Post-Surgery Numbness in Hands and Feet: Seeking Solutions
Numbness in the hands and feet and inability to walk normally after lumbar spine surgery? Hello, doctor. My mother went to the emergency department at Dalin Tzu Chi Hospital last July due to pain that prevented her from sitting up and weakness in her legs. During her visit, the e...
Dr. Jiang Junyi Reply:
Hello: If you experience persistent pain and numbness, it is advisable to consult a neurologist for pain management. Additionally, after surgery, patients often experience muscle atrophy due to prolonged bed rest. It is recommended to continue physical therapy with a rehabilitati...[Read More] Post-Surgery Numbness in Hands and Feet: Seeking Solutions
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
Navigating Forced Treatment for Schizophrenia: A Guide for Families
Involuntary treatment for schizophrenia? I'm sorry to hear about your situation. It sounds very challenging. In cases where a person is exhibiting symptoms of schizophrenia and may pose a risk to themselves or others, it is important to seek professional help. Here are some ...
Dr. Jiang Junyi Reply:
Hello: Regarding schizophrenia (formerly known as schizophrenia), it needs to be diagnosed by a psychiatrist, not by a neurologist. Untreated chronic mental illnesses can lead to a decline in the patient's social functioning. For acute psychiatric disorders, it is essential ...[Read More] Navigating Forced Treatment for Schizophrenia: A Guide for Families
Understanding Coma Recovery After Myocardial Infarction: A Patient's Journey
Myocardial infarction with coma? My father suffered a myocardial infarction and lost consciousness on May 14. He has been in a coma since being admitted to the hospital. Initially, he experienced seizures, and the hospital administered sedatives, increasing the dosage to four dos...
Dr. Jiang Junyi Reply:
Hello: When cardiac arrest occurs, patients typically lose consciousness rapidly within 15 seconds, brainstem function ceases after 1 minute, and brain damage occurs after 4-6 minutes due to lack of oxygen. Patients who are resuscitated through CPR may experience neurological dam...[Read More] Understanding Coma Recovery After Myocardial Infarction: A Patient's Journey
Understanding Left Thumb Twitching and Muscle Weakness: A Neurology Perspective
Twitching of the left thumb with muscle spasms and a feeling of weakness? For the past couple of days, my left thumb has been twitching frequently (as if it were being shocked), and sometimes my hand experiences slight tremors. Additionally, for the past six months, my entire bod...
Dr. Jiang Junyi Reply:
Hello, you may want to first rule out physiological tremors, which can occur in certain situations such as stress, anxiety, or anger. Other factors, such as side effects from certain medications or the consumption of beverages like coffee, tea, or cola, may also trigger this. If ...[Read More] Understanding Left Thumb Twitching and Muscle Weakness: A Neurology Perspective
Understanding Nerve Sensations: Tightness and Numbness While Sleeping
When lying down to sleep, my hand feels tight, swollen, and as if it is bound by a rubber band? Hello, Doctor. Recently, when I sit down or lie down, I feel a tingling sensation extending from my left buttock to my left thigh. Additionally, at night while sleeping, I notice that ...
Dr. Jiang Junyi Reply:
Hello: Your lower limb symptoms resemble sciatic nerve compression, while the symptoms in your right hand appear to be consistent with carpal tunnel syndrome. Clinically, a neurologist will arrange for nerve conduction studies to assess the extent of nerve compression. As for the...[Read More] Understanding Nerve Sensations: Tightness and Numbness While Sleeping
Understanding Tremors: Could They Be Primary Essential Tremor?
The body may tremble? My symptoms are as follows: 1. My hands tremble. I've had this for a long time (since around middle school). When I lift a cup to drink, my hands shake, and my head shakes as well. When typing or using the mouse, both hands tremble, with my left hand sh...
Dr. Hong Weibin Reply:
Hello: Based on your inquiry, in addition to primary tremor, physiological tremor may also be a possible cause. A consultation with a neurologist can help clarify the situation. If it does not affect your daily life, there is generally no need for excessive concern.[Read More] Understanding Tremors: Could They Be Primary Essential Tremor?
Understanding Autonomic Nervous System Disorders: When to Seek Brain Imaging?
Autonomic nervous system dysfunction? Or is it a brain issue? Warning signs to watch for? Hello, doctor. I have been experiencing many symptoms since the beginning of January. At the onset, I suddenly felt a sharp pain in my heart, followed by numbness in my limbs. For the next f...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms, there are multiple issues that may complicate the identification of a brain-related problem. Many factors need to be considered, including endocrine disorders, psychosomatic disorders, autoimmune diseases, and more. It is recommended that you first ...[Read More] Understanding Autonomic Nervous System Disorders: When to Seek Brain Imaging?
Head Injury from Volleyball: Understanding Symptoms and Recovery
I got hit on the head by a volleyball during gym class? On May 2nd, during physical education class while practicing volleyball at around 1 or 2 PM, I was hit on the right side of my head by someone else's spike. I took a nap in the classroom around 3 PM and woke up at 5 PM ...
Dr. Jiang Junyi Reply:
Hello: For head trauma, if the following conditions or medical history are present, more serious injuries should be considered, such as: – Vomiting two or more times – Drug or alcohol overdose – Persistent severe diffuse headache – Loss of consciousness for more than 30 minutes –...[Read More] Head Injury from Volleyball: Understanding Symptoms and Recovery
Understanding Headaches: Symptoms of Migraines or Something Else?
Headache issues Hello, I've been experiencing frequent sensations of swelling in my head over the past couple of days, accompanied by some dizziness. Additionally, when I sit for a while and then stand up, I feel a pulsing pain in my head. Could this be considered a migraine...
Dr. Jiang Junyi Reply:
Common prodromal symptoms of migraine include visual disturbances such as seeing stars and lightning-like flashes, as well as blurred or distorted vision. These are all precursors to a migraine attack. A few minutes after the aura appears, one may experience tingling, weakness, o...[Read More] Understanding Headaches: Symptoms of Migraines or Something Else?
Understanding Dizziness and Imbalance: Causes and Solutions
Dizziness and a sense of imbalance? Hello doctor, sometimes when I stand up suddenly after sitting, my vision goes black and I feel dizzy, and I have trouble walking steadily. If I stand for a long time and then move suddenly, I also experience this. Closing my eyes and resting f...
Dr. Jiang Junyi Reply:
Hello, there are many factors that can cause dizziness, such as anemia, arrhythmias, and autonomic nervous system dysfunction. Since your symptoms occur upon sudden standing, it is important to rule out dehydration and hypotension, which can lead to insufficient cerebral circulat...[Read More] Understanding Dizziness and Imbalance: Causes and Solutions
Persistent Pulsating Sensation on the Left Side of the Head: Causes and Solutions
There is a persistent pulsating sensation on the left side of my head? Hello Doctor: Recently, I have been experiencing a pulsating sensation on the left side of my head, accompanied by a feeling of pressure, but there is no headache. This pulsating sensation has persisted for se...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a common type of migraine in women. The symptoms can be categorized as migraine with aura, which includes visual disturbances such as seeing stars and flashes of light, as well as blurred or distorted vision. These are considered the aura of the m...[Read More] Persistent Pulsating Sensation on the Left Side of the Head: Causes and Solutions
Understanding Leg Weakness and Pain: Possible Neurological Causes
Leg weakness and soreness? The doctor would like to inquire about recent symptoms of persistent leg weakness, lower back soreness, discomfort in the coccyx while sitting, and involuntary shaking of the lower back when bending over. What could be the cause of these symptoms?
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of a herniated disc, which commonly presents with lower back pain, cramping pain in the calves and the back of the thighs, and sensory abnormalities. Diagnosis can generally be assisted through physical examinations, nerve conduction studi...[Read More] Understanding Leg Weakness and Pain: Possible Neurological Causes
Understanding Toe Twitching After Fibula Fracture: Causes and Concerns
Toe twitching Hello doctor, I recently suffered a closed fibula fracture near my ankle. I have been in a cast for three weeks. Since then, I have mostly been lying flat or sitting up in bed with my leg elevated. Yesterday, I suddenly felt a slight tingling sensation in my big toe...
Dr. Jiang Junyi Reply:
Hello: The symptoms you described may suggest a peripheral nerve disorder. If your toe twitching is accompanied by pain or numbness, it could indicate nerve compression. The deep peroneal nerve and superficial peroneal nerve innervate the peroneus longus and brevis muscles, tibia...[Read More] Understanding Toe Twitching After Fibula Fracture: Causes and Concerns
Understanding Dizziness and Nausea During Study Sessions: Causes and Solutions
Dizziness, hello? Hello, I have an upcoming exam and sometimes I find myself playing on the computer first. When I think about the exam, I try to study, but even in school, while attending classes, my eyes start to flicker, I feel dizzy, and I want to vomit. I’ve asked others, an...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider a migraine with aura. Symptoms include visual disturbances such as seeing stars and flashes of light, as well as blurred or distorted vision, which are all signs of a migraine aura. A few minutes after the aura app...[Read More] Understanding Dizziness and Nausea During Study Sessions: Causes and Solutions
Understanding Thumb Tremors: Causes and Concerns for Young Adults
The thumb is experiencing persistent twitching? Hello, I am a 27-year-old female. My right thumb has been twitching for about a month. Initially, the twitching lasted only a few seconds at a time, but now it can continue for three to four hours. Recently, I have also felt the twi...
Dr. Hong Weibin Reply:
Hello: Muscle twitching is often associated with lesions of the lower motor neurons; however, there are many diseases affecting the lower motor neurons, and they are not necessarily related to amyotrophic lateral sclerosis (ALS) or Parkinson's disease. Conditions such as ele...[Read More] Understanding Thumb Tremors: Causes and Concerns for Young Adults
Chronic Leg Pain: Seeking Solutions for Persistent Muscle Tension
Leg problems Hello Doctor, I have been experiencing chronic tightness and pain in the anterior tibialis muscle of my left leg since childhood, particularly around the area of the upper tibia, which prevents me from sleeping. I can only relax enough to sleep after receiving a mass...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for leg tightness, such as muscle inflammation and lumbar nerve compression, which need to be evaluated. It is also important to consider the possibility of restless legs syndrome (RLS), a condition characterized b...[Read More] Chronic Leg Pain: Seeking Solutions for Persistent Muscle Tension
Understanding Brain Oxygen Deprivation: Risks and Timeframes
May I ask the doctor? Hello, doctor: On the fifth day of the Lunar New Year, there was a tragic incident in Kaohsiung involving a four-month-old baby girl who allegedly choked on milk and died suddenly. Could you please tell me how long it takes for the brain to become oxygen-dep...
Dr. Jiang Junyi Reply:
The nervous system is highly sensitive to hypoxia. When the arterial blood oxygen partial pressure drops to 60 mmHg, there may be dysfunction in judgment and visual capabilities. The primary reason for this is the disruption of energy metabolism in nerve cells. If the partial pre...[Read More] Understanding Brain Oxygen Deprivation: Risks and Timeframes
Why Does My Left Foot Shake While Sitting? Understanding Tremors
Trembling of the legs while sitting? Hello doctor, I have noticed that when I sit and elevate my feet, only my left foot trembles. Sometimes I also experience involuntary shaking in my hands and feet. However, I have heard that with thyroid issues, when you raise both hands, they...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms of leg tremors occurring while on tiptoes may suggest peripheral nerve injury or muscle contractions due to fatigue. Clinically, a neurological assessment and nerve conduction studies (electromyography) can assist in the diagnosis. I...[Read More] Why Does My Left Foot Shake While Sitting? Understanding Tremors
Understanding Muscle Weakness and Twitching: Possible Causes and Concerns
Regarding muscle weakness and twitching? Hello Doctor, I have been troubled by this issue for a long time. In mid-September last year, I suddenly felt weakness in both legs and my right hand (a burning, sore sensation originating from the muscles, similar to a persistent feeling ...
Dr. Jiang Junyi Reply:
According to your description, the condition commonly referred to as "Lou Gehrig's disease" is formally known as amyotrophic lateral sclerosis (ALS), which is a rare neurodegenerative disease with a prevalence of approximately 5 in 100,000. The cause remains unknow...[Read More] Understanding Muscle Weakness and Twitching: Possible Causes and Concerns