Understanding Lower Back Pain: Causes, Symptoms, and Treatment Options
Lumbar issues? I used to wear high heels frequently for work, but I haven't worn any heeled shoes for almost two years now. However, I feel like I have an issue with anterior pelvic tilt. I have tried chiropractic adjustments, but they didn't seem to help much. To lose ...
Dr. Cai Zongzhang Reply:
It is recommended to consult a neurologist to check for symptoms caused by lumbar nerve compression.[Read More] Understanding Lower Back Pain: Causes, Symptoms, and Treatment Options
Frequent Headaches and Nosebleeds: When to Seek Medical Advice
Headache and nosebleed? I sometimes experience unexplained headaches and have been having frequent nosebleeds lately. While eating hot pot, I find that my nose starts bleeding uncontrollably. I visited an otolaryngologist, but the doctor said everything is normal and there are no...
Dr. Jiang Junyi Reply:
Hello: It is recommended to visit the ENT department at the hospital to determine the location of the nosebleed, which may help identify possible causes. You might also want to consider coagulation disorders. As for the headache, common causes include tension-type headaches or mi...[Read More] Frequent Headaches and Nosebleeds: When to Seek Medical Advice
Understanding Widespread Pain: When to See a Specialist for Neurological Issues
Multiple areas of pain in a short period of time? Over the past month, I have been experiencing various pains throughout my body. Initially, I consulted a specialist, but due to the wide range of symptoms and the duration of the issue, I began to wonder if it might be related to ...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you print out the detailed description and discuss it with your physician. Based on your description, fibromyalgia should be considered. Clinically, it is differentiated from other conditions that present with widespread pain, such as inflammatory or...[Read More] Understanding Widespread Pain: When to See a Specialist for Neurological Issues
Understanding Muscle Twitching and Weakness: Possible Causes and Next Steps
Muscle twitching and weakness? Hello Doctor: At the end of February, I suddenly felt unusual sensations in my limbs, followed by involuntary muscle twitching throughout my arms and legs. Recently, I also noticed that when I try to open my left pinky finger from a fist, it feels s...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves 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 ...[Read More] Understanding Muscle Twitching and Weakness: Possible Causes and Next Steps
Why Do Muscle Cramps Recur in the Same Area? Expert Insights
Is it true that a place that has been previously strained is more likely to relapse? Hello, doctor. I usually enjoy outdoor activities and have frequently hiked up to a hundred peaks without ever experiencing cramps. However, last year I felt cramps for the first time in the inne...
Dr. Jiang Junyi Reply:
Hello: Based on your description, you recently experienced sensations of cramping in the outer side of your calves. Do you have any recommendations, Doctor? A: In addition to electrolyte solutions, you may need to supplement with vitamin D and calcium. Furthermore, the accumulati...[Read More] Why Do Muscle Cramps Recur in the Same Area? Expert Insights
Early Signs of ALS: How to Assess Your Symptoms Effectively
Is there a simple preliminary assessment to determine if someone has amyotrophic lateral sclerosis (ALS)? Hello, currently I am experiencing weakness in my right hand fingers, but I am not yet unable to use chopsticks, button shirts, or use keys as mentioned online. However, I do...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more indicative of peripheral neuropathy. For example, if it is ulnar nerve neuropathy, resting your elbow on a hard surface or applying pressure to the elbow can likely cause ulnar nerve compression, such as when using a comput...[Read More] Early Signs of ALS: How to Assess Your Symptoms Effectively
Understanding Early Signs of ALS: What You Need to Know
Early signs of amyotrophic lateral sclerosis (ALS)? Hello Doctor: Recently, I suddenly noticed something unusual with my body; it feels as if my limbs are not completely my own. I can say there is a bit of weakness in my limbs, but it's not entirely that. After a day, this s...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may warrant consideration of a brain disorder. The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in t...[Read More] Understanding Early Signs of ALS: What You Need to Know
Persistent Headaches: Understanding Symptoms and Seeking Solutions
Persistent headache for six months? One night, I experienced severe headaches and pain around my eye sockets. I was only able to sleep after taking a sleeping pill. The next day, the pain subsided, but I developed shoulder pain. This lasted for a day and then went away. Subsequen...
Dr. Jiang Junyi Reply:
Hello: You may need to consider issues related to cervical fascia. Degenerative changes in the cervical spine can lead to neck pain and stiffness, as well as pain that radiates to the shoulders, arms, and hands due to compression of nearby nerve roots, causing discomfort. Medic...[Read More] Persistent Headaches: Understanding Symptoms and Seeking Solutions
Understanding Facial Nerve Palsy: Symptoms, Treatments, and Next Steps
Hello, I would like to inquire about facial nerve paralysis? Hello, thank you very much for taking the time to respond. About two days ago, I noticed some abnormalities in my face, which I would like to describe: I am experiencing weakness on the right side of my face, such as be...
Dr. Jiang Junyi Reply:
Hello: 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. Sometimes, patient...[Read More] Understanding Facial Nerve Palsy: Symptoms, Treatments, and Next Steps
Chin Tuck Exercises: Causes of Headaches and Eye Pain Explained
The chin tuck exercise caused a migraine accompanied by swelling and pain in the eyes? Hello, doctor. Due to prolonged computer use, I have developed what is commonly referred to as "turtle neck." To help relax my neck, I perform chin tucks, but every time I do, my righ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms still suggest the possibility of muscle tension in the C3-C4 region of the cervical spine. It may be that some muscles are not fully relaxing. I recommend consulting a physical therapist to learn proper relaxation techniques. Also, pay attention to your postu...[Read More] Chin Tuck Exercises: Causes of Headaches and Eye Pain Explained
Understanding Eyebrow Pain: Causes and When to Seek Help
Pain and swelling in the forehead? Hello, Dr. Jiang... About a week ago, shortly after waking up in the morning, I started experiencing swelling and pain above my right eyebrow, specifically in the area above my eye. It is particularly painful when pressed. This has been ongoing ...
Dr. Jiang Junyi Reply:
Hello, based on your described symptoms, they are very similar to cervical myofascial pain syndrome. Clinically, it often presents as pain at the affected site, discomfort, muscle stiffness, or a feeling of heaviness, and sometimes palpable myofascial trigger points can be felt u...[Read More] Understanding Eyebrow Pain: Causes and When to Seek Help
Understanding Unexplained Dizziness: Causes and Solutions
Unexplained dizziness? Hello Doctor, I have been experiencing a pulsating sensation in the back of my head and a feeling of instability for five years. It feels like I am walking on cotton. I have undergone numerous tests and only found a small bone spur in my neck that does not ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. Symptoms may include pain at the affected site, discomfort, muscle stiffnes...[Read More] Understanding Unexplained Dizziness: Causes and Solutions
Persistent Eye Twitching: Causes and Solutions for Lasting Discomfort
Eyelid issue: Right lower eyelid twitching for two and a half months? Doctor: My right lower eyelid has been twitching for two and a half months. I visited the ophthalmology department at Taipei Medical University Hospital, and they said everything is normal. The doctor mentioned...
Dr. Jiang Junyi Reply:
According to your description, eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. If only the eyelid is affected and there are no involuntary movements in othe...[Read More] Persistent Eye Twitching: Causes and Solutions for Lasting Discomfort
Understanding and Managing Sudden Rib Pain: Causes and Solutions
Neuropathic pain Hello! This issue has been troubling me for many years, starting around middle school. I experience sudden, severe pain on both sides of my ribcage, which worsens with breathing, talking, or laughing. However, the pain usually lasts only one to two hours; sometim...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of intercostal muscle cramps. The possible causes may include insufficient ventilation of the diaphragm and intercostal muscles, leading to spasms due to uncoordinated contractions, or slower blood circulation. During an episode, stretchin...[Read More] Understanding and Managing Sudden Rib Pain: Causes and Solutions
Understanding Nerve Issues: Overcoming Weakness and Numbness in Legs
Numbness and weakness in the legs? Hello, doctor. At the beginning of January, I noticed weakness in my body, discomfort in my stomach, bloating, and a decreased appetite. I thought it was just due to fatigue, so I rested for a few days. Later, I discovered that my lower legs wer...
