Understanding Neck Pain and Dizziness: Is It Autonomic Nervous System Dysfunction?
Sometimes when sitting, it feels like being in an elevator? Hello, doctor. I often use my computer and phone while looking down, but one day I suddenly started experiencing shoulder and neck pain, along with stiffness and pain in the occipital region. I also began to feel dizzy w...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned "shoulder and neck pain, dizziness similar to being in an elevator... could this be autonomic nervous system dysfunction?" Your symptoms do not align with autonomic nervous system issues. It may be necessary to first consider Benign Paroxysmal ...[Read More] Understanding Neck Pain and Dizziness: Is It Autonomic Nervous System Dysfunction?
Understanding Facial Nerve Control Issues: Causes and Solutions
The facial nerve on the right side is not functioning properly? Hello, doctor. Since I can remember, my lower lip on the right side has always been crooked when I speak, and I can also notice that my cheeks are asymmetrical when I smile. My speech is somewhat unclear, and when I ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "my dominant hand is the right hand, but its dexterity is not as good as my left hand. Although it does not affect my daily life, I would like to ask if this is related to the facial issues mentioned above." You noted that the function of your ...[Read More] Understanding Facial Nerve Control Issues: Causes and Solutions
Understanding Body Numbness: When to See a Neurologist
The body may experience numbness? Hello Doctor: Recently, I have been experiencing occasional numbness in my body, with varying frequency. Sometimes it affects my hands, sometimes my feet, and at times my face, neck, and the area around my collarbone. Additionally, I feel that my...
Dr. Jiang Junyi Reply:
Dear Ms. Wen, You mentioned feeling bodily numbness and experiencing faster-than-usual breathing, which may indicate hyperventilation leading to decreased carbon dioxide levels in the blood. This can result in an increase in blood pH, causing systemic reactions and symptoms. Com...[Read More] Understanding Body Numbness: When to See a Neurologist
Understanding Foot Numbness and Small Steps: Neurological Insights
Numbness in the toes and shuffling gait? Hello Dr. Jiang, I am 72 years old this year. I previously visited a neurologist because I experience small shuffling steps when walking and cannot turn my head too quickly, otherwise I feel dizzy. Both of my feet feel numb, primarily in t...
Dr. Jiang Junyi Reply:
Hello, Aunt Hsu: You mentioned, "Is it possible to improve small fiber symptoms through dopamine in non-Parkinson's disease?" The answer is no. You also noted that "both feet feel numb, primarily in the toes," which may indicate symptoms of peripheral ne...[Read More] Understanding Foot Numbness and Small Steps: Neurological Insights
Understanding Persistent Headaches: Causes and When to Seek Help
Persistent dull headache? Hello, doctor. Recently, I've been experiencing a higher frequency of headaches, which have become persistent over the past few days. The pain is usually located at the back of my head and is a dull ache. Taking pain relievers hasn't been effec...
Dr. Jiang Junyi Reply:
Hello: You mentioned "developing persistent headaches, typically located at the back of the head, characterized as a dull pain, and pain relievers have little effect." This may suggest chronic daily headache, which is a type of primary headache defined as occurring for ...[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Understanding Unexplained Body Pain: A Guide for Teens
Unexplained tingling sensations throughout the body? Hello, doctor. I am currently a high school student, but I often experience unexplained pain or cramps throughout my body, with the chest and abdomen being the most frequent areas. Sometimes the pain subsides in a few seconds, ...
Dr. Jiang Junyi Reply:
Hello Mr. Paul, You mentioned that you occasionally feel a tightness in your chest and experience shortness of breath, as well as episodes of unexplained stiffness and immobility in your limbs. These symptoms may be related to hyperventilation, which can lead to decreased carbon...[Read More] Understanding Unexplained Body Pain: A Guide for Teens
Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Involuntary muscle twitching on the inner side of the left foot? The inner side of my left foot has been twitching involuntarily, and sometimes the big toe also twitches along with it. This condition persisted for an entire day the day before yesterday, and since then it has not ...
