Understanding Involuntary Muscle Twitches: Causes and Management Tips
Involuntary muscle twitching? Hello Doctor, I would like to ask a question. Since around October 10th, I have been experiencing some involuntary muscle twitching, starting with my left eyelid, then my right elbow joint, and my thighs and calves, which twitch intermittently for ab...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may suggest "benign fasciculation syndrome," which can be triggered by acute viral infections, anxiety, and medication use. Prolonged exercise is one of the main causes of muscle twitching. Common medications that can cause muscle twitching inc...[Read More] Understanding Involuntary Muscle Twitches: Causes and Management Tips
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Head pressure/pain/nausea? I have been experiencing headaches for over a year. Initially, I thought it was just a migraine, and taking painkillers and resting would help. However, the more I slept, the more intense the pain became, accompanied by nausea and a feeling of wanting t...
Dr. Jiang Junyi Reply:
Dear Miss Fei, You mentioned that "the pain location can vary, usually it is unilateral, occasionally in the middle of the forehead or associated with high eye pressure, and whenever a headache occurs, there is a feeling of nausea." First, we should consider typical mi...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Understanding Muscle Tremors: Causes and Solutions for Your Concerns
Muscle twitching Hello, I have noticed that my arms and thighs experience slight tremors when they are suspended, exerted, or stretched at certain angles, similar to the shaking sensation when stretching. Essentially, I can feel the tremors while exerting myself and when my limbs...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "after playing the piano, my fingers shake more severely after movement or exertion." Your symptoms may suggest benign muscle tremors. Certain situations in daily life can trigger this issue, such as exercise, acute viral infections, a...[Read More] Understanding Muscle Tremors: Causes and Solutions for Your Concerns
Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Muscle twitching In May, I noticed that my heels felt numb when I got out of bed, but the sensation disappeared after I walked around for a bit. This symptom lasted for about one to two weeks. However, in August, the numbness returned and lasted for another one to two weeks. In m...
Dr. Jiang Junyi Reply:
Hello Ms. Yeh: Amyotrophic lateral sclerosis (ALS) is a term that encompasses a group of motor neuron diseases. Typically, there are no significant sensory abnormalities, such as the tingling sensations you mentioned. Motor neurons control muscle movement; generally, the motor ne...[Read More] Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
I would like to know the difference between migraine and intracranial hypertension headache? Hello, I would like to inquire about my hospitalization this year due to headaches. The attending physician suspected I have migraines. Initially, they treated me with intracranial pressu...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "you were awakened by severe pain in the right occipital region in the early morning," which may need to be considered due to carbon dioxide accumulation causing vasodilation in the brain, leading to increased intracranial pressure. The d...[Read More] Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
Is It Normal to Experience Hand Tremors After Waking Up?
I would like to ask if this is normal? When I just wake up in the morning and lie in bed, I can move my hands without any issues, but when I try to bend them, they shake. However, once I actually get out of bed, this problem disappears. Now, I have developed a habit of lingering ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Is It Normal to Experience Hand Tremors After Waking Up?
Understanding Facial Twitching and Arm Symptoms: When to Seek Medical Advice
Facial twitching? Hello, Doctor Jiang. I have two questions to ask. About two years ago, I was rehabilitating at home for frozen shoulder when I suddenly noticed that my right cheek would involuntarily twitch while performing a stretching exercise that involved making large cir...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the right cheek still has noticeable involuntary twitching. After testing, it was found that the twitching of the right cheek is triggered by movements involving the left arm," which may indicate a neurological dysfunction affecting the motor ...[Read More] Understanding Facial Twitching and Arm Symptoms: When to Seek Medical Advice
Understanding Hip and Thigh Pain: Possible Nerve Compression or Muscle Inflammation?
Hip and thigh pain? Hello, doctor. I experience soreness in my lower back, hips, and thighs after sitting for about 15 minutes. It feels better when I stand up, but the soreness returns when I sit down again, sometimes to the point where it makes it difficult to sleep. I have see...
