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Understanding Arm Pain After Car Accidents: Is It Nerve Damage?

Shoulder and back pain After the car accident, my arm starts to hurt by noon, and my left shoulder and back also experience pain, with the worst symptoms occurring around noon. I have seen both orthopedic and neurology specialists; some are unsure of what to do, while others sugg...


Dr. Lan Shengxing Reply:
Brachial plexus injury itself is less likely to cause such pain, but the weakness resulting from the injury may indeed lead to this pain. Whether the pain originates from muscle or nerve sources may require a detailed medical history to determine.

[Read More] Understanding Arm Pain After Car Accidents: Is It Nerve Damage?


Persistent Numbness in Neck and Limbs: Seeking Answers and Solutions

Numbness in the neck and limbs has persisted for one month? A month ago, I went for rehabilitation to stretch my neck (this was my second visit), and I weigh 67 kilograms. I pulled with 8 kilograms; although it was uncomfortable, I could tolerate it. Later, I developed numbness i...


Dr. Lan Shengxing Reply:
Dear Little Green, if there are no other issues but only with your meditation posture, I recommend consulting a rehabilitation physician or a physical therapist to assess your meditation posture and duration to prevent beneficial practices from becoming a burden on your body. Bes...

[Read More] Persistent Numbness in Neck and Limbs: Seeking Answers and Solutions


Chronic Neck Pain: Understanding the Impact on Daily Life

Chronic pain in the posterior neck for several years? Hello doctor, I have been troubled by neck pain recently and would like to make an appointment, but I want to ask you first if this is actually a medical issue. When I was under 10 years old, my grandfather twisted my neck, an...


Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is cervical myofascial pain. Prolonged use of electronic devices in the same posture can lead to overuse of the trapezius muscle at the back of the neck, resulting in neck and shoulder discomfort. Initially, res...

[Read More] Chronic Neck Pain: Understanding the Impact on Daily Life


Unexplained Dizziness: Seeking Answers for Persistent Discomfort

It's really distressing to experience discomfort and dizziness without being able to identify the underlying issue? I do not smoke or drink alcohol, but due to a shift work schedule, my sleep patterns are quite irregular. Since early 2015, I have experienced occasional dizzi...


Dr. Gao Chunde Reply:
Based on your description, the initial dizziness is likely related to inner ear dysfunction, but it gradually transformed into a feeling of lightheadedness with occasional swaying. This can sometimes be attributed to anxiety stemming from the brain's perception of an unsafe ...

[Read More] Unexplained Dizziness: Seeking Answers for Persistent Discomfort


Understanding Neck and Shoulder Pain: Possible Causes and Treatments

Meridian issues Hello, doctor. I have a question. When I press on the left side of my neck and shoulder, it hurts in the muscles underneath. When I tilt my head back, the muscles inside my left shoulder also cramp and hurt. Additionally, my entire left thumb, from the thumb to th...


Dr. Lan Shengxing Reply:
Dear VIVA, it seems that your cervical syndrome has affected the function of the cervical nerves. This is due to the shoulder and neck muscles not being relieved for an extended period, leading to stiffness and poor posture. Please seek consultation at a neurology or rehabilitati...

[Read More] Understanding Neck and Shoulder Pain: Possible Causes and Treatments


Understanding Strange Sleep Symptoms: Possible Links to Sleep Disorders

Strange Symptoms When Falling Asleep Hello, Doctor Gao: I've been experiencing a noticeable symptom for about the past six months. When I lie down to sleep, just as I'm about to fall asleep, I encounter what I can only describe as a sort of "dream," although m...


Dr. Gao Chunde Reply:
Based on your description, it is likely a type of rapid eye movement (REM) sleep disorder that occurs upon falling asleep, where one transitions directly into the dreaming phase, experiencing sleep paralysis and hypnagogic hallucinations. Many people occasionally experience this,...

[Read More] Understanding Strange Sleep Symptoms: Possible Links to Sleep Disorders


Understanding Unexplained Breast Itching: Is It a Nerve Issue?

Itchy breasts, is it a nerve issue? Dear Dr. Gao, I have been experiencing a sensitive itching sensation inside my right breast (not on the surface). I have undergone a breast ultrasound, but the doctor did not find any breast-related issues. I also consulted a dermatologist. Th...


