Understanding Dizziness and Confusion: When to Seek Neurological Help
Dizziness and a feeling of mental confusion? Around July 28, I started experiencing a feeling of pressure on the top of my head and intermittent nausea in my forehead. My shoulders and neck initially felt very tight, and I could hear sounds when I moved them. I also experienced i...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you have been experiencing high levels of stress and poor sleep quality recently. I recommend that you take some time to rest and relax both your body and mind. If the situation persists, you may want to seek assistance from a...[Read More] Understanding Dizziness and Confusion: When to Seek Neurological Help
Medication Consultation for Neurological Recovery After Brain Surgery
Medication consultation Hello Dr. Jiang, after my brain surgery last year, I have developed various neurological sequelae on my face and facial area. The surgeon only prescribed B12 and folic acid for "treatment" during follow-up visits. I would like to know if the bloo...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, You mentioned whether the "blood-brain barrier" might also reduce the absorption and efficacy of water-soluble vitamins. Vitamins need to bind to proteins to cross the blood-brain barrier, and it seems that Vitamin B12 can pass through. To enhance absorp...[Read More] Medication Consultation for Neurological Recovery After Brain Surgery
Managing Cervical Dystonia in a 70-Year-Old: Treatment Options and Recommendations
Cervical dystonia in a 70-year-old adult? Hello Doctor, my mother is 70 years old and has been suffering from cervical dystonia for the past two years. Her neck often moves involuntarily to one side. She has tried various treatment options, such as Botox injections, medications, ...
Dr. Hong Weibin Reply:
Hello: Cervical dystonia can cause muscle pain and significantly impact the quality of life. Currently, the most effective treatment remains muscle injection of botulinum toxin. This method involves injecting botulinum toxin into the muscles responsible for cervical dystonia, all...[Read More] Managing Cervical Dystonia in a 70-Year-Old: Treatment Options and Recommendations
Persistent Shoulder and Neck Pain: When to Seek Neurology Care?
Shoulder and neck pain? I have been experiencing shoulder and neck pain (without numbness, just a tight sensation and discomfort) for over four months. I have tried physical therapy, traditional Chinese medicine, chiropractic care, and even massage, but my condition has not impro...
Dr. Jiang Junyi Reply:
Dear Miss Yu, You mentioned that you have been experiencing "shoulder and neck pain (without numbness, just a tight feeling and discomfort) for over four months, and have visited rehabilitation, traditional Chinese medicine, and out-of-pocket chiropractic doctors..." Y...[Read More] Persistent Shoulder and Neck Pain: When to Seek Neurology Care?
Understanding Numbness and Pain in the Left Thigh: Causes and Solutions
Numbness and pain in the left thigh? Hello, I occasionally experience an involuntary twitching sensation in the skin on the outer side of my left thigh, and it feels somewhat numb. This has been happening for a while. After doing leg exercises at the gym last week, I felt fine, b...
Dr. Jiang Junyi Reply:
Dear Miss Yingzi, You mentioned that "the sensation is somewhat numb. It has been this way for a while. After doing leg exercises at the gym last week, I felt fine, but the next morning I woke up due to continuous sharp pain and numbness on the side of my left thigh. When I...[Read More] Understanding Numbness and Pain in the Left Thigh: Causes and Solutions
Understanding Balance Issues and Headaches: When to Seek Help
A few days ago, I posted about the issue of headaches? Hello, I asked a question here a few days ago, and Dr. Jiang's response was that if I am very concerned, I can pay for an examination. Over the past few days, my headache has indeed improved, but last night I suddenly fe...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that you suddenly feel as if your balance is unstable and you might fall to the side. If you are concerned, I recommend the following principle for seeking medical attention: find a nearby hospital with an emergency department where you can have inte...[Read More] Understanding Balance Issues and Headaches: When to Seek Help
Understanding One-Sided Scalp Pain: When to See a Neurologist
Unilateral scalp pain? Hello Doctor: I would like to ask about some symptoms I've been experiencing. About a week ago, I noticed pain and tightness on the right side of my scalp. Later, the pain extended to my right neck, where I also developed something that looks like a pi...
