Chronic Neck and Shoulder Pain: Seeking Effective Treatment Options
Neck pain accompanied by right shoulder pain and limited mobility? Hello Doctor: Every day around 2-3 PM, I experience neck pain, followed by stiffness on the right side of my neck extending to the occipital bone, which then radiates to my right shoulder, causing sharp pain. The ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the treatment for cervical disc herniation is determined by the severity of pain and whether there is compression of the nerve roots or cervical spinal cord. Most symptoms are temporary and respond well to conservative treatments such as medicati...[Read More] Chronic Neck and Shoulder Pain: Seeking Effective Treatment Options
Can Needle Leakage During IV Injection Cause Prolonged Hand Numbness?
Will a needle leak cause hand numbness? Hello, doctor. I am a nurse. A few months ago, I administered an intravenous injection to a patient. His veins were difficult to access, so I noticed a vein on the inner side of his wrist (the area where we usually check the pulse) that see...
Dr. Gao Chunde Reply:
If the needle unfortunately injures a nerve at the moment of insertion, the patient will experience intense pain or a sensation similar to an electric shock. However, it seems that is not the case for you. Most likely, what is gradually occurring is that the medication, which did...[Read More] Can Needle Leakage During IV Injection Cause Prolonged Hand Numbness?
Severe Pain in Right Eye Socket and Forehead: Possible Neurological Issues
Severe pain in the right orbital area, right eyebrow, and right forehead? About a week ago, while watching television, I suddenly experienced severe pain in my right eye socket, right eyebrow, and right forehead without any warning. It felt like it was about to split open or expl...
Dr. Gao Chunde Reply:
If accompanied by tearing, conjunctival injection, or nasal congestion, it may be related to trigeminal autonomic cephalalgias, which can occur in recurrent episodes and be severe enough to seek medical attention. In your case, if there have been no subsequent episodes, you can o...[Read More] Severe Pain in Right Eye Socket and Forehead: Possible Neurological Issues
Understanding Post-Anesthesia Symptoms After Laser Mole Removal
Post-anesthesia condition after laser mole removal? I had laser mole removal on Monday. Before the procedure, a local anesthetic was applied near my philtrum. When I went in, the doctor noticed that the mole was larger and administered two additional injections of anesthesia belo...
Dr. Gao Chunde Reply:
Local anesthetics, in principle, do not spread as far as you described; they primarily act in the vicinity of the injection site. It is difficult to provide a logical explanation for sensations in the abdominal skin nerves or the nerves in the soles of the feet.[Read More] Understanding Post-Anesthesia Symptoms After Laser Mole Removal
Understanding Thigh Weakness and Facial Numbness: Possible Causes and Solutions
Weakness in the front of the thigh and facial numbness? Hello Doctor, I am actually unsure whether my condition is due to weakness in my thighs or my knees. Since January of this year, I have felt something unusual in the front of my thighs; when I try to stand straight, my knees...
Dr. Lan Shengxing Reply:
Dear Anonymous, there are too many intervening factors in your description, and more detailed information is needed to answer your question.[Read More] Understanding Thigh Weakness and Facial Numbness: Possible Causes and Solutions
Understanding Facial Pain: Possible Causes and Relief Strategies
The left side of the face seems to be experiencing continuous muscle spasms? Hello Doctor, this past Monday night I suddenly experienced severe pain in my upper and lower jaws (even affecting the bones around my nose). Therefore, I went to see a dentist on Tuesday afternoon (init...
Dr. Jiang Junyi Reply:
According to the diagnostic criteria for headache classification, if a headache is persistent, one should consider: Hemicrania continua. Description: A persistent unilateral headache responsive to indomethacin. Diagnostic criteria: A. Headache lasting at least three months and me...[Read More] Understanding Facial Pain: Possible Causes and Relief Strategies
Understanding Sudden Dizziness: Causes and Concerns for Teens
Sudden dizziness? Hello, doctor. Since elementary school (I am now in high school), I have experienced sudden dizziness, numbness in my hands and feet, and blurred vision whenever I get an injection, have blood drawn, exercise, or stand in the sun for a while. Eventually, I can’t...
