Understanding Hand Tremors: Causes and When to Seek Help
Body tremors? Hello doctor, I have recently been experiencing slight tremors in my hands, especially when holding objects. I also feel a bit shaky when bending down or leaning forward, and when I lie flat, my body seems to pulse in rhythm with my heartbeat.
Dr. Cai Zongzhang Reply:
Hello, Ms. Chiu! It is recommended that you visit the neurology outpatient clinic.[Read More] Understanding Hand Tremors: Causes and When to Seek Help
Understanding Recent Headaches and Dizziness: Possible Causes and Concerns
Recently, I've been experiencing sudden dizziness, and I woke up this morning with a headache and a fever? Recently, I have been experiencing sudden dizziness. This morning, I woke up with a headache and a fever. I have a history of headaches since childhood, which are a pec...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to considering common migraines, your symptoms may also suggest tension-type headaches. The characteristics of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The natu...[Read More] Understanding Recent Headaches and Dizziness: Possible Causes and Concerns
Understanding Stroke Symptoms: Facial Twitching and Other Concerns
Stroke, facial twitching? Hello Doctor, on September 5th while cleaning the floor during my shower, I experienced a noticeable feeling of cerebral congestion, but it subsided after a while, occurring two or three times. Since I was cleaning a new house, the air quality was poor, ...
Dr. Jiang Junyi Reply:
Hello, Sir: (1) Doctor, could my symptoms be a precursor to a stroke or caused by autonomic nervous system dysfunction? Your symptoms seem more indicative of cervical spine issues. (2) I have intermittent strabismus with a significant angle, which makes it tiring to see thing...[Read More] Understanding Stroke Symptoms: Facial Twitching and Other Concerns
Understanding Nerve Sensations: Tingling in the Outer Thigh from Knee Pressure
Pressing on the outer side of the right knee causes a slight tingling sensation (similar to the feeling of ants crawling) on the outer side of the right thigh? When pressing on the outer side of the right knee, there is a slight tingling sensation (similar to ants crawling) on th...
Dr. Jiang Junyi Reply:
Dear Ms. Cc, Your symptoms, which include numbness, may indicate compression of the fifth lumbar nerve root. Typical discomfort associated with lumbar radiculopathy includes pain radiating from the buttocks down to the legs, as well as numbness, tingling, and weakness in the toe...[Read More] Understanding Nerve Sensations: Tingling in the Outer Thigh from Knee Pressure
Understanding Occasional Facial Numbness: Is It Related to Nerve Issues?
Occasional facial numbness? Last night, while lying flat in bed, I suddenly felt a tingling and numb sensation on the left side of my face and around my ear. It felt somewhat cool and was different from the numbness caused by posture issues. It was only slightly uncomfortable, bu...
Dr. Jiang Junyi Reply:
Dear Ms. Cherry, You mentioned that "facial movements are normal," which is less indicative of facial nerve damage. Facial nerve damage primarily affects the seventh cranial nerve, with clinical symptoms including a sensation of stiffness in the face and loss of motor ...[Read More] Understanding Occasional Facial Numbness: Is It Related to Nerve Issues?
Understanding Facial Numbness: When to Seek Medical Attention
Numbness in the face? I appreciate Dr. Jiang's response, which alleviated my concerns. However, I have the following questions regarding the symptoms of cervical radiculopathy mentioned by Dr. Jiang: 1. During the episodes of facial numbness, I did not experience any typic...
Dr. Jiang Junyi Reply:
Hello Ms. Cherry: If the frequency of occurrences has not significantly increased and the symptoms have not worsened, you can document the events leading up to the next episode and seek medical attention, which will assist the physician in making a diagnosis. It is advisable to a...[Read More] Understanding Facial Numbness: When to Seek Medical Attention
Understanding Dizziness and Head Pain: When to Seek Further Evaluation
Dizziness, headache, and a sense of imbalance? Hello, doctor. Last month, one day, I suddenly started feeling dizzy (not the spinning type, but more like a sensation of an earthquake). Then, I felt unbalanced with any movement (for example, when leaning forward, it felt like ther...
