Understanding Parkinson's Disease: Treatment, Symptoms, and Future Research
Parkinson's disease issues? Dear Dr. Jiang, I previously consulted you about the issue of hand tremors. After my father underwent examination at the hospital, the doctor diagnosed him with early-stage Parkinson's disease. The dopamine transporter scan revealed an orang...
Dr. Jiang Junyi reply Neurology
Hello, Regarding the treatment of Parkinson's disease, it is usually related to the patient's lifestyle needs, and many patients in clinical practice do not achieve complete symptom relief. It is recommended to focus on your father's health information to reduce ...[Read More] Understanding Parkinson's Disease: Treatment, Symptoms, and Future Research
Understanding Leg Cramps: Causes and When to Seek Help
Leg cramps and pain? Hello doctor, I usually do not have an exercise routine, but recently I have noticed that certain parts of my body experience brief, mild pain that feels somewhat like an electric shock. Yesterday, I walked briskly for 40 minutes, and today I am experiencing ...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned feeling "shocked." This is a typical symptom of neuropathic pain, which may be due to poor posture or localized nerve compression. Regarding the "cramping and aching sensation near the left calf and ankle" that you mentioned, it coul...[Read More] Understanding Leg Cramps: Causes and When to Seek Help
Morning Hand Pain: Understanding Stiffness and Discomfort in Pinky Joints
In the morning upon waking, there is pain, stiffness, and tightness in the joints where the little fingers connect to the palms? Hello, Doctor. Since mid-June of this year, I have been experiencing tightness and pain in the joints connecting the little fingers to the palms of bot...
Dr. Jiang Junyi reply Neurology
Hello, Miss: Your symptoms may suggest bilateral ulnar nerve compression. It could also be caused by thoracic nerve root compression. If the nerve compression leads to peripheral neuropathy, the following characteristics may be present: 1. Pain with a burning or electric shock-li...[Read More] Morning Hand Pain: Understanding Stiffness and Discomfort in Pinky Joints
Left-Side Numbness and Dizziness: Understanding Neurological Concerns
Numbness on the left side and dizziness? In the past two to three days, I've been experiencing a tingling and aching sensation in my left palm, arm, back, and rib area. My jaw also feels a bit unusual and uncomfortable, which I can't quite describe. For the past month, ...
Dr. Jiang Junyi reply Neurology
Hello, Miss: Your symptoms may be indicative of cervical nerve root compression. If the nerve compression leads to peripheral neuropathy, the following characteristics may be present: 1. Pain with a burning or electric shock-like quality. 2. Symptoms with a specific dermatomal di...[Read More] Left-Side Numbness and Dizziness: Understanding Neurological Concerns
Understanding Nighttime Headaches: Causes and Concerns After Vaccination
The headache has persisted for several days and is causing nighttime awakenings? I received the vaccine on July 23, 2021, and started experiencing side effects the next day, including headaches and muscle and joint pain. However, aside from headaches and dizziness, I returned to ...
Dr. Jiang Junyi reply Neurology
Hello, sir: May I ask if you received the AZ vaccine? The adverse reaction of thrombosis associated with the AZ vaccine is currently referred to as VITT (Vaccine-induced immune thrombotic thrombocytopenia). The incidence rate is approximately 1 in 10,000 in Europe. It typically o...[Read More] Understanding Nighttime Headaches: Causes and Concerns After Vaccination
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching I have recently noticed that certain muscles in my body twitch, similar to when I click a mouse, and my fingers occasionally tremble. The force of my clicks feels different than usual. Could this be related to my recent irregular schedule, or could it be a sign o...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "your muscles twitch, your fingers occasionally shake, and the force of your clicks feels different than usual." This may indicate localized muscle inflammation. Sometimes, insufficient rest and the consumption of caffeinated beverages can...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Facial and Scalp Numbness: Possible Causes and Concerns
Tingling sensation in the scalp and face? I'm not sure if I have hypertension, hyperlipidemia, or diabetes. I experienced facial numbness a couple of days ago, which was limited to my face, but today the numbness has spread to my entire head and face. I also noticed red stre...
Dr. Jiang Junyi reply Neurology
Dear Mr. Blue Sky, You have reached middle age, and the likelihood of developing metabolic syndrome and the three highs (hypertension, hyperlipidemia, and hyperglycemia) increases significantly. It is recommended that you take advantage of the free adult health checkups provided...[Read More] Understanding Facial and Scalp Numbness: Possible Causes and Concerns
Understanding Hand Numbness: When to Seek Medical Attention
Numbness in the hands? Hello Doctor: I usually experience numbness in my hands after intense exercise, but recently I've noticed that any movement of my hands causes numbness starting from my fingertips. If I continue to move, the numbness spreads to my entire palm, but if I...
Dr. Jiang Junyi reply Neurology
Dear Miss Yi-An, Your symptoms may be primarily attributed to hyperventilation caused by intense exercise, leading to sensations of abnormality. Hyperventilation can result in decreased carbon dioxide levels in the blood, causing an increase in pH, a condition known medically as...[Read More] Understanding Hand Numbness: When to Seek Medical Attention
Intermittent Thigh Pain After AZ Vaccine: What You Need to Know
Thigh pain Hello, I started experiencing intermittent cramping pain in my left thigh since last night. I recently received the AZ vaccine three to four days ago, and I'm concerned if this could be a related effect. Thank you.
Dr. Jiang Junyi reply Neurology
Hello, Miss: Your symptoms seem less likely to be caused by a thrombus and more indicative of a muscular issue. Do you experience any tingling or numbness? The adverse reaction of thrombosis associated with the AZ vaccine is currently referred to as VITT (Vaccine-induced immune t...[Read More] Intermittent Thigh Pain After AZ Vaccine: What You Need to Know
Signs of Stroke Recurrence: Understanding Fever and Weakness in Patients
Stroke patients have recently experienced fever and weakness? Hello, doctor. My mother has had a stroke for over ten years, resulting in paralysis on her left side. She has also experienced two strokes on her right side. While she can move her right hand, it is weaker and she can...
Dr. Jiang Junyi reply Neurology
Dear Ms. JOJU, I hope this message finds you well. I would like to inquire about your mother's cerebral blood vessels. If there is already significant stenosis, dehydration caused by fever may lead to insufficient cerebral blood flow, resulting in neurological deficits. Thi...[Read More] Signs of Stroke Recurrence: Understanding Fever and Weakness in Patients
Understanding Left Chest Pain: Causes and Concerns in Neurology
Fixed point pain with a throbbing sensation in the left chest? Hello, Doctor: Recently, I have been experiencing pain in three or four fixed points on my left chest and left shoulder. There is tenderness upon palpation, particularly at the points located near the bones, with the ...
Dr. Jiang Junyi reply Neurology
Hello: The symptoms you mentioned may first suggest localized myofascitis. The "throbbing pain" is usually caused by local nerve instability leading to spasms. "Cardiac-related pain is typically sudden." Clinically, myocardial ischemia is usually associated wi...[Read More] Understanding Left Chest Pain: Causes and Concerns in Neurology
Persistent Neck Heat: Understanding Symptoms and Possible Causes
Heat in the back of the neck? Hello, doctor! I initially thought that my fever was caused by a cold, but even though the cold has resolved for 1 to 2 months, I still experience a sensation of heat in the back of my neck. During the day, there are times when the back of my neck fe...
Dr. Jiang Junyi reply Neurology
Hello Mr. Haohao: Your symptoms may suggest cervical myofascial inflammation. In the early stages of cervical muscle and fascia tightness, there may not be obvious changes in the cervical spine, but imaging can show a decrease in curvature. Symptoms include pain at the affected s...[Read More] Persistent Neck Heat: Understanding Symptoms and Possible Causes
Post-Masturbation Shaking, Chills, Dizziness, and Headaches Explained
Shaking, chills, dizziness, and headaches after orgasm during masturbation? Dear Doctor, I am a 36-year-old male. I usually masturbate about 1-2 times a day, and this frequency has been consistent recently. Yesterday morning, I also ejaculated without any particular issues. Howe...
Dr. Jiang Junyi reply Neurology
Hello, sir: Your symptoms resemble "headache associated with sexual activity," and it is important to first rule out structural lesions such as ruptured cerebral aneurysms causing subarachnoid hemorrhage, arterial dissection, cerebral vasospasm, or brain tumors. If the ...[Read More] Post-Masturbation Shaking, Chills, Dizziness, and Headaches Explained
Understanding Cold Hands and Feet: Neurological Concerns Explained
Cold or numb hands and feet? Doctor, I have a question. When I was hiking, my hands would sometimes feel numb or cold. Taking a break would help, but it would happen again as soon as I continued hiking. Eventually, I started experiencing this even at work when I was in a hurry. I...
