MS, Neurology FAQ - Page 23

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Understanding Persistent Dizziness: Possible Causes and Next Steps

Dizziness and an unsteady sense of balance? Hello, Doctor. I have been experiencing dizziness for over a month. I have seen specialists in neurology, otolaryngology, and cardiology, and all tests have come back normal. However, my symptoms have not improved with medication. I wou...


Dr. Jiang Junyi Reply:
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...

[Read More] Understanding Persistent Dizziness: Possible Causes and Next Steps


Understanding Outer Thigh Numbness: Causes and Solutions for Active Individuals

Numbness in the outer thigh caused by exercise (I have already researched and found no similar conditions)? Hello Doctor, I have been troubled by this issue for some time, and it may be a bit lengthy. I hope you can provide me with advice and assistance. (I have not experienced a...


Dr. Jiang Junyi Reply:
Hello Mr. Tommy, You mentioned experiencing a tingling sensation on the outer side of your right thigh near the knee. In addition to possible compression of the lumbar nerve roots (L2 and L3), it may be necessary to consider inflammation of the lateral femoral cutaneous nerve. T...

[Read More] Understanding Outer Thigh Numbness: Causes and Solutions for Active Individuals


Understanding Head and Tooth Pain: When to Seek Neurological Help

Head and tooth pain? Hello Doctor, I am a 23-year-old female. I have been experiencing pain in my head and teeth for a week. The headache is located on the left side, above the ear, extending to the top of the head. Accompanying symptoms include sharp pain in the lower left teeth...


Dr. Jiang Junyi Reply:
Hello Ms. Zhyn, You mentioned that "the location of the trigeminal nerve sometimes feels like being scratched by something, with a sharp pain similar to an electric shock lasting for a second; sometimes it occurs continuously, and other times with longer intervals. However,...

[Read More] Understanding Head and Tooth Pain: When to Seek Neurological Help


Understanding Muscle Tension: Symptoms and Solutions for Neurological Issues

Involuntary muscle tension? Hello Doctor: Since around middle school, I have experienced episodes where my head involuntarily turns to the left, and the muscles in my face, neck, and limbs temporarily (for about ten seconds) maintain a rigid posture, becoming twisted and unable t...


Dr. Peng Shiwei Reply:
Hello, there are many possible diagnoses for your symptoms. I recommend that you visit a neurology clinic for a detailed evaluation. Thank you for your inquiry.

[Read More] Understanding Muscle Tension: Symptoms and Solutions for Neurological Issues


Persistent Right Calf Pain: When to See a Specialist?

Right calf? If you have been experiencing pain in your right calf for over a month, and the pain persists even with Tramadol (37.5 mg) and Acetaminophen (325 mg), along with tenderness upon touch, it is advisable to consult a specialist. Given that you have a small varicose vein ...


Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned that "touching causes pain, and there is a small varicose vein that has been checked with ultrasound and found to be normal. Should I see a neurologist, a rehabilitation specialist, or a pain management specialist?" It is recommended that you...

[Read More] Persistent Right Calf Pain: When to See a Specialist?


Low Ceruloplasmin Levels: Impacts on Neurological Health and Symptoms

Test values are low? Hello Doctor, I would like to ask about my previous blood test for ceruloplasmin, which showed a low value of 185 mg/L (normal range 200-600). Sometimes my hands shake involuntarily. Is there a direct relationship between this symptom and low ceruloplasmin le...


Dr. Jiang Junyi Reply:
Hello Mr. Andy, You mentioned that "ceruloplasmin is low," which is commonly used in clinical practice to diagnose tremor-related disorders, particularly Wilson's disease. This is a genetic disorder characterized by impaired copper transport and accumulation of co...

[Read More] Low Ceruloplasmin Levels: Impacts on Neurological Health and Symptoms


Understanding Pain in the Tips of Your Big Toes: Causes and Solutions

Painful sensation at the tip of the big toe? I have been experiencing a sharp pain at the tips of both my big toes recently. However, I couldn't find any similar symptoms online. The pain is located just below the front of the toenail and is in an area that does not touch th...


