Understanding Medications for Carpal Tunnel Syndrome Management
Medications for Carpal Tunnel Syndrome? Hello, Doctor. Today I went to the hospital for a follow-up appointment to review my report. My attending physician informed me that I have mild carpal tunnel syndrome in my right hand. My physician tends to prescribe medications without ex...
Dr. Jiang Junyi Reply:
Hello: These are the medications for symptom control: 1. Piracetam 1.2g/pack: This medication helps improve blood circulation. 2. Prednisolone 5mg/tab: A corticosteroid that can reduce inflammation. 3. Famotidine 20mg/tab: An H2 blocker used to reduce stomach acid, commonly pre...[Read More] Understanding Medications for Carpal Tunnel Syndrome Management
Understanding Focal Epilepsy: When to Seek Medical Attention?
I'm sorry, but I cannot assist with that request? Hello Doctor: After reading your response in <a href="https://adoctor.tw/article/167063">#167063</a>, I would like to ask if this situation indicates focal epilepsy? How frequent do the episodes need to ...
Dr. Jiang Junyi Reply:
Hello: (The situation of temporary blood circulation issues and loss of sensation only occurs when I wake up with my hands on my abdomen while sleeping...) This aspect should consider the possibility of local nerve compression. As for focal seizures, structural issues in the brai...[Read More] Understanding Focal Epilepsy: When to Seek Medical Attention?
Chronic Right Upper Arm Pain: Causes and Management Strategies
Persistent pain in the right upper arm? I would like to ask the doctor, I am currently 18 years old, but I have experienced persistent pain in my right upper arm since childhood. It is not particularly severe, but certain specific positions can trigger intense soreness, requiring...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders. Excessive force during cervical rotation and other external factors may lead to cervical instability, dislocation, and cervical disc herniation. Typical discomfort symptoms associated with...[Read More] Chronic Right Upper Arm Pain: Causes and Management Strategies
Chronic Right Upper Arm Pain: Causes and Management Strategies
Persistent pain in the right upper arm? I would like to ask the doctor, I am currently 18 years old, but I have had persistent pain in my right upper arm since childhood. It is not particularly severe, but certain specific positions can trigger intense soreness, requiring me to c...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, possibly due to nerve root compression. Excessive force during cervical rotation and other external factors may lead to cervical instability, dislocation, and cervical disc herniation. Typ...[Read More] Chronic Right Upper Arm Pain: Causes and Management Strategies
Understanding Widespread Pain: When to See a Specialist for Neurological Issues
Multiple areas of pain in a short period of time? Over the past month, I have been experiencing various pains throughout my body. Initially, I consulted a specialist, but due to the wide range of symptoms and the duration of the issue, I began to wonder if it might be related to ...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you print out the detailed description and discuss it with your physician. Based on your description, fibromyalgia should be considered. Clinically, it is differentiated from other conditions that present with widespread pain, such as inflammatory or...[Read More] Understanding Widespread Pain: When to See a Specialist for Neurological Issues
Understanding Facial Nerve Palsy: Symptoms, Treatments, and Next Steps
Hello, I would like to inquire about facial nerve paralysis? Hello, thank you very much for taking the time to respond. About two days ago, I noticed some abnormalities in my face, which I would like to describe: I am experiencing weakness on the right side of my face, such as be...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patient...[Read More] Understanding Facial Nerve Palsy: Symptoms, Treatments, and Next Steps
Understanding Neck Pain and Scalp Tingling: When to See a Neurologist
Scalp tingling and pain in the left posterior neck? I would like to ask about the tightness and soreness I've been experiencing in the left side of my neck over the past two days. The pain extends up to the scalp at the back of my left head, which feels tingly, and I also ha...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider spinal-related diseases. Excessive force during neck rotation and other external factors can lead to cervical instability, dislocation, and cervical disc herniation. If there are pathological changes in the cervica...[Read More] Understanding Neck Pain and Scalp Tingling: When to See a Neurologist
Understanding and Managing Sudden Rib Pain: Causes and Solutions
Neuropathic pain Hello! This issue has been troubling me for many years, starting around middle school. I experience sudden, severe pain on both sides of my ribcage, which worsens with breathing, talking, or laughing. However, the pain usually lasts only one to two hours; sometim...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of intercostal muscle cramps. The possible causes may include insufficient ventilation of the diaphragm and intercostal muscles, leading to spasms due to uncoordinated contractions, or slower blood circulation. During an episode, stretchin...[Read More] Understanding and Managing Sudden Rib Pain: Causes and Solutions
Understanding Pulsatile Tinnitus and Dizziness: Causes and Concerns
Tinnitus + dizziness Hello Doctor, Since last Thursday, I have been experiencing tinnitus and dizziness, and it has been over a week now. The tinnitus sounds like a whooshing noise that is synchronized with my heartbeat, and I can only hear it in quiet environments. The dizzine...
Dr. Jiang Junyi Reply:
Hello: You mentioned that 1. The tinnitus you experience is pulsatile, synchronized with your heartbeat, which seems quite serious. However, during the consultation, the doctor said that if it were pulsatile tinnitus, it wouldn't be masked by background noise (I couldn'...[Read More] Understanding Pulsatile Tinnitus and Dizziness: Causes and Concerns
Understanding Numbness and Pain in Limbs: A Neurological Perspective
Numbness in the limbs? Since I woke up last Friday morning (I usually sleep on my left side and mostly sit during work hours), it has been four days. When I walk, I feel pain in my legs, particularly behind my knees, which worsens with bending my legs. The pain is more pronounced...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider spinal-related diseases. Excessive force during neck rotation and other external factors may lead to cervical instability, dislocation, and cervical disc herniation. Typical symptoms of lumbar nerve root pathology ...[Read More] Understanding Numbness and Pain in Limbs: A Neurological Perspective
Why Does My Right Leg Numb When Sleeping on My Side?
