Understanding Facial Nerve Paralysis: Signs of Recovery Explained
Facial nerve paralysis Hello Doctor: On December 16, I experienced twitching in my right lower eyelid and the corner of my mouth. My facial nerve paralysis began on December 17, resulting in an inability to furrow my brow, leakage while drinking, and an inability to close my righ...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many causes of facial nerve paralysis, with Bell's palsy being the most common. The onset of the condition is usually rapid, with the degree of facial nerve paralysis reaching its peak within two days. Prior to the onset, patients ...[Read More] Understanding Facial Nerve Paralysis: Signs of Recovery Explained
Understanding Parkinsonism Symptoms After Carbon Monoxide Poisoning
I am a patient with carbon monoxide poisoning? I have a few questions for you, doctor. You mentioned that I am a patient with carbon monoxide poisoning, but why did my doctor say that I have something resembling Parkinson's disease? It has been over two years since my sympto...
Dr. Jiang Junyi Reply:
Hello: The primary cause of carbon monoxide poisoning is its ability to bind to hemoglobin over 200 times more effectively than oxygen, leading to hypoxia in body tissues. This can result in systemic damage, affecting various organs including muscles and the myocardium. However, ...[Read More] Understanding Parkinsonism Symptoms After Carbon Monoxide Poisoning
Intermittent Surface Headache from Left Crown to Occiput: Causes and Solutions
Intermittent superficial headache on the left side of the crown extending to the back of the head? Two weeks ago, I had a cold and was coughing. I tried to suppress the cough, but eventually couldn't hold it in, which led to a slight discomfort in my neck, specifically from ...
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] Intermittent Surface Headache from Left Crown to Occiput: Causes and Solutions
Managing Muscle Tightness in the Calf After Injury: A Guide
Calf muscle tightness? Hello, Doctor. My family member injured their right foot last year (with a bone fracture) and has recovered, but in the past few months, they have experienced muscle tightness in the foot, making it difficult to walk. About two weeks ago, they had an MRI fr...
Dr. Gao Chunde Reply:
If muscle tightness occurs at the site of an injured bone fracture, it is important to consult an orthopedic specialist to assess whether there are any issues with nearby bones or muscles, and to continue rehabilitation therapy. If muscle tightness occurs in other areas, it may i...[Read More] Managing Muscle Tightness in the Calf After Injury: A Guide
Understanding Nighttime Muscle Vibrations and Weakness: Causes and Solutions
Involuntary muscle twitching before sleep? Since July of this year, I have been experiencing a sensation of soreness and weakness in my calves and thighs before bedtime, resembling poor blood circulation. This is accompanied by vibrations in my calf muscles, which feel similar to...
Dr. Lan Shengxing Reply:
Dear Queen, the symptoms you described are somewhat similar to Restless Legs Syndrome, which is a disorder of the central nervous system. There are effective treatment options available, and generally, a neurologist should be familiar with the diagnosis and management of this con...[Read More] Understanding Nighttime Muscle Vibrations and Weakness: Causes and Solutions
Understanding Diplopia: Is It Always a Neurological Issue?
Diplopia issues Is double vision always caused by a problem with the cranial nerves, or can stiffness in the neck and shoulders also lead to double vision? I have been experiencing long-term double vision, but I also have stiffness in my neck and shoulders, along with swelling on...
Dr. Gao Chunde Reply:
Diplopia is not necessarily a neurological issue. If covering one eye still results in double vision, then the problem lies with the eye itself. If the double vision resolves, it indicates an issue with the extraocular muscles or cranial nerves. Stiffness in the shoulders and nec...[Read More] Understanding Diplopia: Is It Always a Neurological Issue?
Persistent Leg Numbness After Heavy Lifting: Possible Causes and Solutions
Persistent numbness near the tibia? Hello doctor, in July of this year, I experienced some soreness in my lower back while lifting heavy objects. After receiving a massage, I returned home and began to feel pain and numbness from my lower back to my buttocks, right thigh, right c...
