Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Is it related to sleeping posture, cervical spine issues, or vascular problems? Hello, Dr. Jiang. 1. The first issue is a problem that has existed for many years. I often experience numbness in the fingers of both hands while riding a motorcycle. It doesn't always happen i...
Dr. Jiang Junyi Reply:
Hello Mr. Chang, It seems that there are four issues based on your description: 1. Carpal tunnel syndrome may need to be considered. 2. Cubital tunnel syndrome may also need to be considered. 3. Cervical spine degeneration causing nerve root compression may be a possibility. 4...[Read More] Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Muscle Twitches and Toe Pain: Understanding Neurological Symptoms
Involuntary muscle twitching and tingling in the toes? Hello Doctor, for the past two months, I have frequently experienced involuntary muscle twitching, occurring at least once a day, usually concentrated in my left chest area, and sometimes in my upper arm. When I touch the are...
Dr. Jiang Junyi Reply:
Hello Ms. H: The current pandemic situation is relatively stable, and it is advisable to seek medical attention. 1. Is there a possible connection between these two symptoms? One is related to movement, and the other is a sensory manifestation. Peripheral nerve issues may need to...[Read More] Muscle Twitches and Toe Pain: Understanding Neurological Symptoms
Understanding Occipital Pressure and Numbness: Causes and Concerns
Numbness in the back of the head? Hello Doctor: Recently, for the past two to three days, I have been experiencing a sensation of pressure and numbness in the back of my head. During these episodes, my blood pressure readings have been around 115-130/80-100 (my diastolic pressure...
Dr. Jiang Junyi Reply:
Hello, Sir: Your head injury occurred more than six months ago, and its relevance is relatively low. Your symptoms may suggest cervical myofascial pain syndrome, which can present with pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in w...[Read More] Understanding Occipital Pressure and Numbness: Causes and Concerns
Unexplained Head Tremors: When to See a Neurologist for Evaluation
Involuntary head shaking? Hello Doctor, I’m not sure when it started (maybe two or three years ago), but I’ve noticed that my mother (62 years old) has been experiencing slight involuntary head shaking, a very subtle side-to-side movement that is visible to the naked eye. I’m won...
Dr. Cai Zongzhang Reply:
Hello Heidi! It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Unexplained Head Tremors: When to See a Neurologist for Evaluation
Understanding Facial Pain and Tension: Anxiety's Impact on Nerve Health
Anxiety and tension can cause bilateral facial discomfort near the mouth, presenting as tingling, numbness, tightness, and occasional twitching? Recently, due to some issues at home, I often feel easily tense. When I am tense, I experience symptoms such as rapid heartbeat, chest ...
Dr. Jiang Junyi Reply:
Dear Mr. Chiu, The symptoms you mentioned may be related to hyperventilation, which can lead to decreased carbon dioxide levels in the blood, resulting in an increased pH and systemic reactions and symptoms. Common manifestations include vasoconstriction and decreased calcium le...[Read More] Understanding Facial Pain and Tension: Anxiety's Impact on Nerve Health
Understanding Muscle Twitches and Pain: Is It Carpal Tunnel Syndrome?
Muscle issues Hello Doctor, a few days ago I asked about muscle twitching. Recently, I bought calcium effervescent tablets to drink, and the muscle spasms have improved somewhat, but they still occur frequently. How many days will it take to fully resolve? Additionally, in the pa...
Dr. Jiang Junyi Reply:
Hello: You mentioned carpal tunnel syndrome. Clinically, symptoms such as numbness and pain can occur in the sensory distribution area innervated by the median nerve. These symptoms often worsen at night, sometimes causing awakening due to pain. Numbness and pain may temporarily ...[Read More] Understanding Muscle Twitches and Pain: Is It Carpal Tunnel Syndrome?
Understanding Neuropathic Pain Treatment: Comparing Medications and Risks
Treatment of neuropathic pain Hello Doctor: I recently visited a urologist due to penile pain, but after taking multiple antibiotics without improvement and experiencing severe pain, the urologist believes I may have neuropathic pain. A neurologist also mentioned that this condit...