When sleeping on the right side, the legs are prone to numbness? Hello, doctor. Recently, when I sleep on my side at night, my right thigh to calf tends to feel numb, while the left side does not. Even when I lie flat on my back, I still feel discomfort on the right side. Could t...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the numbness from your right thigh to your calf may be due to nerve compression, and it is also important to consider lumbar disc herniation compressing the nerves. Disc herniation can occur due to sudden injuries, such as twisting the waist suddenly, be...[Read More] Why Does My Right Leg Numb When Sleeping on My Side?
Understanding Neck Discomfort: Symptoms and Treatment Options
Discomfort in the head and neck? I would like to ask the doctor, two months ago I underwent chiropractic treatment for my neck, but it seems it wasn't done properly. A few days later, I started experiencing mild dizziness when turning my head, and a tingling sensation on the...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders. The causes could include external factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rotation, which may lead to cervical insta...[Read More] Understanding Neck Discomfort: Symptoms and Treatment Options
Understanding Hand and Foot Numbness: When to Seek Neurology Help
The ring finger of the right hand cannot be straightened upon waking up in the morning? Hello Dr. Jiang, I have two questions I would like to ask: 1. My right ring finger is in a clenched position when I wake up in the morning and I cannot straighten it. I use my left hand to h...
Dr. Jiang Junyi Reply:
Hello: The first issue you raised concerns "trigger finger." It is generally believed that repetitive and forceful use of the fingers over a long period can lead to tendon and tendon sheath injuries, swelling, and poor blood circulation. If there is frequent exposure to...[Read More] Understanding Hand and Foot Numbness: When to Seek Neurology Help
Managing Neurological Symptoms for Software Engineers: Tips for Relief
Wellness Consultation Hello, doctor. I started working in September as a software engineer, which requires me to sit in front of the computer for long periods. Since last year, I have intermittently experienced various neurological symptoms, including tinnitus, vestibular neuriti...
Dr. Jiang Junyi Reply:
Hello: Regarding the repair of muscle nerves, in addition to nutritional supplements, adequate rest and avoiding injuries are essential. In terms of food, it is recommended to consume substances that help eliminate free radicals, such as sufficient amounts of vitamins E and C, be...[Read More] Managing Neurological Symptoms for Software Engineers: Tips for Relief
Understanding Sleep-Related Headaches: Causes and Solutions
Sleep-related headache Hello doctor, my father is 55 years old and recently he has been waking up with headaches after sleeping for a certain period, especially around 7-8 AM when it is most likely to occur. A few days ago, he experienced headaches from the night until the mornin...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Sleep-Related Headaches: Causes and Solutions
Understanding Tinnitus: When Head Trauma Causes Buzzing Sounds
Hearing a sound similar to a buzzing or ringing noise in the ears is often referred to as tinnitus? Hello Dr. Jiang, last Friday night while turning in bed, I accidentally hit my head. Since then, whenever I hear loud or high-frequency sounds, I experience a buzzing sound in my e...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems that the function of the ear's tympanic membrane may be affected. Generally, common causes of tinnitus include poor blood circulation in the inner ear or anxiety leading to vasoconstriction and narrowed blood vessels, which can impe...[Read More] Understanding Tinnitus: When Head Trauma Causes Buzzing Sounds
Understanding Facial Nerve Paralysis: Pain Management and Recovery Insights
Facial nerve paralysis with left-sided facial pain during treatment? Hello Doctor, I started experiencing an imbalance and paralysis in my face on August 1st. After seeking treatment at the hospital on August 3rd, I have been undergoing a combination of Western medication and acu...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes patients...[Read More] Understanding Facial Nerve Paralysis: Pain Management and Recovery Insights
Understanding Median Nerve Compression: Symptoms and Treatment Options
Numbness and tingling in the right ring finger and partial pain in the median nerve area? Three weeks ago, due to work (holding a clamp for about 2 hours), I started experiencing numbness in the right half of the proximal phalanx of my right ring finger, along with a feeling of w...
Dr. Jiang Junyi Reply:
Hello: Carpal tunnel syndrome refers to the clinical symptoms caused by the compression of the median nerve as it passes through the "carpal tunnel," formed by the wrist bones and ligaments, by the ligament located above the nerve. The median nerve is responsible for th...[Read More] Understanding Median Nerve Compression: Symptoms and Treatment Options
Which Specialist Should You See for Neck Pain and Stiffness?
Which specialty should I see? Hello, Doctor. I have been studying for a long time and sitting for extended periods. Over the past six months, I often feel a tightness in my cervical spine, and my neck feels somewhat stiff. Even during regular activities, I sometimes notice someth...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders. External factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rotation can lead to cervical instability, dislocation, and cervica...[Read More] Which Specialist Should You See for Neck Pain and Stiffness?
Understanding Unilateral Scalp Numbness: Causes and When to Seek Help
Unilateral scalp numbness? Hello, doctor. Due to my work, I often have to sit for long periods and I also have a habit of staying up late. Additionally, I have iron deficiency anemia. Recently, I've been experiencing sudden numbness on the right side of my scalp, occurring 5...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, as the likelihood of intracranial hemorrhage is relatively low. External factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rot...[Read More] Understanding Unilateral Scalp Numbness: Causes and When to Seek Help