Joints, Neurology FAQ

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Understanding Ear Pain: Causes and Solutions for Nocturnal Discomfort

Ear pain issues? Hello, doctor: I would like to ask, when I sleep on my left side, I wake up to find pain in the area of the auricle and the depression in front of the ear. Pressing with my finger causes discomfort. Previously, moving my jaw would alleviate the pain, but recently...


Dr. Jiang Junyi Reply:
Dear Mr. Bin, You mentioned that "pressing on the area around the ear and the depression in front of the auricle causes pain." Your symptoms may suggest temporomandibular joint (TMJ) disorder. Common symptoms include occasional jaw deviation when opening the mouth, pai...

[Read More] Understanding Ear Pain: Causes and Solutions for Nocturnal Discomfort


Understanding Trigeminal Neuralgia: Insights from TMJ Disorders

Temporomandibular joint disorder causing trigeminal neuralgia? Hello, my symptoms began four years ago when I bit down on a hard object, resulting in a sudden electric shock-like pain in the left side of my face. Over the past few years, I have consulted with neurosurgeons, denti...


Dr. Jiang Junyi Reply:
Dear Mr. Kenny, You mentioned "trigeminal neuralgia." The cause of trigeminal neuralgia is primarily due to abnormal transmission of sensory signals by the trigeminal nerve. Approximately 80% of cases are caused by vascular compression of the trigeminal nerve at its en...

[Read More] Understanding Trigeminal Neuralgia: Insights from TMJ Disorders


Understanding Pulsating Pain in the Back of the Head After Bathroom Visits

Sometimes after using the restroom, I experience a noticeable pulsating pain in the left back of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom...


Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned experiencing "pulsating pain in the left posterior part of the head for a few seconds, and occasionally feeling a slight pressure pain in the head." This may be related to muscle and fascia tightness in the cervical spine, as well as cervic...

[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits


Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options

Non-traumatic cortical hemorrhage in the left frontal lobe? Hello, doctor. At the end of January this year, after flying back to Taiwan, I experienced mild headaches, cold sweats, and vomiting the next day, along with pale complexion, which prompted me to seek emergency medical c...


Dr. Peng Shiwei Reply:
Each individual's condition is different, and online consultations cannot replace in-person diagnoses. It is advisable to discuss subsequent treatment options with your primary physician. Thank you.

[Read More] Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options


Understanding Balance Issues: When to Consult a Neurologist

Please ask your question? Hello doctor, I would like to ask two questions. Occasionally, I feel a slight swaying sensation (usually after using my phone), but it goes away after a while, and I do not experience dizziness or nausea. What could be the possible causes of this? Addit...


Dr. Jiang Junyi Reply:
Hello Mr. Mo: You mentioned, "Are we testing for cerebellar issues? Is it related to my staying up late?" Staying up late can lead to neuroinflammation, which may result in various symptoms. The symptoms resemble proprioceptive dysfunction, which refers to the sensory i...

[Read More] Understanding Balance Issues: When to Consult a Neurologist


Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms

Muscle pain There are several main issues: 1. Palpitations, occasionally feeling a strong heartbeat; 2. A sensation of electric shock throughout the body when startled; 3. Intermittent sharp pain and soreness in the left upper body; 4. Pain in the left upper body when exerting, w...


Dr. Jiang Junyi Reply:
Hello Mr. Lucas: You mentioned that "the pain is noticeably felt during pressure," which may indicate a muscular issue. It is advisable to consult a rehabilitation physician to discuss your daily posture. Pain specialists typically provide nerve block treatments after r...

[Read More] Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms


Is It Carpal Tunnel Syndrome? Understanding Symptoms and Diagnosis

Is this carpal tunnel syndrome? 1. I experience a tingling sensation in the interphalangeal joints, sometimes accompanied by a tearing pain that radiates downward. Additionally, when using a mouse or smartphone, I feel soreness in my wrist (the dorsal side), and my fingers are sw...


Dr. Jiang Junyi Reply:
Dear Mr. Wei, You mentioned the "tingling sensation in the metacarpophalangeal joint area... carpal tunnel syndrome will definitely cause numbness." This is because sensory nerves are usually affected first, so most patients present with a tingling sensation initially....

