Evening Headaches: Understanding Causes and When to Seek Help
Evening headache Doctor, I asked you a question a few days ago, but I'm still a bit worried. I've been experiencing increased headaches in the evenings over the past couple of days. The pain is located on both the left and right foreheads. It worsens when I bend down or...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao-Chien, You mentioned that "the pain associated with changing positions may be related to increased intracranial pressure." This symptom indeed warrants consideration of meningeal involvement causing exacerbation of headaches. If the symptoms persist wit...[Read More] Evening Headaches: Understanding Causes and When to Seek Help
Understanding Numbness in the Neck, Back, and Arms: Causes and Solutions
Numbness of the skin Hello, doctor. I don't know why the skin on my neck, back, and arms feels numb or tingling. I would like to ask what this issue might be.
Dr. Jiang Junyi Reply:
Dear Mr. Ah-Wei, You mentioned that "the skin on your neck and back feels tingly, as well as your arms." This may indicate compression of the cervical spinal cord. This condition is commonly seen in individuals who maintain poor posture with their heads bent forward fo...[Read More] Understanding Numbness in the Neck, Back, and Arms: Causes and Solutions
Understanding Symptoms: Excessive Sweating, Pain, and Fatigue Explained
It seems like I'm feeling unwell - sweating at the back of the neck, skin tingling, fatigue, and so on? Hello, Doctor. Since this summer, I have been sweating excessively. On August 7, I visited a rehabilitation specialist due to pain in my lower left back (near the lumbar v...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "there is a very noticeable tingling sensation from the base of the ring finger, along the side of the little finger, on both the front and back sides of the palm, extending to the back of the forearm." This symptom may suggest ulnar nerv...[Read More] Understanding Symptoms: Excessive Sweating, Pain, and Fatigue Explained
Understanding Left Leg Weakness and Vibrations: Possible Nerve Issues
Weakness in the left foot and a vibrating sensation in the sole of the foot? Your question: Hello Doctor, about a month ago, I started experiencing soreness in both buttocks, with the left side being more painful. Sometimes my left leg feels weak. The rehabilitation doctor arrang...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Based on the nerve conduction study report you provided, there is evidence of left lumbar nerve root compression. The condition you are concerned about, amyotrophic lateral sclerosis (ALS), is a rare disease. Clinical diagnosis requires methods such as electromyog...[Read More] Understanding Left Leg Weakness and Vibrations: Possible Nerve Issues
Understanding Tightness in the Right Calf: Is It a Disc Issue or Muscle Imbalance?
Tightness in the right calf? Hello Doctor, since mid-June, I have been experiencing tightness in the back of my right calf (without pain). After that, I started to have numbness in my foot, which lasted for over a month. I then visited a neurologist who arranged for an X-ray and ...
Dr. Jiang Junyi Reply:
Dear Ms. N, You mentioned that "nerve testing revealed that the area innervated by L5 is associated with the left foot... muscle imbalance." Your symptoms may still need to consider underlying structural abnormalities, along with the possibility that emotional fluctuat...[Read More] Understanding Tightness in the Right Calf: Is It a Disc Issue or Muscle Imbalance?
Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Sleep disorders Hello Doctor, I usually have a habit of staying up late and drinking red tea and milk tea from aluminum foil packages. Recently, I have experienced insomnia for three consecutive days, poor appetite, constipation, occasional heart pain, and shortness of breath. I ...
Dr. Cai Zongzhang Reply:
Hello: Adequate sleep is related to health, and tea and coffee beverages can worsen insomnia. It is recommended to reduce tea consumption and avoid drinking tea in the evening to improve sleep duration. If symptoms do not improve, please visit a neurology clinic.[Read More] Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Understanding Head Injuries: Symptoms, Risks, and Necessary Evaluations
Head injury Hello, Doctor. About four years ago, I was physically abused by a family member who struck me on the head and forcefully pulled my hair. At that time, the injured area swelled, and I experienced headaches and dizziness. However, due to threats from other family member...
