Understanding Recovery Patterns After Prolotherapy for Neck Disc Issues
Recovery status after proliferative treatment? Hello Dr. Jiang, I was previously diagnosed by a physician with a tear in the annulus fibrosus of my cervical disc, which has caused some mechanical protrusion affecting my peripheral nerves. My symptoms are primarily located in the...
Dr. Jiang Junyi Reply:
Hello Mr. Cliff: You mentioned that there is a sudden stabbing pain in a specific area of your upper left back. This symptom may still warrant consideration of a localized issue. If the symptoms persist, it is advisable to undergo a musculoskeletal ultrasound examination to check...[Read More] Understanding Recovery Patterns After Prolotherapy for Neck Disc Issues
Can Facial Nerve Paralysis Symptoms Improve After Years?
Facial nerve paralysis Doctor, I had facial nerve paralysis in elementary school, and now at 22 years old, I've noticed that when I blink, it affects the corner of my mouth, which seems like a residual effect. Is there still a chance for improvement?
Dr. Wu Mukhan Reply:
The symptoms you mentioned are sequelae of facial nerve paralysis. Currently, there is no treatment that can completely cure it. Rehabilitation, botulinum toxin injections, or surgical treatment can be considered. It is recommended to visit a hospital's neurology outpatient ...[Read More] Can Facial Nerve Paralysis Symptoms Improve After Years?
Can Facial Nerve Issues from Childhood Be Treated in Adulthood?
Facial nerve I had facial nerve paralysis when I was in elementary school, and I underwent electrotherapy for treatment. My parents said it was cured, but now at 22 years old, I notice that when I blink in front of a mirror or on video, the corner of my mouth moves as well. Docto...
Dr. Jiang Junyi Reply:
Dear Mr. John Wick, You mentioned that "the corners of the mouth move when blinking," which may indicate facial nerve damage and the subsequent misinnervation of muscles during nerve regeneration. Additionally, some metabolic disorders, such as hyperthyroidism and elec...[Read More] Can Facial Nerve Issues from Childhood Be Treated in Adulthood?
Should You Visit the ER for Severe Headaches and Nausea?
Do headaches, vomiting, and chest pain require a visit to the emergency room for evaluation? Hello Doctor, I would like to ask about the symptoms I started experiencing a few days ago. I have been having intermittent headaches, and after seeing a doctor, I was told it might be du...
Dr. Cai Zongzhang Reply:
Hello, Xiao Hao: If your headache continues to worsen and does not improve with rest, it is recommended to visit a neurology outpatient clinic.[Read More] Should You Visit the ER for Severe Headaches and Nausea?
Persistent Eye Blinking and Strain: Understanding Neurological Causes
Incessant blinking and excessive effort in eyelid movement? Hello, doctor. Since the beginning of 2021, I started wearing orthokeratology lenses, but I stopped using them in early 2022 due to an infection and inflammation. After a few days of treatment with steroid eye drops pres...
Dr. Jiang Junyi Reply:
Dear Ms. Liang, You mentioned that "the blinking in Tourette syndrome does not feel as forceful and does not have a foreign body sensation..." Generally speaking, symptoms of Tourette syndrome can be temporarily suppressed by willpower, but this is often followed by a ...[Read More] Persistent Eye Blinking and Strain: Understanding Neurological Causes
Could Weakness and Pain in Your Legs Signal ALS Symptoms?
Weakness and pain in the legs could be a precursor to amyotrophic lateral sclerosis (ALS)? In 2021, I was diagnosed with possible sciatica (only through X-rays). After continuous rehabilitation, I improved for a while, but occasionally my lower back would still feel sore, allowin...
Dr. Jiang Junyi Reply:
Dear Miss Xiao: You mentioned that "when walking, if the feeling underfoot is not right, there will be a sudden pain, and then the legs feel weak and powerless." These are not symptoms of amyotrophic lateral sclerosis (ALS). The ALS you are concerned about primarily re...[Read More] Could Weakness and Pain in Your Legs Signal ALS Symptoms?