Dr. Gao Chunde Reply:
Nerves are actually quite small, and magnetic resonance imaging (MRI) of the nervous system is mostly limited to the brain and spinal cord. Unless there is a specific mass compressing or invading peripheral nerves, or if there are particular formations such as neurofibromas or ne...

[Read More] Understanding Unexplained Breast Itching: Is It a Nerve Issue?


Understanding Persistent Dizziness, Nausea, and Head Pain in Seniors

Headache, dizziness, nausea, and warm feet? Hello Doctor, I would like to ask about my grandmother. She often experiences dizziness, and a few days ago while cooking in the kitchen, she suddenly felt lightheaded. Sometimes at night, she feels a tightness in her stomach and wants ...


Dr. Jiang Junyi Reply:
Hello, based on your description, your grandmother has many symptoms. First, we should consider Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting u...

[Read More] Understanding Persistent Dizziness, Nausea, and Head Pain in Seniors


Understanding Slower Nerve Conduction: Causes Beyond Bone Spurs

Nerve conduction on the lateral side is slower! Dear Dr. Gao, I recently underwent a nerve conduction study that revealed slower nerve activity on the lateral side of my lower back. You prescribed medication and mentioned that it could be due to bone spurs. I would like to ask i...


Dr. Gao Chunde Reply:
Nerve conduction studies can identify which specific nerve is affected, whether it is proximal, distal, or at an intermediate segment, and whether the issue lies in the axon or the myelin sheath, as well as the severity of the condition. Bone spurs can be inferred by physicians f...

[Read More] Understanding Slower Nerve Conduction: Causes Beyond Bone Spurs


Chronic Pain: Seeking Help for Unexplained Neurological Issues

Full body pain! Help! Hello doctor, I have been experiencing pain in my limbs and lower back for over ten years. However, in the past year or two, the pain has intensified, occurring almost every two to three days, and I have been relying on painkillers to get through my daily li...


Dr. Huang Yingzhe Reply:
Given your age, I would recommend starting with a consultation in immunology and rheumatology, and then considering neurology or psychosomatic medicine. It can indeed be challenging to make a diagnosis at times, and medication may be used initially to reduce pain.

[Read More] Chronic Pain: Seeking Help for Unexplained Neurological Issues


Understanding Sexual Activity-Related Headaches: When to Seek Medical Help

Sexual headache Experiencing severe headaches during sexual activity, followed by occasional pain in the back of the head, and having headaches even without sexual activity, warrants a medical evaluation. It is advisable to consult a healthcare professional to determine the under...


Dr. Gao Chunde Reply:
It's better to be cautious with this type of headache. Once common dangerous issues are ruled out, you can feel more at ease.

[Read More] Understanding Sexual Activity-Related Headaches: When to Seek Medical Help


Understanding Visual Disturbances: A Neurological Perspective on Eye Symptoms

Seeing upon waking up Hello doctor, I have autonomic nervous system dysfunction. Since February of this year, whenever I focus on an object for a prolonged period, that object appears to vibrate back and forth, although my eyes themselves do not shake. This sensation sometimes co...


Dr. Gao Chunde Reply:
These symptoms can often occur in healthy individuals and fall within the range of physiological responses, so there is no need for excessive concern. It seems that you have a keen sense of observation and are noticing subtle physiological changes in your nervous system. As long ...

[Read More] Understanding Visual Disturbances: A Neurological Perspective on Eye Symptoms


Understanding Thigh Pain and Nerve Issues: A Guide for Patients

Mother experiences numbness and pain with a burning sensation in the groin area? My mother previously had sciatica, but it was treated successfully. However, in the past two and a half years, due to prolonged driving, it seems to have recurred. This time, the pain is not in her l...


Dr. Gao Chunde Reply:
I'm not quite sure if you are referring to the groin area when you mention the upper thigh, and whether the symptoms occur only during sleep. If it is indeed the groin area, the nerve involved would not be the sciatic nerve, but rather the femoral nerve or obturator nerve, o...

[Read More] Understanding Thigh Pain and Nerve Issues: A Guide for Patients


Chronic Pain in Right Second Toe: Causes and Treatment Options

Pain in the toes of the right foot? Hello Doctor, the information above pertains to my mother. She has been experiencing pain in her right foot's second toe for nearly 40 years, with no interruption, only varying in intensity. The pain is described as a sharp, shooting pain ...


Dr. Gao Chunde Reply:
It may be worth considering a rare condition known as "leg pain toe movement syndrome," which was previously reported by Taipei Veterans General Hospital. You can search for it online. The related diseases and underlying mechanisms are still somewhat complex, but there ...

[Read More] Chronic Pain in Right Second Toe: Causes and Treatment Options


Understanding Lateral Calf Pain: Is It Nerve-Related?

Lateral calf pain? A few months ago, I was diagnosed with patellar chondromalacia by an orthopedic doctor, but I have been experiencing significant pain on the outer side of my calf. The pain often starts as soon as I get out of bed. I would like to ask the doctor if this is rela...


Dr. Gao Chunde Reply:
You can check if there is numbness in the skin on the outer side of the calf, whether raising the foot while walking causes weakness or difficulty in walking, and if there is any discomfort or soreness in the lower back. Symptoms related to nerve compression may present with vari...

[Read More] Understanding Lateral Calf Pain: Is It Nerve-Related?


Intermittent Surface Headache from Left Crown to Occiput: Causes and Solutions

Intermittent superficial headache on the left side of the crown extending to the back of the head? Two weeks ago, I had a cold and was coughing. I tried to suppress the cough, but eventually couldn't hold it in, which led to a slight discomfort in my neck, specifically from ...


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] Intermittent Surface Headache from Left Crown to Occiput: Causes and Solutions


Managing Muscle Tightness in the Calf After Injury: A Guide

Calf muscle tightness? Hello, Doctor. My family member injured their right foot last year (with a bone fracture) and has recovered, but in the past few months, they have experienced muscle tightness in the foot, making it difficult to walk. About two weeks ago, they had an MRI fr...


Dr. Gao Chunde Reply:
If muscle tightness occurs at the site of an injured bone fracture, it is important to consult an orthopedic specialist to assess whether there are any issues with nearby bones or muscles, and to continue rehabilitation therapy. If muscle tightness occurs in other areas, it may i...

[Read More] Managing Muscle Tightness in the Calf After Injury: A Guide


Understanding Dizziness and Numbness: Neurological Concerns Explained

Dizziness, tingling in the head, and discomfort in the back of the neck and head? Hello Doctor, I would like to ask about my symptoms. I often experience dizziness, headaches, tingling in my head, nausea, and a heavy feeling in my head. I also feel my heartbeat and experience bod...


Dr. Jiang Junyi Reply:
Hello, based on your description, positional vertigo should be considered first. The symptoms are characterized by dizziness lasting a few seconds, related to changes in head position, such as bending over, leaning back, lying down, getting up, turning over, and sudden head movem...

[Read More] Understanding Dizziness and Numbness: Neurological Concerns Explained


Waking Up Dizzy: Understanding Morning Vertigo and Its Causes

Feeling dizzy upon waking up and turning over? Hello, doctor. For the past two or three days, when I wake up and try to turn over to go back to sleep, I feel extremely dizzy and even feel like I might vomit when I close my eyes. What could be the cause of this? It takes me a whil...


Dr. Lan Shengxing Reply:
Dear Alvena, the symptoms you described are more indicative of vertigo caused by BPPV (Benign Paroxysmal Positional Vertigo), especially the brief episodes of dizziness triggered by turning over. It would be more appropriate to consult an otolaryngologist (ENT specialist) for thi...

[Read More] Waking Up Dizzy: Understanding Morning Vertigo and Its Causes


Persistent Leg Numbness After Heavy Lifting: Possible Causes and Solutions

Persistent numbness near the tibia? Hello doctor, in July of this year, I experienced some soreness in my lower back while lifting heavy objects. After receiving a massage, I returned home and began to feel pain and numbness from my lower back to my buttocks, right thigh, right c...


Dr. Gao Chunde Reply:
Based on your medical history and symptom description, it strongly suggests that there is a herniated disc at the fifth lumbar vertebra compressing the nerve root. Typically, lumbar imaging (MRI or CT scan) would show this, so it is surprising that the results are normal. The phy...

[Read More] Persistent Leg Numbness After Heavy Lifting: Possible Causes and Solutions


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