Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?
Weakness in the limbs (autonomic nervous system) Hello Doctor, I have been experiencing a sense of weakness for the past month (it's a strange feeling, not that I can't exert force), with episodes occurring at unpredictable times, lasting anywhere from 1-2 hours to as l...
Dr. Cai Zongzhang Reply:
"Could it be a problem with the autonomic nervous system?" It is possible. Symptoms of autonomic dysfunction can range from head to toe and may be mild (dizziness, headaches, dry and blurry eyes, poor sleep, dry mouth, throat discomfort, difficulty breathing, palpitatio...[Read More] Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?
Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Cervical vascular issues Hello, doctor. A year ago, I underwent cervical traction therapy due to cervical degeneration. However, after just one session of traction, my body began to undergo significant changes. Initially, I experienced dizziness, headaches, rapid heartbeat, insom...
Dr. Jiang Junyi Reply:
Hello, based on your description, if rehabilitation does not yield satisfactory results, an MRI of the cervical spine may be considered. The symptoms you mentioned may be related to cervical disc herniation, which often exacerbates nerve root pain during coughing or sneezing. A d...[Read More] Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Cervical vascular issues Hello, doctor. A year ago, I underwent cervical traction therapy due to cervical degeneration. However, after just one session of traction, my body began to undergo significant changes. Initially, I experienced dizziness, headaches, rapid heartbeat, insom...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you choose a medical center near your home for relevant examinations. This will make it easier to compare changes over time. Additionally, the information will be more comprehensive, and it will be easier for physicians from different specialties to ...[Read More] Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Persistent Dizziness: Understanding Causes and Seeking Solutions
Persistent dizziness, extremely distressing? Hello, I started experiencing dizziness on the morning of June 9th. Initially, I thought it was due to standing up too quickly, but the dizziness persisted throughout the day, regardless of whether I was standing, sitting, or lying dow...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for dizziness. I'm not sure which antihypertensive medication you are taking, but it may help alleviate your discomfort. If it is a beta-blocker, you might need to consider issues related to autonomic nervous ...[Read More] Persistent Dizziness: Understanding Causes and Seeking Solutions
Understanding Chronic Headaches: Symptoms, Causes, and Treatment Options
Chronic headache Hello Doctor, I would like to ask the following question: For the past two to three months, I have been experiencing frequent headaches (about 1-2 times a month on average). It usually starts with a feeling of pressure at the top of my head, which then extends to...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms resemble those of a migraine. This type of headache lasts from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel throbbing or pulsating, often accompanied by nausea and vomiting, as well as se...[Read More] Understanding Chronic Headaches: Symptoms, Causes, and Treatment Options
Understanding Neck Pain After a Fall: When to Seek Medical Attention
Neck pain Hello doctor, I slipped in the bathroom the day before yesterday and hit the back of my head on the threshold. That night, I noticed that when lying down, lifting my neck caused some pain and tightness. It has persisted until today; turning my head slightly to the left ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms seem more like a neck muscle strain. Regarding intracranial hemorrhage, if there is no loss of consciousness, no anticoagulant use, or obvious local hematoma, head trauma is mostly mild. However, consider delayed bleeding and seek e...[Read More] Understanding Neck Pain After a Fall: When to Seek Medical Attention
Persistent High-Pitched Tinnitus at Night: Seeking Further Medical Advice
When lying down to sleep at night, there is a high-frequency tinnitus in the right ear? Hello, Doctor: When I lie down on my right side at night, I experience a high-pitched ringing in my right ear that lasts until morning, but it disappears shortly after I get up. Therefore, I u...
Dr. Hong Weibin Reply:
Hello: You can visit the neurology outpatient clinic nearby, where a physician will examine you. Wishing you a speedy recovery.[Read More] Persistent High-Pitched Tinnitus at Night: Seeking Further Medical Advice
Understanding Localized Atrophy in the Left Frontal Lobe: What It Means for Your Health
Localized atrophy of the left frontal lobe? Hello Doctor, I have a health-related question. Last week, I sustained a head injury when I hit my head on the floor, and I went to the hospital for a CT scan of my brain. The doctor indicated that there was swelling in my head but no...
Dr. Hong Weibin Reply:
Hello: The results of a head CT scan often need to be correlated with clinical symptoms to be meaningful. Each individual has different heights and body types, and therefore the cortical structures of the brain vary from person to person. The frontal lobe is responsible for judgm...[Read More] Understanding Localized Atrophy in the Left Frontal Lobe: What It Means for Your Health
Understanding Heel Walking and Toe Lift Issues After a Motorcycle Accident
Walking on the heels (unable to lift the toes of the right foot)? Hello Doctor: Three years ago, I fell off my motorcycle and injured my lower back. Now, when I walk, I can lift the toes of my left foot, but I cannot lift the toes of my right foot. Could this be due to nerve comp...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for leg weakness, such as muscle atrophy and lumbar nerve compression, which need to be evaluated. Your symptoms may suggest peroneal nerve dysfunction, one of the most common localized neuropathies in the lower ex...[Read More] Understanding Heel Walking and Toe Lift Issues After a Motorcycle Accident
Which Specialist Should You See for Neck Pain and Stiffness?