Dr. Jiang Junyi Reply:
Dear Ms. Yoss, I believe you have already consulted a neurologist. If there are currently no neurological deficits, the likelihood of a brain tumor is low. The symptoms of a brain tumor typically depend on its location and size, and they usually worsen over time. Increased intra...[Read More] Understanding Dizziness and Head Pain: When to Seek Further Evaluation
Understanding Symptoms of Autonomic Nervous System Dysfunction
The body feels tense and warm? Hello, Doctor: Recently, I have been feeling tightness in my shoulders and neck, and sometimes I also feel tightness in my right ear. I have been experiencing nerve pain, with occasional tingling in my calves and near my toes. My body feels warm, in...
Dr. Jiang Junyi Reply:
Dear Ms. Deddy, You mentioned "autonomic nervous system dysfunction," a term that is widely used because it is important to identify the underlying causes of this phenomenon. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic ne...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction
Could Improper Massage Techniques Lead to Nerve Damage?
Is there a possibility of nerve damage? Hello, doctor. During the pandemic, my mother felt unwell after carrying heavy objects and has been experiencing persistent headaches. She used an old handheld massager for full-body massage (not a fascia massage gun), and during the massag...
Dr. Jiang Junyi Reply:
Dear Ms. Hu, Your mother is likely over 65 years old, and if she is experiencing an atypical fracture at the junction of the shoulder and chest, it may be necessary to consider osteoporosis. An evaluation for an elderly patient should include: bone density testing, metabolic syn...[Read More] Could Improper Massage Techniques Lead to Nerve Damage?
Understanding Symptoms: Could Your Headaches Indicate a Brain Tumor?
Brain tumor Hello, doctor! I have been experiencing symptoms of migraine, trigeminal neuralgia, pulsating sensations in the back of my head, tightness in my right shoulder and neck, and stiffness in the back of my neck for many years, with daily occurrences. If I sleep too little...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, I would like to inquire if you experience snoring, as waking up suddenly at night may indicate the possibility of sleep apnea. Additionally, if you are experiencing vascular headaches, it might be beneficial to seek assistance from a neurologist. You may need to co...[Read More] Understanding Symptoms: Could Your Headaches Indicate a Brain Tumor?
Managing Toe Cramps for Better Sleep in ALS Patients
Toe neuropathy causing twitching makes it hard to sleep! Doctor, I am inquiring on behalf of my mother! This year, she was diagnosed with ALS (Amyotrophic Lateral Sclerosis). At night, she experiences symptoms as mentioned in the title. How can we alleviate this? She reports that...
Dr. Cai Zongzhang Reply:
Hello Mr. Wu! It is recommended that you visit the neurology outpatient clinic for examination and treatment.[Read More] Managing Toe Cramps for Better Sleep in ALS Patients
Understanding Back Pain: Causes of Numbness and Discomfort
Back numbness and shooting pain? Hello doctor: I have a patch of skin on my upper back (near the shoulder blade) that feels unusual to the touch. It hurts when I press on it, and I often feel a tingling sensation along with occasional sharp pain. Sometimes, there is also a burnin...
Dr. Jiang Junyi Reply:
Dear Mr. Anderson, You mentioned that "a patch of skin feels strange... it often feels numb and occasionally has a burning sensation." This is more likely indicative of nerve root compression at the C7-C8 or T1 levels. Typically, this occurs due to prolonged poor postu...[Read More] Understanding Back Pain: Causes of Numbness and Discomfort
Understanding Ulnar Nerve Injury: Symptoms, Recovery Time, and Treatment Options
Is there a relationship between ulnar nerve and finger joint pain? What is the recovery period? Hello, I was rear-ended between April 17 and April 18, and although I did not sustain major injuries, my dominant right hand suddenly became weak and I was unable to exert force. I ret...
