Understanding Neck and Occipital Pain: When to Seek Medical Attention
Pain in the neck at the base of the skull? Hello doctor, I have been experiencing pain in the area where my neck meets the back of my head for almost a week now. The frequency of the pain varies: it hurts every night for one day, occasionally for two days, persists in the evening...
Dr. Jiang Junyi Reply:
Hello, Based on your description, the most common cause of your right neck pain 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, resti...[Read More] Understanding Neck and Occipital Pain: When to Seek Medical Attention
Understanding Leg Cramps and Twitches: Causes and Solutions
Sharp pain in the foot followed by twitching? Sometimes, when I'm about to fall asleep but still conscious (whether at night or during a nap), I experience an uncomfortable sensation in my legs (mainly in the calves), followed by involuntary jerking movements (usually in one...
Dr. Jiang Junyi Reply:
Hello: You mentioned muscle twitches before falling asleep, known as hypnic jerks. When the breathing rate decreases significantly during sleep or when dreaming of falling, the brain's nervous system perceives the body as being in danger and responds by quickly tensing the m...[Read More] Understanding Leg Cramps and Twitches: Causes and Solutions
Understanding ALS Concerns: A Student's Journey to Peace of Mind
Good evening, doctor? Hello, doctor. I am the college student who was previously worried about having ALS. I underwent electromyography (EMG) testing, where needles were inserted into my arms and left leg to assess muscle activity. The doctor reassured me that everything was norm...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms and examination, it does not appear to be amyotrophic lateral sclerosis (ALS), so there is no need to worry excessively.[Read More] Understanding ALS Concerns: A Student's Journey to Peace of Mind
Understanding Your EMG Results: Reassurance for Neurology Concerns
Regarding the previous question, please have the doctor respond briefly. Thank you? Hello, doctor. I am a college student who was previously worried about ALS. After completing the electromyography (EMG), the doctor told me that my nerves are normal and not to overthink or worry....
Dr. Hong Weibin Reply:
Hello: Based on your symptoms and examination, it does not appear to be amyotrophic lateral sclerosis (ALS), so there is no need to worry excessively.[Read More] Understanding Your EMG Results: Reassurance for Neurology Concerns
Understanding Foot Arch Issues: Neurological Concerns Explained
Regarding foot orthotics? Good evening, doctor. A few days ago, I was still too scared and went back for a follow-up regarding the muscles in my left arm. His response was similar to yours. Today, my left foot's sole started twitching again, so I went for an examination like...
Dr. Jiang Junyi Reply:
Hello: Muscle atrophy typically takes some time to develop. To promote muscle growth, it is recommended to engage in regular exercise and ensure adequate protein intake. However, due to the recent tight COVID-19 situation, it is advisable to wait until the pandemic stabilizes bef...[Read More] Understanding Foot Arch Issues: Neurological Concerns Explained
Understanding the Severity of Numbness and Tingling in Neurology
Numbness and pain in the hands and feet? The sensations of tingling, dullness (like skin), itching (like ants crawling), and electric shock can vary in severity. If pinching still causes pain, it indicates that the nerves are likely still intact and functioning.
Dr. Jiang Junyi Reply:
Hello: Our peripheral nerves can be classified into large fiber nerves and small fiber nerves. Large fiber nerves are responsible for motor functions (muscle movement) and proprioception (sensation from muscles, joints, etc.). Small fiber nerves are responsible for sensations of ...[Read More] Understanding the Severity of Numbness and Tingling in Neurology
Understanding Muscle Imbalance: Insights from Neurology
Muscle issues Hello, Doctor. I forgot to ask you a question. The muscles in my left thenar region feel smaller than those on the right, and they are indeed slightly smaller on the right side (I am right-handed). During the electromyography (EMG) test yesterday, the doctor also pi...
Dr. Jiang Junyi Reply:
Hello: The results obtained from electromyography (EMG) are related to muscle size. The situation you mentioned is considered a normal phenomenon. Wishing you well.[Read More] Understanding Muscle Imbalance: Insights from Neurology
Understanding Neck and Trapezius Pain: Causes and When to Seek Help
Stiffness and pain in the neck and trapezius muscle? Hello, Doctor. In the past few days, I have been experiencing neck stiffness and a tingling sensation, along with pain in my trapezius muscle. I have taken muscle relaxants, but they only provide temporary relief, and the pain ...
