Understanding Back Pain: When to See a Neurologist or Orthopedist
Experiencing lower back pain when lying on your stomach? Hello Doctor: I have noticed that when I wake up, especially when lying flat, my entire back hurts, particularly when I inhale. After getting up, if I lean my body forward, my lower back hurts significantly. This discomfort...
Dr. Lan Shengxing Reply:
Dear Asheng, regarding your morning lower back pain, considering your age and gender, I would recommend that you visit a rheumatology or orthopedic specialist to rule out ankylosing spondylitis. Thank you.[Read More] Understanding Back Pain: When to See a Neurologist or Orthopedist
Understanding Facial Myokymia: Causes, Symptoms, and Treatment Options
Continued inquiry: Involuntary twitching of the left cheek? Dear Dr. Gao, Thank you very much for your response. If the second reason is correct, that the facial nerve was injured due to the cosmetic surgery and subsequent impact, could my symptoms be due to abnormal adhesions b...
Dr. Gao Chunde Reply:
If there is damage to the facial nerve, which primarily consists of motor fibers that control facial muscle movements, it will inevitably lead to related functional impairments. One can self-assess whether facial expressions appear unnatural (indicating weakness in certain facial...[Read More] Understanding Facial Myokymia: Causes, Symptoms, and Treatment Options
Uncontrollable Facial Twitches After Cosmetic Surgery: Causes and Solutions
Involuntary twitching of the left cheek? Two years ago, I underwent cosmetic surgery to elevate my cheeks. (Below are the surgical details provided by my doctor.) After the surgery, my cheeks were quite swollen, and before the swelling subsided, my left cheek was accidentally bum...
Dr. Gao Chunde Reply:
Based on the symptom description, it is more akin to facial myokymia, which refers to involuntary muscle twitching of the facial muscles. This can range from benign nerve hyperexcitability (such as eyelid twitching) to involuntary discharges due to facial nerve damage, and to spe...[Read More] Uncontrollable Facial Twitches After Cosmetic Surgery: Causes and Solutions
Understanding Persistent Dizziness and Blood Flow Sensations: A Neurology Perspective
Dizziness accompanied by the sensation of blood flow? I have been experiencing headaches for six months, with a sensation of nerve pulsation. I can also feel the blood flowing. I hear a sound like water flowing in my ears, and sometimes when I turn my head, I hear a noise like sa...
Dr. Gao Chunde Reply:
Pulsating headaches, which can be accompanied by severe nausea, may indicate migraines or other types of headaches. It can be challenging to determine the exact symptoms when blood flow in the head is affected. Facial and bodily numbness is generally associated with discomfort fr...[Read More] Understanding Persistent Dizziness and Blood Flow Sensations: A Neurology Perspective
Understanding Facial and Limb Numbness: Possible Neurological Causes
Numbness in the face and limbs? I have been experiencing a tingling sensation in my face and limbs, similar to the residual numbness after anesthesia, for about three days. I am also noticing occasional difficulty concentrating and poor memory. Currently, there are no signs of se...
Dr. Gao Chunde Reply:
The face and limbs are experiencing a tingling sensation. It is essential to determine whether this nerve distribution is confined to the distal limbs or if it involves all limbs. Additionally, we need to ascertain whether the symptoms progressed from the distal to the proximal a...[Read More] Understanding Facial and Limb Numbness: Possible Neurological Causes
Understanding Facial Nerve Issues: Symptoms and Recovery Insights
Facial nerve issues Hello, Dr. Gao. Earlier this year, I experienced facial nerve paralysis on the right side of my face due to an unknown viral infection. After medication and rehabilitation, I have mostly recovered. However, last month I noticed that when I blink my right eye, ...
Dr. Gao Chunde Reply:
This is a complication following facial nerve paralysis, where the muscles of the ossicles in the middle ear, innervated by the facial nerve, become paralyzed and weak. This leads to a diminished ability to adjust to external sounds. Whenever there is loud external noise or when ...[Read More] Understanding Facial Nerve Issues: Symptoms and Recovery Insights
Next Steps in Neurology: Addressing Skull Deformities and Symptoms
What is the next step after neurology? I have a depression on the right side of my skull, which has been accompanied by a persistent feeling of pressure and tightness, even affecting my right eye. Additionally, the right eyeball appears to be noticeably lower than the left, and t...
