Understanding Hand Tremors: Causes, Symptoms, and Management Tips
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. Although my sleep duration hasn't significantly increased, the quality of my sleep has improved. I've observed a reduction in the amplitude and duration of muscle contractions below my r...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be worth considering that some smaller muscles are less frequently used, leading to tremors during muscle coordination. Generally, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, esse...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Tips
Understanding Muscle Issues: Insights from Neurology for Better Health
Muscle issues? Hello Doctor, I am the person who previously inquired about muscle twitching issues. Recently, before my graduation, I visited a physician and mentioned the strange sensation in the muscles on the back of my right hand (which feels odd when I use my arm). I also me...
Dr. Jiang Junyi Reply:
Hello, Sir: Your concern about ALS primarily refers to issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those in the brainstem and spinal cord are called lower motor neurons. ...[Read More] Understanding Muscle Issues: Insights from Neurology for Better Health
Understanding Left Leg Numbness: Causes and When to Seek Help
Numbness in the left big toe? Hello, doctor. In recent months, I have been experiencing frequent pain in my left lower back, as well as occasional pain in my left pelvis and numbness in my left calf. Sometimes the pain is so severe that I cannot stand up straight. I would like to...
Dr. Jiang Junyi Reply:
Hello Ms. Cheng, The symptoms you mentioned may be related to nerve compression caused by posture. A herniated disc can lead to localized inflammatory responses resulting in lower back pain, which may extend to one or both sides of the buttocks or hips. If the herniated disc com...[Read More] Understanding Left Leg Numbness: Causes and When to Seek Help
Understanding Muscle Twitches: Causes and When to Seek Help
Muscle twitching Hello Doctor: I have noticed that since last week, the muscles below my right thumb have been intermittently twitching (similar to a calf cramp but without pain). The intervals between these twitches vary from a few minutes to a few hours, and the frequency of th...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may suggest benign muscle twitching. Certain situations in daily life can contribute to this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additional...[Read More] Understanding Muscle Twitches: Causes and When to Seek Help
Understanding Dizziness: Causes, Symptoms, and When to Seek Help
I would like to inquire about issues related to dizziness (vertigo)? Hello Doctor, I experienced dizziness for the first time about two years ago after dining at an all-you-can-eat restaurant. The next day, when I opened my eyes, everything around me was spinning wildly, accomp...
Dr. Jiang Junyi Reply:
Hello, sir: 1. I would like to ask what my symptoms might indicate. Should we consider Meniere's disease if I have auditory abnormalities? 2. If I need to see a doctor, would you recommend a neurologist or an otolaryngologist? If it is not a case of benign paroxysmal positi...[Read More] Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Understanding Facial Twitching: Causes and Relief Strategies
Facial twitching? Hello, doctor. I have been experiencing this issue since middle school, where my cheek muscles tremble uncontrollably whenever I am on stage or in front of a crowd. Recently, it seems to be happening more frequently, even when I'm called on in class, which ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that facial tremors may be physiological tremors, which do not occur regularly but happen in certain situations such as stress, tension, or anger. Some medications, such as bronchodilators, as well as the consumption of beverages like coffee, tea, and co...[Read More] Understanding Facial Twitching: Causes and Relief Strategies
Understanding Pulsating Sensation in the Left Occipital Region
Twitching of the muscles near the left ear and occipital region? Hello Doctor, since last Friday night, I have been experiencing a pulsating sensation in the left side of my occiput (just above the left side). It feels similar to an eyelid twitch, but now it is in the back of my ...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Chieh, In this era where everyone uses electronic devices, such issues are relatively common. The most common cause of muscle spasms in the left cervical region is nerve root compression in the cervical spine, leading to muscle tension. Prolonged periods of looki...[Read More] Understanding Pulsating Sensation in the Left Occipital Region
Persistent Headache with Nausea and Fever: When to Seek Further Medical Help
Headache, nausea, and fever? I have been experiencing headaches for over a week. Initially, the pain was not severe, but it has recently intensified. The main location of the pain is at the right back of my head, and I feel a sensation similar to having a fever throughout my body...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, headaches associated with a cold are classified as tension-type headaches. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is ...[Read More] Persistent Headache with Nausea and Fever: When to Seek Further Medical Help
Understanding Possible Drug Allergies: Neurological Symptoms and Treatment Options
Suspected drug allergy Dear Dr. Jiang, I have a few questions regarding my condition. About a month and a half ago, I had a small foreign object penetrate my left foot's fourth toe. During a skin biopsy at the hospital, I was prescribed a topical ointment called "Shipe...
Dr. Jiang Junyi Reply:
Hello David, Regarding the medication allergy you mentioned, particularly with ointments, it is rarely expressed in a neurological manner. Your symptoms may suggest lumbar nerve root compression. A common cause is inflammation resulting from a herniated disc, which can lead to l...[Read More] Understanding Possible Drug Allergies: Neurological Symptoms and Treatment Options
Understanding Muscle Twitching and Swallowing Issues: A Neurology Perspective
The muscle is twitching again? Hello, doctor. Last night, the muscles in my left leg started twitching intermittently again. This morning, after getting up, I noticed that the muscles in my arms also twitch sometimes after movement, similar to the days before my electromyography ...
