Managing Post-Trauma Headaches After a Car Accident: Seeking Alternatives to Medication
Inquiry about headaches following a car accident-related brain injury? A family member suffered a brain injury from a car accident and has been in a coma for about two weeks. They have been monitored with MRI scans for two years, and the brain condition has stabilized, so no furt...
Dr. Cai Zongzhang Reply:
Hello Wen! Based on the symptoms mentioned, it is likely that you are experiencing post-traumatic chronic neuropathic pain in the head. It is recommended that you visit a neurology clinic for treatment.[Read More] Managing Post-Trauma Headaches After a Car Accident: Seeking Alternatives to Medication
Understanding Involuntary Muscle Twitches in Children: Causes and Concerns
Involuntary muscle twitching? Hello Doctor: My son is now 10 years old. Since he was little, we have noticed that whenever he is a bit tired, or when he is about to get sick or is sick, he experiences muscle twitching for about 15-20 minutes. During a hand, foot, and mouth diseas...
Dr. Jiang Junyi Reply:
Hello: Your child's symptoms may suggest benign muscle twitching. Certain situations in daily life can lead to this issue, such as exercise, acute viral infections, anxiety, and medication use. Among these, prolonged exercise is one of the primary causes of muscle twitching....[Read More] Understanding Involuntary Muscle Twitches in Children: Causes and Concerns
Understanding Muscle Twitches and Visual Disturbances Before Sleep
Your own condition? Hello, doctor. I would like to describe my recent situation. Sometimes, just as I am about to fall asleep, I experience muscle twitches or my limbs move involuntarily. There have been instances where I wake up in the middle of the night to find my muscles twit...
Dr. Hong Weibin Reply:
Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese). The causes are quite diverse, with the most common being stress, electrolyte imbalan...[Read More] Understanding Muscle Twitches and Visual Disturbances Before Sleep
Understanding Leg Numbness and Pain After a Knee Injury
Leg problems Recently, I fell and hit my right knee, and since then, I have been experiencing persistent numbness in my right leg. There is pain when I press on my calf, and it feels like there is a sensation even when I'm not directly touching it. After walking or standing ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest the possibility of peripheral nerve injury, particularly involving dysfunction of the common peroneal nerve. It is recommended that you visit a neurology or rehabilitation clinic for evaluation (such as nerve conduction studies and electromyograph...[Read More] Understanding Leg Numbness and Pain After a Knee Injury
Understanding Muscle Twitches: Concerns and Neurological Insights
Regarding muscle issues? Hello Doctor, I have recently been experiencing muscle twitching. The twitching occurs in specific areas after significant movements; for example, after sneezing, the muscles around my ribs twitch a few times. The twitching is more noticeable when I lie d...
Dr. Hong Weibin Reply:
Hello: There are many potential causes for muscle twitching. In addition to muscle fasciculation, there are muscle myokymia, muscle spasm, muscle myoclonus, and others that are difficult to translate. The causes are quite diverse, but the most common ones include stress, electrol...[Read More] Understanding Muscle Twitches: Concerns and Neurological Insights
Understanding Uncomfortable Head Sensations: Neurological Insights and Advice
Head discomfort? In the past, I sometimes felt that my surroundings were chaotic, but it wasn't a visual issue; it was purely a personal sensation that occurred only occasionally. My head would feel uncomfortable, as if I was receiving messages from others that I couldn'...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest a migraine with aura, which typically presents with visual disturbances. These can include seeing stars and lightning-like flashes, as well as blurred or distorted vision, all of which are common migraine auras. A few mi...[Read More] Understanding Uncomfortable Head Sensations: Neurological Insights and Advice
Understanding Medications for Carpal Tunnel Syndrome Management
Medications for Carpal Tunnel Syndrome? Hello, Doctor. Today I went to the hospital for a follow-up appointment to review my report. My attending physician informed me that I have mild carpal tunnel syndrome in my right hand. My physician tends to prescribe medications without ex...
Dr. Jiang Junyi Reply:
Hello: These are the medications for symptom control: 1. Piracetam 1.2g/pack: This medication helps improve blood circulation. 2. Prednisolone 5mg/tab: A corticosteroid that can reduce inflammation. 3. Famotidine 20mg/tab: An H2 blocker used to reduce stomach acid, commonly pre...[Read More] Understanding Medications for Carpal Tunnel Syndrome Management
Persistent Headaches After Car Accident: Next Steps for Recovery
Headache persisting for more than one month after a car accident? After a car accident while wearing a helmet, the patient suffered a head impact and was hospitalized. The resident physician indicated that a brain scan revealed small blood clots, but surgery was not necessary. Ov...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest that there has been an injury to the neck muscles due to a head impact, as well as compression of the cervical nerves leading to tingling sensations. It is recommended that you consult a rehabilitation physician to discuss examination and treatmen...[Read More] Persistent Headaches After Car Accident: Next Steps for Recovery
Understanding ALS: Coping with Muscle Twitches and Anxiety
About Amyotrophic Lateral Sclerosis (ALS) I consulted a doctor regarding my muscle twitching, and he said it is unlikely to be Parkinson's disease. He prescribed medication and ordered blood tests to check my ion levels. I have a follow-up appointment on April 30 to review t...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you engage in stretching exercises and strength training. Avoid the intake of tobacco, alcohol, and coffee to reduce muscle tremors. It is advisable to consult a neurologist (peripheral nerve specialist) to discuss examinations and treatment. Wishing...[Read More] Understanding ALS: Coping with Muscle Twitches and Anxiety
Understanding Muscle Tremors: Symptoms, Concerns, and Next Steps
About muscle twitching? Hello Doctor, I have recently noticed a lack of sensation in a specific area at the back of my throat, which made me worried enough to see a doctor. The doctor reviewed my previous reports, tested my reflexes with a hammer, conducted a consultation, and ha...
Dr. Jiang Junyi Reply:
Hello: You are concerned about Parkinson's disease, which typically does not occur in your age group unless there are familial genetic factors involved. Instead, you should consider drug-induced extrapyramidal syndrome, which occurs when the body's motor system is disru...[Read More] Understanding Muscle Tremors: Symptoms, Concerns, and Next Steps
Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment
Trigeminal neuralgia with toothache? Hello, doctor. I would like to inquire about a sudden pain in my right teeth that started a few weeks ago as I approach my 24th birthday. I often experience severe pain in the upper canine and lower areas, or occasionally in the entire right s...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to the second branch of trigeminal neuralgia. However, the underlying cause still requires further examination. The diagnostic criteria for trigeminal neuralgia are as follows: - At least three attacks - Pain occurring in one or more divisi...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment
Understanding Rapid Heartbeat, Palpitations, and Dizziness: A Neurology Perspective
Regarding tachycardia, palpitations, and dizziness? Hello Dr. Tsai, Two weeks ago, I visited the cardiology and neurology outpatient departments at Taipei Medical University due to symptoms of palpitations, discomfort, and dizziness. My dizziness is persistent with a floating se...
Dr. Cai Zongzhang Reply:
Entresto and Heart Care Room contain the same ingredients but differ in dosage. If symptoms are mild, taking Entresto may be sufficient. Please discuss with a neurologist before making a decision.[Read More] Understanding Rapid Heartbeat, Palpitations, and Dizziness: A Neurology Perspective
Chronic Right Upper Arm Pain: Causes and Management Strategies
Persistent pain in the right upper arm? I would like to ask the doctor, I am currently 18 years old, but I have experienced persistent pain in my right upper arm since childhood. It is not particularly severe, but certain specific positions can trigger intense soreness, requiring...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders. Excessive force during cervical rotation and other external factors may lead to cervical instability, dislocation, and cervical disc herniation. Typical discomfort symptoms associated with...[Read More] Chronic Right Upper Arm Pain: Causes and Management Strategies
Chronic Right Upper Arm Pain: Causes and Management Strategies
Persistent pain in the right upper arm? I would like to ask the doctor, I am currently 18 years old, but I have had persistent pain in my right upper arm since childhood. It is not particularly severe, but certain specific positions can trigger intense soreness, requiring me to c...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, possibly due to nerve root compression. Excessive force during cervical rotation and other external factors may lead to cervical instability, dislocation, and cervical disc herniation. Typ...[Read More] Chronic Right Upper Arm Pain: Causes and Management Strategies
Understanding Visual Disturbances: Managing Symptoms Beyond Neurology
Feeling disoriented? I feel that my visual perception of the surrounding environment appears chaotic, but it is not actually disordered. I have undergone neck ultrasound, head MRI, and CT scans, all of which showed no abnormalities. My confirmed diagnoses are schizophrenia and al...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are related to your vision. Neck ultrasound, head MRI, and CT scans have not explained the issues with your optic nerve, as well as functional problems such as migraines. If your symptoms improve after taking migraine medication, it may be worth considering t...[Read More] Understanding Visual Disturbances: Managing Symptoms Beyond Neurology
Frequent Headaches and Nosebleeds: When to Seek Medical Advice
Headache and nosebleed? I sometimes experience unexplained headaches and have been having frequent nosebleeds lately. While eating hot pot, I find that my nose starts bleeding uncontrollably. I visited an otolaryngologist, but the doctor said everything is normal and there are no...
Dr. Jiang Junyi Reply:
Hello: It is recommended to visit the ENT department at the hospital to determine the location of the nosebleed, which may help identify possible causes. You might also want to consider coagulation disorders. As for the headache, common causes include tension-type headaches or mi...[Read More] Frequent Headaches and Nosebleeds: When to Seek Medical Advice
Understanding Diplopia in Myasthenia Gravis: Diagnosis and Treatment Insights
Diplopia caused by myasthenia gravis? Hello Doctor: I have been experiencing double vision for nearly a year, and since the situation has worsened, I went to a neurologist for an examination. The tests included a contrast-enhanced brain MRI, skin sympathetic nerve reflex (SSR), R...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the effects of the medication typically begin around thirty minutes after administration, with peak effects occurring approximately two hours later, followed by a gradual decline. There are many causes of diplopia: binocular causes include ocular...[Read More] Understanding Diplopia in Myasthenia Gravis: Diagnosis and Treatment Insights
Managing Neck Pain and Hand Tremors: When to See a Neurologist
Tremors and neck and shoulder pain issues? Hello, Doctor! I would like to ask you about my condition. Due to long-term computer use and carrying heavy books, I experienced shoulder and neck pain three months ago and visited an orthopedic clinic. The doctor diagnosed me with shoul...
Dr. Jiang Junyi Reply:
Hello: If you experience hand numbness after lifting objects, it may be necessary to consider carpal tunnel syndrome. This condition typically occurs in individuals who perform repetitive wrist movements, such as mechanics, carpenters, typists, and homemakers, particularly affect...[Read More] Managing Neck Pain and Hand Tremors: When to See a Neurologist
Genetic Links Between Migraine and Stroke Risk: What You Need to Know
Genetic predisposition to migraine and its association with the risk of stroke? Hello, doctor. I have had a predisposition to migraines since I was a child, experiencing them intermittently around the age of six or seven. In addition to unilateral headaches, I also experienced sy...
Dr. Cai Zongzhang Reply:
Clinical cases have confirmed that severe migraine attacks can trigger strokes; however, rare instances suggest that neurologists should monitor these patients. Proper management of migraines can help prevent strokes.[Read More] Genetic Links Between Migraine and Stroke Risk: What You Need to Know
Understanding Widespread Pain: When to See a Specialist for Neurological Issues
Multiple areas of pain in a short period of time? Over the past month, I have been experiencing various pains throughout my body. Initially, I consulted a specialist, but due to the wide range of symptoms and the duration of the issue, I began to wonder if it might be related to ...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you print out the detailed description and discuss it with your physician. Based on your description, fibromyalgia should be considered. Clinically, it is differentiated from other conditions that present with widespread pain, such as inflammatory or...[Read More] Understanding Widespread Pain: When to See a Specialist for Neurological Issues