Dr. Jiang Junyi Reply:
Dear Ms. Umbrella, Muscle inflammation typically presents with localized tenderness. You mentioned experiencing "pain in the lower back, hips, and thighs," which is more indicative of lumbar nerve root compression (possibly at levels L2, L3, or L4). You also noted that...[Read More] Understanding Hip and Thigh Pain: Possible Nerve Compression or Muscle Inflammation?
Understanding Hip and Thigh Pain: Nerve Compression or Muscle Inflammation?
Hip and thigh pain? Hello, doctor. I experience pain in my lower back, hips, and thighs after sitting for about 15 minutes. Standing up alleviates the discomfort, but sitting down again causes the pain to persist, sometimes making it difficult to sleep. I have seen a rehabilitati...
Dr. Jiang Junyi Reply:
Dear Miss Umbrella, You mentioned experiencing "lower back, hip, and thigh pain," which is more indicative of lumbar nerve root compression (possibly at lumbar levels 2, 3, or 4). You also noted that "bending at the waist and knees does not cause pain," which...[Read More] Understanding Hip and Thigh Pain: Nerve Compression or Muscle Inflammation?
Understanding Finger Tremors: Could It Indicate Cerebellar Issues?
Only one finger trembles? I recently noticed that my right index finger shakes when I press the water dispenser at work. Could this possibly be related to cerebellar dysfunction? I have tried the finger-to-nose test, and my finger does not shake during that. If it were cerebellar...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "when I need to use the water dispenser at work, it seems like my right index finger shakes." This may indicate a possibility of postural tremor. Issues related to the cerebellum typically do not manifest in just one finger. Tremors ca...[Read More] Understanding Finger Tremors: Could It Indicate Cerebellar Issues?
Uncontrollable Neck Movements and Arm Spasms After Vaccination: What to Know
Uncontrolled neck movement backward or forward? Hello Doctor, a few days ago during noon, my neck involuntarily moved backward and forward, and I couldn't will it to straighten. My right hand also raised involuntarily. I received the BNT vaccine on September 29, and I had ga...
Dr. Cai Zongzhang Reply:
Hello, Zhang Zhang-Min: It is recommended to visit the neurology outpatient clinic for an evaluation of the underlying cause.[Read More] Uncontrollable Neck Movements and Arm Spasms After Vaccination: What to Know
Understanding Autonomic Nervous System Disorders in Teens
Autonomic nervous system dysfunction? Hello, doctor… I apologize for the interruption. I am currently a senior in high school, and since the beginning of the semester, I have not been getting enough sleep due to my studies (around three to five hours). Since mid-September, I have...
Dr. Jiang Junyi Reply:
Dear Ms. Lan Yu, Your symptoms may suggest the phenomenon of sympathetic nervous system hyperactivation. Anxiety can exacerbate these symptoms. Additionally, anemia or fluid deficiency may lead to insufficient cerebral circulation. Symptoms can be improved by replenishing fluids...[Read More] Understanding Autonomic Nervous System Disorders in Teens
Understanding Lateral Arm Nerve Pain: Causes and Specialist Guidance
Sharp pain in the lateral aspect of the right upper arm? Hello, two nights ago I suddenly experienced sharp nerve pain on the outer side of my right upper arm (near the joint). I would like to know which department to consult and what this might be a sign of. Additionally, I woul...