Dr. Jiang Junyi reply Neurology
Hello, sir: Your symptoms may indicate hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "respiratory alkalosis." This can trigger systemic reactions and...[Read More] Understanding Cold Hands and Feet: Neurological Concerns Explained
Post-Surgery Numbness in Hand: Causes and Solutions Explained
Numbness in the hand after removal of wrist internal fixation plate? Hello Doctor: At the end of March, I dislocated my right wrist due to a fall. The doctor initially said surgery wasn't necessary, but since I arrived too late and the dislocation was significant, I underwen...
Dr. Jiang Junyi reply Neurology
Hello, Miss: Your symptoms may suggest compression of the median nerve in your right hand. The median nerve passes through the wrist, traversing the "carpal tunnel" formed by the carpal bones and ligaments, and is subjected to pressure from the ligament located above th...[Read More] Post-Surgery Numbness in Hand: Causes and Solutions Explained
Understanding Nerve Pain and Tingling: Causes and Concerns
Numbness issues? The left hand fingers (ring finger and pinky) started to feel numb and painful suddenly two days ago, and then the numbness extended from the elbow to the shoulder. After 3-4 hours, the elbow and shoulder felt much better, but the fingers continued to feel numb. ...
Dr. Jiang Junyi reply Neurology
Hello: Your symptoms may initially suggest cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. These issues should not affect the administration of the vaccine. It is recommended to drink plent...[Read More] Understanding Nerve Pain and Tingling: Causes and Concerns
Persistent Pain Between Toes: Seeking Solutions for Ongoing Discomfort
There is a sharp pain in the dorsum of the foot upon touch (which has persisted for six months)? Hello Doctor, I used to stand for long periods at work, which often caused my feet to be very sore. Most of the soreness and pain would return to normal after a period of rest, but th...
Dr. Jiang Junyi reply Neurology
Hello, Miss 0w0: Your symptoms are clinically referred to as "allodynia" and "hyperesthesia," which are manifestations of sensory hypersensitivity. Clinically, in addition to physical therapy, certain medications can also help alleviate the symptoms. Furthermo...[Read More] Persistent Pain Between Toes: Seeking Solutions for Ongoing Discomfort
Palpitations, Anxiety, and Neurological Symptoms: When to Seek Help
Palpitations, anxiety, and other symptoms? In February, I experienced palpitations for the first time and went to the emergency room. Blood tests showed no abnormalities, and follow-up with a cardiologist also indicated no issues. In March, I suddenly had a sharp pain on the left...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned experiencing "sharp pain on the left side of your face," which may warrant consideration of trigeminal nerve dysfunction. The diagnostic criteria for trigeminal neuralgia are as follows: - At least three attacks - Pain occurring in one or m...[Read More] Palpitations, Anxiety, and Neurological Symptoms: When to Seek Help
Understanding Muscle Tremors: Causes and Solutions for Neurological Concerns
Muscle twitching Hello, I have noticed that my arms and thighs experience slight tremors when they are suspended, exerted, or extended at certain angles, similar to the shaking sensation when stretching. Essentially, I can feel the tremors while exerting force and when my limbs a...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: Your symptoms may need to be considered as physiological tremors. 1. Physiological tremors: These do not occur under normal circumstances but only in certain situations such as stress, anxiety, or anger. Some medications, such as bronchodilators, as well as the co...[Read More] Understanding Muscle Tremors: Causes and Solutions for Neurological Concerns
Can You Take Brain-Soothing and Cold Medications Together?
Can cold medicine and brain relaxants be taken together? Hello, doctor. I previously experienced symptoms of orthostatic intolerance, and you prescribed me Sumin Capsule, advising that I could take it when I feel dizzy. Today, I felt a slight dizziness, so I took one capsule. How...
Dr. Jiang Junyi reply Neurology
Hello Ms. Ting, Regarding the Da Zheng Bai Bao cold medicine you mentioned, each package contains: - Acetaminophen ................. 300 mg - Dextromethorphan HBr ........... 15 mg - dl-Methylephedrine HCl ............... 10 mg - Potassium Guaiacol Sulfonate ......................[Read More] Can You Take Brain-Soothing and Cold Medications Together?