Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Heavy head, pressure in the head, dizziness, and stiffness and soreness in the shoulders and neck? Hello Dr. Jiang, my questions are as follows, please help me answer them: ● Medical History 1. For the past five years, I have almost daily experiences of head heaviness, dizziness...
Dr. Jiang Junyi Reply:
Hello: The most important thing for your condition is to cultivate the parasympathetic nervous system. 1. Do I need to have another brain MRI? Under what circumstances should dizziness warrant an MRI? A: Generally, if there are no new neurological symptoms, repeating an MRI is...[Read More] Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Discomfort from Wearing a Hat Too Long: Neurological Insights
Wearing a hat for too long can cause discomfort in the head? Hello doctor, I have been wearing a hat for the past couple of days, and now I have a persistent sensation of wearing a hat on my head. Since last night, I have been feeling discomfort and numbness in the area between m...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, aching, ...[Read More] Discomfort from Wearing a Hat Too Long: Neurological Insights
Understanding Facial Nerve Palsy: Causes, Symptoms, and Treatment Options
Facial nerve paralysis Hello, doctor. On March 14th, I suddenly felt pain in the right side of my neck, which didn't feel like a muscle strain but rather like nerve pain. However, it improved by the evening. On the morning of March 15th, the pain returned and lasted all day ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indicate peripheral facial nerve paralysis, primarily affecting the seventh cranial nerve (if it were due to cervical nerve compression, it would not affect the face). Clinically, symptoms may include pain behind the ear 1-2 days prior to the onset. There may...[Read More] Understanding Facial Nerve Palsy: Causes, Symptoms, and Treatment Options
Understanding Skin Sensitivity and Pain: Possible Neurological Causes
Pain and shivering upon touch in the upper body, including the chest, abdomen, and back, accompanied by sensations similar to fever and chills? Hello Doctor: I am currently studying abroad, and I am having difficulty accessing medical resources. I hope to receive some help throug...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of neuropathic pain, which is typically caused by damage or disease affecting the somatosensory nervous system. It particularly resembles peripheral nervous system disorders, commonly seen in postherpetic neuralgia, but can also arise from...[Read More] Understanding Skin Sensitivity and Pain: Possible Neurological Causes
First Seizure: Understanding Recurrence Risks and Follow-Up Care
Will a first seizure lead to recurrence? Doctor, a few days ago, I suddenly experienced a seizure with convulsions in my limbs, foaming at the mouth, and collapsed. After being taken to the hospital, the doctor determined it was likely epilepsy, but brain scans, chest X-rays, and...
Dr. Jiang Junyi Reply:
Hello: If you have only experienced one seizure, it may not yet be diagnosed as epilepsy. Epilepsy is a neurological disorder characterized by a tendency to have sudden seizures (epileptic seizures). Seizures occur due to a sudden and temporary disruption of normal electrical act...[Read More] First Seizure: Understanding Recurrence Risks and Follow-Up Care
Understanding Facial Nerve Disorders: Symptoms and Concerns
Facial nerve Hello, I would like to ask if the following symptoms could be related to facial nerve dysfunction. Last night, I felt pain behind my ear, and by around noon today, I noticed that when I smile, the movement on the right side of my face is reduced. I also have a tingli...
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 Disorders: Symptoms and Concerns
Can My Mother Fully Recover from Stroke-Related Weakness?
Can one regain their previous health? My mother recently experienced a minor stroke, which left her weak and unable to walk. She was urgently taken to the hospital for treatment and was hospitalized for a period during which she had daily episodes. After some time, she began to r...
Dr. Jiang Junyi Reply:
Hello, 1. I feel that my leg strength and overall physical stamina are not what they used to be. Why is that? The mild stroke you mentioned could lead to weakness in walking. I'm curious if the physician has explained the relevant areas of the brain and the corresponding c...[Read More] Can My Mother Fully Recover from Stroke-Related Weakness?
Persistent Pain After Muscle Injection: Is It Normal and How to Improve?
Persistent pain or discomfort for nearly three months after an intramuscular injection? Hello, doctor. I apologize for the interruption. I went to the emergency room at the beginning of August and received two intramuscular injections in my right upper arm. Since then, I have bee...