Dr. Gao Chunde Reply:
These symptoms are more indicative of syncope, which typically involves a transient decrease in cerebral blood flow, such as a drop in heart rate and blood pressure, especially in response to certain specific stimuli. This can be related to neurological or cardiac factors. It is ...[Read More] Understanding Sudden Dizziness: Causes and Concerns for Teens
Understanding Dizziness: Causes, Treatments, and When to Seek Help
The visual field appears to be constantly rotating like a carousel? Hello Doctor: A family member in their 50s has been taking antihypertensive medication and frequently experiences symptoms of dizziness, with a sensation that the visual field is spinning, as if they are constant...
Dr. Lan Shengxing Reply:
Dear Avan, 1. It is mostly caused by dysfunction of the bilateral semicircular canals in the inner ear. 2. You should consult an otolaryngologist or a neurologist. 3. Lying down and resting is the recommended approach. Best regards.[Read More] Understanding Dizziness: Causes, Treatments, and When to Seek Help
Understanding Severe Headaches, Dizziness, and Breathing Difficulties
Headache, dizziness, palpitations, and shortness of breath? Two weeks ago in the evening, I suddenly experienced a severe headache and difficulty breathing, prompting me to rush to the emergency room. I told the doctor that my head was pounding, I had tinnitus, and most important...
Dr. Gao Chunde Reply:
In general, a neurologist will conduct a detailed assessment based on your headache and related symptoms. If there is a consideration for a specific type of headache, they will explain it to you. If not, it indicates that they believe they can manage your treatment effectively, a...[Read More] Understanding Severe Headaches, Dizziness, and Breathing Difficulties
Morning Dizziness and Nausea: Could It Be Post-Concussion Syndrome?
Dizziness and dry heaving upon waking up: Could it be a post-concussion syndrome? Dear Dr. Huang, Hello. In late August 2014, I experienced a direct impact to the back of my head when I hit the floor. That day, I had severe vomiting and unsteadiness while walking. I went to the ...
Dr. Huang Yingzhe Reply:
Based on the timeline, the brain CT scan performed last year should not be related to the concussion from the year before. Many people experience dizziness, which often requires a period of monitoring. It is recommended to first consult an otolaryngologist, and if there are conce...[Read More] Morning Dizziness and Nausea: Could It Be Post-Concussion Syndrome?
Chronic Back Pain: Understanding Causes and Seeking Effective Treatment
Back pain Hello Doctor, I would like to ask about my mother's long-term back pain. She experiences pain every day, and sometimes it is so severe that she cannot get out of bed; climbing stairs is also very difficult for her. We have tried electrotherapy rehabilitation, but t...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to lumbar degeneration. You are experiencing dull pain in the lower back, difficulty turning over or getting out of bed, and temporary improvement after walking for a while, with less impact during daytime activities....[Read More] Chronic Back Pain: Understanding Causes and Seeking Effective Treatment
Can Aspirin Users Still Experience Stroke? Insights from Neurology
During the use of aspirin, is there still a risk of having a stroke? Hello, in mid-October last year, I experienced a right brain vascular embolism, which resulted in my left foot being unable to bear weight. I received TPA injection in the emergency department and was diagnosed ...
Dr. Huang Yingzhe Reply:
Clinically, there are still many cases where patients experience a recurrent stroke despite taking aspirin. Currently, there is no method that can absolutely prevent a second stroke.[Read More] Can Aspirin Users Still Experience Stroke? Insights from Neurology
Post-Car Accident: Managing Dizziness and Nausea Symptoms
One month after the car accident, experiencing loss of balance, dizziness, nausea, and a feeling of wanting to vomit? On January 10th, my boyfriend was in a car accident with significant impact, but fortunately, he was well-protected by his clothing and only sustained external in...
Dr. Gao Chunde Reply:
The likelihood of inner ear issues is the highest, and otolaryngologists are more specialized in this area. However, if dizziness and vomiting are accompanied by symptoms of neurological deficits such as double vision, slurred speech, delayed cognitive response, or weakness in th...[Read More] Post-Car Accident: Managing Dizziness and Nausea Symptoms
Can Migraines Cause Severe Pain in the Right Side of the Face?
Can migraines cause severe pain on the right side of the face, especially around the eye? I have already sought medical attention but the pain persists? Recently, I have been experiencing pain near my right eye extending to the temple area, resembling sharp, intermittent pain, wh...
Dr. Gao Chunde Reply:
Please find time to see a neurologist as soon as possible, and inform the doctor about the time of your daily episodes and accompanying symptoms. This is a specific type of headache known as trigeminal autonomic cephalalgia, characterized by severe unilateral pain, tearing, sudde...[Read More] Can Migraines Cause Severe Pain in the Right Side of the Face?
Recurring Dizziness During Pregnancy: Causes and Solutions
Recurrent dizziness Hello, Dr. Jiang. During my second pregnancy, I experienced several episodes of dizziness. A few times while I was out, I suddenly felt like everything was spinning (similar to the sensation of a hangover, or like spinning around ten times and then trying to w...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are similar to Benign Paroxysmal Positional Vertigo (BPPV). This condition is characterized by brief episodes of dizziness that are related to changes in head position, such as bending over, leaning back, lying down, getting up, rol...[Read More] Recurring Dizziness During Pregnancy: Causes and Solutions
Understanding Facial Twitching: Causes and When to Seek Help
Facial nerve twitching? Doctor, I've been experiencing sudden body tremors frequently, my eyelids keep twitching, and the corners of my mouth also twitch. When I stand up after sitting for a long time, I feel very dizzy and my vision gets blurry. Doctor, am I sick???
Dr. Jiang Junyi Reply:
According to 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 face. If, aside from the eyelid, there is no twitching in other facial muscles, it is classifie...[Read More] Understanding Facial Twitching: Causes and When to Seek Help
Chronic Pain in Right Second Toe: Causes and Treatment Options
Pain in the toes of the right foot? Hello Doctor, the information above pertains to my mother. She has been experiencing pain in her right foot's second toe for nearly 40 years, with no interruption, only varying in intensity. The pain is described as a sharp, shooting pain ...
Dr. Gao Chunde Reply:
It may be worth considering a rare condition known as "leg pain toe movement syndrome," which was previously reported by Taipei Veterans General Hospital. You can search for it online. The related diseases and underlying mechanisms are still somewhat complex, but there ...[Read More] Chronic Pain in Right Second Toe: Causes and Treatment Options
Understanding Intermittent Nerve Pain: A 48-Year Journey
Intermittent neuralgia My symptoms began at the age of 20, and after 48 years, I have visited many hospitals and undergone numerous tests, yet no answers have been found. About 90% of the symptoms occur in both feet, characterized by intermittent sharp pain. The pain comes and go...
Dr. Gao Chunde Reply:
Based on your symptom description, it is likely not a peripheral nerve issue, but rather something within the brain, resembling the nature of Restless Legs Syndrome. There are many possible causes, including iron deficiency, magnesium deficiency, liver and kidney dysfunction, thy...[Read More] Understanding Intermittent Nerve Pain: A 48-Year Journey
Understanding Right Arm Pain and Numbness: Is It a Stroke Warning?
Pain and numbness in the right arm? Hello Doctor, my father is 56 years old, 172 cm tall, and weighs 68 kg. He smokes and is taking medication to lower his blood pressure. A few days ago, he experienced pain in his right arm, which was severe enough to cause numbness throughout t...
Dr. Lan Shengxing Reply:
Dear Ms. Huang, urgent issues like this may not be suitable for finding answers here. The symptoms you described could have several possibilities, ranging from serious conditions such as a stroke caused by arterial dissection to less severe issues like cervical nerve root compres...[Read More] Understanding Right Arm Pain and Numbness: Is It a Stroke Warning?
Understanding Meralgia Paresthetica: Diagnosis, Treatment, and Surgery Options
Peripheral nerve issues Hello Doctor: I sought medical attention due to worsening numbness and burning pain on the outer side of my right thigh, which intensifies when lying flat. The physician arranged for electromyography (EMG) and nerve conduction studies (NCS), diagnosing me ...
Dr. Lan Shengxing Reply:
Your symptoms are quite complex, and it is not possible to diagnose or provide recommendations based solely on online descriptions, as any decisions should be made based on the current symptoms. Furthermore, the complications from this decompression surgery are not within my area...[Read More] Understanding Meralgia Paresthetica: Diagnosis, Treatment, and Surgery Options