Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
An 85-year-old father experiences easy fatigue, unsteady gait with shuffling steps, and nighttime finger numbness. His physical strength has declined significantly over the past six months. What kind of examinations should be conducted? An 85-year-old father has experienced a sta...
Dr. Jiang Junyi Reply:
Hello, Your father, due to his advanced age, is experiencing several degenerative diseases. First, I would like to correct the medications you mentioned. They should be GENIQUIN for dry syndrome and NOOTROPIL for cerebral white matter issues. You noted that over the past six mo...[Read More] Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
Understanding Occasional Neck and Shoulder Pain: Causes and Insights
Shoulder and neck pain? Experiencing sharp pain in the left shoulder and neck when swallowing saliva, described as an electric shock-like sensation, occurs occasionally, about 1 to 2 times a month or even less frequently. Additionally, there are instances when raising the arm or ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. Symptoms typically include pain at the affected site, discomfort, muscle st...[Read More] Understanding Occasional Neck and Shoulder Pain: Causes and Insights
Understanding Muscle Twitches: Anxiety and Neurological Insights
Muscle spasm Hello doctor, I have anxiety disorder and sometimes when I feel particularly tense, I experience muscle twitching in my thighs (it's not a cramp, but a contraction and relaxation sensation that isn't painful). At that moment, I also feel quite cold. This si...
Dr. Hong Weibin Reply:
Hello: There are many causes of muscle cramps, including nerve root disorders, electrolyte imbalances, medications, and stress. You may first try to rest well and relax. If there is no improvement, please seek assistance from a physician. Wishing you a speedy recovery.[Read More] Understanding Muscle Twitches: Anxiety and Neurological Insights
Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Dizziness for over a month? On the evening of August 25th, I experienced a bout of dizziness that nearly caused me to faint. I went to the emergency room for a blood test, which showed no significant issues. It might have been due to lack of sleep. A few days later, I visited a c...
Dr. Jiang Junyi Reply:
Based on your description: Hello, you mentioned experiencing near-fainting episodes. In addition to dizziness, it may be necessary to consider syncope. First, we should evaluate the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of th...[Read More] Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Understanding Persistent Head Numbness: When to Seek Medical Advice
Facial concerns? Hello, I have been experiencing a tingling sensation in the back of my head lately, similar to the goosebumps you get when you're anxious, and it has been persistent. Could you please tell me what this issue might be? Do I need to see a doctor?
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression. This could be due to prolonged poor posture with the head bent forward, or rheumatic joint diseases, leading to curvature and narrowing deformities of the cervical spine. The interv...[Read More] Understanding Persistent Head Numbness: When to Seek Medical Advice
Understanding Right Back and Hand Numbness: Causes and Solutions
Numbness in the right upper back? Hello Doctor, I would like to ask if it is possible that my poor sitting posture from long hours of working at a computer is causing my symptoms. Initially, I experienced numbness extending from my right pinky finger to my palm, but it doesn'...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest compression of the cervical spine at the seventh vertebra and the first thoracic nerve root, leading to numbness extending to the little finger. This could be due to prolonged poor posture while looking down, resulting i...[Read More] Understanding Right Back and Hand Numbness: Causes and Solutions
Understanding Nerve Pain: A Journey Through Neurology and Rehabilitation
Numbness, soreness, and sensory perception? I previously experienced some numbness in my fingers, which progressed to numbness in my right palm, along with soreness and pain in my arm, and diminished sensation due to the numbness. I visited the neurology department at Chang Gung ...
Dr. Jiang Junyi Reply:
Hello: I understand your concerns. You seem to be caught in a misconception of seeking treatment from someone with the same professional background. Currently, if my patients encounter situations that I cannot resolve due to my limitations, I adopt a perspective of empathy, meani...[Read More] Understanding Nerve Pain: A Journey Through Neurology and Rehabilitation
Concerns About Children Sleeping with Two Medical Masks: Risks and Safety
Children wearing two layers of medical masks while sleeping? Hello Doctor: My son recently slept with two layers of medical masks on. Although he seemed fine upon waking, I still have some concerns about whether wearing two masks could obstruct his breathing and potentially cause...
Dr. Jiang Junyi Reply:
Hello: I am not sure why your son needs to wear two layers of medical masks while sleeping. If it is due to allergies, you should consult a rheumatologist or immunologist to identify the allergens. Regarding your concern about oxygen deficiency, I recommend purchasing a fingertip...[Read More] Concerns About Children Sleeping with Two Medical Masks: Risks and Safety
Understanding Numbness in the Right Upper Back: Possible Causes and When to Seek Help
Numbness in the back? Hello Dr. Jiang, for the past two or three days, I have frequently felt numbness in my right upper back (near the center). When I researched online, some people suggested it might be a cervical spine issue, but I don't seem to have any discomfort in my ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider thoracic nerve root compression, as the symptoms are located in the back. However, it is important to consult a physician to investigate the cause of the compression. Generally, cervical nerve root compression is m...[Read More] Understanding Numbness in the Right Upper Back: Possible Causes and When to Seek Help
Understanding Muscle Twitches and Numbness: When to Seek Neurological Help
Involuntary muscle twitching and numbness or pain in the hands? Hello Doctor, I previously experienced some soreness and weakness in my left hand, but the condition improved. However, at the end of February, while riding my motorcycle, I twisted my left thumb quite forcefully whi...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those ...[Read More] Understanding Muscle Twitches and Numbness: When to Seek Neurological Help
Understanding Nerve Damage After Arterial Blood Draw: Causes and Solutions
Arterial blood draw numbness in the hand? Hello, doctor. I would like to ask about my husband. During the Lunar New Year, he went to the emergency department of a large hospital due to influenza A. At the time of his visit, since it had not yet been confirmed as influenza A, bloo...