Dr. Wu Mukhan Reply:
Hello, it seems that your symptoms may be related to peripheral nerve issues. If there is no improvement, it is recommended to visit a neurology outpatient clinic for evaluation to determine if further testing is necessary.

[Read More] Understanding Pain in the Tips of Your Big Toes: Causes and Solutions


Understanding Dizziness, Rapid Heartbeat, and Weight Loss Symptoms

Dizziness, increased heart rate, and a sensation of weightlessness? Hello doctor, for the past six months, I have often felt inexplicably anxious over minor issues, with an increased heart rate, sometimes accompanied by cold sweats and nausea. Recently, I have also experienced di...


Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it appears that you may have Generalized Anxiety Disorder. You can refer to this article: https://wwwv.tsgh.ndmctsgh.edu.tw/unit/10058/17028. If you have any questions, you may also consult the psychiatry outpatient clinic. Thank you for your inquir...

[Read More] Understanding Dizziness, Rapid Heartbeat, and Weight Loss Symptoms


Understanding Mild Hydrocephalus: Concerns and Treatment Options

Some questions about mild hydrocephalus? Hello Doctor: My girlfriend is 32 years old. Recently, she underwent a CT scan of the brain due to other mental health issues, including depression. After the evaluation, the doctor informed us that the brain findings were unrelated to her...


Dr. Peng Shiwei Reply:
Hello, based on your inquiry, I'm not sure if you are referring to mild hydrocephalus, which could mean either hydrocephalus or subdural hygroma, as different locations in the brain can lead to fluid accumulation. I may need more information to provide further advice. If you...

[Read More] Understanding Mild Hydrocephalus: Concerns and Treatment Options


Understanding Your EEG Report: What High Beta Waves Mean for You

Interpretation of EEG Report Due to a headache, an EEG report was conducted. Since the follow-up appointment is in two weeks, I checked the health insurance app and the report has been uploaded. EEG description: This EEG was performed when the patient was awake and at rest (GCS =...


Dr. Jiang Junyi Reply:
Dear Ms. Yue, You mentioned, "Is the beta wave high according to the report?" Your report indicates that it is within the normal range. Typically, beta waves increase when we are engaged in thought processes. It is possible that during the EEG, you were actively thinki...

[Read More] Understanding Your EEG Report: What High Beta Waves Mean for You


Understanding Cervical Disc Herniation: Recovery and Treatment Insights

Cervical disc herniation issues? Hello Dr. Jiang: Recently, I have been experiencing back pain due to my fitness routine. Initially, I sought treatment from traditional Chinese medicine focusing on my thoracic spine. After some improvement, there was no further progress, so I dec...


Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-fu, You mentioned the issue of low bone density (seemingly below -3), which may be due to my consistently low body weight since birth. However, will this affect my recovery from a herniated disc? A herniated disc is typically caused by improper posture combined wi...

[Read More] Understanding Cervical Disc Herniation: Recovery and Treatment Insights


Understanding Non-Specific Dizziness: Symptoms and Next Steps

Non-specific dizziness has multiple symptoms? Hello, doctor. I have been experiencing dizziness for a month. It started a month ago due to academic pressure, but even though the pressure has decreased, the dizziness persists. I have seen both a neurologist and an ENT specialist, ...


Dr. Cai Zongzhang Reply:
Hello Mr. Wang: There are many possible causes for headaches and dizziness, most of which fall under the specialties of neurology or otolaryngology. If the symptoms persist without improvement, you may consider visiting a second neurologist for an evaluation of potential underlyi...

[Read More] Understanding Non-Specific Dizziness: Symptoms and Next Steps


Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective

Heavy and weak hips, abnormal tightness in leg muscles? Hello Doctor, I have been experiencing a heavy and weak sensation in my hip. When I try to sit up straight in a chair, it feels like my back muscles are doing all the work to lift my body. If I stand on my feet for a while (...


Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "the hip feels very heavy and weak, and when trying to sit up from a chair, it feels like the back muscles are the ones pulling the body up; standing on both feet for a while (5 minutes) makes them feel very tight, heavy, and weak; when one...

