Understanding Sleep Jerks and Talking: When to Seek Neurology Help
Frequent movements during sleep? Hello doctor, I would like to ask about my boyfriend who often experiences a big jerk or tremor in his hands or legs when falling asleep. I read on other websites that this can be normal occasionally, but he does this at least 3-5 times every time...
Dr. Gao Chunde Reply:
Occasionally twitching or jerking while falling asleep is mostly physiological and is common among many people. Talking in your sleep is also a common occurrence and generally shouldn't be a cause for concern. When chatting and on the verge of falling asleep, you may be in a...[Read More] Understanding Sleep Jerks and Talking: When to Seek Neurology Help
Understanding Left Buttock Pain Near the Coccyx: Nerve or Bone Issues?
Pain near the left buttock close to the coccyx? Hello, when I sleep on my side, I feel a pressure or discomfort near the left buttock close to the coccyx. I'm not sure if it's a nerve issue or a bone injury, as I haven't had any trauma. In the past, I would hear a ...
Dr. Jiang Junyi Reply:
Hello, based on your description of neck pain, hand pain, hand numbness, lower back pain, leg pain, and leg numbness, the X-ray may indicate that bone spurs are compressing the nerve roots. The diagnosis of radiculopathy primarily relies on clinical examination and medical histor...[Read More] Understanding Left Buttock Pain Near the Coccyx: Nerve or Bone Issues?
Frequent Dizziness and Nausea: Should You Get a Brain Scan?
Dizziness and nausea? It has been a while since I've been experiencing frequent dizziness and nausea. Should I get a brain scan?
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to first consider migraine, as the symptoms include visual disturbances. These may manifest as starry or lightning-like flashes, as well as blurred or distorted vision, which are all common aura symptoms. A few minutes after the a...[Read More] Frequent Dizziness and Nausea: Should You Get a Brain Scan?
Understanding Unexplained Body Pain and Numbness: A Neurology Perspective
Feeling unwell all over? In the past month, I have experienced body aches that progressed to numbness in my legs and hands. My legs feel weak and painful when standing, and I have intermittent pain or twitching throughout my body. Sometimes my wrists, near my ankles, and knees al...
Dr. Lan Shengxing Reply:
Dear Ms. Chen, the symptoms you described are most likely caused by cervical spine issues. It is recommended that you first visit a neurology clinic for a detailed neurological examination to determine the underlying cause. Additionally, it is advised not to use overly soft beddi...[Read More] Understanding Unexplained Body Pain and Numbness: A Neurology Perspective
Understanding Chronic Headaches and Dizziness: Seeking Answers and Solutions
Chronic headaches, dizziness, and occasional nausea? Hello Doctor, I would like to inquire about my long-term headaches and dizziness. I have been experiencing headaches for several years now. I am currently a senior in college, and since my senior year of high school, I had head...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are very similar to migraines. This type of headache can last from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel throbbing or pulsating, often accompanied by nausea and vomiting, as well ...[Read More] Understanding Chronic Headaches and Dizziness: Seeking Answers and Solutions
Post-Sinus Surgery MRI Insights: Understanding Headaches and Ear Pain
Magnetic Resonance Imaging (MRI) two months post-sinus surgery? Due to headaches, dizziness, deep pain in the right ear, and weakness in the right leg, a magnetic resonance imaging (MRI) was performed two months after chronic sinusitis surgery, and I have not yet recovered. I wou...
