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 Heat Sensation in the Back of the Head: Causes and Solutions
Heat sensation in the back of the head? Recently, I have been frequently experiencing a sensation of heat at the back of my head, sometimes at the crown as well. This occurs whether I am outdoors in the heat or indoors in an air-conditioned room. I am unsure what the cause might ...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Hsuan, You mentioned experiencing a sensation of heat in your scalp, sometimes at the back of your head and other times at the top. This may indicate cervical myofascial pain syndrome, which can present with symptoms such as pain, discomfort, muscle stiffness, or...[Read More] Understanding Heat Sensation in the Back of the Head: Causes and Solutions
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 Morning Eye Muscle Numbness: Causes and Insights
Waking up with a tingling sensation in the muscles at the corners of the eyes? Dr. Jiang, in the past two days, has experienced a tingling sensation in the muscles at the back of his eyes upon waking, but his vision seems to be unaffected. What could this phenomenon be? I kindly ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the muscles at the back of the eyes feel numb, but vision seems to be fine." This may indicate symptoms related to the trigeminal nerve... facial sensation. Normal vision could suggest that there are no abnormalities with the optic nerve. It i...[Read More] Understanding Morning Eye Muscle Numbness: Causes and Insights
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 Perceptual Disturbances in Children After Gastroenteritis
Surrounding speed increases? The child is currently 10 years old. On June 12, he was diagnosed with gastroenteritis due to fever and vomiting. During the week of rest and medication for the fever, he experienced sensations of others speaking faster or moving more quickly, as well...
Dr. Jiang Junyi Reply:
Hello Emily: You mentioned that "during the week of fever and vomiting confirming gastroenteritis, there were 1-2 instances where I felt that others were speaking faster." This may need to be considered as drug-induced extrapyramidal symptoms, specifically Akathisia, wh...[Read More] Understanding Perceptual Disturbances in Children After Gastroenteritis
Unexplained Weakness: Understanding Sudden Fatigue and Possible Causes
Sudden onset of generalized weakness ~ waiting for the ambulance ~ the body returns to normal ~ a troubling mystery illness? Hello, Dr. Jiang. My symptoms are as follows: I often experience sudden, generalized weakness without warning, lasting about 10 to 30 minutes each time. Re...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned feeling "generalized weakness... resting and lying down feels better." Your symptoms are more indicative of insufficient cerebral blood flow, leading to symptoms similar to syncope. A "tilt table test" can be used to diagnose vaso...[Read More] Unexplained Weakness: Understanding Sudden Fatigue and Possible Causes
Understanding Muscle Atrophy and Polyneuropathy: Causes and Concerns
Muscle atrophy and polyneuropathy? Hello, Dr. Jiang! Recently, I noticed a depression and atrophy in my left upper arm. However, aside from a slight soreness when I extend my arm backward, there are no other symptoms. I then went to a neurology clinic for an examination, where th...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may suggest a consideration of "brachial plexus injury... and polyneuropathy" for clinical diagnosis. In addition to physical examination, it is usually necessary to conduct peripheral nerve assessments. Peripheral nerve evaluations utilize...[Read More] Understanding Muscle Atrophy and Polyneuropathy: 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
Sudden Loss of Feeling in Left Leg Upon Waking: What Could It Mean?
Suddenly feeling numbness in the left leg upon waking up and then falling? Hello, doctor. I am a 16-year-old high school student. This morning when I got up, I suddenly fell to the floor and was unable to stand up immediately; it took me a few seconds to slowly get back on my fee...
Dr. Hong Weibin Reply:
Hello: If this has only happened once, you can observe and rest well; usually, the symptoms can improve. However, if it occurs frequently within the next 1-2 weeks, it is recommended that you go directly to the hospital to seek assistance from a neurologist, who will arrange for ...[Read More] Sudden Loss of Feeling in Left Leg Upon Waking: What Could It Mean?
Understanding Proximal Limb Pain and Tremors: Possible Neurological Issues
Numbness and tingling in the hands and feet may occur along with tremors? Hello, doctor. I would like to ask what could be causing proximal limb pain. In addition to the pain, my mobility is slightly affected; sometimes, after walking a little, my legs start to shake uncontrollab...
