Persistent Dizziness: When to Seek Further Medical Evaluation
Persistent dizziness Hello Doctor: One night while I was using the computer, I suddenly experienced a bout of dizziness. I had similar episodes before, but they usually lasted only a few seconds and then went away. This time, however, the dizziness persisted for a long time, so I...
Dr. Jiang Junyi reply Neurology
Hello, Miss: Based on your description of experiencing dizziness, it may be necessary to first consider symptoms caused by inner ear imbalance. However, conditions such as anemia and autonomic nervous system dysfunction could also contribute to your symptoms. It is essential to r...[Read More] Persistent Dizziness: When to Seek Further Medical Evaluation
Understanding Facial Discomfort: Causes and When to Seek Help
My cheeks feel strange? Hello Doctor: Since yesterday, I've suddenly felt something unusual in both of my cheeks. It's a bit hard to describe, but it feels somewhat stiff when I move my cheeks, and there's no pain—just a slight soreness when my cheeks are at rest. ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Li, Your symptoms may suggest lactic acid accumulation in the facial muscles. I wonder if you have been using your masticatory muscles frequently? Additionally, if your symptoms progress, it may be necessary to consider some autoimmune issues. It is recommended to impro...[Read More] Understanding Facial Discomfort: Causes and When to Seek Help
Understanding Rare Neurological Disorders: Sudden Muscle Weakness Explained
Inquiry about rare neurological diseases? The condition you are describing sounds like it could be related to a rare neurological disorder known as "hemiplegic migraine" or possibly "hemiplegia," which involves sudden weakness or paralysis on one side of the b...
Dr. Jiang Junyi reply Neurology
Hello, sir: I wonder if you are referring to Hemiconvulsion-hemiplegia-epilepsy syndrome? This is a relatively rare form of childhood epilepsy associated with genetic factors. This condition may need to consider abnormalities in the CACNA1A gene, as well as issues related to the ...[Read More] Understanding Rare Neurological Disorders: Sudden Muscle Weakness Explained
Understanding Burning Sensation in the Spine: Causes and Treatments
Burning sensation in the spine Hello doctor, I haven't been feeling well for the past few days. Last night, I felt a burning sensation in my left leg, starting from my hip down to my thigh and calf (mainly concentrated in the hip and thigh). This morning, I no longer felt th...
Dr. Jiang Junyi reply Neurology
Dear Ms. Chen, The symptoms you mentioned may indicate the possibility of nerve root compression. If your symptoms persist and progress, it may be necessary to consider some autoimmune diseases. Pain caused by a herniated disc can have several sources, one of which is mechanical...[Read More] Understanding Burning Sensation in the Spine: Causes and Treatments
Understanding Groin Tightness: Causes and Solutions for Chronic Discomfort
Inguinal tightness and related issues? I am a 41-year-old female, married with two children. Since March 2020, I have gradually felt tightness in my groin area (from the pubic bone to the buttocks), especially when sitting or lying down. When standing, I occasionally feel a forei...
Dr. Jiang Junyi reply Neurology
Dear Ms. Kelly, Your issues may be exacerbated by prolonged poor posture, so I recommend making adjustments in your daily life. Have you undergone a "dynamic weight-bearing MRI" examination? It might be worth considering: https://www.chinatimes.com/realtimenews/2019091...[Read More] Understanding Groin Tightness: Causes and Solutions for Chronic Discomfort
Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
If you frequently experience headaches, dizziness, numbness in your hands and feet, and a rapid heartbeat, it is important to consult with a healthcare professional before receiving the COVID-19 vaccine. They can evaluate your symptoms and medical history to determine if vaccinat...
Dr. Jiang Junyi reply Neurology
Hello, Miss: Propranolol works by reducing sympathetic nervous system activity and is commonly used clinically as a preventive medication for migraines. Your symptoms may need to be considered in the context of migraine attacks that can cause visual disturbances. Our autonomic ne...[Read More] Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
Understanding Sudden Hand Numbness: Causes and When to Seek Help
Sudden unexplained hand numbness? Hello Dr. Jiang, I would like to briefly describe my physical condition. I am 158 cm tall and weigh 58 kg, with an average build. I have never had any blood pressure issues, but in the past week or two, I have experienced intermittent numbness i...