Dr. Jiang Junyi Reply:
Hello: 1. Do I need to return to the original large hospital for treatment? Or is it advisable to go to another large hospital and see a neurologist? A: Generally, it is more convenient to receive treatment at the same hospital, as the medical records are more centralized, whi...[Read More] Understanding Nerve Damage After Arterial Blood Draw: Causes and Solutions
Understanding Muscle Pain and Weakness: A Neurological Perspective
Pain and weakness in the left thumb, right arm, and legs? Hello doctor, I started experiencing soreness in my arms and hands at the beginning of February due to working on assignments and frequently using the computer. At first, it didn't affect my daily life, so I didn'...
Dr. Jiang Junyi Reply:
Hello: Regarding the issue of numbness, the first consideration should be peripheral nerve compression symptoms. As for amyotrophic lateral sclerosis (ALS), it primarily involves motor function. This condition refers to problems with motor neurons, which control muscle movement. ...[Read More] Understanding Muscle Pain and Weakness: A Neurological Perspective
Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Trapezius muscle issues and pulsatile tinnitus? Hello Dr. Jiang, Since I changed to a new pillow last September, I experienced a stiff neck that healed after a week. However, about a month later, I began to feel soreness and numbness in my left upper trapezius muscle, with inte...
Dr. Jiang Junyi Reply:
Hello: Regarding your questions, may I ask Dr. Jiang whether I can request a cervical ultrasound examination, or seek help from another specialty? A: Typically, vertebral artery issues are more related to hearing. If you request a carotid artery examination, the attending physici...[Read More] Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Understanding Phantom Saliva Sensation: A Neurological Perspective
The corners of my mouth often feel like they are drooling, but there is no saliva? Hello: About two years ago, I occasionally felt saliva at the corner of my right mouth, and I would naturally suck it in. Recently, the frequency of this sensation has increased. I have been biting...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of trigeminal neuralgia, particularly involving the third branch. I recommend that you consult a neurologist for discussion and treatment. Wishing you good health and peace. Dr. Jiang from Taoyuan Hospital cares about you.[Read More] Understanding Phantom Saliva Sensation: A Neurological Perspective
Understanding Your Symptoms: Lower Back Pain, Numbness, and Neck Issues
Lower back pain, numbness on the left side of the body, and a growth on the left side of the neck? Hello Doctor, I am a desk worker who sits for long hours every day, and I have the symptoms mentioned above. First, regarding the lower back pain, I started experiencing soreness in...
Dr. Jiang Junyi Reply:
Hello: The numbness you described in your left foot and left arm may be due to nerve compression in the neck or lower back. First, consider the possibility of cervical or lumbosacral disc herniation compressing the nerves. Disc herniation can also occur due to sudden injuries, su...[Read More] Understanding Your Symptoms: Lower Back Pain, Numbness, and Neck Issues
Understanding Hand Tremors: Can Young People Develop Parkinson's Disease?
Tremor issues? Hello doctor, may I ask if young people can develop Parkinson's disease? My fingers often shake, especially when I use my smartphone; my thumb shakes, and my fingers tremble even when at rest, although it's not very pronounced. Additionally, sometimes whe...
Dr. Cai Zongzhang Reply:
Hello, in most cases, muscle twitching does not require much concern. However, if it persists, muscle twitching may be a warning sign of a neuromuscular disorder. If the muscle twitching is accompanied by muscle weakness and atrophy, it is advisable to seek medical attention prom...[Read More] Understanding Hand Tremors: Can Young People Develop Parkinson's Disease?
Understanding Hand Tremors: Causes and Concerns for Athletes
Tremor issues? Hello doctor, I am a baseball player. Sometimes my fingers tremble even when they are at rest, but it's not very pronounced. They also shake a bit when I write, but again, it's not severe. When I hold things, they tremble too, and sometimes my head feels ...
Dr. Cai Zongzhang Reply:
Hello, if you are engaging in intense exercise for an extended period, it is likely that fatigue may lead to muscle failure. If your team has a sports trainer, it is advisable to discuss this with them. If not, you may consult an orthopedic or rehabilitation physician with expert...[Read More] Understanding Hand Tremors: Causes and Concerns for Athletes
Understanding Hand Tremors: Causes and Concerns in Neurology
Tremor issues? I experience shaking in my hands when holding objects, though it's not very pronounced. Sometimes my hands feel weak, and my little finger occasionally goes numb. I also notice shaking during static moments, and it becomes more pronounced when I play mobile ga...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more indicative of ulnar nerve neuropathy, which can affect the sensation in the little finger. Leaning your elbow on a table or other hard surfaces, as well as applying pressure to the elbow, can likely cause ulnar nerve neurop...[Read More] Understanding Hand Tremors: Causes and Concerns in Neurology
Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Benign tremor Hello Doctor: Over the past year, I have been experiencing muscle twitching all over my body, and sometimes I also feel weakness, which makes me quite anxious. I have consulted many Western and traditional Chinese medicine doctors, but the symptoms persist, and I fe...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems you are caught in a dilemma of seeking medical care from various sources. To address this issue, it is advisable to first select a medical center near your residence to consolidate your medical records, as cloud-based reports, while info...[Read More] Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Benign tremor Hello Doctor: Over the past year, I have been experiencing muscle twitching all over my body, and sometimes I feel weakness, which has made me quite anxious. I have consulted many Western and traditional Chinese medicine doctors, but the symptoms persist, and I feel...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems you are caught in a dilemma of seeking medical care from various sources. To address this issue, it is advisable to first select a medical center near your residence to consolidate your medical information. While cloud-based reports can ...[Read More] Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips