Understanding Muscle Weakness and Pain: A Neurology Perspective
Hand pain with a sensation of weakness? Hello Doctor, I have been experiencing muscle twitching since the end of April, and it continues to this day. Initially, it was a persistent twitch in a fixed location, but after a while, it became random, with occasional twitches that vary...
Dr. Hong Weibin Reply:
Hello: If you have undergone multiple neurophysiological examinations that have all returned normal results, you generally do not need to worry excessively about the possibility of motor neuron disease and may want to consider other potential causes. I recommend discussing this f...[Read More] Understanding Muscle Weakness and Pain: A Neurology Perspective
Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?
The body experiences slight tremors when at rest? Hello, I have recently been experiencing slight body tremors while sitting still, a strong heartbeat, dizziness, and headaches. Additionally, I have always felt weakness in my hands (which has become more noticeable due to bruisin...
Dr. Hong Weibin Reply:
Hello: These symptoms may be related to dysfunction of the sympathetic and parasympathetic nervous systems (commonly referred to as the autonomic nervous system). You may want to consult with a neurologist or a psychiatrist nearby.[Read More] Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?
Understanding Widespread Bone Pain: Possible Causes and When to Seek Help
Widespread bone pain throughout the body? Hello, doctor. Recently, for about one to two weeks, I have been experiencing bone pain in multiple areas of my body, specifically in my right arm, upper back around the scapulae, head, cheekbones, tibia in my legs, and the bones in my fi...
Dr. Jiang Junyi Reply:
Hello: If you are experiencing joint pain throughout your body, you may want to consider pseudogout as a potential cause of your polyarticular joint disease. It is advisable to consult a rheumatologist to discuss examination and treatment options. Wishing you good health and peac...[Read More] Understanding Widespread Bone Pain: Possible Causes and When to Seek Help
Understanding Back Pain: Insights for New Moms with SLE
Back problems Hello, doctor! I have systemic lupus erythematosus (SLE), and my levels are currently normal. I just gave birth 13 months ago! However, due to my child's significant weight, I find it challenging to carry and care for them, as my physical strength is quite limi...
Dr. Jiang Junyi Reply:
Hello: If your symptoms of pain persist, you may want to consider fibromyalgia syndrome. Statistically, individuals with systemic lupus erythematosus (SLE) have an increased risk of developing this condition. Although the pathogenic mechanisms remain unclear, it may be related to...[Read More] Understanding Back Pain: Insights for New Moms with SLE
Post-Stair Fall: When to Seek Neurology Help for Head Injury Symptoms
Fell down a three-step staircase, bleeding below the right temple? Hello Doctor, I am currently working in Vietnam. Two days ago, after having dinner and drinking with colleagues, I lost my footing while going down the stairs and fell. I have a 4 cm laceration above my right temp...
Dr. Hong Weibin Reply:
Hello: In the days and months following a recent impact, you may experience dizziness and nausea, which could be caused by a mild concussion. It is advisable to follow up at a neurology clinic for further evaluation. Additionally, please make sure to rest adequately and limit the...[Read More] Post-Stair Fall: When to Seek Neurology Help for Head Injury Symptoms
Understanding Sleep Jerks: When to Seek Medical Advice for Your Partner
Sleep myoclonus My boyfriend often shakes his legs/body/hands while sleeping at night. It's not just a quick jolt like being startled; the shaking frequency is quite high (about 7-8 times within 5 minutes), and I can feel the movements even while lying next to him! He snores...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, there is a possibility of having sleep apnea. It is recommended to visit our sleep center for an evaluation.[Read More] Understanding Sleep Jerks: When to Seek Medical Advice for Your Partner
Can Surgery Fix My Pinky and Ring Finger Coordination Issue?
Regarding the interconnection issue between the little finger and the ring finger? Hello, I was born with a condition that prevents me from fully extending my pinky finger. Whenever I bend my pinky, my ring finger also bends along with it. I would like to know if this condition c...
