Wrist Pain During Pull-Ups: Understanding Nerve and Ligament Issues
Experiencing intermittent pain in the wrist while doing pull-ups? Hello Dr. Jiang: I have a habit of weight training, and during my pull-up exercises, I experience an issue with my right wrist. While pulling up, I do not feel any tingling or pain in my right wrist (with both hand...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to carpal tunnel syndrome. This condition is caused by compression of the median nerve as it passes through the wrist, leading to numbness and tingling in the index finger, middle finger, and thumb. Clinically, a neurologist will arrange for ...[Read More] Wrist Pain During Pull-Ups: Understanding Nerve and Ligament Issues
Sudden Hand Weakness: Understanding Possible Neurological Issues
Sudden weakness in the hand? Recently, an elder in my family has been experiencing sudden hand weakness and trembling for a brief period (about 1 to 2 minutes) while holding objects. However, they are able to keep hold of the items without dropping them. What could be the cause o...
Dr. Jiang Junyi Reply:
Hello: Sudden tremors may be caused by a lack of coordination in muscle and nerve function, commonly referred to as "movement disorders." The muscle groups involved in executing a movement include the agonist and antagonist muscles, which coordinate to produce posture o...[Read More] Sudden Hand Weakness: Understanding Possible Neurological Issues
Understanding Sleep Disorders in Teens: When to Seek Help
Sleep issues Doctor: Hello! I would like to ask about my 16-year-old nephew who has been living with me for three months while attending high school. Recently, I noticed he has a strange symptom: no matter how late he goes to bed, as soon as he lies down, he falls asleep within t...
Dr. Jiang Junyi Reply:
Hello, based on your description, your nephew is likely entering the "rapid eye movement (REM) sleep" phase, during which the brain is in a dreaming state. All muscles, except for those involved in breathing and the heart, are relaxed or even paralyzed. Waking up during...[Read More] Understanding Sleep Disorders in Teens: When to Seek Help
Understanding Autonomic Nervous System Disorders: A Case Study
Autonomic nervous system dysfunction Hello, doctor. I am a working professional who enjoys fishing in my leisure time. Recently, I have noticed a peculiar issue over the past two weeks. I have several years of fishing experience, and while using a lure (which requires rod action)...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest a consideration of task-specific dystonia, which is a type of movement disorder. In this condition, certain muscles in the hand become tense and can lead to a spasm-like posture when the patient repeatedly performs speci...[Read More] Understanding Autonomic Nervous System Disorders: A Case Study
Understanding Double Vision and Eye Pain: Possible Causes and Solutions
Diplopia and eye pain? Hello Doctor, since middle school, I have occasionally experienced pain around my eyes and headaches after using the computer. Sometimes I also have blurred vision, but these symptoms do not last long. Last week, after using the computer for an afternoon, I...
Dr. Jiang Junyi Reply:
According to your description, there are many causes of diplopia. Whether due to damage or compression of the muscles or nerves, the inability of the eye muscles to coordinate can lead to diplopia. In cases of thyroid eye disease, where the eyeball protrudes, the extraocular musc...[Read More] Understanding Double Vision and Eye Pain: Possible Causes and Solutions
Understanding Muscle Weakness and Twitching: Possible Causes and Concerns
Regarding muscle weakness and twitching? Hello Doctor, I have been troubled by this issue for a long time. In mid-September last year, I suddenly felt weakness in both legs and my right hand (a burning, sore sensation originating from the muscles, similar to a persistent feeling ...
Dr. Jiang Junyi Reply:
According to your description, the condition commonly referred to as "Lou Gehrig's disease" is formally known as amyotrophic lateral sclerosis (ALS), which is a rare neurodegenerative disease with a prevalence of approximately 5 in 100,000. The cause remains unknow...[Read More] Understanding Muscle Weakness and Twitching: Possible Causes and Concerns
Understanding Numbness in Left Toes: Causes and Treatment Options
Numbness in the toes of the left foot? Hello Dr. Jiang, I have a question I would like to ask you. I have a mild scoliosis, which has caused the muscles in my left upper back to be more prominent, and I experience more frequent soreness in that area. Since the beginning of this y...
Dr. Jiang Junyi Reply:
Hello, based on your description, subtle nerve injury and inflammation may sometimes not be detectable through nerve conduction studies, and are primarily assessed through physical examination. Given your issue with scoliosis, it may also be necessary to consider lumbar nerve roo...[Read More] Understanding Numbness in Left Toes: Causes and Treatment Options
Understanding Persistent Headaches: When to Seek Medical Help
Persistent headache Recently, I have been experiencing mild headaches that come and go, with noticeable sharp pains at times. The pain becomes more intense during moments of excitement with my girlfriend. This has been ongoing for almost a week. I found some information online su...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the more common causes of headaches are tension-type headaches or migraines. 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...[Read More] Understanding Persistent Headaches: When to Seek Medical Help
Unexplained Falls and Head Injuries: Understanding Neurological Concerns
Unexplained fall resulting in impact to the back of the head? Hello Doctor: On the 25th of this month, after taking a break and using the restroom (urinating), I fell and hit the back of my head. I have no memory of the fall or how I returned to the office. The surveillance foota...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms you mentioned are more likely caused by syncope, which is typically due to a rapid drop in blood pressure or vasoconstriction leading to decreased cerebral blood flow, resulting in cerebral hypoxia. Syncope is more likely to occur when a pe...[Read More] Unexplained Falls and Head Injuries: Understanding Neurological Concerns
Could My Symptoms Indicate ALS or Myasthenia Gravis?
Is it possible to have amyotrophic lateral sclerosis (ALS)? Hello Doctor, I am the person who asked question #114246. I would like to know if these symptoms could possibly be related to conditions like amyotrophic lateral sclerosis (ALS) or myasthenia gravis. I am really scared t...
Dr. Gao Chunde Reply:
The weakness in individuals with amyotrophic lateral sclerosis (ALS) does not fluctuate over several days; it progresses gradually step by step. To determine whether the weakness is indeed present, relevant examinations must be conducted, and the decision should be made by the ph...[Read More] Could My Symptoms Indicate ALS or Myasthenia Gravis?
Understanding Muscle Weakness and Involuntary Twitches in the Legs
Weakness in the leg muscles and involuntary muscle twitching? Hello Doctor, I experienced a sensation of muscle weakness in my legs (calves and soles) around mid-September. It felt as if my legs were weak, and even when I was at rest, I had a persistent feeling of soreness and we...
Dr. Gao Chunde Reply:
When feeling weak, it is advisable to consult a neurologist to check potassium levels in the blood.[Read More] Understanding Muscle Weakness and Involuntary Twitches in the Legs
Understanding Muscle Numbness Above the Knee: Causes and Solutions
The muscles just above the knee are experiencing numbness? Hello, doctor. Over the past year, I have had to sit for long periods due to my studies. The year before, I worked part-time and had to stand for at least two days a week for 6 to 8 hours. After a long flight back home (a...
Dr. Gao Chunde Reply:
You can find time to engage in gentle exercises regularly, such as walking, cycling, or playing some ball sports. If the symptoms worsen or do not improve, seek a detailed evaluation from a healthcare professional.[Read More] Understanding Muscle Numbness Above the Knee: Causes and Solutions
Facial Muscle Tremors When Smiling: Possible Causes and Concerns
Facial muscle twitching when laughing? Hello, doctor. For the past two months, I've noticed that sometimes when I smile, the muscles around my smile area twitch, but it doesn't happen every time I smile. Could you please tell me what this situation might be? Is it relat...
Dr. Gao Chunde Reply:
Muscles are prone to twitching after extensive use, but resting will usually resolve the issue. However, if you notice facial asymmetry, it is important to seek medical attention for further evaluation.[Read More] Facial Muscle Tremors When Smiling: Possible Causes and Concerns
Managing Chronic Head Trauma: Effective Strategies Beyond Medication
Head trauma I often bump my head, and it's been a long time—some of these incidents happened years ago. However, the bruising seems to have not dissipated. When I apply light pressure, it hurts, but sometimes I experience severe, sharp pain. Regardless of what I do, it hurts...
Dr. Gao Chunde Reply:
The bruising should not last this long. It typically hurts with light pressure and remains painful when at rest, but the discomfort slightly alleviates with pressure. These symptoms are indicative of tension-type headaches, which can be relieved through massage and warm towel com...[Read More] Managing Chronic Head Trauma: Effective Strategies Beyond Medication
Differentiating Benign Muscle Twitches from ALS and Atrophy Symptoms
What is the difference between muscle twitches in benign fasciculation syndrome and those in ALS and muscle atrophy? Doctor, is there a difference between benign muscle twitches and those associated with ALS and muscle atrophy? Do the symptoms of ALS and certain muscle atrophy-re...
Dr. Gao Chunde Reply:
As far as I know, they cannot be distinguished. The sequence should be muscle twitching, muscle weakness, and atrophy, which may overlap in timing. Temporarily exclude and need to monitor.[Read More] Differentiating Benign Muscle Twitches from ALS and Atrophy Symptoms
Managing Neck and Throat Discomfort: Tips for Relief and Exercises
Including above the throat and neck? In the past, while sleeping, I unknowingly ended up lying on my back, and when I woke up in the morning, my jaw was misaligned, causing one side to protrude. When I pressed on it and swallowed repeatedly, it went back into place, but I felt ti...
Dr. Gao Chunde Reply:
Symptoms are more related to nervous tension and tightness in the shoulder and neck muscles. It is advisable to spend more time outdoors and avoid prolonged staring at computers or electronic devices. Taking a break every half hour to move your eyes, neck, and stretch is recommen...[Read More] Managing Neck and Throat Discomfort: Tips for Relief and Exercises
Understanding Chronic Neck Discomfort: Causes and Solutions
Discomfort in the neck? Hello doctor, I often feel discomfort in my neck, and I tend to twist my neck, shaking it left and right. This symptom has persisted for a long time, about 1 to 2 years. I have seen a doctor before, who took X-rays and mentioned some inflammation but said ...
Dr. Gao Chunde Reply:
When reading or using a computer, it's important to get up and stretch your limbs and neck muscles every thirty minutes. If you have time, you can also perform some localized massage or apply heat while taking a shower to alleviate local fatigue and soreness.[Read More] Understanding Chronic Neck Discomfort: Causes and Solutions
Could Muscle Pain and Weakness Indicate Parkinson's Disease?
Prolonged muscle soreness and weakness in the limbs could be symptoms of Parkinson's disease? Hello, Doctor Gao! I am 40 years old. Three months ago, after going out, I returned home feeling extremely fatigued. Since then, my condition has fluctuated, with a decline in physi...
Dr. Gao Chunde Reply:
It is recommended to visit a neurology clinic for further evaluation to determine if there is a motor neuron disease or other movement disorder issues. Parkinson's disease is also a possible cause, but a face-to-face neurological examination by a physician is necessary to id...[Read More] Could Muscle Pain and Weakness Indicate Parkinson's Disease?
Left-Sided Head Pain: Causes and Dietary Influences Explained
The left side of the head hurts, but the right side does not hurt? In recent days, I've been experiencing pain on the left side of my head when I apply pressure, while the right side does not hurt. Could this be due to stress or dietary habits?
Dr. Gao Chunde Reply:
If there is tenderness in the head, it is important to consider issues related to the underlying scalp, muscles, or bones, such as inflammation or muscle tension, with stress being the most common cause.[Read More] Left-Sided Head Pain: Causes and Dietary Influences Explained
Understanding ALS Symptoms: When to Seek Medical Advice
Suspected amyotrophic lateral sclerosis (ALS)? I have been experiencing headaches since the beginning of last month. After the headaches subsided, I noticed weakness in my left hand, along with occasional soreness and numbness in my fingers, although it's not very pronounced...
Dr. Lan Shengxing Reply:
Hello, regarding the muscle twitching associated with amyotrophic lateral sclerosis (ALS), it's difficult to convey the actual sensation. In the clinic, visible muscle fasciculations can be observed, but the feelings of soreness and numbness are not characteristic of ALS. As...[Read More] Understanding ALS Symptoms: When to Seek Medical Advice