Dr. Jiang Junyi Reply:
Hello Peter, Rivotril, Neurontin, and Lyrica have different mechanisms of action and different criteria for insurance coverage. Rivotril does not have a significant analgesic effect but can reduce muscle tension and alleviate emotional distress; it is commonly used for restless ...[Read More] Understanding Neuropathic Pain Treatment: Comparing Medications and Risks
Understanding Upper Back Numbness and Burning Sensation: Possible Causes and Next Steps
Numbness, tingling, and a burning sensation in the back? Hello, Doctor. Since the end of June, I have been experiencing a tingling sensation in my upper left back (around the area of the "Gao Huang" point), similar to a mild electric current. Gradually, by the evening, ...
Dr. Jiang Junyi Reply:
Dear Ms. Cherry, Your symptoms may suggest cervical radiculopathy. Prolonged periods of looking down can lead to overuse of the trapezius muscles in the neck, resulting in neck and shoulder pain. Initially, resting may alleviate the pain, but over time it can worsen and affect y...[Read More] Understanding Upper Back Numbness and Burning Sensation: Possible Causes and Next Steps
Understanding Parkinson's Disease: Treatment, Symptoms, and Future Insights
Parkinson's disease issues? Dear Dr. Jiang, I previously consulted you regarding my father's hand tremors. After he underwent examinations at the hospital, the doctor diagnosed him with early-stage Parkinson's disease. The dopamine transporter scan revealed an ora...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Hui, Regarding your concerns about your father's future, it is indeed difficult to address each question individually. However, the key point is to avoid the apoptosis of dopamine neurons. In addition to medication, certain neuroprotective dietary options can...[Read More] Understanding Parkinson's Disease: Treatment, Symptoms, and Future Insights
Understanding Sleep-Related Limb Pain: Causes and Solutions
Nerve pain during sleep? Hello doctor, I have noticed that my limbs experience cramping pain when trying to fall asleep over the past two days. The day before yesterday, it was my right calf, and last night it was my left thigh. I would like to inquire about what this condition m...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest "hypnic jerks." 1. Due to insufficient sleep, your body may enter the REM phase prematurely: This can occur when you are overly fatigued or have irregular sleep patterns, as your brain has entered the sleep cycle but your body has ...[Read More] Understanding Sleep-Related Limb Pain: Causes and Solutions
Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
I'm not sure where the problem lies? Hello, doctor! For the past 6-7 years, I have been experiencing 1. persistent stiffness in my neck and shoulders. Whenever this stiffness occurs, I feel a pressure in my temples and forehead, as if a rope is tied around or gripping me, fo...
Dr. Jiang Junyi Reply:
Dear Mr. QQ, I am unsure if you have metabolic syndrome (characterized by abdominal obesity, hypertension, elevated fasting blood glucose, and high lipid levels). If you do, you may be at high risk for cardiovascular diseases. You mentioned several issues that seem related to me...[Read More] Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
Understanding Symptoms of Dizziness and Head Pressure: When to Seek Medical Help
Feeling heavy-headed with a light feeling in the legs, accompanied by dizziness? Hello Doctor, my symptoms include dizziness, a feeling of pressure in my head, a heavy head with light legs, and slowed visual perception (when I turn my gaze from point A to point B, there is a sens...
Dr. Jiang Junyi Reply:
Hello, Sir: Your symptoms may suggest a vascular headache issue, specifically "dizziness and head fullness." This is particularly relevant for migraines. Basilar-type migraine, also known as basilar migraine or vertebrobasilar migraine, is a specific type of migraine. I...[Read More] Understanding Symptoms of Dizziness and Head Pressure: When to Seek Medical Help
Understanding Body Tremors When Rising: Causes and Concerns
Whole-body tremors when rising from a sitting or lying position? The frequency of episodes is very low, occurring about two to three times a year. I often experience dizziness and blackouts after squatting or sitting, but I can still manage to stand steadily until the blackout en...
Dr. Jiang Junyi Reply:
Hello, Ms. Jiu: Your symptoms may suggest a concern regarding syncope. The most common causes are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitioning from a supi...[Read More] Understanding Body Tremors When Rising: Causes and Concerns
Understanding Dizziness and Headaches: Insights into Neurological Disorders
Headache and dizziness? About a year ago, I started experiencing dizziness, but a few months ago, the dizziness began to be accompanied by severe shaking in my arms. However, the shaking stops as soon as the dizziness subsides. Sometimes, when I feel dizzy, my vision suddenly goe...
Dr. Jiang Junyi Reply:
Dear Ms. Hsu, Your symptoms may suggest a consideration of syncope. The most common causes include reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. This can also happen when transitioning from a...[Read More] Understanding Dizziness and Headaches: Insights into Neurological Disorders
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary movements? In the past two weeks, I have been experiencing muscle twitching in various parts of my body, which sometimes affects my work. Is this a symptom of calcium deficiency? However, I do not have insomnia; instead, I often feel sleepy in the mornings. I haven&#x...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: If your symptoms involve muscle twitching while awake, it may be necessary to consider some metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Certain stimulants, such as caffeine, may also exacerbate muscle twitching during wakefulness. I rec...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding ICH: Recovery Insights for a 65-Year-Old with High Blood Pressure
Intracerebral hemorrhage (ICH) with bleeding on the left side? Hello, my mother is 65 years old and has a history of hypertension. She secretly stopped taking her medication. One night, she reported numbness in her hand, and on the evening of July 30, she was urgently taken to th...
Dr. Jiang Junyi Reply:
Dear Ms. Hanna, 1. I would like to ask, given my mother's condition, is a blood clot larger than 30mm in the left basal ganglia considered severe in the context of cerebral hemorrhage? A: The severity depends not only on the size of the clot but also on its location. If the...[Read More] Understanding ICH: Recovery Insights for a 65-Year-Old with High Blood Pressure
Understanding Parkinson's Disease: Treatment, Symptoms, and Future Research
Parkinson's disease issues? Dear Dr. Jiang, I previously consulted you about the issue of hand tremors. After my father underwent examination at the hospital, the doctor diagnosed him with early-stage Parkinson's disease. The dopamine transporter scan revealed an orang...
Dr. Jiang Junyi Reply:
Hello, Regarding the treatment of Parkinson's disease, it is usually related to the patient's lifestyle needs, and many patients in clinical practice do not achieve complete symptom relief. It is recommended to focus on your father's health information to reduce ...[Read More] Understanding Parkinson's Disease: Treatment, Symptoms, and Future Research
Morning Hand Pain: Understanding Stiffness and Discomfort in Pinky Joints
In the morning upon waking, there is pain, stiffness, and tightness in the joints where the little fingers connect to the palms? Hello, Doctor. Since mid-June of this year, I have been experiencing tightness and pain in the joints connecting the little fingers to the palms of bot...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest bilateral ulnar nerve compression. It could also be caused by thoracic nerve root compression. If the nerve compression leads to peripheral neuropathy, the following characteristics may be present: 1. Pain with a burning or electric shock-li...[Read More] Morning Hand Pain: Understanding Stiffness and Discomfort in Pinky Joints
Left-Side Numbness and Dizziness: Understanding Neurological Concerns
Numbness on the left side and dizziness? In the past two to three days, I've been experiencing a tingling and aching sensation in my left palm, arm, back, and rib area. My jaw also feels a bit unusual and uncomfortable, which I can't quite describe. For the past month, ...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may be indicative of cervical nerve root compression. If the nerve compression leads to peripheral neuropathy, the following characteristics may be present: 1. Pain with a burning or electric shock-like quality. 2. Symptoms with a specific dermatomal di...[Read More] Left-Side Numbness and Dizziness: Understanding Neurological Concerns
Understanding Nighttime Headaches: Causes and Concerns After Vaccination
The headache has persisted for several days and is causing nighttime awakenings? I received the vaccine on July 23, 2021, and started experiencing side effects the next day, including headaches and muscle and joint pain. However, aside from headaches and dizziness, I returned to ...
Dr. Jiang Junyi Reply:
Hello, sir: May I ask if you received the AZ vaccine? The adverse reaction of thrombosis associated with the AZ vaccine is currently referred to as VITT (Vaccine-induced immune thrombotic thrombocytopenia). The incidence rate is approximately 1 in 10,000 in Europe. It typically o...[Read More] Understanding Nighttime Headaches: Causes and Concerns After Vaccination