Dr. Gao Chunde Reply:
Craniofacial structural defects fall under the scope of plastic surgery. However, regarding whether the 3D imaging reconstruction of the skull is covered by health insurance or is out-of-pocket, and whether surgical correction is necessary after the examination, there are specifi...[Read More] Next Steps in Neurology: Addressing Skull Deformities and Symptoms
Understanding Tongue Issues: Neurological Connections and Concerns
Tongue issues? Hello Doctor, I would like to inquire about an issue related to my tongue. Since February, I have felt something unusual on the surface of the front of my tongue, similar to the rough sensation after being scalded by hot water. I also feel that my taste sensitivity...
Dr. Huang Yongquan Reply:
Hello: The sensations of touch and taste on the tongue are governed by different cranial nerves. If both issues occur simultaneously, it is often due to peripheral nerve damage affecting the taste buds on the surface of the tongue, which can be caused by dietary habits, stress, o...[Read More] Understanding Tongue Issues: Neurological Connections and Concerns
Understanding Abdominal Numbness: When to Seek Medical Advice
Abdominal paresthesia? Hello Doctor: In the past few months, while sitting for long periods, I have experienced a slight tingling sensation in the area just above my navel when bending over to read or use the computer. However, there is no discomfort when standing or sitting up s...
Dr. Huang Yongquan Reply:
I'm not sure if you have poor posture or have been sitting for too long, but if you're experiencing back pain or have a previous injury, it is likely due to improper sitting posture, which can compress the nerves on the surface of the skin or the intercostal nerves. Imp...[Read More] Understanding Abdominal Numbness: When to Seek Medical Advice
Understanding Left-Sided Headaches: Is It Just a Migraine?
Questions about headaches? Hello, I have been suffering from headaches for many years, specifically on the left side of my temple. Whenever I experience pain, the entire left side of my face hurts, and there is a throbbing sensation in the temple. Recently, I have noticed that th...
Dr. Gao Chunde Reply:
Left facial pain is not very typical; it is associated with the trigeminal nerve. Additionally, thinning hair is not a common symptom of migraines. Is it due to stress, medication, or frequent rubbing and massaging? If you haven't seen a neurologist, it would be advisable to...[Read More] Understanding Left-Sided Headaches: Is It Just a Migraine?
Understanding Left Facial Tightness: Causes and Treatment Options
Tightness in the left side of the face? Recently, for about 1 to 2 weeks, I have been experiencing occasional unusual sensations in the left side of my neck below the ear, along with tightness and tingling in my cheek near the ear. I visited a neurologist who examined my eyes and...
Dr. Lan Shengxing Reply:
Dear Joy, this feeling of tension is difficult to explain with a specific diagnosis, as many conditions can present this symptom. If the medication hasn't helped, the next step is to broaden the scope. In addition to returning to the original neurologist, you might also cons...[Read More] Understanding Left Facial Tightness: Causes and Treatment Options
Understanding Muscle Twitches: Causes, Concerns, and Solutions
Muscle twitching Hello doctor, recently I've been experiencing frequent muscle twitches, and I can clearly feel them when I stretch. My limbs are sore even though I haven't done much, and my thumb feels strange. Occasionally, I find myself shaking involuntarily while sl...
Dr. Gao Chunde Reply:
Muscle twitching is mostly benign, often caused by emotional stress and increased neuromuscular excitability, such as from insufficient sleep or overuse, leading to some physiological twitching. However, if it is related to a serious condition, there would typically be symptoms o...[Read More] Understanding Muscle Twitches: Causes, Concerns, and Solutions
Understanding Uncomfortable Reactions After Medication in Neurology
Adverse reactions after taking medication? Hello, Doctor: Is it normal to experience discomfort after taking medication? Symptoms and background: 1. At the beginning of January, I was hit on the left side of my body by a motorcycle, resulting in a concussion, accompanied by dizzi...
Dr. Gao Chunde Reply:
Suanli tablets can improve microcirculation in nerves and tissues; however, side effects may include palpitations and facial flushing. The medication taken before bedtime is a muscle relaxant, and its side effects may include drowsiness. The pain and sensitivity in your molars ma...[Read More] Understanding Uncomfortable Reactions After Medication in Neurology
Break Free from Blushing: Innovative Surgery for Social Anxiety
Easily blushing sympathetic nerve surgery? In Spain, a surgical procedure has been developed to treat excessive blushing associated with shyness. According to Spanish doctors, blushing due to shyness can be considered a medical condition that, if severe, may lead to psychological...
