Understanding Pulsating Sensations Near the Temple: Causes and Concerns
Throbbing in the temples? Hello, doctor... About two weeks ago, I started experiencing intermittent twitching just above my left temple. When I place my hand on that area, it feels like something is being bitten, similar to the movement in the temple. The twitching occurs every 7...
Dr. Jiang Junyi Reply:
Hello: You mentioned muscle twitching; could you please clarify whether this issue is related to the blood vessels, nerves, or muscles? A: If the twitching is involuntary, it is generally caused by instability in the motor neurons. PS: Two years ago, I had a dead nerve in the upp...[Read More] Understanding Pulsating Sensations Near the Temple: Causes and Concerns
Uncontrollable Hand Movements During Meals: When to Seek Medical Advice?
The hand does not move back and forth? Hello Doctor: Recently, I noticed that my father’s hands involuntarily move back and forth while eating (for example, when he is picking up food, his hands sway back and forth) for a few seconds before returning to normal. When I asked him a...
Dr. Jiang Junyi Reply:
Hello, based on your description, involuntary shaking is typically associated with tremors or seizures. The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors:...[Read More] Uncontrollable Hand Movements During Meals: When to Seek Medical Advice?
Understanding Occasional Brain Twitches: Causes and Concerns for Teens
Seizures in the brain Hello Dr. Jiang: I am sixteen years old and male. Since I was around eleven or twelve, I have experienced a sensation of twitching or sharp pain in the back left or right side of my head, as if my brain is being tightly squeezed. The frequency is variable; s...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, aching, with a sensati...[Read More] Understanding Occasional Brain Twitches: Causes and Concerns for Teens
Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Dopamine deficiency and medications such as Levodopa and Clonazepam? In mid-August last year, I started experiencing noticeable symptoms where sometimes while walking, my left foot would suddenly start to twitch involuntarily (possibly due to anxiety or other reasons), or my left...
Dr. Hong Weibin Reply:
You are very diligent! You've done a lot of homework. Occasionally, you experience muscle twitching in your left leg, sometimes accompanied by a tingling sensation, followed by pain in your left thigh. My thought is that it may be due to lumbosacral radiculopathy. Lumbosacra...[Read More] Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Understanding Benign Paroxysmal Positional Vertigo: Symptoms and Treatment Options
Consult a physician? Hello Doctor: Two weeks ago, when I tried to get up and turn over to sit up, I noticed that the scenery in front of me was spinning. I felt dizzy to the point where I couldn't maintain my balance (at the moment of turning over). That day, I was so dizzy ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that over the past two weeks, you have experienced dizziness frequently when turning your head, bending over, looking down and then up, or getting up from a lying position for a few seconds (especially noticeable when turning to the left, though not every tim...[Read More] Understanding Benign Paroxysmal Positional Vertigo: Symptoms and Treatment Options
Unexplained Right Groin Pain: Seeking Answers for Persistent Discomfort
Right groin pubic pain with no identifiable cause? Hello, doctor. I have been experiencing pain in my right pubic bone for three months. The pain worsens with exertion, stretching, or external pressure, and I feel a constant dull ache even when lying down. I tend to unconsciously...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest pelvic myofascial inflammation, which can manifest as pain, discomfort, and muscle stiffness. Symptoms may worsen with changes in weather and can be alleviated with stretching activities, often recurring. During acute episodes, there may be locali...[Read More] Unexplained Right Groin Pain: Seeking Answers for Persistent Discomfort
Understanding Left-Sided Body Discomfort: When to See a Neurologist
Discomfort on the left side of the body? Hello Doctor, I feel strange on the entire left side of my body. The muscles in my left neck feel very tight, and my left lower back also feels tight. It hurts when I bend to the right, and I experience soreness on the left side when I ben...
