Understanding Eye and Hand Tremors: Causes and Solutions
Eyelid twitching and hand tremors? Hello Doctor, 12 days ago, I started experiencing twitching in my left lower eyelid. The frequency is quite rapid, and the amplitude of the twitching varies from large to small. However, it has occurred every day for the past 12 days, and I feel...
Dr. Lan Shengxing reply Neurology
Dear concerned individual, this condition is commonly referred to as eyelid spasm. The exact cause is unknown, but it may be related to factors such as late nights and stress. Most of the time, it resolves on its own; however, if your situation has persisted for a longer duration...[Read More] Understanding Eye and Hand Tremors: Causes and Solutions
Persistent Cramps and Numbness in Left Hand and Leg: Possible Causes
Persistent cramping sensation in the left hand and left foot? Hello Doctor, recently I've been experiencing a persistent sensation in my left hand that feels somewhat like a mild cramping. Sometimes my palm feels a bit numb, and my fingers occasionally feel strange (for exam...
Dr. Lan Shengxing reply Neurology
Dear Xiao Ai, the symptoms mentioned above may require consideration of other conditions, such as mild cervical spine compression. However, I am unable to perform a neurological examination online, so I kindly ask you to visit the neurology outpatient department at various hospit...[Read More] Persistent Cramps and Numbness in Left Hand and Leg: Possible Causes
Managing Neck Pain and Anxiety Medications: A Patient's Dilemma
Issues with taking anxiety medication for shoulder and neck pain? I have been experiencing shoulder and neck pain for several years, and for the past two years, I have also had intermittent hand numbness and pain. The nerve conduction study showed no issues, and the doctor said m...
Dr. Lan Shengxing reply Neurology
Dear YK, this issue may need to be discussed with the prescribing physician. Chronic pain lasting for two years almost invariably accompanies emotional issues. The original anxiety medication may be more effective for your symptoms. Treating chronic pain requires consideration of...[Read More] Managing Neck Pain and Anxiety Medications: A Patient's Dilemma
Understanding Involuntary Muscle Twitches: Causes and Solutions
Muscle twitching Hello Doctor: I have been experiencing involuntary muscle twitching throughout my body, along with a sensation of soreness in my left hand and foot. My neck has also been persistently tight and painful. These symptoms have been present for about a year. Initially...
Dr. Lan Shengxing reply Neurology
Dear Sam, the symptoms you described differ somewhat from those of amyotrophic lateral sclerosis (ALS). There is no need to worry excessively about cervical spine issues or problems arising from sleep itself. However, if you have undergone cervical spine imaging and electromyogra...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Should I Seek a Second Opinion for My Facial Nerve Paralysis?
Should I go for a follow-up appointment? Hello, doctor. I have recently been diagnosed with facial nerve paralysis. I have already seen a doctor who said it resembles a cold and that it will take two to three weeks to recover. They also prescribed me steroids. A colleague at work...
Dr. Lan Shengxing reply Neurology
Dear YuYu, facial nerve paralysis is basically not a serious condition, so there is no need to be overly anxious about it. The use of corticosteroids and medications that promote nerve regeneration may not show significant effects in the first week. At this stage, the medication ...[Read More] Should I Seek a Second Opinion for My Facial Nerve Paralysis?
Understanding Sudden Lip Twitching: When to Seek Medical Advice
Twitching of the lower left lip? Doctor, this afternoon I suddenly experienced twitching in my lower left lip. It wasn't very severe, similar to an eyelid twitch, and it stopped after a while. However, this has never happened to me before. What could this symptom be? Do I ne...
Dr. Lan Shengxing reply Neurology
Dear, if the symptoms described by you do not recur, it is acceptable to disregard them. The body often experiences minor abnormalities that can self-correct, and if they do not persist, there is no need for concern.[Read More] Understanding Sudden Lip Twitching: When to Seek Medical Advice
Understanding Hand Discomfort: Seeking Answers for Neurological Issues
About my hand? I have been experiencing discomfort in my hand for quite some time. A few years ago, I suddenly felt a tingling sensation in my left hand, particularly in the area where I grip things. It became difficult to grasp objects, and sometimes they would slip from my fing...