Dr. Gao Chunde Reply:
Based on your medical history and symptom description, it strongly suggests that there is a herniated disc at the fifth lumbar vertebra compressing the nerve root. Typically, lumbar imaging (MRI or CT scan) would show this, so it is surprising that the results are normal. The phy...[Read More] Persistent Leg Numbness After Heavy Lifting: Possible Causes and Solutions
Understanding Lower Back Pain: Causes and When to Seek Help
Lower back pain? At the beginning of the year, I slipped at work and experienced lower back pain. I applied some medicated patches a few times, and then I didn't feel the pain anymore. However, after the school semester started and I returned to work, I began to feel lower b...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more consistent with a herniated disc compressing the nerve root. The spine is subjected to repetitive stress, especially from abnormal pressures such as bending to pick things up or working in a bent or twisted position for ext...[Read More] Understanding Lower Back Pain: Causes and When to Seek Help
Understanding Right Occipital and Neck Pain: Causes and Treatments
Pain in the right posterior part of the head and right neck? Hello Doctor: I previously experienced a stiff neck (on the right side) and applied patches, but I still occasionally feel discomfort. Later, when I turn my head, I start to feel a slight aching sensation in the right o...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of right-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 a...[Read More] Understanding Right Occipital and Neck Pain: Causes and Treatments
Understanding Left-Sided Head Pain: Causes and When to Seek Help
Left-sided headache? Today, I experienced sudden intermittent sharp pain in my left hemisphere. I'm not sure if it's related to the time I got bumped at the children's festival, as I felt dizzy for a moment after the impact, but it improved within a few seconds. I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious localized hematomas, head injuries are mostly mild. However, if the following conditions occur, delayed bleeding should be considered, and you should ...[Read More] Understanding Left-Sided Head Pain: Causes and When to Seek Help
Understanding Tension Headaches: The Role of EEG and MRI in Diagnosis
Electroencephalography (EEG) and Magnetic Resonance Imaging (MRI) Hello, doctor. Previously, I inquired about symptoms such as eye pressure (discomfort when moving the eyeballs), soreness, dull pain in the head, tightness in the neck at the back, and a strong desire to rest with ...
Dr. Gao Chunde Reply:
After ruling out postoperative infection, both sinusitis and tension-type headaches may occur following treatment. Simple tension-type headaches can be managed with oral medications prescribed by a physician, or by adjusting lifestyle habits to reduce stressors, engaging in moder...[Read More] Understanding Tension Headaches: The Role of EEG and MRI in Diagnosis
Understanding Eye Pressure Pain: Possible Causes and Solutions
Eye pressure and pain? Hello, doctor. Due to long-term fatigue from sleep apnea, I often experience a dull, mild pressure pain in the upper part of my eye sockets (not intense). After using CPAP, my fatigue has not improved, and this condition has become more pronounced (I have n...
Dr. Gao Chunde Reply:
The standard symptoms of sleep apnea include daytime fatigue and headaches, particularly upon waking. However, these headaches tend to improve after some activity during the day. The symptoms you mentioned warrant attention to whether there is inflammation or other issues in the ...[Read More] Understanding Eye Pressure Pain: Possible Causes and Solutions
Understanding Persistent Neck and Facial Symptoms: A Neurology Perspective
What is the reason for this? Hello, doctor! For several years now, I have been experiencing stiffness in my shoulders and neck, along with swelling in my neck. I have also noticed symptoms such as frequent fatigue, increased anxiety, and a general feeling of heaviness. Additional...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of your symptoms is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the muscles in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but...[Read More] Understanding Persistent Neck and Facial Symptoms: A Neurology Perspective
Understanding Lower Back Pain After Long Sleep: Causes and Solutions
Lower back pain caused by prolonged sleeping? Hello Doctor: My symptoms are that after sleeping for more than 8 hours, I wake up with severe pain on both sides of my lower back, which disappears on its own after 4-6 hours of daytime activity. I have tried several measures: sleepi...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to poor sleeping posture. You are experiencing dull pain in your lower back, and it feels difficult to turn over or get out of bed. However, after getting up and moving around for a while, the discomfort gradually imp...[Read More] Understanding Lower Back Pain After Long Sleep: Causes and Solutions
Understanding Dizziness and Neck Discomfort: Neurological Insights
Dizziness and discomfort in the back of the neck? Hello Dr. Jiang, I have been experiencing dizziness (a floating and swaying sensation) for two months, accompanied by a tight and swollen feeling near the back of my neck close to the occipital area. I wonder if these two issues a...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. Since you also experience discomfort in the back of your head, issues like cervical myofascial inflammation should be considered. It ...[Read More] Understanding Dizziness and Neck Discomfort: Neurological Insights
Understanding Arm Nerve Issues: Causes and Solutions for Weakness
Brachial plexus Doctor, I have a question. Since I was in the ninth grade, whenever I sleep on my left arm, it becomes completely numb, and the muscles in my arm feel completely soft. Sometimes I experience weakness for over a week, while other times it resolves in just half an h...