Dr. Jiang Junyi reply Neurology
Dear Miss Zhenzhen, Your symptoms may suggest peripheral nerve involvement. Your cardiovascular disease risk is relatively low. It may be worth considering compression of the nerve roots at the seventh cervical or first thoracic vertebrae. If the peripheral neuropathy is due to ...[Read More] Understanding Sudden Hand Numbness: Causes and When to Seek Help
Understanding Sleep Paralysis: Causes, Symptoms, and Solutions
Sleep paralysis in the morning? Hello, doctor. First, I want to thank you for taking the time to answer my questions despite your busy schedule! As mentioned, I usually go to bed between 11:30 PM and 12:30 AM, but it takes me until almost 1 or 2 AM to fall asleep. Occasionally, I...
Dr. Jiang Junyi reply Neurology
Dear Ms. Jennifer, Your symptoms may suggest sleep paralysis, as they occur during awakenings in the rapid eye movement (REM) stage of sleep. Sleep paralysis is more common among adolescents and young adults. Individuals in this demographic often experience high levels of stress...[Read More] Understanding Sleep Paralysis: Causes, Symptoms, and Solutions
Understanding Neck Artery Issues: Risks, Symptoms, and Management
Neck issues Hello Doctor, I experienced sudden unilateral tinnitus in April, which led me to consult an otolaryngologist. My hearing test results were normal. Then one day, I suddenly experienced vertigo and sought medical attention again from the otolaryngologist. The doctor exa...
Dr. Jiang Junyi reply Neurology
Dear Ms. Yang, If you are concerned about vascular aging, it is advisable to have a clear understanding of your condition regarding the three highs (hypertension, hyperglycemia, and hyperlipidemia). For blood pressure measurement: In the population around 50 years old, systoli...[Read More] Understanding Neck Artery Issues: Risks, Symptoms, and Management
Understanding Nerve Pain: Causes and When to Seek Medical Attention
Numbness issues? The ring finger and little finger of my left hand suddenly started to feel numb and painful two days ago. After about 3-4 hours, the numbness in my elbow and shoulder improved, but my fingers continued to feel numb. Suddenly bending my index finger causes pain, b...
Dr. Jiang Junyi reply Neurology
Dear Mr. Yuan, Your symptoms may suggest peripheral nerve involvement. It is possible that the ulnar nerve is being compressed, or that the nerve roots at the seventh cervical or first thoracic vertebrae are under pressure. If the nerve compression is causing peripheral neuropat...[Read More] Understanding Nerve Pain: Causes and When to Seek Medical Attention
Skin Itching and Nerve Pain After AZ Vaccine: What to Do?
Skin itching and neuropathic pain after receiving the AZ vaccine? Hello, my mother is 81 years old and has no history of chronic illnesses. After receiving the AstraZeneca vaccine on June 23, she did not experience any significant side effects for the first week. However, a week ...
Dr. Jiang Junyi reply Neurology
Hello: Your mother's symptoms may suggest a sensory nerve abnormality. There are many potential causes for this condition, such as vitamin B12 deficiency, thyroid dysfunction, cerebrovascular diseases, postherpetic neuralgia, etc. It is recommended that you take her to a neu...[Read More] Skin Itching and Nerve Pain After AZ Vaccine: What to Do?
Understanding Persistent One-Sided Head and Neck Pain: A Neurology Perspective
Unilateral persistent pain in the head, temples, jaw, and shoulder-neck area? Dear Dr. Jiang, Thank you very much for your response. I will promptly visit the rehabilitation department for further examination, but I still have some questions I would like to ask. If we rule out t...
Dr. Jiang Junyi reply Neurology
Hello Mr. Xiao Lan, Regarding the out-of-pocket expenses, you might consider an "MRI of the brain." For fasciitis, will the inflammatory markers show up in blood tests? Typically, they are normal, but an ESR test can be conducted. If there are concerns about thrombosis...[Read More] Understanding Persistent One-Sided Head and Neck Pain: A Neurology Perspective
Understanding Spinal Burning Sensation: Causes and Treatment Options
Burning sensation in the spine? Hello doctor, I have been feeling unwell for the past few days. Last night, I experienced a burning sensation in my left leg, starting from my hip and extending down to my thigh and calf (mainly concentrated in the hip and thigh). When I woke up th...
Dr. Jiang Junyi reply Neurology
Hello, Miss: The symptoms you mentioned may suggest the possibility of nerve root compression. Pain caused by a herniated disc can have several sources. One of them is mechanical pain, which can occur during daily activities. The theory is that when the annulus fibrosus is damag...[Read More] Understanding Spinal Burning Sensation: Causes and Treatment Options
Understanding Burning Sensation in the Spine: Causes and Solutions
Burning sensation in the spine? Hello Doctor, I haven't been feeling well for the past few days. Last night, I experienced a burning sensation in my left leg, starting from my hip down to my thigh and calf (mainly concentrated in the hip and thigh). This morning, the burning...
Dr. Jiang Junyi reply Neurology
Hello Ms. Chen: The symptoms you mentioned may suggest the possibility of nerve root compression. If your symptoms persist and progress, it may be necessary to consider some autoimmune diseases. Pain caused by a herniated disc can have several sources, one of which is mechanical ...[Read More] Understanding Burning Sensation in the Spine: Causes and Solutions
Persistent One-Sided Head and Neck Pain After COVID-19 Vaccination
Unilateral persistent pain in the head, temples, jaw, and shoulder-neck region? Hello, Doctor. I received my first dose of the AstraZeneca vaccine in early May. At that time, the side effects included severe pain in my head and neck, as well as a low-grade fever. I rarely experie...
Dr. Jiang Junyi reply Neurology
Hello, Sir: Your symptoms seem to indicate cervical myofascial inflammation, and cervicogenic headache is a common cause. You mentioned, "I consulted two neurologists along the way; one believed it might be related to autonomic nervous system dysfunction, but I did not exper...[Read More] Persistent One-Sided Head and Neck Pain After COVID-19 Vaccination
Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Dizziness, headache, and tightness and pain in the shoulder and cervical spine? Hello, doctor. I started experiencing severe headaches, dizziness, neck tightness and pain, and numbness in my hands and feet around July of last year. I initially thought it was due to fatigue or hea...
Dr. Jiang Junyi reply Neurology
Hello, Miss: In addition to your original issues, we may need to consider vascular headaches, which could be related to your menstrual cycle. Furthermore, since you mentioned a connection to posture, we should consider "intracranial hypotension headache." The primary sy...[Read More] Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Understanding Pain Near the Ear: Possible Neurological Causes
Pain near the ear? Recently, I have been experiencing pain near my ear, including sharp and stabbing sensations. There is also pain when pressure is applied near the occipital nerve at the back of my head. Additionally, I feel a cool, burning, and tingling sensation in and around...
Dr. Jiang Junyi reply Neurology
Hello, sir: Your symptoms may suggest a peripheral nerve issue, as you are experiencing tingling sensations. The common cause of neck pain behind the ear is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the ...[Read More] Understanding Pain Near the Ear: Possible Neurological Causes
Understanding Neck Pain and Nerve Twitches: When to Seek Help
Sensation of nerve twitching in the posterior neck? Hello doctor, due to long hours of sitting in the office using a computer, I have been experiencing significant pain in my shoulders and neck. I later went for traditional Chinese massage, but the improvement was only temporary....
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsiao, The most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but over t...[Read More] Understanding Neck Pain and Nerve Twitches: When to Seek Help
Coping with Anxiety Over Muscle Twitches: A Neurology Perspective
Regarding the previous question? Hello doctor, I have read your response. What kind of attitude/thoughts/actions should I adopt regarding my hand and the twitching muscles? I am very worried that the issues with my hand might indicate a condition like amyotrophic lateral sclerosi...
Dr. Jiang Junyi reply Neurology
Hello Sir: Immersing oneself in imagination can actually be quite uncomfortable. If emotions persist for more than two weeks, it may be worth considering the possibility of depression. I recommend increasing physical activity and sun exposure. In addition to B vitamins, supplemen...[Read More] Coping with Anxiety Over Muscle Twitches: A Neurology Perspective
Understanding Perineal Neuropathy: Diagnosis and Testing Options
Pudendal neuropathy I previously asked you about pain at the tip of my penis, but my urine tests are normal. If it is perineal neuropathy, what tests are needed for diagnosis? Will it be very complicated?
Dr. Jiang Junyi reply Neurology
Hello: For peripheral nerve compression, the diagnosis is typically made using electromyography (EMG), which involves needle insertion and electrical stimulation to confirm nerve damage. This method is commonly used to locate spinal nerve injuries or brachial plexus injuries, amo...[Read More] Understanding Perineal Neuropathy: Diagnosis and Testing Options