Dr. Lan Shengxing reply Neurology
Dear Xiao Chen, regarding your issue for the past four to five years, you have undergone several electromyography (EMG) tests and had detailed consultations with your physician. I believe there is not much I can assist you with online. I can only suggest that you seek another phy...[Read More] Understanding Hand Discomfort: Seeking Answers for Neurological Issues
Understanding Throat Tightness: Is It a Spine or Nerve Issue?
Throat tightness? Thank you, Dr. Lan, for your previous response. I would like to follow up on my throat issue. My situation is that when my head is in a normal position, swallowing is best (though it requires a bit more effort than usual). However, when I lean forward, I experie...
Dr. Lan Shengxing reply Neurology
Dear Mr. J, due to the specific nature of your issue, a clinical neurological examination is necessary to determine if there is any impact. Therefore, I cannot provide an answer online. Please visit the neurology outpatient clinic for further evaluation.[Read More] Understanding Throat Tightness: Is It a Spine or Nerve Issue?
Understanding Headaches and Vision Issues: Causes and Relief Strategies
Headache and inability to concentrate? Hello Doctor: I occasionally experience headaches, but I cannot determine the type of headache. When the pain is located in the upper front part of my head, I also have difficulty concentrating (similar to a glare sensation). Pressing on my ...
Dr. Lan Shengxing reply Neurology
Dear Ting, this symptom should raise suspicion for migraine, tension-type headache, or a mixed headache, which are not uncommon conditions among young people. If it is indeed interfering with your daily life, please seek treatment at a neurology outpatient clinic as soon as possi...[Read More] Understanding Headaches and Vision Issues: Causes and Relief Strategies
Seeking Advice on Persistent Leg Symptoms: Should I Worry?
Hello, doctor. I have some more questions to ask you? Doctor, I apologize for bothering you again. I am the patient who previously inquired about the tingling and soreness in my right foot. A few days ago, I visited a clinic, and the doctor told me that it was caused by poor post...
Dr. Lan Shengxing reply Neurology
Dear Xiao Cheng, injuries like this are unlikely to improve in a short period of time. A herniated disc is indeed a possibility, but given your condition, further intervention may not be necessary. It is advisable to maintain proper posture, rest, and engage in moderate exercise....[Read More] Seeking Advice on Persistent Leg Symptoms: Should I Worry?
Understanding Nystagmus: Causes, Diagnosis, and Treatment Options
Nystagmus Hello, Doctor: In the past six months, I have experienced dizziness when turning my head to look at things, and recently I have also felt dizzy while looking straight ahead. It is particularly severe when I get out of bed. After seeking medical attention, I was informed...
Dr. Lan Shengxing reply Neurology
Dear Mei, 1. In addition to seeking a second opinion from a neurologist, you may also consider consulting an ophthalmologist or an otolaryngologist. 2. There are many potential causes of nystagmus, and it is generally suspected to originate from the area between the cochlea an...[Read More] Understanding Nystagmus: Causes, Diagnosis, and Treatment Options
Understanding Involuntary Muscle Contractions: Causes and Symptoms
Involuntary muscle contractions? Hello doctor, I have recently experienced some unusual symptoms. The muscles on the right side of my body often tighten involuntarily, especially the sternocleidomastoid muscle, which feels tense even when I am at rest. It seems like my body doesn...
Dr. Lan Shengxing reply Neurology
Dear Mr. J, the condition you described does not seem to be fully explained by any single disease. It may be necessary for you to visit a neurology outpatient clinic for further evaluation.[Read More] Understanding Involuntary Muscle Contractions: Causes and Symptoms
Woke Up with Numbness and Tingling in Right Leg: What to Do?
Waking up from sleep and noticing that the right foot is numb and tingling? Hello doctor, my usual sleeping position is on my back, but this morning I woke up to find myself sleeping on my side (with my face turned to the left and my right leg leaning to the left). When I got up,...
Dr. Lan Shengxing reply Neurology
Dear Xiao Cheng, the symptoms you described are likely due to temporary nerve compression. Taking vitamin B complex may help alleviate the symptoms sooner. If you experience any additional symptoms, it is advisable to visit a neurology clinic for further evaluation.[Read More] Woke Up with Numbness and Tingling in Right Leg: What to Do?
Could It Be Facial Nerve Dysfunction? Understanding Symptoms and Solutions
Could it be facial nerve dysfunction? Hello Doctor, a couple of days ago I noticed that one side of my face feels like it has been affected by a muscle relaxant, and I can't use it at all. My right eye cannot fully close, and my lips suddenly droop to one side (but this does...