Which specialty should I see? Hello, Doctor. I have been studying for a long time and sitting for extended periods. Over the past six months, I often feel a tightness in my cervical spine, and my neck feels somewhat stiff. Even during regular activities, I sometimes notice someth...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders. External factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rotation can lead to cervical instability, dislocation, and cervica...[Read More] Which Specialist Should You See for Neck Pain and Stiffness?
Post-Concussion Fatigue: Understanding Symptoms and When to Seek Help
Feeling fatigued one month after a fall? On May 4th, I had a motorcycle accident and was wearing a three-quarter helmet at the time. There was no external injury or bleeding to my brain, but I primarily injured my chin. I was hospitalized for a week, and the diagnosis indicated a...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious local hematomas, head injuries are mostly minor. However, the following conditions should prompt consideration of delayed bleeding and a visit to the emer...[Read More] Post-Concussion Fatigue: Understanding Symptoms and When to Seek Help
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 Dizziness: Exploring Causes and Seeking Solutions
Dizziness and discomfort? Hello, Dr. Jiang! I consider myself health-conscious and have a habit of exercising daily. Recently, due to bone pain, I underwent X-ray and MRI examinations (with contrast agent). The results indicated that there was no joint degeneration; however, the ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be caused by insufficient rest, leading to sympathetic nervous system activation, which in turn affects blood pressure and causes muscle tension. According to current medical trends, rehabilitation combined with regenerative therapy can address some joint...[Read More] Understanding Dizziness: Exploring Causes and Seeking Solutions
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
Understanding Numbness and Burning Sensation in the Back
Numbness and burning sensation in the back? Hello, doctor. This morning when I went to work, I felt numbness and a burning sensation in my back, which extended up to my shoulders, with more pronounced numbness on the right shoulder. Could this be related to the fact that I'v...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, primarily symptoms occurring at the C5-C6 vertebrae. External factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rotation can l...[Read More] Understanding Numbness and Burning Sensation in the Back
Understanding Right Arm Weakness and Pain: Possible Causes and Solutions
Weakness and pain in the right hand? Hello Dr. Tsai: About six months ago, I started feeling some pain in the area between my right elbow and shoulder. For the past three months, I have been unable to lift heavy objects with my right arm. Recently, I've noticed that the fron...
Dr. Cai Zongzhang Reply:
Hello, it is recommended that you consult a rehabilitation specialist for further evaluation and treatment.[Read More] Understanding Right Arm Weakness and Pain: Possible Causes and Solutions
Understanding Epilepsy: Managing Symptoms and Seeking Solutions
Questions about epilepsy? Hello, Doctor. I was diagnosed with abnormal brain wave activity due to sleepwalking and other factors when I was five years old, and I started medication until middle school. I discontinued the medication in middle school as my symptoms improved. Howeve...
Dr. Cai Zongzhang Reply:
Hello, based on your description, it seems to be symptoms of epilepsy. There may be an adjustment period during the medication process, so I recommend that you continue to communicate with your physician.[Read More] Understanding Epilepsy: Managing Symptoms and Seeking Solutions
Effective Recovery Strategies After a Head Injury from a Baseball Bat
Head struck by a baseball bat? Hello, doctor! A friend of mine, Peng, accidentally got hit in the head with a baseball bat nearly a year ago. The hospital has been administering glucose and mostly prescribing B12 and painkillers, but he says he hasn't improved. He still expe...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, no use of anticoagulants, or obvious local hematomas, head injuries are mostly mild. However, the following situations should raise concerns for delayed bleeding, and you should seek emergency care: (1) Deterioratio...[Read More] Effective Recovery Strategies After a Head Injury from a Baseball Bat
Understanding Spontaneous Intracranial Hypotension and Hearing Issues
Suspected spontaneous intracranial hypotension headache causing hearing issues? Hello Doctor, thank you for your response. Background information: 1. Normal weight, no hypertension. I have never had headaches in my life. 2. In 2016, I was hit from behind by a motorcycle. There wa...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indeed raise a high suspicion of intracranial hypotension headache. The treatment for this condition primarily involves identifying the location of the cerebrospinal fluid leak and applying a blood patch to "seal the hole." Considering your relative...[Read More] Understanding Spontaneous Intracranial Hypotension and Hearing Issues
Understanding Pulsations in the Back of the Head: Is It Normal?
Pulsation of the blood vessels at the back of the head? Doctor, I would like to ask you about something. Recently, I have been looking down at my phone for a long time and became very focused on it. Suddenly, I felt a pulsing sensation at the back of my head, which I believe is r...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered. Symptoms may include pain, discomfort, muscle stiffness, a feeling of heaviness, and muscle twitching when the muscles are tense. Symptoms may worsen with changes in weather and can be allev...[Read More] Understanding Pulsations in the Back of the Head: Is It Normal?