Understanding Back and Hip Pain: When to See a Neurologist or Orthopedist
Doctor, please help me? Hello, doctor. Back in August, I strained my lower back and hips while exercising. I felt a warm, painful sensation in my lower back and hips, and my legs would tingle and feel numb when walking. I had an X-ray done, and the doctor said there was damage to...
Dr. Jiang Junyi Reply:
Hello Mr. Ah Ming, You mentioned experiencing "heat and pain in your back, waist, and hips, along with tingling and numbness in your legs while walking." Your symptoms may suggest possible sciatic nerve compression. A common cause of this is a herniated disc, which can...[Read More] Understanding Back and Hip Pain: When to See a Neurologist or Orthopedist
Understanding Knee Pain: When to Seek Neurological Evaluation
Knee pain Hello, Dr. Jiang... My mother has been experiencing knee pain for the past three months, with symptoms fluctuating. However, in the last two weeks, not only has the knee pain worsened, but she is also experiencing pain throughout her entire leg, making it difficult for ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "knee pain" may need to consider knee joint inflammation. Pain or swelling in the joint, especially during excessive activity or when going up and down stairs, or when standing up after prolonged sitting, can be more pronounced. In the m...[Read More] Understanding Knee Pain: When to Seek Neurological Evaluation
Understanding Nerve Pain and Sensory Abnormalities: Recovery Insights
Neuropathic pain and sensory abnormalities? Hello, doctor. At the beginning of May, I experienced discomfort in my right eye due to bright flashes while taking pictures of the moon at night, which led to photophobia and nerve adhesion near my right brow bone, causing swelling and...
Dr. Wu Mukhan Reply:
Hello, neuropathic pain is usually accompanied by symptoms such as paralysis, electric shock sensations, or abnormal feelings when touched. Bright flashes of light typically do not cause neuropathic pain, and based on your description, it is currently not possible to determine if...[Read More] Understanding Nerve Pain and Sensory Abnormalities: Recovery Insights
Persistent Pain After Facelift Surgery: Is It a Long-Term Side Effect?
It has been a year since the facelift surgery, but the head still feels tight and numb, causing unbearable pain? In November 2022, I underwent a facelift surgery. Starting in February 2023, I experienced tightness and electric shock-like sensations in my head, along with recurren...
Dr. Jiang Junyi Reply:
Dear Ms. Cheng, You mentioned that the "tightness and electric sensation in your head" may indicate peripheral sensory nerve compression. These symptoms could be exacerbated by tightness in the cervical myofascia. It would be beneficial for you to supplement with B vit...[Read More] Persistent Pain After Facelift Surgery: Is It a Long-Term Side Effect?
Post-Stroke Numbness and Tingling: Causes and Treatment Options
After recovering from a stroke, there may be a tingling or numb sensation on one side of the body? Hello, Dr. Jiang! My father is 72 years old and had a stroke six months ago. After lying in the hospital for two weeks, he was able to walk slowly with support, and two months later...
Dr. Jiang Junyi Reply:
Dear Mr. Uber, You mentioned that your father has been experiencing a persistent tingling sensation on one side of his body (including his hand and foot), accompanied by a warm feeling and dulled temperature perception, which has intensified in recent days. These symptoms may su...[Read More] Post-Stroke Numbness and Tingling: Causes and Treatment Options
Can MRI Detect Cerebellar Atrophy in Hereditary Cases?
Cerebellar atrophy Can cerebellar atrophy be detected through MRI? It is known that several family members have cerebellar atrophy, and the father has shown some symptoms in recent years. However, after undergoing an MRI at the hospital, the doctor did not indicate any cerebellar...
Dr. Peng Shiwei Reply:
Hello, I'm sorry but your question cannot be answered through online consultation. I recommend visiting a hospital for genetic counseling to confirm. Thank you.[Read More] Can MRI Detect Cerebellar Atrophy in Hereditary Cases?
Understanding Foot Numbness: Causes and Solutions for Walking Discomfort
The tingling sensation in the soles of the feet becomes more pronounced the longer I walk? Occasionally, there is numbness in the soles of my feet, especially after walking for more than 20 minutes, where the numbness becomes more pronounced and can extend to halfway up my calves...
