Understanding Uncontrolled Muscle Contractions: A Neurological Perspective
The body may experience uncontrollable urges to exert force? I experience episodes infrequently, during which I am conscious and able to talk, but my body is uncontrollable. Sometimes it affects specific areas, while other times it is generalized. I feel my muscles tightening, wi...
Dr. Cai Zongzhang Reply:
Hello, it is recommended that you consult a neurologist or a rehabilitation physician for further evaluation and treatment.[Read More] Understanding Uncontrolled Muscle Contractions: A Neurological Perspective
Understanding Pulsations in the Back of the Head: Is It Normal?
Pulsation of the blood vessels at the back of the head? Doctor, I would like to ask you about something. Recently, I have been looking down at my phone for a long time and became very focused on it. Suddenly, I felt a pulsing sensation at the back of my head, which I believe is r...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered. Symptoms may include pain, discomfort, muscle stiffness, a feeling of heaviness, and muscle twitching when the muscles are tense. Symptoms may worsen with changes in weather and can be allev...[Read More] Understanding Pulsations in the Back of the Head: Is It Normal?
Understanding Cervical Spine Issues and Their Impact on Health
Consultation on cervical spine and related issues? Hello Dr. Jiang, I have been experiencing significant discomfort in my neck recently, so I came to seek your advice. Last week, due to a month-long episode of dizziness and lightheadedness, I visited Chang Gung Memorial Hospital ...
Dr. Jiang Junyi Reply:
Hello: 1. Is there really a concept of congenital straight cervical spine? It seems that there are differing opinions between neurologists and orthopedic doctors. 2. If there is indeed a congenital straight cervical spine, would it affect muscle stiffness? I have noticed that ...[Read More] Understanding Cervical Spine Issues and Their Impact on Health
Understanding Muscle Twitching: Causes and Concerns in Young Adults
Involuntary muscle twitching at irregular locations? Hello Doctor, about a month ago, I started experiencing twitching in my right eye bag and my left calf. After an EEG, the doctor said it was normal, so my family suggested I get blood tests for thyroid function. I might be over...
Dr. Hong Weibin Reply:
Hello: If you experience visible persistent muscle twitching and pain, you can seek assistance from a neurologist to determine if an electromyography (EMG) is necessary. Muscle twitching can have many causes that require differential diagnosis, and not all causes are as alarming ...[Read More] Understanding Muscle Twitching: Causes and Concerns in Young Adults
Understanding Muscle Twitches and Weakness: A Neurology Perspective
Weakness in the legs and muscle tremors? Doctor, last week I experienced muscle twitching in multiple areas of my body, so I went to a neurologist for an electroencephalogram, which came back normal. Although the twitching is not very frequent, I sometimes notice significant musc...
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 called lower motor neuro...[Read More] Understanding Muscle Twitches and Weakness: A Neurology Perspective
Chronic Neck Stiffness and Swelling: Seeking Solutions for Persistent Pain
Unilateral neck swelling and tightness, with stiffness in the shoulders and upper back for many years? Hello, doctor. I have been experiencing stiffness and swelling in my right neck for many years. When I turn my head to the right, I feel tightness, and my right eyelid and eyebr...
Dr. Jiang Junyi Reply:
Hello, based on your description, I believe it is essential to first clarify whether there is cervical nerve root compression or cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder dis...[Read More] Chronic Neck Stiffness and Swelling: Seeking Solutions for Persistent Pain
Understanding Upper Body Numbness: Causes and When to Seek Help
Numbness in the upper body? Hello doctor, last night while sitting, I suddenly experienced numbness that radiated from my spine in the back of my chest to my hands and the muscles in my face below my eyes. During the numbness, both my hands and face were able to move freely, but ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are more indicative of hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in "respiratory alkalosis," which can cause systemic reactions and symptoms. Common manifestation...[Read More] Understanding Upper Body Numbness: Causes and When to Seek Help
Understanding Facial Twitching: Causes and When to Seek Help
Facial spasms Hello, I would like to ask about a twitching sensation on the left side of my cheekbone or just above the corner of my mouth. It occurs a few times a day, about 3 to 4 times, each lasting around 3 seconds. Sometimes there is a slight twitching feeling, but it doesn&...
Dr. Jiang Junyi Reply:
Hello: Eyelid movement is 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 other facial muscles are not twitching, it is considered simple eyel...[Read More] Understanding Facial Twitching: Causes and When to Seek Help
Understanding Muscle Twitches and Nerve Sensitivity in the Arm
Tremor issues? Hello Doctor: I am currently in the United States, and accessing healthcare is not very convenient. I would like to request your assistance, thank you. For the past five days, I have been experiencing involuntary twitching in the upper left arm, specifically in the...
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 in the affected area, discomfort, muscle stiffness, or a heavy sensation, and sometimes palpable myofascial trigger points can be felt under ...[Read More] Understanding Muscle Twitches and Nerve Sensitivity in the Arm
Understanding Pulsatile Tinnitus: Is It Linked to Blood Vessel Abnormalities?
Pulsatile tinnitus I remember experiencing a high spike in blood pressure once, and since then, I've been hearing a tinnitus sound that matches the frequency of my pulse. Could you please advise if this is significantly related to abnormalities in the blood vessels of the br...
Dr. Jiang Junyi Reply:
Hello: Based on your description, tinnitus can be classified into two types: 1. Subjective tinnitus, which can only be perceived by the individual, primarily caused by issues with the auditory system. 2. Objective tinnitus, which can be perceived not only by the individual but al...[Read More] Understanding Pulsatile Tinnitus: Is It Linked to Blood Vessel Abnormalities?
Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Muscle twitching Hello Doctor, I am a 23-year-old student. Two weeks ago, I experienced persistent twitching in the area under my right eye, which has since improved. However, I then started to have frequent twitching in my left foot and the top of my foot, so I went to see a neu...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of sympathetic nervous system hyperactivity. 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, wh...[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Understanding Neck Tension: Causes, Symptoms, and Treatment Options
Neck problems Hello, doctor. I have been experiencing a persistent tightness on the left side of my neck around the C4-C5 vertebrae, which feels like there is something there. Sometimes when I lower or nod my head, it feels like it’s being pulled, and when it gets really uncomfor...
Dr. Jiang Junyi Reply:
Hello: If the rehabilitation results are not satisfactory, it may be advisable for the rehabilitation physician to refer you to a neurosurgeon to assess for any nerve root compression, and you may need to wear a cervical collar for protection. In addition to rehabilitation, I rec...[Read More] Understanding Neck Tension: Causes, Symptoms, and Treatment Options
Understanding Neck and Head Tension: Causes and Concerns
Head and neck Hello doctor, I used to have a tight spot on the left side of my neck, which would occasionally feel sore. Recently, I've been experiencing tightness in my scalp, forehead, and even around my eyes, which sometimes feel achy. Occasionally, I also feel a bit of w...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of left-sided neck pain is 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, resting may al...[Read More] Understanding Neck and Head Tension: Causes and Concerns
Understanding Headaches: Can Neck Tension Heal Itself?
Continuing from #154498 regarding the headache issue? Hello, doctor. Previously, you suggested waiting for the pandemic to subside before getting checked. I currently feel that my condition is improving, and I hardly experience headaches anymore. I would like to ask if my symptom...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, nerve compression and inflammation have some self-healing capabilities. However, over time, they may still lead to structural changes. It is recommended to change your fixed posture every 30-60 minutes to avoid excessive use of local muscles. If symptom...[Read More] Understanding Headaches: Can Neck Tension Heal Itself?
Managing Neck Pain: Sleep Aids vs. Muscle Relaxants for Better Rest
Cervical spine issues I have tightness and soreness in my neck and shoulders. Recently, I had an X-ray that confirmed a displacement of the fifth and sixth cervical vertebrae. I am currently undergoing rehabilitation and neck stretching treatments. I often have trouble falling as...
Dr. Jiang Junyi Reply:
Hello, based on your description, the treatment for cervical myofascial pain primarily focuses on maintenance. 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, resting may ...[Read More] Managing Neck Pain: Sleep Aids vs. Muscle Relaxants for Better Rest
Understanding Breathing Issues: Sleep Apnea and Its Impact on Your Health
Respiratory issues Hello doctor, I have been experiencing chest tightness, chest pain, and difficulty breathing for the past few years, and it has recently worsened to the point where I have trouble sleeping at night due to breathing difficulties. Additionally, I was diagnosed wi...
Dr. Jiang Junyi Reply:
Hello, based on your description, sleep apnea may lead to daytime lack of concentration and frequent drowsiness. However, sleep apnea can be classified into two types: 1. Obstructive Sleep Apnea (OSA): This is the most common type, accounting for about 90% of cases. Soft tissue...[Read More] Understanding Breathing Issues: Sleep Apnea and Its Impact on Your Health
Understanding Breathing Issues: Is Sleep Apnea the Cause of Your Chest Pain?
Respiratory issues Hello doctor, I have been experiencing chest tightness, chest pain, and difficulty breathing for the past few years, and it has recently worsened to the point where I have trouble sleeping at night due to breathing difficulties. Additionally, I was diagnosed wi...
Dr. Jiang Junyi Reply:
Hello, based on your description, sleep apnea may cause daytime concentration issues and frequent drowsiness. However, sleep apnea can be categorized into two types: 1. Obstructive Sleep Apnea (OSA): This is the most common type, accounting for about 90% of cases. Soft tissue n...[Read More] Understanding Breathing Issues: Is Sleep Apnea the Cause of Your Chest Pain?
Managing Headaches: When to Use Pain Relievers and Seek Medical Advice
Headache and Medication Consultation Hello, doctor. Recently, I have been experiencing headaches that last almost all day. When the pain is mild, I feel a slight pressure and pain around both temples and the sides of my eyes. At its worst, the pain affects the entire right side o...
Dr. Jiang Junyi Reply:
Hello, based on your description, the headache you mentioned may initially be related to cervical nerve root compression, which is often associated with tightness in the cervical muscles and degeneration of the cervical spine. Symptoms typically include pain at the affected site,...[Read More] Managing Headaches: When to Use Pain Relievers and Seek Medical Advice
Understanding Abdominal Strain-Induced Headaches: Causes and Insights
Abdominal straining causing headaches? I have stiffness in my neck and shoulders, so I notice that when I exert myself (like during bowel movements, pushing for about 5 seconds), I sometimes experience pain in the back of my head, but occasionally I also feel pain in the front of...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the most common cause is tension-type headache, rather than an issue related to intracranial pressure. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with a wide ra...[Read More] Understanding Abdominal Strain-Induced Headaches: Causes and Insights
Understanding Neck Pain and Muscle Tension: When to See a Specialist
Physical issues Hello, doctor. For the past 3-4 months, I initially experienced pain and tightness in the left side of my neck. I had an X-ray, and the orthopedic specialist said that the bones appear to be fine, suggesting that it might be due to tight muscles, particularly arou...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of left-sided neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle at the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may allevia...[Read More] Understanding Neck Pain and Muscle Tension: When to See a Specialist