Understanding Persistent Muscle Twitching in the Right Buttock
Prolonged muscle twitching in the right buttock? Tonight, I suddenly experienced continuous muscle twitching in my right buttock. It seems to lessen or stop when I get up and walk around, but it keeps twitching when I sit or lie down. This has been going on for three hours. What ...
Dr. Jiang Junyi Reply:
Dear Mr. Wei, You mentioned experiencing "constant twitching in the muscles of the right buttock," which may suggest peripheral nerve symptoms, such as lumbar nerve inflammation, leading to instability in the affected muscles. Regarding your inquiry about "numbnes...[Read More] Understanding Persistent Muscle Twitching in the Right Buttock
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 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
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 Hip and Thigh Pain: Nerve Compression or Muscle Inflammation?
Hip and thigh pain? Hello, doctor. I experience pain in my lower back, hips, and thighs after sitting for about 15 minutes. Standing up alleviates the discomfort, but sitting down again causes the pain to persist, sometimes making it difficult to sleep. I have seen a rehabilitati...
Dr. Jiang Junyi Reply:
Dear Miss Umbrella, You mentioned experiencing "lower back, hip, and thigh pain," which is more indicative of lumbar nerve root compression (possibly at lumbar levels 2, 3, or 4). You also noted that "bending at the waist and knees does not cause pain," which...[Read More] Understanding Hip and Thigh Pain: Nerve Compression or Muscle Inflammation?
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 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 Neck Stiffness and Hand Numbness: When to Seek Help
Numbness in the hands and stiffness in the neck and shoulders? Hello, about two months ago, I started experiencing significant stiffness in my shoulders and neck, particularly when tilting my head forward to the right, which stretches the muscles on the left side. Initially, I th...
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned experiencing slight numbness in your left hand, specifically in the shoulder, outer arm, and the back of the hand (most notably in the middle finger, ring finger, and little finger). This may indicate potential compression of the nerve root at the se...[Read More] Understanding Neck Stiffness and Hand Numbness: When to Seek Help
Understanding Facial Twitching: Concerns and Neurological Insights
Facial spasms Hello Doctor, on October 7th, I experienced a twitch near my nose, and the next day, I started to notice slight twitching in some areas of my face, both sides. By October 13th, it had improved significantly, but in the afternoon, my mouth corner twitched again. Howe...
Dr. Jiang Junyi Reply:
Dear Mr. Lin, You mentioned, "Could it evolve into facial nerve dysfunction, causing my mouth to droop?" What you are concerned about likely refers to facial nerve paralysis. The clinical symptoms can include a tingling or stiff sensation in the face. Due to the inabil...[Read More] Understanding Facial Twitching: Concerns and Neurological Insights
Persistent Headaches: Seeking Effective Treatment Solutions
The treatment for headaches has not been effective in achieving a cure? Hello, I rarely experience headaches, and when I do, they usually resolve after a good night's sleep. However, this time, I woke up with persistent headaches that did not improve. Therefore, I consulted ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I only have a headache, and the doctor measured my ear temperature at 37.4°C, determining that the headache is caused by inflammation in the body. I was treated with injections and medication. During the treatment, I experienced improvement ...[Read More] Persistent Headaches: Seeking Effective Treatment Solutions
Understanding Post-Impact Brain Symptoms: Numbness, Pressure, and Nausea
Numbness, heat, and swelling in a localized area after a head injury, along with nausea while driving? Hello, the day before yesterday, I experienced some emotional instability and hit the table hard, resulting in a strong impact felt in the left posterior part of my head, follow...
Dr. Jiang Junyi Reply:
Dear Mr. Micky, Your symptoms may suggest cervical nerve root compression. This condition is often associated with tightness in the cervical muscles and fascia, as well as cervical degeneration. It typically presents as pain, discomfort, muscle stiffness, or neurological symptom...[Read More] Understanding Post-Impact Brain Symptoms: Numbness, Pressure, and Nausea
Understanding Eyelid Twitching: When to Seek Neurological Evaluation
Eyelid twitching? Hello doctor, my left lower eyelid has been twitching for over a month. I consulted an ophthalmologist who confirmed that my eyes are normal and there are no issues. The twitching frequency varies, and it doesn't cause my entire eye to close, nor do other a...
