Understanding Neck Discomfort: Causes and Solutions for Nerve Pain
Discomfort in the posterior neck? Hello Doctor, recently I've been feeling very uncomfortable in the right posterior area of my head where it connects to my neck. Occasionally, I experience sharp, brief pain along a specific nerve that lasts only a few seconds. Over time, th...
Dr. Jiang Junyi Reply:
Dear Miss MIN, You mentioned that you feel very uncomfortable at the right posterior side of your head connecting to your neck, and occasionally experience sharp, uncomfortable sensations in a certain nerve (which do not last long, about a few seconds). The common cause of the n...[Read More] Understanding Neck Discomfort: Causes and Solutions for Nerve Pain
Understanding Involuntary Muscle Twitches: Causes and Treatment Options
Involuntary muscle twitching? My muscles randomly twitch, including my eyelids, abdomen, arms, and legs. Sometimes the twitching frequency is very high and can last for more than a day. This started in March 2021, and since then, I have undergone numerous tests at various medical...
Dr. Jiang Junyi Reply:
Hello Mr. Chris: You mentioned that you have a regular routine, do not smoke or drink alcohol, exercise regularly each week, take vitamin B complex and fish oil supplements, control your diet, and mostly drink plain water without coffee or tea. If your muscle twitching persists, ...[Read More] Understanding Involuntary Muscle Twitches: Causes and Treatment Options
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 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
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
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
Understanding Neck Discomfort: Causes and Solutions for Relief
Neck discomfort? About one to two weeks ago, I started feeling a strange sensation in the front of my neck, but it wasn't painful, so I didn't pay much attention to it. However, in the last two to three days, I've noticed a tight feeling in my neck, with slight num...
Dr. Jiang Junyi Reply:
Dear Ms. A-Zhu, You mentioned feeling a slight tightness and mild numbness in your neck, which may indicate a cervical spine issue. I recommend the following: 1. **Change Positions**: Change your posture every 15 minutes to allow the neck tissues to rest. Maintaining any positi...[Read More] Understanding Neck Discomfort: Causes and Solutions for Relief
Understanding Eyelid Twitching: Causes and Remedies Explained
Eyelid muscle twitching Hello Doctor: My eyelid has been twitching for nearly a month, specifically in the upper left eyelid. It twitches intermittently several times a day, although it is not very noticeable externally, I can clearly feel it. The twitching seems to occur more fr...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that your eyelid twitches "when you hit your head and when you are more tired; what could be the problem?" Eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe th...[Read More] Understanding Eyelid Twitching: Causes and Remedies Explained
Understanding Unusual Brain Sensations: When to Seek Neurological Help
Cerebrovascular events feel like an electric shock? Doctor, I have been experiencing sensations in my head that feel like pressure on my blood vessels or like an electric shock. It's similar to the feeling of stepping on a water pipe or compressing it, and it happens frequen...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Yu, You mentioned that your head feels like it's being compressed, similar to pressure on a blood vessel or an electric shock, akin to stepping on a water pipe and squeezing it. This may warrant consideration of cervical headache. The small muscles connected...[Read More] Understanding Unusual Brain Sensations: When to Seek Neurological Help
Understanding ALS Symptoms: What to Expect and When to Seek Help
Symptoms of Amyotrophic Lateral Sclerosis (ALS) Hello Doctor, I started feeling weakness in my right hand and right foot when I got up on February 21. It feels unusual, but I can still exert strength if I try hard; otherwise, it feels soft as if I had engaged in intense exercise....
Dr. Jiang Junyi Reply:
Hello, Student Luo: You mentioned "EEG and upper and lower limb evoked potentials, and next month there will be an MRI." Essentially, EEG is not a diagnostic tool for motor neuron diseases. Your concern about amyotrophic lateral sclerosis (ALS) primarily refers to issu...[Read More] Understanding ALS Symptoms: What to Expect and When to Seek Help
Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Muscle fasciculations and muscle soreness with weakness? Since 2019, I have experienced occasional muscle soreness in my limbs (about once every 3 to 6 months, lasting approximately 1.5 weeks). My hand strength has decreased, and when I go shopping and lift items weighing 2 to 5 ...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms, it is recommended that you seek assistance from a neurologist specializing in neuromuscular diseases at a major hospital. They may arrange for blood tests, electromyography (EMG), and other evaluations. Cervical spine compression or myasthenia gravi...[Read More] Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Understanding Facial Twitches: When to Seek Medical Advice
Facial twitching? The right upper eyelid has been twitching at the outer edge, and occasionally the left corner of the mouth twitches as well. The frequency is irregular and not frequent (about once or twice a week), but it has persisted for approximately two months. I became awa...