Dr. Jiang Junyi Reply:
Dear Miss Lin, You mentioned that "the numbness in the soles of your feet becomes more pronounced, and it extends to half of your calves, improving only after resting for a while, but there is still a slight numbness in your feet." Your symptoms may suggest possible sc...[Read More] Understanding Foot Numbness: Causes and Solutions for Walking Discomfort
Unexplained Severe Body Pain: A 71-Year-Old's Medical Mystery
Intermittent generalized bone pain? Hello Doctor, my father is 71 years old. He has seen several specialists in the hospital, but we have not been able to find the cause of his condition, which has left our family and the patient feeling helpless and discouraged. He has been rece...
Dr. Cai Zongzhang Reply:
Hello Mr. Dong: Based on the symptoms mentioned, it is recommended to consult with an immunology and rheumatology specialist. If the cause is still not identified, please seek a detailed examination from a neurologist.[Read More] Unexplained Severe Body Pain: A 71-Year-Old's Medical Mystery
Understanding Taste Changes: Neurological Insights for Seniors
Oral issues Hello Doctor, I would like to ask about my father who has recently experienced a lack of taste for the first bite of food, but the second bite tastes normal. He is 55 years old and has a history of hypertension and myocardial infarction. He also has cold symptoms with...
Dr. Peng Shiwei Reply:
If you experience changes in taste, it is recommended to seek evaluation from a neurologist, a gastroenterologist specializing in liver and biliary disorders, or an otolaryngologist (ENT). Thank you.[Read More] Understanding Taste Changes: Neurological Insights for Seniors
Understanding Dizziness: Causes, Triggers, and Relief Strategies
Dizziness caused by high blood pressure or multiple factors? Process Review: Last Monday: I sought medical attention for a hand strain caused by exercise, which severely disrupted my sleep at night. The physician prescribed pain relief medication sulindac (200 mg) and muscle rela...
Dr. Jiang Junyi Reply:
Dear Ms. Li, You mentioned, "prescribing the pain reliever sulindac (200 mg) and the muscle relaxant phenprobamate (400 mg)... the episodes often occur during times of stress and fatigue." The dizziness you are experiencing may be related to your menstrual cycle, which...[Read More] Understanding Dizziness: Causes, Triggers, and Relief Strategies
Understanding Autonomic Nervous System Disorders: A Case Study
Inquiry Consultation Dear Dr. Jiang, I would like to inquire about my mother's medical condition. Here is a detailed description: In February and March of last year (2022), my mother suddenly experienced rapid heartbeat, shortness of breath, cold hands, and shaking. She we...
Dr. Jiang Junyi Reply:
Dear Mr. Kris, The treatment for hypertension is usually multifaceted. If there is a tendency for sympathetic nervous system overactivity, a beta-blocker may be added. If a single antihypertensive medication is insufficient to control blood pressure, a combination therapy (such ...[Read More] Understanding Autonomic Nervous System Disorders: A Case Study
Unexplained Right Leg Pain and Numbness: Possible Nerve Compression?
Unexplained tremors, pain, and numbness in the right foot? Hello Doctor, during my middle school years, I was diagnosed with a herniated disc after a classmate pulled my chair, causing me to fall. I tried physical therapy and corticosteroid injections, but they were not very effe...
Dr. Jiang Junyi Reply:
Dear Ms. W, You mentioned experiencing sudden severe pain in your right heel and persistent numbness and tingling. How should this be addressed? Thank you, doctor. Your symptoms indeed warrant consideration of lumbar nerve root compression. Typical discomfort associated with l...[Read More] Unexplained Right Leg Pain and Numbness: Possible Nerve Compression?
Will Numbness in My Foot Heal on Its Own After an Injury?
Will numbness in the feet resolve on its own? I recently sprained my right ankle and have been taking muscle relaxants and anti-inflammatory injections, which are helping me recover. However, I am experiencing a tingling sensation on the right side of my right big toe and the lef...
Dr. Jiang Junyi Reply:
Hello, Ah-Jie: You mentioned experiencing a tingling sensation on the right side of your right big toe and the left side of your right index toe, which may suggest a possible injury to the deep peroneal nerve. The pathway of the deep peroneal nerve begins at the lateral aspect o...[Read More] Will Numbness in My Foot Heal on Its Own After an Injury?
Understanding Neurological Changes After Influenza: Anxiety and Brain Health
Brain issues Hello, I would like to ask a question. Five years ago during the winter break, I contracted influenza A and had a high fever. After seeing a doctor, I felt somewhat better, but since that illness, I have felt strange. Sometimes I wake up very excited and chatty in th...
Dr. Jiang Junyi Reply:
Hello Mr. Jason: You mentioned, "I laugh when I laugh and get angry when I get angry," and you also asked if head injuries always lead to dizziness and vomiting. You previously had an MRI, and the doctor said everything was fine. You are concerned whether you might have...[Read More] Understanding Neurological Changes After Influenza: Anxiety and Brain Health
Understanding Weakness in Legs: When Standing Becomes Impossible
Leg weakness ~ inability to stand? Hello, my mother was born in 1938 (in her seventies)! She is approximately 162 cm tall and weighs 80 kg. Today, when I returned to my hometown, I discovered that my mother is unable to stand or walk. Since she lives with a family member, we init...
Dr. Jiang Junyi Reply:
Dear Yu-Jie, You mentioned that "she is unable to go out for medical treatment on the second floor and currently cannot walk even with family support." The symptoms you described may suggest a lumbar compression fracture. I recommend requesting assistance from a rehabi...[Read More] Understanding Weakness in Legs: When Standing Becomes Impossible
Understanding Dizziness After Head Injury: When to Seek Further Evaluation
Slipping in the bathroom, head injury? Hello Doctor, I accidentally slipped and hit my head (upper right side of the occipital region) in the bathroom on November 28, 2023. I went to the emergency room and received six stitches. However, starting on December 6, 2023, I began to...
Dr. Jiang Junyi Reply:
Hello Mr. A-Lung, You mentioned, "On 2023/12/12, I have been feeling slightly dizzy all day. I wonder if it could be a concussion or a brain hemorrhage?" Generally speaking, if there is no loss of consciousness, no anticoagulant use, or significant local hematoma, head...[Read More] Understanding Dizziness After Head Injury: When to Seek Further Evaluation
Understanding Toe Sensations: Possible Nerve Issues and Disc Problems
Toe problems For several months, there has been abnormal sensation on the inner side of the second toe of the left foot, with a dull feeling. Occasionally, there is a slight tingling sensation in the ball of the foot and the base of the big toe. Initially, the orthopedic speciali...
Dr. Jiang Junyi Reply:
Dear Ms. Wang, You mentioned, "If I undergo an MRI, can it be arranged to scan from the lower back to the entire leg to find the point where the nerve is compressed?" Generally speaking, peripheral nerve compression can often be diagnosed using electrophysiological stu...[Read More] Understanding Toe Sensations: Possible Nerve Issues and Disc Problems
Understanding Vibratory Sensations and Balance Issues: A Neurology Perspective
Head movement with a sensation of tremors in the legs? Hello doctor, my symptoms are as follows: Since November of last year, I have felt tremors while sitting. When I brush my teeth or wash my hair (sitting on a small stool facing down) or while doing dishes, I feel my calves vi...
Dr. Peng Shiwei Reply:
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Vibratory Sensations and Balance Issues: A Neurology Perspective
Managing Parkinsonism and Orofacial Dyskinesia in Elderly Stroke Patients
Parkinson's disease, oromandibular dystonia? Dear Doctor, My father has been living with the effects of a stroke for 12 years now. Approximately 9 years ago, he became reliant on others for care. Initially, he was able to communicate and eat without issues, but as he aged ...
Dr. Peng Shiwei Reply:
Parkinson's disease is a degenerative disorder that can be managed with medication to slow the progression, but it cannot be cured. The cause of oromandibular dystonia also requires evaluation by a neurologist. Due to the inconvenience of going out for medical care, it is re...[Read More] Managing Parkinsonism and Orofacial Dyskinesia in Elderly Stroke Patients
Understanding Persistent Headaches and Dizziness: Possible Causes and Solutions
Persistent headaches and dizziness for over a month? Hello, doctor. I would like to ask about my condition. I have been experiencing headaches for a month now, with daily pain that feels tight and pressure-like. Recently, I've noticed a pulsating sensation in my temples and ...
Dr. Cai Zongzhang Reply:
Hello Eric: There are various causes of headaches, and not all of them can be identified through a CT scan. If the headache does not improve, it is recommended to continue follow-up treatment in a neurology outpatient clinic.[Read More] Understanding Persistent Headaches and Dizziness: Possible Causes and Solutions