Understanding Sudden Hand Numbness: Causes and When to Seek Help
Sudden unexplained hand numbness? Hello Dr. Jiang, I would like to briefly describe my physical condition. I am 158 cm tall and weigh 58 kg, with an average build. I have never had any blood pressure issues, but in the past week or two, I have experienced intermittent numbness i...
Dr. Jiang Junyi Reply:
Dear Miss Zhenzhen, Your symptoms may suggest peripheral nerve involvement. Your cardiovascular disease risk is relatively low. It may be worth considering compression of the nerve roots at the seventh cervical or first thoracic vertebrae. If the peripheral neuropathy is due to ...[Read More] Understanding Sudden Hand Numbness: Causes and When to Seek Help
Understanding Sleep Paralysis: Causes, Symptoms, and Solutions
Sleep paralysis in the morning? Hello, doctor. First, I want to thank you for taking the time to answer my questions despite your busy schedule! As mentioned, I usually go to bed between 11:30 PM and 12:30 AM, but it takes me until almost 1 or 2 AM to fall asleep. Occasionally, I...
Dr. Jiang Junyi Reply:
Dear Ms. Jennifer, Your symptoms may suggest sleep paralysis, as they occur during awakenings in the rapid eye movement (REM) stage of sleep. Sleep paralysis is more common among adolescents and young adults. Individuals in this demographic often experience high levels of stress...[Read More] Understanding Sleep Paralysis: Causes, Symptoms, and Solutions
Understanding Spinal Burning Sensation: Causes and Treatment Options
Burning sensation in the spine? Hello doctor, I have been feeling unwell for the past few days. Last night, I experienced a burning sensation in my left leg, starting from my hip and extending down to my thigh and calf (mainly concentrated in the hip and thigh). When I woke up th...
Dr. Jiang Junyi Reply:
Hello, Miss: The symptoms you mentioned may suggest the possibility of nerve root compression. Pain caused by a herniated disc can have several sources. One of them is mechanical pain, which can occur during daily activities. The theory is that when the annulus fibrosus is damag...[Read More] Understanding Spinal Burning Sensation: Causes and Treatment Options
Understanding Burning Sensation in the Spine: Causes and Solutions
Burning sensation in the spine? Hello Doctor, I haven't been feeling well for the past few days. Last night, I experienced a burning sensation in my left leg, starting from my hip down to my thigh and calf (mainly concentrated in the hip and thigh). This morning, the burning...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: The symptoms you mentioned may suggest the possibility of nerve root compression. If your symptoms persist and progress, it may be necessary to consider some autoimmune diseases. Pain caused by a herniated disc can have several sources, one of which is mechanical ...[Read More] Understanding Burning Sensation in the Spine: Causes and Solutions
Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Dizziness, headache, and tightness and pain in the shoulder and cervical spine? Hello, doctor. I started experiencing severe headaches, dizziness, neck tightness and pain, and numbness in my hands and feet around July of last year. I initially thought it was due to fatigue or hea...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to your original issues, we may need to consider vascular headaches, which could be related to your menstrual cycle. Furthermore, since you mentioned a connection to posture, we should consider "intracranial hypotension headache." The primary sy...[Read More] Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Understanding Pain Near the Ear: Possible Neurological Causes
Pain near the ear? Recently, I have been experiencing pain near my ear, including sharp and stabbing sensations. There is also pain when pressure is applied near the occipital nerve at the back of my head. Additionally, I feel a cool, burning, and tingling sensation in and around...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may suggest a peripheral nerve issue, as you are experiencing tingling sensations. The common cause of neck pain behind the ear is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the ...[Read More] Understanding Pain Near the Ear: Possible Neurological Causes
Understanding Neck Pain and Nerve Twitches: When to Seek Help
Sensation of nerve twitching in the posterior neck? Hello doctor, due to long hours of sitting in the office using a computer, I have been experiencing significant pain in my shoulders and neck. I later went for traditional Chinese massage, but the improvement was only temporary....
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao, The most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but over t...[Read More] Understanding Neck Pain and Nerve Twitches: When to Seek Help
Can Holding Back a Sneeze Cause Brain Damage? Understanding the Risks
Feeling a rush of air towards the back of the head when suppressing a sneeze? While lying on the floor reading, I suddenly felt the urge to sneeze. I held my mouth closed during the sneeze, and I felt a force pushing towards the back of my head. Now, about an hour has passed, and...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms should first consider inflammation of the neck muscles. This is related to overuse of the neck. Regarding your concern about cerebrovascular disease, it can sometimes present clinically as "thunderclap headache." Thunderclap headache is genera...[Read More] Can Holding Back a Sneeze Cause Brain Damage? Understanding the Risks
Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. This week, I have been trying to massage and improve my sleep quality (going to bed around 10:00 PM and waking up at 5:30 AM, waking up once or twice during the night). The muscle twitching in my ...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, In the previous two responses, I believe I have addressed some of your concerns. Nerves require adequate sleep and nutritional support for repair. Fortunately, there are two experts in peripheral nerves at National Taiwan University Hospital—Professors Chih-Chao Y...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Understanding Muscle Issues: Insights from Neurology for Better Health
Muscle issues? Hello Doctor, I am the person who previously inquired about muscle twitching issues. Recently, before my graduation, I visited a physician and mentioned the strange sensation in the muscles on the back of my right hand (which feels odd when I use my arm). I also me...
Dr. Jiang Junyi Reply:
Hello, Sir: Your concern about ALS primarily refers to issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those in the brainstem and spinal cord are called lower motor neurons. ...[Read More] Understanding Muscle Issues: Insights from Neurology for Better Health
Understanding Left Leg Numbness: Causes and When to Seek Help
Numbness in the left big toe? Hello, doctor. In recent months, I have been experiencing frequent pain in my left lower back, as well as occasional pain in my left pelvis and numbness in my left calf. Sometimes the pain is so severe that I cannot stand up straight. I would like to...
Dr. Jiang Junyi Reply:
Hello Ms. Cheng, The symptoms you mentioned may be related to nerve compression caused by posture. A herniated disc can lead to localized inflammatory responses resulting in lower back pain, which may extend to one or both sides of the buttocks or hips. If the herniated disc com...[Read More] Understanding Left Leg Numbness: Causes and When to Seek Help
Understanding Dizziness: Causes, Symptoms, and When to Seek Help
I would like to inquire about issues related to dizziness (vertigo)? Hello Doctor, I experienced dizziness for the first time about two years ago after dining at an all-you-can-eat restaurant. The next day, when I opened my eyes, everything around me was spinning wildly, accomp...
Dr. Jiang Junyi Reply:
Hello, sir: 1. I would like to ask what my symptoms might indicate. Should we consider Meniere's disease if I have auditory abnormalities? 2. If I need to see a doctor, would you recommend a neurologist or an otolaryngologist? If it is not a case of benign paroxysmal positi...[Read More] Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Understanding Ankle Pain and Numbness in Children: A Guide for Parents
Ankle pain. Numbness extending to the hand as well? Hello, Doctor. I apologize for bothering you. My child has been complaining of leg pain since he was four years old. At first, we thought it was growing pains, but after a while, it didn't seem right. When I asked him, he s...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to visit the pediatric neurology department at a medical center.[Read More] Understanding Ankle Pain and Numbness in Children: A Guide for Parents
Understanding Sudden Neck and Head Pain: When to Seek Neurology Help
Headache and neck pain, with the size and intensity of the pain points being consistent? Hello Doctor, thank you for taking the time to address my concerns amidst your busy schedule. Two days ago, while standing and working on a report, I suddenly experienced severe pain below my...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned wanting to know if this is a sign of a blood clot. A: If a blood clot is present, you can check the D-dimer to see if the clotting index has risen. In the case of vertebral artery embolism, it is usually accompanied by symptoms of loss of motor function...[Read More] Understanding Sudden Neck and Head Pain: When to Seek Neurology Help
Understanding Dizziness: Heavy Head and Light Feet Symptoms Explained
Dizziness characterized by a heavy head and light feet? Hello Dr. Jiang, I've been experiencing dizziness for the past two mornings upon waking up. It's a sensation of feeling heavy-headed and light-footed, with the dizziness being most severe when standing, somewhat l...
Dr. Jiang Junyi Reply:
Hello Ms. Cheng, Based on your description, the first consideration for your symptoms is mild heat syncope associated with heat-related illnesses. The primary cause is vasodilation of the skin microvasculature in high-temperature outdoor environments, leading to blood pooling in...[Read More] Understanding Dizziness: Heavy Head and Light Feet Symptoms Explained
Understanding Symptoms of Autonomic Nervous System Dysfunction
I feel like I have autonomic nervous system dysregulation? Since June, I have been experiencing nasal congestion and difficulty breathing. Initially, I was worried about being diagnosed with COVID-19, but I eventually realized that it was just nasal congestion that I hadn't ...
Dr. Jiang Junyi Reply:
Dear Miss Yang, Regarding your issue, we need to first consider the problem of syncope, particularly the experience of "seeing a black screen for over ten seconds before slowly recovering." The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction
Understanding Pulsating Sensation in the Left Occipital Region
Twitching of the muscles near the left ear and occipital region? Hello Doctor, since last Friday night, I have been experiencing a pulsating sensation in the left side of my occiput (just above the left side). It feels similar to an eyelid twitch, but now it is in the back of my ...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Chieh, In this era where everyone uses electronic devices, such issues are relatively common. The most common cause of muscle spasms in the left cervical region is nerve root compression in the cervical spine, leading to muscle tension. Prolonged periods of looki...[Read More] Understanding Pulsating Sensation in the Left Occipital Region
Understanding Persistent Body Rocking: When to Seek Medical Attention
The body is shaking uncontrollably? Hello! I have been experiencing this condition for about a month now, occurring almost daily (over 95% of the time). The duration varies, but the frequency has increased in the past week, with episodes lasting longer, especially noticeable at n...
Dr. Jiang Junyi Reply:
Hello, The symptoms you mentioned may suggest tension-type headache. Tension-type headache is caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the forehead and temples, similar to wearing a tight headband. Since it is caused by m...[Read More] Understanding Persistent Body Rocking: When to Seek Medical Attention
Persistent Headache with Nausea and Fever: When to Seek Further Medical Help
Headache, nausea, and fever? I have been experiencing headaches for over a week. Initially, the pain was not severe, but it has recently intensified. The main location of the pain is at the right back of my head, and I feel a sensation similar to having a fever throughout my body...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, headaches associated with a cold are classified as tension-type headaches. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is ...[Read More] Persistent Headache with Nausea and Fever: When to Seek Further Medical Help
Understanding Possible Drug Allergies: Neurological Symptoms and Treatment Options
Suspected drug allergy Dear Dr. Jiang, I have a few questions regarding my condition. About a month and a half ago, I had a small foreign object penetrate my left foot's fourth toe. During a skin biopsy at the hospital, I was prescribed a topical ointment called "Shipe...
Dr. Jiang Junyi Reply:
Hello David, Regarding the medication allergy you mentioned, particularly with ointments, it is rarely expressed in a neurological manner. Your symptoms may suggest lumbar nerve root compression. A common cause is inflammation resulting from a herniated disc, which can lead to l...[Read More] Understanding Possible Drug Allergies: Neurological Symptoms and Treatment Options