Understanding Progressive Sensory Abnormalities: A Neurological Concern
Abnormal sensations on the right side are gradually spreading? Hello Doctor, last Saturday, February 24th, I experienced mild numbness in my right lip, right finger, and half of my palm. By Monday, the numbness worsened, so I visited a family medicine doctor who prescribed medica...
Dr. Jiang Junyi Reply:
Dear Miss Lily, You mentioned that on March 2nd, you woke up and noticed abnormal sensations in your scalp, the back of your head, and your eyelids. Additionally, the numbness in your hands has spread to your entire palm, and you can no longer distinguish objects by touch. You a...[Read More] Understanding Progressive Sensory Abnormalities: A Neurological Concern
Head Injury from Stair Climbing: Understanding Neurological Symptoms
While working, I bumped my head while climbing stairs? I bumped my head while climbing stairs at work on February 27. At the time, I didn't feel much, but starting the next day, February 28, I began to experience weakness in my limbs and a sense of imbalance. However, I have...
Dr. Jiang Junyi Reply:
Dear Mr. Pan, You mentioned that "you hit your head while climbing stairs and didn't feel much at the time, but starting from the next day, February 28, you began to experience weakness in your limbs and a sense of imbalance." Based on your description, the likeli...[Read More] Head Injury from Stair Climbing: Understanding Neurological Symptoms
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left posterior part of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using th...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai: You mentioned experiencing a pulsating pain in the left posterior part of your head for a few seconds, and the physician diagnosed it as a fourth cranial nerve palsy. For the headache component, it may be necessary to consider abnormalities in the cervical spine. ...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Understanding Facial Numbness: Possible Causes and When to Seek Help
Stroke causes neurological damage? Hello, Doctor! Four months after getting my front tooth crown, I started experiencing a tingling sensation in my right nostril, right cheekbone, and right ear. Sometimes, the right side of my head also feels this way. What could be the cause? Tw...
Dr. Jiang Junyi Reply:
Hello Ms. Vivi, You mentioned experiencing "numbness on the right side of your face? This past six months, you've also had issues with slurred speech and a thick tongue." These symptoms do not seem to be explainable by cervical degeneration or herniated discs. It ...[Read More] Understanding Facial Numbness: Possible Causes and When to Seek Help
Understanding Headaches: When to See a Neurologist for Relief
I have a headache that radiates to the back of my head, with a hot sensation on my forehead and warmth in my upper back? Hello Dr. Jiang: Since the end of January, I have been experiencing pain in my forehead, which has now shifted to the lower back of my head, causing me to wake...
Dr. Jiang Junyi Reply:
Hello Ms. Yang, You mentioned that "the frontal headache has now shifted to pain in the lower back of the head, waking you up in pain, along with heat in the forehead and upper back." It is important to first consider cervicogenic headache. This type of headache is cau...[Read More] Understanding Headaches: When to See a Neurologist for Relief
Understanding Headaches and Vascular Issues: A Neurological Perspective
Headaches and vascular-related issues? Hello, doctor. I have been experiencing frequent headaches and fatigue. Here are my detailed symptoms: I have two types of headaches; one is unilateral (more often on the left side, but sometimes on the right) accompanied by a feeling of pre...
Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned, "If I need to see a specific specialist, which one would you recommend (due to heart and head, neurological issues)?" I'm not sure which issue is most concerning for you. I suggest starting with a neurologist, focusing on cervical spine ...[Read More] Understanding Headaches and Vascular Issues: A Neurological Perspective
Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
I would like to inquire about what condition these symptoms may indicate? Sitting for 1-2 hours (such as in a car or at a desk) causes intense stabbing pain throughout the neck, shoulders, and upper back, along with a feeling of tightness and swelling around the neck and shoulder...
