Understanding Muscle Twitches and Weakness: A Neurology Perspective
Weakness in the legs and muscle tremors? Doctor, last week I experienced muscle twitching in multiple areas of my body, so I went to a neurologist for an electroencephalogram, which came back normal. Although the twitching is not very frequent, I sometimes notice significant musc...
Dr. Jiang Junyi Reply:
Hello: The ALS you are concerned about 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 neuro...[Read More] Understanding Muscle Twitches and Weakness: A Neurology Perspective
Chronic Neck Stiffness and Swelling: Seeking Solutions for Persistent Pain
Unilateral neck swelling and tightness, with stiffness in the shoulders and upper back for many years? Hello, doctor. I have been experiencing stiffness and swelling in my right neck for many years. When I turn my head to the right, I feel tightness, and my right eyelid and eyebr...
Dr. Jiang Junyi Reply:
Hello, based on your description, I believe it is essential to first clarify whether there is cervical nerve root compression or cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder dis...[Read More] Chronic Neck Stiffness and Swelling: Seeking Solutions for Persistent Pain
Understanding Upper Body Numbness: Causes and When to Seek Help
Numbness in the upper body? Hello doctor, last night while sitting, I suddenly experienced numbness that radiated from my spine in the back of my chest to my hands and the muscles in my face below my eyes. During the numbness, both my hands and face were able to move freely, but ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are more indicative of hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in "respiratory alkalosis," which can cause systemic reactions and symptoms. Common manifestation...[Read More] Understanding Upper Body Numbness: Causes and When to Seek Help
Understanding Prolonged Muscle Tremors: Causes and Concerns
Muscle twitching has been persistent for a long time? Hello Doctor, last week I experienced some hand numbness, hand tremors, and unusual hyperactivity. Since my family has a history of thyroid issues, I underwent an ultrasound and blood tests. The results came back normal, but I...
Dr. Hong Weibin Reply:
Hello: Muscle twitching involves many factors to consider in neurology, including electrolyte imbalances, metabolic disorders, muscle diseases, neuropathies, or excessive tension, among others. It is recommended that you consult a neurologist specializing in muscle disorders for ...[Read More] Understanding Prolonged Muscle Tremors: Causes and Concerns
Severe Headaches: Understanding Causes and Seeking the Right Specialist
Severe headache? Hello, doctor. I am a patient with hypertension. I know that high blood pressure can cause headaches. However, in addition to experiencing headaches when my blood pressure is high, I also experience severe pain in the back of my head when riding a motorcycle over...
Dr. Cai Zongzhang Reply:
Hello, it is recommended that you seek further follow-up diagnosis and treatment from a neurosurgeon or neurologist.[Read More] Severe Headaches: Understanding Causes and Seeking the Right Specialist
Understanding Head Pain: Symptoms and When to Seek Help
Headache issues Hello Doctor, I have been experiencing pain in the back of my head, dizziness, nausea, memory issues, and tinnitus recently. I visited a clinic where the doctor examined my ears and blood pressure, both of which were normal. The doctor suggested that it might be a...
Dr. Cai Zongzhang Reply:
Hello, both physiological and psychological factors can contribute to headaches. It is recommended that you relax and maintain a regular routine. If the headache does not improve, it is advisable to consult a neurologist.[Read More] Understanding Head Pain: Symptoms and When to Seek Help
Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
Involuntary twitching of the eyes and a feeling of weakness in the limbs? Hello Doctor, Two weeks ago, I started experiencing twitching in the area under my right eye, which has continued until now. A few days later, I noticed frequent twitching in the back of my left foot and ...
