Back, Neurology FAQ - Page 60

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Understanding Left-Sided Back Spasms: Causes and Risks

Left-sided back spasm? Hello. I suddenly noticed spasms in my left back today, occurring every few minutes, and they recur whenever I move. Additionally, I experience severe hiccups whenever I massage the area. What could this condition be? What risks might it pose?


Dr. Ye Boshou Reply:
Hello: It is likely just a muscle strain, and rest should suffice. If there is no improvement, please visit the outpatient clinic for further evaluation.

[Read More] Understanding Left-Sided Back Spasms: Causes and Risks


Understanding the Golden 3 Hours for Stroke Patients: A Case Study

The Confusion of Stroke Patients Regarding the "Golden 3 Hours" (Forwarded from the Director's Mailbox) My father is 79 years old. A few days ago, while riding a motorcycle to the hospital with my mother for a medical appointment, he collapsed in the hospital'...


Dr. Ye Boshou Reply:
Hello: After an ischemic stroke occurs, research indicates that it may be possible to dissolve the thrombus within 3 hours, although the results are not guaranteed. Brain cells can die if ischemia lasts longer than 30 minutes. Dissolving the thrombus within 3 hours can reduce the...

[Read More] Understanding the Golden 3 Hours for Stroke Patients: A Case Study


Understanding Leg Numbness: When to See a Neurologist After Back Surgery

Numbness in both legs extending to the soles of the feet? Doctor, seven years ago I underwent an L5-S1 discectomy. I had no discomfort after the surgery, but four months ago I suddenly experienced lower back pain. The pain then subsided, but I developed tingling and numbness in m...


Dr. Gao Chunde Reply:
Since the MRI is fine, I believe it should be related to failed back surgery syndrome in neurosurgery. I'm not sure how to translate that into Chinese, but it sounds very similar to your description. You can search online or consult with a neurosurgeon who has extensive surg...

[Read More] Understanding Leg Numbness: When to See a Neurologist After Back Surgery


Can I Get Tested for Cerebellar Atrophy? Costs and Options Explained

Cerebellar atrophy I have a family history of cerebellar atrophy. I would like to inquire if your hospital can test whether I have inherited this condition, or if another hospital offers this service. If so, could you please provide an estimate of the testing costs? Thank you.


Dr. Ye Boshou Reply:
Hello: The physician is busy with duties and may not be able to respond to your question immediately. We apologize for any inconvenience and appreciate your patience. The physician will get back to you as soon as possible.

[Read More] Can I Get Tested for Cerebellar Atrophy? Costs and Options Explained


Understanding Left-Sided Scalp Numbness: Causes and Concerns

Tingling sensation on the left side of the scalp, similar to goosebumps? Hello, Doctor: Due to my job, I have to sit for long periods while using a computer, spending over 10 hours a day on it. In the past year or two, I have noticed some discomfort in my body. I experience sudde...


Dr. Ye Boshou Reply:
Hello: Prolonged computer use can lead to fatigue and body stiffness, resulting in soreness. It is recommended to: 1. Get up and move every 40 minutes. 2. Hand numbness may be related to carpal tunnel syndrome, which is associated with mouse usage. These issues are caused by insu...

[Read More] Understanding Left-Sided Scalp Numbness: Causes and Concerns


Understanding Persistent Right-Sided Numbness and Tightness Symptoms

Numbness and tightness in the right side of the limbs? Hello, doctor. I would like to ask about my father's symptoms. He has been experiencing numbness and tightness from his head to his toes on the right side of his body for over three years. The tightness feels like being ...


Dr. Gao Chunde Reply:
If it is a stroke, there should be a specific onset time, with symptoms suddenly appearing on one side. Additionally, if facial or speech clarity is normal, one should consider whether it is related to a lower cervical spine issue or simply habitual fatigue and stiffness on one s...

[Read More] Understanding Persistent Right-Sided Numbness and Tightness Symptoms


Understanding Facial Asymmetry: Is It a Stroke or Something Else?

Facial asymmetry? Hello, doctor. Recently, I've been experiencing a tingling and swelling sensation on one side of my face. When I relax, I notice that my eye and mouth appear uneven, but my arms and legs are normal with no abnormalities. I can close my eyes and mouth, and i...


Dr. Lin Zijing Reply:
The main symptoms of facial nerve paralysis include facial asymmetry, inability to close the eyelids, tearing, taste disturbances, a sensation of food stagnation in the mouth, and difficulty drinking without spilling. The affected side may appear droopy, and the eye may appear mi...

