Understanding Ulnar Nerve Palsy: Treatment Options and Recovery
Regarding the treatment of ulnar nerve palsy? Consulting a physician: The fourth finger and little finger of my left hand, as well as the outer side of my palm, have been numb for over half a month. The movement is still flexible, but the numbness is uncomfortable. I have seen a ...
Dr. Lin Zijing Reply:
The symptoms of numbness in the fourth finger, little finger, and the outer side of the palm are indicative of ulnar nerve damage. Prolonged severe injury may lead to atrophy of the intrinsic muscles of the hand. The etiology may be due to elbow compression or cervical radiculopa...[Read More] Understanding Ulnar Nerve Palsy: Treatment Options and Recovery
Understanding Muscle Tension: Causes and Solutions for Facial and Neck Discomfort
Neuromuscular tension Hello, doctor. Recently, I've been experiencing tightness in the facial muscles and nerves, particularly around the mandible and the angle of the mandible. When it gets severe, the tightness extends to the muscles in my neck, specifically the sternoclei...
Dr. Lin Zijing Reply:
This condition may be focal dystonia, which is an involuntary movement disorder characterized by sustained contractions of both agonist and antagonist muscles, leading to movement disturbances and causing the affected area to be fixed in a specific position or posture. This abnor...[Read More] Understanding Muscle Tension: Causes and Solutions for Facial and Neck Discomfort
Understanding Tremors, Muscle Stiffness, and Unexplained Fever: A Guide
Tremors in the hands and feet: some questions? 1. I feel stiffness on both sides of my face, particularly around the area near my ears, but not in my cheeks. I don't know why it feels stiff; I've never experienced this before. 2. I have been having unexplained fevers....
Dr. Ye Boshou Reply:
Hello: Please first conduct a neurological examination; it may not necessarily be tetanus.[Read More] Understanding Tremors, Muscle Stiffness, and Unexplained Fever: A Guide
Understanding Post-Surgical Complications of Orthognathic Surgery
Orthognathic surgery sequelae I would like to inquire about the complications after orthognathic surgery. I underwent orthognathic surgery two weeks ago, specifically a Lefort I 3-piece osteotomy for the maxilla and a BSSO SSRO for the mandible (not the commonly performed IVRO in...
Dr. Gao Chunde Reply:
Issues in this area rarely come to the neurology department; at least, I haven't encountered them. I believe the surgeon would be more concerned than you are. The literature has reported similar cases, but they appear to involve only transient facial nerve dysfunction, with ...[Read More] Understanding Post-Surgical Complications of Orthognathic Surgery
Understanding Neck Pain: When to See a Neurologist for Relief
Neck issues Hello Doctor: I have been troubled by a persistent issue. I often feel discomfort in my neck, with a sensation of tightness in the muscles. Sometimes, it can be uncomfortable enough to cause dizziness. Recently, I have also been experiencing a slight tingling sensatio...
Dr. Ye Boshou Reply:
Hello: At 29 years old, it is mostly caused by tendon fatigue, such as maintaining the same posture for long periods, like working on a computer or driving. Start with neck exercises and apply heat therapy. Avoid staying in a fixed position. If there is no improvement, you may co...[Read More] Understanding Neck Pain: When to See a Neurologist for Relief
Muscle Twitches and Right Foot Tingling: Possible Neurological Causes
Muscle twitching accompanied by a tingling sensation in the right foot? Hello Doctor: For the past month or so, I have started experiencing muscle twitching. Initially, it only occurred in my legs, about every 2 to 3 days. However, recently it has also appeared in my upper limbs ...
Dr. Lin Zijing Reply:
This situation is somewhat similar to muscle fasciculations, which are involuntary twitches of the skeletal muscles. If this symptom occurs alongside decreased tendon reflexes, muscle atrophy, or muscle weakness, it typically indicates a lower motor neuron disease. This can invol...[Read More] Muscle Twitches and Right Foot Tingling: Possible Neurological Causes
Understanding Buttock Dents: Nerve Issues or Muscle Deficiencies?
Depressed buttocks Hello, doctor: I noticed a depression on the left side of my buttocks at the beginning of May. Recently, the depression has started to hurt, and when I sit and work, the left side of my buttocks feels numb. I would like to know if this issue is related to a fat...
Dr. Lin Zijing Reply:
The indentation may be due to localized muscle atrophy, thinning of fat, or connective tissue. Prolonged sitting can lead to compression of the sciatic nerve located in the buttocks, resulting in numbness that extends from the buttocks down to the soles of the feet. If the numbne...[Read More] Understanding Buttock Dents: Nerve Issues or Muscle Deficiencies?
Understanding Post-Sexual Headaches and Dry Eyes: Causes and Solutions
Headache Experiencing dry eyes and headaches the day after sexual intercourse could be attributed to several factors. It may be related to dehydration, as sexual activity can lead to fluid loss. Additionally, if you are experiencing tension or stress during or after intercourse, ...
Dr. Lin Zijing Reply:
Dry eyes and headaches after sexual activity may be related to parasympathetic nervous system excitation and strong contraction of the head muscles. Additionally, it is important to differentiate this from "orgasmic headache." Orgasmic headaches are more common in sexua...[Read More] Understanding Post-Sexual Headaches and Dry Eyes: Causes and Solutions
Understanding Different Types of Headaches: Is It Migraine?
Migraine? Hello, Dr. Lin. Over the past two days, I've experienced two types of headaches. On the first day, I had a throbbing pain on both sides of my temples and surrounding areas that lasted all day, which only subsided in the evening after taking over-the-counter acetami...
Dr. Lin Zijing Reply:
Migraine is a type of recurrent headache caused by changes in neurotransmitters in the brain, with each episode lasting from four to seventy-two hours. The characteristics of the headache include unilateral pain, which can be throbbing or pulsating, often accompanied by a heartbe...[Read More] Understanding Different Types of Headaches: Is It Migraine?
Understanding Hand Numbness: When to Seek Neurological Care
When reaching out forcefully, the palm may become numb? 1. A couple of days ago, I suddenly experienced numbness in my palm when reaching for something, which has persisted for two days. The numbness occurs whenever I extend my right hand outward, but it does not happen when I re...
Dr. Gao Chunde Reply:
1. The location of the numbness corresponds to the area of the median nerve, but it is difficult to determine whether the cause is compressive or inflammatory, as well as whether the lesion is in the forearm or wrist. Generally, the most common condition is carpal tunnel syndrome...[Read More] Understanding Hand Numbness: When to Seek Neurological Care
Understanding Neurological Symptoms: Seeking the Right Specialist for Diagnosis
Symptom inquiry? Hello Dr. Lin: Recently, I have been experiencing many symptoms and have seen numerous doctors in various hospitals without finding the cause. Could you please help explain my symptoms? 1. I have sharp pain in the left back of my head accompanied by muscle spasms...
Dr. Lin Zijing Reply:
Your symptoms are quite broad and nonspecific, which may indicate the presence of two to three concurrent conditions or a transient episodic illness. Here are some analyses based on your symptoms: 1. Headache: The stabbing pain and spasms in the back of your head may be due to n...[Read More] Understanding Neurological Symptoms: Seeking the Right Specialist for Diagnosis
Understanding Neck Pain: Symptoms and Causes in Neurology
Neck pain The sudden onset of discomfort at work, accompanied by nausea, tinnitus, and subsequent headaches the following day, along with neck pain and a sensation of pressure after standing for extended periods (which alleviates when lying down), suggests a possible cervical str...
Dr. Ye Boshou Reply:
Hello: It may be a strain of the posterior neck muscles. Start with warm compresses, and if there is no improvement, further evaluation is necessary.[Read More] Understanding Neck Pain: Symptoms and Causes in Neurology
Understanding Toe Cramps: Causes and Remedies for Cold Weather
Toe cramps When the weather is cold or after walking a lot, I often experience cramps in my toes while showering (both feet simultaneously, with the toes overlapping). I can't stand up at all. Could this be due to a deficiency in my body, or is it simply related to the tempe...
Dr. Gao Chunde Reply:
Peripheral muscle cramps are not uncommon. If cramps occur, it may indicate an issue with the nerves or muscles, which can be structural or metabolic in nature. Structural causes may include upstream nerve stimulation or compressive lesions, typically accompanied by other neurolo...[Read More] Understanding Toe Cramps: Causes and Remedies for Cold Weather
Understanding Head Pain: When to See a Neurologist for Symptoms
Headache Hello, I would like to ask about a recent issue. I often feel pain in the left back of my head, which feels like a bump or pulling on my hair, and it lasts for about 2-3 days before subsiding. Recently, I have also been experiencing brief and mild dizziness, where things...
Dr. Lin Zijing Reply:
Pain in the back of the head is mostly located in the occipital region or the upper neck. The structures in this area include the occipital lobe of the brain, the cerebellum, the upper cervical vertebrae, surrounding muscles, and the vertebral arteries. Generally, headaches cause...[Read More] Understanding Head Pain: When to See a Neurologist for Symptoms
Comprehensive Evaluation for Persistent Nerve and Muscle Symptoms
May I ask about a single examination? Hello, Doctor: I am an office worker who spends most of the day sitting in front of a computer and rarely exercises. I've been experiencing symptoms for about a year, and since I haven't received treatment, my condition has worsened...
Dr. Lin Zijing Reply:
Normal lumbar spine X-rays and MRIs can differentiate between intervertebral disc and lumbar spine lesions. Therefore, it is important to consider lower pathologies such as piriformis syndrome, which may arise from piriformis injury, inflammation, overuse, or hemorrhage. Nearby t...[Read More] Comprehensive Evaluation for Persistent Nerve and Muscle Symptoms
Understanding Eye Muscle Twitches: Causes and Health Implications
Orbital muscle twitching Hello Dr. Lin, I have a question I would like to ask you. Recently, I have been experiencing slight and regular twitching in the muscles of my right eye, specifically in the lower eyelid area, both in the morning and in the afternoon. Does this have any...
Dr. Lin Zijing Reply:
Individuals with the following conditions are more likely to experience eyelid muscle twitching: 1. Irregular lifestyle: such as staying up late or insomnia. 2. Medication use or dietary imbalances: such as alcohol consumption or high-caffeine foods. 3. Conditions caused by disea...[Read More] Understanding Eye Muscle Twitches: Causes and Health Implications
Understanding Head Pain: Possible Causes and Connections to Past Injuries
Headache issues Hello Doctor: Recently, I've noticed some pain on the left side of my scalp when I press on it, which is accompanied by slight discomfort in my temple and neck. When I was a child, I injured the left side of my head by hitting a wall, and I'm unsure if t...
Dr. Gao Chunde Reply:
Based on your description, the stiffness and soreness in your neck and shoulder muscles are indeed related. The muscle tension on the left side of your neck is not due to an old injury; it may be caused by poor posture or excessive fatigue. Treatment and symptom relief methods to...[Read More] Understanding Head Pain: Possible Causes and Connections to Past Injuries
Understanding Eye Muscle Tension and Sleep Issues: A Neurology Perspective
The muscles feel tight and unable to fully open (the eyes)? Hello, Dr. Lin. I have been experiencing tightness in the muscles near the lower part of my left eye, and it feels like I can't fully open my eye. I thought it would improve after sleeping, but it's been a week...
Dr. Lin Zijing Reply:
There is a thin muscle in the eyelid called the orbicularis oculi. If a portion of the fibers of the orbicularis oculi suddenly contracts continuously, it can lead to eyelid twitching or a sensation of tightness in the eyes. Sudden contractions of the orbicularis oculi fibers are...[Read More] Understanding Eye Muscle Tension and Sleep Issues: A Neurology Perspective
Understanding Right-Sided Muscle Tension and Back Pain: A Neurology Perspective
Tightness and pain on the right side of the body, along with lower back and upper back pain? Hello Doctor, When I was in the third grade, I started experiencing tightness on the right side of my body. At that time, I didn't think it was serious and didn't seek medical...
Dr. Ye Boshou Reply:
Hello: X-rays and CT scans have been performed, and no abnormalities were found. However, the symptoms persist, so a consultation with a neurologist is recommended for a physical examination to determine if everything is normal.[Read More] Understanding Right-Sided Muscle Tension and Back Pain: A Neurology Perspective
Seeking Expert Advice for Post-Polio Syndrome Symptoms and Pain Management
excuse me? I am a 46-year-old patient with polio affecting my right leg. Recently, I have been experiencing hip joint pain in my right leg for the past three months. I have consulted an orthopedic specialist and have undergone rehabilitation treatments (electrotherapy, heat thera...
Dr. Ye Boshou Reply:
Hello: The symptoms of poliomyelitis have been a long-standing issue. Recently, if there has been an increase in activity, such as exercise, a neurological examination may be warranted.[Read More] Seeking Expert Advice for Post-Polio Syndrome Symptoms and Pain Management