Dr. Gao Chunde Reply:
You may consider consulting a neurosurgeon to review your actual MRI images. Based on their experience, they can determine whether the condition of the right anterior inferior cerebellar artery in relation to the seventh and eighth cranial nerves can explain your current clinical...[Read More] Post-Sinus Surgery MRI Insights: Understanding Headaches and Ear Pain
Understanding Chronic Lower Back Pain: Causes and Relief Strategies
Lower back pain is common? Hello, my mother has been lifting heavy objects and standing for long periods due to work for several years. During this time, she has been experiencing frequent lower back pain, sometimes to the point of weakness, especially after work, making it diffi...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms may be related to conditions such as herniated discs, bone spurs, vertebral dislocation or slippage, thickening or calcification of spinal ligaments, all of which can cause nerve root compression. The symptoms primarily manifest as unilater...[Read More] Understanding Chronic Lower Back Pain: Causes and Relief Strategies
Experiencing Balance Issues After an Accident? Possible Causes Explained
Feeling a lack of balance? I am the original poster and I just suddenly thought of a question (because I almost fell). After the car accident, I felt a slight weakness in my left leg, with a delayed reaction and poor balance. The next day, I fell at school (after that, I only fel...
Dr. Lan Shengxing Reply:
It is relatively uncommon for effects to manifest after thirteen years; it may be beneficial to seek a second opinion from a neurosurgeon.[Read More] Experiencing Balance Issues After an Accident? Possible Causes Explained
Understanding Dizziness: Causes and Symptoms Explained
Dizziness: What are the causes? This morning, I started feeling dizzy about 10 minutes after sitting at the train station. I experienced a sensation of pressure in the back of my head, blurred consciousness, tinnitus, weakness in my legs, and a warm sensation around my ears and f...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. Since your symptoms occur in the morning, it is more likely to be due to dehydration. However, it is also important to rule out sympt...[Read More] Understanding Dizziness: Causes and Symptoms Explained
Chronic Lower Back Pain After Injury: Seeking Relief and Treatment Options
Having a history of back injury can lead to discomfort and pain in the lower back after prolonged standing or sitting? In my freshman year, while playing basketball, I injured my lower back because my legs were not bent properly, resulting in a sprain. At that moment, I experienc...
Dr. Lan Shengxing Reply:
Dear Zhen Sheng, many people share your concerns. You can consult with specialists in neurology, neurosurgery, orthopedics, and rehabilitation medicine. Wishing you good luck, Lan Sheng Xing.[Read More] Chronic Lower Back Pain After Injury: Seeking Relief and Treatment Options
Understanding Leg Weakness and Facial Spasms During Laughter
Leg weakness and facial twitching? I have been experiencing symptoms such as leg weakness and facial twitching for over three years when I laugh or get excited. However, these symptoms do not last long. The most severe episode caused me to kneel down. I would like to know what th...
Dr. Jiang Junyi Reply:
Based on your description, it may be necessary to consider brain instability causing sudden discharges that lead to muscle weakness. Additionally, there is the possibility of paroxysmal dystonia, which is characterized by involuntary movements manifesting as sustained contraction...[Read More] Understanding Leg Weakness and Facial Spasms During Laughter
Understanding Dizziness and Numbness: Neurological Insights
Dizziness and numbness in the legs? Menstrual cramps are severe, and I usually don't consume cold drinks; I drink a lot of water. Recently, for the past two to three months, I've experienced sudden numbness in my legs during class, and my head often feels like it pauses...
Dr. Yang Shenggong Reply:
Hello Ms. Lon: Numbness in the legs is a symptom that can have multiple causes: 1) Unilateral leg numbness may be attributed to poor posture, nerve compression, or inadequate blood circulation, among other factors. 2) Bilateral leg numbness requires consideration of systemic issu...[Read More] Understanding Dizziness and Numbness: Neurological Insights
Understanding Neck and Shoulder Pain: Possible Neurological Issues
Shoulder and neck pain? Hello, Doctor Gao. I have been experiencing frequent headaches and neck and shoulder pain. Sometimes my neck feels tight, my right leg feels sore, and my left hand occasionally feels weak. Could you please tell me what might be the issue?
Dr. Gao Chunde Reply:
If the left hand feels increasingly weak and persistent, it is important to consider issues related to the cervical spine or intracranial nerves, and further evaluation by a neurologist is recommended. If there is soreness, pain, or stiffness, it is mostly related to fatigue and ...[Read More] Understanding Neck and Shoulder Pain: Possible Neurological Issues
Understanding Transient Ischemic Attacks: Symptoms and Diagnosis Insights
Transient Ischemic Attack (TIA) Hello Doctor: I have been experiencing dizziness for the past six months. It is not a spinning sensation, but rather a feeling of unsteadiness while walking, along with a sensation of swaying and falling. Occasionally, I have neck pain. My blood pr...