Dr. Jiang Junyi Reply:
Dear Ms. Winnie, You mentioned, "What could be the cause of proximal limb pain? Besides the pain, the symptoms slightly affect my mobility, and sometimes after walking a bit, my legs tremble uncontrollably." Your symptoms may indicate not only muscle pathology but also...[Read More] Understanding Proximal Limb Pain and Tremors: Possible Neurological Issues
Understanding Proximal Limb Pain and Tremors: Possible Causes and Solutions
Numbness and tingling in the hands and feet may occur along with tremors? Hello, doctor. I would like to ask what could be the possible issues causing proximal limb pain. In addition to the pain, my mobility is slightly affected; sometimes when I walk a little, my legs start to s...
Dr. Jiang Junyi Reply:
Hello, Miss Winnie: You mentioned, "What could be the cause of proximal limb pain? Besides the pain, my mobility is slightly affected, and sometimes when I walk a little, my legs tremble continuously." Your symptoms may indicate not only muscle pathology but also a pot...[Read More] Understanding Proximal Limb Pain and Tremors: Possible Causes and Solutions
Understanding Persistent Hand Numbness: Causes and Treatment Options
The issue of hand numbness has persisted for nearly a year without improvement? Hello, doctor. I work in the food service industry and frequently use my hands. I often experience numbness in my hands when lifting heavy objects. My dominant left hand often wakes me up at night due...
Dr. Jiang Junyi Reply:
Dear Ms. Chien, You mentioned, "What other methods can be used to determine the underlying cause of my hand numbness? Could it be related to my neck?" Common symptoms of peripheral nerve compression include pain, numbness, and weakness. Peripheral nerve examinations ca...[Read More] Understanding Persistent Hand Numbness: Causes and Treatment Options
Understanding Neuromyelitis Optica: Symptoms, Relapse, and Management
Neuromyelitis optica spectrum disorder (NMOSD) Two years ago, my mother was first diagnosed with neuromyelitis optica spectrum disorder (NMOSD). She has been managing her condition with corticosteroids and immunosuppressants, and there have been no relapses during this time. Howe...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Chi, You mentioned that your mother has some time until her next follow-up appointment and asked whether she should go to the emergency department. Can the emergency department quickly check if there is a relapse? How can we determine if there is a relapse? Is bl...[Read More] Understanding Neuromyelitis Optica: Symptoms, Relapse, and Management
Understanding Neck and Shoulder Pain: Symptoms and Solutions
I don't know what illness I have? Hello Doctor, I often use electronic devices and tend to look down and slouch, which has led to stiffness in my neck and shoulders. I sometimes feel a bit dizzy while sitting, and I experience tightness and pain around my shoulder blades. Oc...
Dr. Jiang Junyi Reply:
Hello, You mentioned experiencing tightness and pain in the area around your shoulder blades, occasional instability while walking, and a feeling of swelling and stiffness in your forearms. Your symptoms may be indicative of myofascial pain syndrome caused by cervical spine iss...[Read More] Understanding Neck and Shoulder Pain: Symptoms and Solutions
Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Long-term liver function abnormalities and bronchial sensitivity have recently led to increased ear ringing and worsening headaches? Hello, Doctor. Here is a summary of my pre-existing conditions and the issues that have arisen this past week. I have been a carrier of hepatitis B...
Dr. Jiang Junyi Reply:
Dear Miss Chiu, You mentioned that "the frequency of the popping sound in my left ear has decreased, but there are sudden sharp pains on the right side of my head, which are not the usual occasional dull aches. The pain is severe enough to furrow my brow and make my express...[Read More] Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Understanding Neurological Symptoms: From Limb Weakness to Dizziness
Weakness and soreness in the limbs, unilateral symptoms progressing to bilateral, along with headache, dizziness, and nausea? Hello, doctor. I will first describe my medical history. At the end of May, I experienced a severe impact on the left side of my left knee, so on May 26, ...
Dr. Jiang Junyi Reply:
Dear Mr. Xiao Wu, You mentioned "1. axonal motor neuropathy in the left peroneal nerve; 2. demyelinating motor neuropathy in the left tibial nerve." These results indicate that there is neuropathy affecting the motor nerves in your left lower limb. However, they do not...[Read More] Understanding Neurological Symptoms: From Limb Weakness to Dizziness