Understanding Ankle Tightness After Sitting: Causes and Solutions
Tightness in the ankle when standing up from a seated position? Hello Doctor, recently whenever I sit and then stand up, I feel tightness and numbness in my right ankle. Sometimes, the sensation extends to my calf muscles as well. However, after walking for a while, I no longer e...
Dr. Jiang Junyi reply Neurology
Dear Sir: Your symptoms may suggest peripheral nerve compression, particularly related to the sciatic nerve. It is possible that a herniated disc is causing nerve root compression, leading to neuropathic pain (sciatica). The symptoms are often located in the posterior thigh, late...[Read More] Understanding Ankle Tightness After Sitting: Causes and Solutions
Understanding Pain in the Back of the Head: Causes and Specialist Guidance
Pain in the back of the head can have several potential causes, including tension headaches, migraines, cervicogenic headaches, or issues related to the cervical spine such as herniated discs or arthritis. Other possibilities include occipital neuralgia or even more serious condi...
Dr. Jiang Junyi reply Neurology
Hello Ms. Chen: Your symptoms may need to be initially considered as inflammation of the muscle fascia at the back of the head. You are concerned about the issue of thrombosis related to the AZ vaccine, which is currently referred to as VITT (Vaccine-induced immune thrombotic thr...[Read More] Understanding Pain in the Back of the Head: Causes and Specialist Guidance
Understanding Facial Pain and Tension: Anxiety's Impact on Nerve Health
Anxiety and tension can cause bilateral facial discomfort near the mouth, presenting as tingling, numbness, tightness, and occasional twitching? Recently, due to some issues at home, I often feel easily tense. When I am tense, I experience symptoms such as rapid heartbeat, chest ...
Dr. Jiang Junyi reply Neurology
Dear Mr. Chiu, The symptoms you mentioned may be related to hyperventilation, which can lead to decreased carbon dioxide levels in the blood, resulting in an increased pH and systemic reactions and symptoms. Common manifestations include vasoconstriction and decreased calcium le...[Read More] Understanding Facial Pain and Tension: Anxiety's Impact on Nerve Health
Understanding Muscle Twitches and Pain: Is It Carpal Tunnel Syndrome?
Muscle issues Hello Doctor, a few days ago I asked about muscle twitching. Recently, I bought calcium effervescent tablets to drink, and the muscle spasms have improved somewhat, but they still occur frequently. How many days will it take to fully resolve? Additionally, in the pa...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned carpal tunnel syndrome. Clinically, symptoms such as numbness and pain can occur in the sensory distribution area innervated by the median nerve. These symptoms often worsen at night, sometimes causing awakening due to pain. Numbness and pain may temporarily ...[Read More] Understanding Muscle Twitches and Pain: Is It Carpal Tunnel Syndrome?
Understanding Neurological Pain: Insights on Abnormal Test Results
Body pain Hello Doctor, I previously experienced upper abdominal pain, left chest pain, left upper back pain, and difficulty swallowing. After consulting with gastroenterology and cardiology, both departments found no issues. I then visited a neurologist, who conducted an examina...
Dr. Jiang Junyi reply Neurology
Hello: Your report indicates right peripheral hearing disorders. There is a peripheral dysfunction of the median nerve SSEP on the right side. Additionally, there is a peripheral dysfunction of the tibial nerve SSEP bilaterally. These abnormalities do not seem to explain the &quo...[Read More] Understanding Neurological Pain: Insights on Abnormal Test Results
Understanding Visual Disturbances: When Eye Exams Don't Reveal the Cause
Visual problems Hello, doctor. Recently, I've suddenly experienced blurred vision when focusing, but my vision is normal when looking with each eye individually. Interestingly, when I tilt my head slightly to the left, my vision becomes normal. The ophthalmological examinati...
Dr. Jiang Junyi reply Neurology
Hello Mr. Tim: Your symptoms may suggest an abnormality in the fourth cranial nerve (trochlear nerve). It is recommended that you visit a neurology outpatient clinic for further examination and follow-up. Please ensure to practice self-protection, maintain cleanliness and disinfe...[Read More] Understanding Visual Disturbances: When Eye Exams Don't Reveal the Cause
Understanding Numbness in the Jaw: Possible Causes Beyond Nerve Issues
Numbness in the chin? The right side of my jaw sometimes feels numb. After undergoing a nerve conduction study in the neurology department, the results were normal. Could there be other issues?
