Understanding Calf Muscle Twitches: Causes, Diagnosis, and Treatment
Calf twitching I occasionally experience involuntary twitching in my left calf while sleeping, which feels like it spreads from the bone to the muscle. This involuntary movement often disrupts my sleep. The episodes occur when my calves are exposed to a fan or air conditioning, a...
Dr. Lan Shengxing reply Neurology
Dear Mr. Chen, the issues you described may be related to poor blood circulation in the lower extremities or Restless Legs Syndrome. It is advisable for you to seek consultation at a neurology clinic as soon as possible.[Read More] Understanding Calf Muscle Twitches: Causes, Diagnosis, and Treatment
Muscle Twitches and Leg Pain: Understanding Cramps and Nerve Issues
Muscle twitching, thigh soreness, and susceptibility to cramps? I have been experiencing muscle twitching for three months. I visited a neurology clinic, and they said I am too anxious, and that I do not have any weakness in my limbs, advising me not to worry. However, recently I...
Dr. Lan Shengxing reply Neurology
Dear Yunzhu, muscle twitching is not necessarily indicative of a motor neuron disease. Particularly, as you mentioned, walking in flip-flops requires additional force from the foot, making foot cramps quite reasonable. If you are truly concerned, I recommend visiting a neurology ...[Read More] Muscle Twitches and Leg Pain: Understanding Cramps and Nerve Issues
Understanding Muscle Weakness and Fatigue: Causes and Solutions
Muscles can sometimes experience fatigue and weakness? Hello doctor, I would like to ask about experiencing stomach pain and chest tightness when I feel nervous, along with a general sense of weakness, particularly in my left limbs. I also have dizziness, difficulty breathing, a ...
Dr. Lan Shengxing reply Neurology
Dear Meatball, the issues you described seem more related to anxiety and hyperventilation symptoms. I recommend seeking treatment from a mental health specialist. Exercise can also be beneficial, but it's difficult to determine how much it can help in your current situation ...[Read More] Understanding Muscle Weakness and Fatigue: Causes and Solutions
Understanding Involuntary Muscle Twitches: Causes and Concerns for Teens
Sometimes muscles may twitch irregularly? I am 15 years old, and recently, for the past two to three weeks, my muscles have been twitching involuntarily (especially in my hands and feet). Sometimes they feel sore, but I don't experience any weakness. My dad has been sick and...
Dr. Lan Shengxing reply Neurology
Dear Zizi, emotional issues and poor posture are indeed factors to consider. Of course, there are other possibilities as well. However, if there have been recent causes for emotional fluctuations, it is reasonable for the physician to address this direction first. You can observe...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns for Teens
Post-Impact Symptoms: Dizziness, Fatigue, and Neck Weakness After Sports Injury
I hit my temple while playing ball and now I feel dizzy, very tired, and want to sleep. My neck also feels a bit weak? Hello Doctor, I am currently studying in the United States. On June 25th (Thursday) evening, I was playing basketball and got hit above my right temple by someon...
Dr. Lan Shengxing reply Neurology
Dear Eric, The medical standards in the United States are comparable to those in our country, and in many areas, they are even slightly ahead. Therefore, seeking medical care in the U.S. should not be an issue. In terms of timeliness and capability, it far surpasses the option o...[Read More] Post-Impact Symptoms: Dizziness, Fatigue, and Neck Weakness After Sports Injury
Understanding Involuntary Muscle Twitches: When to Seek Medical Advice
Involuntary muscle twitching? Hello doctor, a few months ago, I started experiencing involuntary twitching on the left side of my right knee, which may be related to muscle or tendon spasms. The frequency and duration are irregular, occurring both day and night. Recently, over th...
Dr. Lan Shengxing reply Neurology
Dear Ah Li, it is difficult to determine the condition based solely on the description, as factors such as frequency, movement, and intensity can all influence the diagnosis. Therefore, I recommend that you visit a neurology clinic for further evaluation. Best regards, Lan Shengx...[Read More] Understanding Involuntary Muscle Twitches: When to Seek Medical Advice
Understanding Pressure Headaches: Treatment Options and Complications
The head feels dizzy and heavy? Hello Dr. Lan: If it is indeed tension-type headache, is there a way to cure it? Besides self-management, is it necessary to use medication to help relax the nerves? If it persists for a long time without improvement, could it lead to other complic...
