Injection, Neurology FAQ - Page 5

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Is There a Cocktail Therapy for Stroke Treatment? Exploring the Facts

Is there a concept of "cocktail therapy" in stroke treatment? Hello doctor, my father is 61 years old and has been suffering from a second stroke for 7 months. He was admitted to the emergency room and intubated due to damage to the cerebellum. Initially, he was complet...


Dr. Cai Zongzhang Reply:
Hello, there is indeed a cocktail therapy specifically for stroke patients; however, the applicable conditions vary depending on the symptoms of different patients. You may discuss with your father's physician to choose the appropriate treatment method. Additionally, the roa...

[Read More] Is There a Cocktail Therapy for Stroke Treatment? Exploring the Facts


Understanding Shingles: Pain Management, Prevention, and Treatment Options

Shingles, also known as herpes zoster, is contagious for up to 72 hours. It is associated with the varicella-zoster virus, which is also responsible for chickenpox? Last year, I had shingles and have been experiencing pain since then, so I returned for a follow-up. This year, I d...


Dr. Jiang Junyi Reply:
Hello: I would like to ask on behalf of my family. If someone has pain in certain areas, and they proactively inform the doctor that there has been a history of shingles in the household, will the doctor provide vaccination or other treatments, or will treatment for shingles only...

[Read More] Understanding Shingles: Pain Management, Prevention, and Treatment Options


Understanding Eye Muscle Twitches: Causes and Solutions for Eyelid Spasms

Eyelid muscle spasms Hello, doctor. Recently, I've been experiencing intermittent twitching in the lower eyelid of my right eye (when I look in the mirror, it moves left and right). This has been ongoing for several days, occurring approximately every few minutes, and it is ...


Dr. Jiang Junyi Reply:
Hello: Based on your description, eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. If, apart from the eyelid, there is no twitching in other facial muscles, it...

[Read More] Understanding Eye Muscle Twitches: Causes and Solutions for Eyelid Spasms


Can Injections Truly Prevent Stroke? Understanding the Facts

Stroke prevention injection Is there really an injection that can prevent strokes? My parents recently heard that there is a shot that can prevent strokes, and they are insisting on getting it despite my attempts to dissuade them. They claim that many people have received it with...


Dr. Cai Zongzhang Reply:
Hello, stroke is a cardiovascular disease. Are you referring to the use of intravenous therapy to prevent vascular blockage before a stroke occurs? There is no medical evidence supporting this method. Therefore, stroke prevention should focus on fundamental approaches, such as co...

[Read More] Can Injections Truly Prevent Stroke? Understanding the Facts


Understanding Nerve Damage Risks After Injections: What You Need to Know

Is there a possibility of nerve injury after receiving an injection? Hello Dr. Jiang, Last winter, I had a cold without a fever and visited a clinic. I was experiencing severe headaches that made me feel nauseous, so I asked the doctor for an injection. The doctor was an older m...


Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "piriformis syndrome." The piriformis muscle is located deep in the buttocks and spans between the spine and the hip joint. When the piriformis muscle becomes inflamed, it can compress the sciatic nerve, leading to symptoms of numbness a...

[Read More] Understanding Nerve Damage Risks After Injections: What You Need to Know


Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments

Pain in the right hand and numbness in the left hand? Hello, I would like to ask about my right hand. Initially, I experienced pain in my wrist (extending from my thumb to my wrist), which later spread to my forearm and then to my right shoulder. The pain started about a year ago...


Dr. Jiang Junyi Reply:
Hello: Your symptoms in the right hand resemble those of nerve root compression in the cervical spine. Preventive measures include: 1. Change positions: Change your posture every 15 minutes to allow the neck tissues to rest. Any posture (including normal ones) maintained for a pe...

[Read More] Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments


Why Can't I Open My Fingers? Understanding Hand Pain and Treatment Options

Inability to open fingers? I would like to ask about experiencing pain when clenching both fists, and having difficulty opening the ring finger after clenching for about three months. What could this condition be, and should I see a neurologist or a surgeon? Thank you.


