Understanding Heavy Head Sensation: Neurological Insights and Causes
My head feels very heavy? About a month ago, I suddenly experienced a bout of dizziness (the spinning kind), but fortunately, I managed to hold on. Following that, I felt lightheaded, with a heavy head and light legs. It felt like my head was so heavy that I could faint if I beca...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are not very typical, but common causes for such symptoms may include issues related to cervical myofascial pain or sleep disorders. I wonder if you have a problem with being overweight, as men are more prone to obstructive sleep apnea. Obstructive sleep ap...[Read More] Understanding Heavy Head Sensation: Neurological Insights and Causes
Understanding Disc Herniation: Causes of Foot Vibrations and Muscle Twitches
Herniated disc with foot vibration? Recently, I experienced numbness and pain in my left foot, which later progressed to muscle twitching in both legs, prompting me to see a neurosurgeon. An MRI diagnosis revealed a herniated lumbar disc, centrally located, which is causing the m...
Dr. Jiang Junyi Reply:
Hello: The symptom of vibration in the feet is generally indicative of peripheral nerve damage, and it may be necessary to consider cervical nerve root compression. I recommend that you visit a neurology or rehabilitation clinic for an examination to determine the location of the...[Read More] Understanding Disc Herniation: Causes of Foot Vibrations and Muscle Twitches
Understanding Persistent Mild Headaches: Causes and Next Steps
Mild headache for 50 consecutive days? Hello Doctor, I have been experiencing mild headaches for the past 50 days. The pain occurs approximately every 5 minutes, lasting for about 1 second each time, and it is almost continuous throughout the day. However, I sleep well at night. ...
Dr. Jiang Junyi Reply:
Hello: 1. The symptoms you described are likely due to muscle-related pain, and you may need to consider myofascial issues. 2. Is it possible to have slight discomfort in the neck and shoulders while experiencing continuous head pain? My understanding is that for head pain to ...[Read More] Understanding Persistent Mild Headaches: Causes and Next Steps
Numbness in the Outer Side of the Left Pinky: Should You See a Doctor?
Loss of sensation on the outer side of the left little finger? Hello, doctor! A week ago, my mom gave me a jade bracelet to celebrate my acceptance into college. After the shopkeeper forced the bracelet onto my wrist, I couldn't take it off at all. I struggled for an entire ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more consistent with ulnar nerve neuropathy (affecting the sensory area near the little finger). When the wrist rests on a hard surface like a table, pressure can lead to ulnar nerve neuropathy. This condition typically causes n...[Read More] Numbness in the Outer Side of the Left Pinky: Should You See a Doctor?
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle twitching throughout the body? Long-term sitting in the office has caused my legs to feel numb while sitting, and my muscles are twitching continuously throughout my body, especially in my thighs, calves, and face, which twitches quite frequently. Sometimes I a...
Dr. Jiang Junyi Reply:
Hello: There are many potential causes for the symptoms of leg numbness and tingling, such as lumbar nerve compression and electrolyte imbalances, which need to be evaluated. Additionally, the numbness in your hands may suggest hyperventilation syndrome, which can lead to decreas...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Headaches and Visual Disturbances: When to Seek Help
Headache and visual disturbances? Hello Doctor, I often experience jumping lines and words when reading, and I frequently notice discrepancies between what I see and what I write or say. However, my eye examination showed no issues with my vision (only nearsightedness, with no ot...
Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration for common prodromal migraine symptoms in women is the occurrence of visual disturbances. These may include seeing bright lights resembling stars and lightning, as well as blurred or distorted vision, which are all prodrom...[Read More] Understanding Headaches and Visual Disturbances: When to Seek Help
Understanding Sleep Disorders: Nightmares and Body Movements Explained
Sleep concerns? Since elementary school, I have experienced nightmares where my body moves as I wake up, usually involving my legs or body. I can remember the last scene of the dream, and when I feel my body move, I immediately wake up with a racing heart. I often find myself rea...
