Muscle Twitches, Cramps, and Weakness: Understanding Neurological Issues
Involuntary muscle twitching, cramping, weakness in the left leg, and difficulties in walking? Hello Dr. Jiang! For the past three to four months, I have been experiencing involuntary muscle twitching, particularly noticeable on the left side of my body compared to the right. My ...
Dr. Jiang Junyi Reply:
Hello Mr. CooK: You mentioned that "when the palm is open and the thumb is pushed towards the palm, it can also cramp. The same situation applies to the index finger (both hands can experience this), and sneezing can cause cramps in the upper abdomen near the ribs." Thi...[Read More] Muscle Twitches, Cramps, and Weakness: Understanding Neurological Issues
Understanding Dizziness and Muscle Tremors: When to Seek Neurological Help
Dizziness, muscle twitching? Hello Doctor: I have been experiencing dizziness (I have taken Diphenidol but it hasn't been very effective). Since the onset of dizziness, I occasionally feel soreness in my cheeks, my limbs' muscles tend to twitch, and my eyelids also twit...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the muscles in your hands and feet easily tremble, your eyelids also twitch frequently, and recently your lips and chin have started to tremble." This may warrant consideration of structural issues in the brain or metabolic diseases. Wou...[Read More] Understanding Dizziness and Muscle Tremors: When to Seek Neurological Help
Understanding Your Concerns: Neurology Insights on Muscle Symptoms
Regarding the previous question? Hello, Doctor. After reading your response, I've been thinking about this matter all day at work and paying special attention to it. After testing, I feel it's about the same (sometimes I even climb the stairs to my fifth floor). I don&#...
Dr. Jiang Junyi Reply:
Hello: The results you mentioned do not indicate any significant weakness in the limbs. Many disease diagnoses require a period of observation and follow-up. Developing good lifestyle habits is the best way to prevent diseases. Please practice self-protection, maintain cleanlines...[Read More] Understanding Your Concerns: Neurology Insights on Muscle Symptoms
Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
I would like to inquire about the diagnosis and medication for epilepsy in infants and young children? Hello Doctor: My daughter was born in mid-June this year, with good development in utero, weighing nearly 3800 grams, head circumference at 40 weeks, and delivered via cesarean ...
Dr. Jiang Junyi Reply:
Dear Ms. Sherry, First of all, I want to acknowledge that the process of providing support is truly not easy. Regarding pediatric epilepsy, I recommend consulting a pediatric neurologist, as they have more extensive experience in this area. Generally, the common treatment princi...[Read More] Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
Understanding Limb Nerve Pain: Causes, Symptoms, and Treatment Options
Intermittent neuropathic pain in the limbs? Hello Dr. Jiang: Since early September this year, one night I suddenly experienced sharp pain in my thigh nerves while sleeping. A few days later, the frequency of these sharp pains increased, but they only last for a few seconds. The...
Dr. Jiang Junyi Reply:
Hello Ms. Li, You mentioned symptoms such as "a sensation of heat, pain in the limbs, numbness, tingling, and weakness," which are less characteristic of myofascial inflammation. It may be more appropriate to consider symptoms related to nerve inflammation. I recommend...[Read More] Understanding Limb Nerve Pain: Causes, Symptoms, and Treatment Options
Should You Worry About Your Leg Shaking? Insights from Neurology
About leg shaking? Hello, doctor. I am the person who has been asking about ALS-related concerns for the past six months. I’m not sure if I’m just being overly anxious about my health again. I often shake my left leg as a long-term habit (when I sit at my computer desk, I tend to...
Dr. Jiang Junyi Reply:
Hello, sir: You can compare the strength of your left and right legs by using more strenuous activities such as climbing stairs. Typically, in the clinic, we ask patients to sit down and stand up from a chair without armrests to assess their strength. Thank you for your question,...[Read More] Should You Worry About Your Leg Shaking? Insights from Neurology
Is Stress Causing My Blurry Vision and Confusion?
Is it too much stress? Hello, doctor. I would like to ask about experiencing flashing lights in my eyes over the past week or two. I have seen an ophthalmologist, and the tests showed no abnormalities. However, in the last couple of days, I have been feeling very confused and una...