Dr. Cai Zongzhang Reply:
Hello: A scalp swelling caused by a head impact does not necessarily indicate intracranial brain injury. If headaches occur more than 10 days a month, it is advisable to visit a neurology clinic.[Read More] Understanding Head Injuries: Symptoms, Risks, and Necessary Evaluations
Understanding Suspected Autoimmune Encephalitis: Symptoms, Diagnosis, and Treatment
Is there a diagnosis of autoimmune encephalitis? Hello Doctor, my sister was diagnosed with schizophrenia last September. She has been taking medication at Hospital A for nearly a year, during which she gradually developed mild involuntary hand tremors and head tilting backward. ...
Dr. Peng Shiwei Reply:
Hello, the question you asked is very complex. I am unable to answer it online. I recommend that you take your sister to see a doctor for a consultation in person. Thank you.[Read More] Understanding Suspected Autoimmune Encephalitis: Symptoms, Diagnosis, and Treatment
Understanding Persistent Head Sensations: Causes and Solutions
It feels like my brain is shaking? Hello Doctor, recently I have been feeling like my head is swaying almost all day long. It feels as if someone is tightly wrapping my head with a string and pulling it back and forth, side to side. It’s very tense, and I constantly feel like my ...
Dr. Cai Zongzhang Reply:
Hello HSN: The symptoms mentioned above are suspected to be caused by vestibular nerve dysfunction leading to balance disorders. It is recommended to continue follow-up treatment at the neurology outpatient clinic. An MRI scan should only be considered if there is no improvement ...[Read More] Understanding Persistent Head Sensations: Causes and Solutions
Understanding Left Leg Weakness and Vibrations: Possible Nerve Compression?
Weakness in the left foot and a vibrating sensation in the sole of the foot? Hello Doctor, about a month ago, I started experiencing soreness in both buttocks, with the left side being more painful. Sometimes my left leg feels weak. The rehabilitation doctor arranged for an elect...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: The symptoms mentioned above could be indicative of a neurological disorder. It is recommended that you visit a neurology outpatient clinic.[Read More] Understanding Left Leg Weakness and Vibrations: Possible Nerve Compression?
Understanding Left Eyebrow Pain: When to See a Neurologist
Left brow bone. Pain and swelling at the eyebrow? Hello Dr. Peng, three days ago I suddenly felt a throbbing pain in my left brow bone, my eyelid is swollen, and I also have a headache. When I press on the left brow bone near the temple, I feel localized pain. Which specialty sho...
Dr. Peng Shiwei Reply:
Hello, it seems you have already come for a consultation. Please take the medication as instructed. Thank you.[Read More] Understanding Left Eyebrow Pain: When to See a Neurologist
Understanding Tinnitus: Causes, Concerns, and Treatment Options
Tinnitus issues? Hello, Doctor. I hope it's not too presumptuous to ask about my tinnitus issue, as it has been bothering me for several days. Initially, it was due to post-nasal drip, which also led to tinnitus, and my ear feels slightly stuffy and painful. I have visited s...
Dr. Cai Zongzhang Reply:
Hello: There are many causes of tinnitus. If the examination results show no abnormalities in the ear, you may consider seeing a neurologist for further evaluation. Additionally, insufficient sleep can also contribute to tinnitus.[Read More] Understanding Tinnitus: Causes, Concerns, and Treatment Options
Understanding Nerve Conduction Studies: What Your Results Mean
Nerve conduction study Hello doctor, recently I've been experiencing occasional pain in my right hand, so I went for an examination. The doctor arranged for nerve conduction studies of the limbs and cervical spine. The results showed a slight slowing of the right ulnar nerve...
Dr. Wu Mukhan Reply:
Hello, abnormal nerve conduction velocity is most commonly caused by nerve compression or injury, and it usually improves with rest. The symptoms you mentioned do not resemble those of amyotrophic lateral sclerosis (ALS), so there is no need to worry excessively. If the symptoms ...[Read More] Understanding Nerve Conduction Studies: What Your Results Mean
Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues and ALS Concerns
Nerve conduction study Hello Doctor, recently I've been experiencing occasional pain in my right hand, so I went for an examination regarding ulnar nerve compression. The doctor arranged for four nerve conduction studies and a cervical spine examination. The results indicate...
Dr. Peng Shiwei Reply:
Hello, the symptoms of amyotrophic lateral sclerosis (ALS) do not involve damage to only one nerve, and it primarily begins with the degeneration of motor neurons. Sensory nerves are not affected in the early stages. Thank you for your question.[Read More] Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues and ALS Concerns
Understanding ALS Concerns: Do I Need an EMG Test?
Concerns about Amyotrophic Lateral Sclerosis (ALS) Hello Doctor, I recently experienced muscle soreness in my left thigh, so I went to the hospital for a nerve conduction study (F-wave) and a cervical spine examination, but I was not scheduled for an electromyography (EMG) test. ...
Dr. Peng Shiwei Reply:
Hello, the symptoms of amyotrophic lateral sclerosis (ALS) do not involve damage to just one nerve; it primarily affects motor neurons first, while sensory neurons are not impacted in the early stages. Thank you for your question.[Read More] Understanding ALS Concerns: Do I Need an EMG Test?
Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options
Trigeminal and Facial Nerve Repair Hello, Doctor. I initially experienced hearing loss and headaches, so I consulted an otolaryngologist for a month, which caused me to miss the critical treatment window. Later, I discovered left facial paralysis and was referred to a neurologist...
Dr. Peng Shiwei Reply:
Hello, based on your description, I believe the treatment your physician has provided is appropriate. The residual effects of facial numbness may not always fully resolve. I recommend that you continue with your current treatment and observe for 1-3 months. As for the dizziness, ...[Read More] Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options
Understanding Nerve Pain from Foreign Objects: Risks and Concerns
Numbness and tingling in the hands and feet due to foreign objects? Hello Doctor, I would like to ask you about an issue I experienced a few days ago. My right pinky finger was struck by a foreign object, and I suspect there may be metal shavings in my skin or blood vessels. Sinc...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-An, You mentioned, "Is it possible for metal shavings to get lodged in blood vessels and cause infection? Is there a direct relationship between hand numbness and metal shavings getting stuck in nerves or blood vessels?" Foreign objects that enter the ar...[Read More] Understanding Nerve Pain from Foreign Objects: Risks and Concerns
Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Difficulties with complex medical conditions and stroke issues? Hello, doctor. I would like to consult you regarding the prediction and prevention of strokes in the elderly. My mother is 75 years old and has been managing diabetes for over 20 years without any other chronic or ma...
Dr. Jiang Junyi Reply:
Hello Ms. Water, You mentioned that "after finishing household chores, she suddenly felt a wave of fatigue." This may indicate a potential sleep disorder. I recommend undergoing multiple sleep physiology tests. Regarding your question about whether a stroke requires wa...[Read More] Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
The face or the scalp at the back of the neck feels strange? Hello, doctor. About ten years ago, I had an MRI of my cervical spine that diagnosed a herniated disc at the C3-C4-C5 levels, which was compressing a nerve. At that time, my main symptoms included pain in the left shoul...
Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned that "the fingers on my right hand occasionally feel a bit numb, or my arm suddenly feels a bit cool (not sure if it's numbness)." In addition to cervical nerve root compression, we should also consider the possibility of peripheral ne...[Read More] Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
Can Facial Nerve Issues from Childhood Be Treated in Adulthood?
Facial nerve I had facial nerve paralysis when I was in elementary school, and I underwent electrotherapy for treatment. My parents said it was cured, but now at 22 years old, I notice that when I blink in front of a mirror or on video, the corner of my mouth moves as well. Docto...
Dr. Jiang Junyi Reply:
Dear Mr. John Wick, You mentioned that "the corners of the mouth move when blinking," which may indicate facial nerve damage and the subsequent misinnervation of muscles during nerve regeneration. Additionally, some metabolic disorders, such as hyperthyroidism and elec...[Read More] Can Facial Nerve Issues from Childhood Be Treated in Adulthood?