Muscle Twitching and Shrinking in Right Leg: Possible Neurological Issues
Twitching in the right buttock and right leg muscle? Hello Doctor, I have been experiencing muscle twitching in my right leg and foot since this year. It is more pronounced when I am lying down or on my side, but it occurs less frequently when I sit up or stand and walk. The twit...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the right leg and foot are experiencing muscle twitching." Your symptoms may suggest that there is nerve compression in the lumbar spine. Peripheral neuropathy caused by nerve compression may present with the following characteristics: 1....[Read More] Muscle Twitching and Shrinking in Right Leg: Possible Neurological Issues
Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
Neck issues, numbness in the limbs, facial nerve twitching? Initially, I experienced tightness in my shoulders and neck along with numbness in my hands (more severe in the right hand). Subsequently, I began to feel numbness in my left foot, and the muscles on both sides of my nec...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned experiencing "tingling in the left foot" and "intermittent electric shock-like sensations and pain in the muscles on both sides of the neck (right side)." Based on your description, it may be necessary to consider cervical spine disor...[Read More] Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
Understanding Skin Pain and Spasms: A Neurological Perspective
Skin prickling sensation? Hello Doctor: Last week, Mr. Zhang suddenly experienced spasms, occurring several times within a minute, with episodes recurring every few minutes. He reported sensitivity on the right side of his skin, accompanied by a burning and stabbing pain, as well...
Dr. Jiang Junyi Reply:
Dear Mr. Chang, You mentioned that "the frequency of spasms has gradually decreased, but they have shifted to the right leg, and there are times when I experience sudden weakness; difficulty urinating; and sharp pain upon touching the right calf, right thigh, right abdomen,...[Read More] Understanding Skin Pain and Spasms: A Neurological Perspective
Understanding Stroke: Exploring Links Between Car Accidents and Brain Infarction
Cerebral infarction (stroke) Hello, I had a car accident on December 9, 2022, and initially only sustained some external injuries. However, on January 12, 2023, I suddenly experienced a loss of vision and went to Tzu Chi Hospital to see a neurologist. An MRI revealed that I had a...
Dr. Cai Zongzhang Reply:
Hello, A-You: The causes of cerebral infarction are not directly related to trauma; it may be necessary to investigate other rare causes of cerebral infarction. The recovery period for neurological damage is lengthy, and complete recovery is often difficult, with most patients ex...[Read More] Understanding Stroke: Exploring Links Between Car Accidents and Brain Infarction
Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Numbness in the body after a cold? Hello Doctor, After experiencing a mild fever due to a cold on February 16, I have been feeling numbness in my arms and legs. Sometimes, when I change my body position, I feel a tingling sensation from my back to the back of my head, especiall...
Dr. Jiang Junyi Reply:
Hello Mr. Yang, You mentioned that "there is a slight stabbing pain when the left side of my head is pressed or rubbed while sleeping, and my left palm also has some tingling sensations." Based on your description, we may need to consider cervical nerve root compressio...[Read More] Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Understanding Leg Pain After Aortic Dissection Surgery: When to Seek Help
Leg problems After the aortic dissection surgery, the incision site on the inner right thigh (near the groin) showed swelling a few days after the second follow-up visit, along with a tingling sensation in the front of the thigh (without pain or other symptoms). However, in recen...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that your mother is experiencing "numbness in the front of her thigh... and the lower part of her knee." This may be due to compression of the nerve root at the third lumbar vertebra, or a hematoma from a femoral artery puncture compressing the...[Read More] Understanding Leg Pain After Aortic Dissection Surgery: When to Seek Help
Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology
Fasciculation with partial weakness? Hello Doctor, since March of last year, I have been experiencing muscle twitching all over my body. Sometimes the twitching is localized to my left upper arm, which feels slightly weak and the muscle has noticeably softened. My left arm is sli...
Dr. Peng Shiwei Reply:
Hello, if the electromyography (EMG) is normal, it cannot be diagnosed as ALS. However, based on your description, I would still prioritize considering neurological issues (such as brachial plexus or cervical spine problems). I'm not sure if the physician you consulted menti...[Read More] Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology
Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Ear problems? Three months ago, I was diagnosed with COVID-19. I experienced loud tinnitus in my left ear, along with a pronounced heartbeat sound when I turned my head to the right. I consulted an otolaryngologist at a major hospital, who listened to the blood flow in my ear and...
Dr. Peng Shiwei Reply:
Hello, based on your description, your symptoms have improved by 80%. What you should do now is to maintain the current state and relax. Engaging in more physical activity is also beneficial. Wishing you a speedy recovery, and thank you for your question.[Read More] Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Numbness in the soles of the feet? Hello, doctor. Three years ago, I was diagnosed with autonomic nervous system dysfunction due to dizziness. After taking medication, my condition improved significantly, and I stopped taking the medication. However, I have experienced intermitte...
Dr. Jiang Junyi Reply:
Dear Ms. Hsuan, You mentioned experiencing dizziness that sometimes occurs with movement. Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of vertigo related to changes in head position, such as bending ov...[Read More] Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey
Dizziness issues? Hello, Doctor. I am the person who asked question #191468. Thank you for your advice. I later underwent HRV testing, and the report was normal. However, I have recently felt that my condition has worsened, both physically and mentally. Currently, I feel dizzy wh...
Dr. Jiang Junyi Reply:
Hello Miss Enola: "The HRV test results are normal." Heart Rate Variability (HRV) is actually a dynamic data point. It is recommended to monitor it using wearable devices like the Apple Watch. You mentioned, "I have always wanted to find the cause, but it’s contrad...[Read More] Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey
Understanding Muscle Pain, Weakness, and Swallowing Difficulties: Is It ALS?
