Understanding Nerve Compression Symptoms: Insights and Concerns
Nerve compression symptoms Hello Dr. Jiang, I previously experienced lower back pain due to prolonged standing and heavy lifting at work. A month ago, I consulted with traditional Chinese medicine, orthopedics, and neurosurgery. All the doctors indicated that my spinal X-ray res...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms should first consider lumbar nerve pathology, which is usually accompanied by decreased ankle and plantar reflexes. The calves often exhibit congestion and swelling, with sensory abnormalities on the outer side of the lower leg belo...[Read More] Understanding Nerve Compression Symptoms: Insights and Concerns
Understanding Leg Numbness: When to See a Neurologist or Orthopedist
Numbness in the feet? In the past two weeks, I have experienced numbness in my legs (from the thigh to the calf) when I first sit down, lie down, or while walking. The numbness is accompanied by a cool sensation, and it occurs intermittently. About three years ago, I went to a ma...
Dr. Jiang Junyi Reply:
Hello, your foot numbness may be due to a herniated lumbar disc causing nerve root compression. This often presents with radiation into the calf. Clinically, a neurologist may arrange for a nerve conduction study to assess the extent of nerve compression. If the symptoms are more...[Read More] Understanding Leg Numbness: When to See a Neurologist or Orthopedist
Understanding Dizziness: Neurological Concerns and Solutions
Dizziness. Brain issues? Hello. This has been going on for three years. Whenever I make even a slight movement, I feel lightheaded (it takes about 5 to 10 seconds to feel better). I have the urge to stretch my heels and stick out my tongue. I'm not sure if this is how I orig...
Dr. Jiang Junyi Reply:
Hello, based on your description, benign paroxysmal positional vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, leaning back, lying down, getting up, turning over,...[Read More] Understanding Dizziness: Neurological Concerns and Solutions
Understanding Nerve Compression: Symptoms of Tingling in Limbs and Face
Numbness in the hands and feet, and even the face is starting to feel numb? Hello, Dr. Jiang. Last month, I suddenly woke up one morning with simultaneous numbness in my left arm and leg. This sensation felt different from just an abnormal sleeping position. Even during the day, ...
Dr. Jiang Junyi Reply:
Hello, you mentioned that the issue of unilateral limb numbness is more indicative of cervical nerve root compression. As for the tingling sensations around the mouth and in the limbs, it may be necessary to consider hyperventilation syndrome. The typical symptoms include chest t...[Read More] Understanding Nerve Compression: Symptoms of Tingling in Limbs and Face
Post-Car Accident: Dealing with Right Leg Weakness and Numbness
After the car accident, there is weakness in the right leg muscles and frequent sensations of numbness? Hello, Dr. Jiang. I was in a car accident on June 4, 2017, during which I sustained noticeable abrasions on my right foot and right hand. However, after 2-3 weeks, the abrasion...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to a tendon injury. The lumbar spine can become inflamed or compress the nerve roots due to external forces. If rehabilitation treatment is not pursued due to pain, muscle atrophy may occur from disuse. In addition to...[Read More] Post-Car Accident: Dealing with Right Leg Weakness and Numbness
Understanding Facial Nerve Pain: Symptoms and When to Seek Help
Facial nerve Hello Doctor: I experience pain when pressing on the back end of my left eyebrow, which radiates down to my cheek and feels like nerve pain. I do not have any pain when not pressing on it. I would like to know what this symptom might indicate and which department I s...
Dr. Jiang Junyi Reply:
Hello: The nerve distribution you mentioned seems to resemble the trigeminal nerve. The branches of the trigeminal nerve are roughly distributed from top to bottom in the forehead, cheeks, and chin. The nerve endings that dentists anesthetize during tooth extraction are branches ...[Read More] Understanding Facial Nerve Pain: Symptoms and When to Seek Help
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Headache - has been painful for a long time? Hello Doctor: I often experience severe headaches that make me feel nauseous, and my eyes hurt. My blood pressure spikes to 180, my vision becomes blurry, and sometimes I feel like I might faint. I have had to take painkillers to relie...
Dr. Jiang Junyi Reply:
Hello: The more common causes are tension-type headaches or migraines. 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 dull, pressure-like, or tight, w...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Understanding Dizziness After Head Injury: When to Seek Medical Attention
Dizziness after a head injury? A few days ago, I hit the back of my head, and since then I've been experiencing dizziness and discomfort, but no nausea or vomiting. Could this be a concussion? I read in other articles online that if it's a mild concussion, one should av...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious local hematomas, the symptoms of head trauma are mostly mild. As for the frequent occurrence of dizziness, it should be monitored closely. Common causes o...[Read More] Understanding Dizziness After Head Injury: When to Seek Medical Attention
Understanding Lower Back Pain: Causes and Solutions
Lower back pain? I have been experiencing lower back pain frequently after walking or standing for a while. The pain usually subsides after I go to bed for some time, and I'm unsure if this is due to poor posture or if there could be other underlying causes.
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be related to poor posture, as lumbar disc herniation can cause nerve root compression and localized myofascial inflammation. Other potential causes of lower back pain could include kidney inflammation, ureteral stones, among others. In addition to medica...[Read More] Understanding Lower Back Pain: Causes and Solutions
Understanding Dizziness: Is It a Cause for Concern?
Dizziness feels like a sudden shaking, similar to an earthquake? Hello, over the past year or two, I have experienced dizziness approximately every one to two weeks to a few months. This dizziness occurs whether I am standing or sitting, and it usually happens without any change ...
Dr. Jiang Junyi Reply:
Hello, based on your description, Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, turning over,...[Read More] Understanding Dizziness: Is It a Cause for Concern?
