Understanding Left Foot Weakness: A Comprehensive Neurological Evaluation
Weakness in the left foot? The current situation is as follows: Since November 2021, there has been poor walking posture. In January 2022, weakness was noted in the left foot, with an inability to press down or lift up. Additionally, there have been frequent involuntary muscle tw...
Dr. Jiang Junyi Reply:
Hello Mr. Gao: You mentioned that in January 2022, you noticed weakness in pressing down and lifting up your left foot, as well as involuntary muscle twitching in the left foot. It seems that similar examinations are being conducted, and the lumbar MRI has been repeated. This is ...[Read More] Understanding Left Foot Weakness: A Comprehensive Neurological Evaluation
Understanding Left-Sided Tingling: Possible Neurological Causes
Left-sided paresthesia? Hello, doctor. For the past few days, I've been experiencing mild tingling sensations on my left cheek, left hand, and left foot. Today, when I woke up, my fingers felt particularly sore and tingly. I'm curious about the cause, as there are no is...
Dr. Jiang Junyi Reply:
Dear Miss Cactus, You mentioned that you are experiencing mild tingling sensations in your left face, left hand, and left foot, particularly in your fingers upon waking up today. I would like to know if the area of your facial symptoms extends beyond your chin. Your symptoms may...[Read More] Understanding Left-Sided Tingling: Possible Neurological Causes
Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Struggling for nearly six months? Hello Dr. Jiang, I started experiencing chest tightness and pain in my pectoral muscles last October, accompanied by weakness, shoulder pain, and numbness in my back during certain movements, with a sensation like electric shocks. When I raise my...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned "multiple sclerosis," which affects fewer than 5 people per 100,000 in Taiwan, making it a rare disease. The diagnosis of multiple sclerosis is based on clinical history and examinations that reveal multiple lesions in the nervous system. A d...[Read More] Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Understanding Right Arm Pain: Possible Causes and Solutions
Right arm pain? Hello Dr. Jiang: Since mid-April, I have been experiencing pain in my right arm upon waking up, but it usually subsides after about an hour. Recently, by the end of April, the pain has persisted for a long time after waking up. The affected areas include a tinglin...
Dr. Jiang Junyi Reply:
Dear Mr. A-Jeng, You mentioned experiencing a tingling sensation in your fingers and pain in your arm near the neck, particularly above the elbow (which becomes more pronounced when pressed). This may indicate cervical nerve root compression and related myofascial pain syndrome....[Read More] Understanding Right Arm Pain: Possible Causes and Solutions
Understanding Muscle Twitches and Weakness: When to Seek Help
Muscle twitching Recently, I have been experiencing muscle twitching that is not localized to a specific area. Sometimes, I notice a decrease in strength in my left hand, and at other times, it shifts to my left hand and left leg. After researching online, I came across the sympt...
Dr. Jiang Junyi Reply:
Hello Mr. Travis, You mentioned that "the strength in your hands has decreased, and sometimes the strength in your left hand and foot has also diminished..." Since these symptoms are on the same side, we should first rule out any cervical spine issues. You are concern...[Read More] Understanding Muscle Twitches and Weakness: When to Seek Help
Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Cervical nerve compression Hello, I am 42 years old and have recently discovered that cervical spine compression is causing numbness and tingling in my hands and feet. I am currently taking medication (B12 and a nerve stabilizer) and undergoing rehabilitation (heat therapy, elect...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Chen, You mentioned cervical nerve root compression and mitral valve insufficiency. Neither of these conditions is a contraindication for receiving the COVID-19 vaccine. The reactions that may occur after vaccination are mostly mild and include pain and swelling a...[Read More] Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Numbness in the right hand and right side of the body? Hello doctor, last week I started experiencing mild numbness in the tips of my fingers. I visited a neurologist who prescribed medication, but a few days later the numbness worsened, and soon my entire palm began to feel numb...