Dr. Jiang Junyi Reply:
Dear Ms. Xiao Wu, You mentioned that your eyes are "twinkling." I wonder if you are also experiencing headaches? Symptoms of migraine with aura can include visual disturbances. These may manifest as bright lights resembling stars or lightning, as well as blurred or dis...[Read More] Is Stress Causing My Blurry Vision and Confusion?
Understanding Nerve Sensations: Tingling in the Outer Thigh from Knee Pressure
Pressing on the outer side of the right knee causes a slight tingling sensation (similar to the feeling of ants crawling) on the outer side of the right thigh? When pressing on the outer side of the right knee, there is a slight tingling sensation (similar to ants crawling) on th...
Dr. Jiang Junyi Reply:
Dear Ms. Cc, Your symptoms, which include numbness, may indicate compression of the fifth lumbar nerve root. Typical discomfort associated with lumbar radiculopathy includes pain radiating from the buttocks down to the legs, as well as numbness, tingling, and weakness in the toe...[Read More] Understanding Nerve Sensations: Tingling in the Outer Thigh from Knee Pressure
Understanding Uncontrollable Leg Stretching During Sleep
The foot unconsciously wants to stretch forward? Hello, doctor! My right foot experiences difficulty sleeping due to an urge to stretch it forward, and even after stretching, there is no improvement. Could you please tell me what kind of symptoms this might be?
Dr. Cai Zongzhang Reply:
Hello, Ms. Tsai! It is recommended that you visit the neurology outpatient clinic for an examination.[Read More] Understanding Uncontrollable Leg Stretching During Sleep
Understanding Dizziness and Head Pain: When to Seek Further Evaluation
Dizziness, headache, and a sense of imbalance? Hello, doctor. Last month, one day, I suddenly started feeling dizzy (not the spinning type, but more like a sensation of an earthquake). Then, I felt unbalanced with any movement (for example, when leaning forward, it felt like ther...
Dr. Jiang Junyi Reply:
Dear Ms. Yoss, I believe you have already consulted a neurologist. If there are currently no neurological deficits, the likelihood of a brain tumor is low. The symptoms of a brain tumor typically depend on its location and size, and they usually worsen over time. Increased intra...[Read More] Understanding Dizziness and Head Pain: When to Seek Further Evaluation
Numbness on the Outer Left Calf: Possible Causes and When to Seek Help
Numbness is felt when touching the outer side of the left calf? Recently, I have noticed a tingling sensation when I touch the area on the outer side of my left calf, near the middle point. There are no issues when I'm not touching it, but I feel a slight tingling sensation ...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that there is a tingling sensation in the area on the outer side of your left calf, near the midpoint. This is indicative of a sensory nerve abnormality, and it is important to consider potential compression of the peripheral nerves. This could be du...[Read More] Numbness on the Outer Left Calf: Possible Causes and When to Seek Help
Understanding Ankle Tightness After Sitting: Causes and Solutions
Tightness in the ankle when standing up from a seated position? Hello Doctor, recently whenever I sit and then stand up, I feel tightness and numbness in my right ankle. Sometimes, the sensation extends to my calf muscles as well. However, after walking for a while, I no longer e...
Dr. Jiang Junyi Reply:
Dear Sir: Your symptoms may suggest peripheral nerve compression, particularly related to the sciatic nerve. It is possible that a herniated disc is causing nerve root compression, leading to neuropathic pain (sciatica). The symptoms are often located in the posterior thigh, late...[Read More] Understanding Ankle Tightness After Sitting: Causes and Solutions
Understanding Neuropathic Pain Treatment: Comparing Medications and Risks
Treatment of neuropathic pain Hello Doctor: I recently visited a urologist due to penile pain, but after taking multiple antibiotics without improvement and experiencing severe pain, the urologist believes I may have neuropathic pain. A neurologist also mentioned that this condit...