Dr. Jiang Junyi Reply:
Hello: You mentioned that you are unable to open your ring finger. If there are no symptoms of numbness or tingling, the first consideration might be trigger finger. Trigger finger, also known as stenosing tenosynovitis, occurs when the tendons in the finger become inflamed, lead...

[Read More] Why Can't I Open My Fingers? Understanding Hand Pain and Treatment Options


Understanding Eyelid Twitching: Signs of Facial Nerve Disorders?

Eyelid issues Doctor, I have been experiencing slight twitching in my left eyelid for about a month now, although there were periods when it stopped. Recently, in the last three days, it has become more frequent, but today it has decreased again. However, I have felt a strange se...


Dr. Jiang Junyi Reply:
Hello: Based on your description, the cause of eyelid twitching is primarily due to facial nerve instability. If the eyelid continues to twitch, the physician will carefully observe the patient's face during the consultation. If, aside from the eyelid, no other facial muscle...

[Read More] Understanding Eyelid Twitching: Signs of Facial Nerve Disorders?


Understanding Deep Foot Pain: Causes and Solutions for Your Symptoms

Deep pain in the soles of both feet? Hello, Doctor. I would like to ask you: A few days ago, I started experiencing mild pain in the soles of both feet, which has progressed to localized pain today. The affected area includes the five toes (with the big toe experiencing more stab...


Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest Tarsal Tunnel Syndrome, as the posterior tibial nerve is compressed while passing through the tarsal tunnel behind the medial malleolus. Common clinical symptoms include numbness, burning sensations, tingling, and other abnormal sensations in the ...

[Read More] Understanding Deep Foot Pain: Causes and Solutions for Your Symptoms


Understanding Facial Nerve Spasms: Diagnosis and Treatment Options

Facial nerve spasm Hello Doctor: My father has been experiencing facial nerve spasms for almost 2 years now. He receives Botox injections at the hospital every 4 months, but I feel the results are not very effective; his symptoms persist, including "twitching of the right ey...


Dr. Hong Weibin Reply:
Hello: Hemifacial spasm is caused by involuntary discharges of the facial nerve, resulting in contractions of the eyelid and the corner of the mouth. However, in your description, in addition to eyelid blinking, there is also a simultaneous action of swallowing (is it a true swal...

[Read More] Understanding Facial Nerve Spasms: Diagnosis and Treatment Options


Understanding Dizziness and Low Potassium Levels in Older Adults

Dizziness and hypokalemia? Hello Dr. Jiang, I would like to ask about my mother's condition. She is 65 years old. The week before last, she suddenly experienced dizziness accompanied by persistent vomiting, cold sweats, and numbness in her hands and feet around noon after ge...


Dr. Jiang Junyi Reply:
Hello, Your mother's symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV). The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or suddenly...

[Read More] Understanding Dizziness and Low Potassium Levels in Older Adults


Persistent Pain After Muscle Injection: Is It Normal and How to Improve?

Persistent pain or discomfort for nearly three months after an intramuscular injection? Hello, doctor. I apologize for the interruption. I went to the emergency room at the beginning of August and received two intramuscular injections in my right upper arm. Since then, I have bee...


Dr. Jiang Junyi Reply:
Hello: After receiving a muscle injection, it is possible to experience localized muscle inflammation, which typically resolves gradually within two weeks. If you are still experiencing tingling sensations, there may still be an inflammatory response. It is recommended to use hea...

[Read More] Persistent Pain After Muscle Injection: Is It Normal and How to Improve?


Understanding Sharp and Electric Pain in the Right Shoulder Blade: Causes and Next Steps

Intermittent sharp pain and electric shock-like sensations in the right scapular region? This condition has persisted for nearly four months since June 30 of this year. On that day, while working in the morning, I suddenly experienced a very intense sharp pain in my right scapula...


Dr. Jiang Junyi Reply:
Hello, your symptoms are more indicative of an intercostal muscle strain, which is typically associated with pain related to movement and posture. As for the intercostal nerves, they run along the ribs in the chest, passing from the back through the lateral abdomen to the front o...