Dr. Jiang Junyi reply Neurology
Hello Mr. Chang: The symptoms of tingling in the chin may be related to the mandibular branch of the trigeminal nerve, the third cervical nerve root, or peripheral nerve compression. However, these areas are not easily assessed through nerve conduction studies. It is necessary to...[Read More] Understanding Numbness in the Jaw: Possible Causes Beyond Nerve Issues
Understanding Neuropathic Pain Treatment: Comparing Medications and Risks
Treatment of neuropathic pain Hello Doctor: I recently visited a urologist due to penile pain, but after taking multiple antibiotics without improvement and experiencing severe pain, the urologist believes I may have neuropathic pain. A neurologist also mentioned that this condit...
Dr. Jiang Junyi reply Neurology
Hello Peter, Rivotril, Neurontin, and Lyrica have different mechanisms of action and different criteria for insurance coverage. Rivotril does not have a significant analgesic effect but can reduce muscle tension and alleviate emotional distress; it is commonly used for restless ...[Read More] Understanding Neuropathic Pain Treatment: Comparing Medications and Risks
Understanding Upper Back Numbness and Burning Sensation: Possible Causes and Next Steps
Numbness, tingling, and a burning sensation in the back? Hello, Doctor. Since the end of June, I have been experiencing a tingling sensation in my upper left back (around the area of the "Gao Huang" point), similar to a mild electric current. Gradually, by the evening, ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Cherry, Your symptoms may suggest cervical radiculopathy. Prolonged periods of looking down can lead to overuse of the trapezius muscles in the neck, resulting in neck and shoulder pain. Initially, resting may alleviate the pain, but over time it can worsen and affect y...[Read More] Understanding Upper Back Numbness and Burning Sensation: Possible Causes and Next Steps
Chronic Pain in Left Second Toe: Seeking Answers and Solutions
Pain in the second toe of the left foot? Hello Dr. Jiang, I have been experiencing pain in my toe for nearly ten years (the exact duration is hard to remember). I have been seeing a neurologist at the hospital and have been taking medication intermittently for four years (the pai...
Dr. Jiang Junyi reply Neurology
Dear Ms. Chang, In your description, you mentioned, "The pain starts again once the medication is stopped, and it varies in intensity, coming and going, which affects my sleep and makes it difficult to fall asleep." This provides clues to potential underlying causes, w...[Read More] Chronic Pain in Left Second Toe: Seeking Answers and Solutions
Understanding Parkinson's Disease: Treatment, Symptoms, and Future Insights
Parkinson's disease issues? Dear Dr. Jiang, I previously consulted you regarding my father's hand tremors. After he underwent examinations at the hospital, the doctor diagnosed him with early-stage Parkinson's disease. The dopamine transporter scan revealed an ora...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsiao-Hui, Regarding your concerns about your father's future, it is indeed difficult to address each question individually. However, the key point is to avoid the apoptosis of dopamine neurons. In addition to medication, certain neuroprotective dietary options can...[Read More] Understanding Parkinson's Disease: Treatment, Symptoms, and Future Insights
Understanding Sleep-Related Limb Pain: Causes and Solutions
Nerve pain during sleep? Hello doctor, I have noticed that my limbs experience cramping pain when trying to fall asleep over the past two days. The day before yesterday, it was my right calf, and last night it was my left thigh. I would like to inquire about what this condition m...
Dr. Jiang Junyi reply Neurology
Hello, Miss: Your symptoms may suggest "hypnic jerks." 1. Due to insufficient sleep, your body may enter the REM phase prematurely: This can occur when you are overly fatigued or have irregular sleep patterns, as your brain has entered the sleep cycle but your body has ...[Read More] Understanding Sleep-Related Limb Pain: Causes and Solutions
Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
I'm not sure where the problem lies? Hello, doctor! For the past 6-7 years, I have been experiencing 1. persistent stiffness in my neck and shoulders. Whenever this stiffness occurs, I feel a pressure in my temples and forehead, as if a rope is tied around or gripping me, fo...
Dr. Jiang Junyi reply Neurology
Dear Mr. QQ, I am unsure if you have metabolic syndrome (characterized by abdominal obesity, hypertension, elevated fasting blood glucose, and high lipid levels). If you do, you may be at high risk for cardiovascular diseases. You mentioned several issues that seem related to me...[Read More] Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
Understanding Symptoms of Dizziness and Head Pressure: When to Seek Medical Help
Feeling heavy-headed with a light feeling in the legs, accompanied by dizziness? Hello Doctor, my symptoms include dizziness, a feeling of pressure in my head, a heavy head with light legs, and slowed visual perception (when I turn my gaze from point A to point B, there is a sens...
Dr. Jiang Junyi reply Neurology
Hello, Sir: Your symptoms may suggest a vascular headache issue, specifically "dizziness and head fullness." This is particularly relevant for migraines. Basilar-type migraine, also known as basilar migraine or vertebrobasilar migraine, is a specific type of migraine. I...[Read More] Understanding Symptoms of Dizziness and Head Pressure: When to Seek Medical Help
Understanding Body Tremors When Rising: Causes and Concerns
Whole-body tremors when rising from a sitting or lying position? The frequency of episodes is very low, occurring about two to three times a year. I often experience dizziness and blackouts after squatting or sitting, but I can still manage to stand steadily until the blackout en...
Dr. Jiang Junyi reply Neurology
Hello, Ms. Jiu: Your symptoms may suggest a concern regarding syncope. The most common causes are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitioning from a supi...[Read More] Understanding Body Tremors When Rising: Causes and Concerns
Understanding Dizziness and Headaches: Insights into Neurological Disorders
Headache and dizziness? About a year ago, I started experiencing dizziness, but a few months ago, the dizziness began to be accompanied by severe shaking in my arms. However, the shaking stops as soon as the dizziness subsides. Sometimes, when I feel dizzy, my vision suddenly goe...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsu, Your symptoms may suggest a consideration of syncope. The most common causes include reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. This can also happen when transitioning from a...[Read More] Understanding Dizziness and Headaches: Insights into Neurological Disorders
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary movements? In the past two weeks, I have been experiencing muscle twitching in various parts of my body, which sometimes affects my work. Is this a symptom of calcium deficiency? However, I do not have insomnia; instead, I often feel sleepy in the mornings. I haven&#x...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: If your symptoms involve muscle twitching while awake, it may be necessary to consider some metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Certain stimulants, such as caffeine, may also exacerbate muscle twitching during wakefulness. I rec...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Managing Dizziness While Sitting or Lying Down: Tips and Insights
Feeling dizzy when sitting or lying down? Hello Doctor: I experience dizziness when sitting or lying down (feeling like I'm swaying but without nausea), while standing feels more comfortable. I went to a clinic and took medication (Diphenidol, Cinnazine, Valium) but it didn&...
Dr. Jiang Junyi reply Neurology
Dear Ms. Rita, Your symptoms may warrant consideration of vestibular disorders and hypnic jerks. Benign paroxysmal positional vertigo (BPPV) should be prioritized, characterized by episodes of dizziness lasting a few seconds, related to changes in head position, such as bending ...[Read More] Managing Dizziness While Sitting or Lying Down: Tips and Insights
Can Car Accident-Induced Brain Hemorrhage Lead to Embolic Stroke?
A car accident leading to a stroke? My father was in a car accident (hit by a car) and suffered from bleeding in the brain, six broken ribs, and two broken clavicles. He was in the intensive care unit for about 13 days. The brain bleeding was checked 2.3 days after the accident a...
Dr. Jiang Junyi reply Neurology
Hello, Miss: It seems that traumatic brain hemorrhage (due to external force) and cerebral infarction (due to vascular obstruction) are two different conditions. If there is arterial wall dissection, it might be explained by external force. I wonder if your father has metabolic...[Read More] Can Car Accident-Induced Brain Hemorrhage Lead to Embolic Stroke?
Understanding ICH: Recovery Insights for a 65-Year-Old with High Blood Pressure
Intracerebral hemorrhage (ICH) with bleeding on the left side? Hello, my mother is 65 years old and has a history of hypertension. She secretly stopped taking her medication. One night, she reported numbness in her hand, and on the evening of July 30, she was urgently taken to th...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hanna, 1. I would like to ask, given my mother's condition, is a blood clot larger than 30mm in the left basal ganglia considered severe in the context of cerebral hemorrhage? A: The severity depends not only on the size of the clot but also on its location. If the...[Read More] Understanding ICH: Recovery Insights for a 65-Year-Old with High Blood Pressure