Dr. Hong Weibin Reply:
There's no need to worry excessively; just relax your body and mind. Take a few days to rest and observe before making any decisions.[Read More] Understanding Muscle Twitching and Swallowing Issues: A Neurology Perspective
Head Pain When Lying Down: Understanding Neurological Symptoms
Experiencing a headache when lying down? Since the day before yesterday, I've had a slight headache, but last night it suddenly became an explosive pain, the kind that makes my whole head hurt and prevents me from sleeping well. However, sitting up provides some relief. Afte...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao, The common cause of the neck compression and pain you are experiencing is likely 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,...[Read More] Head Pain When Lying Down: Understanding Neurological Symptoms
Understanding Thumb Weakness and Finger Tremors: Neurology Insights
Finger issues Hello Doctor, I'm here to ask you another question. Last time, I mentioned that my right hand feels strange, but I forgot to mention that when I use my right thumb to scroll on my phone (holding the phone with one hand), it feels less agile compared to my left ...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned experiencing tingling sensations in your fingers, particularly in the index finger. This may suggest inflammation of the median nerve. The median nerve is responsible for the movement of the thumb and provides sensation to the thumb, index finger, middle...[Read More] Understanding Thumb Weakness and Finger Tremors: Neurology Insights
Understanding Numbness in the Left Hand and Occipital Region
Numbness in the back of the head and tingling in the left hand? The left hand has been feeling numb for several days, and tonight there is suddenly a tingling sensation in the back of the head. I would like to know what could be causing this.
Dr. Jiang Junyi Reply:
Dear Ms. Ke, You may need to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and degeneration of the cervical spine. Symptoms typically include pain at the affected site, discomfort, muscle stiffness, or neurological sensatio...[Read More] Understanding Numbness in the Left Hand and Occipital Region
Understanding Numbness in Left Hand and Occipital Area: Causes and Insights
Numbness in the back of the head and tingling in the left hand? The left hand has been feeling numb for several days, and tonight the back of the head suddenly feels numb as well. I would like to know what could be causing this.
Dr. Jiang Junyi Reply:
Dear Ms. Ke, You may need to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. Symptoms typically include pain at the affected site, discomfort, muscle stiffness, and possibly neuro...[Read More] Understanding Numbness in Left Hand and Occipital Area: Causes and Insights
Understanding Sudden Numbness and Right-Sided Head Pain: Neurology Insights
Intermittent numbness in the body and a dull pain on the right side of the head? Hello, Doctor: Recently, I have been experiencing occasional tingling sensations throughout my body, similar to being suddenly shocked. Aside from my head, I don't feel discomfort anywhere else....
Dr. Jiang Junyi Reply:
Dear Mr. Chang, The symptoms you mentioned may initially suggest cervical nerve root compression, which is often related to tightness in the cervical muscles and degeneration of the cervical spine. This condition typically presents with pain at the affected site, discomfort, mus...[Read More] Understanding Sudden Numbness and Right-Sided Head Pain: Neurology Insights
Understanding Right Hand Issues: Symptoms and Concerns in Neurology
My right hand feels strange? Hello, doctor. I'm sorry to bother you again. Since I had the electromyography (EMG) test on my right hand, it felt strange for a while, and recently I've noticed it feels a bit off again, like it’s not functioning properly when I try to gra...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be related to poor posture. It is recommended to: 1. Change your position: Change your posture every 15 minutes to allow the neck tissues to rest. Maintaining any posture (including a normal one) for an extended period can lead to tissue fatigue and infla...[Read More] Understanding Right Hand Issues: Symptoms and Concerns in Neurology
Sudden Facial Drooping After Injury: Understanding Possible Causes
Waking up suddenly with a crooked mouth? Hello Doctor: I have a history of hypertension. Last Wednesday, I was hit on the left big toe by a piece of wood, which turned black and caused me intense pain that nearly made me faint. That evening, I noticed some twitching on the left s...
Dr. Jiang Junyi Reply:
Hello, Ms. Juan: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometim...[Read More] Sudden Facial Drooping After Injury: Understanding Possible Causes
Understanding Anxiety About Physical Health: A Neurology Perspective
Constantly worrying about one's health? Hello, doctor. Last time I asked you about the reflexes in my feet, and later that day, I couldn't bear the psychological burden anymore and went to see a doctor. This time, I found a different neurologist. After explaining my sit...
Dr. Hong Weibin Reply:
Hello: It's normal to be concerned about your health, but there's no need to worry excessively. You can exercise at home or read books to distract yourself, which will help prevent you from overthinking every day.[Read More] Understanding Anxiety About Physical Health: A Neurology Perspective
Understanding Headaches After Nasal Swab Tests: When to Seek Help
Headache after rapid testing? Hello, doctor! After I performed a rapid test by swabbing my right nostril, I experienced a tingling sensation in the entire right side of my occipital region, extending to the top of my head and deep within my nostril. This sensation then evolves in...
Dr. Jiang Junyi Reply:
Dear Ms. Mei, Your symptoms may be a result of excessive neck extension during the screening process. It is recommended that you keep your eyes focused straight ahead, and the physician can adjust the angle of the screening. As long as you remain still, the difficulty of the exa...[Read More] Understanding Headaches After Nasal Swab Tests: When to Seek Help
Neck Pain After a Fall: When to Seek Medical Attention?
Neck pain Yesterday afternoon, I slipped and hit the back of my head after coming out of the bathroom. Since then, I've been feeling stiffness in my neck. Now, it's the next morning, and upon waking up, I feel even more stiffness in the muscles at the front of my neck. ...
Dr. Jiang Junyi Reply:
Dear Ms. Ali, Since you are in isolation, it is advisable to monitor your symptoms for 2-3 days to see if they worsen before considering medical attention. Based on your description, it may be necessary to consider cervical spine disorders, as the likelihood of intracranial hemo...[Read More] Neck Pain After a Fall: When to Seek Medical Attention?