Dr. Jiang Junyi Reply:
Hello Ms. QZ: You mentioned experiencing a strong stabbing pain from your neck to your shoulders and upper back. I wonder if you also have any tingling sensations? We should first consider cervical nerve root compression, which is often related to tightness in the cervical muscle...[Read More] Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
Understanding Dizziness and Dry Mouth: When to Seek Neurological Care
Dizziness and dry mouth? Recently, I have been experiencing dizziness, a feeling of pressure in the back of my head, dry mouth, tinnitus, and occasional numbness in my hands. My walking is normal. I visited a family medicine clinic where I was prescribed medication for the dizzin...
Dr. Jiang Junyi Reply:
Hello Mr. Ming: You mentioned feeling "pressure in the back of your head, dry mouth, tinnitus, and occasional hand numbness." Could you clarify the numbness in your hands? Is it bilateral or unilateral? If it is unilateral, we may need to consider cervical spine issues....[Read More] Understanding Dizziness and Dry Mouth: When to Seek Neurological Care
Understanding Right Neck and Shoulder Pain: When to Seek Neurology Help
Right shoulder and neck tightness and pain? Hello Doctor: For the past six months, I have been experiencing a tight and painful sensation on the right side of my neck, extending from my head down to a certain point on my shoulder, similar to a nerve issue. I have difficulty turni...
Dr. Cai Zongzhang Reply:
Hello Ms. Liu: It is recommended to visit the neurology department for a cervical spine examination.[Read More] Understanding Right Neck and Shoulder Pain: When to Seek Neurology Help
Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Feeling of body swaying? Hello, doctor. Recently, I spent too much time at the computer maintaining a posture, and after getting up, I noticed stiffness in my neck muscles along with dizziness. I visited a traditional Chinese medicine practitioner who said my muscles were inflame...
Dr. Peng Shiwei Reply:
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Understanding Finger Weakness: Causes and Solutions for Right Index Finger
Unable to lift fingers? I am unable to fully extend my right index finger to form the number "1." The finger often can only be raised halfway before I feel weakness and cannot straighten it further, although sometimes I can lift it a little higher. It varies throughout ...
Dr. Jiang Junyi Reply:
Dear Mr. Ren, You mentioned that your fingers often can only be raised halfway before becoming weak and unable to straighten. This may indicate an abnormality in the extensor indicis muscle, which is primarily innervated by the median nerve extending from the cervical spine. How...[Read More] Understanding Finger Weakness: Causes and Solutions for Right Index Finger
Exploring Causes of Leg Weakness: Beyond MRI and Dopamine Imaging
The left foot feels weak when starting to walk, and MRI, electromyography, and dopamine imaging have all shown no abnormalities? Hello Doctor, my family member has experienced foot drop for the past five years. When changing positions (from sitting to standing, starting to walk, ...
Dr. Peng Shiwei Reply:
It is recommended to take your family member to a neurosurgery department for evaluation. Thank you.[Read More] Exploring Causes of Leg Weakness: Beyond MRI and Dopamine Imaging
Understanding Numbness and Blood Flow Issues in Neck and Limbs
Numbness in the hands, feet, back, and neck, as well as concerns related to blood flow during turning? Hello Doctor: From November 27 to 29, I often felt tingling in my fingers, palms, and soles, mostly very mild and barely noticeable, without affecting my activities. Additionall...
Dr. Jiang Junyi Reply:
Good morning, Miss. You mentioned experiencing "numbness and tingling, particularly in the shoulders and back, which is quite pronounced and frequent... and feeling a significant rush of blood to the head when turning over." This may warrant consideration of dynamic cha...[Read More] Understanding Numbness and Blood Flow Issues in Neck and Limbs
Head Injury from Rolling Door: Symptoms and Next Steps
Hit the top of the head against a rolling metal door? Hello, doctor. Yesterday, I accidentally bumped into a rolling shutter door that was just about to rise while I was bending down. At the moment of impact, I felt nauseous once and experienced a temporary loss of vision twice. ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I can't really turn my head, and washing my hair while bending over causes severe pain. The right side also hurts a lot while sleeping, but it feels a bit better after waking up." Your symptoms may suggest inflammation of the cervic...[Read More] Head Injury from Rolling Door: Symptoms and Next Steps
Understanding the Causes and Concerns of ALS: A Patient's Journey
The causes of amyotrophic lateral sclerosis (ALS)? Hello, doctor. I apologize for the interruption. On November 21, I visited a clinic due to static tremors in my hands and feet, where I underwent four X-rays—two of my cervical spine and two of my lumbar spine. It was found that ...
Dr. Cai Zongzhang Reply:
Hello, Xiao Bo: There are various possible causes for involuntary muscle twitching, and it cannot be directly attributed to amyotrophic lateral sclerosis (ALS). If the symptoms do not improve after adequate rest, it is recommended to visit a neurology clinic for evaluation.[Read More] Understanding the Causes and Concerns of ALS: A Patient's Journey
Managing Withdrawal Symptoms After Steroid Treatment: What to Expect
Withdrawal side effects Hello, doctor. In April 2023, I was diagnosed with edema at the seventh cervical vertebra and was treated with corticosteroids. I stopped taking corticosteroids at the end of October and have been prescribed B vitamins and B12 to continue. Currently, I am ...
Dr. Wu Mukhan Reply:
Hello, it is unclear from the article what caused your cervical spine edema (inflammation, infection, or injury are all possibilities), making it difficult to determine whether it is related to your current symptoms. I recommend consulting your original physician to clarify the c...[Read More] Managing Withdrawal Symptoms After Steroid Treatment: What to Expect
Assessing Potential Concussion Symptoms After a Head Injury
The right occipital region was hit by a ball? Hello, Doctor. On November 9th, during gym class at 10 AM, a pickleball (about the size of a baseball, hollow plastic, and quite light) suddenly hit me on the back of my right head. It came from about 4 or 5 meters away. At the mome...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "At the moment, I don't feel it will be very painful and I think it will get better soon, so I didn't go to the health room... The pain seems to radiate to my forehead." This symptom is more indicative of cervical myofascial inflamm...[Read More] Assessing Potential Concussion Symptoms After a Head Injury
Understanding Hand and Foot Numbness: Neurological Insights and Concerns
Numbness in both hands and weakness in the legs? After experiencing numbness in the first phalanx of both hands, the second phalanx also became completely numb. Continuous examinations have ruled out carpal tunnel syndrome, and both cervical and peripheral nerves are intact. Ther...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that "recently my right leg has been weak while walking, and I need to use both hands to pull myself up the stairs. I also cannot lift my right leg high and have not yet found the cause. I am currently continuing to see a neurosurgeon and do not...[Read More] Understanding Hand and Foot Numbness: Neurological Insights and Concerns
Understanding Nerve Pain and Tingling: Is It Related to Spinal Issues?
Occasional tingling and pain in the hands and feet? Hello, doctor. When I turn my neck to the left, I experience tightness and pain. Sometimes, my left arm also hurts, and my fingers occasionally feel numb. Additionally, I have soreness in the left side of my lower back, and my s...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: The symptoms mentioned are consistent with cervical nerve root compression. In addition to rehabilitation, maintaining good neck posture is crucial for treatment. If the symptoms persist and do not improve, it is advisable to visit a neurology outpatient clinic.[Read More] Understanding Nerve Pain and Tingling: Is It Related to Spinal Issues?
Neck Injury After Basketball: When to See a Doctor?
Neck issues A few days ago, while playing basketball, I jumped and got hit by someone, causing my head to tilt backward in the air. I heard a cracking sound from my neck, and afterward, I felt some stiffness in my neck. By the evening, I started experiencing dizziness, and it has...
Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that "I started feeling dizzy in the evening, and it has persisted for several days." I apologize for the delay in my response. Your symptoms may suggest a possible muscle injury in the cervical spine. If you experience any ischemic neurol...[Read More] Neck Injury After Basketball: When to See a Doctor?