Dr. Jiang Junyi Reply:
Hello, based on your description, if the body movements during the rapid eye movement (REM) sleep are caused by Parkinson's disease, patients typically have difficulty recalling the events upon waking. Your issue may warrant consideration of obstructive sleep apnea: this con...[Read More] Understanding Sleep Disorders: Nightmares and Body Movements Explained
Understanding Right Leg Weakness: Possible Causes and When to See a Neurologist
Unilateral weakness? Hello Doctor: My mother has been experiencing weakness in her right leg for about three days. Aside from this, she has not felt any pain or numbness, and there are no issues with her right hand. My mother works in the sewing machine industry, similar to alter...
Dr. Jiang Junyi Reply:
Hello: Based on your description, your mother has a history of hypertension and other cardiovascular diseases, which places her in a high-risk group for stroke. If she experiences sudden neurological deficits such as weakness in limbs or slurred speech, the first consideration sh...[Read More] Understanding Right Leg Weakness: Possible Causes and When to See a Neurologist
Understanding Persistent Right Leg Numbness: Causes and Next Steps
I often experience tingling on the right side of my body, but I have already been examined by a neurosurgeon? I have been examined by a neurosurgeon, and both my cervical and lumbar spine show bone spurs, but the doctor said they are very small and do not require rehabilitation. ...
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 Persistent Right Leg Numbness: Causes and Next Steps
Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching and weakness? Hello, doctor. Last Tuesday, I visited the neurology department with complaints of facial nerve dysfunction and decreased dexterity in my right hand. During my follow-up appointment this Tuesday, my right hand is still not functioning well. I am ver...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned, combined with sensory abnormalities, may suggest peripheral nerve inflammation. Amyotrophic lateral sclerosis (ALS) primarily affects motor neurons and typically does not present with sensory abnormalities. Regarding fasciculations, they are ass...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Understanding Muscle Twitches: Neurological Symptoms Explained
Muscle twitching Initially, there was just a feeling of soreness in the muscles of the arms and legs, and standing for a longer period causes pain. The right hand experiences pain in the little finger, there is persistent noise and echo in the ears, and the left side of the face ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are quite atypical and involve multiple different neurological areas that need to be analyzed individually: 1. Pain in the little finger of the right hand: This may indicate a joint issue, but if there are symptoms of numbness or tingling, ulnar nerve patholo...[Read More] Understanding Muscle Twitches: Neurological Symptoms Explained
Understanding Muscle Wasting and Weakness in Neurological Conditions
Muscle atrophy and lower limb weakness? Dear Doctor, Hello, 1. I am 46 years old. When I was 18, I became ill with myelitis and was bedridden. After more than six months, I gradually recovered and was able to use a single cane to attend school and work, managing stairs as well...
Dr. Jiang Junyi Reply:
Hello: Many of the issues you mentioned are still under research. It is recommended to discuss and analyze them with specialists in the "Neuromuscular Medicine" department at medical centers (such as Chang Gung, Veterans General, Shin Kong, National Taiwan University, e...[Read More] Understanding Muscle Wasting and Weakness in Neurological Conditions
Is Your Hip Pain Caused by Sciatica or Cartilage Injury?
Is the pain in the buttocks due to injury to the sciatic nerve or cartilage? Due to my job, I often have to squat down or bend over to lift heavy items, and I perform these actions daily. As a result, I experience significant pain in my left hip area, to the point where I hesitat...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be related to a coccygeal fracture or damage to nearby tissues. If the sciatic nerve were being compressed, you would typically experience referred pain; however, your symptoms present as localized pain points, which are less characteristic of nerve root ...[Read More] Is Your Hip Pain Caused by Sciatica or Cartilage Injury?
Understanding Intermittent Dizziness: Causes and Concerns
Intermittent dizziness? Hello, I have been experiencing intermittent dizziness recently. Two days ago, I felt dizzy when I turned my head, and the dizziness intensified (with a slight feeling of instability). I thought it might be due to a lack of exercise since starting college,...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head position. Actions such as tilting your head back, lying down, getting up, turning over, or suddenly turning your head can trigger ...[Read More] Understanding Intermittent Dizziness: Causes and Concerns
Understanding Balance Issues: Insights on Neurological Symptoms and Management
Frequent feelings of heaviness in the head and lightness in the legs, leading to imbalance during activities? Hello, I often feel unbalanced when I start moving in the morning (I don't feel much when sitting or lying down). For example, if I turn too quickly, I experience a ...
Dr. Jiang Junyi Reply:
Hello: Headaches can be quite bothersome, and if you are experiencing them frequently, you might consider using preventive medications that have low side effects and can be used long-term. Common prodromal symptoms of migraine include visual disturbances, such as seeing bright li...[Read More] Understanding Balance Issues: Insights on Neurological Symptoms and Management
Short Walks Leave Me Breathless: Understanding Symptoms and Solutions
Experiencing shortness of breath after walking a short distance? Hello doctor, recently whenever I walk a bit further (slowly for about 30 minutes or more), I experience an increased heart rate, a feeling of shortness of breath, and my legs feel weak and fatigued. I also feel hea...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, with one acting as the accelerator and the other as the brake. The sympathetic nervous system is responsible for accelerating the heart rate, mobilizing en...[Read More] Short Walks Leave Me Breathless: Understanding Symptoms and Solutions
Understanding Persistent Headaches: Causes and Concerns
Headache for more than two weeks? Hello doctor, I have been experiencing migraines for several years. Previously, the pain was on the left side, occurring before my menstrual period or during times of stress. The pain felt like a throbbing sensation in the back of my head and tem...
Dr. Jiang Junyi Reply:
Hello, I am not sure if you are experiencing any cold symptoms, which could potentially lead to tension-type headaches. Common prodromal symptoms of migraines include visual disturbances, such as seeing stars or flashes of light, as well as blurred or distorted vision. These ar...[Read More] Understanding Persistent Headaches: Causes and Concerns
Understanding the Causes of Persistent Headaches After a Concussion
Please have the doctor examine me to determine the cause of my headache? Hello doctor, during a physical education class in elementary school, I was hit on the lower left side of the back of my head by a soccer ball from a classmate. I was examined by a doctor at that time and di...
Dr. Jiang Junyi Reply:
Hello: In addition to the issues related to cervical myofascial pain, it may be necessary to consider the possibility of migraine as a contributing factor. Migraines are often accompanied by symptoms such as nausea, vomiting, photophobia, phonophobia, and pallor. Typically, one s...[Read More] Understanding the Causes of Persistent Headaches After a Concussion
Understanding Involuntary Muscle Twitches: Causes and Solutions
Regarding involuntary muscle twitching (non-painful, purely twitching)? Hello Doctor, I would like to ask about my current situation. I am preparing for an exam, and I wonder if the stress is the reason for my symptoms. Over the past month, I have been experiencing involuntary mu...
Dr. Jiang Junyi Reply:
Hello: There are many possible causes for muscle spasms in the lower extremities, which may include muscle overuse or nerve compression. However, it is important to first rule out any electrolyte imbalances. I recommend that you visit a neurology or rehabilitation clinic for eval...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Facial Tingling and Muscle Twitches: Neurological Insights
Muscle twitching and a slight tingling sensation in the face that can be relieved by touching it? Hello doctor, I have been experiencing muscle twitching for over a year without addressing it. Recently, in the past month, I have noticed slight tingling and numbness in my face, wh...
Dr. Jiang Junyi Reply:
Hello: The symptoms you are experiencing, particularly the burning sensation, should first raise concerns about peripheral nerve issues, which typically suggest nerve compression. However, since your symptoms are localized to the face, it may be necessary to consider inflammation...[Read More] Understanding Facial Tingling and Muscle Twitches: Neurological Insights