Navigating Multiple Sclerosis Treatment: Options Without Medication
Treatment for Multiple Sclerosis Hello, Doctor. I was diagnosed with multiple sclerosis this year. I found information online stating that if I do not start medication early to control it, I may develop disabilities within five years. However, my application for the major illness...
Dr. Jiang Junyi Reply:
Dear Ms. Lily, You mentioned, "I was diagnosed with multiple sclerosis this year..." Clinically, doctors will conduct an MRI examination within six months to determine the progression of the disease. You also mentioned, "Patients can rely on diet, exercise, stress...[Read More] Navigating Multiple Sclerosis Treatment: Options Without Medication
Facial Swelling, Headaches, and Nausea: Understanding Neurological Symptoms
Facial issues, headaches, dizziness, and nausea? Hello, doctor. This week, I've started experiencing some strange symptoms. Initially, my left cheek felt heavy and reddened, but I didn't think much of it. This week, my left cheek has begun to swell, although the redness...
Dr. Jiang Junyi Reply:
Dear Miss Wang, You mentioned that "the area of heat extends from the left temple down to the lower part of the face near the ear, feeling warm and stuffy." The area of heat you described primarily corresponds to the distribution of the mandibular branch of the trigemi...[Read More] Facial Swelling, Headaches, and Nausea: Understanding Neurological Symptoms
Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective
Numbness at the base of the tongue and pain in the lower jaw? Hello Doctor, about three days ago I woke up with pain in the right lower jaw (around the area of the second/first molar). When I press on my cheek, it hurts slightly. I have also been experiencing persistent numbness ...
Dr. Jiang Junyi Reply:
Dear Ms. Si, You mentioned that "the right side of my tongue root has been numb continuously, and sometimes the right corner of my mouth also feels numb." Your symptoms may suggest the possibility of trigeminal neuralgia affecting the mandibular branch of the trigemina...[Read More] Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective
Understanding Neuromyelitis Optica: Treatment Options and Risks
Neuromyelitis optica Hello, Dr. Huang! Thank you very much for your previous guidance! After following your advice, I immediately went to the emergency room for treatment. Due to the rapid deterioration of my condition and the resident physician's concern that the situation ...
Dr. Huang Hongling Reply:
Hello: Neuromyelitis optica is a condition in which the body produces antibodies that attack its own nervous system, thus requiring immunosuppressants for treatment. Both corticosteroids and mycophenolate mofetil are immunosuppressants that can lead to decreased immunity. Long-te...[Read More] Understanding Neuromyelitis Optica: Treatment Options and Risks
Understanding Sudden Electric Sensations in the Body: Causes and Insights
The body experiences intermittent sensations of electric shock? Hello, doctor. In the past few weeks, I have been experiencing intermittent sensations of electric shocks throughout my body, as if I am being shocked internally. The intensity of these sensations varies, and they ca...
Dr. Jiang Junyi Reply:
Dear Mr. He, You mentioned that "in recent weeks, I have been experiencing intermittent electric shock sensations throughout my body, feeling as if my entire internal system is suddenly electrified." I recommend first ruling out issues related to cervical spine compres...[Read More] Understanding Sudden Electric Sensations in the Body: Causes and Insights
Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Temporomandibular joint disorder causing trigeminal neuralgia? Hello, my symptoms began four years ago when I bit down on a hard object, resulting in a sudden electric shock-like pain in the left side of my face. Over the past few years, I have consulted with neurosurgeons, denti...
Dr. Jiang Junyi Reply:
Dear Mr. Kenny, You mentioned "trigeminal neuralgia." The cause of trigeminal neuralgia is primarily due to abnormal transmission of sensory signals by the trigeminal nerve. Approximately 80% of cases are caused by vascular compression of the trigeminal nerve at its en...[Read More] Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Understanding Possible Multiple Sclerosis Symptoms and Next Steps
Suspected multiple sclerosis? Hello Doctor, I have previously asked a question here, numbered <a href="https://adoctor.tw/article/206161">#206161</a>. To briefly summarize my condition: since mid-February, I have experienced numbness in the right side of my ...