Understanding Facial Twitches Before Sleep: Causes and Solutions
Facial twitching? Hello Doctor, I experience twitching from my left cheekbone to the corner of my mouth before going to sleep, but it does not occur while I am awake. The twitching usually lasts from half a second to four seconds and happens one to four times a night. This has be...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the left cheekbone to the corner of your mouth is twitching." Your symptoms may suggest facial nerve spasms. The twitching of facial muscles is primarily associated with several factors: exercise, acute viral infections, anxiety, and med...[Read More] Understanding Facial Twitches Before Sleep: Causes and Solutions
Understanding Facial Twitching: When to See a Neurologist
Facial twitching? Doctor, I started experiencing muscle twitching on the left side of my nose bridge while at work yesterday. The twitching is particularly noticeable when my body is relaxed, and it has persisted until now. Should I see a neurologist, or should I observe the symp...
Dr. Jiang Junyi Reply:
Hello Mr. Tian: You mentioned that "the muscle twitching on the left side of the nasal bridge, especially noticeable when the body is relaxed, has persisted until now." Facial movements are controlled by the facial nerve, and during the consultation, the physician will ...[Read More] Understanding Facial Twitching: When to See a Neurologist
Managing Post-Trauma Headaches: Causes and Treatment Options
Headaches are common after a car accident? Hello Dr. Jiang! My name is Nick. I had a severe car accident 10 years ago, resulting in a brain hemorrhage and subarachnoid hemorrhage. I was in a coma for about a day before waking up. After my recovery, I started experiencing headache...
Dr. Jiang Junyi Reply:
Hello Mr. Nick, You mentioned experiencing "migraine and tension headaches that often recur for 2 to 3 days, sometimes accompanied by discomfort in the eyes and rapid pulsation of the temporal artery." This may indicate a vascular headache issue, particularly cluster h...[Read More] Managing Post-Trauma Headaches: Causes and Treatment Options
Understanding CT Scans for Headaches: With or Without Contrast?
Headache CT scan? Hello, doctor. I would like to ask about my recent visit due to headaches. The doctor arranged a CT scan without the use of contrast dye, stating that the contrast would be more effective in detecting tumors. However, based on my symptoms, the doctor believes it...
Dr. Hong Weibin Reply:
Hello: Generally, contrast agents are administered when there is suspicion of tumors, brain inflammation, infections, or similar conditions. After intravenous injection of the contrast agent, patients may experience discomfort, including swelling and warmth. Some individuals may ...[Read More] Understanding CT Scans for Headaches: With or Without Contrast?
Understanding Persistent Headaches: Symptoms and Possible Causes
About headaches? Hello Doctor: Ten days ago, at around 8 PM, I suddenly felt a strange sensation in my head, possibly similar to increased intracranial pressure, followed by a brief tingling sensation and then a persistent, severe throbbing headache. After taking pain medication ...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned that at 8 o'clock, you suddenly felt something unusual in your head, possibly similar to increased intracranial pressure, followed by a brief tingling sensation and then a persistent, severe throbbing headache. You also noted that you experien...[Read More] Understanding Persistent Headaches: Symptoms and Possible Causes
Understanding Cubital Tunnel Syndrome: Diagnosis and Treatment Options
#185782 Follow-up Questions Hello, Doctor. After reviewing your suggestions, I researched cubital tunnel syndrome, and my symptoms are almost identical. Currently, I do not experience numbness in my arm or in my ring and little fingers, but I still feel some pain on the inner sid...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "ultrasound-guided injection therapy" is typically employed when non-invasive treatments are ineffective. It is recommended to use ergonomic products to reduce nerve compression at the elbow, such as changing your grip technique, among oth...[Read More] Understanding Cubital Tunnel Syndrome: Diagnosis and Treatment Options
Understanding Arm Pain and Weakness: When to Seek Neurology Help
When my mother’s arm hangs down, she experiences pain in her upper arm? Hello, Dr. Tsai! My mother previously experienced neck and shoulder pain, which was suspected to be due to a stiff neck. After receiving treatment from a massage therapist, she developed pain in her right upp...
Dr. Cai Zongzhang Reply:
Hello, Miss Jiang: It is recommended to see an orthopedic specialist or a rehabilitation physician.[Read More] Understanding Arm Pain and Weakness: When to Seek Neurology Help
Understanding Involuntary Facial Twitches: When to Seek Medical Advice
Twitching of the left corner of the mouth? Hello, doctor. For the past few days, I've been experiencing involuntary twitching at the corner of my left mouth. How long should I wait before seeing a doctor? (It has been about 2 to 3 days already.) Is there any way to improve t...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the left corner of your mouth involuntarily twitches repeatedly," which may indicate symptoms of nerve inflammation. Some metabolic disorders, such as hyperthyroidism and electrolyte imbalances, can also present with similar symptoms. Th...[Read More] Understanding Involuntary Facial Twitches: When to Seek Medical Advice
Managing Cervical Dystonia in a 70-Year-Old: Treatment Options and Recommendations
Cervical dystonia in a 70-year-old adult? Hello Doctor, my mother is 70 years old and has been suffering from cervical dystonia for the past two years. Her neck often moves involuntarily to one side. She has tried various treatment options, such as Botox injections, medications, ...
Dr. Hong Weibin Reply:
Hello: Cervical dystonia can cause muscle pain and significantly impact the quality of life. Currently, the most effective treatment remains muscle injection of botulinum toxin. This method involves injecting botulinum toxin into the muscles responsible for cervical dystonia, all...[Read More] Managing Cervical Dystonia in a 70-Year-Old: Treatment Options and Recommendations
Managing Facial Pain After Incomplete Recovery from Bell's Palsy
Incomplete recovery from facial nerve paralysis has resulted in facial pain? Hello Doctor, I would like to ask for your advice: My wife has developed facial nerve paralysis. Due to a delay in seeking medical attention, her recovery has not been complete. The doctor has diagnosed ...
Dr. Jiang Junyi Reply:
Dear Mr. San Ge, You mentioned that "the facial nerve paralysis has not healed due to the delay in seeking medical attention, and in the afternoon, the facial nerve becomes tense and painful, as if the nerve is about to snap, requiring pain medication." This symptom ma...[Read More] Managing Facial Pain After Incomplete Recovery from Bell's Palsy
Post-Surgery Hand Numbness: When to Seek Medical Attention?
Postoperative hand numbness? Recently, I underwent general anesthesia for surgery. The first attempt to insert a peripheral intravenous catheter was on the lateral side of my wrist (at the extension of the thumb), but the vein was not successfully accessed. I experienced a pain t...
Dr. Jiang Junyi Reply:
Dear Ms. Zhao, You mentioned experiencing a tingling sensation in your index finger that feels like an electric shock at the back of your hand. I would like to know if you have also noticed any weakness in your wrist or fingers. Your symptoms may indicate that the sensory fibers...[Read More] Post-Surgery Hand Numbness: When to Seek Medical Attention?
Understanding Neurological Symptoms: From Limb Weakness to Dizziness
Weakness and soreness in the limbs, unilateral symptoms progressing to bilateral, along with headache, dizziness, and nausea? Hello, doctor. I will first describe my medical history. At the end of May, I experienced a severe impact on the left side of my left knee, so on May 26, ...
Dr. Jiang Junyi Reply:
Dear Mr. Xiao Wu, You mentioned "1. axonal motor neuropathy in the left peroneal nerve; 2. demyelinating motor neuropathy in the left tibial nerve." These results indicate that there is neuropathy affecting the motor nerves in your left lower limb. However, they do not...[Read More] Understanding Neurological Symptoms: From Limb Weakness to Dizziness
Dizziness and Leg Weakness: Understanding Neurological Symptoms
Dizziness, leg numbness, and tremors? Hello, doctor. Today, I felt like the floor was shaking while standing on one leg, which I didn't experience last night or before. The leg I was standing on also felt particularly shaky. Sometimes, I experience numbness and slight weakne...
Dr. Jiang Junyi Reply:
Dear Ms. Bei, You mentioned that "when standing on one leg, I always feel like the floor is shaking, but this was not the case last night or before, and the leg I stand on is particularly shaky. Sometimes my legs and feet feel numb and slightly weak, but it does not affect ...[Read More] Dizziness and Leg Weakness: Understanding Neurological Symptoms
Why Lying Down Worsens Your Headache: Understanding Neurological Pain
Headache worsens when lying down? Hello: I have a condition where there is a mild herniation at the C4-C5 cervical vertebrae, and I am undergoing rehabilitation. Previously, I experienced pain in multiple areas (only once), and a neurologist diagnosed it as fibromyalgia. However,...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that "I have been experiencing headaches every day for the past two months." Your symptoms may suggest chronic migraine. If you have migraine on more than 15 days in a month, with varying severity, it can easily be confused with tension-typ...[Read More] Why Lying Down Worsens Your Headache: Understanding Neurological Pain