Understanding Facial Nerve Issues: Symptoms and When to Seek Help
Facial issues Hello Dr. Jiang, last November, I experienced intermittent twitching in my lower left lip for almost a month. I went to a neurologist for an examination, and tests for trigeminal nerve and thyroid function were normal, with no signs of inflammation. The doctor sugge...
Dr. Jiang Junyi Reply:
Hello: The clinical manifestation of facial nerve paralysis is muscle weakness. If accompanied by other sensory symptoms, one should consider the possibility of trigeminal nerve involvement. The most common cause of trigeminal nerve pathology is compression by vascular structures...[Read More] Understanding Facial Nerve Issues: Symptoms and When to Seek Help
Understanding Neck Pain: When to Seek Further Medical Advice
Pain occurs at the hairline three fingerbreadths to the right of the cervical spine? Hello Doctor: I originally experienced intermittent pain in my shoulder that radiated to my collarbone, and there was also intermittent pain at the hairline three finger widths to the right of my...
Dr. Jiang Junyi Reply:
Hello: The entire cervical spine to the occipital region of the head is where the neck muscles attach. Therefore, your symptoms are more indicative of myofascial inflammation in the neck. Regarding the medications you mentioned, if you are planning to become pregnant, it is advis...[Read More] Understanding Neck Pain: When to Seek Further Medical Advice
Understanding Muscle Twitches: Are They Linked to ALS or Anxiety?
Muscle twitching Hello Doctor: I experienced dizziness and weakness in my limbs at the end of December last year. After visiting a neurology department at the hospital, an EEG showed no abnormalities. However, I continued to feel dizzy into early January, so I switched to another...
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: Are They Linked to ALS or Anxiety?
Unexplained Dizziness: Seeking Answers Beyond Medication Relief
Persistent dizziness with no clear cause ~ I can only relieve the symptoms with sedatives each time? Hello Doctor: My dizziness symptoms occur several times a day, characterized by brief episodes of fatigue, lethargy, weakness, and occasional short bouts of dizziness and nausea. ...
Dr. Jiang Junyi Reply:
Hello: You have many symptoms, and my final recommendation is to focus on examinations at the same medical center to gain a deeper understanding. If you are concerned about a previous stroke, you can rule it out by undergoing a self-paid MRI of the brain. Regarding your tendency ...[Read More] Unexplained Dizziness: Seeking Answers Beyond Medication Relief
High Eye Pressure and Headaches: Understanding Neurological Symptoms
Elevated intraocular pressure sensation + headache? Since last week, I have suddenly been experiencing frequent dizziness and headaches. When I close my eyes while sleeping, I feel a slight swelling in my eyes, and there are also some bloodshot areas. Over the past few days, the ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of forehead swelling is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, bu...[Read More] High Eye Pressure and Headaches: Understanding Neurological Symptoms
Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Muscle twitching and electromyography-related issues? Hello Doctor, Since around June 2017, I began to notice slight tremors in both of my hands, and when lying flat, I felt a sensation of my body vibrating. In July, I visited a neurologist for the first time, and the doctor ob...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, about 70% of patients with motor neuron disease present with limb weakness, while around 20% exhibit weakness in the bulbar region as their clinical manifestation. In terms of limb involvement, the initial presentation is usually asymmetric hand weaknes...[Read More] Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Understanding Facial Nerve Disorders: Symptoms and Concerns
Facial nerve Hello, I would like to ask if the following symptoms could be related to facial nerve dysfunction. Last night, I felt pain behind my ear, and by around noon today, I noticed that when I smile, the movement on the right side of my face is reduced. I also have a tingli...
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 Disorders: Symptoms and Concerns
Understanding Persistent Tinnitus: Causes and When to Seek Help
Suspected persistent tinnitus? Hello Doctor: Recently, I have been frequently cleaning my ears, and I suspect that I may have caused some inflammation in the ear canal. I suddenly started experiencing a persistent sharp, electric-like sound in one ear, but my hearing in both ears...
Dr. Jiang Junyi Reply:
Hello: Tinnitus can be attributed to issues originating from the ear or related to the brain. Common causes include external auditory canal inflammation, foreign body obstruction, and earwax buildup, which can all lead to tinnitus. Even dental extractions and temporomandibular jo...[Read More] Understanding Persistent Tinnitus: Causes and When to Seek Help
Understanding Sleep Tension: Causes and Solutions for Relaxation
Inability to relax during sleep? Sometimes I suddenly wake up while sleeping, and I often feel tightness in the temples of my head. During sleep, I experience a sensation where tension starts from the lower half of my body and gradually moves up to my upper body and then to my he...
Dr. Jiang Junyi Reply:
Hello, the most common cause of neck stiffness 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 pain that may even extend to the bilateral postauricular fascia. Initi...[Read More] Understanding Sleep Tension: Causes and Solutions for Relaxation
Uncontrollable Jaw Clenching: Understanding Neurological and Stress Factors
Involuntary mandibular clenching? Hello, Doctor. In early September of this year, due to high stress, I started grinding my teeth to protect them and wore an occlusal splint for two weeks. After that, my lower jaw began to involuntarily clench. My teeth often collide with each ot...
Dr. Jiang Junyi Reply:
Hello: The causes of excessive tension in the masticatory muscles may include electrolyte imbalances. Prolonged overuse of these muscles can lead to a square-shaped face or muscle tightness. The electrical stimulation response you mentioned refers to the facial nerve examination,...[Read More] Uncontrollable Jaw Clenching: Understanding Neurological and Stress Factors
Understanding Dizziness and Low Potassium Levels in Older Adults
Dizziness and hypokalemia? Hello Dr. Jiang, I would like to ask about my mother's condition. She is 65 years old. The week before last, she suddenly experienced dizziness accompanied by persistent vomiting, cold sweats, and numbness in her hands and feet around noon after ge...
Dr. Jiang Junyi Reply:
Hello, Your mother's symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV). The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or suddenly...[Read More] Understanding Dizziness and Low Potassium Levels in Older Adults
Understanding One-Sided Neck Tightness: Is It a Stroke Warning?
Unilateral posterior neck tightness? Hello Doctor: Recently, I have been feeling a tight and painful sensation on the right side of my neck and the back of my head, especially in the afternoon while at work. I have been sitting in front of the computer for long periods for the pa...
Dr. Jiang Junyi Reply:
Hello, if you are experiencing warning signs of a stroke, there are usually localized neurological dysfunctions, such as loss of speech, motor function, or sensation. Since you do not have issues with hypertension, hyperlipidemia, or diabetes, your risk of having a stroke is rela...[Read More] Understanding One-Sided Neck Tightness: Is It a Stroke Warning?
Understanding Occipital Pain: Causes and When to Seek Help
Occipital pain Hello Doctor: My profession is a software engineer, so I spend long hours sitting in front of the computer writing code. When I focus intently, I can sit for 3 to 4 hours without getting up to move. Recently, I've been experiencing a tight pain on the left sid...
Dr. Jiang Junyi Reply:
Hello, based on your description, it does not seem to be symptoms of a stroke. The more common symptoms of a stroke include unilateral weakness or numbness. The cause of pain in the left posterior neck is more commonly due to cervical myofascial pain: prolonged periods of looking...[Read More] Understanding Occipital Pain: Causes and When to Seek Help
Understanding Pain During Lumbar Pressure: When to Seek Medical Advice
Pain upon palpation of the lumbar spine? Hello Doctor: Recently, I accidentally discovered that I have pain in a specific area of my spine when pressure is applied. The general location is just above the buttocks, in an area that protrudes when I bend over. I can feel something l...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may indicate localized tendonitis. If it is lumbar spondylitis or a herniated disc, it typically causes pain or numbness during movement. It is recommended to strengthen your core muscles. If symptoms persist, it is advisable to consult a rehabilitation physi...[Read More] Understanding Pain During Lumbar Pressure: When to Seek Medical Advice
Understanding Right Occipital Pain: Causes and Concerns After Throat Issues
Pain in the right occipital region? Hello Doctor: I would like to briefly describe my situation. About three months ago, I experienced severe pain while swallowing due to a purulent infection in my right tonsil. At that time, I also felt tightness and pain in the occipital region...
Dr. Jiang Junyi Reply:
Hello: The most common cause of right occipital pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the muscles at the back of the neck, resulting in pain in the occipital region. This condition may become more rigid, tense, and painful, esp...[Read More] Understanding Right Occipital Pain: Causes and Concerns After Throat Issues
Chronic Headache for Over a Month: Possible Causes and Solutions
Headache lasting more than one month? Hello doctor, on August 14, I had sashimi and other raw foods. On the morning of August 16, I started experiencing sharp pain in the left back of my head, which came in waves. A couple of days later, I developed cold symptoms, including a sor...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The recurrent pain may be due to significant temperature fluctuations recently, which have led to many individuals experiencing repeated viral infections. The symptoms of tension-type headache include: (1)...[Read More] Chronic Headache for Over a Month: Possible Causes and Solutions
Unraveling the Mystery of Unexplained Neurological Symptoms
Unknown etiology? Around June 14, I suddenly experienced a jolt of dizziness, the kind that made it hard to stand, but it was not accompanied by headaches or nausea. I thought it was just due to lack of sleep, as I had been under a lot of stress from final exams and had hardly ea...
Dr. Jiang Junyi Reply:
Hello, Student Chang: You have done a lot of homework, which is impressive. Myofascial pain syndrome in the neck should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be allev...[Read More] Unraveling the Mystery of Unexplained Neurological Symptoms
Understanding Nighttime Calf Cramps: Causes and Prevention Tips
Leg cramps? Doctor, I would like to ask about experiencing calf cramps during sleep, which cause pain upon waking. The pain lasts for a short duration, about 2 to 3 minutes. After the cramping episode, the calf area is tender to the touch. This occurs only during sleep. How can I...
Dr. Jiang Junyi Reply:
Hello: Common causes of nighttime calf cramps include: 1. Electrolyte imbalances, such as calcium deficiency. 2. Intense exercise leading to muscle contractions and the accumulation of metabolic byproducts like lactic acid in the leg muscles. 3. Poor sleeping positions, such as l...[Read More] Understanding Nighttime Calf Cramps: Causes and Prevention Tips
Understanding Numbness in Limbs: Causes and Self-Care Tips
Numbness in all four limbs? Hello, I have a question! My hands and feet often feel numb, and the timing and location of these episodes are quite irregular, but they have been occurring frequently lately. Last month, it was only occasional, but recently, it happens quite often, mo...
Dr. Jiang Junyi Reply:
Based on your description: The symptoms of dizziness and numbness you mentioned are more likely caused by syncope or hyperventilation. A rapid drop in blood pressure or vasoconstriction can lead to decreased cerebral blood flow, which may trigger symptoms such as dizziness or blu...[Read More] Understanding Numbness in Limbs: Causes and Self-Care Tips
Understanding Headaches While Chewing: Possible Causes and Solutions
Headache while chewing? I have never experienced headaches before, but over the past few days, I have been feeling pain in my right temple while chewing. Previously, I had a suspected esophageal burn due to medication, but I did not seek medical attention while abroad and only to...
Dr. Jiang Junyi Reply:
Hello, the common cause of left temporal pain is the symptoms associated with temporomandibular joint (TMJ) dysfunction. Patients typically report the following: pain in front of the ear (joint), facial soreness, temporal soreness, and shoulder and neck discomfort. When TMJ dysfu...[Read More] Understanding Headaches While Chewing: Possible Causes and Solutions