Dr. Hong Weibin Reply:
Hello: Based on the symptoms you described, it may be due to stiffness and tension in the shoulder and neck muscles. It is advisable to seek treatment from a rehabilitation specialist. Wishing you a speedy recovery.[Read More] Understanding Neck and Trapezius Pain: Causes and When to Seek Help
Dizziness and Trapezius Pain: When to See a Neurologist?
Dizziness and trapezius muscle pain? Hello, Dr. Jiang. Recently, I've been experiencing neck pain and discomfort in my trapezius muscles, and I've also had some pain in my forehead and head. Whenever I sit and use the computer (due to work), the discomfort worsens. Some...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, specifically cervical spondylosis, which can cause neck pain and stiffness. This condition may compress nearby nerve roots, leading to pain that can extend to the shoulders, arms, and hand...[Read More] Dizziness and Trapezius Pain: When to See a Neurologist?
Understanding Facial Nerve Disorders: Symptoms, Treatments, and Management
Facial nerve dysfunction I have been diagnosed with Ramsay Hunt Syndrome for seven and a half months. Since being hospitalized, I have been continuously receiving rehabilitation therapy and acupuncture treatment, and I am taking B12 supplements. However, my symptoms have been rec...
Dr. Cai Zongzhang Reply:
Hello Ken! Based on the symptoms described above, they are all sequelae of facial nerve injury. Continuous follow-up and taking B12 are the correct treatment approaches. Additionally, good sleep also aids in nerve repair, so please be patient and continue with the treatment.[Read More] Understanding Facial Nerve Disorders: Symptoms, Treatments, and Management
Coping with Health Anxiety: Navigating Neurological Concerns and Fear
Facing Illness Hello, doctor. Regarding the issue of muscle twitching in my bedroom, I had a follow-up appointment on April 23rd. The results of my ion tests were normal. I explained my condition in detail to the doctor, who performed a reflex examination and said, "The refl...
Dr. Jiang Junyi Reply:
Hello: If anxiety and fear have already impacted your daily life, it is advisable to seek a psychologist to learn mindfulness and stress relief techniques. It is also recommended to develop a habit of exercising and maintain a regular daily routine. Wishing you good health, peace...[Read More] Coping with Health Anxiety: Navigating Neurological Concerns and Fear
Understanding Muscle Twitches: Insights on Neurological Concerns
Muscle regeneration inquiry (Please let the doctor review this, thank you.) If the doctor sees this, please just reply to this post. Recently, I've been experiencing some symptoms that remind me of my concerns about multiple sclerosis from six months ago: sometimes, my muscl...
Dr. Jiang Junyi Reply:
Hello: The differential diagnosis of multiple sclerosis is quite extensive, including factors such as genetics, infections, inflammation, metabolism, tumors, psychiatric conditions, toxins, and blood circulation issues. When spontaneous remission of neurological symptoms occurs, ...[Read More] Understanding Muscle Twitches: Insights on Neurological Concerns
Understanding Muscle Twitches and Visual Disturbances Before Sleep
Your own condition? Hello, doctor. I would like to describe my recent situation. Sometimes, just as I am about to fall asleep, I experience muscle twitches or my limbs move involuntarily. There have been instances where I wake up in the middle of the night to find my muscles twit...
Dr. Hong Weibin Reply:
Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese). The causes are quite diverse, with the most common being stress, electrolyte imbalan...[Read More] Understanding Muscle Twitches and Visual Disturbances Before Sleep
Understanding Muscle Twitches: Concerns and Neurological Insights
Regarding muscle issues? Hello Doctor, I have recently been experiencing muscle twitching. The twitching occurs in specific areas after significant movements; for example, after sneezing, the muscles around my ribs twitch a few times. The twitching is more noticeable when I lie d...
Dr. Hong Weibin Reply:
Hello: There are many potential causes for muscle twitching. In addition to muscle fasciculation, there are muscle myokymia, muscle spasm, muscle myoclonus, and others that are difficult to translate. The causes are quite diverse, but the most common ones include stress, electrol...[Read More] Understanding Muscle Twitches: Concerns and Neurological Insights
Understanding Eye Movement Issues: When to See a Neurologist
Experiencing shaking or oscillation of the eyes while looking at objects, along with discomfort in the eyes and head? Recently, I've been experiencing a sensation of things shaking when I look at them, and my head feels uncomfortable. It feels like the movement frequency of ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may need to be considered in relation to issues involving the ocular muscles, optic nerve, and brain. If the symptoms persist, it is advisable to visit a major hospital's neurology department for further examination and discussion (including visual evoke...[Read More] Understanding Eye Movement Issues: When to See a Neurologist
Understanding Persistent Lightheadedness: When to See a Neurologist
The head feels unsteady (only a sensation of swaying and dizziness, without vertigo)? Hello, Doctor... I am 29 years old, 177 cm tall, weighing 64 kg, and I do not have any chronic diseases. I would like to ask a few questions. Recently, I have been experiencing dizziness for abo...
Dr. Jiang Junyi Reply:
Hello: Based on your description, can shoulder and neck pain lead to dizziness? It is important to consider that tightness in the neck muscles may affect proprioception. Is it a problem with blood circulation, or is there another issue? Can a rapid heartbeat also cause dizziness?...[Read More] Understanding Persistent Lightheadedness: When to See a Neurologist
Persistent Headaches After Car Accident: Next Steps for Recovery
Headache persisting for more than one month after a car accident? After a car accident while wearing a helmet, the patient suffered a head impact and was hospitalized. The resident physician indicated that a brain scan revealed small blood clots, but surgery was not necessary. Ov...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest that there has been an injury to the neck muscles due to a head impact, as well as compression of the cervical nerves leading to tingling sensations. It is recommended that you consult a rehabilitation physician to discuss examination and treatmen...[Read More] Persistent Headaches After Car Accident: Next Steps for Recovery
Understanding ALS: Coping with Muscle Twitches and Anxiety
About Amyotrophic Lateral Sclerosis (ALS) I consulted a doctor regarding my muscle twitching, and he said it is unlikely to be Parkinson's disease. He prescribed medication and ordered blood tests to check my ion levels. I have a follow-up appointment on April 30 to review t...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you engage in stretching exercises and strength training. Avoid the intake of tobacco, alcohol, and coffee to reduce muscle tremors. It is advisable to consult a neurologist (peripheral nerve specialist) to discuss examinations and treatment. Wishing...[Read More] Understanding ALS: Coping with Muscle Twitches and Anxiety
Understanding ALS: Your Concerns and Next Steps for Diagnosis
The last time I asked you about the issue of amyotrophic lateral sclerosis (ALS)? Hello, doctor. I am the one who asked you about ALS last time. Based on your response, do you mean that it is possible I might have it, and I should go get checked? Should I schedule an electromyogr...
Dr. Jiang Junyi Reply:
Hello: It is advisable not to consider amyotrophic lateral sclerosis (ALS) at this time, as this disease is more commonly seen around the age of 40, peaking at 70 years old. It is recommended that you engage in more stretching exercises to reduce body tremors. It would also be be...[Read More] Understanding ALS: Your Concerns and Next Steps for Diagnosis
Understanding Muscle Tremors: Symptoms, Concerns, and Next Steps
About muscle twitching? Hello Doctor, I have recently noticed a lack of sensation in a specific area at the back of my throat, which made me worried enough to see a doctor. The doctor reviewed my previous reports, tested my reflexes with a hammer, conducted a consultation, and ha...
Dr. Jiang Junyi Reply:
Hello: You are concerned about Parkinson's disease, which typically does not occur in your age group unless there are familial genetic factors involved. Instead, you should consider drug-induced extrapyramidal syndrome, which occurs when the body's motor system is disru...[Read More] Understanding Muscle Tremors: Symptoms, Concerns, and Next Steps