Head Injury from Stair Climbing: Understanding Neurological Symptoms
While working, I bumped my head while climbing stairs? I bumped my head while climbing stairs at work on February 27. At the time, I didn't feel much, but starting the next day, February 28, I began to experience weakness in my limbs and a sense of imbalance. However, I have...
Dr. Jiang Junyi reply Neurology
Dear Mr. Pan, You mentioned that "you hit your head while climbing stairs and didn't feel much at the time, but starting from the next day, February 28, you began to experience weakness in your limbs and a sense of imbalance." Based on your description, the likeli...[Read More] Head Injury from Stair Climbing: Understanding Neurological Symptoms
Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms
Muscle pain There are several main issues: 1. Palpitations, occasionally feeling a strong heartbeat; 2. A sensation of electric shock throughout the body when startled; 3. Intermittent sharp pain and soreness in the left upper body; 4. Pain in the left upper body when exerting, w...
Dr. Jiang Junyi reply Neurology
Hello Mr. Lucas: You mentioned that "the pain is noticeably felt during pressure," which may indicate a muscular issue. It is advisable to consult a rehabilitation physician to discuss your daily posture. Pain specialists typically provide nerve block treatments after r...[Read More] Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms
Understanding MRI Findings and Tinnitus: What You Need to Know
MRI Report Issues & Tinnitus Hello, I have been experiencing tinnitus for the past few years (I hear a motor sound similar to a heartbeat frequency before falling asleep at night). When the sound is loud, people nearby can also hear it if they are close to my head. Recently, ...
Dr. Jiang Junyi reply Neurology
Dear Miss Xiao Tao, You mentioned that "the MRI images show some white spots, indicating arteriosclerosis, and you should pay attention to the issues related to the three highs (hypertension, hyperlipidemia, and hyperglycemia)." It is recommended that you undergo a sec...[Read More] Understanding MRI Findings and Tinnitus: What You Need to Know
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left posterior part of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using th...
Dr. Jiang Junyi reply Neurology
Hello Mr. Tsai: You mentioned experiencing a pulsating pain in the left posterior part of your head for a few seconds, and the physician diagnosed it as a fourth cranial nerve palsy. For the headache component, it may be necessary to consider abnormalities in the cervical spine. ...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Managing Ear Pain and Sensitivity: Understanding Neurological Triggers
Sharp pain in the inner ear, with surrounding muscle tension, and a desire to dig in? Whenever I feel anxious or hear loud noises, I experience a sharp, stabbing pain in my ears, along with a sensation of foreign objects. I have an urge to dig in my ears, but I can't find an...
Dr. Jiang Junyi reply Neurology
Dear Mr. Hong, You mentioned that the symptoms of "foreign body sensation in the ear" may need to consider neurogenic pruritus. This primarily involves the nerves of the ear, specifically the vagus nerve and the trigeminal nerve, both of which are closely related to th...[Read More] Managing Ear Pain and Sensitivity: Understanding Neurological Triggers
Understanding Facial Numbness: Possible Causes and When to Seek Help
Stroke causes neurological damage? Hello, Doctor! Four months after getting my front tooth crown, I started experiencing a tingling sensation in my right nostril, right cheekbone, and right ear. Sometimes, the right side of my head also feels this way. What could be the cause? Tw...
Dr. Jiang Junyi reply Neurology
Hello Ms. Vivi, You mentioned experiencing "numbness on the right side of your face? This past six months, you've also had issues with slurred speech and a thick tongue." These symptoms do not seem to be explainable by cervical degeneration or herniated discs. It ...[Read More] Understanding Facial Numbness: Possible Causes and When to Seek Help
Understanding New Headaches: When to Seek Medical Attention
Newly Discovered Headache Hello, doctor. I have been experiencing frequent headaches for many years, usually characterized by a pressure-like pain accompanied by neck stiffness. However, in April of last year, I noticed a new type of headache that feels like a sharp, electric sho...