Dr. Jiang Junyi Reply:
Hello: After receiving a muscle injection, it is possible to experience localized muscle inflammation, which typically resolves gradually within two weeks. If you are still experiencing tingling sensations, there may still be an inflammatory response. It is recommended to use hea...[Read More] Persistent Pain After Muscle Injection: Is It Normal and How to Improve?
Understanding Body Shaking: Neurological Insights on Sensations
The body experiences tremors? If you have been sitting for a long time and feel a sensation of swaying or can hear your heartbeat, but do not experience dizziness and can walk straight, this could be related to several factors. It may be due to prolonged inactivity, which can aff...
Dr. Jiang Junyi Reply:
Hello: You mentioned proprioception, which involves receptors in the muscles and joints that can sense muscle contraction and stretching, as well as flexion and extension. This sensation can be heightened when we are tense or consume caffeinated beverages. However, certain heart ...[Read More] Understanding Body Shaking: Neurological Insights on Sensations
Electromyography for Facial Nerve Recovery: What to Expect?
Electromyography (EMG) of the facial nerve? Hello, doctor. About a month and a half ago, I received treatment for facial nerve paralysis, and I believe I have recovered over 95% so far (especially when raising my eyebrows or squinting, there is still a slight difference between t...
Dr. Jiang Junyi Reply:
Hello: Facial paralysis is believed to be caused by unknown reasons or viral infections, which lead to impaired blood flow in the vessels supplying nutrients to the facial nerve, resulting in paralysis. Improving blood flow to the facial nerve is the principle of treatment. This ...[Read More] Electromyography for Facial Nerve Recovery: What to Expect?
Understanding Double Vision and Eye Pain: Possible Causes and Solutions
Diplopia and eye pain? Hello Doctor, since middle school, I have occasionally experienced pain around my eyes and headaches after using the computer. Sometimes I also have blurred vision, but these symptoms do not last long. Last week, after using the computer for an afternoon, I...
Dr. Jiang Junyi Reply:
According to your description, there are many causes of diplopia. Whether due to damage or compression of the muscles or nerves, the inability of the eye muscles to coordinate can lead to diplopia. In cases of thyroid eye disease, where the eyeball protrudes, the extraocular musc...[Read More] Understanding Double Vision and Eye Pain: Possible Causes and Solutions
Understanding Muscle Numbness Above the Knee: Causes and Solutions
The muscles just above the knee are experiencing numbness? Hello, doctor. Over the past year, I have had to sit for long periods due to my studies. The year before, I worked part-time and had to stand for at least two days a week for 6 to 8 hours. After a long flight back home (a...
Dr. Gao Chunde Reply:
You can find time to engage in gentle exercises regularly, such as walking, cycling, or playing some ball sports. If the symptoms worsen or do not improve, seek a detailed evaluation from a healthcare professional.[Read More] Understanding Muscle Numbness Above the Knee: Causes and Solutions
Understanding Nerve Issues: Persistent Numbness and Neck Stiffness
Numbness in the legs and stiffness in the neck? Hello Doctor, I would like to ask you about my condition. I have been experiencing mild numbness in both of my legs throughout the day for a long time. I often wake up at night with either my hands or feet feeling numb, and at times...
Dr. Gao Chunde Reply:
Symptoms such as poor blood circulation may indicate issues with the blood vessels or the composition of the blood itself. It is advisable to seek medical attention for further evaluation. Generally, you can consult a neurologist or a family medicine physician, and if necessary, ...[Read More] Understanding Nerve Issues: Persistent Numbness and Neck Stiffness
Understanding Sudden Breathlessness, Dizziness, and Fainting: A Neurological Perspective
Shortness of breath, dizziness, fainting, tinnitus, nausea? Hello, doctor! My mother suddenly became very short of breath in the kitchen today and then collapsed, but she was conscious. Afterward, she described the situation as feeling extremely breathless, dizzy, experiencing ti...