Dr. Jiang Junyi Reply:
Dear Mr. Gao, You mentioned experiencing "sharp pain along the outer side of the right upper arm (near the joint)." If there is localized tenderness, it may be necessary to consider the possibility of musculoskeletal inflammation. It might also be worth considering &qu...[Read More] Understanding Lateral Arm Nerve Pain: Causes and Specialist Guidance
Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Facial nerve paralysis Hello Doctor, two weeks ago I noticed symptoms of left facial nerve paralysis: I cannot close my eye, my mouth cannot open, my face cannot move, and sounds in my ear are excessively loud. A neurologist prescribed steroids and also performed acupuncture and ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that facial nerve paralysis affects hearing. This is because the stapedius muscle, which is responsible for stabilizing the stapes bone, is innervated by the facial nerve. Recovery of symptoms requires nerve regeneration, unlike facial muscles that can i...[Read More] Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Four limbs numbness, neck pain, headache, various minor ailments? Hello Dr. Jiang, this is Ms. Li who inquired about some issues at the beginning of September. Since early September, I have been experiencing tingling and numbness in my entire arms and legs, along with occasional ...
Dr. Jiang Junyi Reply:
Dear Ms. Li, I am not sure if there is a medical center near your residence. The examination of neurological diseases requires a period of follow-up for comparison. For instance, if a score drops from 80 to 70, it may still be considered passing from a 60-point perspective. The ...[Read More] Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Understanding Neuromuscular Disease Testing: Insights and Next Steps
"Neuromuscular Disease Examination" Hello Dr. Jiang, thank you for your response. I am currently in Kaohsiung. I first visited Kaohsiung Medical University for an emergency consultation around March of last year due to unexplained dizziness. At that time, the resident p...
Dr. Jiang Junyi Reply:
Hello, sir: Generally, when abnormalities are observed in electromyography (EMG), an MRI is performed to locate the tissue for a planned biopsy of the muscle. This is because it is not easy to locate the tissue once the surgery begins. It is recommended to follow up with Dr. Chen...[Read More] Understanding Neuromuscular Disease Testing: Insights and Next Steps
Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Persistent symptoms one month after receiving the AZ vaccine? Hello, Dr. Jiang: I received the AZ vaccine on September 10, and that night I had a fever of 41.4 degrees Celsius. However, the fever subsided by the morning of the following day. Two weeks later, on September 13, I no...
Dr. Jiang Junyi Reply:
Dear Ms. Chuang, You mentioned that "two weeks after September 13, I found that I seemed unable to express a complete sentence and could only say simple words." It may be necessary to consider the adverse reaction of thrombosis associated with the AZ vaccine, currently...[Read More] Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?
Facial nerve paralysis Hello Dr. Jiang, I would like to ask if a patient with facial nerve paralysis can receive the first dose of the BNT vaccine at this time. The BNT vaccine has a rare side effect of facial nerve paralysis, which may make it difficult to differentiate. It has ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-Lin, Facial nerve paralysis is not a contraindication for receiving the BNT vaccine. It is advised not to administer the vaccine within two weeks of an acute infection. Based on the current domestic epidemic situation, vaccination can be considered one month after...[Read More] Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?
Exploring Neuromuscular Disorders: What to Do When Tests Come Back Normal
Neuromuscular Disease Examination Hello doctor, I have been experiencing weakness in my limbs for over a year, and I am very concerned that it might be a rare neuromuscular disease. I have visited many major hospitals and undergone neurological examinations each time I saw a diff...
Dr. Jiang Junyi Reply:
Hello, sir: I am not sure if there is a medical center near your residence. Due to the nature of neurological disease examinations, they require a period of follow-up for comparison. For instance, if a score drops from 80 to 70, it may still be considered passing from a 60-point ...[Read More] Exploring Neuromuscular Disorders: What to Do When Tests Come Back Normal
Understanding Fainting: Causes and Concerns in Neurology
Fainting issues Hello Doctor: In late August 2019, at the age of 29, I experienced diarrhea for an hour accompanied by severe abdominal cramping. After walking to the living room, I felt faint and informed my family, after which I fainted for about 30 seconds. According to my fam...
Dr. Jiang Junyi Reply:
Hello, Miss: Based on your description, it may be necessary to consider vasovagal syncope. First, we should consider the symptoms of syncope, which are commonly associated with reflex syncope: excessive stimulation of the vagus nerve can lead to bradycardia and decreased cardiac ...[Read More] Understanding Fainting: Causes and Concerns in Neurology