Dr. Jiang Junyi Reply:
Hello, based on your description, due to the thickening of your carotid artery intima, it is important to pay attention to other risk factors such as passive smoking and metabolic syndrome. Many factors can cause symptoms of dizziness, such as anemia, autonomic dysfunction, inner...[Read More] Understanding Transient Ischemic Attacks: Symptoms and Diagnosis Insights
Numbness in Big Toe: Understanding Nerve Compression Issues
Numbness in the big toe? Hello Doctor, I have been experiencing numbness at the base of my big toe. When I stand on the floor, only the other four toes feel cold, while the sensation in my big toe is not very pronounced. When I press on it with my fingers, there is a tingling pai...
Dr. Gao Chunde Reply:
The most common issue is indeed nerve compression, often due to a problem with a small branch of a peripheral nerve. Localized single nerve inflammation or ischemia can also occasionally occur. Generally, the problem is related to footwear that is too narrow or too rigid. It is r...[Read More] Numbness in Big Toe: Understanding Nerve Compression Issues
Understanding Parkinsonism Symptoms After Carbon Monoxide Poisoning
I am a patient with carbon monoxide poisoning? I have a few questions for you, doctor. You mentioned that I am a patient with carbon monoxide poisoning, but why did my doctor say that I have something resembling Parkinson's disease? It has been over two years since my sympto...
Dr. Jiang Junyi Reply:
Hello: The primary cause of carbon monoxide poisoning is its ability to bind to hemoglobin over 200 times more effectively than oxygen, leading to hypoxia in body tissues. This can result in systemic damage, affecting various organs including muscles and the myocardium. However, ...[Read More] Understanding Parkinsonism Symptoms After Carbon Monoxide Poisoning
Understanding Nerve Damage After Leg Injury: Treatment and Rehabilitation Options
Neurological sluggishness Hello Doctor: I had a car accident in May that resulted in a tibial fracture in my lower leg, which has led to complex regional pain syndrome. Although I underwent emergency surgery, there has been nerve damage in the posterior part of my lower leg down ...
Dr. Gao Chunde Reply:
The causes of compression have been addressed, and now it is important to be patient and continue with acupuncture nerve stimulation and rehabilitation. Regular follow-up visits to the outpatient clinic for monitoring are essential, as there is still a good chance for gradual rec...[Read More] Understanding Nerve Damage After Leg Injury: Treatment and Rehabilitation Options
Understanding Thigh Pain and Nerve Issues: A Guide for Patients
Mother experiences numbness and pain with a burning sensation in the groin area? My mother previously had sciatica, but it was treated successfully. However, in the past two and a half years, due to prolonged driving, it seems to have recurred. This time, the pain is not in her l...
Dr. Gao Chunde Reply:
I'm not quite sure if you are referring to the groin area when you mention the upper thigh, and whether the symptoms occur only during sleep. If it is indeed the groin area, the nerve involved would not be the sciatic nerve, but rather the femoral nerve or obturator nerve, o...[Read More] Understanding Thigh Pain and Nerve Issues: A Guide for Patients
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
Uncontrollable Body Tremors: Seeking Answers and Solutions
Involuntary shaking of the body? Hello, Dr. Gao: About a year ago, I experienced a fever that lasted for 1 to 2 months, after which I began to have involuntary tremors. Later, I had another episode of fever, and the tremors became particularly severe, leading me to be hospitalize...
Dr. Gao Chunde Reply:
China Medical University Hospital is a medical center, and if their neurology department cannot find the cause, it must be a complex issue. In fact, I am not sure either; perhaps you could consult another medical center's neurology department, such as National Taiwan Univers...[Read More] Uncontrollable Body Tremors: Seeking Answers and Solutions