Dr. Lan Shengxing reply Neurology
Dear Mr. Chuang, regardless of the type of illness, the current mainstream medical approach emphasizes the importance of patients and physicians collaboratively reviewing lifestyle habits and making improvements, followed by a discussion on the necessity of long-term medication. ...[Read More] Understanding Pressure Headaches: Treatment Options and Complications
Understanding Persistent Head Pressure and Sleep Issues: When to Seek Help
The head feels dizzy and heavy? I have been experiencing a heavy and dizzy sensation in my head, sometimes feeling as if there is pressure on the top of my head. I have almost been unable to sleep every night, feeling physically exhausted, yet my mind seems unable to rest. I can ...
Dr. Lan Shengxing reply Neurology
Hello Mr. Chuang, the symptoms you described are indeed indicative of tension-type headaches. Additionally, poor sleep at night may contribute to subsequent irritability, difficulty concentrating, or dizziness and headaches. As for the underlying causes of poor sleep, it would be...[Read More] Understanding Persistent Head Pressure and Sleep Issues: When to Seek Help
Understanding Left Shoulder Blade Numbness and Facial Asymmetry
Numbness in the left shoulder blade? Hello, doctor. I have been experiencing occasional numbness near my left scapula close to the armpit, and it can even be painful when pressed. This symptom has persisted for over a year. I would like to know if I need to go to the hospital. Al...
Dr. Lan Shengxing reply Neurology
Hello Rick, the issue with your left scapula may be related to an old injury causing nerve regeneration entrapment, or there could be other lesions causing compression, depending on your past medical history and whether your current symptoms have progressed. If the symptoms are w...[Read More] Understanding Left Shoulder Blade Numbness and Facial Asymmetry
Understanding Meralgia Paresthetica: Diagnosis, Treatment, and Surgery Options
Peripheral nerve issues Hello Doctor: I sought medical attention due to worsening numbness and burning pain on the outer side of my right thigh, which intensifies when lying flat. The physician arranged for electromyography (EMG) and nerve conduction studies (NCS), diagnosing me ...
Dr. Lan Shengxing reply Neurology
Your symptoms are quite complex, and it is not possible to diagnose or provide recommendations based solely on online descriptions, as any decisions should be made based on the current symptoms. Furthermore, the complications from this decompression surgery are not within my area...[Read More] Understanding Meralgia Paresthetica: Diagnosis, Treatment, and Surgery Options
Understanding Lower Back Pain and Thigh Discomfort: A Guide for Patients
Lower back pain with easy soreness and numbness in the right thigh? Hello everyone: I am 41 years old, 178 cm tall, and weigh nearly 115 kg. I have a history of gout. My job occasionally requires lifting heavy objects, and I sometimes sit in the office all day. Recently, for the ...
Dr. Lan Shengxing reply Neurology
Based on the symptom description, it is most likely that the lumbar nerve is being compressed during the displacement process. It is recommended that you visit a neurology or rehabilitation clinic. Depending on the clinical symptoms, you may also need to undergo nerve conduction ...[Read More] Understanding Lower Back Pain and Thigh Discomfort: A Guide for Patients
Persistent Tension in the Neck and Head: Causes and Solutions
Frequent tightness in the back of the head and neck, along with a feeling of fullness in the right ear? Your question: Hello Doctor, I have been experiencing tightness and discomfort from the back of my head down to the back of my neck for about six months. I consulted an orthope...
Dr. Lan Shengxing reply Neurology
Most of these conditions are attributed to tension-type headaches or cervical and shoulder syndrome. The source is muscle tension that cannot relax properly. It is recommended to use muscle relaxants, apply heat therapy, and engage in light exercise to manage the symptoms.[Read More] Persistent Tension in the Neck and Head: Causes and Solutions
Understanding Dizziness When Tilting Head Back: Causes and Concerns
Dizziness occurs when the head is tilted backward? Hello, doctor. Every time I lie down to sleep, I experience a wave of dizziness (very severe), and it gets better when I adjust my position. I also feel dizzy when I squat and then stand up. Could this be anemia? A previous docto...
Dr. Lan Shengxing reply Neurology
Dear Xiao Hong, your dizziness is likely due to BPPV, or Benign Paroxysmal Positional Vertigo. This condition is related to changes in your body position, so it's important to avoid situations that may trigger it. Please visit a nearby neurology department for a brainstem au...[Read More] Understanding Dizziness When Tilting Head Back: Causes and Concerns
Understanding Back Pain: When to See a Neurologist or Orthopedist
Experiencing lower back pain when lying on your stomach? Hello Doctor: I have noticed that when I wake up, especially when lying flat, my entire back hurts, particularly when I inhale. After getting up, if I lean my body forward, my lower back hurts significantly. This discomfort...
Dr. Lan Shengxing reply Neurology
Dear Asheng, regarding your morning lower back pain, considering your age and gender, I would recommend that you visit a rheumatology or orthopedic specialist to rule out ankylosing spondylitis. Thank you.[Read More] Understanding Back Pain: When to See a Neurologist or Orthopedist
Understanding Chronic Fatigue and Allergies: A Neurological Perspective
There is a tendency towards anxiety? I have been experiencing long-term issues since high school, which are now significantly affecting my work. 1. I have allergic rhinitis, but I exercise regularly (walking and light jogging, not too intense, as I feel too tired after work). I...
Dr. Lan Shengxing reply Neurology
Dear Mr. S, From the perspective of sleep medicine, the most likely condition you should address is obstructive sleep apnea (OSA) caused by nasal airway narrowing. This condition often leads to daytime concentration difficulties, which can contribute to feelings of depression. G...[Read More] Understanding Chronic Fatigue and Allergies: A Neurological Perspective
Understanding Dizziness and Nausea: Neurological Concerns in Chronic Illness
Dizziness, blurred vision, a feeling of pressure and heat in the temples, and nausea? Recently, my father-in-law has been experiencing dizziness, vision changes (seeing white), a sensation of heat in his temples, and nausea. He has several chronic conditions, including heart dise...
Dr. Lan Shengxing reply Neurology
Hello, if your eyes are turning white and it resembles the symptoms of rolling back, it may be related to dizziness. However, there are many potential causes for similar symptoms, making it difficult to explain each one. It would be more appropriate for you to take your father-in...[Read More] Understanding Dizziness and Nausea: Neurological Concerns in Chronic Illness
Experiencing Sudden Visual Disturbances: Causes and Insights
Objects appear to be shaking or vibrating? Sometimes, unexpectedly, while watching TV or looking at anything, I notice that my vision is shaking continuously. I once asked a family member to observe my eyes while the symptoms were occurring, and they said there was nothing unusua...
Dr. Lan Shengxing reply Neurology
Dear Yi Gao, the issue you mentioned may be caused by nystagmus. You can visit a neurologist for an examination, and the underlying cause will be determined based on the results of the tests.[Read More] Experiencing Sudden Visual Disturbances: Causes and Insights
Experiencing Electric Shock Sensation After Blood Draw: What to Do?
Experiencing pain or twitching in the arm after receiving an injection? Hello, during my recent blood test at the hospital, I felt a sudden electric shock sensation in my arm when the nurse inserted the needle. Now, I experience this electric shock feeling again when my arm is in...
Dr. Lan Shengxing reply Neurology
Dear Jacky, the likelihood of hitting a nerve during an injection is very low. Often, it is due to the pre-existing condition of the nerve, which may have been injured in a vulnerable position, leading to sensations of electric shock when touched. The fact that you are still expe...[Read More] Experiencing Electric Shock Sensation After Blood Draw: What to Do?
Understanding Neck and Shoulder Issues: Is It Myofascial Pain Syndrome?
Shoulder and neck issues? Hello doctor, I am 18 years old. Some people say that it is uncommon to have myofascial pain syndrome at this age. I would like to ask if poor posture, maintaining the same position for a long time, or excessive strain while writing could lead to this co...
Dr. Lan Shengxing reply Neurology
Dear Ting, the issues you described may have started to affect your body's perception of pain. In reality, there may not be significant inflammation, but it can impact your pain sensation and begin to affect your daily life. For this type of pain, a rehabilitation specialist...[Read More] Understanding Neck and Shoulder Issues: Is It Myofascial Pain Syndrome?
Neck Pain After Car Accident: Which Specialist to Consult?
Severe neck injury from a car accident? Hello, doctor. I would like to ask about my mother, who suffered a severe head injury from hitting the windshield of a car in an accident a few years ago, resulting in neck pain. Initially, she visited an orthopedic specialist, and X-rays s...
Dr. Lan Shengxing reply Neurology
Dear Ms. Tsai, your mother's injuries are likely caused by a cervical spine injury. This pain may recur, and I recommend that you visit a rehabilitation clinic for treatment, where physical therapy can provide relief. Sincerely, Lan Shengxing.[Read More] Neck Pain After Car Accident: Which Specialist to Consult?