Understanding Lower Back Nerve Pain: When to Seek Medical Help
Lumbar radiculopathy Recently, I have been experiencing nerve pain in my lower back, which has occurred three times (approximately every 2-3 weeks). During these episodes, I feel restless and uncomfortable. After the episodes, I experience low-grade fever, and shortly thereafter,...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider symptoms related to nerve compression due to a herniated disc, which may cause localized inflammatory responses leading to back pain, as well as nerve root compression resulting in numbness and tingling extending to on...[Read More] Understanding Lower Back Nerve Pain: When to Seek Medical Help
Understanding and Managing Chronic Calf Pain: Causes and Solutions
Calf pain Hello doctor, I have had sudden calf pain since childhood. It used to occur mostly at night while I was sleeping, causing such intense pain that I couldn't sleep, or waking me up from sleep. The pain would last anywhere from half an hour to several hours. However, ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider calf muscle cramps caused by lactic acid accumulation. Additionally, symptoms may arise from poor venous return in the lower extremities, with primary causes including slow blood flow and hematological disorders. I...[Read More] Understanding and Managing Chronic Calf Pain: Causes and Solutions
Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Discomfort after consuming certain foods? Hello, doctor. I am 29 years old, and I started experiencing abnormal symptoms around February of last year (2019). Initially, I had difficulty breathing when lying down, feeling as if I couldn't catch my breath. I went to a clinic, ...
Dr. Hong Weibin Reply:
Hello: If all test results show no abnormalities, it is possible that there are no specific physiological issues. It is important to consider psychological, environmental, and stress-related factors. You may want to seek further evaluation and assistance from a psychiatrist. Wish...[Read More] Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Understanding Lip Tremors: Causes and When to Seek Medical Advice
Trembling of the lower lip? Hello Dr. Jiang, my mother (65 years old) has been experiencing occasional tremors in her lower lip over the past two months, which she is not aware of. She has not had this issue before. In May of this year, she developed urticaria and was on corticos...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider essential tremor. If it does not affect your daily life, medication treatment is not required. The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremo...[Read More] Understanding Lip Tremors: Causes and When to Seek Medical Advice
Understanding Right Side Lower Back Numbness: Causes and Treatment Options
Numbness in the right lower abdomen (right side of the navel)? Hello, doctor. I have been experiencing numbness in my right lower back for five days. It goes away for a while when I scratch it, but the numb sensation comes back intermittently. I realized that the day before the n...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to a lumbar disc herniation. Symptoms often worsen with coughing or sneezing, which can exacerbate nerve root pain. A disc protruding posteriorly or posterolaterally can compress the nerve roots, leading to clinical s...[Read More] Understanding Right Side Lower Back Numbness: Causes and Treatment Options
Understanding Neck Pain After a Fall: When to Seek Medical Attention
Neck pain Hello doctor, I slipped in the bathroom the day before yesterday and hit the back of my head on the threshold. That night, I noticed that when lying down, lifting my neck caused some pain and tightness. It has persisted until today; turning my head slightly to the left ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms seem more like a neck muscle strain. Regarding intracranial hemorrhage, if there is no loss of consciousness, no anticoagulant use, or obvious local hematoma, head trauma is mostly mild. However, consider delayed bleeding and seek e...[Read More] Understanding Neck Pain After a Fall: When to Seek Medical Attention
Persistent High-Pitched Tinnitus at Night: Seeking Further Medical Advice
When lying down to sleep at night, there is a high-frequency tinnitus in the right ear? Hello, Doctor: When I lie down on my right side at night, I experience a high-pitched ringing in my right ear that lasts until morning, but it disappears shortly after I get up. Therefore, I u...
Dr. Hong Weibin Reply:
Hello: You can visit the neurology outpatient clinic nearby, where a physician will examine you. Wishing you a speedy recovery.[Read More] Persistent High-Pitched Tinnitus at Night: Seeking Further Medical Advice
Understanding Heel Walking and Toe Lift Issues After a Motorcycle Accident
Walking on the heels (unable to lift the toes of the right foot)? Hello Doctor: Three years ago, I fell off my motorcycle and injured my lower back. Now, when I walk, I can lift the toes of my left foot, but I cannot lift the toes of my right foot. Could this be due to nerve comp...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for leg weakness, such as muscle atrophy and lumbar nerve compression, which need to be evaluated. Your symptoms may suggest peroneal nerve dysfunction, one of the most common localized neuropathies in the lower ex...[Read More] Understanding Heel Walking and Toe Lift Issues After a Motorcycle Accident
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle twitching? Hello Doctor: Recently, I have been experiencing involuntary muscle twitching in my left thigh quite frequently over the past week. Aside from this, I have not experienced any other discomfort, and it does not affect my normal daily activities. I hav...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, which can also occur as a result of sudden injuries, such as twisting the waist suddenly, bending to lift heavy objects, or experiencing excessive force, for e...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Numbness and Burning Sensation in the Back
Numbness and burning sensation in the back? Hello, doctor. This morning when I went to work, I felt numbness and a burning sensation in my back, which extended up to my shoulders, with more pronounced numbness on the right shoulder. Could this be related to the fact that I'v...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, primarily symptoms occurring at the C5-C6 vertebrae. External factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rotation can l...[Read More] Understanding Numbness and Burning Sensation in the Back
Understanding Allodynia: When Touch Causes Pain and What to Do
Pain upon touch (tactile allodynia) Hello, doctor. I have a problem that has been bothering me for a long time, but I don't know which specialist to consult. Sometimes, certain areas of my body (arms, abdomen, lower back, thighs, and calves) suddenly become very painful when...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems less likely to be an autonomic nervous system issue. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the accelerator and the other as the brake. The sympathet...[Read More] Understanding Allodynia: When Touch Causes Pain and What to Do
Muscle Twitches and Anxiety: Understanding Your Symptoms
Muscle twitching seems to be related to anxiety? Hello doctor, I have been experiencing muscle twitching for over three months, but this week it has significantly decreased to about three to five times an hour, with each twitch lasting one to two seconds. The affected areas are m...
