Understanding Neck and Shoulder Stiffness: When to Seek Medical Help
Stiffness in the shoulders and neck, as well as in the limbs? I am in my fifties and have been experiencing stiffness in my shoulders and neck for the past two months. My hands and feet often have joint pain, and sometimes my lumbar spine hurts to the point where I can't str...
Dr. Lan Shengxing Reply:
Dear Dolq, this symptom is something that most programmers experience to some extent. It is advisable to first consult with a rehabilitation specialist. If rehabilitation activities do not yield results, then consider visiting a neurologist or a neurosurgeon.[Read More] Understanding Neck and Shoulder Stiffness: When to Seek Medical Help
Understanding Sleep Jerks and Talking: When to Seek Neurology Help
Frequent movements during sleep? Hello doctor, I would like to ask about my boyfriend who often experiences a big jerk or tremor in his hands or legs when falling asleep. I read on other websites that this can be normal occasionally, but he does this at least 3-5 times every time...
Dr. Gao Chunde Reply:
Occasionally twitching or jerking while falling asleep is mostly physiological and is common among many people. Talking in your sleep is also a common occurrence and generally shouldn't be a cause for concern. When chatting and on the verge of falling asleep, you may be in a...[Read More] Understanding Sleep Jerks and Talking: When to Seek Neurology Help
Frequent Dizziness and Nausea: Should You Get a Brain Scan?
Dizziness and nausea? It has been a while since I've been experiencing frequent dizziness and nausea. Should I get a brain scan?
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to first consider migraine, as the symptoms include visual disturbances. These may manifest as starry or lightning-like flashes, as well as blurred or distorted vision, which are all common aura symptoms. A few minutes after the a...[Read More] Frequent Dizziness and Nausea: Should You Get a Brain Scan?
Understanding Bacterial Meningitis: Recovery and Rehabilitation Insights
Bacterial meningitis My elder brother is suffering from sepsis combined with bacterial meningitis. He has been undergoing treatment for about 50 days. An MRI indicates cerebral edema, and he has had a drain placed. His inflammatory markers have returned to normal levels, but curr...
Dr. Huang Yingzhe Reply:
Rehabilitation is certainly necessary! But how much recovery is possible? That should still be discussed with the attending physician. However, if it has been 50 days and there is still a brain tumor, it may be quite difficult to make significant progress.[Read More] Understanding Bacterial Meningitis: Recovery and Rehabilitation Insights
Understanding Unexplained Body Pain and Numbness: A Neurology Perspective
Feeling unwell all over? In the past month, I have experienced body aches that progressed to numbness in my legs and hands. My legs feel weak and painful when standing, and I have intermittent pain or twitching throughout my body. Sometimes my wrists, near my ankles, and knees al...
Dr. Lan Shengxing Reply:
Dear Ms. Chen, the symptoms you described are most likely caused by cervical spine issues. It is recommended that you first visit a neurology clinic for a detailed neurological examination to determine the underlying cause. Additionally, it is advised not to use overly soft beddi...[Read More] Understanding Unexplained Body Pain and Numbness: A Neurology Perspective
Understanding Migratory Numbness and Tingling: Possible Causes and Insights
Widespread tingling, numbness, and occasional brief muscle twitching? Hello Dr. Lan! I recently visited the hospital due to unilateral numbness in my limbs and lips. An MRI revealed symptoms of moderate to severe stenosis of the middle cerebral artery. I am currently on antiplate...
Dr. Lan Shengxing Reply:
Due to its systemic nature, it may be necessary to first consider factors affecting the entire body, such as metabolism, toxins, medications, and immune responses, which can present symptoms similar to neuropathic pain. It may be necessary to arrange for nerve conduction studies ...[Read More] Understanding Migratory Numbness and Tingling: Possible Causes and Insights
Understanding Dizziness and Weakness: Possible Neurological Causes
Dizziness, trembling in the hands and feet, and weakness in the hands? I currently have a cold and I'm also on my menstrual period. This morning, while I was taking a shower, I suddenly felt dizzy, my hands became weak, and I couldn't see anything clearly. I was walking...