Dr. Gao Chunde Reply:
This type of sympathetic nerve surgery performed through the armpit is used in Taiwan to treat hyperhidrosis, and its effectiveness for facial blushing still needs to be confirmed by thoracic surgeons who frequently perform this procedure. For them, this surgery is considered min...[Read More] Break Free from Blushing: Innovative Surgery for Social Anxiety
Understanding Urinary Syncope: Causes and Implications for Health
Causes of Syncope I am 33 years old and have experienced three episodes in the past five years where I suddenly felt dizzy and fainted while urinating. Each episode lasted about 10-15 seconds, after which I regained consciousness and stood up. Upon standing, I noticed my face was...
Dr. Gao Chunde Reply:
It is called micturition syncope, which typically occurs due to a sudden reflex drop in blood pressure after a large volume of urination. It is more likely to happen after drinking alcohol, dehydration, excessive physical exertion, or during illnesses that cause significant chang...[Read More] Understanding Urinary Syncope: Causes and Implications for Health
Intermittent Numbness in Right Cheekbone: Causes and When to Seek Help
For the past two to three days, I have been experiencing intermittent tingling in the right cheekbone? Hello~ Recently, I occasionally experience a tingling sensation near my right cheekbone, which feels somewhat like being punched in that area (it's not painful). This sensa...
Dr. Gao Chunde Reply:
Symptoms of the trigeminal nerve on the right side of the face often appear before a cold or during times of fatigue and stress. Generally, these discomforts improve as the overall health condition improves over a few days. However, if the symptoms persist or become more pronounc...[Read More] Intermittent Numbness in Right Cheekbone: Causes and When to Seek Help
Understanding Facial Flushing and Dizziness: Neurological Insights
Facial flushing and warmth? Hello, whenever the air is stagnant, my face becomes very red, and I often feel dizzy and heavy-headed. Sometimes I feel nauseous, and when I exercise, my face turns extremely red and feels hot, with a heavy sensation in my head that takes a long time ...
Dr. Gao Chunde Reply:
Facial flushing is a phenomenon caused by the dilation of subcutaneous microvessels, which occurs when the body needs to increase heat dissipation due to warmth or exertion. The degree of response varies among individuals; for example, some people may flush easily after consuming...[Read More] Understanding Facial Flushing and Dizziness: Neurological Insights
Is Flushing Linked to High Blood Pressure? Understanding Neurological Concerns
Flushing and high blood pressure? Doctor, my face often turns red. Does that mean my blood pressure is high? I also experience dizziness and a heavy feeling in my head. Can low blood pressure lead to a stroke? Thank you, doctor.
Dr. Gao Chunde Reply:
Flushing does not equal high blood pressure. Flushing is caused by the dilation of subcutaneous microvessels, which can occur due to heat dissipation, inflammation, alcohol, or other vasodilators, as well as hormones or substances that cause vasodilation. Emotions or stress can a...[Read More] Is Flushing Linked to High Blood Pressure? Understanding Neurological Concerns
Facial Numbness and Inability to Close Eye: Possible Neurological Issues?
Facial numbness and inability to close the eyelids? Hello Doctor: My right side of the face, mouth, and tongue feel numb, and when I smile, the mouth on that side becomes stiff. The right side of my mouth appears slightly droopy, and I cannot fully close my right eye, which revea...
Dr. Lan Shengxing Reply:
Dear Stacy: This condition may be related to a previous facial nerve issue on the right side of your face. Please visit the neurology outpatient clinic for evaluation and treatment.[Read More] Facial Numbness and Inability to Close Eye: Possible Neurological Issues?
Understanding Facial Numbness: Causes and Concerns in Neurology
Facial numbness can indicate several potential issues, including nerve compression, neurological disorders, or vascular problems. It is important to consult a healthcare professional for a proper diagnosis and evaluation? Hello doctor, my face occasionally feels numb, but it'...
Dr. Lan Shengxing Reply:
Dear patient, there are many possible causes for your facial numbness. In your case, I might first consider hyperventilation syndrome. However, since the symptoms described are not very specific, I would recommend that you visit a neurology clinic for a thorough evaluation of you...[Read More] Understanding Facial Numbness: Causes and Concerns in Neurology