Understanding Lower Lip Twitching: Neurological Insights and Concerns
Lower lip twitching Hello, Vice Dean Lan. Today I suddenly felt my left lower lip muscles twitching from the center to the left side at a frequency of once every 5 seconds. Two weeks ago, a blood test showed T-CHOL 250 and LDL 160. Could this be due to unstable nerve discharges o...
Dr. Lan Shengxing Reply:
You may need more information and to observe the symptoms of the tics in person to provide an accurate explanation. It is possible that there are unstable neural discharges, but they typically exhibit specific patterns of occurrence.[Read More] Understanding Lower Lip Twitching: Neurological Insights and Concerns
Understanding Neck Pain: Causes and When to Seek Medical Help
Neck pain Hello, doctor. I've been experiencing pain on the left side of my neck for four days, similar to a stiff neck. It hurts when I turn my head, look up, or exert myself. The pain started suddenly one afternoon while I was sitting in front of the computer, and it happe...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of left-sided neck pain is cervical myofascial pain. Prolonged fixed postures can lead to overuse of the trapezius muscle in the back of the neck, resulting in soreness. Initially, resting may alleviate the pain, but if negl...[Read More] Understanding Neck Pain: Causes and When to Seek Medical Help
Understanding Nerve Sensations: Why You Feel Tingling When Rising
Numbness inside the head? When I suddenly get up from lying down, it feels like the right side of my brain is being pulled, accompanied by a tingling sensation and a slight cramping pain. This often occurs when I sit up from a lying position.
Dr. Gao Chunde Reply:
Issues related to movement and posture in the brain are generally associated with intracranial pressure and are not unilateral symptoms. Your situation seems more aligned with muscle or nerve spasms in the head and neck region. It may be beneficial to further assess the muscles i...[Read More] Understanding Nerve Sensations: Why You Feel Tingling When Rising
Understanding Occipital Headaches: Causes and Solutions for Neck Pain
Occipital headache In the past month, I have been working part-time at night, which requires me to look down while working. I'm not sure if this is the reason, but I've been experiencing a throbbing pain in the back of my head. When I wake up in the morning, my neck is ...
Dr. Jiang Junyi Reply:
Hello, based on your description, prolonged forward head posture can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder pain. Initially, resting may alleviate the pain, but over time it can worsen and affect daily activities. Some patients experie...[Read More] Understanding Occipital Headaches: Causes and Solutions for Neck Pain
Understanding Muscle Twitching: Is It a Sign of ALS or Anxiety?
Involuntary muscle twitching and ALS (Amyotrophic Lateral Sclerosis) Hello, Doctor Gao: I am currently 22 years old. About 2-3 months ago, I started to occasionally notice involuntary twitching in my calves and thighs. I usually don't pay much attention to it, but when I am ...
Dr. Gao Chunde Reply:
If there are accompanying functional impairments such as stiffness or gradual muscle wasting, further evaluation with electromyography (EMG) is necessary to confirm the diagnosis. If the muscles are involuntarily twitching, it is often due to tension or excessive normal use.[Read More] Understanding Muscle Twitching: Is It a Sign of ALS or Anxiety?
Understanding Muscle Atrophy: Symptoms, Diagnosis, and Next Steps
Muscle atrophy Hello Doctor, I am a 38-year-old female, and for the past six months, I have been experiencing weakness in my left fingers that has gradually extended to my arm, resulting in increasing weakness. I have also noticed atrophy in the back of my hand and the area aro...
Dr. Gao Chunde Reply:
Weakness and atrophy should prompt an electromyography (EMG) examination to confirm whether it is a localized neuropathy or a motor neuron disease. If there are concerns about dysarthria and biting weakness, a more widespread motor neuron issue should be considered.[Read More] Understanding Muscle Atrophy: Symptoms, Diagnosis, and Next Steps
Is My Headache Getting Worse or Is It Drug Resistance?
The issue with drug efficacy has become even more serious? Hello, doctor. I've been experiencing headaches for almost three weeks now! They are persistent, varying only in intensity. At first, it felt like someone was pressing down hard on my head, and now it feels like my h...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms of tension-type headache are: (1) Typically bilateral, located in the occipital and parietal-temporal regions, sometimes with a widespread pain area. The nature of the pain is dull, aching, with a sensation of pressure and tightness,...[Read More] Is My Headache Getting Worse or Is It Drug Resistance?
Understanding Brain Tumor Risks and Symptoms After a Serious Accident
Questions related to brain tumors? About 13 years ago, I was involved in a serious car accident where the person I was with suffered multiple fractures, while I only had abrasions. For about 4 to 5 years afterward, I experienced severe migraine symptoms that would typically occur...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, there is little correlation between head trauma and the occurrence of brain tumors. However, damage to cerebral blood vessels can increase the likelihood of vascular malformations, such as arteriovenous malformations. The head...[Read More] Understanding Brain Tumor Risks and Symptoms After a Serious Accident
Persistent Headache with Swelling on Right Side: What to Know
Chronic headache with swelling on the right side of the head? Hello doctor, I have been experiencing chronic headaches, and recently I have been having headaches every day. I have noticed that the right side of my head feels more swollen these past few days. What could this pheno...
Dr. Gao Chunde Reply:
The brain is protected by the hard skull, so any swelling issue is likely related to tissues outside the skull, such as muscles and subcutaneous soft tissue. The most common association with headaches is muscle-related, particularly tension-type headaches, where the muscles can b...[Read More] Persistent Headache with Swelling on Right Side: What to Know
Understanding Facial Nerve Issues: One-Sided Facial Movement Problems
Facial paralysis on one side? The left side of the face does not experience numbness, drooping, tearing, or drooling, but it does not move when smiling or speaking. Could this also be a facial nerve issue? Thank you.
Dr. Jiang Junyi Reply:
Hello, based on your description, facial nerve paralysis can sometimes present with sensations of numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. If the nerve damage is more extensive, patients may notice increased sensitivity...[Read More] Understanding Facial Nerve Issues: One-Sided Facial Movement Problems
Understanding Sudden Headaches: Causes and Concerns for Night Shift Workers
Sudden onset headache Hello Doctor, I have been working night shifts for 7 years. Since mid-May, I have been experiencing sudden headaches that are irregular and do not last long. During the pain, I do not have symptoms like dizziness, vomiting, or weakness in my limbs. When I am...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is 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, with a sensati...[Read More] Understanding Sudden Headaches: Causes and Concerns for Night Shift Workers
Understanding Nerve Damage: Causes and Treatment for Hand and Foot Numbness
Numbness in the hands and feet? Hello, Doctor: I have a few questions to ask. My left hand, including the palm and the back, has been experiencing persistent numbness for a long time. A month ago, I visited a neurologist and underwent an electromyography (EMG) test. When I return...
Dr. Gao Chunde Reply:
The most common condition is carpal tunnel syndrome. You can look up the causes and treatments online. Your primary physician has only prescribed Methylcobalamin, which is a supplement that aids in the repair of nerve tissue and is classified as a medical treatment, typically use...[Read More] Understanding Nerve Damage: Causes and Treatment for Hand and Foot Numbness
Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Facial nerve paralysis Hello, doctor. About a year ago, I experienced facial nerve paralysis on the left side of my face, which recovered well and was almost fully healed. However, two weeks ago, I developed similar symptoms on the right side of my face, with nerve paralysis. Sin...
Dr. Jiang Junyi Reply:
Hello, based on your description, facial nerve paralysis may sometimes present with pain behind the ear, and there may be sensations of numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. If the nerve damage is more extensive, pat...[Read More] Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Understanding Throat Sensations and Swallowing Anxiety: A Neurological Perspective
Sensation of a foreign body in the throat, difficulty swallowing, and concerns about swallowing nerve relaxation? Hello Doctor, for the past month, I have frequently felt a sensation of a foreign body in my throat. I pay special attention to the feeling of food passing through my...
Dr. Gao Chunde Reply:
Since the endoscopy, gastroscopy, and X-rays have all shown no issues, the psychological component may be more significant. If you are still concerned about swallowing difficulties potentially caused by neurological factors, you can have a neurologist evaluate you to confirm. Thi...[Read More] Understanding Throat Sensations and Swallowing Anxiety: A Neurological Perspective
Understanding Head and Neck Issues: Post-Injury Symptoms and Concerns
Head and neck issues Hello, Doctor Gao: I have a few questions to ask. Over two years ago, while moving something under the stairs, I suddenly forgot and stood up, hitting the top center of my head against the corner of a steel beam. At that moment, I saw stars, had a headache, a...
Dr. Gao Chunde Reply:
If the head examination is normal, some of your symptoms may be indicative of tension-type headaches, but they could also suggest cervical spine issues. Given the car accident and the relatively mild symptoms in your limbs and chest muscles, it would be advisable to inform your a...[Read More] Understanding Head and Neck Issues: Post-Injury Symptoms and Concerns
Understanding Occasional Pain in the Occipital Region: Causes and Insights
Headache with a sharp pain at a specific point in the occipital region? Hello doctor, my husband occasionally experiences a sharp pain at a specific point in the occipital region when he tilts his head backward. The first occurrence happened while he was holding our baby and lift...
Dr. Gao Chunde Reply:
In relation to movement, it is more likely that muscle contractions are causing nerve stimulation or compression, or that there are injured or dysfunctional muscles that are rarely used. When certain movements require these muscles to contract, they may produce a sharp pain. Gene...[Read More] Understanding Occasional Pain in the Occipital Region: Causes and Insights
Understanding Left Lower Back Pain After Standing for Two Hours
Left lower back pain after standing for more than two hours? Standing for more than two hours causes pain in the left lower back. Since childhood, whenever I stand for an extended period while shopping, I experience some discomfort in the left side of my lower back. The longer I ...
Dr. Yang Shenggong Reply:
Based on your description, your issue seems to be lower back pain after prolonged standing, which can be alleviated by changing positions. There are several possible causes: 1) scoliosis, 2) nerve compression in the lumbar region, 3) inflammation of the lumbar muscles related to ...[Read More] Understanding Left Lower Back Pain After Standing for Two Hours
Understanding Persistent Headaches: Causes, Symptoms, and Treatment Options
Pain in the temples and forehead, with a tight, throbbing sensation throughout the entire head, which worsens with pressure? Hello, doctor. At the beginning of April, a classmate who had just recovered from the flu invited me to dinner. After I got home that night, I noticed a sl...
Dr. Jiang Junyi Reply:
Based on your description, the more common causes are tension-type headache or cervical myofascial inflammation. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of th...[Read More] Understanding Persistent Headaches: Causes, Symptoms, and Treatment Options
Understanding Thigh Weakness and Facial Numbness: Possible Causes and Solutions
Weakness in the front of the thigh and facial numbness? Hello Doctor, I am actually unsure whether my condition is due to weakness in my thighs or my knees. Since January of this year, I have felt something unusual in the front of my thighs; when I try to stand straight, my knees...
Dr. Lan Shengxing Reply:
Dear Anonymous, there are too many intervening factors in your description, and more detailed information is needed to answer your question.[Read More] Understanding Thigh Weakness and Facial Numbness: Possible Causes and Solutions
Persistent Pain in Left Arm, Leg, and Neck: When to Seek Medical Help?
Pain and discomfort in the left arm, leg, and neck? I have been feeling persistent soreness in my left limbs, even without exertion. I later realized that I seem to be unconsciously tensing my muscles, and only notice it when I consciously relax them. I'm not sure if this is...
Dr. Lan Shengxing Reply:
Dear An-An, experiencing persistent soreness in your limbs without exertion is concerning. Please seek evaluation from a neurologist or neurosurgeon as soon as possible.[Read More] Persistent Pain in Left Arm, Leg, and Neck: When to Seek Medical Help?