Dr. Jiang Junyi Reply:
Dear Ms. Lily, You mentioned that "even going to the emergency room cannot expedite an MRI" due to the different scheduling between outpatient and emergency services. However, if your symptoms are progressing and worsening, you can return to the neurology outpatient cl...[Read More] Understanding Possible Multiple Sclerosis Symptoms and Next Steps
Understanding Nerve Pain and Tingling: Is It Related to Spinal Issues?
Occasional tingling and pain in the hands and feet? Hello, doctor. When I turn my neck to the left, I experience tightness and pain. Sometimes, my left arm also hurts, and my fingers occasionally feel numb. Additionally, I have soreness in the left side of my lower back, and my s...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: The symptoms mentioned are consistent with cervical nerve root compression. In addition to rehabilitation, maintaining good neck posture is crucial for treatment. If the symptoms persist and do not improve, it is advisable to visit a neurology outpatient clinic.[Read More] Understanding Nerve Pain and Tingling: Is It Related to Spinal Issues?
Understanding Neck Pain and Dizziness: Is It Related to Disc Issues?
Dizziness or occasional pain in the limbs? Hello, doctor. I have ulcerative colitis (diagnosed last May) which is currently well-controlled, and my mucosa has healed. Additionally, I have a cervical disc herniation at C3-C4-C5-C6 (as shown in an MRI). Occasionally, I experience p...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned can have multiple possible causes. It is recommended to visit a neurologist for an examination to determine the underlying cause, which will help establish a clear treatment direction.[Read More] Understanding Neck Pain and Dizziness: Is It Related to Disc Issues?
Understanding Dizziness and Neck Tension: Possible Causes and Concerns
Dizziness and a feeling of heaviness in the head? In the past week or two, I've been experiencing occasional dizziness and a feeling of pressure in my head, along with tightness in my shoulders, neck, and back of my head. There have been a few instances where I felt unsteady...
Dr. Peng Shiwei Reply:
Hello, your symptoms are not closely related to multiple sclerosis; however, there are many causes of dizziness. If there is no improvement in the near future, it is recommended that you consult a neurologist. Thank you for your inquiry.[Read More] Understanding Dizziness and Neck Tension: Possible Causes and Concerns
Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients
Tremor issues? Yesterday, after taking a nap on the sofa, I woke up feeling tightness in my neck and shoulders, along with a slight headache. I have a history of C3-C4-C5 cervical disc herniation causing nerve compression (approximately 10 years), with symptoms that fluctuate. Oc...
Dr. Cai Zongzhang Reply:
Hello, Cheng: Neck pain is closely related to neck posture. It is recommended to avoid napping on the sofa, as it can have adverse effects on the cervical spine.[Read More] Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients
Understanding Skin Itching and Back Pain: Neurological Insights
Skin itching and lower back pain? Hello, doctor. A few months ago, I suddenly felt a tingling sensation in my mouth, and then I started experiencing itchy skin all over my body (like a prickling feeling). I visited a dermatologist, but the medication did not improve my condition;...
Dr. Cai Zongzhang Reply:
Hello Joanne: Based on the symptoms described, the tingling sensation in the mouth and the itchy feeling in the skin may be abnormal sensations caused by a neurological disorder. These symptoms are not exclusive to multiple sclerosis; brain tumors could also cause the aforementio...[Read More] Understanding Skin Itching and Back Pain: Neurological Insights
Understanding Nerve Pain and Tingling After COVID-19: A Neurology Perspective
Occasional tingling and pain in the hands and feet? Hello, doctor. Since I tested positive for COVID-19 in June, I have been experiencing occasional soreness in my left eye for about one to two weeks. I have seen a doctor who said my eyes are fatigued and performed examinations, ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe there is a possibility of cervical spine compression, which can indeed cause symptoms on both sides. I recommend that you consult a neurologist for further evaluation. Thank you for your inquiry.[Read More] Understanding Nerve Pain and Tingling After COVID-19: A Neurology Perspective
Understanding Occasional Numbness and Tingling in Limbs: Causes and Concerns
Occasional tingling or numbness in the hands and feet? Hello doctor, last week I experienced soreness in my left eye for four to five days and consulted a physician who mentioned that my eyes were fatigued. During this time, I occasionally felt tingling sensations in my left arm ...
Dr. Jiang Junyi Reply:
Hello Mr. Zhe, You mentioned that "the right side has somewhat similar symptoms," which may still warrant consideration of spinal nerve root compression. Additionally, cerebrovascular diseases should also be ruled out. Multiple sclerosis is considered a rare disease in...[Read More] Understanding Occasional Numbness and Tingling in Limbs: Causes and Concerns
Understanding Body Tingling: Possible Causes and Concerns
Tingling sensation in the body? Hello, doctor. Last night, I suddenly felt a tingling sensation on the left side of my torso, which went away while I was sleeping after about 4-5 hours. I have experienced this symptom occasionally in the past, and it usually resolves within 1-2 d...
Dr. Jiang Junyi Reply:
Dear Mr. Guang, You mentioned, "Is it possible that it's multiple sclerosis, or is it multiple neuritis? ... Could it be caused by issues with the cervical and lumbar spine?" Your symptoms may need to first consider problems with the cervical and lumbar spine. The...[Read More] Understanding Body Tingling: Possible Causes and Concerns
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 Right Hand Pain: Is It Shingles or Something Else?
Numbness and tingling in the right palm? Hello doctor, three weeks ago I was diagnosed with shingles on the left side of my ear. After the skin symptoms healed, I have been taking B vitamins to alleviate the nerve pain. Aside from occasional sharp nerve pain in my left cheek, las...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is unlikely that the area is affected by shingles. The most probable neuropathy in that region is carpal tunnel syndrome. You may try to reduce wrist movements and wear a wrist brace to alleviate the symptoms. You can continue taking B vitamins. ...[Read More] Understanding Right Hand Pain: Is It Shingles or Something Else?
Understanding Multiple Sclerosis: Bilateral Symptoms and MRI Considerations
Multiple Sclerosis The doctor would like to inquire further: if there is numbness on both sides, is the likelihood of multiple sclerosis lower (as my research indicates it is usually one-sided)? If the doctor has not suggested an MRI, should we bring it up?
Dr. Peng Shiwei Reply:
Yes, the probability on both sides is relatively low. If the physician did not bring it up, it may be because he believes you are more aligned with a different diagnosis. Please follow his advice. Thank you for your question.[Read More] Understanding Multiple Sclerosis: Bilateral Symptoms and MRI Considerations
Understanding Facial Numbness and Tingling: Possible Causes and Concerns
Numbness in the face and hands? Hello, doctor. I have a slight tingling sensation around my right cheek and right ear. Two years ago, it was around my ear, and now it’s on my cheek. I can feel a soft, movable lump about one centimeter on my right cheek. Visually, the nasolabial f...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned several issues. Clinically, we should first address the acute problems. The "slight tingling sensation around the right cheek and right ear... a soft, movable lump" may indicate potential compression of the trigeminal nerve, specifically the ...[Read More] Understanding Facial Numbness and Tingling: Possible Causes and Concerns
Understanding Multiple Sclerosis: Symptoms, Diagnosis, and Brain Wave Tests
Multiple Sclerosis I would like to ask that at the beginning of this month, I felt discomfort in my eyes and visited several doctors who all said it was eye fatigue but noted that my intraocular pressure was elevated. Following that, I experienced symptoms of heaviness in my head...
Dr. Cai Zongzhang Reply:
Hello, based on the symptoms mentioned, it cannot be definitively determined as multiple sclerosis. It is recommended to visit a neurologist for further evaluation and testing.[Read More] Understanding Multiple Sclerosis: Symptoms, Diagnosis, and Brain Wave Tests