Understanding Upper Back Pain: Causes and Connections to MRI Findings
Shoulder and back pain? Hello, Doctor. Recently, I've been experiencing frequent upper back pain (on the right side, around the scapula) for the past two months. Sometimes, I also have shoulder pain (on both sides). When I turn my head to the left, I feel a slight pain... It...
Dr. Jiang Junyi Reply:
Dear Miss Sophia, You mentioned, "Is the pain related to previous symptoms? What could be the possible causes?" Your MRI report indicates: 2. Posterior bulging disc of C6/7 with mild anterior indentation on the thecal sac and mild narrowing of bilateral neural foramina...[Read More] Understanding Upper Back Pain: Causes and Connections to MRI Findings
Early Signs of ALS: Understanding Symptoms and Prevention Strategies
Early stage of amyotrophic lateral sclerosis (ALS) Hello, doctor. Recently, when I stand on my left foot, I feel a constant urge to engage my calf muscles (similar to the feeling of trying to maintain balance). I am aware of this urge before it happens. Additionally, when lying i...
Dr. Jiang Junyi Reply:
Hello Mr. Ju, You mentioned "the early reactions of amyotrophic lateral sclerosis (ALS)?" ALS primarily refers to issues with motor neurons, which control muscle movement. Generally, the motor neurons in the brain are referred to as upper motor neurons, while those in ...[Read More] Early Signs of ALS: Understanding Symptoms and Prevention Strategies
Morning Numbness and Cramps in Fingers: Possible Causes and Solutions
Numbness and cramping in the middle and ring fingers upon waking up? Hello, doctor. About three months ago, I started experiencing numbness in my right middle and ring fingers every morning after waking up. After moving my neck a bit, it would feel better. I initially thought it ...
Dr. Hong Weibin Reply:
Hello: It is possible that the nerves are being compressed, such as in cases of cervical radiculopathy or carpal tunnel syndrome. You may seek assistance from a neurologist and arrange for an examination.[Read More] Morning Numbness and Cramps in Fingers: Possible Causes and Solutions
Morning Numbness and Cramps in Fingers: Possible Causes and Solutions
Numbness and even cramping in the middle and ring fingers upon waking up? Hello, doctor. About three months ago, I started experiencing numbness in my right middle and ring fingers every morning after waking up. After moving my neck a bit, the sensation would improve. I initially...
Dr. Hong Weibin Reply:
Hello: It is possible that there is nerve compression, such as cervical radiculopathy or carpal tunnel syndrome. You may seek assistance from a neurologist and arrange for an examination.[Read More] Morning Numbness and Cramps in Fingers: Possible Causes and Solutions
Understanding Tension in the Temples: Causes and Solutions
Tightness in the temples? Hello Dr. Jiang, I have not experienced similar symptoms before (tightness in the temples, nausea, and a sense of imbalance). Here is a record of the process: On October 15, 2021, during a company health check (gastrointestinal endoscopy): a. Duodenal ...
Dr. Jiang Junyi Reply:
Dear Mr. William, You mentioned experiencing "headaches / slight imbalance / feelings of nausea... currently feeling tightness in the temples / forehead / between the eyebrows / back of the head" and that "lying on the sofa while using your phone" may indicat...[Read More] Understanding Tension in the Temples: Causes and Solutions
Understanding Your Body's Tension: Insights on Fibromyalgia and Beyond
The body feels as if it is bound by a rope, similar to Dongpo pork? Hello, doctor. Since March of last year, I have felt as if my body is bound by a rope, similar to Dongpo pork. The thickness of this rope feels about the same as the wire of earphones (the thinner ones for the le...
