Understanding Numbness in the Right Foot: Possible Causes and Solutions
Numbness in the right foot dorsum? Hello, Doctor. My right foot's dorsum feels numb (around the area just below the little toe) and it has been like this for over a week. What could be the possible causes? Thank you!
Dr. Gao Chunde Reply:
This area may correspond to the distribution of a peripheral nerve or the first sacral nerve root. Therefore, it is important to consider other accompanying clinical symptoms, such as lower back pain, numbness or tingling in the posterior thigh, or weakness in the right foot when...[Read More] Understanding Numbness in the Right Foot: Possible Causes and Solutions
Understanding Facial Myokymia: Causes, Symptoms, and Treatment Options
Continued inquiry: Involuntary twitching of the left cheek? Dear Dr. Gao, Thank you very much for your response. If the second reason is correct, that the facial nerve was injured due to the cosmetic surgery and subsequent impact, could my symptoms be due to abnormal adhesions b...
Dr. Gao Chunde Reply:
If there is damage to the facial nerve, which primarily consists of motor fibers that control facial muscle movements, it will inevitably lead to related functional impairments. One can self-assess whether facial expressions appear unnatural (indicating weakness in certain facial...[Read More] Understanding Facial Myokymia: Causes, Symptoms, and Treatment Options
Uncontrollable Facial Twitches After Cosmetic Surgery: Causes and Solutions
Involuntary twitching of the left cheek? Two years ago, I underwent cosmetic surgery to elevate my cheeks. (Below are the surgical details provided by my doctor.) After the surgery, my cheeks were quite swollen, and before the swelling subsided, my left cheek was accidentally bum...
Dr. Gao Chunde Reply:
Based on the symptom description, it is more akin to facial myokymia, which refers to involuntary muscle twitching of the facial muscles. This can range from benign nerve hyperexcitability (such as eyelid twitching) to involuntary discharges due to facial nerve damage, and to spe...[Read More] Uncontrollable Facial Twitches After Cosmetic Surgery: Causes and Solutions
Understanding the Intersection of Psychiatry and Neurology in Taiwan
Psychiatry and Neurology? Hello, e-Hospital in Taiwan: I have been seeing a doctor at the Taoyuan Rehabilitation Hospital for about ten years. My symptoms include auditory hallucinations. After taking medication, I am able to work normally. Later, I found online that it might be ...
Dr. Gao Chunde Reply:
Based on the described situation, it is recommended to seek further detailed consultation and treatment from a psychiatrist.[Read More] Understanding the Intersection of Psychiatry and Neurology in Taiwan
Understanding Memory Loss in Elderly: When to See a Neurologist
If a mother is experiencing episodes of depression, she should consult a psychiatrist or a psychologist for evaluation and treatment? Hello Doctor, My mother is currently 82 years old. She is generally healthy but has high blood pressure that is controlled with medication. Last ...
Dr. Gao Chunde Reply:
Transient global amnesia (TGA) currently lacks a well-understood etiology. Potential causes include transient discharges similar to those seen in epilepsy, migraine-related brain storms, transient cerebral ischemia, jugular venous reflux, or other factors. It is essential to cons...[Read More] Understanding Memory Loss in Elderly: When to See a Neurologist
Understanding Hollow Sounds When Tapping the Head: Causes and Concerns
A hollow sound when tapping the head? Hello doctor: I accidentally discovered that when I tap my head, there is a hollow sound in the area from my forehead to the top of my head. Is this normal? I'm worried it might be brain atrophy or something similar. I've also been ...
Dr. Gao Chunde Reply:
The thickness of the scalp muscles and subcutaneous tissue varies among individuals. Additionally, the thickness of the skull differs between genders and is influenced by nutritional status. Beneath the skull are the dura mater, arachnoid mater, and pia mater, followed by brain t...[Read More] Understanding Hollow Sounds When Tapping the Head: Causes and Concerns
Managing Chronic Headaches: Tips for Relief and Medication Guidance
Prolonged headache Hello, Doctor: For the past few months, due to work requirements, I have been working 12-hour shifts every day as an accountant, which involves a lot of mental calculations. I feel like my mind is constantly working, accompanied by headaches, blurred vision, an...
Dr. Gao Chunde Reply:
Based on your description, it is still not possible to directly determine the type of headache, whether it is primary or secondary, common migraine, tension-type headache, or another specific form of headache. Therefore, I cannot provide you with direct relief methods. It is reco...[Read More] Managing Chronic Headaches: Tips for Relief and Medication Guidance
Understanding Muscle Twitches in the Back: When to See a Neurologist
Muscle twitching in the back? My mother has a peculiar issue. She is about 55 years old and has a fixed point on her back that intermittently twitches. This has been happening for several years, but the frequency has increased recently, occurring about ten times a day. Each twitc...
Dr. Gao Chunde Reply:
Involuntary muscle twitching at a fixed site is theoretically due to increased excitability of the nerves that control that muscle, which can occur due to factors such as emotional stress, muscle overuse, intake of stimulants in the diet, or nerve instability and damage. Another ...[Read More] Understanding Muscle Twitches in the Back: When to See a Neurologist
Understanding Sleep Issues and Neck Pain: When to Seek Neurology Help
Neurology Hello, doctor. Recently, my sleep quality has been very poor; it takes me a long time to fall asleep, and even though I feel very tired, I just can't seem to doze off! I keep yawning without being able to actually yawn, and my head feels heavy and stuffy. My body h...
Dr. Gao Chunde Reply:
Sleep disorders are often caused by intense physical or mental activities before bedtime, consumption of stimulating foods, or napping shortly before sleep. Additionally, if one enjoys reading in bed without actually sleeping, this can contribute to the issue. If none of these fa...[Read More] Understanding Sleep Issues and Neck Pain: When to Seek Neurology Help
Understanding a Bump on the Back of Your Head: Causes and Concerns
Is there a protrusion on the left occipital region of the brain? In the past two months, a small protrusion has developed on the left side of my occipital region. When it first appeared, I experienced some pain in that area when clenching my teeth, but it has since resolved.
Dr. Gao Chunde Reply:
Typically, any palpable lumps should be located outside the bones, such as on the scalp or protruding from the bone itself. It is unlikely for something from within the brain to be felt, as it cannot be seen directly, making it difficult to assess. If the lump continues to grow, ...[Read More] Understanding a Bump on the Back of Your Head: Causes and Concerns
Sudden Left Leg and Neck Pain: When to See a Neurologist?
Sudden pain in the left foot and left neck, resulting in limping and inability to walk normally? Hello, Doctor: On Christmas Eve last year, after my company's year-end party, I took the bus home. When I got off, I suddenly felt pain in my left leg (from my thigh to my calf)....
Dr. Gao Chunde Reply:
If the pain in your left foot follows the distribution of a nerve root and is accompanied by related muscle weakness, consider the possibility of a lesion in the lumbar spine. If neck stiffness and pain are also present, this could indicate inflammation within the spinal cord. Ho...[Read More] Sudden Left Leg and Neck Pain: When to See a Neurologist?
Understanding Neck and Shoulder Issues: Is It Myofascial Pain Syndrome?
Shoulder and neck issues? Hello doctor, I am 18 years old. Some people say that it is uncommon to have myofascial pain syndrome at this age. I would like to ask if poor posture, maintaining the same position for a long time, or excessive strain while writing could lead to this co...
Dr. Lan Shengxing Reply:
Dear Ting, the issues you described may have started to affect your body's perception of pain. In reality, there may not be significant inflammation, but it can impact your pain sensation and begin to affect your daily life. For this type of pain, a rehabilitation specialist...[Read More] Understanding Neck and Shoulder Issues: Is It Myofascial Pain Syndrome?
Experiencing Numbness in Left Hand: When to See a Specialist?
Numbness and tingling in the left hand without pain? For the past couple of weeks, I have been experiencing intermittent sensations of tingling and numbness in my left hand, but no pain. When I tilt my head back to the left, I feel that the muscles on that side are tighter compar...
Dr. Huang Yongquan Reply:
It could be cervical nerve compression or carpal tunnel syndrome. It is recommended to rest more and pay attention to posture. You may consider visiting a rehabilitation specialist or a neurologist for examination and treatment.[Read More] Experiencing Numbness in Left Hand: When to See a Specialist?
Understanding Sleep Issues and Brain Pain: When to Seek Help
Brain and Sleep Issues Hello, Doctor Gao: I have recently been waking up in the middle of the night and unable to fall back asleep (around 3-4 AM, and this has been ongoing for over a month). A few days ago, I had a dispute over a transaction with someone who was quite unreasonab...