Dr. Jiang Junyi Reply:
Hello Peter, Rivotril, Neurontin, and Lyrica have different mechanisms of action and different criteria for insurance coverage. Rivotril does not have a significant analgesic effect but can reduce muscle tension and alleviate emotional distress; it is commonly used for restless ...[Read More] Understanding Neuropathic Pain Treatment: Comparing Medications and Risks
Understanding Sleep-Related Limb Pain: Causes and Solutions
Nerve pain during sleep? Hello doctor, I have noticed that my limbs experience cramping pain when trying to fall asleep over the past two days. The day before yesterday, it was my right calf, and last night it was my left thigh. I would like to inquire about what this condition m...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest "hypnic jerks." 1. Due to insufficient sleep, your body may enter the REM phase prematurely: This can occur when you are overly fatigued or have irregular sleep patterns, as your brain has entered the sleep cycle but your body has ...[Read More] Understanding Sleep-Related Limb Pain: Causes and Solutions
Understanding Symptoms of Dizziness and Head Pressure: When to Seek Medical Help
Feeling heavy-headed with a light feeling in the legs, accompanied by dizziness? Hello Doctor, my symptoms include dizziness, a feeling of pressure in my head, a heavy head with light legs, and slowed visual perception (when I turn my gaze from point A to point B, there is a sens...
Dr. Jiang Junyi Reply:
Hello, Sir: Your symptoms may suggest a vascular headache issue, specifically "dizziness and head fullness." This is particularly relevant for migraines. Basilar-type migraine, also known as basilar migraine or vertebrobasilar migraine, is a specific type of migraine. I...[Read More] Understanding Symptoms of Dizziness and Head Pressure: When to Seek Medical Help
Can Car Accident-Induced Brain Hemorrhage Lead to Embolic Stroke?
A car accident leading to a stroke? My father was in a car accident (hit by a car) and suffered from bleeding in the brain, six broken ribs, and two broken clavicles. He was in the intensive care unit for about 13 days. The brain bleeding was checked 2.3 days after the accident a...
Dr. Jiang Junyi Reply:
Hello, Miss: It seems that traumatic brain hemorrhage (due to external force) and cerebral infarction (due to vascular obstruction) are two different conditions. If there is arterial wall dissection, it might be explained by external force. I wonder if your father has metabolic...[Read More] Can Car Accident-Induced Brain Hemorrhage Lead to Embolic Stroke?
Understanding Leg Cramps: Causes and When to Seek Help
Leg cramps and pain? Hello doctor, I usually do not have an exercise routine, but recently I have noticed that certain parts of my body experience brief, mild pain that feels somewhat like an electric shock. Yesterday, I walked briskly for 40 minutes, and today I am experiencing ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned feeling "shocked." This is a typical symptom of neuropathic pain, which may be due to poor posture or localized nerve compression. Regarding the "cramping and aching sensation near the left calf and ankle" that you mentioned, it coul...[Read More] Understanding Leg Cramps: Causes and When to Seek Help
Understanding Parkinson's Disease Risk: Concerns for Family History and Symptoms
Parkinson's disease Hello Doctor, my grandmother had Parkinson's disease in the past, and I have primary restless legs syndrome, although my symptoms are very mild, occurring only one or two days a month with slight discomfort. I am very worried about the possibility of...
Dr. Hong Weibin Reply:
Current research shows that there is no definitive conclusion regarding whether having Restless Legs Syndrome (RLS) increases the likelihood of developing Parkinson's disease later on. Some studies suggest there may be an increased risk, while others find no correlation. The...[Read More] Understanding Parkinson's Disease Risk: Concerns for Family History and Symptoms
Intermittent Thigh Pain After AZ Vaccine: What You Need to Know
Thigh pain Hello, I started experiencing intermittent cramping pain in my left thigh since last night. I recently received the AZ vaccine three to four days ago, and I'm concerned if this could be a related effect. Thank you.
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms seem less likely to be caused by a thrombus and more indicative of a muscular issue. Do you experience any tingling or numbness? The adverse reaction of thrombosis associated with the AZ vaccine is currently referred to as VITT (Vaccine-induced immune t...[Read More] Intermittent Thigh Pain After AZ Vaccine: What You Need to Know
Post-Masturbation Shaking, Chills, Dizziness, and Headaches Explained
Shaking, chills, dizziness, and headaches after orgasm during masturbation? Dear Doctor, I am a 36-year-old male. I usually masturbate about 1-2 times a day, and this frequency has been consistent recently. Yesterday morning, I also ejaculated without any particular issues. Howe...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms resemble "headache associated with sexual activity," and it is important to first rule out structural lesions such as ruptured cerebral aneurysms causing subarachnoid hemorrhage, arterial dissection, cerebral vasospasm, or brain tumors. If the ...[Read More] Post-Masturbation Shaking, Chills, Dizziness, and Headaches Explained