Understanding Muscle Tremors: Causes and Solutions for Your Concerns
Muscle twitching Hello, I have noticed that my arms and thighs experience slight tremors when they are suspended, exerted, or stretched at certain angles, similar to the shaking sensation when stretching. Essentially, I can feel the tremors while exerting myself and when my limbs...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "after playing the piano, my fingers shake more severely after movement or exertion." Your symptoms may suggest benign muscle tremors. Certain situations in daily life can trigger this issue, such as exercise, acute viral infections, a...[Read More] Understanding Muscle Tremors: Causes and Solutions for Your Concerns
Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Muscle twitching In May, I noticed that my heels felt numb when I got out of bed, but the sensation disappeared after I walked around for a bit. This symptom lasted for about one to two weeks. However, in August, the numbness returned and lasted for another one to two weeks. In m...
Dr. Jiang Junyi Reply:
Hello Ms. Yeh: Amyotrophic lateral sclerosis (ALS) is a term that encompasses a group of motor neuron diseases. Typically, there are no significant sensory abnormalities, such as the tingling sensations you mentioned. Motor neurons control muscle movement; generally, the motor ne...[Read More] Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Understanding Sudden Left Foot Pain and Heart Discomfort: A Neurology Perspective
Foot pain and palpitations? In the past year, I have been experiencing sudden pain in my left foot. It started with my big toe, and now the pain has progressed upwards, reaching below my knee. This issue only affects my left foot; my right foot is completely fine. The pain comes ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiang, You mentioned that "only the thumb... suddenly hurts a lot." I wonder if this pain is located at the joint? It may be necessary to first consider joint-related diseases, such as gout, among others. However, if you experience symptoms including pain, nu...[Read More] Understanding Sudden Left Foot Pain and Heart Discomfort: A Neurology Perspective
Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
I would like to know the difference between migraine and intracranial hypertension headache? Hello, I would like to inquire about my hospitalization this year due to headaches. The attending physician suspected I have migraines. Initially, they treated me with intracranial pressu...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "you were awakened by severe pain in the right occipital region in the early morning," which may need to be considered due to carbon dioxide accumulation causing vasodilation in the brain, leading to increased intracranial pressure. The d...[Read More] Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
Understanding Facial Twitching and Arm Symptoms: When to Seek Medical Advice
Facial twitching? Hello, Doctor Jiang. I have two questions to ask. About two years ago, I was rehabilitating at home for frozen shoulder when I suddenly noticed that my right cheek would involuntarily twitch while performing a stretching exercise that involved making large cir...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the right cheek still has noticeable involuntary twitching. After testing, it was found that the twitching of the right cheek is triggered by movements involving the left arm," which may indicate a neurological dysfunction affecting the motor ...[Read More] Understanding Facial Twitching and Arm Symptoms: When to Seek Medical Advice
Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Muscle twitching Hello Doctor, I previously visited a neurologist due to mild tingling sensations in my limbs and underwent nerve conduction studies for my upper and lower extremities (but did not have an electromyography). The doctor said the results were very normal. Recently, ...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned experiencing a "slight tingling sensation in your limbs," which may suggest symptoms of hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition know...[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Numbness from Foot to Outer Calf: Possible Causes and Concerns
Numbness from the dorsum of the foot to the lateral side of the calf? Hello, Doctor. I would like to consult you. About six months ago, I noticed a tingling sensation on the outer side of my right calf extending to the dorsum of my right foot (approximately from the middle toe to...
Dr. Cai Zongzhang Reply:
Hello, Hsiao-Ting: The symptoms mentioned above may indicate a peripheral neuropathy. Please visit a neurologist for an examination to determine the underlying cause for appropriate treatment.[Read More] Numbness from Foot to Outer Calf: Possible Causes and Concerns
Understanding Hip and Thigh Pain: Possible Nerve Compression or Muscle Inflammation?
Hip and thigh pain? Hello, doctor. I experience soreness in my lower back, hips, and thighs after sitting for about 15 minutes. It feels better when I stand up, but the soreness returns when I sit down again, sometimes to the point where it makes it difficult to sleep. I have see...
Dr. Jiang Junyi Reply:
Dear Ms. Umbrella, Muscle inflammation typically presents with localized tenderness. You mentioned experiencing "pain in the lower back, hips, and thighs," which is more indicative of lumbar nerve root compression (possibly at levels L2, L3, or L4). You also noted that...[Read More] Understanding Hip and Thigh Pain: Possible Nerve Compression or Muscle Inflammation?
Understanding Finger Tremors: Could It Indicate Cerebellar Issues?
Only one finger trembles? I recently noticed that my right index finger shakes when I press the water dispenser at work. Could this possibly be related to cerebellar dysfunction? I have tried the finger-to-nose test, and my finger does not shake during that. If it were cerebellar...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "when I need to use the water dispenser at work, it seems like my right index finger shakes." This may indicate a possibility of postural tremor. Issues related to the cerebellum typically do not manifest in just one finger. Tremors ca...[Read More] Understanding Finger Tremors: Could It Indicate Cerebellar Issues?
Uncontrollable Neck Movements and Arm Spasms After Vaccination: What to Know
Uncontrolled neck movement backward or forward? Hello Doctor, a few days ago during noon, my neck involuntarily moved backward and forward, and I couldn't will it to straighten. My right hand also raised involuntarily. I received the BNT vaccine on September 29, and I had ga...
Dr. Cai Zongzhang Reply:
Hello, Zhang Zhang-Min: It is recommended to visit the neurology outpatient clinic for an evaluation of the underlying cause.[Read More] Uncontrollable Neck Movements and Arm Spasms After Vaccination: What to Know
Understanding Autonomic Nervous System Disorders in Teens
Autonomic nervous system dysfunction? Hello, doctor… I apologize for the interruption. I am currently a senior in high school, and since the beginning of the semester, I have not been getting enough sleep due to my studies (around three to five hours). Since mid-September, I have...
Dr. Jiang Junyi Reply:
Dear Ms. Lan Yu, Your symptoms may suggest the phenomenon of sympathetic nervous system hyperactivation. Anxiety can exacerbate these symptoms. Additionally, anemia or fluid deficiency may lead to insufficient cerebral circulation. Symptoms can be improved by replenishing fluids...[Read More] Understanding Autonomic Nervous System Disorders in Teens
Is Nortriptyline HCL Recommended for Tension Headache Prevention in Taiwan?
Is Nortriptyline HCL one of the options for the standard treatment regimen for the prevention of tension-type headaches in Taiwan? Hello, I have been experiencing tension-type headaches for many years. Currently, I reside abroad and have found that Nortriptyline HCL has the best ...
Dr. Jiang Junyi Reply:
Dear Mr. Bob, You mentioned that "the tension headache issue has been a problem, and after trying several medications while living abroad, I found that Nortriptyline HCL has the best preventive effect." Nortriptyline HCL is classified as a tricyclic antidepressant (TCA...[Read More] Is Nortriptyline HCL Recommended for Tension Headache Prevention in Taiwan?
Understanding the Effects of High Voltage Electric Shock on the Body
Electrocution by high voltage electricity? I would like to ask the doctor, my husband was electrocuted on October 17 (Sunday) by high voltage electricity. The current entered through the web of his right hand and exited through the sole of his left foot and the calf of his right ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao, Electrical injuries can cause tissue swelling and burns at the entry and exit points of the current. Typically, localized paresthesia will resolve within a few hours. Generally, the tissues through which the current flows sustain more severe damage. Your mention ...[Read More] Understanding the Effects of High Voltage Electric Shock on the Body
Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Facial nerve paralysis Hello Doctor, two weeks ago I noticed symptoms of left facial nerve paralysis: I cannot close my eye, my mouth cannot open, my face cannot move, and sounds in my ear are excessively loud. A neurologist prescribed steroids and also performed acupuncture and ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that facial nerve paralysis affects hearing. This is because the stapedius muscle, which is responsible for stabilizing the stapes bone, is innervated by the facial nerve. Recovery of symptoms requires nerve regeneration, unlike facial muscles that can i...[Read More] Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Understanding Hand Tremors: Causes and Diagnosis in Neurology
Tremor issues? I would like to consult a doctor about a situation where one finger on my hand trembles, particularly when it is about 1 centimeter away from the surface of a table. The tremor seems to be most pronounced in the index finger, and it worsens when my hand is resting ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsu, You mentioned that "the tremor is more severe when resting on the lap, while it is less noticeable when placed on a table at shoulder height." This may suggest a consideration of postural tremor. When maintaining the hands in a fixed position, or extendin...[Read More] Understanding Hand Tremors: Causes and Diagnosis in Neurology
Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Four limbs numbness, neck pain, headache, various minor ailments? Hello Dr. Jiang, this is Ms. Li who inquired about some issues at the beginning of September. Since early September, I have been experiencing tingling and numbness in my entire arms and legs, along with occasional ...
Dr. Jiang Junyi Reply:
Dear Ms. Li, I am not sure if there is a medical center near your residence. The examination of neurological diseases requires a period of follow-up for comparison. For instance, if a score drops from 80 to 70, it may still be considered passing from a 60-point perspective. The ...[Read More] Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Persistent symptoms one month after receiving the AZ vaccine? Hello, Dr. Jiang: I received the AZ vaccine on September 10, and that night I had a fever of 41.4 degrees Celsius. However, the fever subsided by the morning of the following day. Two weeks later, on September 13, I no...
Dr. Jiang Junyi Reply:
Dear Ms. Chuang, You mentioned that "two weeks after September 13, I found that I seemed unable to express a complete sentence and could only say simple words." It may be necessary to consider the adverse reaction of thrombosis associated with the AZ vaccine, currently...[Read More] Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?
Facial nerve paralysis Hello Dr. Jiang, I would like to ask if a patient with facial nerve paralysis can receive the first dose of the BNT vaccine at this time. The BNT vaccine has a rare side effect of facial nerve paralysis, which may make it difficult to differentiate. It has ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-Lin, Facial nerve paralysis is not a contraindication for receiving the BNT vaccine. It is advised not to administer the vaccine within two weeks of an acute infection. Based on the current domestic epidemic situation, vaccination can be considered one month after...[Read More] Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?
Understanding Fainting: Causes and Concerns in Neurology
Fainting issues Hello Doctor: In late August 2019, at the age of 29, I experienced diarrhea for an hour accompanied by severe abdominal cramping. After walking to the living room, I felt faint and informed my family, after which I fainted for about 30 seconds. According to my fam...
Dr. Jiang Junyi Reply:
Hello, Miss: Based on your description, it may be necessary to consider vasovagal syncope. First, we should consider the symptoms of syncope, which are commonly associated with reflex syncope: excessive stimulation of the vagus nerve can lead to bradycardia and decreased cardiac ...[Read More] Understanding Fainting: Causes and Concerns in Neurology
Understanding Pain Above the Temples: Causes and Solutions
Pain above the temple? Hello Dr. Jiang, I have been experiencing pain above my temples for the past two weeks. It hurts when I press on that area, and when the pain intensifies, my eyebrows also start to hurt, but pressing on the temples alleviates the eyebrow pain. I previously ...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: Your symptoms may suggest tension-type headache, which is caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the forehead and temples, similar to wearing a tight headband. Since this is caused by muscle fatigue, it typ...[Read More] Understanding Pain Above the Temples: Causes and Solutions