Dr. Lan Shengxing reply Neurology
Dear YuYu, the symptoms you described are indicative of Bell's palsy, which is caused by a viral infection affecting the facial nerve. Please seek treatment at a neurology outpatient clinic as soon as possible.[Read More] Could It Be Facial Nerve Dysfunction? Understanding Symptoms and Solutions
Understanding Foot Twitching: Causes and Solutions for Relief
Foot twitching Hello doctor, I have recently been experiencing frequent twitching in the meridian on the right side of my foot. Although there is no pain, sometimes the twitching lasts for several minutes and even affects my sleep. If I leave it alone, I also experience numbness ...
Dr. Lan Shengxing reply Neurology
Dear Lingling, the issues you described may stem from dysfunction of the right lumbar sacral nerve or restless legs syndrome. Please promptly visit the neurology outpatient clinic for evaluation.[Read More] Understanding Foot Twitching: Causes and Solutions for Relief
Effective Treatments for Compressive Neuropathy: What You Need to Know
How to treat compressive neuropathy? Numbness in the upper right thigh (without pain) was diagnosed by a traditional Chinese medicine orthopedic specialist as compressive neuropathy. It seems to have started about a month ago due to improper seating posture and prolonged sitting ...
Dr. Lan Shengxing reply Neurology
Dear Mr. Su, the issues you described may be caused by compression of the superficial nerves in the right thigh. In addition to being mindful of your posture, it is also important to pay attention to the tightness of your belt and waistband, as they may contribute to the compress...[Read More] Effective Treatments for Compressive Neuropathy: What You Need to Know
Understanding Sudden Thigh Cramps: Causes and Solutions
Intermittent cramps in the inner thighs of both legs? Hello Doctor, I have a question to ask you. While watching TV, I suddenly experienced a cramp in the inner thigh of my left leg. I tried massaging and tapping my thigh, but it didn't help, and the cramp lasted for about t...
Dr. Lan Shengxing reply Neurology
Dear Vicky, there are many causes for leg cramps. What you mentioned could indeed be due to overuse, but other possibilities include fatigue or maintaining an improper posture for too long. I suggest that you change your position appropriately while watching TV; for instance, sta...[Read More] Understanding Sudden Thigh Cramps: Causes and Solutions
Understanding Muscle Twitches: Causes and Concerns for Teens
Muscle twitching Hello Doctor, I have been experiencing muscle twitching frequently over the past month (in my face, thighs, calves, arms, etc.). My legs feel very sore and painful after walking for a long time, and my arms also feel sore when I raise them, but I do not experienc...
Dr. Lan Shengxing reply Neurology
Dear NaNa, staying up late is a very unhealthy habit that can keep your muscles in a state of prolonged tension, making it easy for the issues you mentioned to occur. I suggest you consider changing your lifestyle to make it more regular—try to go to bed before 11 PM and wake up ...[Read More] Understanding Muscle Twitches: Causes and Concerns for Teens
Persistent Dizziness and Nausea: When to See a Doctor?
Dizziness and nausea? Hello doctor, I often feel dizzy and nauseous, which has been ongoing for about two years. I had a minor concussion from a car accident last November. This morning when I woke up, the dizziness worsened, and I still felt dizzy while lying in bed. It feels so...
Dr. Lan Shengxing reply Neurology
Dear Sunny, this symptom should be evaluated by a physician. You can consult either an otolaryngologist or a neurologist, but I recommend seeing an otolaryngologist first. Wishing you a speedy recovery! Best, Lan Shengxing.[Read More] Persistent Dizziness and Nausea: When to See a Doctor?
Understanding Sleep Disorders: Facial Twitches and Brain Discomfort
Sleep disorders facial Hello, doctor. For the past three years, I have been troubled by a problem that occurs at night. In the middle of my sleep, I suddenly feel discomfort in my brain, accompanied by facial twitching and a popping sound echoing in my ears. During these episodes...
Dr. Lan Shengxing reply Neurology
Dear Xuan, the issues you described should be evaluated through a sleep EEG or a polysomnography to determine the cause of your discomfort. In the meantime, it is advisable to avoid staying up late and refrain from drinking coffee in the afternoon to prevent overloading your brai...[Read More] Understanding Sleep Disorders: Facial Twitches and Brain Discomfort