[Read More] Is It Carpal Tunnel Syndrome? Understanding Symptoms and Diagnosis


Understanding Knee Pain: When to Seek Neurological Evaluation

Knee pain Hello, Dr. Jiang... My mother has been experiencing knee pain for the past three months, with symptoms fluctuating. However, in the last two weeks, not only has the knee pain worsened, but she is also experiencing pain throughout her entire leg, making it difficult for ...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "knee pain" may need to consider knee joint inflammation. Pain or swelling in the joint, especially during excessive activity or when going up and down stairs, or when standing up after prolonged sitting, can be more pronounced. In the m...

[Read More] Understanding Knee Pain: When to Seek Neurological Evaluation


Understanding the Causes and Concerns of ALS: A Patient's Journey

The causes of amyotrophic lateral sclerosis (ALS)? Hello, doctor. I apologize for the interruption. On November 21, I visited a clinic due to static tremors in my hands and feet, where I underwent four X-rays—two of my cervical spine and two of my lumbar spine. It was found that ...


Dr. Cai Zongzhang Reply:
Hello, Xiao Bo: There are various possible causes for involuntary muscle twitching, and it cannot be directly attributed to amyotrophic lateral sclerosis (ALS). If the symptoms do not improve after adequate rest, it is recommended to visit a neurology clinic for evaluation.

[Read More] Understanding the Causes and Concerns of ALS: A Patient's Journey


Understanding Nerve Pain: When Hand and Foot Numbness Occurs

Numbness in the hands followed by numbness in the feet? In May, I experienced a stiff neck and accidentally strained my back while lifting heavy objects. I applied heat therapy, which helped somewhat. However, starting in mid-June, I began to experience unexplained pain in my arm...


Dr. Jiang Junyi Reply:
Hello Ms. HARU: You mentioned that "the joints in your fingers hurt and your shoulders are stiff." If your issue involves multiple joints, it may be related to a multi-joint disease. You might also want to consider autoimmune-related arthritis. Thank you for your inquir...

[Read More] Understanding Nerve Pain: When Hand and Foot Numbness Occurs


Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective

Heavy and weak hips, abnormal tightness in leg muscles? Hello Doctor, I have been experiencing a heavy and weak sensation in my hip. When I try to sit up straight in a chair, it feels like my back muscles are doing all the work to lift my body. If I stand on my feet for a while (...


Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "the hip feels very heavy and weak, and when trying to sit up from a chair, it feels like the back muscles are the ones pulling the body up; standing on both feet for a while (5 minutes) makes them feel very tight, heavy, and weak; when one...

[Read More] Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective


Unexplained Leg Pain: Seeking Answers for Persistent Discomfort

Foot pain? Hello, doctor! I am 48 years old and I haven't fallen or twisted my ankle, but suddenly one of my legs started to hurt. The pain (in the back of my hip) has persisted for over a month. Physical therapy and rehabilitation have been ineffective. Initially, I had pai...


Dr. Wu Mukhan Reply:
Hello, X-rays can be used to examine the bones and joints of the limbs for any issues; however, problems related to nerves, muscles, blood vessels, and soft tissues cannot be fully diagnosed using X-rays alone. Elevated uric acid levels can lead to arthritis known as gout, which ...

[Read More] Unexplained Leg Pain: Seeking Answers for Persistent Discomfort


Understanding Cervical Spine Issues: Symptoms and Treatment Options

Cervical spine issues Hello, doctor. Recently, I have been experiencing nausea and dry heaving, which has made it difficult for me to eat. I also have some weakness in my limbs and fatigue, along with severe stiffness in my neck that often produces cracking sounds when I turn it,...


Dr. Wu Mukhan Reply:
Hello, the sounds when turning the neck are usually caused by friction during the movement of the cervical spine joints, and sometimes may be related to joint diseases. Degenerative changes in the cervical spine can sometimes compress the cervical nerves, often leading to symptom...

[Read More] Understanding Cervical Spine Issues: Symptoms and Treatment Options


Understanding Sciatica: Causes, Treatment, and Prevention Tips

Sciatica Hello, Dr. Jiang! I have been experiencing sciatica for a month. The doctor took an X-ray and said it is not serious. However, taking anti-inflammatory painkillers and undergoing rehabilitation have been ineffective. I feel pain when sitting or standing. I work while sit...