Dr. Jiang Junyi Reply:
Hello: The movement of the distal joints of the fingers involves the deep tendons, which create a linkage effect. Most people do not have a completely independent extensor tendon for the ring finger, which is why it cannot be straightened on its own. As for the control of the fle...[Read More] Can Surgery Fix My Pinky and Ring Finger Coordination Issue?
Uncoordinated Walking and Dizziness: Understanding Neurological Symptoms
Feeling uncoordinated and dizzy when starting to walk? Hello Doctor, I previously asked you whether I consider myself to have autonomic nervous system dysfunction. During this follow-up period, I have been running or brisk walking for an average of one hour a day or two, and get...
Dr. Jiang Junyi Reply:
Hello, based on your description of limb weakness and pain, the causes could include not only muscle and nerve issues but also some metabolic disorders such as thyroid dysfunction and sleep disorders, among others. MRI is primarily used to rule out structural problems in the brai...[Read More] Uncoordinated Walking and Dizziness: Understanding Neurological Symptoms
Understanding Unilateral Scalp Numbness: Causes and When to Seek Help
Unilateral scalp numbness? Hello, doctor. Due to my work, I often have to sit for long periods and I also have a habit of staying up late. Additionally, I have iron deficiency anemia. Recently, I've been experiencing sudden numbness on the right side of my scalp, occurring 5...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, as the likelihood of intracranial hemorrhage is relatively low. External factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rot...[Read More] Understanding Unilateral Scalp Numbness: Causes and When to Seek Help
Muscle Twitches and Anxiety: Understanding Your Symptoms
Muscle twitching seems to be related to anxiety? Hello doctor, I have been experiencing muscle twitching for over three months, but this week it has significantly decreased to about three to five times an hour, with each twitch lasting one to two seconds. The affected areas are m...
Dr. Jiang Junyi Reply:
Hello: I suggest that you consider consulting a psychologist first, as many symptoms are related to autonomic nervous system instability. Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, with one acting as the a...[Read More] Muscle Twitches and Anxiety: Understanding Your Symptoms
Understanding Uncontrolled Muscle Contractions: A Neurological Perspective
The body may experience uncontrollable urges to exert force? I experience episodes infrequently, during which I am conscious and able to talk, but my body is uncontrollable. Sometimes it affects specific areas, while other times it is generalized. I feel my muscles tightening, wi...
Dr. Cai Zongzhang Reply:
Hello, it is recommended that you consult a neurologist or a rehabilitation physician for further evaluation and treatment.[Read More] Understanding Uncontrolled Muscle Contractions: A Neurological Perspective
Understanding Muscle Twitches: Causes, Treatments, and Concerns
Muscle twitching Hello Doctor, I have been experiencing intermittent muscle twitching for two months now, feeling it several times a day. The twitches last about 2 seconds each and are not localized, mostly occurring in my feet, abdomen, shoulders, buttocks, and knees, with more ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "stretching causes a slight tingling sensation in the soles of the feet, which is quite uncomfortable." This may indicate symptoms caused by compression of the spinal nerve roots by surrounding tissues. It is advisable to visit a neurology clin...[Read More] Understanding Muscle Twitches: Causes, Treatments, and Concerns
Understanding MRI Findings: What Do Bright Spots in the Spine Mean?
Questions about the examination report? Hello Doctor, I visited a neurologist because I occasionally experience numbness in my hands and feet. I underwent an MRI with contrast, and the report showed some white spots in a portion of my spinal cord. The physician mentioned that thi...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your "hands and feet occasionally feel numb" and that you underwent an MRI (with contrast), which showed some white spots in a portion of your spinal cord. Because MRI imaging is highly sensitive, along with the nature of nerve damage that cann...[Read More] Understanding MRI Findings: What Do Bright Spots in the Spine Mean?
Understanding Cervical Spine Issues and Their Impact on Health
Consultation on cervical spine and related issues? Hello Dr. Jiang, I have been experiencing significant discomfort in my neck recently, so I came to seek your advice. Last week, due to a month-long episode of dizziness and lightheadedness, I visited Chang Gung Memorial Hospital ...
Dr. Jiang Junyi Reply:
Hello: 1. Is there really a concept of congenital straight cervical spine? It seems that there are differing opinions between neurologists and orthopedic doctors. 2. If there is indeed a congenital straight cervical spine, would it affect muscle stiffness? I have noticed that ...[Read More] Understanding Cervical Spine Issues and Their Impact on Health
Understanding Body Tingling: Causes and When to See a Neurologist
Tingling sensation in the body (more pronounced in the fingers)? Hello Doctor, a few nights ago I experienced a tingling sensation in my fingers while I was asleep, without any pressure or injury. When I woke up, the tingling sensation in my fingers persisted, although it had les...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more commonly the result of hyperventilation syndrome, which leads to a decrease in carbon dioxide levels in the blood, causing an increase in pH and resulting in systemic reactions and symptoms. Common manifestations include vasoconstriction and hypocalc...[Read More] Understanding Body Tingling: Causes and When to See a Neurologist
Understanding Muscle Twitching: Causes and Concerns in Young Adults
Involuntary muscle twitching at irregular locations? Hello Doctor, about a month ago, I started experiencing twitching in my right eye bag and my left calf. After an EEG, the doctor said it was normal, so my family suggested I get blood tests for thyroid function. I might be over...
Dr. Hong Weibin Reply:
Hello: If you experience visible persistent muscle twitching and pain, you can seek assistance from a neurologist to determine if an electromyography (EMG) is necessary. Muscle twitching can have many causes that require differential diagnosis, and not all causes are as alarming ...[Read More] Understanding Muscle Twitching: Causes and Concerns in Young Adults
Understanding Muscle Twitches and Weakness: A Neurology Perspective
Weakness in the legs and muscle tremors? Doctor, last week I experienced muscle twitching in multiple areas of my body, so I went to a neurologist for an electroencephalogram, which came back normal. Although the twitching is not very frequent, I sometimes notice significant musc...
Dr. Jiang Junyi Reply:
Hello: The ALS you are concerned about primarily refers to 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 in the brainstem and spinal cord are called lower motor neuro...[Read More] Understanding Muscle Twitches and Weakness: A Neurology Perspective
Understanding Upper Body Numbness: Causes and When to Seek Help
Numbness in the upper body? Hello doctor, last night while sitting, I suddenly experienced numbness that radiated from my spine in the back of my chest to my hands and the muscles in my face below my eyes. During the numbness, both my hands and face were able to move freely, but ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are more indicative of hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in "respiratory alkalosis," which can cause systemic reactions and symptoms. Common manifestation...[Read More] Understanding Upper Body Numbness: Causes and When to Seek Help
Understanding Muscle Twitches and Nerve Sensitivity in the Arm
Tremor issues? Hello Doctor: I am currently in the United States, and accessing healthcare is not very convenient. I would like to request your assistance, thank you. For the past five days, I have been experiencing involuntary twitching in the upper left arm, specifically in the...
Dr. Jiang Junyi Reply:
Hello, based on your described symptoms, they are very similar to cervical myofascial pain syndrome. Clinically, it often presents as pain in the affected area, discomfort, muscle stiffness, or a heavy sensation, and sometimes palpable myofascial trigger points can be felt under ...[Read More] Understanding Muscle Twitches and Nerve Sensitivity in the Arm
Understanding Numbness and Tension: When to Seek Medical Advice
Numbness issues? Hello Doctor, I have been experiencing tightness in my scalp recently, occasionally accompanied by tingling sensations. This has been going on for a while. I also feel discomfort on the left side of my neck, near the sternocleidomastoid muscle, which is sometimes...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned, such as "discomfort on the left side of the neck near the sternocleidomastoid muscle occasionally accompanied by slight headaches," are more indicative of cervicogenic headache or tension-type headache. However, the "numbness in t...[Read More] Understanding Numbness and Tension: When to Seek Medical Advice