Dr. Lan Shengxing Reply:
Dear Ms. Hsu, both a cold and menstruation can exacerbate these symptoms. Taking a shower can increase body temperature and cause vasodilation, which may worsen ischemic symptoms. Therefore, it is advisable to rest in a supine position, stay well-hydrated, and replenish vitamins ...[Read More] Understanding Dizziness and Weakness: Possible Neurological Causes
Persistent Numbness in Neck and Limbs: Seeking Answers and Solutions
Numbness in the neck and limbs has persisted for one month? A month ago, I went for rehabilitation to stretch my neck (this was my second visit), and I weigh 67 kilograms. I pulled with 8 kilograms; although it was uncomfortable, I could tolerate it. Later, I developed numbness i...
Dr. Lan Shengxing Reply:
Dear Little Green, if there are no other issues but only with your meditation posture, I recommend consulting a rehabilitation physician or a physical therapist to assess your meditation posture and duration to prevent beneficial practices from becoming a burden on your body. Bes...[Read More] Persistent Numbness in Neck and Limbs: Seeking Answers and Solutions
Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Is it autonomic nervous system dysfunction? Hello Doctor, Over two months ago, I smoked some marijuana while abroad. I'm not sure if it was too potent or mixed with something else, but that night I experienced severe palpitations and overall weakness. Although I felt a bit...
Dr. Jiang Junyi Reply:
Hello, based on your description, cannabinoid receptors are present in neurons in various regions of the brain. These areas are associated with memory (hippocampus), attention (cortex), perception (sensory areas of the cortex), and movement (cerebellum, substantia nigra, globus p...[Read More] Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Understanding Dizziness, Numbness, and Migraines: When to Seek Help
Dizziness, numbness in the limbs, and migraines? I have been feeling dizzy for the past few months, and I also experience migraines. At night, sometimes my hands and feet feel numb, and I feel difficulty breathing with a sensation of cramping near my heart. Which specialty should...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms of migraine often include severe unilateral throbbing pain in the head. These migraine symptoms can typically last for several hours, and may even extend up to 2-3 days. As for symptoms like dizziness, conditions such as anemia, auto...[Read More] Understanding Dizziness, Numbness, and Migraines: When to Seek Help
Understanding Facial and Hand Numbness: Causes and Concerns
Intermittent numbness around the eyes, mouth, and hands? Hello, doctor. I would like to ask about experiencing intermittent numbness in my face and hands over the past year, primarily around the eyes, mouth, and fingers. The numbness gradually intensifies, leading to twitching ar...
Dr. Gao Chunde Reply:
The symptoms are similar to mild hyperventilation syndrome, occurring during emotional stress or pressure. The sensation of insufficient breathing increases the respiratory rate, leading to a decrease in carbon dioxide levels in the blood and causing vasoconstriction, which may r...[Read More] Understanding Facial and Hand Numbness: Causes and Concerns
Understanding Hand Tremors and Numbness: When to Seek Help
Tremors and hand numbness? Dear Vice Director, In the past, my hand tremors would only occur after drinking coffee or when my blood sugar was low. However, the situation has worsened; the tremors have become more pronounced and now occur even outside of those two conditions. Add...
Dr. Lan Shengxing Reply:
Dear Miss Lu, if your hand tremors occur without physiological causes, it may be essential tremor, which requires pharmacological treatment. Additionally, the symptoms of hand numbness necessitate a nerve conduction velocity test for proper evaluation, so you should visit a neuro...[Read More] Understanding Hand Tremors and Numbness: When to Seek Help
Sudden Left Hand Weakness: Is It a Neurological Concern?
Sudden loss of dexterity in the left hand? Hello, Doctor. Since this morning, I've noticed that my left palm becomes very slow when I try to open it after closing it (it slows down when opening), but then it gets better. This situation occurs again when I unconsciously clasp...
Dr. Gao Chunde Reply:
This is a phenomenon of muscle stiffness, where the muscles continue to contract involuntarily during exertion and have a delayed relaxation. It may be an early symptom of certain specific muscle diseases, and it is recommended to consult a neurologist for further examination and...[Read More] Sudden Left Hand Weakness: Is It a Neurological Concern?
Managing Numbness in Hands and Feet: Insights from Neurology
Numbness in the hands and feet? Hello, Doctor! My company's health check-up was normal, but since October of this year, I have been experiencing intermittent numbness in my hands and feet. I visited a major hospital's neurology department, where I underwent nerve conduc...