Dr. Cai Zongzhang Reply:
Hello, you have many concerns about your symptoms. You have undergone relevant examinations, and it is recommended that you follow up with your physician based on the test results. Until a diagnosis is confirmed, try to relax and not let worry affect your mood.[Read More] Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
Understanding Occipital Pain and Nosebleeds After Sneezing
Occipital headache? Recently, every time I sneeze, I experience a nosebleed accompanied by pain in the back of my head, affecting both sides. The pain lasts about 5 to 10 minutes each time. However, I do not have symptoms like dizziness or nausea; it is just the pain in the back ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest sinusitis or lesions in the nasopharynx. The locations of the sinuses are as follows: Maxillary sinus: This is the largest sinus, located on the lateral side of the nasal cavity, beneath the eyeball. Ethmoid sinus: Located between the two eye s...[Read More] Understanding Occipital Pain and Nosebleeds After Sneezing
Understanding Leg Numbness After Back and Hip Injuries
Numbness in the lower leg below the knee? Dear Dr. Jiang Junyi, Symptoms: Four days ago, I was accidentally knocked down by a metal door that fell on my lower back. At that moment, I got up and felt fine. Two days ago, while lifting heavy objects, I experienced a similar strain ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of sciatic nerve compression due to a herniated disc. A herniated disc can also occur due to sudden injuries, such as twisting the waist suddenly, bending to lift heavy objects, or experiencing excessive f...[Read More] Understanding Leg Numbness After Back and Hip Injuries
Understanding Leg and Buttock Numbness After Back Injury: Key Insights
Numbness in the calf extending to the thigh with a tingling sensation in the right posterior hip? Hello, Dr. Jiang. Six days ago, I was knocked down by a wind-blown iron gate, which impacted my lower back. At that time, there was no significant injury. Four days ago, I lifted a h...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of sciatica due to intervertebral disc compression. A herniated disc can also occur due to sudden injuries, such as twisting the waist suddenly, bending to lift heavy objects, or experiencing excessive for...[Read More] Understanding Leg and Buttock Numbness After Back Injury: Key Insights
Understanding Head, Eye, and Tooth Pain: Neurological Insights
Pain in the back of the head, pain around the eyes, and toothache? Hello Dr. Jiang: I am 25 years old and have recently experienced intermittent tooth pain, discomfort around my eye socket, and pain in the back of my head. I visited the dentist just two weeks ago, so I don't...
Dr. Jiang Junyi Reply:
Hello, based on your description: your symptoms may suggest trigeminal neuralgia. As for the brain injury from four years ago, it is unlikely to be the cause of the symptoms you mentioned. Generally, if there is no loss of consciousness, no anticoagulant use, or obvious local hem...[Read More] Understanding Head, Eye, and Tooth Pain: Neurological Insights
Understanding Occipital Pain During Ejaculation: Causes and Solutions
Pain in the back of the head after ejaculation? Hello doctor, for the past few days, I've been experiencing pain at the back of my head when I'm about to ejaculate. The pain lasts for about 5 minutes and has an intensity of around 4. I'm wondering if this could be ...
Dr. Hong Weibin Reply:
Hello: Can you have a neurologist check for cerebrovascular abnormalities? Below is an excerpt from the International Classification of Headache Disorders, 3rd edition (beta) in Chinese for your reference: 6.7.3 Headache attributed to reversible cerebral vasoconstriction syndrom...[Read More] Understanding Occipital Pain During Ejaculation: Causes and Solutions
Understanding Neck and Head Tension: Causes and Concerns
Head and neck Hello doctor, I used to have a tight spot on the left side of my neck, which would occasionally feel sore. Recently, I've been experiencing tightness in my scalp, forehead, and even around my eyes, which sometimes feel achy. Occasionally, I also feel a bit of w...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of left-sided 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 al...[Read More] Understanding Neck and Head Tension: Causes and Concerns
Understanding Joint Pain: Seeking Answers for Widespread Discomfort
Hello, doctor. I feel like I have issues with all my joints? I am losing confidence in my body. My left shoulder used to dislocate frequently, but that has stopped. However, recently, my joints have been getting increasingly stiff, starting with my right shoulder, which was diagn...
Dr. Jiang Junyi Reply:
Hello: Your issue may still stem from the cervical spine. If rehabilitation has not been effective after two months, doctors typically refer patients to a neurosurgeon to evaluate whether nerve compression is caused by a herniated disc. It is recommended to perform neck muscle st...[Read More] Understanding Joint Pain: Seeking Answers for Widespread Discomfort
Managing Neck Pain: Sleep Aids vs. Muscle Relaxants for Better Rest
Cervical spine issues I have tightness and soreness in my neck and shoulders. Recently, I had an X-ray that confirmed a displacement of the fifth and sixth cervical vertebrae. I am currently undergoing rehabilitation and neck stretching treatments. I often have trouble falling as...
Dr. Jiang Junyi Reply:
Hello, based on your description, the treatment for cervical myofascial pain primarily focuses on maintenance. 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 ...[Read More] Managing Neck Pain: Sleep Aids vs. Muscle Relaxants for Better Rest
Can You Still Grow Taller After 25? Understanding Height Changes
Continuing to grow taller after the age of 25? Hello Doctor, I am 27 years old this year. After turning 25, my height increased from 166 cm to 168 cm, and recently I have shown signs of further growth, with a measurement of 169 cm taken at the hospital last month. I had a signifi...
Dr. Jiang Junyi Reply:
Hello: There is naturally a difference in height measurements taken in the morning and evening, which can range from 1 to 5 centimeters. The taller and younger a person is, the greater the difference may be. Your discrepancy of within 3 centimeters is likely a normal physiologica...[Read More] Can You Still Grow Taller After 25? Understanding Height Changes
Understanding Leg Pain and Numbness: When to Seek Neurological Help
Leg pain? Hello, doctor. My right leg feels sore and numb, and sometimes my lower back hurts as well. This has been going on for about six months, and I have a habit of crossing my legs. What could be the problem? Which specialist should I see? Thank you!
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 result from sudden injuries such as twisting the waist, bending to lift heavy objects, or experiencing excessive force, for example, falling fro...[Read More] Understanding Leg Pain and Numbness: When to Seek Neurological Help
Managing Headaches: When to Use Pain Relievers and Seek Medical Advice
Headache and Medication Consultation Hello, doctor. Recently, I have been experiencing headaches that last almost all day. When the pain is mild, I feel a slight pressure and pain around both temples and the sides of my eyes. At its worst, the pain affects the entire right side o...
Dr. Jiang Junyi Reply:
Hello, based on your description, the headache you mentioned may initially be related to cervical nerve root compression, which is often associated with tightness in the cervical muscles and degeneration of the cervical spine. Symptoms typically include pain at the affected site,...[Read More] Managing Headaches: When to Use Pain Relievers and Seek Medical Advice
Understanding Dizziness Symptoms: When to See a Neurologist
Dizziness symptoms Hello, I would like to ask which specialty I should consult regarding the following symptoms. Since March 9th until now, March 25th, every morning when I get up (from lying down to sitting), I experience dizziness in a clockwise direction, accompanied by a feel...
Dr. Hong Weibin Reply:
Hello: Based on your description, you may be experiencing vestibular migraine. I recommend that you consult a neurologist who specializes in headaches for evaluation and treatment. Additionally, it is advisable to maintain a regular schedule and limit the use of electronic device...[Read More] Understanding Dizziness Symptoms: When to See a Neurologist
Understanding Fainting After Running: Causes and Next Steps
Fainting after running occurred again a year later? Hello Doctor: Last March, I fainted after running (I had already eaten dinner, ran about 5 km, and fainted while walking home; I had been running normally for about two months). I was taken to the emergency department of a hospi...
Dr. Jiang Junyi Reply:
Hello: Experiencing dizziness and nearly fainting, squatting down to rest, and seeing darkness in front of your eyes. These symptoms are more indicative of insufficient cerebral circulation due to fluid deficiency. Symptoms can be improved by replenishing fluids and electrolytes,...[Read More] Understanding Fainting After Running: Causes and Next Steps