Muscle soreness, twitching, dizziness, difficulty swallowing, susceptibility to choking, and sudden cramps? About three days ago, I started experiencing persistent fatigue and weakness, along with a decreased appetite. Despite not engaging in any intense physical activity, I have...
Dr. Peng Shiwei Reply:
Hello, given your age, the likelihood of ALS is low. However, the symptoms you described do need to be properly evaluated. I believe it is more likely to be a purely muscular issue. I recommend that you consult the neurology department at a major hospital. Thank you for your inqu...[Read More] Understanding Muscle Pain, Weakness, and Swallowing Difficulties: Is It ALS?
Sudden Leg Tremors: Causes and When to Seek Medical Attention
Sudden involuntary shaking of the legs? Hello, doctor. Today, while sitting in a meditation position on my toes, my left calf and thigh suddenly began to tremble violently. The shaking stopped when I placed my foot flat. I've never experienced this before; today was the firs...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is more likely that the tremors are caused by excessive muscle contractions. However, a detailed assessment by a physician through an in-person consultation and physical examination is necessary for a definitive diagnosis. You may continue to mon...[Read More] Sudden Leg Tremors: Causes and When to Seek Medical Attention
Understanding Foot Symptoms After Prolonged Hospitalization: What to Do?
Foot problems Two months ago, I had ECMO (extracorporeal membrane oxygenation) inserted in both groin areas due to lung issues. After 11 days, my condition improved, and I was discharged. Initially, I felt weak all over from lying in bed for too long, so I didn't notice anyt...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is possible that you have peripheral nerve damage. I recommend that you visit a neurologist for further evaluation and examination. Thank you for your inquiry.[Read More] Understanding Foot Symptoms After Prolonged Hospitalization: What to Do?
Understanding Visual Disturbances and Leg Weakness: A Neurological Perspective
Visual abnormalities and weakness or numbness in the calves? Hello Doctor, since June, I have been experiencing unclear vision on the edges of my left eye. After an ophthalmological examination, a visual field defect was found, raising concerns about a possible neurological issue...
Dr. Jiang Junyi Reply:
Dear Miss Abo, You mentioned that "the edges of things appear unclear in my left eye." The report seems unable to explain this condition, but it does mention "suspect hypoplasia of the right vertebral artery." I wonder if you have any risk factors for cerebro...[Read More] Understanding Visual Disturbances and Leg Weakness: A Neurological Perspective
Understanding Parkinson's Disease: Symptoms, Diagnosis, and Management
Parkinson's disease Hello doctor, I have a question. Since 2016, whenever I lie flat and remain still, my right leg feels warm and stiff, and it only improves when I move or bend it. Additionally, I often experience muscle twitching in various parts of my body, which is part...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it may not necessarily be Parkinson's disease. If you feel that your symptoms have worsened over the past few years, it is advisable to consult a neurologist again for an evaluation. Thank you for your inquiry.[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Management
Understanding Lower Back Pain After Surgery: Causes and Solutions
Lower back pain issues? Hello doctor, I have been experiencing lower back pain since my surgery in July (I had surgery on my left toe under spinal anesthesia; I also had surgery on my right foot earlier this year, also under spinal anesthesia). Today, I felt a recurrence of achin...
Dr. Peng Shiwei Reply:
Hello, issues with the lower back or intervertebral discs can still occur in young individuals. If you are concerned, you can visit a neurology clinic for consultation. Thank you for your question.[Read More] Understanding Lower Back Pain After Surgery: Causes and Solutions
Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis
Development of myasthenia gravis after receiving the AZ vaccine? Hello Doctor: After receiving my first dose of the AZ vaccine in mid to late July 2021, I noticed that I frequently fell from late July to early August. I initially thought it was due to not exercising for a long ti...
Dr. Hong Weibin Reply:
Hello: Currently, similar case reports can be found in the PubMed search engine of the National Library of Medicine at the National Institutes of Health in the United States.[Read More] Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis
Understanding Sensory Disturbances in Schizophrenia and Migraine Auras
Feeling troubled? I am a patient with schizophrenia, but sometimes I often feel a sense of foreignness or sometimes I dislike thinking of sweating as bleeding. Additionally, I would like to ask what a prodromal migraine is; I would like to understand it better.
Dr. Jiang Junyi Reply:
Hello: You mentioned "What is aura migraine?" The symptoms of aura migraine include visual disturbances such as seeing bright lights resembling stars and lightning, as well as blurred or distorted vision. These are all precursors to a migraine. A few minutes after the a...[Read More] Understanding Sensory Disturbances in Schizophrenia and Migraine Auras
Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Suspected cerebrospinal fluid leak? Hello Doctor: I have been experiencing very severe headaches intermittently since childhood. Sometimes they occur due to excessive exertion or fatigue, while at other times the cause is unclear. The symptoms are generally very painful whether I...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the location of the headache changes with different positions, and if I eat on one side, I feel nauseous (if not, I don't feel anything special).... I suspect it might be a cerebrospinal fluid leak." Your symptoms may need to be co...[Read More] Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle twitching? Hello, doctor! Recently, I have been experiencing occasional muscle twitching and facial spasms. It feels like my face is on the verge of twitching, causing discomfort, particularly around the area near my eye socket close to my nose and the masseter...
Dr. Cai Zongzhang Reply:
Hello, if the above symptoms persist despite adequate rest and sleep, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions