Exploring Nerve or Muscle Damage After Orthognathic Surgery: A Case Study
Nerve damage or muscle damage? Three years after orthognathic surgery, I have been experiencing pain and pressure behind my eyes, eye fatigue, blurred vision, and mental exhaustion, with no improvement over the past three years. Muscle relaxants and pain medications have been ine...
Dr. Jiang Junyi Reply:
Hello: I'm not sure if you have any refractive issues, such as myopia or presbyopia due to aging of the ciliary muscle, which may require more effort to focus when using your eyes. Since the distance from the sinuses to the eyeball is considerable, and the extraocular muscle...[Read More] Exploring Nerve or Muscle Damage After Orthognathic Surgery: A Case Study
Understanding Chronic Calf Pain and Weakness: Causes and Treatments
Chronic calf pain and weakness? Hello Doctor, I have been experiencing persistent pain and weakness in my calves. Initially, it was occasional, but now it has become more frequent. Each time I experience this pain and weakness, I feel that my calf muscles are very tight, and my t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be related to the accumulation of lactic acid in your calves, causing soreness. You may want to consider your posture as a contributing factor. Additionally, it might be worth considering issues with venous blood flow in the lower extremities, as arte...[Read More] Understanding Chronic Calf Pain and Weakness: Causes and Treatments
Understanding Sleep Disorders: Nightmares and Body Movements Explained
Sleep concerns? Since elementary school, I have experienced nightmares where my body moves as I wake up, usually involving my legs or body. I can remember the last scene of the dream, and when I feel my body move, I immediately wake up with a racing heart. I often find myself rea...
Dr. Jiang Junyi Reply:
Hello, based on your description, if the body movements during the rapid eye movement (REM) sleep are caused by Parkinson's disease, patients typically have difficulty recalling the events upon waking. Your issue may warrant consideration of obstructive sleep apnea: this con...[Read More] Understanding Sleep Disorders: Nightmares and Body Movements Explained
Understanding Persistent Mild Headaches: When to Seek Further Evaluation
Mild headache persisting for 4 days? Hello, Doctor. I have rarely experienced headaches throughout my life, only occasionally having them for half a day to a day when I haven't slept well. About five days ago, I had a headache for a day, with a pain level of about four, and ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, we should first consider tension-type headache or myofascial inflammatory headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature ...[Read More] Understanding Persistent Mild Headaches: When to Seek Further Evaluation
Understanding Persistent Muscle Twitches: Causes and Concerns
Muscle twitching for several consecutive days, lasting for a few hours each day? Dear Doctor, My wife suddenly informed me last Saturday night that she was experiencing muscle twitching in her upper arm. After observing the condition for several hours without any relief, we wen...
Dr. Hong Weibin Reply:
There are many causes for muscle twitching, among which electrolyte imbalances, anemia, dehydration, and radiculopathy are common. The diagnosis of benign fasciculation syndrome is typically made after excluding electrolyte imbalances, anemia, and neuromuscular issues. As for amy...[Read More] Understanding Persistent Muscle Twitches: Causes and Concerns
Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Unknown dizziness Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests, including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, exercise ECG, ech...
Dr. Jiang Junyi Reply:
Hello: It seems that you have undergone many examinations, yet you still experience poor sleep. I wonder if you have had a sleep study done? Many symptoms such as dizziness, elevated blood pressure, and difficulty concentrating could potentially be explained by obstructive sleep ...[Read More] Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching and weakness? Hello, doctor. Last Tuesday, I visited the neurology department with complaints of facial nerve dysfunction and decreased dexterity in my right hand. During my follow-up appointment this Tuesday, my right hand is still not functioning well. I am ver...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned, combined with sensory abnormalities, may suggest peripheral nerve inflammation. Amyotrophic lateral sclerosis (ALS) primarily affects motor neurons and typically does not present with sensory abnormalities. Regarding fasciculations, they are ass...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Understanding Muscle Twitches: Neurological Symptoms Explained
Muscle twitching Initially, there was just a feeling of soreness in the muscles of the arms and legs, and standing for a longer period causes pain. The right hand experiences pain in the little finger, there is persistent noise and echo in the ears, and the left side of the face ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are quite atypical and involve multiple different neurological areas that need to be analyzed individually: 1. Pain in the little finger of the right hand: This may indicate a joint issue, but if there are symptoms of numbness or tingling, ulnar nerve patholo...[Read More] Understanding Muscle Twitches: Neurological Symptoms Explained
Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Heavy head, pressure in the head, dizziness, and stiffness and soreness in the shoulders and neck? Hello Dr. Jiang, my questions are as follows, please help me answer them: ● Medical History 1. For the past five years, I have almost daily experiences of head heaviness, dizziness...
Dr. Jiang Junyi Reply:
Hello: The most important thing for your condition is to cultivate the parasympathetic nervous system. 1. Do I need to have another brain MRI? Under what circumstances should dizziness warrant an MRI? A: Generally, if there are no new neurological symptoms, repeating an MRI is...[Read More] Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Restoring Dynamic Vision: Solutions for Neurological Impairments
Dynamic vision has been lost? Dear Doctor, a few years ago, due to certain events, I lost my dynamic vision. At that time, I felt like one of my nerves sank down to the base, and a significant portion of my neural connections disappeared. As a result, I am now unable to perceive ...
Dr. Jiang Junyi Reply:
Hello: I'm not sure what caused your dynamic vision impairment. The reasons for abnormal dynamic vision can range from injury to the ciliary muscle, damage to the extraocular muscles, to dysfunction of the brainstem nuclei. Generally speaking, for nerve recovery: 1. Avoid st...[Read More] Restoring Dynamic Vision: Solutions for Neurological Impairments
Understanding Headaches: Risks and When to Seek Medical Attention
I would like to inquire about issues related to headaches? Hello Doctor, my wife often experiences headaches when she is overly fatigued or sleep-deprived, and she frequently needs to take pain relievers to fall asleep. I would like to ask: 1. Are there any potential risks associ...
Dr. Jiang Junyi Reply:
Hello: Regarding the symptoms of headaches, if there are neurological abnormalities such as unilateral limb numbness or weakness, or if there is a thunderclap headache, it is essential to visit a neurology clinic for examination. The more common causes of headaches in women are t...[Read More] Understanding Headaches: Risks and When to Seek Medical Attention
Discomfort from Wearing a Hat Too Long: Neurological Insights
Wearing a hat for too long can cause discomfort in the head? Hello doctor, I have been wearing a hat for the past couple of days, and now I have a persistent sensation of wearing a hat on my head. Since last night, I have been feeling discomfort and numbness in the area between m...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, aching, ...[Read More] Discomfort from Wearing a Hat Too Long: Neurological Insights
Understanding Facial Nerve Palsy: Causes, Symptoms, and Treatment Options
Facial nerve paralysis Hello, doctor. On March 14th, I suddenly felt pain in the right side of my neck, which didn't feel like a muscle strain but rather like nerve pain. However, it improved by the evening. On the morning of March 15th, the pain returned and lasted all day ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indicate peripheral facial nerve paralysis, primarily affecting the seventh cranial nerve (if it were due to cervical nerve compression, it would not affect the face). Clinically, symptoms may include pain behind the ear 1-2 days prior to the onset. There may...[Read More] Understanding Facial Nerve Palsy: Causes, Symptoms, and Treatment Options
Understanding Eyelid Twitching: Signs of Facial Nerve Disorders?
Eyelid issues Doctor, I have been experiencing slight twitching in my left eyelid for about a month now, although there were periods when it stopped. Recently, in the last three days, it has become more frequent, but today it has decreased again. However, I have felt a strange se...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the cause of eyelid twitching is primarily due to facial nerve instability. If the eyelid continues to twitch, the physician will carefully observe the patient's face during the consultation. If, aside from the eyelid, no other facial muscle...[Read More] Understanding Eyelid Twitching: Signs of Facial Nerve Disorders?
Understanding Fasciculations: Causes, Concerns, and When to Seek Help
Fasciculation Hello, Doctor: Over the past two months, I have been experiencing intermittent muscle twitching in various parts of my body, sometimes in my arms, calves, thighs, and buttocks. I am very concerned about whether this could indicate any serious illness. During this tw...
Dr. Jiang Junyi Reply:
Hello: The symptoms of amyotrophic lateral sclerosis (ALS) you mentioned, such as fasciculations, are indicative of lower motor neuron (LMN) involvement, which affects motor neurons located in the brainstem and spinal cord. This is typically accompanied by muscle atrophy, often s...[Read More] Understanding Fasciculations: Causes, Concerns, and When to Seek Help
Understanding Hand Contractions: Possible Neurological Issues Explained
Finger contraction? Doctor, excuse me, may I ask a question? My palm occasionally experiences involuntary contractions, and I am unable to open it. After a few seconds, it returns to normal. What could be the issue?
Dr. Jiang Junyi Reply:
Hello: Your symptoms may indicate dystonia, which primarily refers to the lack of coordination in the muscles that flex and extend the joints, resulting in abnormal twisting of the joints during movement. This condition is mainly due to dysfunction in the corticospinal and extrap...[Read More] Understanding Hand Contractions: Possible Neurological Issues Explained
Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help
The lower eyelid has been twitching intermittently for a week? For a week, my lower eyelid has been twitching (since Sunday). That morning, I woke up feeling some swelling at the outer corner of my upper eyelid and lower eyelid. I thought it was just normal edema, so I didn'...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest myofascial pain syndrome in the posterior neck muscle group, which can also lead to referred discomfort in the eyes. The key issue lies within the muscles of the posterior neck. The myofascial connection points are located in the forehead area. I&...[Read More] Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help
Should I Get a Brain Scan for My Frequent Headaches and Dizziness?
I have a question to ask the doctor? Hello doctor, I have been experiencing frequent numbness in my head, dizziness, and neck stiffness. I also feel some tightness between my eyebrows. I had blood tests and urinalysis done recently, and the results were normal. Do I need to under...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be related to discomfort caused by tightness in the cervical fascia, as the cervical fascia connects to the forehead and the temporal region (temples) of the skull, allowing the head to rotate at various angles. I recommend the following: 1. Change p...[Read More] Should I Get a Brain Scan for My Frequent Headaches and Dizziness?
Understanding Numbness in the Right Face, Arm, and Neck: Causes and Concerns
Numbness in the right side of the face, right arm, and back of the neck? Hello Doctor, yesterday while I was sleeping, I suddenly felt a tingling sensation in my right arm. After sitting up, I experienced a warm, swollen feeling in my neck along with tingling. When I lay back dow...
Dr. Jiang Junyi Reply:
Hello: The numbness you are experiencing may be caused by compression of the cervical spinal nerves. Additionally, you mentioned that the symptoms become more pronounced when you bend your neck, which could also be due to inflammation and swelling of the cervical spinal cord. It ...[Read More] Understanding Numbness in the Right Face, Arm, and Neck: Causes and Concerns
Understanding Numbness in Right Face, Arm, and Neck: Possible Causes
There is a tingling sensation in the right side of the face, right arm, and back of the neck? Hello, doctor. Yesterday, while I was sleeping, I suddenly felt a tingling sensation in my right arm. When I sat up, I experienced a warm, swollen feeling in my neck along with tingling....
Dr. Jiang Junyi Reply:
Hello: The numbness you are experiencing may be caused by compression of the cervical spinal nerves. Additionally, you mentioned that the symptoms become more pronounced when you bend your neck, which could also be due to inflammation and swelling of the cervical spinal cord. It ...[Read More] Understanding Numbness in Right Face, Arm, and Neck: Possible Causes