Dr. Jiang Junyi Reply:
Dear Miss Gu, Your symptoms suggest the possibility of peripheral nerve injury. Common causes of peripheral nerve injury include acute direct trauma such as nerve traction, tearing, and direct compression. Chronic issues may arise from prolonged fixed positions, repetitive motio...[Read More] Understanding Ulnar Nerve Injury: Symptoms, Recovery Time, and Treatment Options
Understanding Involuntary Body Movements: A Guide for Teens
Involuntary muscle spasms throughout the body? Hello Doctor, I am 15 years old and I have been experiencing a troubling symptom for some time. I often have sudden urges to move, such as when I stand up and immediately start walking, or when I need to sprint during exercise. My wh...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "dystonia." The onset of twisting spasms in adolescents could be associated with genetic inheritance issues. For this type of condition, neurologists specializing in movement disorders have more experience. Abnormal signals on thalamic M...[Read More] Understanding Involuntary Body Movements: A Guide for Teens
Understanding Mysterious Headaches: Causes and Concerns
Unexplained headache Dr. Jiang: Hello! A couple of days ago at work, I experienced a sharp, electric-like pain located about 2 to 3 centimeters above my left eyebrow. The pain comes and goes, and it has persisted for two and a half days. The location of the pain has shifted from ...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, Regarding the symptoms you mentioned, if dental issues are ruled out, it may be necessary to consider trigeminal neuralgia. According to the International Classification of Headache Disorders, Third Edition (ICHD-3), the diagnostic criteria for trigeminal neuralgia ...[Read More] Understanding Mysterious Headaches: Causes and Concerns
Understanding Involuntary Movements After Sudden Physical Activity
After rapid movements, the body may exhibit involuntary jerking or twitching? Hello doctor, there is something that has been bothering me for a long time. Since I was in elementary school, whenever I quickly stand up and start moving or running from a stationary position, I exper...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen! Based on the symptoms you described, it appears to be a movement disorder. I recommend that you visit a neurology clinic for treatment.[Read More] Understanding Involuntary Movements After Sudden Physical Activity
Understanding Hand Numbness: Causes and Solutions for Beverage Workers
Tingling in the fingers? I work at a beverage shop, and I shake drinks every day. Recently, while riding my motorcycle for about two kilometers, my hand starts to feel numb. Sometimes, I also wake up at night due to the numbness, or when I lie down and use my phone with my hand r...
Dr. Jiang Junyi Reply:
Dear Ms. Karen, Your symptoms may suggest carpal tunnel syndrome. Carpal tunnel syndrome occurs when the median nerve, which passes through the wrist, is compressed by the ligament located above it as it travels through the "carpal tunnel" formed by the carpal bones an...[Read More] Understanding Hand Numbness: Causes and Solutions for Beverage Workers
Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Oral and throat issues? Hello Doctor, I would like to consult you. I have difficulty describing the exact location of my symptoms, but I will try to explain. For the past few months, the area around my uvula and the posterior pharyngeal wall (below the nasopharynx) has been in a ...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You have many symptoms that seem to be related to gastroesophageal reflux disease (GERD) or sleep apnea. I wonder if you have any issues with metabolic syndrome? From a neurological perspective, I recommend improving autonomic nervous system function to regulate ga...[Read More] Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Hello Doctor: Recently, I have been experiencing muscle twitching all over my body at irregular times for nearly a month. It tends to occur when I lie down, change positions, or sneeze, with the most common areas being my left chest, back, and abdomen, followed b...
Dr. Jiang Junyi Reply:
Hello, Sir: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while t...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Eye Twitching: Causes and When to Seek Help
Left eyelid twitching or spasms? Hello Dr. Jiang, Since July of last year, I have been experiencing twitching in my left lower eyelid. Initially, it was just the eyelid twitching, but it later developed into a pulling sensation in the skin around my left eye. I have consulted th...
Dr. Jiang Junyi Reply:
Hello Mr. Chang: Your symptoms may suggest blepharospasm. The majority of cases have unknown causes, and it is more common in females, approximately three times more than in males. Common causes include dry eye syndrome, high levels of stress, eye inflammation, light sensitivity,...[Read More] Understanding Eye Twitching: Causes and When to Seek Help