Dr. Jiang Junyi Reply:
Hello Mr. Franky, You mentioned that "the sensation travels from the left side up through the neck, passing through the left ear and splitting into two paths around the left eye, then running down the right side of the back to the right palm. Although there is no obvious fe...[Read More] Understanding Your Body's Tension: Insights on Fibromyalgia and Beyond
Understanding Lip Twitching: Possible Causes and Neurological Insights
Lip twitching? On December 24th, I noticed twitching in my upper right lip while sleeping. During the day, my upper right lip twitches intermittently, stopping for a few moments before starting again. When I look in the mirror, I don't see any visible movement, but it feels ...
Dr. Cai Zongzhang Reply:
Hello, Su Wen: The above symptoms respond well to medication treatment, indicating that these symptoms may be caused by anxiety. If the symptoms persist, it is recommended to visit a neurology clinic for further evaluation.[Read More] Understanding Lip Twitching: Possible Causes and Neurological Insights
Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Issues with Eye Closure Hello Doctor, currently I am experiencing symptoms where I cannot close my left eye independently, but I can close both eyes simultaneously and also close my right eye alone. When I smile, my left side of the face appears significantly weaker. Additionally...
Dr. Jiang Junyi Reply:
Hello Mr. Sun: You mentioned that "the left side of your face is noticeably weaker when you smile, and there is also tinnitus in your left ear." This may indicate a left-sided facial nerve injury. Facial nerve paralysis is quite similar, primarily affecting the seventh ...[Read More] Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Persistent Headaches After Vaccination: When to Seek Medical Attention?
I have been experiencing a persistent headache for four days after receiving the vaccine? Hello doctor, after receiving the second dose of the AZ vaccine on November 18, I experienced no symptoms and felt fine. However, four days later, I started having headaches, chest tightness...
Dr. Jiang Junyi Reply:
Dear Ms. Selene, You mentioned experiencing intermittent sharp and dull pain in the right occipital region, along with working over 8 hours a day on the computer. This may indicate cervical myofascial pain syndrome. Prolonged periods of looking down can lead to overuse of the tr...[Read More] Persistent Headaches After Vaccination: When to Seek Medical Attention?
Understanding ALS Symptoms: Fatigue and One-Sided Weakness Explained
Symptoms of Amyotrophic Lateral Sclerosis (ALS) Hello, doctor. Recently, I've been experiencing some symptoms that are concerning me. I've been feeling frequently fatigued, just wanting to sleep, and having difficulty concentrating. Additionally, I have less control ove...
Dr. Jiang Junyi Reply:
Hello Mr. Ju: You mentioned that you have been feeling fatigued lately, often wanting to sleep, unable to concentrate, and having difficulty controlling your left little finger. These symptoms do not resemble those of motor neuron disease. The term "amyotrophic lateral scler...[Read More] Understanding ALS Symptoms: Fatigue and One-Sided Weakness Explained
Understanding Eyelid Twitching: Causes, Remedies, and When to Worry
Eyelid twitching issue? Hello Doctor, my left upper eyelid has been twitching intermittently for over a month. Sometimes it stops when I get enough sleep, but it twitches when I am sleep-deprived. Recently, I have been under significant stress due to a bereavement in the family, ...
Dr. Jiang Junyi Reply:
Dear Ms. Ayou, You mentioned that "the upper left eyelid has been twitching intermittently for over a month; sometimes it doesn't twitch when I have enough sleep, but it does when I'm sleep-deprived." Your symptoms are more indicative of benign eyelid twitchi...[Read More] Understanding Eyelid Twitching: Causes, Remedies, and When to Worry
Relieving Neck and Shoulder Muscle Tension: Treatment Options Explained
Tightness in the neck and shoulder muscles, along with shoulder muscle swelling? Hello, doctor! I have been experiencing pain in my left shoulder and neck for a long time, which has caused muscle tightness in that area. I often feel soreness, and sometimes it leads to intermitten...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: It is recommended to visit a neurologist for an evaluation of the underlying cause.[Read More] Relieving Neck and Shoulder Muscle Tension: Treatment Options Explained
Understanding Pulsatile Tinnitus: Causes and Consultations for Ear Sounds
Regular sounds in the left ear? Hello Dr. Hong, I need to work on the computer for long periods. Occasionally, I hear a chirping sound in my left ear that syncs with my pulse. I have undergone carotid and intracranial ultrasounds twice (at different hospitals two years apart), ...