[Read More] Understanding Sharp and Electric Pain in the Right Shoulder Blade: Causes and Next Steps


Unraveling the Mystery of Unexplained Neurological Symptoms

Unknown etiology? Around June 14, I suddenly experienced a jolt of dizziness, the kind that made it hard to stand, but it was not accompanied by headaches or nausea. I thought it was just due to lack of sleep, as I had been under a lot of stress from final exams and had hardly ea...


Dr. Jiang Junyi Reply:
Hello, Student Chang: You have done a lot of homework, which is impressive. Myofascial pain syndrome in the neck should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be allev...

[Read More] Unraveling the Mystery of Unexplained Neurological Symptoms


Understanding Chronic Headaches: Causes, Symptoms, and Treatments

Headache - has been painful for a long time? Hello Doctor: I often experience severe headaches that make me feel nauseous, and my eyes hurt. My blood pressure spikes to 180, my vision becomes blurry, and sometimes I feel like I might faint. I have had to take painkillers to relie...


Dr. Jiang Junyi Reply:
Hello: The more common causes are tension-type headaches or migraines. The symptoms of tension-type headaches include: 1. Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, pressure-like, or tight, w...

[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments


Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?

Multiple areas of numbness throughout the body - Poor blood circulation? Hello, Doctor. Recently, I've noticed that when I sleep with my arms bent over my chest, my hands become numb. In the past, certain positions didn't cause this numbness, but it has changed in the l...


Dr. Jiang Junyi Reply:
Hello, your symptoms may be related to hyperventilation syndrome. Rapid or deep breathing can lead to excessive carbon dioxide elimination from the body, resulting in respiratory alkalosis, which is characterized by an elevated blood pH. This condition can disrupt the normal elec...

[Read More] Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?


Understanding Eye Twitching: Causes, Caffeine, and Stress Management

Facial nerve - Irregular twitching of the right eyelid for over a month? Hello Doctor: For the past month, my right eyelid has been twitching irregularly, with each episode lasting about five to ten seconds. The next twitch may occur half an hour to an hour later. Some days, it t...


Dr. Jiang Junyi Reply:
Hello: Eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. If only the eyelid is affected and other facial muscles are not twitching, it is classified as simple...

[Read More] Understanding Eye Twitching: Causes, Caffeine, and Stress Management


Headache and Dizziness After Nose Injury: Is It Related?

Nasal trauma causing headache? Hello, four days ago while training my dog, I was hit on the bridge of my nose, which resulted in swelling. About 20 minutes later, I suddenly experienced pain in my temples and then vomited four times. After that, I continued to feel dizzy and naus...


Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head trauma is mostly mild. However, the following conditions should prompt consideration of delayed bleeding and a visit to the emer...

[Read More] Headache and Dizziness After Nose Injury: Is It Related?


Understanding Numbness in Left Toes: Causes and Treatment Options

Numbness in the toes of the left foot? Hello Dr. Jiang, I have a question I would like to ask you. I have a mild scoliosis, which has caused the muscles in my left upper back to be more prominent, and I experience more frequent soreness in that area. Since the beginning of this y...


Dr. Jiang Junyi Reply:
Hello, based on your description, subtle nerve injury and inflammation may sometimes not be detectable through nerve conduction studies, and are primarily assessed through physical examination. Given your issue with scoliosis, it may also be necessary to consider lumbar nerve roo...

[Read More] Understanding Numbness in Left Toes: Causes and Treatment Options


Understanding Unexplained Tingling and Itching in the Thigh and Buttocks

The thigh and buttocks may experience a tingling or itchy sensation? Recently, my father has been experiencing a tingling and itchy sensation in the area from his buttocks to his thighs when sitting, but there are no visible skin abnormalities. He describes the feeling as if some...


Dr. Jiang Junyi Reply:
Hello, based on your description of the tingling sensation in your legs, if lumbar nerve root compression has been ruled out, it may be worth considering whether you have Restless Legs Syndrome (RLS). This condition typically presents with an uncontrollable urge to move the legs,...

[Read More] Understanding Unexplained Tingling and Itching in the Thigh and Buttocks


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