Dr. Jiang Junyi Reply:
Dear Mr. Jame, You mentioned that after visiting the neurology department and receiving medication, you experienced increasing numbness over the following days. The doctor indicated that the cervical spine X-ray showed no abnormalities, but by the weekend, you even felt slight n...[Read More] Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Deep pain in the left eye (radiating to the left shoulder and neck)? Hello, Dr. Jiang. Three months ago, I experienced eye pain and visited an ophthalmologist. The doctor diagnosed my intraocular pressure at the critical value of 21. I continued to use the prescribed eye drops re...
Dr. Jiang Junyi Reply:
Hello Mr. Bai: You mentioned that "the assessment indicated a neurological issue, and I was referred to the neurology department, where the neurologist suggested the possibility of migraine?" The symptoms you described may need to consider Trigeminal Autonomic Cephalalg...[Read More] Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Understanding Post-Concussion Syndrome: Symptoms and Dietary Tips
Post-concussion syndrome Fifteen years ago, I suffered a head injury and cervical spine damage in a car accident. Although I consulted a neurologist at the time, the doctor did not order detailed examinations since I was able to walk and communicate normally. As a result, my head...
Dr. Jiang Junyi Reply:
Dear Mr. E, You mentioned that "memory has significantly declined... and you are unsure if there are dietary suggestions for improvement." For dietary aspects, you can adopt the Mediterranean diet, the Dietary Approaches to Stop Hypertension (DASH) diet, and the Medite...[Read More] Understanding Post-Concussion Syndrome: Symptoms and Dietary Tips
Understanding Unexplained Pain and Forehead Headaches in Patients
Unexplained muscle pain and frontal headache? Hello, doctor. I have Marfan syndrome and have previously undergone spinal surgery. After the surgery, I began experiencing weakness and stiffness in my legs and spine, making it difficult to move, along with some pain. These symptoms...
Dr. Jiang Junyi Reply:
Dear Mr. Lei, You mentioned that "lying down causes headaches, and now I also experience pain while standing, along with frequent headaches... which may be due to compression of the spinal vessels, leading to headaches." Typically, when blood vessels are compressed, it...[Read More] Understanding Unexplained Pain and Forehead Headaches in Patients
Understanding Post-Hyperventilation Symptoms: Headaches and Dizziness
After excessive hyperventilation, my wife has been experiencing headaches, dizziness, and a feeling of tightness in her head for several days, and lying down makes her feel even worse? Hello Dr. Jiang: As mentioned, my wife has been experiencing these symptoms for a week after th...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that your wife experiences "headaches and dizziness for several days after hyperventilation, along with a tight feeling in her head, which worsens when lying down." In addition to cervical spine issues, it may be necessary to consider prim...[Read More] Understanding Post-Hyperventilation Symptoms: Headaches and Dizziness
Understanding Cervical X-rays: Accuracy and Anomalies Explained
Cervical spine X-ray Hello, I had a cervical spine X-ray taken in 2019, and the neurologist at that time did not mention anything specific. Now, in 2022, another neurologist has told me that I have nerve compression issues in both my cervical and lumbar spine. Is it accurate to r...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned, "Is this accurate? Shouldn't I have another cervical spine X-ray? Also, it seems that most people have 6 cervical vertebrae, but I have 8; is that normal?" Humans typically have 7 cervical vertebrae. The important aspect regarding ...[Read More] Understanding Cervical X-rays: Accuracy and Anomalies Explained
Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues
Numbness in the hands? Hello Doctor, I have visited you before and was diagnosed with abnormalities in the parasympathetic nervous system. Currently, I am taking Fluxel and related vitamins. I went back to the rehabilitation department where I was previously diagnosed with cervic...
Dr. Jiang Junyi Reply:
Dear Mr. Sheng, You mentioned that "the numbness in your right thumb and index finger has not improved," which may indicate the need to consider compression of the median nerve rather than an issue with the autonomic nervous system. The median nerve is responsible for ...[Read More] Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues
Severe Neck Pain: When to Seek Emergency Care?
If you are experiencing sudden, severe pain that prevents you from moving, you should go to the emergency room? Sudden neck pain that makes it difficult to breathe, with pain persisting even at rest, inability to move the head, weakness in the neck, and a sensation of breathlessn...
Dr. Jiang Junyi Reply:
Hello, You mentioned cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but over time, it can worsen and affect da...[Read More] Severe Neck Pain: When to Seek Emergency Care?
Understanding Dizziness and Neck Issues: When to Seek Further Evaluation
Cervical spine, dizziness Hello Doctor, I started experiencing dizziness and hand numbness on January 17. I initially went to a general clinic where my blood pressure and heart rate were normal. After taking medication, my dizziness improved slightly, but I still occasionally fee...
Dr. Cai Zongzhang Reply:
Hello, cervical spine pain can cause nerve or vascular compression, leading to the symptoms mentioned above. It is recommended to consult a neurologist for evaluation and examination.[Read More] Understanding Dizziness and Neck Issues: When to Seek Further Evaluation
Understanding Arm Numbness: Possible Causes and Treatment Options
Questions about arm numbness? Hello Doctor, for the past month or so, I have been experiencing a sensation in my upper arm, specifically in the deltoid area, that feels similar to the numbness one gets after sleeping on their arm. Sometimes there is also a soreness, while other t...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned, "Are there other issues such as cubital tunnel syndrome or other neurological disorders that could produce similar symptoms? Or can we almost definitively conclude that it is a cervical spine issue?" Typically, symptoms resulting from nerve...[Read More] Understanding Arm Numbness: Possible Causes and Treatment Options
Neck Compression and Sleep Issues: Choosing the Right Pillow
Cervical spine compression and sleep issues? Hello, doctor. I have compressed nerves in my cervical spine. After rehabilitation, the pain has subsided, but I still experience occasional hand numbness and intermittent neck pain while sleeping. In this condition, are there any spec...
Dr. Jiang Junyi Reply:
Hello Mr. Ben, You mentioned that you still experience intermittent hand numbness and neck pain while sleeping. I would like to know which cervical vertebrae you have issues with. I recommend using a supportive neck pillow, as cervical spine disorders are closely related to the ...[Read More] Neck Compression and Sleep Issues: Choosing the Right Pillow
Understanding Tongue Pain: Neurological Insights and Causes
Tongue issues? Three years ago, I started experiencing pain in my tongue and mouth, usually on the right side near the base of the tongue and the foliate papillae. I have visited a teaching hospital for an examination, where both the attending physician and the chief physician ev...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the symptoms usually occur after taking a shower in the evening (with the neck bent while washing hair)," which may suggest that cervical instability is causing compression of the vagus nerve and hypoglossal nerve, leading to oral burning...[Read More] Understanding Tongue Pain: Neurological Insights and Causes
Understanding Weakness and Tremors in Hand Grip: A Neurology Perspective
Weakness and numbness in the hands? Hello doctor, recently I have been experiencing difficulty in gently making a fist with both hands. When I try to make a light fist, my hands feel very weak and slightly tremble, similar to the weakness I feel in the morning upon waking up (fee...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "when not using your arms, there may be a slight feeling of soreness or weakness in the arm muscles (especially when lying down or sitting)." It is important to consider cervical nerve root compression. The fascia around the cervical spine has ...[Read More] Understanding Weakness and Tremors in Hand Grip: A Neurology Perspective
Understanding Neck Discomfort: Causes and Solutions for Relief
Neck discomfort? About one to two weeks ago, I started feeling a strange sensation in the front of my neck, but it wasn't painful, so I didn't pay much attention to it. However, in the last two to three days, I've noticed a tight feeling in my neck, with slight num...
Dr. Jiang Junyi Reply:
Dear Ms. A-Zhu, You mentioned feeling a slight tightness and mild numbness in your neck, which may indicate a cervical spine issue. I recommend the following: 1. **Change Positions**: Change your posture every 15 minutes to allow the neck tissues to rest. Maintaining any positi...[Read More] Understanding Neck Discomfort: Causes and Solutions for Relief