Understanding Thumb Numbness After a Minor Injury: What to Do?
Numbness in the hand after hitting the outer side of the thumb? Hello Doctor, yesterday afternoon while I was swatting a bug, I accidentally hit the outer side of my right thumb, which may include the joint and the area connected to the palm. At first, I didn't feel anything...
Dr. Jiang Junyi reply Neurology
Dear Ms. Mo, Based on your description, it seems there are two issues: one is acute nerve compression of the right radial nerve in the thumb, and the other is chronic cervical nerve compression. I recommend that you increase your intake of B vitamins and remind yourself to get u...[Read More] Understanding Thumb Numbness After a Minor Injury: What to Do?
Can Holding Back a Sneeze Cause Brain Damage? Understanding the Risks
Feeling a rush of air towards the back of the head when suppressing a sneeze? While lying on the floor reading, I suddenly felt the urge to sneeze. I held my mouth closed during the sneeze, and I felt a force pushing towards the back of my head. Now, about an hour has passed, and...
Dr. Jiang Junyi reply Neurology
Hello, Miss: Your symptoms should first consider inflammation of the neck muscles. This is related to overuse of the neck. Regarding your concern about cerebrovascular disease, it can sometimes present clinically as "thunderclap headache." Thunderclap headache is genera...[Read More] Can Holding Back a Sneeze Cause Brain Damage? Understanding the Risks
Weight Loss and Muscle Pain: Understanding Symptoms in Neurology
Weight loss and amyotrophic lateral sclerosis (ALS) Hello, doctor. I have another question for you. I forgot to ask during my last inquiry: does a weight loss of 3.5 kg over the past six months (maybe a little more) have any special significance? (From 75 kg to 72 kg) Or am I ove...
Dr. Jiang Junyi reply Neurology
Hello, Sir: Your symptoms differ somewhat from those typically associated with motor neuron diseases. However, motor neuron diseases are classified as rare disorders. I recommend that you seek a diagnosis from two leading specialists at National Taiwan University Hospital. Someti...[Read More] Weight Loss and Muscle Pain: Understanding Symptoms in Neurology
Understanding Neck Pain: Causes and Treatment After a Concussion
Neck issues Hello Doctor, last July I fell while ice skating and suffered a concussion. After recovering, I have been experiencing persistent neck pain. The pain became unbearable, so I went to the hospital for an examination. I had an X-ray of my neck, and the doctor said that t...
Dr. Jiang Junyi reply Neurology
Hello, Miss: Based on your description, it may be necessary to consider spinal-related disorders. Excessive force during neck rotation and other external factors can lead to cervical instability, dislocation, and cervical disc herniation. If there are pathological changes in the ...[Read More] Understanding Neck Pain: Causes and Treatment After a Concussion
Understanding Hand Tremors: Causes, Symptoms, and Management Tips
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. Although my sleep duration hasn't significantly increased, the quality of my sleep has improved. I've observed a reduction in the amplitude and duration of muscle contractions below my r...
Dr. Jiang Junyi reply Neurology
Hello, based on your description, it may be worth considering that some smaller muscles are less frequently used, leading to tremors during muscle coordination. Generally, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, esse...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Tips
Understanding Abnormal Skin Sensation: Causes and Recovery
Abnormal skin sensations? Hello, doctor. About a month ago, I suddenly experienced numbness and pain in my right knee. The numbness and pain have since subsided, but the skin in that area now feels less sensitive. After a neurological examination, the doctor concluded that there ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Li, Your symptoms may suggest peripheral nerve injury. This is typically due to acute direct trauma such as nerve traction, tearing, or direct compression, and can also include chronic overuse, which may result from sustained muscle contractions, hypertrophy, or edema c...[Read More] Understanding Abnormal Skin Sensation: Causes and Recovery
Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. This week, I have been trying to massage and improve my sleep quality (going to bed around 10:00 PM and waking up at 5:30 AM, waking up once or twice during the night). The muscle twitching in my ...
