Understanding Arm Numbness Upon Waking: Causes and Risks
Causes and Potential Risks of Experiencing Numbness in the Arm Upon Waking Up Hello, Doctor! Recently, I have noticed that sometimes while sleeping, I unconsciously raise one arm above my head (resting it on the pillow behind my head rather than pressing it underneath). When I wa...
Dr. Jiang Junyi Reply:
Dear Mr. Awei, Your symptoms, as you described, are due to nerve compression. You mentioned, "If this happens often, could it be harmful? For example, could my hand become necrotic one day and require amputation?" This is typically a consequence of vascular obstruction...[Read More] Understanding Arm Numbness Upon Waking: Causes and Risks
Understanding Dizziness: Causes and Solutions for Better Health
Causes of Dizziness I have a female friend who has been unable to stay up late recently; otherwise, she feels discomfort in her head when lying down. It is said that this might be caused by insufficient blood flow to the head, possibly due to weak heart function. She drinks a lit...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: You mentioned that "lying down makes my head feel uncomfortable, and I heard it might be due to blood not reaching the head, possibly because the heart isn't strong enough..." You might be referring to syncope. It is more likely to occur when standi...[Read More] Understanding Dizziness: Causes and Solutions for Better Health
Understanding Recurrent Dizziness: Insights from Neurology and ENT
Dizziness issues? Hello, doctor. Thank you very much for your previous response. I am the person who asked question #195465. My dizziness issue has been recurring since the second half of last year. In February of this year, I consulted a neurologist who diagnosed me with vestibu...
Dr. Jiang Junyi Reply:
Hello, Miss: Vestibular migraine may be related to the pathophysiological mechanisms of migraine, such as vasoconstriction and vasodilation, neural hyperexcitability, or central nervous system dysfunction. It is recommended that you use a medication like Naoqing for prevention du...[Read More] Understanding Recurrent Dizziness: Insights from Neurology and ENT
Persistent Eye Blinking and Strain: Understanding Neurological Causes
Incessant blinking and excessive effort in eyelid movement? Hello, doctor. Since the beginning of 2021, I started wearing orthokeratology lenses, but I stopped using them in early 2022 due to an infection and inflammation. After a few days of treatment with steroid eye drops pres...
Dr. Jiang Junyi Reply:
Dear Ms. Liang, You mentioned that "the blinking in Tourette syndrome does not feel as forceful and does not have a foreign body sensation..." Generally speaking, symptoms of Tourette syndrome can be temporarily suppressed by willpower, but this is often followed by a ...[Read More] Persistent Eye Blinking and Strain: Understanding Neurological Causes
Understanding Knee Sensory Loss: Causes and When to Seek Neurology Help
Diminished sensation in the anterior knee? Hello, doctor. I have been doing aerial yoga once a week and occasionally engaging in 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, similar to ...
Dr. Jiang Junyi Reply:
Dear Ms. Tsao, You mentioned that "there is a sensation of numbness and a desire for anesthesia." This is a typical symptom of peripheral nerve injury. The statement "there is pain when pressing on the inner side of the knee" indicates localized tissue inflam...[Read More] Understanding Knee Sensory Loss: Causes and When to Seek Neurology Help
Understanding Knee Sensory Loss: Causes and Treatment Options
Diminished sensation in the anterior aspect of the knee? Hello, doctor. I have been doing aerial yoga once a week and occasionally engaging in light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my kne...
Dr. Jiang Junyi Reply:
Dear Ms. Tsao, Your symptoms of "electric shock sensation have disappeared, and your knee can move freely, but the feeling of numbness and the desire for anesthesia still persist." It seems that the nerves are gradually healing. I recommend increasing your intake of B ...[Read More] Understanding Knee Sensory Loss: Causes and Treatment Options
Persistent Lip and Chin Numbness After Jaw Surgery: When to Seek Help?
Numbness of the lower lip and chin after orthognathic surgery? It has been one year and three months since my orthognathic surgery, and I am experiencing numbness in the left side of my lower jaw, including my chin, lip, and gums. The teeth in that area also feel numb when biting...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe that the chances of maintaining the current condition are relatively high. However, since you are still young, it may be worth waiting to see if the nerves can repair themselves. I recommend continuing with B12 supplementation, and you may...[Read More] Persistent Lip and Chin Numbness After Jaw Surgery: When to Seek Help?