Understanding Trigeminal Neuralgia After Gum Injury: Causes and Symptoms
After the gum hole occurred, it was originally painful in the area of the hole, but now the pain has spread to the trigeminal nerve? Yesterday, I may have injured my gums while using a water flosser, resulting in a hole. Initially, only the area around the hole was painful. Now, ...
Dr. Jiang Junyi Reply:
Hello: The branches of the trigeminal nerve are distributed from top to bottom in the forehead, cheeks, and chin. During tooth extraction, the dentist anesthetizes the terminal branches of the trigeminal nerve. Trigeminal neuralgia frequently occurs in the areas supplied by its l...[Read More] Understanding Trigeminal Neuralgia After Gum Injury: Causes and Symptoms
Understanding Muscle Tremors: Causes, Diagnosis, and Treatment Options
Muscle tremors Hello, doctor. Recently, I visited a traditional Chinese medicine practitioner for body adjustment and weight loss. After about two weeks, I started experiencing tremors in the muscles at the back of my left upper arm. The shaking comes and goes; sometimes it doesn...
Dr. Jiang Junyi Reply:
Hello: There are many reasons for muscle twitching. In addition to nerve conduction issues, it may be necessary to consider metabolic disorders such as hyperthyroidism and electrolyte imbalances. It is recommended that you discuss further treatment and examinations with your atte...[Read More] Understanding Muscle Tremors: Causes, Diagnosis, and Treatment Options
Understanding Upper Eye Pain: Neuropathic Issues and Sleep Impact
Headache, neuralgia Hello Doctor, the patient is experiencing a dull, aching pain in the upper part of both eyeballs (not the eye sockets) and the area between the eyebrows, which sometimes radiates to the occipital region at the back of the head. This discomfort persists through...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. (Your symptoms may be indicative of cervicogenic headache, which involves the sensory nerves near the upper cervic...[Read More] Understanding Upper Eye Pain: Neuropathic Issues and Sleep Impact
Understanding Symptoms After a Head Injury: What to Expect
The right occipital region was hit? On May 26, I hit the back of my head on the floor. Now, on May 28, I only have pain at the site of the impact, but I also feel dizzy when I get up and when I turn over in bed at night. I am certain that the dizziness is due to the impact. What ...
Dr. Jiang Junyi Reply:
Hello: If there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are mostly minor. However, if the following conditions occur, delayed bleeding should be considered, and you should seek medical attention in the emergency room: (1) ...[Read More] Understanding Symptoms After a Head Injury: What to Expect
Understanding Dizziness and Fainting: Neurological Insights and Causes
Dizziness, loss of vision, loss of hearing, and unconsciousness? Hello, Dr. Jiang. Early this morning, I traveled from the north to the south without any issues. While enjoying the next scenic spot, shortly after getting off the bus, I suddenly felt hot and extremely unwell. My v...
Dr. Jiang Junyi Reply:
Hello, your symptoms are more indicative of fainting due to insufficient blood flow to the brain. Common causes of fainting include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insufficient blood flow ...[Read More] Understanding Dizziness and Fainting: Neurological Insights and Causes
Understanding Right-Sided Dizziness: Causes and Concerns
Dizziness predominantly on the right side? Hello Doctor: I have been experiencing occasional nerve pain (in one of the nerves on the right side of my neck) since my university days. It wasn't until my military service that I began to experience dizziness on the right side of...
Dr. Jiang Junyi Reply:
Hello, if fainting occurs with symptoms of convulsions, it may be necessary to consider epilepsy. Seizures can sometimes cause sudden collapse, resembling fainting, and may involve limb jerking and prolonged confusion. It is recommended that you consult a neurologist to discuss e...[Read More] Understanding Right-Sided Dizziness: Causes and Concerns
Understanding Chronic Neck Pain: When to See a Neurologist
Cervical spine pain Dear Doctor, I have been experiencing pain in my cervical spine for over six months. It hurts when I look down and also when I look up. I had never had any symptoms before this. The pain started about six months ago when I had to look down all day at work, b...
Dr. Jiang Junyi Reply:
Hello, based on your description, 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...[Read More] Understanding Chronic Neck Pain: When to See a Neurologist
Understanding Muscle Tremors: Causes and When to Seek Help
Muscle twitching Hello, I would like to ask about a condition I've been experiencing for the past two weeks. I've been feeling slight tremors in my body that are not visible externally, but I can sense them, similar to a low-frequency vibration as if a machine is nearby...
Dr. Jiang Junyi Reply:
Hello, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors: These do not occur under normal circumstances and only arise in specific situations such as stre...[Read More] Understanding Muscle Tremors: Causes and When to Seek Help
Understanding Left Thumb Twitching and Muscle Weakness: A Neurology Perspective
Twitching of the left thumb with muscle spasms and a feeling of weakness? For the past couple of days, my left thumb has been twitching frequently (as if it were being shocked), and sometimes my hand experiences slight tremors. Additionally, for the past six months, my entire bod...
Dr. Jiang Junyi Reply:
Hello, you may want to first rule out physiological tremors, which can occur in certain situations such as stress, anxiety, or anger. Other factors, such as side effects from certain medications or the consumption of beverages like coffee, tea, or cola, may also trigger this. If ...[Read More] Understanding Left Thumb Twitching and Muscle Weakness: A Neurology Perspective
Understanding Your Headache: Causes and When to Seek Help
Headache issues Hello Doctor: I started experiencing headaches about three days ago, primarily in the back of my head, which also radiate to both temples and even to the area above my forehead. Coughing causes significant pain in both temples and the top of my head, and bending m...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms of your headache are very similar to those of cervical myofascial pain syndrome. Clinically, it often presents as localized pain, discomfort, muscle stiffness, or a sensation of heaviness, and sometimes palpable myofascial trigger po...[Read More] Understanding Your Headache: Causes and When to Seek Help