[Read More] Understanding Facial Asymmetry: Is It a Stroke or Something Else?


Two Weeks of Unexplained Headaches: Seeking Medical Advice and Insurance Coverage

Continuous headaches for two weeks, yet unable to receive treatment covered by health insurance? Dear Dr. Lin, I have been experiencing persistent, unexplained pain in the right posterior part of my head for two consecutive weeks. I visited a neurologist who conducted an EEG and...


Dr. Lin Zijing Reply:
An electroencephalogram (EEG) showing no abnormalities indicates that approximately 80% of the cortical areas of the brain are functioning normally. However, certain conditions or lesions in specific areas of the brain, such as those near the pituitary gland, cerebellar lesions, ...

[Read More] Two Weeks of Unexplained Headaches: Seeking Medical Advice and Insurance Coverage


Understanding Muscle Cramps in Limbs: A Guide for Patients with Hyperthyroidism

Muscle cramps in the joints of the limbs? Hello Dr. Lin: I have been diagnosed with hyperthyroidism and have been on medication for nearly five months. However, for the past month or two, I have started experiencing sharp pain in my limbs and joints (specifically in the armpits a...


Dr. Lin Zijing Reply:
Pain in areas related to posture or angle is more akin to muscle pain, and it is important to monitor for any signs of muscle weakness that may affect daily activities. Sometimes, hyperthyroidism may be associated with other autoimmune diseases that lead to muscle inflammation; i...

[Read More] Understanding Muscle Cramps in Limbs: A Guide for Patients with Hyperthyroidism


Understanding Post-Injury Complications: Chest Trauma and Neurological Issues

Post-injury complications of chest trauma..? Dear Director Jiang, I have experienced compression in my left chest and upper back due to gravitational force. My chest was impacted by a mechanical device, specifically a screw with a diameter of 1.8 cm and a length of approximately...


Dr. Jiang Hezhou Reply:
Hello: 1. Your symptoms and condition sound quite complex, with many important internal organs affected! It is recommended that you have an in-person consultation and undergo physical and neurological examinations to determine the cause and provide targeted treatment. 2. Regardin...

[Read More] Understanding Post-Injury Complications: Chest Trauma and Neurological Issues


Understanding Numbness and Chest Discomfort: A Neurological Perspective

Previously, I experienced numbness in my face and hands, and now I feel tightness in my chest and a desire to sleep? On October 14, I felt unwell and lay in bed with numbness in my face and hands (the numbness in my face was in the cheeks, ears, and around the eyes; for my hands,...


Dr. Ye Boshou Reply:
Hello: It may be due to autonomic nervous system dysfunction, and it is important to ensure proper sleep.

[Read More] Understanding Numbness and Chest Discomfort: A Neurological Perspective


Unexplained Neurological Symptoms: Understanding Dizziness and Weakness

Unknown etiology Hello, after I sneezed (I have allergic rhinitis), I initially experienced dizziness and immediately sat down. My hands felt weak, and I wanted to grab my phone to call for help, but I felt somewhat out of control. There was a tingling sensation, sweating, and an...


Dr. Jiang Hezhou Reply:
1. Severe sneezing may potentially trigger the Valsalva maneuver phenomenon, leading to insufficient venous return and related symptoms. However, a face-to-face consultation and physical and neurological examinations are necessary to rule out other conditions! 2. Symptoms may al...

[Read More] Unexplained Neurological Symptoms: Understanding Dizziness and Weakness


Understanding Dizziness, Sweating, and Mental Confusion: When to Seek Help

Dizziness and other symptoms? I would like to ask you, doctor, why I often feel dizzy at times, and sometimes I get dizzy from a certain movement. Is dizziness the same as a headache? However, today I not only felt dizzy, but in the afternoon I also broke out in a slight cold swe...


Dr. Jiang Hezhou Reply:
Hello: 1. Dizziness and headaches are not entirely the same, but they can occur together! There are many possible causes! A face-to-face consultation and physical and neurological examinations are necessary to determine the underlying cause and provide targeted treatment! 2. Anxi...

[Read More] Understanding Dizziness, Sweating, and Mental Confusion: When to Seek Help


Understanding Dizziness and Headaches: Causes and Solutions for Young Adults

Headache + Dizziness Earlier this year, I experienced frequent dizziness and a sensation of heaviness in my head and lightness in my legs. At a blood pressure measurement station at Taipei's Xingtian Temple, my blood pressure was recorded at approximately 178/99 mmHg. A volu...


Dr. Zeng Kongyan Reply:
Hello: In response to your question, there are many causes of dizziness, including brain lesions, inner ear balance issues, and medical conditions such as anemia, hypotension, and fluid imbalance. For a 36-year-old individual experiencing dizziness along with high blood pressure ...

[Read More] Understanding Dizziness and Headaches: Causes and Solutions for Young Adults


Understanding Monthly Headaches: Causes and When to Seek Help

Headache issues? Hello Doctor: I experience headaches for several days each month, during which I feel like crying and have the urge to vomit. I initially thought it was related to eye pressure, so I have been regularly following up with an ophthalmologist. However, the ophthalmo...


Dr. Lin Zijing Reply:
If the headaches are recurrent and of the same nature, they may be vascular headaches. However, if the headaches have occurred recently within the past month, it is necessary to check for any intracranial diseases.

[Read More] Understanding Monthly Headaches: Causes and When to Seek Help


Dizziness and Hoarseness: Understanding Neurological Symptoms in Seniors

Dizziness and hoarseness? Hello Doctor, my father is 70 years old. A couple of days ago, he suddenly experienced severe dizziness and nausea, followed by a hoarse voice. Eventually, he felt some relief after receiving an injection. He usually sleeps well, but the night before the...


Dr. Lin Zijing Reply:
Non-benign dizziness accompanied by hoarseness may be indicative of an upper respiratory infection or diseases affecting the cerebellum or brainstem (such as tumors or strokes), and further examination is recommended. Pain upon pressing the muscles on both sides of the back of th...

[Read More] Dizziness and Hoarseness: Understanding Neurological Symptoms in Seniors


Understanding Burning Sensation in Feet: Neurological Insights and Solutions

Burning sensation in the soles of the feet? I have been experiencing a burning sensation and tingling in the soles of my feet for two years, as if I were wearing socks. It started with my right foot, and gradually my left foot began to feel the same way. In the morning, it feels ...


Dr. Ye Boshou Reply:
Hello: Please go to the neurology outpatient clinic for a detailed evaluation before proceeding with treatment. Thank you~~

[Read More] Understanding Burning Sensation in Feet: Neurological Insights and Solutions


Persistent Knee Pain and Numbness Six Weeks After a Fall: What to Do?

Persistent numbness and pain in the knee for six weeks after a fall? I fell six weeks ago, and although there were no external injuries to either knee, both were significantly bruised and painful. The pain was particularly pronounced on the outer side of the right knee and in an ...


Dr. Ye Boshou Reply:
If there is pain and numbness near the knee without any abnormalities in the lower limbs, calves, or feet, it is likely due to local inflammation or swelling. Applying a warm compress, engaging in mild activity, and taking medication can be helpful, but avoid excessive movement.

[Read More] Persistent Knee Pain and Numbness Six Weeks After a Fall: What to Do?


Understanding Nighttime Headaches: Causes and Concerns for Teens

Headache before bedtime? A 14-year-old male has been experiencing frequent headaches after 11 PM, specifically pain in the area around the temples and extending to the back of the head. The pain seems to lessen when resting the back of the head against something or lying on a pil...


Dr. Lin Zijing Reply:
This type of headache is more akin to tension-type headache. Headaches associated with hypertension typically feel like a sensation of pressure in the head, often accompanied by dizziness and high blood pressure. Sometimes, there may also be nausea and vomiting. Headaches caused ...

[Read More] Understanding Nighttime Headaches: Causes and Concerns for Teens


Understanding Heavy Headaches: Causes, Symptoms, and Treatment Options

Headaches can make the head feel very heavy? Hello, Doctor Gao: I would like to ask you a few questions related to my headaches. Recently, I have been experiencing frequent headaches and dizziness, especially when the weather changes or when it is hot and humid. The pain is locat...


Dr. Gao Chunde Reply:
Tension-type headaches are generally not directly related to blood pressure. If there is hypoxia, it is likely due to prolonged tension in the neck and head muscles, leading to a sensation of heaviness or pressure in the head. To alleviate this, one can engage in outdoor activiti...

[Read More] Understanding Heavy Headaches: Causes, Symptoms, and Treatment Options


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