Dr. Jiang Junyi reply Neurology
Dear Ms. Vicky, You mentioned that "the headache feels like a sharp pain... almost like an electric shock," which may suggest cervicogenic headache. Given the new symptoms, it is advisable to consult a neurologist for further evaluation. Neurologists who specialize in ...[Read More] Understanding New Headaches: When to Seek Medical Attention
Managing Hypertension Medication: Addressing Fatigue and Dizziness
Issues with Hypertension Medications I am taking antihypertensive medication, and my blood pressure is normal after taking the medication, but I still feel very fatigued and dizzy, which is quite uncomfortable. I have tried switching medications several times without improvement....
Dr. Jiang Junyi reply Neurology
Hello Mr. Liu: You mentioned that "after taking the medication, my blood pressure is normal, but I still feel very fatigued and dizzy, which is quite uncomfortable. I have also tried switching medications several times without improvement." I wonder if any of your medic...[Read More] Managing Hypertension Medication: Addressing Fatigue and Dizziness
Understanding Numbness in the Top of the Foot and Toes: Causes and Solutions
Numbness in the dorsum of the foot and toes? On February 10, I began to experience a numb sensation in the area of the dorsum of my left foot near the toes, as well as in the toes themselves. There is no pain, and I still have sensation; walking is not an issue, but when wearing ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Xiao Bao, You mentioned experiencing a numbness in the area of the dorsum of your left foot near the toes, as well as in the toes themselves. This may indicate peripheral nerve compression, particularly involving the nerve roots in the lumbar spine. Generally, periphera...[Read More] Understanding Numbness in the Top of the Foot and Toes: Causes and Solutions
Do Mild Concussions Require MRI Scans? Expert Advice for Parents
Is an MRI necessary for a mild concussion? Hello Doctor, my son had an accident while skiing in Japan before the Lunar New Year. He did not collide with any hard objects, but he experienced a mild concussion. At the time of the incident (around 10:00 PM, as it was night skiing), ...
Dr. Jiang Junyi reply Neurology
Dear Miss Hsiao-Lin, You mentioned that your child needs an MRI, which is not inexpensive, and you would like to ask the doctor whether, given your child's current condition, an MRI is necessary for further examination. Currently, the out-of-pocket cost for MRI in Taiwan is...[Read More] Do Mild Concussions Require MRI Scans? Expert Advice for Parents
Managing Sleep Issues and Stroke Recovery in Elderly Patients
Elderly stroke, drowsiness, and reversed sleep-wake cycle? Hello Doctor: My grandmother is 84 years old and had a stroke nearly a year ago, resulting in right-sided paralysis and aphasia. She is currently only taking medication prescribed by her cardiologist and resides in a care...
Dr. Jiang Junyi reply Neurology
Dear Ms. Yun, You mentioned that "the institution informed us that grandma sometimes does not sleep at night and has a reversed day-night cycle." This issue needs to be considered from multiple perspectives. For sleep disturbances and reversed day-night cycles, it is r...[Read More] Managing Sleep Issues and Stroke Recovery in Elderly Patients
Understanding Headaches: When to See a Neurologist for Relief
I have a headache that radiates to the back of my head, with a hot sensation on my forehead and warmth in my upper back? Hello Dr. Jiang: Since the end of January, I have been experiencing pain in my forehead, which has now shifted to the lower back of my head, causing me to wake...
Dr. Jiang Junyi reply Neurology
Hello Ms. Yang, You mentioned that "the frontal headache has now shifted to pain in the lower back of the head, waking you up in pain, along with heat in the forehead and upper back." It is important to first consider cervicogenic headache. This type of headache is cau...[Read More] Understanding Headaches: When to See a Neurologist for Relief
Understanding Hand Tremors: When to See a Neurologist
Hello Dr. Jiang: Regarding the issue of hand tremors? Hello Dr. Jiang: My right hand sometimes trembles involuntarily, but my left hand does not. My lips also exhibit similar symptoms, although they are milder. I am currently on psychiatric medication, but even after adjustments,...
Dr. Jiang Junyi reply Neurology
Hello Ms. Chen: You mentioned that "your right hand sometimes trembles involuntarily, but your left hand does not, and your lips have similar symptoms." This may indicate an abnormality in the signaling of the motor nervous system. Additionally, medication side effects ...[Read More] Understanding Hand Tremors: When to See a Neurologist
Understanding Hand Tremors: Causes and Solutions for Young Adults
Tremors in the fingers while holding a phone with one hand and slight tremors in the fingers when both hands are extended? Hello Doctor, I am 21 years old. Recently, I noticed that when I hold my phone with one hand and swipe with my thumb and index finger, my thumb and index fin...
Dr. Jiang Junyi reply Neurology
Hello Mr. Hsiao: You mentioned that "when both hands are extended forward, all ten fingers tend to tremble slightly." This trembling may warrant consideration of certain metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Additionally, some nerve-sti...[Read More] Understanding Hand Tremors: Causes and Solutions for Young Adults
Post-Bath Dizziness: Understanding Symptoms and When to Seek Help
Feeling dizzy after exercising following a bath? Hello, Doctor! As the title suggests, after taking a bath, I engaged in intense exercise without much rest and didn't pay attention to my breathing rate. I quickly experienced severe dizziness and a feeling of nausea. After re...
Dr. Jiang Junyi reply Neurology
Hello, Ms. Yue. You mentioned that you fainted while soaking in a hot spring outdoors during a cold wave, but after some time, you felt fine. It’s important to consider the issue of syncope. Fainting is more likely to occur when a person is standing because the cerebral blood flo...[Read More] Post-Bath Dizziness: Understanding Symptoms and When to Seek Help
Understanding Leg Pain and Numbness After Orthognathic Surgery
Swelling and pain in the calf, numbness in the dorsum of the foot? Hello Doctor, after undergoing orthognathic surgery (under general anesthesia for over 8 hours), I woke up to discomfort in my right leg, feeling similar to a calf cramp. I have intermittently visited traditional ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Ruby, You mentioned that "the joint of the right big toe extends diagonally to the dorsum of the ankle, and touching it causes a tingling sensation, while not touching it does not elicit any numbness, although occasionally there is a sharp, electric pain in the mid...[Read More] Understanding Leg Pain and Numbness After Orthognathic Surgery
Understanding Electromyography: Concerns About Needle Safety and Breakage
Needle electromyography issues? Hello doctor, I was very nervous during the electromyography (EMG) procedure, which involved six needle insertions, with the last needle placed in the back of my neck. I would like to ask if the needles used for EMG are very sturdy, and is the like...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "the probability of needle breakage is basically 0?" I can only say that I have never seen a case of needle breakage in electromyography. If you are concerned, metal objects are very visible on X-rays. An X-ray examination can be used to ...[Read More] Understanding Electromyography: Concerns About Needle Safety and Breakage
Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions
Neck tightness, tremors, and dizziness? Last week, I experienced a headache due to heatstroke and underwent cupping therapy (without cupping on the spine). However, the night after the treatment, I began to feel tightness in my neck when looking up or down, or in certain position...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned, "Recently, the weather has been changing significantly, and I have a slight cold. I'm not sure if this is related. My condition has neither worsened nor improved, so I would like to consult with a doctor to see if I need to go to the hospital ...[Read More] Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions
Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Symptom Analysis Last week, after taking antiemetics for gastroenteritis, I experienced extrapyramidal symptoms (EPS). It started with my teeth chattering, followed by sudden jaw deviation. I immediately went to the emergency room for an injection, which corrected the jaw misalig...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: You mentioned, "Last night before bed, I took a muscle relaxant and my muscles started twitching involuntarily." Generally speaking, symptoms of extrapyramidal syndrome (EPS) caused by medication typically improve within three days after discontinuation....[Read More] Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Understanding Headaches and Vascular Issues: A Neurological Perspective
Headaches and vascular-related issues? Hello, doctor. I have been experiencing frequent headaches and fatigue. Here are my detailed symptoms: I have two types of headaches; one is unilateral (more often on the left side, but sometimes on the right) accompanied by a feeling of pre...
Dr. Jiang Junyi reply Neurology
Hello Mr. H: You mentioned, "If I need to see a specific specialist, which one would you recommend (due to heart and head, neurological issues)?" I'm not sure which issue is most concerning for you. I suggest starting with a neurologist, focusing on cervical spine ...[Read More] Understanding Headaches and Vascular Issues: A Neurological Perspective