Dr. Jiang Junyi Reply:
Dear Miss Ai, You mentioned "twitching at the end of the right upper eyelid, and occasionally at the left corner of the mouth, with an irregular and infrequent frequency." Eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the...[Read More] Understanding Facial Twitches: When to Seek Medical Advice
Understanding Your Neurological Concerns: A Guide to ALS Anxiety
Regarding one's own condition? I used to come to you with questions often, and back then (8 months ago), I was very worried about amyotrophic lateral sclerosis (ALS), and I still am. My muscles have been twitching lately, and my left leg feels strange, almost like a reflex s...
Dr. Jiang Junyi Reply:
Hello: You mentioned that you feel strain in your bite when chewing on tough foods. If the masticatory muscles are not frequently used, it is indeed possible to experience this strain. I recommend maintaining appropriate exercise to preserve your muscle mass (you can purchase a b...[Read More] Understanding Your Neurological Concerns: A Guide to ALS Anxiety
Understanding Head Pain: Causes and Concerns in Neurology
Head issues Hello, doctor. I experience headaches when I lie back on a specific spot on the back of my head while sitting in a chair. The pain is not located at the area in contact with the chair, but rather closer to the top of my head. I haven't hit my head or experienced ...
Dr. Jiang Junyi Reply:
Hello Mr. Ren, You mentioned that "lying back on a certain spot on the back of your head causes headaches, and the pain is not at the point of contact but rather closer to the top of your head..." This symptom may suggest cervical myofascial pain. Prolonged periods of ...[Read More] Understanding Head Pain: Causes and Concerns in Neurology
Understanding Nerve Pain: When to See a Neurologist or Specialist
Pain and numbness in the hands and feet? Hello doctor, I have pain from my lower back to my buttocks and down to my calves, with pain in my heels and soles. My fourth toe has an angle that causes discomfort, possibly due to tight shoes compressing it, which feels like it might be...
Dr. Jiang Junyi Reply:
Dear Mr. Ming-Ting, You mentioned that the pain from the lower back to the buttocks, down to the calves, and from the heels to the soles of the feet resembles a condition related to the sciatic nerve. Additionally, the tingling and numbness in your ring and little fingers are mo...[Read More] Understanding Nerve Pain: When to See a Neurologist or Specialist
Understanding Muscle Atrophy, Weakness, and Fasciculations: A Neurology Perspective
Muscle atrophy, twitching, weakness? Hello, doctor. I would like to ask you about something. About two months ago, I suddenly noticed a depression on the right side of my thigh near the groin area. Later, I found a similar depression on the left side, measuring approximately 5x5 ...
Dr. Jiang Junyi Reply:
Hello Ms. Chychy, You mentioned that "...but because I feel that the area of indentation has increased, I am now worried every day that I might be in the early stages of ALS..." The symptoms you describe are more indicative of localized muscle or peripheral nerve issue...[Read More] Understanding Muscle Atrophy, Weakness, and Fasciculations: A Neurology Perspective
Persistent Head Pressure and Nausea: Possible Neurological Concerns
Persistent head heaviness and dry heaving? Hello Doctor, for the past couple of days, I have been feeling a persistent pressure in my head, almost as if a specific small area in my brain (approximately the middle right side) is covered. I have been unable to muster any energy thr...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned feeling lethargic all day and experiencing constant dry heaving (almost feeling like vomiting every 10 minutes), and that you suddenly woke up after less than three hours of sleep tonight... It may be necessary to consider intracranial structural abnorma...[Read More] Persistent Head Pressure and Nausea: Possible Neurological Concerns
Understanding Unexplained Cool Sensation at the Corner of the Mouth
Occasionally, there is a "cool sensation at the corners of the mouth" (without saliva)? Dear Dr. Jiang, Thank you very much for taking the time to respond to my concerns. Recently, I have been experiencing a "cool sensation at the corners of my mouth" (withou...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned that you have recently experienced a "cool sensation at the corners of your mouth" (without saliva), particularly noticeable after meals. You are currently on the 14th day of treatment for prostatitis with levofloxacin. First, we should con...[Read More] Understanding Unexplained Cool Sensation at the Corner of the Mouth
Understanding Sudden Thigh Pain: Causes and Solutions for Nerve Issues
Leg issue - intermittent sharp pain in the inner thigh (similar to an electric shock sensation)? Last year, between September and October, I frequently experienced sudden sharp pains in the inner thigh of my right leg, close to that side. The pain felt like an electric shock and ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsieh, You mentioned experiencing intermittent sharp pain on the inner side of your right thigh (similar to an electric shock), with each episode being a momentary severe pain. This may warrant consideration of nerve root compression at the lumbar vertebrae L2 and L3. N...[Read More] Understanding Sudden Thigh Pain: Causes and Solutions for Nerve Issues