Persistent Twitching Above Left Lip: Causes and Concerns Explained
Persistent twitching in the upper left area of the lip? I have been experiencing twitching in my upper left lip and the area above it for the past week. This twitching occurs in the same spot almost all day, every day, and is visibly noticeable. It even happens at night while I a...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest benign muscle twitching, which can be triggered by various factors in daily life, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additionally, certain med...[Read More] Persistent Twitching Above Left Lip: Causes and Concerns Explained
Understanding Weakness in the First Finger Joint: Causes and Concerns
Weakness in the first phalanx of the left hand? Hello, I sometimes feel weakness in the first phalanx of my left index finger when pressing down, usually occurring at night, and it feels better after I wake up. My left thumb and middle finger have also experienced this once; my r...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be located in the joints of your hand. It may be necessary to consider issues related to the muscles and tendons. I recommend discussing further examinations with your attending physician, as many tests may not provide definitive answers. It might be ...[Read More] Understanding Weakness in the First Finger Joint: Causes and Concerns
Managing Headaches and Dizziness: Insights from Neurology
Headache + Dizziness Hello Doctor: I have been experiencing headaches for a long time, but about a month ago, the frequency increased. I consulted a neurologist who diagnosed me with simple migraines and prescribed pain relief and preventive medication. Two weeks later, I noticed...
Dr. Jiang Junyi Reply:
Based on your description, in addition to migraines, tension-type headaches should also be considered. 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] Managing Headaches and Dizziness: Insights from Neurology
Understanding Headaches and Dizziness: When to Seek Further Evaluation
Headache + Dizziness Hello Doctor: I have been experiencing headaches for a long time, but about a month ago, the frequency increased. I consulted a neurologist who diagnosed me with simple migraines and prescribed pain relief and preventive medications. Two weeks later, I notice...
Dr. Jiang Junyi Reply:
Based on your description, in addition to migraines, tension-type headaches should also be considered. 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] Understanding Headaches and Dizziness: When to Seek Further Evaluation
Muscle Twitches While Lying Down: Causes and Concerns
Muscle twitching? Hello doctor, may I ask why sometimes when I lie on my side, my muscles keep twitching, and sometimes when I slouch, my muscles also twitch? When I change positions, the twitching stops. Is it possible that this could be related to amyotrophic lateral sclerosis ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be more indicative of muscle tension rather than a condition like 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 the b...[Read More] Muscle Twitches While Lying Down: Causes and Concerns
Is Your IV Injection Causing Nerve Damage? Symptoms and Solutions
Experiencing sharp pain at the moment of intravenous (IV) insertion may not necessarily indicate nerve damage. It could be a result of the needle penetrating the skin and tissue, which can cause temporary discomfort. However, if the pain persists or is accompanied by other sympto...
Dr. Jiang Junyi Reply:
Hello: The numbness and pain in your thumb may indicate symptoms of nerve compression. This could be due to localized tissue inflammation or pressure from muscles and ligaments. Generally, inflammation tends to resolve within 2-3 weeks. It is recommended that you consult a neurol...[Read More] Is Your IV Injection Causing Nerve Damage? Symptoms and Solutions
Understanding EMG Results: Why ALS Was Ruled Out in My Weakness Case
Electromyography (EMG) results for weakness in the limbs? Hello, doctor. Recently, I visited Kaohsiung Medical University Hospital due to weakness in my limbs, and they arranged for an electromyography (EMG) test. During the examination, the doctor assured me that I do not have a...
Dr. Jiang Junyi Reply:
Hello: The ALS you are concerned about 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 the brainstem and spinal cord are called lower motor neurons. When...[Read More] Understanding EMG Results: Why ALS Was Ruled Out in My Weakness Case
Muscle Cramps and ALS: Understanding the Connection
Cramps and Amyotrophic Lateral Sclerosis (ALS) Hello doctor, I have an issue with muscle twitching, and last night I experienced cramps in the soles of my feet. Could cramps be a symptom of amyotrophic lateral sclerosis (ALS)?
Dr. Jiang Junyi Reply:
Hello: Simple muscle cramps are less likely to be associated with motor neuron diseases. The condition you are concerned about, amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons, which control muscle movement. Generally, the motor neurons in the br...[Read More] Muscle Cramps and ALS: Understanding the Connection
Understanding Tension-Related Dizziness: Causes and Concerns
Tightening dizziness (pain?) Hello Dr. Jiang, I would like to ask you a few questions. Several years ago, after changing jobs (in a typical office setting with extensive computer use), I started experiencing dizziness on the right side of my head a few times each year. It's ...
Dr. Jiang Junyi Reply:
Hello: The tension-type headache you mentioned is caused by tightness in the muscles of the head. Common manifestations include a constricting pain in the forehead and temples, similar to wearing a tight headband. Since it is caused by muscle fatigue, it typically begins in the a...[Read More] Understanding Tension-Related Dizziness: Causes and Concerns
Understanding Frequent Muscle Twitches: When to Worry About ALS
Involuntary muscle twitching? Hello doctor, recently I've been experiencing occasional muscle twitching in both of my legs, and it's quite frequent. I would like to ask if benign twitching can occur this often? I'm worried it might be related to ALS.
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 Frequent Muscle Twitches: When to Worry About ALS
Understanding Headaches During Straining: Causes and Concerns
Headache during exertion? Hello, doctor. I have been experiencing headaches for a while, and recently I noticed that when I strain while using the restroom, I feel a tightening in my temples along with the headache. I looked it up online, and it seems to be a symptom of increased...
Dr. Jiang Junyi Reply:
Based on your description, the more common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal-temporal regions, sometimes with widespread pain. The nature of the pain is dull, aching, with ...[Read More] Understanding Headaches During Straining: Causes and Concerns
Understanding Finger Pain and Numbness from Gaming: Causes and Solutions
Long-term use of the index finger on the keyboard can lead to pain in the finger joints and numbness in the index finger when holding objects while standing? Due to playing some online games, I may have caused pain in the joint of my index finger from excessive clicking. Now, whe...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms seem to resemble sensory abnormalities in the distribution areas of the sixth and seventh cervical nerve roots caused by nerve compression. Shoulder, neck, and back pain are common ailments in modern individuals, especially among th...[Read More] Understanding Finger Pain and Numbness from Gaming: Causes and Solutions
Understanding Sciatica: Causes, Symptoms, and Treatment Options
Pain deep in the buttocks and right thigh? Hello, doctor. I am overweight and also have issues with muscle tightness (the therapist mentioned they have never encountered such tight muscles). Ten days ago, I suddenly rode a motorcycle for 90 minutes (I haven't ridden one in 2...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider symptoms of nerve compression due to a herniated disc, which may also result from sudden injuries such as twisting the waist, bending to lift heavy objects, or experiencing excessive force, for example, falling from a ...[Read More] Understanding Sciatica: Causes, Symptoms, and Treatment Options
Understanding Muscle Weakness in ALS: Fatigue vs. Strength Loss
Muscle weakness In amyotrophic lateral sclerosis (ALS), the muscle weakness experienced is primarily due to muscle strength reduction rather than just a feeling of weakness. This condition leads to the degeneration of motor neurons, resulting in actual loss of muscle strength and...
Dr. Jiang Junyi Reply:
Hello: The condition you mentioned, 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 in the bra...[Read More] Understanding Muscle Weakness in ALS: Fatigue vs. Strength Loss
Understanding Persistent Head Pain: Is It Related to Your Cold?
Intermittent headaches? Hello Dr. Jiang, last Sunday I experienced a sore throat, and the next day I started having occasional sharp pains on the scalp above my left ear, happening every few minutes. I have experienced this occasionally in the past, but it usually lasts no more t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms should indeed first consider the possibility of poor local circulation caused by a cold, which can lead to tension-type headaches. Tension-type headaches are, in fact, a form of myofascial pain. The fascia refers to the connective tissue that envelops the sur...[Read More] Understanding Persistent Head Pain: Is It Related to Your Cold?
Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Brain tumor, brain cancer I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and I smoke. My medi...
Dr. Hong Weibin Reply:
1. It is recommended that you directly inquire with the hospital's health examination center for clearer information. The same type of examination can have different modalities, and the purpose and results may vary. 2. Generally, a CT scan or MRI with contrast agent should b...[Read More] Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Understanding ALS: Muscle Disease Insights and EMG Testing Explained
Please ask again? Hello Doctor, I am the gentleman referred to as #161419. You mentioned that "if it is a muscle disease, there usually won't be just one abnormality." Is amyotrophic lateral sclerosis (ALS) also considered a muscle disease? If I am being tested for...
Dr. Jiang Junyi Reply:
Hello: The condition you mentioned is known as amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. This disease involves the degeneration of the nerves that control muscle movement. Electromyography (EMG) may show signs of nerve damage at different stage...[Read More] Understanding ALS: Muscle Disease Insights and EMG Testing Explained
Understanding Triceps Function: Muscle Engagement and Asymmetry Explained
Triceps brachii 1. When lifting a bucket, the triceps brachii may not feel tense if the weight is not heavy enough or if the movement does not require significant extension of the elbow. The triceps are primarily engaged during activities that involve pushing or extending the arm...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, there are inherent differences between the muscle groups on the left and right sides of the body. If there is localized edema, it becomes even more challenging to make comparisons. For assessing muscle mass, it is recommended to use a body composition a...[Read More] Understanding Triceps Function: Muscle Engagement and Asymmetry Explained
Understanding Muscle Twitches in ALS: Severity and Affected Areas
Muscle twitching Hello, doctor. I am the person who asked a question earlier. I would like to know if the muscle twitching in amyotrophic lateral sclerosis (ALS) becomes progressively worse. Will the twitching occur in the muscles that are already weak?
Dr. Jiang Junyi Reply:
Hello: The ALS you are concerned about 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 known as lower motor neu...[Read More] Understanding Muscle Twitches in ALS: Severity and Affected Areas
Sudden Cramps in Right Hand and Forearm: Causes and When to Seek Help
Sudden cramping in the center of the forearm near the wrist with the palm of the right hand facing up? Sudden cramping in the fingers of the right hand, followed by cramping in the center of the palm facing up near the end of the forearm, raises concerns about potential issues. I...
Dr. Jiang Junyi Reply:
Hello: Our bodies may experience muscle cramps due to stress, anxiety, or poor posture, which can lead to excessive tightness in the muscles and fascia. Additionally, certain electrolyte imbalances, such as hypocalcemia, can also make one more prone to cramps. You mentioned that ...[Read More] Sudden Cramps in Right Hand and Forearm: Causes and When to Seek Help