Dr. Hong Weibin Reply:
Hello: Generally speaking, if you hear a sound that is synchronized with your pulse and vascular abnormalities have been ruled out, it may indeed be the vascular pulse being transmitted to your ears. The conduction of sound waves relies on a medium, and bones, muscles, and skin a...[Read More] Understanding Pulsatile Tinnitus: Causes and Consultations for Ear Sounds
Understanding Post-Massage Head Pain: Is It a Sign of Vertebral Artery Dissection?
Headache and dizziness after massage? I went for a massage yesterday and asked the therapist to work on the muscles around the occipital area. However, he applied too much pressure, and now the massage point is painful. Is there a possibility of vertebral artery dissection? Curre...
Dr. Jiang Junyi Reply:
Hello Mr. Yi, You mentioned, "Could the pain at the massage point possibly indicate vertebral artery dissection?" Generally, issues with the vertebral artery occur after severe rotation, and localized pressure is less likely to cause such problems. More than half of p...[Read More] Understanding Post-Massage Head Pain: Is It a Sign of Vertebral Artery Dissection?
Understanding ALS: Symptoms and Concerns About Muscle Weakness
Fear of developing amyotrophic lateral sclerosis (ALS)? Hello, doctor. Recently, I have been experiencing muscle twitching all over my body, and after some research, I found that it could possibly be amyotrophic lateral sclerosis (ALS). I am becoming increasingly worried and woul...
Dr. Jiang Junyi Reply:
Hello Mr. Wei, You mentioned that "the soles of my feet occasionally feel a twitching sensation, and my feet easily become numb." These symptoms are more indicative of peripheral nerve compression, as motor neuron diseases typically do not present with significant sens...[Read More] Understanding ALS: Symptoms and Concerns About Muscle Weakness
Understanding Right-Side Pain and Numbness: Causes and Solutions
Pain and numbness on the right side of the body? Hello Doctor: I have been experiencing these symptoms for over a year. The main issues are soreness and tightness in the right side of my neck and shoulder, along with numbness and tingling that radiates from my right arm to my fin...
Dr. Jiang Junyi Reply:
Dear Mr. Tsao, You mentioned that "the soreness and tightness in the right shoulder and neck, along with numbness and tingling extending from the right arm to the fingers," may indicate a potential issue with cervical nerve root compression. It is important to consider...[Read More] Understanding Right-Side Pain and Numbness: Causes and Solutions
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not related to sexual arousal. This has led to abnormal erections and discomfort that radiates to the right leg, persist...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort extending to the right leg..." which may warrant consideration of lumbar nerve root compression. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg,...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not driven by sexual desire. This condition has led to abnormal erections and discomfort radiating down the right leg, p...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort radiating down the right leg..." which may indicate compression of the lumbar nerve roots. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg, as we...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not related to sexual arousal. This has led to abnormal erections and discomfort extending to the right leg, lasting for...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort extending to the right leg..." which may indicate compression of the lumbar nerve roots. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg, as well...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Muscle Twitching: Causes and Concerns in Neurology
Muscle tremors Hello Doctor, I would like to ask you some questions. In September, I experienced some health issues that led to anxiety. After seeing the appropriate doctors, they assured me that everything was fine and my symptoms gradually improved. However, recently, I have be...
Dr. Hong Weibin Reply:
Hello: The body's muscles are controlled by nerves, which function like electrical wires, transmitting signals to control muscle movements. However, just like wires can become faulty over time and can be affected by external factors such as temperature and humidity, leading ...[Read More] Understanding Muscle Twitching: Causes and Concerns in Neurology