Dr. Jiang Junyi Reply:
Hello Miss Piggy: You mentioned that "there are things that look like pimples and cannot be turned," which may suggest a skin rash caused by the herpes virus. I recommend that you consult a dermatologist to discuss examination and treatment, as neurology typically addre...[Read More] Understanding One-Sided Scalp Pain: When to See a Neurologist
Understanding Sharp and Throbbing Head Pain: Possible Causes and Insights
Sharp and throbbing pain in the head? Hello, Dr. Jiang. Recently, I've been experiencing occasional sharp and throbbing pain in the upper left side of my head over the past two days. Each episode lasts about a second. When I press on a specific point, I feel the same pain (s...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "pressing on a certain point also causes the same pain." It is important to first consider the possibility of tissue inflammation, particularly related to cervical myofascial inflammation. Additionally, tension-type headache should be cons...[Read More] Understanding Sharp and Throbbing Head Pain: Possible Causes and Insights
Understanding Persistent Headaches: Causes and When to Seek Help
Headache issues Hello Doctor: I have been experiencing headaches for about a month now, without interruption. Initially, over-the-counter pain relievers were ineffective. The pain is located between the back of my head and the top, generally towards the upper left side, and it fe...
Dr. Jiang Junyi Reply:
Dear Ms. Hsin, You mentioned that "the headache has been persistent for about a month without interruption." Your symptoms may suggest chronic migraine, characterized by experiencing migraine on more than 15 days per month, with varying severity. This condition can eas...[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Understanding Pain in the Second Toe When Pressing Down on the Foot
Sharp pain in the second toe of the left foot? When applying pressure downward on the sole of the left foot, there is a sharp pain in the second toe of the left foot. There are no other symptoms normally, and bending the toe directly does not cause pain; the pain only occurs when...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: It is recommended to visit the neurology outpatient clinic for an evaluation of the underlying cause.[Read More] Understanding Pain in the Second Toe When Pressing Down on the Foot
Persistent Headaches and Dizziness: Understanding Neurological Symptoms
Headache for several weeks? At the end of June, I suddenly woke up with moderate dizziness accompanied by a headache, which has persisted until now, the end of July (the dizziness has improved). The headache is usually located at the back of my head and extends to the occipital r...
Dr. Cai Zongzhang Reply:
Hello, the symptoms mentioned may indicate a peripheral nerve disorder. If the headache persists, it is recommended to visit a neurology clinic for evaluation.[Read More] Persistent Headaches and Dizziness: Understanding Neurological Symptoms
Understanding Sudden Headaches: When to Seek Further Evaluation
A few days ago, I experienced an unexplained headache right before going to bed at midnight? As described in the title, there is a sudden pain sensation that occurs approximately every few seconds, but it is not particularly intense and does not last long. In the following days, ...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: Headache is not the most common symptom of a brain tumor. It is recommended that if the headache persists and does not improve with medication, further evaluation should be conducted.[Read More] Understanding Sudden Headaches: When to Seek Further Evaluation
Understanding Unexplained Headaches: When to Seek Further Medical Evaluation
A few days ago, I experienced an unexplained headache right before going to bed at midnight? As mentioned in the title, there is a sensation similar to pressure building up, but it is not very painful. The episodes occur briefly and then reappear after a few seconds. For the past...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "during the neurology clinic appointment, the doctor inquired and performed some physical examinations (reflexes, vision, pupil size, etc.) and then stated that the likelihood of brain lesions is low, and it seems more like a headache cause...[Read More] Understanding Unexplained Headaches: When to Seek Further Medical Evaluation
How Long Will Facial Numbness Last After an Injury?
How long does facial tingling last? Hello, doctor. I fell and hit my face on a rock in the early morning of July 27th, resulting in significant bruising. I went to the emergency room that night for examination and was told there were no major issues. Two days later, I returned to...
Dr. Jiang Junyi Reply:
Dear Ms. Yu, You mentioned that "the impact has caused a noticeable tingling and numbness in the left nostril and upper lip, as well as mild pain in the teeth." Your symptoms may suggest compression or injury to the maxillary branch of the trigeminal nerve. Nerve repai...[Read More] How Long Will Facial Numbness Last After an Injury?
Understanding Eye Twitching and Facial Discomfort: Possible Causes and Solutions
After the twitching of the lower right eyelid, my face feels strange? Hello doctor, about four or five days ago, my right lower eyelid twitched for 2-3 days intermittently. Yesterday, the eyelid stopped twitching, but I felt some tightness in the area of my right cheekbone. Today...
Dr. Jiang Junyi Reply:
Dear Miss CC, You mentioned that "the apple of my right cheek feels a bit tight..." Have you looked in the mirror? Is there any asymmetry? Issues with the cervical spine typically manifest near the area behind the ear. If the symptoms persist, I recommend visiting a ne...[Read More] Understanding Eye Twitching and Facial Discomfort: Possible Causes and Solutions
Understanding Left Knee Numbness: Causes and Solutions
Numbness in the left knee? Hello, I've been experiencing some tingling in my left knee over the past couple of days, especially when standing or walking, but not much when sitting. I would like to know what kind of issue this might be and how I can improve it. Thank you.
Dr. Jiang Junyi Reply:
Dear Ms. KiKi, You mentioned that your left knee suddenly feels a bit numb. This symptom may suggest possible compression of the third lumbar vertebra or the femoral nerve. Symptoms of peripheral nerve compression include: 1. Pain characterized by burning or tingling sensation...[Read More] Understanding Left Knee Numbness: Causes and Solutions
Understanding Head Pain: Causes and When to Seek Help
Brain Issues - Headache Three days ago, I started experiencing pain in the back of my head. When I woke up today, I felt a heavy sensation in the entire area of the back of my head, and it is also painful. There is no vomiting, and my memory and balance seem fine, but whenever I ...
Dr. Jiang Junyi Reply:
Hello Mr. Jim, You mentioned that "the back of my head started to hurt, and when I woke up today, I felt a heavy sensation throughout the back of my head, and it also hurts." I would like to know if you are experiencing any blurred vision or fever. If your symptoms are...[Read More] Understanding Head Pain: Causes and When to Seek Help
Managing Facial Pain After Incomplete Recovery from Bell's Palsy
Incomplete recovery from facial nerve paralysis has resulted in facial pain? Hello Doctor, I would like to ask for your advice: My wife has developed facial nerve paralysis. Due to a delay in seeking medical attention, her recovery has not been complete. The doctor has diagnosed ...
Dr. Jiang Junyi Reply:
Dear Mr. San Ge, You mentioned that "the facial nerve paralysis has not healed due to the delay in seeking medical attention, and in the afternoon, the facial nerve becomes tense and painful, as if the nerve is about to snap, requiring pain medication." This symptom ma...[Read More] Managing Facial Pain After Incomplete Recovery from Bell's Palsy
Understanding Hand Tremors: Causes and When to Seek Help
Tremor issues Hello doctor, this morning when I started using the computer, my right hand, which I use to hold the mouse, experienced significant shaking, especially when pressing the buttons. I also tried other movements and found that my hand trembles quite a bit when making a ...
Dr. Jiang Junyi Reply:
Hello Mr. Jam: You mentioned that "the shaking is more pronounced when pressing buttons, and after trying other movements, I found that there is also significant shaking when making a fist, which sometimes occurs and sometimes does not." This symptom seems to be related...[Read More] Understanding Hand Tremors: Causes and When to Seek Help
Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment
Cervical spine issues Hello Doctor, I have been experiencing numbness in the tips of my fingers on both hands (more pronounced in the left hand) for over a year now, since I first noticed it. I visited a neurologist in May of this year. The doctor performed an X-ray and an electr...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "an MRI of the cervical spine has been scheduled, but it won't be until November. I would like to ask the doctor, with three months to wait, will this delay be too long to determine the extent of the compression?" If symptoms progr...[Read More] Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment