Severe Neck Pain: When to Seek Emergency Care?
If you are experiencing sudden, severe pain that prevents you from moving, you should go to the emergency room? Sudden neck pain that makes it difficult to breathe, with pain persisting even at rest, inability to move the head, weakness in the neck, and a sensation of breathlessn...
Dr. Jiang Junyi Reply:
Hello, You mentioned cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but over time, it can worsen and affect da...[Read More] Severe Neck Pain: When to Seek Emergency Care?
Understanding Arm Numbness: Neurological Insights and Recovery Time
Numbness in the arm? Hello Doctor, I am the person who inquired about the numbness in my upper arm a few days ago (#179797). I greatly appreciate your prompt and helpful response! If possible, I would like to ask a few more questions: 1) You mentioned that the issue might be re...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned that "certain specific movements cause numbness extending to the little finger." It may be necessary to consider cubital tunnel syndrome, which can lead to compression of the ulnar nerve. Nerve repair requires supplementation of B vitamins, ...[Read More] Understanding Arm Numbness: Neurological Insights and Recovery Time
Understanding Left-Hand Tremors: Causes, Symptoms, and Diagnosis
Tremors, atrophy, and involuntary movements in the left hand? Hello Doctor, I am currently 21 years old and noticed a hand tremor issue around the age of 12. The tremor occurs only in my left hand; it does not shake when at rest, but all five fingers tremble when I exert force. S...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "there is muscle atrophy in the left palm, blood tests for thyroid hormones are normal, and a nerve conduction study has been arranged... is it possible that brain or cerebellar lesions are the cause?" Typically, peripheral nerve lesio...[Read More] Understanding Left-Hand Tremors: Causes, Symptoms, and Diagnosis
Understanding Right Neck and Head Pain: Causes and Relief Strategies
Right shoulder and neck pain with tenderness upon palpation at the right occipital region? Hello, I have a history of migraines, but recently I've been feeling a sense of heaviness in my head at times (not dizziness). After looking down for a while, I experience soreness in ...
Dr. Cai Zongzhang Reply:
Hello Ting: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Right Neck and Head Pain: Causes and Relief Strategies
Head Injury from Hitting a Wall: When to Seek Medical Attention
Bumped the top of the head against a wall corner with force? Hello, doctor. Yesterday, while wearing a hat, I didn't notice that the ceiling ahead was lower and walked straight into it, resulting in a strong impact on the right angle of the ceiling's concrete and steel ...
Dr. Cai Zongzhang Reply:
Hello, Lin: If you experience persistent numbness in the left side of your limbs, please visit a neurology or orthopedic outpatient clinic for evaluation.[Read More] Head Injury from Hitting a Wall: When to Seek Medical Attention
Understanding Dizziness and Neck Issues: When to Seek Further Evaluation
Cervical spine, dizziness Hello Doctor, I started experiencing dizziness and hand numbness on January 17. I initially went to a general clinic where my blood pressure and heart rate were normal. After taking medication, my dizziness improved slightly, but I still occasionally fee...
Dr. Cai Zongzhang Reply:
Hello, cervical spine pain can cause nerve or vascular compression, leading to the symptoms mentioned above. It is recommended to consult a neurologist for evaluation and examination.[Read More] Understanding Dizziness and Neck Issues: When to Seek Further Evaluation
Understanding Nerve Issues: Numbness and Urinary Problems After Vaccination
Numbness in the feet and urinary issues? Hello Dr. Jiang, Recently, I have been experiencing numbness in my left foot and difficulty urinating. After undergoing several tests at the hospital, I was informed that my health is generally good. An MRI revealed inflammation near the ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "MRI showed inflammation near the 11th and 12th vertebrae, and tests indicated low levels of B12 and folate. You informed your physician that you received the third dose of the Moderna vaccine on February 18, and the hospital indicated that vaccine ...[Read More] Understanding Nerve Issues: Numbness and Urinary Problems After Vaccination
Understanding Eyelid Twitching: Causes and When to See a Neurologist
Eyelid twitching Hello, Doctor! I would like to inquire about a condition I experience. Whenever I close my eyes to rest, I can feel my eyelids rapidly twitching (similar to rapid blinking, but my eyes are still closed). This twitching does not stop even if I keep my eyes closed ...
Dr. Jiang Junyi Reply:
Hello Miss Tong, You mentioned, "After opening my eyes, my eyelids don't blink uncontrollably anymore, and this has been going on for a while. I wonder what could be causing this issue?" Most eyelid twitching is physiological and not caused by any disease. The eye...[Read More] Understanding Eyelid Twitching: Causes and When to See a Neurologist
Can Vaccines Cause Neurological Issues? Understanding Eye and Muscle Twitches
Can vaccination cause neurological issues? Hello doctor, I had no issues after receiving the first two doses of the AstraZeneca vaccine. However, after my third dose of Moderna, I started experiencing frequent twitching in my left lower eyelid about a week later, occurring 2-5 ti...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "after receiving the third dose of Moderna, my left lower eyelid started twitching frequently, 2-5 times an hour, and it has been nearly three weeks." Your symptoms do not seem to indicate a serious adverse reaction. There have been many r...[Read More] Can Vaccines Cause Neurological Issues? Understanding Eye and Muscle Twitches
Unexplained Weakness and Tremors in Children: A Neurological Concern
Unable to walk, feeling weak? Your question: A child was hospitalized due to severe abdominal pain and a Mycoplasma pneumoniae infection. The next day, they began experiencing continuous tremors in their hands and feet, generalized weakness, and shortness of breath. They have bee...
Dr. Jiang Junyi Reply:
Hello: You mentioned, "It has been 14 days, the cerebrospinal fluid has been tested and there are no issues, all necessary examinations have been conducted, and the symptoms remain the same. What other tests should be done?" In this case, it may be advisable to consult ...[Read More] Unexplained Weakness and Tremors in Children: A Neurological Concern
Understanding Arm Numbness: Possible Causes and Treatment Options
Questions about arm numbness? Hello Doctor, for the past month or so, I have been experiencing a sensation in my upper arm, specifically in the deltoid area, that feels similar to the numbness one gets after sleeping on their arm. Sometimes there is also a soreness, while other t...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned, "Are there other issues such as cubital tunnel syndrome or other neurological disorders that could produce similar symptoms? Or can we almost definitively conclude that it is a cervical spine issue?" Typically, symptoms resulting from nerve...[Read More] Understanding Arm Numbness: Possible Causes and Treatment Options
Understanding Hand Numbness and Arm Pain: When to See a Neurologist
Numbness in the hands and arm pain? I'm not sure if it's due to nerve compression in the wrist from exercising or prolonged computer use, but my fingers are numb, and my wrist cannot extend back to 90 degrees like it used to. I visited a clinic where I was prescribed an...
Dr. Jiang Junyi Reply:
Dear Mr. August, You mentioned that "after prolonged computer use, my fingers feel numb," which may indicate common median nerve injury or ulnar nerve injury. Median nerve injury, also known as carpal tunnel syndrome, typically occurs in individuals who perform repetit...[Read More] Understanding Hand Numbness and Arm Pain: When to See a Neurologist
Managing Muscle Tremors in ALS: Effective Treatments and Solutions
Muscle twitching Someone around me has been diagnosed with amyotrophic lateral sclerosis (ALS) and is currently experiencing tremors in both lower limbs that affect sleep. Although the doctor has prescribed muscle relaxants, they have not been effective. I would like to ask the d...
Dr. Jiang Junyi Reply:
Hello, Ms. Shu: You mentioned that "your lower limbs tremble/shake to the extent that it affects your sleep, and although the doctor has prescribed muscle relaxants." In addition to medication, sometimes stretching exercises are necessary to alleviate muscle tightness....[Read More] Managing Muscle Tremors in ALS: Effective Treatments and Solutions
Neck Compression and Sleep Issues: Choosing the Right Pillow
Cervical spine compression and sleep issues? Hello, doctor. I have compressed nerves in my cervical spine. After rehabilitation, the pain has subsided, but I still experience occasional hand numbness and intermittent neck pain while sleeping. In this condition, are there any spec...
Dr. Jiang Junyi Reply:
Hello Mr. Ben, You mentioned that you still experience intermittent hand numbness and neck pain while sleeping. I would like to know which cervical vertebrae you have issues with. I recommend using a supportive neck pillow, as cervical spine disorders are closely related to the ...[Read More] Neck Compression and Sleep Issues: Choosing the Right Pillow
Understanding Muscle Twitches and Weakness: Is It a Sign of Atrophy?
Involuntary muscle twitching and weakness in the hands? Doctor, I apologize for bothering you. I have experienced involuntary twitching in various parts of my body, such as my calves, thighs, buttocks, arms, and soles of my feet, since I was young. I didn't pay much attentio...
Dr. Jiang Junyi Reply:
Hello Mr. Zhou: You mentioned that "after waking up, my hands feel weak and powerless, but my legs are normal, and it's difficult to hold a pen; this weakness lasts for about ten minutes." Such symptoms may suggest a possible issue with cervical nerve root compress...[Read More] Understanding Muscle Twitches and Weakness: Is It a Sign of Atrophy?
Understanding Tongue Pain: Neurological Insights and Causes
Tongue issues? Three years ago, I started experiencing pain in my tongue and mouth, usually on the right side near the base of the tongue and the foliate papillae. I have visited a teaching hospital for an examination, where both the attending physician and the chief physician ev...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the symptoms usually occur after taking a shower in the evening (with the neck bent while washing hair)," which may suggest that cervical instability is causing compression of the vagus nerve and hypoglossal nerve, leading to oral burning...[Read More] Understanding Tongue Pain: Neurological Insights and Causes
Understanding Unilateral Pupil Dilation and Its Possible Connections
Unilateral pupil dilation? Hello, doctor. Two years ago, while I was abroad, I suspect that I sustained a blunt force injury to the back of my head. At that time, my right pupil did not respond to light and remained dilated. Since I was unaware of the cause, I did not seek medica...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: You mentioned that "the right pupil had no light reflex and remained dilated. At that time, I didn't know the cause and didn't see a doctor. After about a month, the right pupil returned to normal, but afterwards, there was occasionally a small amou...[Read More] Understanding Unilateral Pupil Dilation and Its Possible Connections
Uncontrollable Hand and Foot Tremors After Chemotherapy: Causes and Solutions
After chemotherapy, the hands and feet may experience involuntary shaking? My mother-in-law is 76 years old and has been undergoing immunotherapy and chemotherapy for bile duct cancer for the past three months. After these treatments, her hands have started to shake involuntarily...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Jie: You mentioned that your mother-in-law has experienced "involuntary shaking of her hands, and even after stopping treatment for a month, her hands and feet still shake involuntarily. Could this be caused by low potassium levels?" Symptoms of hypokale...[Read More] Uncontrollable Hand and Foot Tremors After Chemotherapy: Causes and Solutions
Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? I have recently noticed a numbness in my fingers and the soles of my feet, similar to having a layer of skin over them. A few days ago, I experienced numbness in my right fingers while sleeping, which made me uncomfortable and unable to sleep. The ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned experiencing a "numbness in your fingers and the soles of your feet." If this occurs bilaterally, it may be worth considering hyperventilation. This can lead to systemic reactions and symptoms, with common manifestations including vasoconstrict...[Read More] Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Weakness and Tremors in Hand Grip: A Neurology Perspective
Weakness and numbness in the hands? Hello doctor, recently I have been experiencing difficulty in gently making a fist with both hands. When I try to make a light fist, my hands feel very weak and slightly tremble, similar to the weakness I feel in the morning upon waking up (fee...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "when not using your arms, there may be a slight feeling of soreness or weakness in the arm muscles (especially when lying down or sitting)." It is important to consider cervical nerve root compression. The fascia around the cervical spine has ...[Read More] Understanding Weakness and Tremors in Hand Grip: A Neurology Perspective