Dr. Jiang Junyi Reply:
Dear Miss Jill, You mentioned "twitching of the lower left eyelid." Generally, eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's face. If, aside from the eyelid, n...[Read More] Understanding Eyelid Twitching: When to Seek Neurological Evaluation
Understanding Late-Stage Parkinson's Disease: Symptoms and Care Challenges
Parkinson's disease Hello, Doctor. My mother-in-law has been suffering from Parkinson's disease for several decades and has undergone deep brain stimulation surgery. Over the past year, she has frequently had difficulty swallowing saliva, which causes her to keep her mo...
Dr. Hong Weibin Reply:
Hello, It is highly likely that my mother-in-law is in the advanced stages of Parkinson's disease, which has resulted in significant muscle rigidity, including in her facial muscles and swallowing muscles. As a result, she is unable to close her mouth and has difficulty sw...[Read More] Understanding Late-Stage Parkinson's Disease: Symptoms and Care Challenges
Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Brain MRI white matter lesions / Multiple sclerosis Hello Dr. Jiang, due to long-term headaches and sudden changes in my symptoms, I paid out of pocket for a brain MRI. (1) The attending physician said that my images showed no issues, and I even asked her to review them again, bu...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that the MRI showed numerous white matter lesions. It may be necessary to consider some central nervous system inflammation and myelin injury. Myelin is an insulating substance that surrounds nerves, and if it is damaged, the inflammatory process (pat...[Read More] Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Understanding Dizziness and Muscle Tremors: When to Seek Neurological Help
Dizziness, muscle twitching? Hello Doctor: I have been experiencing dizziness (I have taken Diphenidol but it hasn't been very effective). Since the onset of dizziness, I occasionally feel soreness in my cheeks, my limbs' muscles tend to twitch, and my eyelids also twit...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the muscles in your hands and feet easily tremble, your eyelids also twitch frequently, and recently your lips and chin have started to tremble." This may warrant consideration of structural issues in the brain or metabolic diseases. Wou...[Read More] Understanding Dizziness and Muscle Tremors: When to Seek Neurological Help
Post-Vaccine Numbness: Understanding Neurological Reactions
Numbness after vaccine injection? Hello, Dr. Jiang. This morning (9/27), after receiving the BNT vaccine, I experienced a tingling sensation in my head and face in the afternoon (including the back of my head, above my mouth, and my cheeks). I looked up the vaccine information an...
Dr. Jiang Junyi Reply:
Hello Mr. JAM: You mentioned the sensation of "numbness in the head and face (including the back of the head, above the mouth, and the cheeks)" which is different from facial nerve paralysis. Facial nerve paralysis primarily affects the seventh cranial nerve, mainly cha...[Read More] Post-Vaccine Numbness: Understanding Neurological Reactions
Understanding Your Concerns: Neurology Insights on Muscle Symptoms
Regarding the previous question? Hello, Doctor. After reading your response, I've been thinking about this matter all day at work and paying special attention to it. After testing, I feel it's about the same (sometimes I even climb the stairs to my fifth floor). I don&#...
Dr. Jiang Junyi Reply:
Hello: The results you mentioned do not indicate any significant weakness in the limbs. Many disease diagnoses require a period of observation and follow-up. Developing good lifestyle habits is the best way to prevent diseases. Please practice self-protection, maintain cleanlines...[Read More] Understanding Your Concerns: Neurology Insights on Muscle Symptoms
Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
I would like to inquire about the diagnosis and medication for epilepsy in infants and young children? Hello Doctor: My daughter was born in mid-June this year, with good development in utero, weighing nearly 3800 grams, head circumference at 40 weeks, and delivered via cesarean ...
Dr. Jiang Junyi Reply:
Dear Ms. Sherry, First of all, I want to acknowledge that the process of providing support is truly not easy. Regarding pediatric epilepsy, I recommend consulting a pediatric neurologist, as they have more extensive experience in this area. Generally, the common treatment princi...[Read More] Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns