Understanding Muscle Relaxants: Safe Use and Pain Management After Injury
Medication Consultation Hello, doctor. I was in a car accident and am experiencing lower back pain and weakness in my right upper and lower limbs (with a feeling of uneven weight distribution in both legs, suspecting a leg length discrepancy). My right foot feels numb when I step...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider nerve compression as the cause of your numbness and pain. The medication you mentioned is SOMA from Sandoz, which contains the following components: Acetaminophen 250 mg, Chlorzoxazone 150 mg, Caffeine Anhydrous 20...[Read More] Understanding Muscle Relaxants: Safe Use and Pain Management After Injury
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 Left-Sided Numbness and Eye Pressure: Possible Neurological Issues
Numbness and tingling in the left side of the limbs? Hello doctor, sometimes I feel numbness in my left hand and left foot, and my right eye feels swollen. I'm not sure if these two symptoms are related. What could be the issue? Is it possible that there is something growing...
Dr. Jiang Junyi Reply:
Hello: Based on your description, a brain computed tomography (CT) scan is generally performed to rule out significant lesions such as intracranial hemorrhage or obvious brain tumors. If clinical symptoms such as vomiting, headaches, seizures, or neurological deficits are present...[Read More] Understanding Left-Sided Numbness and Eye Pressure: Possible Neurological Issues
Understanding Chronic Dizziness and Visual Disturbances: When to Seek Help
Chronic dizziness and impaired visual acuity? Hello Doctor, I was diagnosed with a tendency to feel dizzy from hunger as a child, often without realizing it (not feeling hungry or wanting to eat). Now, I eat three meals on time, but I still experience dizziness for no apparent re...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be more related to neurology. Regarding the central nervous system: 1. You experience motion sickness almost every time you are in a vehicle, and strong odors also make you feel dizzy (possibly a variant of migraine?). 2. You often choke when drinking...[Read More] Understanding Chronic Dizziness and Visual Disturbances: When to Seek Help
Understanding One-Sided Headaches: When to Worry and When to Relax
Headache issues I would like to ask if I should be concerned about experiencing a unilateral headache (on the right side near the temple) that was initially quite painful (about the level of accidentally kicking something with my foot), but it was slightly more painful than usual...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider that the cervical myofascial pain may extend to the head, potentially leading to symptoms such as pain, discomfort, muscle stiffness, or a feeling of heaviness. Symptoms may worsen with changes in weather and can be al...[Read More] Understanding One-Sided Headaches: When to Worry and When to Relax
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 Dopamine Deficiency and Its Impact on Anxiety Medications
Dopamine deficiency and medications such as Levodopa and Clonazepam? In mid-August last year, I started experiencing noticeable symptoms where sometimes while walking, my left foot would suddenly start to twitch involuntarily (possibly due to anxiety or other reasons), or my left...
Dr. Hong Weibin Reply:
You are very diligent! You've done a lot of homework. Occasionally, you experience muscle twitching in your left leg, sometimes accompanied by a tingling sensation, followed by pain in your left thigh. My thought is that it may be due to lumbosacral radiculopathy. Lumbosacra...[Read More] Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Left Leg Numbness: When to Seek Neurology Care?
Numbness in the left foot and left calf? Hello doctor, three days ago I noticed some mild numbness in my left foot and left calf. I just applied a pain relief patch that day and thought nothing of it, but over the next few days, I occasionally felt the numbness again. Sometimes i...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as ALS, is formally referred to as amyotrophic lateral sclerosis (ALS) or motor neuron disease. It typically does not present with sensory abnormalities; the clinical symptoms include muscle atrophy and abnormal twitchi...[Read More] Left Leg Numbness: When to Seek Neurology Care?
Unexplained Right Groin Pain: Seeking Answers for Persistent Discomfort
Right groin pubic pain with no identifiable cause? Hello, doctor. I have been experiencing pain in my right pubic bone for three months. The pain worsens with exertion, stretching, or external pressure, and I feel a constant dull ache even when lying down. I tend to unconsciously...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest pelvic myofascial inflammation, which can manifest as pain, discomfort, and muscle stiffness. Symptoms may worsen with changes in weather and can be alleviated with stretching activities, often recurring. During acute episodes, there may be locali...[Read More] Unexplained Right Groin Pain: Seeking Answers for Persistent Discomfort
Understanding Left-Sided Body Discomfort: When to See a Neurologist
Discomfort on the left side of the body? Hello Doctor, I feel strange on the entire left side of my body. The muscles in my left neck feel very tight, and my left lower back also feels tight. It hurts when I bend to the right, and I experience soreness on the left side when I ben...
Dr. Cai Zongzhang Reply:
Hello, I recommend that you visit a neurologist for further evaluation and treatment.[Read More] Understanding Left-Sided Body Discomfort: When to See a Neurologist
Understanding Leg Numbness and Back Pain: When to Seek a Second Opinion
Numbness in the legs and lower back pain? Hello, doctor. Recently, I've been experiencing lower back pain and my legs feel sore and numb. I visited a neurologist, but the doctor only tapped my knee (the reflex test we learned in middle school) and concluded that my issues ar...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider symptoms related to nerve compression due to a herniated disc, which may also occur as a result of sudden injuries, such as twisting the waist, bending to lift heavy objects, or experiencing excessive force, for exampl...[Read More] Understanding Leg Numbness and Back Pain: When to Seek a Second Opinion
Understanding Dizziness and Discomfort: A Neurological Perspective
Dizziness and general discomfort? Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, ex...
Dr. Jiang Junyi Reply:
Hello, based on your description, I wonder if you have been paying attention to the care of your neck, as cervical myofascial pain syndrome may cause symptoms such as pain, discomfort, muscle stiffness, or a heavy sensation, leading to fatigue-like symptoms. Regarding the adjustm...[Read More] Understanding Dizziness and Discomfort: 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
Muscle Twitches and Weakness: Understanding Neurological Concerns
Muscle twitching and a feeling of weakness? Hello, Doctor: I often experience involuntary muscle twitching throughout my body, including my facial cheekbones, and sometimes I feel weakness in my right hand. Recently, I visited the hospital for an examination and discussed my conc...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the muscle instability symptoms you mentioned are primarily related to exercise, acute viral infections, anxiety, and medication use. If there are only muscle fasciculations without significant muscle atrophy, it is usually caused by neuroinflamm...[Read More] Muscle Twitches and Weakness: Understanding Neurological Concerns
Understanding Sudden Leg Numbness and Pain: Causes and Concerns
Sudden numbness and pain in the foot? Hello, I often experience collisions during my workouts, but since I'm on tatami mats, they are soft. Recently, over the past two to three weeks, I've had episodes of numbness and pain in my left foot three times. This seems to occu...
Dr. Jiang Junyi Reply:
Hello: The numbness occurring on the outer side of your left foot may be due to peripheral nerve compression, with the fibular nerve being the primary consideration, especially in individuals who frequently cross their legs or sit with their legs crossed. Additionally, it is impo...[Read More] Understanding Sudden Leg Numbness and Pain: Causes and Concerns
Numbness in Right Big Toe: Possible Causes and Solutions
Numbness in the right big toe? Hello, Dr. Jiang. About two weeks ago, I started experiencing numbness on the outer side of my right big toe. There is no pain or insect bite, but I have a persistent tingling or numb sensation. Pressing on it makes the numbness feel more intense, b...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a consideration of peripheral nerve compression issues. The diagnosis of peripheral nerve injury can be assessed using nerve conduction studies. Nerve conduction studies involve the use of very fine electrical currents to stimulate the nerves in t...[Read More] Numbness in Right Big Toe: Possible Causes and Solutions
Can a Head Injury Affect Your IQ and Memory?
Head issues I would like to ask the doctor: A few days ago, while hanging laundry, I accidentally bumped my head against a metal plate and it hurt a bit. Will this affect my IQ or memory?
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious localized hematomas, head injuries are mostly mild. However, the following conditions should prompt consideration of delayed bleeding and a visit to t...[Read More] Can a Head Injury Affect Your IQ and Memory?
Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Numbness and weakness in the left hand and foot? Hello Doctor: For the past two weeks, I have been experiencing numbness in my left hand and foot, particularly in my fingers. Additionally, my left hand has been shaking uncontrollably. The numbness is persistent and spreads quickl...
Dr. Jiang Junyi Reply:
Hello, based on your description, the medication Micobalamin is Vitamin B12, while Baclofen is a muscle relaxant that may cause muscle weakness. A common cause of neck pain is cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle ...[Read More] Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Understanding Disc Herniation: Causes of Foot Vibrations and Muscle Twitches
Herniated disc with foot vibration? Recently, I experienced numbness and pain in my left foot, which later progressed to muscle twitching in both legs, prompting me to see a neurosurgeon. An MRI diagnosis revealed a herniated lumbar disc, centrally located, which is causing the m...
Dr. Jiang Junyi Reply:
Hello: The symptom of vibration in the feet is generally indicative of peripheral nerve damage, and it may be necessary to consider cervical nerve root compression. I recommend that you visit a neurology or rehabilitation clinic for an examination to determine the location of the...[Read More] Understanding Disc Herniation: Causes of Foot Vibrations and Muscle Twitches
Understanding Unilateral Foot Numbness: Causes and Solutions
Unilateral plantar paresthesia? Hello, doctor. About two weeks ago, I started experiencing a tingling sensation in the sole of my left foot. Sometimes it comes in waves, and other times it doesn't occur at all. This sensation can happen whether I'm sitting or lying down...
Dr. Hong Weibin Reply:
Hello: Based on your description, if the numbness is limited to the soles of your feet and does not extend proximally, it is likely due to plantar fasciitis or soft tissue pathology. It is advisable to check your shoes; if they are too rigid, consider switching to shoes with cush...[Read More] Understanding Unilateral Foot Numbness: Causes and Solutions