Dr. Gao Chunde Reply:
It appears that the doctor has concluded that your stress levels are relatively high. They recommend adjusting your lifestyle and have prescribed medication to alleviate symptoms of stress and anxiety. If you are able to manage your stress effectively on your own, it is possible ...[Read More] Managing Numbness in Hands and Feet: Insights from Neurology
Understanding Transient Ischemic Attacks: Symptoms and Diagnosis Insights
Transient Ischemic Attack (TIA) Hello Doctor: I have been experiencing dizziness for the past six months. It is not a spinning sensation, but rather a feeling of unsteadiness while walking, along with a sensation of swaying and falling. Occasionally, I have neck pain. My blood pr...
Dr. Jiang Junyi Reply:
Hello, based on your description, due to the thickening of your carotid artery intima, it is important to pay attention to other risk factors such as passive smoking and metabolic syndrome. Many factors can cause symptoms of dizziness, such as anemia, autonomic dysfunction, inner...[Read More] Understanding Transient Ischemic Attacks: Symptoms and Diagnosis Insights
Understanding Hand Tremors: Causes and Treatment Options
Uncontrollable hand tremors? Hello Doctor, I've been experiencing constant shaking in both of my hands this year, especially in my right hand, which is hard to ignore. The tremor is not very pronounced, but it's noticeable even when using chopsticks. I'm only 30 ye...
Dr. Gao Chunde Reply:
Tremors can have many possible causes, ranging from simple issues related to medication or diet to endocrine problems, as well as neurological issues related to the cerebellum or Parkinson's disease. There are also cases of tremors with unknown causes or hereditary factors. ...[Read More] Understanding Hand Tremors: Causes and Treatment Options
Persistent Hand Numbness: Seeking Answers After 4 Months of Symptoms
Numbness in both hands for the past four months? Hello doctor, I have been experiencing numbness in my hands since the beginning of September. Initially, it was only in my right hand, but within a week, my left hand started to feel numb as well. The numbness has not ceased, causi...
Dr. Gao Chunde Reply:
When experiencing hand numbness, it is important to determine whether the distribution of symptoms falls within the peripheral nerve range, nerve roots, or central nervous system. Particularly, if nerve conduction studies are normal, carpal tunnel syndrome is almost ruled out. Sy...[Read More] Persistent Hand Numbness: Seeking Answers After 4 Months of Symptoms
Uncontrollable Body Tremors: Seeking Answers and Solutions
Involuntary shaking of the body? Hello, Dr. Gao: About a year ago, I experienced a fever that lasted for 1 to 2 months, after which I began to have involuntary tremors. Later, I had another episode of fever, and the tremors became particularly severe, leading me to be hospitalize...
Dr. Gao Chunde Reply:
China Medical University Hospital is a medical center, and if their neurology department cannot find the cause, it must be a complex issue. In fact, I am not sure either; perhaps you could consult another medical center's neurology department, such as National Taiwan Univers...[Read More] Uncontrollable Body Tremors: Seeking Answers and Solutions
Choosing the Right Hospital for Neurology: A Guide to MRI and Pituitary Tumors
Choosing a hospital Hello, doctor. I'm here again to seek your advice. After some time of consultation and reviewing information, I strongly feel that your suggestion to undergo further neurological examination is warranted to check for a non-functional pituitary tumor. Here...
Dr. Gao Chunde Reply:
MRI can only be requested through health insurance or paid out-of-pocket; it cannot be done out-of-pocket and then later submitted to health insurance for reimbursement (if it meets the criteria, it will be approved; if not, even if abnormalities are found, it cannot be submitted...[Read More] Choosing the Right Hospital for Neurology: A Guide to MRI and Pituitary Tumors
Understanding Involuntary Hand and Head Tremors: Next Steps for Patients
Involuntary shaking of the hands and head? Hello Doctor: I often experience involuntary shaking in my hands (more frequently in my left hand, especially noticeable in my little finger) and my head (shaking side to side). I do not smoke, drink alcohol, chew betel nut, or use drugs...
Dr. Gao Chunde Reply:
Some individuals experience primary tremors that do not progressively worsen into Parkinson's disease, and there is no need for excessive concern; medication can be used as needed to alleviate symptoms. Others may exhibit early signs of Parkinson's disease or other move...[Read More] Understanding Involuntary Hand and Head Tremors: Next Steps for Patients