Dr. Hong Weibin Reply:
Hello: Based on the situation you described, I recommend that you take your mother to a cardiology clinic as soon as possible. The combination of dizziness, shortness of breath, and chest pain necessitates prioritizing the exclusion of serious cardiovascular issues, such as angin...[Read More] Understanding Sudden Breathlessness, Dizziness, and Fainting: A Neurological Perspective
Understanding Nerve Issues: Persistent Discomfort in Right Foot and Shoulder
Numbness in the right foot, discomfort throughout the right foot making it difficult to stand, slight numbness in the right hand, and stiffness and pain in the left shoulder and neck? At the end of last year, during winter, I felt something unusual with my right foot. I consulted...
Dr. Gao Chunde Reply:
Have you seen a neurologist? Perhaps a detailed consultation and analysis by a specialist in neurology could provide different considerations and examinations, leading to more targeted treatment.[Read More] Understanding Nerve Issues: Persistent Discomfort in Right Foot and Shoulder
Understanding Numbness in Feet: Circulation Issues and Neurological Concerns
Numbness in the soles of the feet, poor blood circulation? My mother is 51 years old and has been experiencing several health issues, including hypertension, urticaria, anxiety disorder, and intestinal adhesions. Recently, she has been troubled by a significant problem: her legs ...
Dr. Gao Chunde Reply:
Numbness can be due to peripheral nerve abnormalities, central nervous system disorders, peripheral circulation issues, central vascular circulation problems, or emotional causes. There are many potential reasons. If a transient ischemic attack (TIA) is suspected, it is advisable...[Read More] Understanding Numbness in Feet: Circulation Issues and Neurological Concerns
Understanding Dizziness and Blackouts: When to Seek Medical Help
Dizziness with blurred vision? Recently, I have been experiencing sudden blackouts in my vision, severe dizziness, and headaches, along with a feeling of heat and sweating all over my body, as if I am about to faint. These episodes occur not during exercise or any strenuous activ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the reason why your dizziness symptoms improve when you squat may be due to insufficient cerebral blood circulation. Many factors can cause dizziness, such as anemia and autonomic nervous system dysfunction. It is important to rule out anemia or ...[Read More] Understanding Dizziness and Blackouts: When to Seek Medical Help
Understanding Leg Cramps: Causes, Symptoms, and Relief Strategies
Leg cramps? I have been experiencing a sensation of warmth in my right calf at night for the past few months. My middle toe, ring toe, and little toe tend to curl up and then relax. However, if I get up and sit for a few minutes, the symptoms improve. Now, the symptoms start when...
Dr. Gao Chunde Reply:
The distribution of these symptoms corresponds to the innervation of the fifth lumbar nerve. The exact cause of the condition is unclear, and a detailed evaluation is necessary. A neurologist who examines you in person will perform differential diagnosis and relevant tests for tr...[Read More] Understanding Leg Cramps: Causes, Symptoms, and Relief Strategies
Understanding Temporal Vascular Issues: When to Seek Medical Advice
Temporal vascular issues? Hello Doctor: Recently, I have noticed that the blood vessels in my temples become prominent after exercising or during times of stress, but I do not feel any pain or discomfort. Sometimes, I can also see the blood vessels slightly protruding while at re...
Dr. Gao Chunde Reply:
It is common for healthy individuals to experience veins bulging during periods of increased or vigorous blood circulation. The other symptoms you described are mostly related to lifestyle factors such as stress, tension, or lack of sleep. There is likely no need for immediate co...[Read More] Understanding Temporal Vascular Issues: When to Seek Medical Advice
Understanding Facial Nerve Issues: Tips for Managing Facial Tingling
Facial nerve Hello, I have been experiencing facial numbness (especially when using my eyes) for the past six months. However, it is not severe, does not affect my daily life, and has not progressed to facial nerve paralysis. I previously consulted a doctor who mentioned that it ...
Dr. Jiang Junyi Reply:
Based on your description, the issue with facial numbness is likely related to the trigeminal nerve. The trigeminal nerve distributes sensory information from the forehead, cheeks, and chin to our brain. Sensations within the oral cavity are also transmitted by the trigeminal ner...[Read More] Understanding Facial Nerve Issues: Tips for Managing Facial Tingling