Dr. Hong Weibin Reply:
Hello: The muscles in the body are controlled by nerves, which function like electrical wires, transmitting signals to control muscle movements. However, just as electrical wires can occasionally experience leakage due to external factors like temperature and humidity, muscles ma...[Read More] Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Understanding Muscle Cramps in Fingers During Daily Activities
The issue of experiencing cramps in the fingers while working with them in a bent position? In the past month, I have experienced muscle cramps in my fingers when using a toothbrush to brush my teeth, and also while washing dishes. Using dental floss causes even more severe cramp...
Dr. Jiang Junyi Reply:
Hello Mr. Kuo, You mentioned that your toes sometimes cramp during movement, and that most of the time, cramps occur when your fingers are bent or in use. Recently, you have been taking Prednisolone 5 mg for asthma treatment for about a month. Cramps are typically caused by musc...[Read More] Understanding Muscle Cramps in Fingers During Daily Activities
Should You Seek Medical Attention After a Head Injury?
Head trauma A few days ago, I bumped the front right side of my forehead against the corner of a car trunk. Since then, I've been waking up with a tingling pain in the back left side of my head, which isn't particularly severe, but I feel a bit dizzy overall. My neck is...
Dr. Jiang Junyi Reply:
Dear Miss Chiao, You mentioned that "the left back of my head feels numb and painful, but it's not particularly severe, and overall I feel a bit dizzy, with some stiffness in the back of my neck." Your symptoms may suggest cervical myofascial inflammation, possibl...[Read More] Should You Seek Medical Attention After a Head Injury?
Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Recently, I have been experiencing pain in the left occipital region? Hello, doctor. Recently, I've been experiencing pain in the left back of my head. At first, it didn't affect my daily life and I occasionally didn't feel it, but over the past few days, the pain ...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned that "the pain feels like a sharp sensation, and the intensity is increasing. I have tried gentle massage... Does heavy smartphone usage have an impact?" It is important to first consider the possibility of myofascial inflammation around the ...[Read More] Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Understanding Tension Headaches: When to Consider MRI and Specialist Care
Tightness in the temples (EEG examination) Hello, Dr. Jiang. Thank you for your response in January (copied below). After your reply, I visited a nearby hospital (neurology department) and had an EEG, which came back normal. I asked the doctor if an MRI was necessary, and he said...
Dr. Jiang Junyi Reply:
Hello Mr. William, You mentioned, "If the EEG is normal, is there still a need for an MRI?" Due to health insurance limitations, typically when there are suspected structural abnormalities in the brain, an MRI can be requested under health insurance. Abnormal EEG findi...[Read More] Understanding Tension Headaches: When to Consider MRI and Specialist Care
Understanding Persistent Headaches: Causes and When to Seek Help
Persistent headache Hello doctor, I have been experiencing persistent headaches since May 31, and they continue to occur even now. Although there are times when I feel some relief, there is always a strange sensation. The headaches are continuous, but the intensity does not feel ...
Dr. Cai Zongzhang Reply:
Hello: There are many causes of headaches, most of which are not due to tumors. If the headache persists, it is recommended to continue evaluations in a neurology outpatient clinic.[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Seeking Medical Guidance for Involuntary Movement Disorders
Please advise on the medical approach for involuntary movements? Hello Doctor, my mother is 69 years old and has been experiencing involuntary movements in her left leg since around July of last year. Initially, she would only have a few shakes during specific times in the evenin...
Dr. Jiang Junyi Reply:
Hello: You mentioned "significant weight loss and muscle fat reduction (about 52 kg last July, now approximately 46 kg), which have been ongoing issues that have not truly improved despite intermittent consultations." The decrease in mobility has led to a vicious cycle ...[Read More] Seeking Medical Guidance for Involuntary Movement Disorders
Understanding Persistent Burning Sensation in the Feet: Causes and Solutions
Burning sensation in the soles of the feet? I constantly feel a burning sensation in the soles of my feet, and after standing for a long time, they become sore and painful. I have consulted many specialists, but no cause has been identified. Could you please advise what might be ...
Dr. Jiang Junyi Reply:
Dear Ms. Su, You mentioned that "the soles of my feet feel hot all the time, and I have consulted many specialties without finding the cause." Your symptoms may suggest peripheral nerve abnormalities. I recommend seeking care at a nearby hospital with an emergency depa...[Read More] Understanding Persistent Burning Sensation in the Feet: Causes and Solutions
Understanding Weakness and Numbness in Limbs: Possible Causes and Concerns
Weakness in the calves? Hello doctor, I experienced a sudden increase in blood pressure today, and I'm not sure why. Sometimes my hands feel weak, and I have a tingling sensation in the thumb area of my palm. I also feel weakness in my calves, and at times my legs feel weak,...
Dr. Hong Weibin Reply:
Hello: Based on your description, it seems difficult to pinpoint a specific neurological disorder. If daily activities, including walking, exercising, and self-care, are not problematic, it may be due to psychosocial stress or environmental factors. It would be advisable to conti...[Read More] Understanding Weakness and Numbness in Limbs: Possible Causes and Concerns
Post-Recovery Numbness in Hands and Feet: Causes and Solutions
After recovering from the diagnosis, there may be numbness in the hands and feet? I was diagnosed with COVID-19 last week. One day, I experienced low blood pressure that caused numbness throughout my body, starting from my hands and feet, then my chest. Now that I am recovering, ...
Dr. Hong Weibin Reply:
Hello: You can seek assistance from a neurologist, who can arrange for a nerve conduction velocity test to check for any nerve damage. If there is no damage, you may take neuroprotective medications such as B vitamins, which should help you gradually recover within 1 to 2 months.[Read More] Post-Recovery Numbness in Hands and Feet: Causes and Solutions
Understanding Unexplained Abdominal Pulsations: Causes and Concerns
Intermittent pulsations in the lower abdomen? Hello doctor, I have recently been experiencing intermittent pulsations in my lower abdomen, similar to muscle twitches. They usually last for 1-2 seconds, but sometimes there are no twitches for an entire morning, and other times the...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing "intermittent pulsations in the lower abdomen, similar to muscle twitches." These muscle twitches are primarily related to several factors: exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the ...[Read More] Understanding Unexplained Abdominal Pulsations: Causes and Concerns
Understanding Right Leg Numbness: Causes and Treatment Options
Numbness in the right leg upon sitting down? Hello, doctor! I'm asking on behalf of my dad, who is 61 years old. Recently, whenever he sits down, his right leg starts to feel numb, along with symptoms of soreness and pain. This mainly occurs in the area from his knee to his ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your father experiences numbness, as well as soreness and pain in his right leg as soon as he sits down. It may be necessary to first consider a herniated disc leading to localized inflammatory responses that cause lower back pain, which may also extend ...[Read More] Understanding Right Leg Numbness: Causes and Treatment Options
Understanding Widespread Numbness and Tingling: Possible Causes and Insights
Generalized body pain? Hello, I started experiencing numbness from the soles of my feet to my upper body about two weeks ago. This has now extended to my face, including my eyes, throat, tongue, and lips. I have intermittent numbness and tingling throughout my entire body. The nu...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to continue follow-up treatment in the neurology department.[Read More] Understanding Widespread Numbness and Tingling: Possible Causes and Insights
Understanding Right Shoulder Blade Pain and Numbness: Causes and Solutions
Numbness and pain in the lower right scapula? The symptoms are located near the far right side and persist even after receiving treatment at a martial arts clinic. The numbness is not constant; it was only occasionally present during work a couple of days ago, but today it occurs...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may be caused by cervical nerve root compression. It is recommended to visit a neurologist for a detailed examination.[Read More] Understanding Right Shoulder Blade Pain and Numbness: Causes and Solutions