Understanding Sharp Pain Under Right Rib: When to Seek Medical Help
Sharp pain between the right chest and the ribs? Hello, doctor. I experience intermittent sharp pain at the junction of my ring finger and palm, as well as between my right chest and ribs. It feels like being pricked by a needle, and often occurs simultaneously. The pain lasts ab...
Dr. Cai Zongzhang Reply:
Hello Rachel: The symptoms mentioned may indicate a cervical spine nerve disorder. It is recommended to visit a neurology clinic for an examination to confirm the cause.[Read More] Understanding Sharp Pain Under Right Rib: When to Seek Medical Help
Understanding Lower Back Pain: Causes and When to Seek Help
Lumbar pain Yesterday, I spent the entire day moving heavy objects. Since I rarely exercise, I relied heavily on my lower back for strength. After finishing the lifting, I felt fine until bedtime. However, this morning when I woke up, I noticed pain on my right side, specifically...
Dr. Jiang Junyi Reply:
Dear Mr. Yang, You mentioned, "It hurts a little when I press on it, but only on the right side. I'm not sure if this pain is due to a tendon strain or if it has affected my lumbar vertebrae or coccyx." Your symptoms, particularly the presence of tenderness, are m...[Read More] Understanding Lower Back Pain: Causes and When to Seek Help
Understanding Abnormal Sensations in Feet: Causes and Solutions
Abnormal sensation Hello Doctor, I have recently been experiencing a strange sensation in my feet, where they often feel cold (or hot? It's a peculiar feeling that starts from my toes and extends upwards). Although my feet feel cold, their actual temperature seems normal. I&...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "the neurologist said an MRI was not necessary, and only advised me to exercise more, maintain a regular sleep schedule, and eat more B vitamins, without prescribing any medication. At that time, I did not have the unusual symptom of coldn...[Read More] Understanding Abnormal Sensations in Feet: Causes and Solutions
Postpartum Hand Tremors: Understanding Causes and Treatment Options
Postpartum tremors Hello Doctor: In mid-February of this year, I had a natural delivery without epidural anesthesia. About ten days after being discharged, I occasionally experienced tremors in my right thumb, which later progressed to my entire arm shaking. Before the tremors st...
Dr. Wu Mukhan Reply:
Your symptoms may indicate a movement disorder, and a personal evaluation by a physician is necessary for further assessment. It is recommended to visit a medical center where a neurologist with expertise in movement disorders can arrange for subsequent examinations and treatment...[Read More] Postpartum Hand Tremors: Understanding Causes and Treatment Options
Understanding Thumb Tremors: Causes and Concerns After Napping
The right thumb is bent and trembling? This afternoon, I slept on my desk for about 40 minutes, and later in the evening, my right thumb started to tremble when I bent it (but I don't feel weak, and I can use it normally). The trembling is quite noticeable. Additionally, whe...
Dr. Wu Mukhan Reply:
Your symptoms may be due to compression of the peripheral motor nerves while sleeping on your stomach, leading to weakness and abnormal movements. It is advisable to avoid this sleeping position. Typically, rest, heat therapy, and massage can help alleviate the symptoms. If there...[Read More] Understanding Thumb Tremors: Causes and Concerns After Napping
Understanding Spinal Issues: Neurological Pain and Diagnosis
Spinal issues Due to pain in the lumbar spine, nerve conduction studies and electromyography were performed during military service medical examination. Attached are the relevant reports and X-rays. I would like to inquire whether there is a nerve issue, as the pain is severe eno...
Dr. Jiang Junyi Reply:
Dear Mr. W: (As the attached file is no longer readable.) You mentioned experiencing pain so severe that you cannot stand or sleep, and that it extends to your toes. This may indicate symptoms of nerve compression due to a herniated disc or peripheral nerve compression. 1. The...[Read More] Understanding Spinal Issues: Neurological Pain and Diagnosis
Understanding Neck Stiffness and Muscle Tension: Causes and Solutions
Stiffness when turning the neck and tightness in the muscles at the back of the head? Hello doctor, for the past six months, I have been experiencing stiffness in my neck muscles when turning my head, often unable to turn it fully, especially when using my phone or computer. I fi...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is likely that chronic tension in the upper neck is caused by prolonged poor posture. I recommend starting with improving your posture and incorporating relaxation exercises for your neck. If these methods provide limited improvement, it would be...[Read More] Understanding Neck Stiffness and Muscle Tension: Causes and Solutions
Understanding Leg Neuropathic Pain: Causes and Management Strategies
Leg neuropathy, polyneuropathy? Hello Doctor, I have consulted multiple physicians (in rehabilitation, orthopedics, neurosurgery, and neurology), but I still cannot identify the problem... I am 32 years old and work as a software engineer. My symptoms seem quite variable, and I h...
Dr. Jiang Junyi Reply:
Hello Mr. Zac, You mentioned that "when walking, the outer side of my left ankle feels like it's being electrified, and after this pain sensation appeared, my outer calf and the sole of my foot began to feel numb and tingly (which may indicate nerve damage)." This...[Read More] Understanding Leg Neuropathic Pain: Causes and Management Strategies
Understanding Your Neck Ultrasound Results: A Guide to Carotid Atherosclerosis
Neck ultrasound examination Hello, doctor. In 2020, I had a neck ultrasound examination, and the doctor said everything was normal, did not prescribe any medication, and did not mention the need for follow-up tests. However, I found on Google Translate that there might be issues ...
Dr. Jiang Junyi Reply:
Dear Ms. Heifetz, You mentioned, "Neck ultrasound report: Conclusion Mild carotid atherosclerosis without significant hemodynamic change." Essentially, this examination report indicates that the level of atherosclerosis is within the normal range. Common risk factors f...[Read More] Understanding Your Neck Ultrasound Results: A Guide to Carotid Atherosclerosis
Understanding Dizziness and Neck Tension After Weightlifting: A Neurology Perspective
Brain issues (hypoxia, dizziness) Two weeks ago, while working out (performing incline bench press with a barbell), I struggled to lift the barbell on the last rep due to near exhaustion. Immediately after, I felt tightness around my forehead extending to the back of my head, fol...
Dr. Jiang Junyi Reply:
Hello Mr. L: You mentioned that "there is a tightness around the forehead extending to the back of the head... and I have been experiencing tightness in the back of the neck and dizziness due to exertion and hypoxia." It may be necessary to first consider issues related...[Read More] Understanding Dizziness and Neck Tension After Weightlifting: A Neurology Perspective
Understanding Unexplained Dry Heaving: Possible Neurological Causes
Frequent unexplained dry heaving? Hello Doctor, I am currently 21 years old and a university student. For the past three years, I have occasionally experienced dry heaving and nausea. Initially, I suspected that it might be due to eye strain from prolonged use of my phone or comp...
Dr. Jiang Junyi Reply:
Hello Mr. Kevin, You mentioned experiencing symptoms of bright vision and dry heaving occurring simultaneously, which typically requires a day of rest and sleep for the symptoms to resolve the next day. I wonder if you are also experiencing headaches? It may be worth considering...[Read More] Understanding Unexplained Dry Heaving: Possible Neurological Causes
Understanding Right Side Abdominal and Back Nerve Sensations: Causes and Next Steps
Electric, numb, swollen, and prickling sensations appeared in the right side of the abdomen and right side of the back? Hello Doctor, two years ago I started experiencing electric, numb, bloated, and prickling sensations in the right side of my abdomen and right side of my back. ...
Dr. Jiang Junyi Reply:
Hello Ms. Ju, You mentioned that you are experiencing electric, numb, swollen, and prickling sensations in your right abdomen and right back. Your symptoms may suggest an abnormality in the lumbar nerve roots. A common cause is nerve root compression, but a minority of cases may...[Read More] Understanding Right Side Abdominal and Back Nerve Sensations: Causes and Next Steps
Head Injury from Bumping into Wood: Should You See a Doctor?
Hit the head against a wooden board? Today, when I stood up from a squatting position, the back of my head hit the wooden frame of the bed, making a loud noise, and I felt momentarily dazed. Could this lead to a brain hemorrhage? Afterward, there was no swelling when I touched it...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned feeling "blank-headed" and asked if this could lead to a brain hemorrhage. Generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas following a head injury, the symptoms are usually mild. H...[Read More] Head Injury from Bumping into Wood: Should You See a Doctor?