Dr. Gao Chunde Reply:
Waking up in the middle of the night and being unable to fall back asleep is increasingly common among middle-aged individuals. This can be partially related to daytime stress and feelings of depression. If this persists for more than three months, it is advisable to seek evaluat...[Read More] Understanding Sleep Issues and Brain Pain: When to Seek Help
Understanding Abdominal Numbness: When to Seek Medical Advice
Abdominal paresthesia? Hello Doctor: In the past few months, while sitting for long periods, I have experienced a slight tingling sensation in the area just above my navel when bending over to read or use the computer. However, there is no discomfort when standing or sitting up s...
Dr. Huang Yongquan Reply:
I'm not sure if you have poor posture or have been sitting for too long, but if you're experiencing back pain or have a previous injury, it is likely due to improper sitting posture, which can compress the nerves on the surface of the skin or the intercostal nerves. Imp...[Read More] Understanding Abdominal Numbness: When to Seek Medical Advice
Understanding Left-Sided Brain Pain: Causes and Solutions
There is a sharp pain in a vein on the left side of the brain? In recent days, I have noticed a sharp pain in the left side of my brain, which intensifies when I swallow saliva with my left ear. It feels like there is a lot of heat in my body. Could you please provide some insigh...
Dr. Gao Chunde Reply:
At this age, there is a common type of ice pick headache that occurs sporadically, resembling neuralgia, but the cause is not very clear. It usually resolves on its own after a few days. However, if there is soreness in the back of the neck or numbness in the scalp, one should be...[Read More] Understanding Left-Sided Brain Pain: Causes and Solutions
Understanding Persistent Arm Tightness and Numbness: A Neurological Perspective
Numbness and tightness in the arm? Hello, doctor. I would like to ask you a question. My father has been suffering for seven years, and despite seeing many doctors, he hasn't found a solution. The entire right side of his body, from his back to above his waist, feels extreme...
Dr. Huang Yongquan Reply:
Hello: In response to your question, based on the symptoms you described, there is a higher likelihood of issues related to cerebrovascular problems or cervical spine nerve compression. Sometimes, after nerve injury, treatment may not lead to complete recovery, and there could be...[Read More] Understanding Persistent Arm Tightness and Numbness: A Neurological Perspective
Understanding EEG Results: What to Expect and Next Steps in Neurology Care
Based on the previous response, I went for an examination? Based on previous symptoms of eyelid twitching, sensitivity to light, and pressure in the back of the head, I visited a large hospital for an outpatient consultation. The doctor conducted preliminary tests on my limbs and...
Dr. Gao Chunde Reply:
The EEG is the most important test; it can determine whether there are abnormal discharges in the brain and if there is any localized functional impairment. Whether to perform a CT or MRI scan should be based on the results of the EEG.[Read More] Understanding EEG Results: What to Expect and Next Steps in Neurology Care
Managing Vascular Headaches: Treatment and Relief Strategies
Vascular headache Hello Doctor: You mentioned that it is a vascular headache, and the symptoms are as you described, including headaches that worsen with activity but improve after resting for a day or two. It does not occur daily, but the occasional pain in the back of the head ...
Dr. Gao Chunde Reply:
Infrequent headaches can be temporarily managed with over-the-counter pain relievers, which usually provide quick relief. However, if headaches occur frequently and develop into chronic daily headaches, excessive use of pain medication can be harmful to the body and may lead to m...[Read More] Managing Vascular Headaches: Treatment and Relief Strategies
Understanding Eye Twitching, Dizziness, and Treatment Options
Eyelid twitching accompanied by slight dizziness, a feeling of pressure in the back of the head, and a perception that things appear brighter than usual? I have been experiencing eyelid twitching for a week, accompanied by slight dizziness. There is a feeling of pressure in the b...
Dr. Gao Chunde Reply:
Eyelid twitching, a heavy sensation in the back of the head, and seeing bright lights are common symptoms associated with fatigue from work or excessive eye strain. Typically, resting and taking a walk outdoors can lead to improvement within one to two weeks. The first two medica...[Read More] Understanding Eye Twitching, Dizziness, and Treatment Options