Dr. Gao Chunde Reply:
This symptom and phenomenon are indeed quite rare. To cause numbness and weakness, it could originate from the brain, brainstem, spinal nerves, the nerve roots exiting the spinal cord, or the brachial plexus. If pressure is applied during sleep, one might consider whether there i...[Read More] Understanding Arm Nerve Issues: Causes and Solutions for Weakness
Understanding Toe Cramps in Parkinson's: Causes and Treatment Options
Cramps in the second, third, and fourth toes? I have Parkinson's disease (for three years), and recently I have been experiencing cramps and pain in the second, third, and fourth toes of my left foot. I have consulted both a neurologist and an orthopedic specialist, and I wa...
Dr. Jiang Junyi Reply:
Based on your description, the causes of cramping pain may include insufficient levels of minerals in the blood (such as magnesium and calcium), mild tears in the muscles or tendons, excessive emotional stress, improper posture during exercise, or poor muscle coordination. If the...[Read More] Understanding Toe Cramps in Parkinson's: Causes and Treatment Options
Understanding Numbness Above the Knee: Possible Causes and Solutions
A localized area above the right knee on the outer thigh? Hello doctor, since yesterday afternoon, I've been experiencing a localized numbness in the outer side of my right thigh, just above the knee. It feels like my phone is vibrating, and it stops intermittently. There is...
Dr. Jiang Junyi Reply:
Based on your description, localized muscle twitching may occur due to abnormal signals sent from the nerves that innervate the muscles, such as compression of the L3-L4 nerve roots or local nerve inflammation. It can also happen when there is a deficiency of minerals (such as ma...[Read More] Understanding Numbness Above the Knee: Possible Causes and Solutions
Sudden Hand Weakness and Pain: Possible Causes and Concerns
Sudden weakness and pain in the palm? It seems that starting from yesterday evening, I suddenly felt pain when pressing on my left palm, with a bit of weakness, although I can still exert some force. However, after one night, the soreness has become more pronounced, and there is ...
Dr. Gao Chunde Reply:
I am not sure if you have any wounds on your hand, but if you do, along with redness, swelling, and heat in the hand and arm, you should be cautious about the possibility of an infection. If you consumed raw food, it should not be an issue unless there was a puncture or abrasion ...[Read More] Sudden Hand Weakness and Pain: Possible Causes and Concerns
Understanding Involuntary Muscle Twitches: Could It Be ALS?
Involuntary muscle twitching? Hello doctor, at the end of last year, my muscles started to twitch involuntarily. Initially, it lasted for 2-3 weeks, and then it stopped. Around February of this year, the muscle twitching started again and has continued to this day. I visited a ne...
Dr. Gao Chunde Reply:
Motor neuron disease is a progressive condition characterized by the degeneration of motor neurons. Therefore, in addition to involuntary muscle twitching, there will be subsequent symptoms such as impaired movement, muscle weakness, and atrophy. Whether this is the case can only...[Read More] Understanding Involuntary Muscle Twitches: Could It Be ALS?