cannot open, my face cannot move, and sounds in my ear are excessively loud. A neurologist prescribed steroids and also performed acupuncture and ...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that facial nerve paralysis affects hearing. This is because the stapedius muscle, which is responsible for stabilizing the stapes bone, is innervated by the facial nerve. Recovery of symptoms requires nerve regeneration, unlike facial muscles that can i...[Read More] Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Understanding Hand Tremors: Causes and Diagnosis in Neurology
Tremor issues? I would like to consult a doctor about a situation where one finger on my hand trembles, particularly when it is about 1 centimeter away from the surface of a table. The tremor seems to be most pronounced in the index finger, and it worsens when my hand is resting ...
Dr. Jiang Junyi reply Neurology
Dear Mr. Hsu, You mentioned that "the tremor is more severe when resting on the lap, while it is less noticeable when placed on a table at shoulder height." This may suggest a consideration of postural tremor. When maintaining the hands in a fixed position, or extendin...[Read More] Understanding Hand Tremors: Causes and Diagnosis in Neurology