Understanding Eye Movement Disorders: Causes and Treatment Options
Nystagmus and visual oscillation? Hello, Doctor. I have been experiencing involuntary eye (eyelid) twitching since February of last year, but it does not occur when my eyes are open. Starting in May, I noticed a slight tremor when looking at objects, especially when viewing grid ...
Dr. Lan Shengxing Reply:
This symptom makes it difficult to rule out neurological disorders. Nystagmus is an external observation and may not necessarily align with personal sensations; it is also harder to accurately observe true nystagmus when the eyes are closed. Therefore, it is advisable for you to ...[Read More] Understanding Eye Movement Disorders: Causes and Treatment Options
Post-Sinus Surgery MRI Insights: Understanding Headaches and Ear Pain
Magnetic Resonance Imaging (MRI) two months post-sinus surgery? Due to headaches, dizziness, deep pain in the right ear, and weakness in the right leg, a magnetic resonance imaging (MRI) was performed two months after chronic sinusitis surgery, and I have not yet recovered. I wou...
Dr. Gao Chunde Reply:
You may consider consulting a neurosurgeon to review your actual MRI images. Based on their experience, they can determine whether the condition of the right anterior inferior cerebellar artery in relation to the seventh and eighth cranial nerves can explain your current clinical...[Read More] Post-Sinus Surgery MRI Insights: Understanding Headaches and Ear Pain
Understanding Left Shoulder Pain, Dizziness, and Heart Symptoms
Left shoulder, neck, and back pain, palpitations, and dizziness? Hello, Doctor: I have been experiencing intermittent pain in my left shoulder, neck, and back for about two years. My presbyopia has been worsening. Last year, I suddenly experienced dizziness and went to the emerge...
Dr. Lan Shengxing Reply:
Dear Victor, based on your symptoms, I recommend that you seek treatment from a neurologist and a rehabilitation specialist. There is a high chance that your condition is related to the cervical spine, and treatment may include medication and physical therapy, among other options...[Read More] Understanding Left Shoulder Pain, Dizziness, and Heart Symptoms
Understanding Electric Sensations in Fingers: Possible Causes and Treatments
Finger electrical sensation Hello Doctor, I have recently been experiencing a slight tingling and electric sensation in my left hand fingers, specifically the middle and ring fingers. I have undergone cervical traction therapy at a rehabilitation clinic, but the results were not ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more indicative of cervical radiculopathy, which may be caused by cervical spine degeneration or disc herniation, leading to foraminal stenosis and compression of the cervical nerve roots. If the sixth cervical nerve root is com...[Read More] Understanding Electric Sensations in Fingers: Possible Causes and Treatments
Understanding Neck and Shoulder Pain: Possible Neurological Issues
Shoulder and neck pain? Hello, Doctor Gao. I have been experiencing frequent headaches and neck and shoulder pain. Sometimes my neck feels tight, my right leg feels sore, and my left hand occasionally feels weak. Could you please tell me what might be the issue?
Dr. Gao Chunde Reply:
If the left hand feels increasingly weak and persistent, it is important to consider issues related to the cervical spine or intracranial nerves, and further evaluation by a neurologist is recommended. If there is soreness, pain, or stiffness, it is mostly related to fatigue and ...[Read More] Understanding Neck and Shoulder Pain: Possible Neurological Issues
Persistent Hand Numbness: Seeking Answers After 4 Months of Symptoms
Numbness in both hands for the past four months? Hello doctor, I have been experiencing numbness in my hands since the beginning of September. Initially, it was only in my right hand, but within a week, my left hand started to feel numb as well. The numbness has not ceased, causi...
Dr. Gao Chunde Reply:
When experiencing hand numbness, it is important to determine whether the distribution of symptoms falls within the peripheral nerve range, nerve roots, or central nervous system. Particularly, if nerve conduction studies are normal, carpal tunnel syndrome is almost ruled out. Sy...[Read More] Persistent Hand Numbness: Seeking Answers After 4 Months of Symptoms
Understanding Post-EMG Bruising and Pain: What You Need to Know
After the electromyography (EMG) procedure, there may be bruising and pain? After undergoing an electromyography (EMG) at the Veterans General Hospital, I experienced significant bruising and bleeding in my palm. The physician applied pressure for a long time due to my nervousnes...