Dr. Jiang Junyi Reply:
Dear Ms. Christine, You mentioned, "I have pain when sitting and standing. I work sitting down every day. I haven't fallen or twisted anything. It happened suddenly, and I don't know the cause..." A herniated disc can cause compression of the nerve roots, lea...

[Read More] Understanding Sciatica: Causes, Treatment, and Prevention Tips


Understanding Finger Weakness: When to See a Neurologist

Finger weakness Because my husband works as a chef, he has recently been experiencing weakness in his fingers. He usually uses his thumb and index finger for pinching motions (specifically for making buns), but recently the weakness in his index finger has become so severe that h...


Dr. Wu Mukhan Reply:
Hello, the movements of the fingers are primarily commanded by the brain, transmitted through the central and peripheral nervous systems, which control the activity of the finger muscles and joints. Therefore, if there is an issue in any part of this process, it may lead to sympt...

[Read More] Understanding Finger Weakness: When to See a Neurologist


Understanding Nerve Sensations: Addressing Tingling and Discomfort

Experiencing numbness in multiple areas? Hello Doctor: I often feel soreness and numbness in my neck and hip joints, as well as a tingling sensation in various joint areas, such as the inner elbows, popliteal fossa, thenar, second joint of the middle finger, and the dorsum of the...


Dr. Jiang Junyi Reply:
Hello Ms. QQ, You mentioned that "many joint areas feel itchy and numb." Your symptoms may suggest typical signs of neuropathy: numbness, tingling, and symptoms related to peripheral nerve compression. 1. The nature of the pain may include burning and electric sensat...

[Read More] Understanding Nerve Sensations: Addressing Tingling and Discomfort


Understanding Neck and Shoulder Sounds: Possible Causes and Concerns

Neck issues? Recently, after taking a shower (bending over to wash my hair) and using the computer, I notice a clicking sound at the junction of my neck and shoulder, approximately at the trapezius muscle area, specifically on the right side. This occurs only in the evening and r...


Dr. Jiang Junyi Reply:
Hello: You mentioned that the "cracking sound at the junction of the neck and shoulders" may indicate cervical joint pathology, primarily due to degeneration of the cervical facet joints or symptoms caused by cervical disc herniation. This is commonly seen in cases of p...

[Read More] Understanding Neck and Shoulder Sounds: Possible Causes and Concerns


Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions

Numbness in the hands and feet? Hello Doctor, since September 25th, I have been experiencing numbness in my fingers upon waking up. Initially, I thought it would resolve on its own, but by September 26th, the numbness extended to my toes and the soles of my feet. As of now, Octob...


Dr. Jiang Junyi Reply:
Dear Ms. Apple, You mentioned that "blood tests, nerve conduction studies, and spinal tap examinations all reported normal results, and the cerebrospinal fluid analysis was also normal, with only a noted slowing of nerve conduction." You pointed out abnormal sensory ne...

[Read More] Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions


Understanding Thumb Weakness: Possible Causes and When to Seek Help

Bilateral soft tissue swelling of the thumbs? Hello Doctor: I have been experiencing a feeling of weakness in the joints of my left thumb at the two phalangeal joints, which occurred intermittently for about a month. The sensation became more pronounced when I pressed on the join...


Dr. Jiang Junyi Reply:
Dear Ms. CH, You mentioned that "the joints of both thumbs near the palm feel weak and soft (not at the joints), lasting for about a week. The weakness is particularly noticeable when the fingers are pointed towards the palm." Your symptoms may suggest the possibility ...

[Read More] Understanding Thumb Weakness: Possible Causes and When to Seek Help


Unexplained Leg Swelling and Pain: A Neurological Concern

Unexplained swelling and pain in both legs? Hello doctor, on the night of April 27th this year, I injured the bottom of my left foot on a plug, leaving a wound. I disinfected it and applied ointment, but the next evening, the top of my left foot suddenly swelled up like a hill. M...


Dr. Jiang Junyi Reply:
Dear Ms. Jill, You mentioned that the discomfort was initially localized below the ankle, but it has now extended to the thigh and is painful to the bone. This upward progression of abnormal sensations may suggest chronic polyneuropathy. However, you also noted symptoms of edema...

[Read More] Unexplained Leg Swelling and Pain: A Neurological Concern


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