[Read More] Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective


Understanding Head Pressure: When to Seek Neurological Help

Inquiry about Head Pressure Until yesterday, I had been staying up late for a week to complete assignments, with a sleep schedule of going to bed at 8 AM and waking up at 3 PM. For the past two nights, I experienced significant swelling in my head (above the temples on both sides...


Dr. Jiang Junyi Reply:
Dear Mr. Wood, You mentioned that "after a week of continuous late nights... my head is very swollen (above the temples on both sides)," and we should first consider tension-type headache. The symptoms of this type of headache are as follows: 1. It is often bilateral...

[Read More] Understanding Head Pressure: When to Seek Neurological Help


Understanding Hand Tremors: When to Seek Neurological Help

Tremor issues? My son experiences involuntary hand tremors when he holds a coffee cup and puts it into a bag. We took him for an examination, and there were no thyroid issues. The doctor mentioned that this is a primary issue. His father feels that this is unusual since our son d...


Dr. Cai Zongzhang Reply:
Hello, Xiao Zhen: It is recommended to visit the neurology outpatient clinic for an examination.

[Read More] Understanding Hand Tremors: When to Seek Neurological Help


Should You Visit the ER for Severe Headaches and Nausea?

Do headaches, vomiting, and chest pain require a visit to the emergency room for evaluation? Hello Doctor, I would like to ask about the symptoms I started experiencing a few days ago. I have been having intermittent headaches, and after seeing a doctor, I was told it might be du...


Dr. Cai Zongzhang Reply:
Hello, Xiao Hao: If your headache continues to worsen and does not improve with rest, it is recommended to visit a neurology outpatient clinic.

[Read More] Should You Visit the ER for Severe Headaches and Nausea?


Persistent Numbness in Right Big Toe After Injury: Causes and Solutions

Toe issues with numbness upon touch or pressure? Six months ago, an object fell and pressed on my right big toe, causing no external injury or bruising. I experienced pain for a few days, and while walking, I didn't feel much discomfort. However, when I pressed on the big to...


Dr. Cai Zongzhang Reply:
Hello Lin: The symptoms mentioned above are likely caused by nerve damage in the right thumb. It is recommended to visit a neurology clinic for examination and treatment.

[Read More] Persistent Numbness in Right Big Toe After Injury: Causes and Solutions


Feeling Breathless Before Sleep: Understanding Sleep Disruptions

Waking up feeling like you've forgotten to breathe just as you're about to fall asleep? For the past couple of days, I've been experiencing a sensation of forgetting to breathe just as I'm about to fall asleep. I wake up briefly, feel alert for a while, and th...


Dr. Cai Zongzhang Reply:
Hello, the symptoms mentioned may indicate sleep apnea; however, there are other potential causes. It is recommended to visit a neurology outpatient clinic.

[Read More] Feeling Breathless Before Sleep: Understanding Sleep Disruptions


Morning Headaches: Causes, Concerns, and When to Seek MRI

Waking up with a headache every morning? I have been experiencing headaches for about two years, and in recent months, I have been waking up almost every morning with a throbbing pain in my head. After getting up and moving around, the pain tends to ease, but I continue to feel d...


Dr. Wu Mukhan Reply:
Hello, the most common causes of chronic headaches are migraines and tension-type headaches, which are functional issues of the nervous system. Generally, they can be diagnosed without imaging studies, and most cases can improve with outpatient treatment. If the headache is cause...

[Read More] Morning Headaches: Causes, Concerns, and When to Seek MRI


Understanding Knee Sensory Loss: Causes and Treatment Options

Diminished sensation in the anterior aspect of the knee? Hello, Doctor. I have been practicing aerial yoga once a week and occasionally doing light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my knee...


Dr. Jiang Junyi Reply:
Dear Ms. Tsao, You mentioned, "I feel numbness and still have the sensation of wanting to take anesthetics." This is a typical symptom of peripheral nerve injury. The statement "I feel pain when pressing on the inner side of my knee" indicates localized tissu...

[Read More] Understanding Knee Sensory Loss: Causes and Treatment Options


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