Dr. Lan Shengxing Reply:
First, the chance of a needle breaking inside is very low, and it would be accompanied by other symptoms. If there are still concerns, since the needle is metal, an X-ray can confirm its presence. Diseases of the cervical spine or brachial plexus can indeed lead to muscle atrophy...[Read More] Understanding Post-EMG Bruising and Pain: What You Need to Know
Treatment Options for C5 Spinal Injury: Surgery vs. Physical Therapy
If there is an injury to the fifth cervical vertebra (C5), the treatment approach may vary depending on the severity of the injury. Generally, treatment options may include: 1. **Conservative Management**: This may involve rest, physical therapy, and the use of a cervical collar...
Dr. Gao Chunde Reply:
Cervical spine injuries will be assessed based on imaging results, in conjunction with clinical neuromuscular function, and possibly supplemented by electromyography (EMG) tests. This assessment will determine the treatment plan, which may include physical therapy, oral medicatio...[Read More] Treatment Options for C5 Spinal Injury: Surgery vs. Physical Therapy
Understanding Tension Headaches: The Role of EEG and MRI in Diagnosis
Electroencephalography (EEG) and Magnetic Resonance Imaging (MRI) Hello, doctor. Previously, I inquired about symptoms such as eye pressure (discomfort when moving the eyeballs), soreness, dull pain in the head, tightness in the neck at the back, and a strong desire to rest with ...
Dr. Gao Chunde Reply:
After ruling out postoperative infection, both sinusitis and tension-type headaches may occur following treatment. Simple tension-type headaches can be managed with oral medications prescribed by a physician, or by adjusting lifestyle habits to reduce stressors, engaging in moder...[Read More] Understanding Tension Headaches: The Role of EEG and MRI in Diagnosis
Persistent Cramps and Numbness in Left Hand and Leg: Possible Causes
Persistent cramping sensation in the left hand and left foot? Hello Doctor, recently I've been experiencing a persistent sensation in my left hand that feels somewhat like a mild cramping. Sometimes my palm feels a bit numb, and my fingers occasionally feel strange (for exam...
Dr. Lan Shengxing Reply:
Dear Xiao Ai, the symptoms mentioned above may require consideration of other conditions, such as mild cervical spine compression. However, I am unable to perform a neurological examination online, so I kindly ask you to visit the neurology outpatient department at various hospit...[Read More] Persistent Cramps and Numbness in Left Hand and Leg: Possible Causes
Understanding Involuntary Muscle Twitches: Causes and Solutions
Muscle twitching Hello Doctor: I have been experiencing involuntary muscle twitching throughout my body, along with a sensation of soreness in my left hand and foot. My neck has also been persistently tight and painful. These symptoms have been present for about a year. Initially...
Dr. Lan Shengxing Reply:
Dear Sam, the symptoms you described differ somewhat from those of amyotrophic lateral sclerosis (ALS). There is no need to worry excessively about cervical spine issues or problems arising from sleep itself. However, if you have undergone cervical spine imaging and electromyogra...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Morning Hand Numbness and Involuntary Twitches
Numbness and twitching in the hands after waking up? Hello, Doctor: I would like to ask about something. Yesterday morning, after I woke up, I noticed that my left hand was numb, and my little finger was twitching involuntarily. I also felt soreness in my lower back and neck. The...
Dr. Gao Chunde Reply:
There is a high likelihood of cervical nerve compression; however, the presence of bruising is somewhat unusual. It is difficult to determine if there is internal bleeding. It is recommended to seek further evaluation at a neurology or neurosurgery outpatient clinic as soon as po...[Read More] Understanding Morning Hand Numbness and Involuntary Twitches
Understanding Left Leg Cramps: Causes, Symptoms, and Solutions
Left foot cramp? Hello, doctor. Recently, I've been experiencing intermittent sharp pains in my left foot that last only a moment, after which my foot feels weak. Sometimes, the symptoms change over time and manifest as pain in the back of my head, which feels similar. Usual...
Dr. Gao Chunde Reply:
These symptoms can certainly be attributed to exam stress and irregular sleep patterns. It's important to maintain a balanced diet and limit the intake of stimulants such as coffee and caffeinated teas. However, if we consider all the symptoms collectively, we cannot complet...[Read More] Understanding Left Leg Cramps: Causes, Symptoms, and Solutions
Unconscious Neck Twitches: Understanding Stress and Muscle Tension
Unconscious twitching? When I feel tension and pressure in my neck, it involuntarily twitches. This started in high school when I switched classes and began to meet new classmates. In class or in social situations, I put pressure on myself, and when my neck feels sore, I don’t im...
Dr. Gao Chunde Reply:
It is a type of involuntary movement characterized by neck spasms, typically manifesting during elementary school years, with symptoms gradually easing in adolescence. If there are multiple areas of motor tics or complex movements accompanied by involuntary sounds or inappropriat...[Read More] Unconscious Neck Twitches: Understanding Stress and Muscle Tension
Persistent Tension in the Neck and Head: Causes and Solutions
Frequent tightness in the back of the head and neck, along with a feeling of fullness in the right ear? Your question: Hello Doctor, I have been experiencing tightness and discomfort from the back of my head down to the back of my neck for about six months. I consulted an orthope...
Dr. Lan Shengxing Reply:
Most of these conditions are attributed to tension-type headaches or cervical and shoulder syndrome. The source is muscle tension that cannot relax properly. It is recommended to use muscle relaxants, apply heat therapy, and engage in light exercise to manage the symptoms.[Read More] Persistent Tension in the Neck and Head: Causes and Solutions
Understanding Persistent Pain in Right Hand and Foot: Possible Causes
There is a slight tingling sensation in my right hand and right foot? Hello Doctor: For about seven years, I have been experiencing some soreness in my right hand (extending to my fingers) and my right foot. Occasionally, I also feel slight soreness in my right lower back (but it...
Dr. Gao Chunde Reply:
Of course, symptoms in the same side of the limbs and waist can raise suspicion of a single lesion above the cervical spine, including the brainstem or cerebrum, in neuroanatomy. However, symptoms such as numbness, weakness, lack of coordination, or stiffness are generally more i...[Read More] Understanding Persistent Pain in Right Hand and Foot: Possible Causes
Understanding the Causes of Delayed Recovery in Peripheral Nerve Injuries
Factors or causes affecting nerve regeneration? I am experiencing nerve damage in my right wrist. According to a diagnosis from a physician at Chi Mei Hospital, the conduction velocity is about one-third of that in my left hand. This may be a sequela from a car accident I had at ...
Dr. Huang Yingzhe Reply:
Based on the description, although the results of the nerve conduction study and electromyography are unknown, it sounds like an issue with the ulnar nerve. If, as you suspect, it is related to trauma, the reason for the lack of recovery could either be that the injury has caused...[Read More] Understanding the Causes of Delayed Recovery in Peripheral Nerve Injuries
Neck Pain After Car Accident: Which Specialist to Consult?
Severe neck injury from a car accident? Hello, doctor. I would like to ask about my mother, who suffered a severe head injury from hitting the windshield of a car in an accident a few years ago, resulting in neck pain. Initially, she visited an orthopedic specialist, and X-rays s...
Dr. Lan Shengxing Reply:
Dear Ms. Tsai, your mother's injuries are likely caused by a cervical spine injury. This pain may recur, and I recommend that you visit a rehabilitation clinic for treatment, where physical therapy can provide relief. Sincerely, Lan Shengxing.[Read More] Neck Pain After Car Accident: Which Specialist to Consult?
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