Understanding Muscle Twitches and Limb Discomfort: A Neurology Perspective
Muscle twitching and discomfort in the limbs? Hello Doctor: In February 2021, I suddenly experienced muscle twitching, initially in my limbs and later spreading to my face, neck, abdomen, lower back, and other areas. These symptoms have persisted to this day. During this time, I ...
Dr. Cai Zongzhang Reply:
Hello Mr. Huang: It is recommended to visit a neurologist for an examination to determine the cause.[Read More] Understanding Muscle Twitches and Limb Discomfort: A Neurology Perspective
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can a person who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, could not close my right eye, and my mouth was slightly crooked. After receiving injections, medication, heat therapy, and facial exercises, my ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Mi, You mentioned, "Given my current situation, can I get vaccinated? Which vaccine should I choose? How should I decide? If I cannot get vaccinated, are there any other protective injections I can receive? I am hesitant to get vaccinated due to the side effe...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can a person who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, with my eye unable to close and my mouth slightly drooping. After receiving injections, medication, heat therapy, and facial exercises, my condi...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao Mi, In light of the recent surge in COVID-19 cases, please ensure to implement self-protection measures, including cleaning and disinfection, before and after seeking medical care, and adhere to the new preventive lifestyle. It is recommended to complete the two ...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can someone who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, which made it difficult to close my eye and caused my mouth to appear slightly crooked. After receiving injections, medication, heat therapy, and...
Dr. Jiang Junyi Reply:
Hello, Ms. Hsiao-Mi: "Having a history of facial nerve palsy" is not a contraindication for vaccination. In the outpatient clinic, many patients with this condition have already received two doses of the vaccine (including AZ, BNT, and Medigen), and none have reported a...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Relieving Numbness and Pain: Understanding Ulnar Nerve Compression
Hand numbness: Ulnar nerve compression? Hello Doctor, today while sitting on the sofa watching TV, I unexpectedly experienced numbness and a burning sensation in my left hand, specifically in the ring and little fingers. Gradually, my entire forearm and the back of my hand starte...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing "numbness and a burning sensation in the left ring and little fingers, followed by a gradual feeling of discomfort and numbness in the entire forearm and back of the hand." This may indicate "cubital tunnel syndrome," primaril...[Read More] Relieving Numbness and Pain: Understanding Ulnar Nerve Compression
Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Issues with Eye Closure Hello Doctor, currently I am experiencing symptoms where I cannot close my left eye independently, but I can close both eyes simultaneously and also close my right eye alone. When I smile, my left side of the face appears significantly weaker. Additionally...
Dr. Jiang Junyi Reply:
Hello Mr. Sun: You mentioned that "the left side of your face is noticeably weaker when you smile, and there is also tinnitus in your left ear." This may indicate a left-sided facial nerve injury. Facial nerve paralysis is quite similar, primarily affecting the seventh ...[Read More] Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Facial Swelling and Numbness: Understanding Neurological Issues
Facial swelling and numbness? Hello doctor, I have a question. Sixteen years ago, I was lying on my side in bed, propping my face with my hand while watching TV. After six months, my face started to swell and feel numb, and it has continued to this day. Could this be a facial ner...
Dr. Cai Zongzhang Reply:
Hello, Ah-Feng: It is recommended to visit a neurologist to check for any abnormalities in facial nerve function.[Read More] Facial Swelling and Numbness: Understanding Neurological Issues
Understanding Scalp Lumps: When to See a Neurologist
A growth on the scalp? Hello, Doctor: About a month ago, I developed a lump inside my scalp (not on the surface). It used to be painful when pressed, but now it isn't. When I touch it, the lump can move side to side, but it eventually returns to its original position. I woul...
Dr. Jiang Junyi Reply:
Dear Mr. Louis, You mentioned that there is a growth beneath the scalp (not on the surface), which was painful when pressed previously but is no longer painful and seems to return to its original position. This may warrant consideration of a subcutaneous cyst or a lipoma. Genera...[Read More] Understanding Scalp Lumps: When to See a Neurologist
Understanding Facial Nerve Palsy: Diagnosis and Further Testing Options
Facial nerve paralysis examination Hello Dr. Jiang, about a month ago, I woke up one day to find that I couldn't move the left side of my face. During my consultation, the neurologist suspected that it might be a viral cause of facial nerve paralysis. I have been taking ster...
Dr. Jiang Junyi Reply:
Hello Mr. Kobayashi: You mentioned "facial nerve paralysis," which is a condition affecting the peripheral cranial nerves and usually resolves on its own. 1. If you would like to pursue further brain examinations, what options are available? Are they covered by health i...[Read More] Understanding Facial Nerve Palsy: Diagnosis and Further Testing Options
Understanding Facial Nerve Palsy: Diagnosis and Further Brain Examination Options
Facial nerve paralysis examination Hello Dr. Jiang, about a month ago, I woke up one day and found that I could not move the left side of my face. During my visit, the neurologist diagnosed it as possibly viral-induced facial nerve paralysis. I have been taking steroids for a wee...
Dr. Jiang Junyi Reply:
Hello Mr. Kobayashi: You mentioned "facial nerve paralysis," which is a condition affecting the peripheral cranial nerves and typically resolves on its own. 1. If you wish to pursue further brain examinations, what options are available? Are they covered by health insur...[Read More] Understanding Facial Nerve Palsy: Diagnosis and Further Brain Examination Options
Understanding Left-Side Numbness: Causes and When to Seek Help
Numbness in the left hand and left foot? Hello Dr. Jiang, I would like to ask about a condition I've been experiencing recently. For the past few days, when I wake up in the morning, I feel numbness from my left elbow to my fingers, and also from my left ankle to my toes. To...
Dr. Jiang Junyi Reply:
Hello Ms. Liu, You mentioned that "the left elbow to the fingers often feels numb," which may suggest a common condition of ulnar nerve compression. However, you also noted that "even the left side of the face feels numb, and there are involuntary twitching episod...[Read More] Understanding Left-Side Numbness: Causes and When to Seek Help
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Head pressure/pain/nausea? I have been experiencing headaches for over a year. Initially, I thought it was just a migraine, and taking painkillers and resting would help. However, the more I slept, the more intense the pain became, accompanied by nausea and a feeling of wanting t...
Dr. Jiang Junyi Reply:
Dear Miss Fei, You mentioned that "the pain location can vary, usually it is unilateral, occasionally in the middle of the forehead or associated with high eye pressure, and whenever a headache occurs, there is a feeling of nausea." First, we should consider typical mi...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Facial nerve paralysis Hello Doctor, two weeks ago I noticed symptoms of left facial nerve paralysis: I cannot close my eye, my mouth cannot open, my face cannot move, and sounds in my ear are excessively loud. A neurologist prescribed steroids and also performed acupuncture and ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that facial nerve paralysis affects hearing. This is because the stapedius muscle, which is responsible for stabilizing the stapes bone, is innervated by the facial nerve. Recovery of symptoms requires nerve regeneration, unlike facial muscles that can i...[Read More] Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Understanding Hand Tremors: Causes and Diagnosis in Neurology
Tremor issues? I would like to consult a doctor about a situation where one finger on my hand trembles, particularly when it is about 1 centimeter away from the surface of a table. The tremor seems to be most pronounced in the index finger, and it worsens when my hand is resting ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsu, You mentioned that "the tremor is more severe when resting on the lap, while it is less noticeable when placed on a table at shoulder height." This may suggest a consideration of postural tremor. When maintaining the hands in a fixed position, or extendin...[Read More] Understanding Hand Tremors: Causes and Diagnosis in Neurology
Understanding Facial Nerve Paralysis: Symptoms, Recovery, and When to Seek Help
Facial nerve paralysis Hello Doctor, I was diagnosed with facial nerve paralysis by a neurologist a week ago. The symptoms include almost complete immobility on the left side of my face, inability to raise my eyebrows, close my eyes, flare my nostrils, open my mouth, smile, and w...
Dr. Jiang Junyi Reply:
Hello Mr. Kobayashi: You mentioned that a few days ago you felt pain at the junction of the bone behind your ear and your ear, along with a slight warmth. I would like to ask if this is a symptom of recovery, a sign of worsening, or an unrelated symptom? If an examination is need...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Recovery, and When to Seek Help
Understanding Facial Twitching: Concerns and Neurological Insights
Facial spasms Hello Doctor, on October 7th, I experienced a twitch near my nose, and the next day, I started to notice slight twitching in some areas of my face, both sides. By October 13th, it had improved significantly, but in the afternoon, my mouth corner twitched again. Howe...
Dr. Jiang Junyi Reply:
Dear Mr. Lin, You mentioned, "Could it evolve into facial nerve dysfunction, causing my mouth to droop?" What you are concerned about likely refers to facial nerve paralysis. The clinical symptoms can include a tingling or stiff sensation in the face. Due to the inabil...[Read More] Understanding Facial Twitching: Concerns and Neurological Insights
Understanding Facial Inflammation: Causes and Concerns in Neurology
Facial issues Hello, Dr. Jiang. Yesterday, after my diagnosis, the doctor said I have inflammation and prescribed me medication for neuritis. I would like to ask: 1. What causes inflammation? 2. At that time, my face was twitching; will it affect my appearance? 3. Is there a poss...
Dr. Jiang Junyi Reply:
Hello Mr. Lin, there are many causes of inflammation, including overuse, dehydration, viral infections, and more. These symptoms typically stabilize within 2-3 weeks. I recommend that you supplement with B vitamins and stay hydrated, get plenty of rest, and enhance your body'...[Read More] Understanding Facial Inflammation: Causes and Concerns in Neurology
Persistent Headaches: Seeking Effective Treatment Solutions
The treatment for headaches has not been effective in achieving a cure? Hello, I rarely experience headaches, and when I do, they usually resolve after a good night's sleep. However, this time, I woke up with persistent headaches that did not improve. Therefore, I consulted ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I only have a headache, and the doctor measured my ear temperature at 37.4°C, determining that the headache is caused by inflammation in the body. I was treated with injections and medication. During the treatment, I experienced improvement ...[Read More] Persistent Headaches: Seeking Effective Treatment Solutions
Understanding Eyelid Twitching: When to Seek Neurological Evaluation
Eyelid twitching? Hello doctor, my left lower eyelid has been twitching for over a month. I consulted an ophthalmologist who confirmed that my eyes are normal and there are no issues. The twitching frequency varies, and it doesn't cause my entire eye to close, nor do other a...
Dr. Jiang Junyi Reply:
Dear Miss Jill, You mentioned "twitching of the lower left eyelid." Generally, eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's face. If, aside from the eyelid, n...[Read More] Understanding Eyelid Twitching: When to Seek Neurological Evaluation
Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Brain MRI white matter lesions / Multiple sclerosis Hello Dr. Jiang, due to long-term headaches and sudden changes in my symptoms, I paid out of pocket for a brain MRI. (1) The attending physician said that my images showed no issues, and I even asked her to review them again, bu...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that the MRI showed numerous white matter lesions. It may be necessary to consider some central nervous system inflammation and myelin injury. Myelin is an insulating substance that surrounds nerves, and if it is damaged, the inflammatory process (pat...[Read More] Understanding MRI White Matter Lesions: MS and Neurological Symptoms