Dr. Jiang Junyi Reply:
Hello: I suggest that you consider consulting a psychologist first, as many symptoms are related to autonomic nervous system instability. Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, with one acting as the a...[Read More] Muscle Twitches and Anxiety: Understanding Your Symptoms
Understanding Spontaneous Intracranial Hypotension and Hearing Issues
Suspected spontaneous intracranial hypotension headache causing hearing issues? Hello Doctor, thank you for your response. Background information: 1. Normal weight, no hypertension. I have never had headaches in my life. 2. In 2016, I was hit from behind by a motorcycle. There wa...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indeed raise a high suspicion of intracranial hypotension headache. The treatment for this condition primarily involves identifying the location of the cerebrospinal fluid leak and applying a blood patch to "seal the hole." Considering your relative...[Read More] Understanding Spontaneous Intracranial Hypotension and Hearing Issues
Understanding Muscle Twitches: Causes, Treatments, and Concerns
Muscle twitching Hello Doctor, I have been experiencing intermittent muscle twitching for two months now, feeling it several times a day. The twitches last about 2 seconds each and are not localized, mostly occurring in my feet, abdomen, shoulders, buttocks, and knees, with more ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "stretching causes a slight tingling sensation in the soles of the feet, which is quite uncomfortable." This may indicate symptoms caused by compression of the spinal nerve roots by surrounding tissues. It is advisable to visit a neurology clin...[Read More] Understanding Muscle Twitches: Causes, Treatments, and Concerns
Understanding Pulsations in the Back of the Head: Is It Normal?
Pulsation of the blood vessels at the back of the head? Doctor, I would like to ask you about something. Recently, I have been looking down at my phone for a long time and became very focused on it. Suddenly, I felt a pulsing sensation at the back of my head, which I believe is r...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered. Symptoms may include pain, discomfort, muscle stiffness, a feeling of heaviness, and muscle twitching when the muscles are tense. Symptoms may worsen with changes in weather and can be allev...[Read More] Understanding Pulsations in the Back of the Head: Is It Normal?
Understanding Cervical Spine Issues and Their Impact on Health
Consultation on cervical spine and related issues? Hello Dr. Jiang, I have been experiencing significant discomfort in my neck recently, so I came to seek your advice. Last week, due to a month-long episode of dizziness and lightheadedness, I visited Chang Gung Memorial Hospital ...
Dr. Jiang Junyi Reply:
Hello: 1. Is there really a concept of congenital straight cervical spine? It seems that there are differing opinions between neurologists and orthopedic doctors. 2. If there is indeed a congenital straight cervical spine, would it affect muscle stiffness? I have noticed that ...[Read More] Understanding Cervical Spine Issues and Their Impact on Health
Understanding Ankle Burning Sensation: Causes and Treatment Options
Burning sensation in the ankle? Hello Dr. Jiang, recently I have been experiencing an unexplained burning sensation on the outer side of my left ankle, which occurs many times a day. Besides that, I do not feel any soreness or pain, and the skin appears normal. I have been joggin...
Dr. Jiang Junyi Reply:
Hello, based on your description: it may be necessary to consider symptoms of nerve root compression due to intervertebral disc herniation, particularly in the distribution areas of the lumbar nerve roots L4 and L5. Disc herniation can also occur due to sudden injuries, such as t...[Read More] Understanding Ankle Burning Sensation: Causes and Treatment Options
Understanding Postherpetic Neuralgia: Your Questions Answered
Postherpetic neuralgia Hello Doctor, I initially thought my back pain was just that, so I applied a pain relief patch. However, I developed a rash and assumed it was a drug rash. To my surprise, after visiting a dermatologist, I was diagnosed with shingles. I had many questions a...
Dr. Jiang Junyi Reply:
Hello: You mentioned that it took about four days from the onset of back pain to diagnosis and medication (you sought medical attention the day after the rash appeared), which means it was over 72 hours before medication was administered. Will this lead to complications such as n...[Read More] Understanding Postherpetic Neuralgia: Your Questions Answered
Understanding Body Tingling: Causes and When to See a Neurologist
Tingling sensation in the body (more pronounced in the fingers)? Hello Doctor, a few nights ago I experienced a tingling sensation in my fingers while I was asleep, without any pressure or injury. When I woke up, the tingling sensation in my fingers persisted, although it had les...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more commonly the result of hyperventilation syndrome, which leads to a decrease in carbon dioxide levels in the blood, causing an increase in pH and resulting in systemic reactions and symptoms. Common manifestations include vasoconstriction and hypocalc...[Read More] Understanding Body Tingling: Causes and When to See a Neurologist
Understanding Muscle Twitching: Causes and Concerns in Young Adults
Involuntary muscle twitching at irregular locations? Hello Doctor, about a month ago, I started experiencing twitching in my right eye bag and my left calf. After an EEG, the doctor said it was normal, so my family suggested I get blood tests for thyroid function. I might be over...
Dr. Hong Weibin Reply:
Hello: If you experience visible persistent muscle twitching and pain, you can seek assistance from a neurologist to determine if an electromyography (EMG) is necessary. Muscle twitching can have many causes that require differential diagnosis, and not all causes are as alarming ...[Read More] Understanding Muscle Twitching: Causes and Concerns in Young Adults