Dr. Cai Zongzhang Reply:
Hello, I recommend that you visit a neurologist for further evaluation and treatment.[Read More] Understanding Left-Sided Body Discomfort: When to See a Neurologist
Understanding Leg Numbness and Back Pain: When to Seek a Second Opinion
Numbness in the legs and lower back pain? Hello, doctor. Recently, I've been experiencing lower back pain and my legs feel sore and numb. I visited a neurologist, but the doctor only tapped my knee (the reflex test we learned in middle school) and concluded that my issues ar...
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 also occur as a result of sudden injuries, such as twisting the waist, bending to lift heavy objects, or experiencing excessive force, for exampl...[Read More] Understanding Leg Numbness and Back Pain: When to Seek a Second Opinion
Understanding Dizziness and Discomfort: A Neurological Perspective
Dizziness and general discomfort? Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, ex...
Dr. Jiang Junyi Reply:
Hello, based on your description, I wonder if you have been paying attention to the care of your neck, as cervical myofascial pain syndrome may cause symptoms such as pain, discomfort, muscle stiffness, or a heavy sensation, leading to fatigue-like symptoms. Regarding the adjustm...[Read More] Understanding Dizziness and Discomfort: A Neurological Perspective
Understanding Your Symptoms: Lower Back Pain, Numbness, and Neck Issues
Lower back pain, numbness on the left side of the body, and a growth on the left side of the neck? Hello Doctor, I am a desk worker who sits for long hours every day, and I have the symptoms mentioned above. First, regarding the lower back pain, I started experiencing soreness in...
Dr. Jiang Junyi Reply:
Hello: The numbness you described in your left foot and left arm may be due to nerve compression in the neck or lower back. First, consider the possibility of cervical or lumbosacral disc herniation compressing the nerves. Disc herniation can also occur due to sudden injuries, su...[Read More] Understanding Your Symptoms: Lower Back Pain, Numbness, and Neck Issues
Persistent Headaches and Chest Pain: Seeking Answers for Unexplained Symptoms
Intermittent pain in the left temple and behind the right ear (Fengchi point) for 24 hours, accompanied by chest pain? My husband has been experiencing headaches for 6 days, which is unusual for him. He has visited the hospital twice, but the doctors have been unable to determine...
Dr. Hong Weibin Reply:
Hello: If you have never experienced similar headaches in the past and are currently experiencing neck stiffness, it is advisable to seek a consultation with a neurologist for a personal evaluation. It may be necessary to rule out dangerous causes of headaches, such as central ne...[Read More] Persistent Headaches and Chest Pain: Seeking Answers for Unexplained Symptoms
Understanding Pulsatile Tinnitus and Its Connection to Cervical Myofascial Pain
Pulsatile tinnitus / Cervical myofascial pain syndrome I have been experiencing unilateral high-frequency continuous tinnitus for over six months, along with a simultaneous high-frequency pulsatile tinnitus (which is slightly quieter). This occurs 24 hours a day, and I can hear i...
Dr. Cai Zongzhang Reply:
Hello, have you been diagnosed with shoulder and neck myofascial pain syndrome? It is recommended that you consult your otolaryngologist to confirm the relationship. Wishing you a speedy recovery.[Read More] Understanding Pulsatile Tinnitus and Its Connection to Cervical Myofascial Pain
Understanding Neck Popping Sensations: When to See a Specialist
The sensation of popping or cracking in the neck? Hello, doctor. I have a question: Since middle school, I have occasionally experienced a sensation on the right side of my neck, as if something is snapping. Sometimes it feels like it extends from the top of my head to my right s...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of abnormal muscle twitching in the left side of the neck is cervical myofascial instability. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoul...[Read More] Understanding Neck Popping Sensations: When to See a Specialist
Understanding Neurology: Why Normal Tests Don't Always Mean No Issues
Neurology-related issues? I would like to ask about my recent experience with headaches, which led me to see a doctor. The doctor arranged for blood tests, a CT scan, and an EEG, all of which came back normal. I want to understand why these tests not showing any issues does not n...
Dr. Cai Zongzhang Reply:
Hello, there are many causes of headaches, and various examinations or imaging studies can be used as diagnostic tools. I recommend that you continue to discuss with your physician to identify the underlying cause of your headaches.[Read More] Understanding Neurology: Why Normal Tests Don't Always Mean No Issues
Understanding Headaches: Sneezing, Coughing, and Neurological Concerns
Sneezing, coughing, and then experiencing a headache? Hello, doctor. I am 26 years old. A few days ago, I experienced an allergic asthma attack, and the doctor prescribed a bronchodilator, which helped. However, I started to have headaches afterward. I often feel pressure in the ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of right occipital pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the ...[Read More] Understanding Headaches: Sneezing, Coughing, and Neurological Concerns
Understanding Neck Tension: Symptoms and Solutions for Head Pressure
Head issues Hello, I have a sensation of pressure near the back of my head close to my neck. I do not experience dizziness or headaches, and this symptom has persisted for over a year. It feels very much like muscle tension, as if my neck lacks the strength to support my head. I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of pain in the posterior neck is cervical myofascial pain. This issue is primarily characterized by degeneration of the cervical spine on CT scans, while brain imaging is mostly normal. Prolonged periods of looking down can ...[Read More] Understanding Neck Tension: Symptoms and Solutions for Head Pressure
Chest Tightness, Dizziness, and Rapid Heartbeat: Seeking Further Diagnosis
Chest tightness, dizziness, and rapid heartbeat? For the past six months, I have frequently experienced chest tightness, dizziness, and a rapid heartbeat. I have undergone a comprehensive health check-up at my own expense, and everything came back normal. Additionally, I have had...
Dr. Jiang Junyi Reply:
Hello, based on your description, if you are overweight or experiencing severe snoring, you may want to consider sleep apnea. This condition is commonly caused by the obstruction of the airway due to soft tissue in the throat, which narrows the upper airway and leads to snoring a...[Read More] Chest Tightness, Dizziness, and Rapid Heartbeat: Seeking Further Diagnosis
Understanding Frequent Headaches and Dizziness: Causes and Solutions
Frequent headaches accompanied by intermittent dizziness? Hello, I would like to ask about experiencing frequent and irregular headaches, occasionally accompanied by dizziness. The headaches do not have a consistent duration; sometimes they occur upon waking up, and other times t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest chronic daily headache, which has four subtypes: chronic migraine, chronic tension-type headache, new daily persistent headache, and hemicrania continua. Additionally, it is important to consider whether there is a problem with medication overuse ...[Read More] Understanding Frequent Headaches and Dizziness: Causes and Solutions
Understanding Thigh Cramps and Back Pain: Finding Relief for Daily Struggles
Thigh cramps accompanied by lower back pain, causing discomfort while walking and sleeping? This has been a chronic issue for me. While working, I often experience severe pain in my right thigh, making it difficult to stand. It feels like I'm cramping, and I have to hunch ov...
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 also result from sudden injuries, such as twisting the waist, bending to lift heavy objects, or experiencing excessive force, for example, fallin...[Read More] Understanding Thigh Cramps and Back Pain: Finding Relief for Daily Struggles
Do I Need a Neurologist for Muscle Pain? Health Insurance Coverage Explained
Health insurance reimbursement issues? Hello Dr. Hong, I have been a long-term vegetarian and recently I've been experiencing muscle and nerve pain, as well as neck and back discomfort. I visited an orthopedic doctor and took some pain relief and anti-inflammatory medication...
Dr. Hong Weibin Reply:
Shoulder and neck muscle soreness is mostly related to long-term chronic poor posture, such as being part of the "looking down" population or using an inappropriate pillow height while sleeping. However, it is important to be aware of potential cervical radiculopathy. C...[Read More] Do I Need a Neurologist for Muscle Pain? Health Insurance Coverage Explained