Dr. Jiang Junyi Reply:
Hello: In cases of multifocal demyelinating neuropathy, if there are no severe complications, approximately 80% of patients can regain normal function. Most patients reach the lowest point of their condition within two to four weeks, after which symptoms may persist for several w...[Read More] Understanding Nerve Issues: Overcoming Weakness and Numbness in Legs
Understanding Neurological Symptoms: Brain Tingling and Knee Muscle Control
Muscles at the upper edge of the knee and the brain? Hello Doctor: Recently (for about two weeks), I have been experiencing a sensation of numbness in my brain for approximately one-third of the day. I also feel unable to control the muscles at the upper edge of my knee. However,...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many reasons for the inability to control the leg muscles, such as lumbar nerve compression, which requires examination. As for the tingling sensation in the legs, it may be worth considering the possibility of restless legs syndrome. T...[Read More] Understanding Neurological Symptoms: Brain Tingling and Knee Muscle Control
Understanding Pulsatile Tinnitus: Causes and Management Strategies
Regarding pulsatile tinnitus, also known as vascular tinnitus? Hello, Dr. Jiang. 1. I have been experiencing tinnitus (various sounds, primarily a distant roaring noise, usually in the left ear, with a very rare occurrence of a sudden long beep in the right ear that gradually d...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems to be a vascular-related issue, but the instruments can only detect large blood vessels. You have a history of myocardial infarction and some neurological symptoms. It may be necessary to consider obstructive sleep apnea: if you have thi...[Read More] Understanding Pulsatile Tinnitus: Causes and Management Strategies
Understanding Weakness and Pain in Limbs: Possible Causes and Concerns
In the past few days, I've suddenly felt weakness in my right leg, left hand, and right hand due to soreness? Hello Doctor, a few days ago I started feeling a weakness and soreness in my right leg, specifically from about one-third down the inner thigh to the knee, and it sl...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest nerve root compression, specifically considering cervical and lumbar nerve root compression. The condition you are concerned about, commonly referred to as ALS (amyotrophic lateral sclerosis), primarily involves issues with motor neurons. Clinical...[Read More] Understanding Weakness and Pain in Limbs: Possible Causes and Concerns
Understanding Pulsatile Tinnitus and Dizziness: Causes and Concerns
Tinnitus + dizziness Hello Doctor, Since last Thursday, I have been experiencing tinnitus and dizziness, and it has been over a week now. The tinnitus sounds like a whooshing noise that is synchronized with my heartbeat, and I can only hear it in quiet environments. The dizzine...
Dr. Jiang Junyi Reply:
Hello: You mentioned that 1. The tinnitus you experience is pulsatile, synchronized with your heartbeat, which seems quite serious. However, during the consultation, the doctor said that if it were pulsatile tinnitus, it wouldn't be masked by background noise (I couldn'...[Read More] Understanding Pulsatile Tinnitus and Dizziness: Causes and Concerns
Understanding Headaches and Mood Changes: When to Seek Neurology Help
Headache and mood swings? Hello, doctor. Previously, I had a vague pain in the right occipital region, but I thought it was a migraine and didn't pay much attention. However, I recently noticed that this situation has become increasingly severe. I didn't notice when the...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems less likely to be a migraine. Migraine is a type of vascular headache caused by neurological factors, and it typically does not present with localized pain points. The more common cause of right-sided neck pain is cervical myofascial pai...[Read More] Understanding Headaches and Mood Changes: When to Seek Neurology Help