Dr. Jiang Junyi reply Neurology
Dear Mr. Chen, In the previous two responses, I believe I have addressed some of your concerns. Nerves require adequate sleep and nutritional support for repair. Fortunately, there are two experts in peripheral nerves at National Taiwan University Hospital—Professors Chih-Chao Y...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Understanding Muscle Issues: Insights from Neurology for Better Health
Muscle issues? Hello Doctor, I am the person who previously inquired about muscle twitching issues. Recently, before my graduation, I visited a physician and mentioned the strange sensation in the muscles on the back of my right hand (which feels odd when I use my arm). I also me...
Dr. Jiang Junyi reply Neurology
Hello, Sir: Your concern about ALS primarily refers to issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those in the brainstem and spinal cord are called lower motor neurons. ...[Read More] Understanding Muscle Issues: Insights from Neurology for Better Health
How to Balance Your Autonomic Nervous System for Better Digestion?
How to avoid excessive parasympathetic nervous system activity? Hello Doctor, I often experience the following symptoms: bloating, excessive stomach acid, general weakness, and a slow heart rate. The main symptoms are bloating and excessive stomach acid. I had an endoscopy, and e...
Dr. Jiang Junyi reply Neurology
Hello: Your symptoms may not be solely due to excessive parasympathetic activity. Typically, when the parasympathetic nervous system is activated, intestinal motility increases, leading to feelings of hunger, increased appetite, and a sense of sleepiness. Bloating is less commonl...[Read More] How to Balance Your Autonomic Nervous System for Better Digestion?
Understanding Urethral Pain After Lithotripsy: Causes and Treatments
Urethral pain I underwent extracorporeal shock wave lithotripsy on June 5th of this year. Recently, during a follow-up ultrasound, the doctor mentioned that there is only a small white spot left, which should be able to pass out with hydration. However, I have another concern. Be...
Dr. Jiang Junyi reply Neurology
Hello Peter, The symptoms you mentioned seem to suggest a consideration of perineal neuropathy. I wonder if you have a habit of long-distance cycling? Additionally, do you have any issues related to the prostate? At this point, antibiotic treatment may be necessary. Before using...[Read More] Understanding Urethral Pain After Lithotripsy: Causes and Treatments
Understanding Left Leg Numbness: Causes and When to Seek Help
Numbness in the left big toe? Hello, doctor. In recent months, I have been experiencing frequent pain in my left lower back, as well as occasional pain in my left pelvis and numbness in my left calf. Sometimes the pain is so severe that I cannot stand up straight. I would like to...
Dr. Jiang Junyi reply Neurology
Hello Ms. Cheng, The symptoms you mentioned may be related to nerve compression caused by posture. A herniated disc can lead to localized inflammatory responses resulting in lower back pain, which may extend to one or both sides of the buttocks or hips. If the herniated disc com...[Read More] Understanding Left Leg Numbness: Causes and When to Seek Help
Understanding Muscle Twitches: Causes and When to Seek Help
Muscle twitching Hello Doctor: I have noticed that since last week, the muscles below my right thumb have been intermittently twitching (similar to a calf cramp but without pain). The intervals between these twitches vary from a few minutes to a few hours, and the frequency of th...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: Your symptoms may suggest benign muscle twitching. Certain situations in daily life can contribute to this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additional...[Read More] Understanding Muscle Twitches: Causes and When to Seek Help
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Hello Doctor: I have noticed that since last week, the muscle below my right thumb has been twitching intermittently (visible to the naked eye). Sometimes it occurs every few minutes, and other times it can be hours apart. The twitching frequency varies, with lon...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen, Your symptoms may suggest benign muscle twitching. Certain situations in daily life could contribute to this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additio...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Dizziness: Causes, Symptoms, and When to Seek Help
I would like to inquire about issues related to dizziness (vertigo)? Hello Doctor, I experienced dizziness for the first time about two years ago after dining at an all-you-can-eat restaurant. The next day, when I opened my eyes, everything around me was spinning wildly, accomp...
Dr. Jiang Junyi reply Neurology
Hello, sir: 1. I would like to ask what my symptoms might indicate. Should we consider Meniere's disease if I have auditory abnormalities? 2. If I need to see a doctor, would you recommend a neurologist or an otolaryngologist? If it is not a case of benign paroxysmal positi...[Read More] Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Understanding Nerve Issues: From Tingling Limbs to Facial Symptoms
Numbness starting from the limbs to the face? Hello, I recently discovered that I often wake up with numbness in both arms while sleeping. Last week, I noticed that my left leg started to feel numb, followed by my right leg, both hands, and my scalp, which have been alternating i...
Dr. Jiang Junyi reply Neurology
Dear Ms. Sumi, Regarding the issue of sensory abnormalities you mentioned, since your symptoms are atypical, a comprehensive evaluation is recommended. Sensory nerve abnormalities can occur in various conditions and are generally classified as symmetrical or unilateral. In sym...[Read More] Understanding Nerve Issues: From Tingling Limbs to Facial Symptoms
Understanding Restless Legs Syndrome: Causes, Symptoms, and Treatments
Restless Legs Syndrome (RLS) Hello doctor, lately I've been experiencing a tingling sensation in my legs when I sleep or lie down, which makes me feel restless and has disrupted my sleep for the past few days. I found online that this might be Restless Legs Syndrome (RLS), b...
Dr. Jiang Junyi reply Neurology
Hello, sir: Your age is under 20 years. The likelihood of developing Restless Legs Syndrome (RLS) is lower. The average age of onset is 41 years. The pathophysiology of RLS is not yet fully understood; however, since patients respond well to iron and dopamine supplementation, it ...[Read More] Understanding Restless Legs Syndrome: Causes, Symptoms, and Treatments
Understanding Sudden Neck and Head Pain: When to Seek Neurology Help
Headache and neck pain, with the size and intensity of the pain points being consistent? Hello Doctor, thank you for taking the time to address my concerns amidst your busy schedule. Two days ago, while standing and working on a report, I suddenly experienced severe pain below my...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned wanting to know if this is a sign of a blood clot. A: If a blood clot is present, you can check the D-dimer to see if the clotting index has risen. In the case of vertebral artery embolism, it is usually accompanied by symptoms of loss of motor function...[Read More] Understanding Sudden Neck and Head Pain: When to Seek Neurology Help
Midnight Stomach Cramps: Understanding Symptoms and When to Seek Help
Midnight stomach cramps and other symptoms? On June 17th, I suddenly felt nauseous in the early morning, accompanied by severe gastric cramps. After about five minutes, I started sweating profusely, and my hands and feet began to cramp (involuntary contractions, crossing towards ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Lee, Your symptoms appear to be acute abdominal pain combined with hyperventilation. Acute gastritis may require identifying the underlying cause, such as medications, food, or peptic ulcers, among others. As for hyperventilation, it can lead to decreased carbon dioxide...[Read More] Midnight Stomach Cramps: Understanding Symptoms and When to Seek Help
Understanding Dizziness: Heavy Head and Light Feet Symptoms Explained
Dizziness characterized by a heavy head and light feet? Hello Dr. Jiang, I've been experiencing dizziness for the past two mornings upon waking up. It's a sensation of feeling heavy-headed and light-footed, with the dizziness being most severe when standing, somewhat l...
Dr. Jiang Junyi reply Neurology
Hello Ms. Cheng, Based on your description, the first consideration for your symptoms is mild heat syncope associated with heat-related illnesses. The primary cause is vasodilation of the skin microvasculature in high-temperature outdoor environments, leading to blood pooling in...[Read More] Understanding Dizziness: Heavy Head and Light Feet Symptoms Explained
Understanding Facial Twitching: Causes and Relief Strategies
Facial twitching? Hello, doctor. I have been experiencing this issue since middle school, where my cheek muscles tremble uncontrollably whenever I am on stage or in front of a crowd. Recently, it seems to be happening more frequently, even when I'm called on in class, which ...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that facial tremors may be physiological tremors, which do not occur regularly but happen in certain situations such as stress, tension, or anger. Some medications, such as bronchodilators, as well as the consumption of beverages like coffee, tea, and co...[Read More] Understanding Facial Twitching: Causes and Relief Strategies