Understanding Chronic Denervation and Its Impact on Calf Discomfort
Discomfort in the calf, abnormal electromyography (EMG) findings? Hello Doctor, since mid-June, I have been feeling tightness in the back of my right calf. It feels fine when I first get up, but the tightness increases the longer I stand, although it is not painful. As my anxiety...
Dr. Peng Shiwei Reply:
Hello, it is more appropriate for the physician who is treating you to answer your questions. Thank you.[Read More] Understanding Chronic Denervation and Its Impact on Calf Discomfort
Can Facial Nerve Issues from Childhood Be Treated in Adulthood?
Facial nerve I had facial nerve paralysis when I was in elementary school, and I underwent electrotherapy for treatment. My parents said it was cured, but now at 22 years old, I notice that when I blink in front of a mirror or on video, the corner of my mouth moves as well. Docto...
Dr. Jiang Junyi Reply:
Dear Mr. John Wick, You mentioned that "the corners of the mouth move when blinking," which may indicate facial nerve damage and the subsequent misinnervation of muscles during nerve regeneration. Additionally, some metabolic disorders, such as hyperthyroidism and elec...[Read More] Can Facial Nerve Issues from Childhood Be Treated in Adulthood?
Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
I have a severe headache that feels like an explosion on both sides, and the ringing in my ears has become louder? I have a terrible headache. I thought taking a nap would help, but the pain woke me up. I first went to a neurologist for an MRI, which showed no issues. I visited a...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You mentioned issues related to "headaches and cranial noises," which may suggest tension-type headache, a form of myofascial pain. Myofascia refers to the connective tissue that envelops the surface of muscles. Tension-type headaches are caused by tightn...[Read More] Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
Understanding Arm Muscle Pain and Tremors: Possible Neurological Causes
Arm muscle tenderness and tremors? Hello doctor, I currently have the following symptoms and would like to ask about possible causes: 1. When I raise both arms, I often feel soreness in my hands. When holding my phone with one hand, my hand shakes slightly. My fingers tremble w...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: Based on the symptoms mentioned, it is recommended to visit the neurology outpatient clinic (please bring your MRI results).[Read More] Understanding Arm Muscle Pain and Tremors: Possible Neurological Causes
Understanding Tightness and Dizziness While Sitting: Possible Causes and Solutions
When sitting, my head feels tight and swollen, and sometimes I feel dizzy? Recently, I often feel a tight and swollen sensation in my head while sitting in front of the computer, almost like a feeling of inadequate or excessive blood flow to the head. It’s not as severe when I’m ...
Dr. Peng Shiwei Reply:
Hello, if the headache is caused by posture, you may consider consulting a neurologist. However, I believe that if the headache only occurs while sitting, especially when using the computer, it may be related to chronic poor posture. I recommend that you go for a consultation so ...[Read More] Understanding Tightness and Dizziness While Sitting: Possible Causes and Solutions
Understanding Body Tremors: When to Seek Medical Attention
Body tremors Hello doctor, yesterday while I was sleeping, I suddenly noticed that the left side of my body and my left hand were trembling. I was abruptly awakened by the shaking, and the symptoms lasted for several seconds. After waking up, I found that the entire left upper ha...
Dr. Cai Zongzhang Reply:
Hello, Song: The symptoms mentioned above may indicate a neurological disorder. It is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Body Tremors: When to Seek Medical Attention
Understanding Facial Pain: When to See a Neurologist
My cheeks feel a bit strange? Hello, doctor: I am experiencing intermittent pain in the muscles of both my upper and lower cheeks, along with pain in my cheekbones. There is also a tingling, prickling sensation, and itching. The pain persists even with pressure, and my cheeks fee...
Dr. Wu Mukhan Reply:
Hello! Based on your description, your symptoms, including facial numbness, tingling, and abnormal sensations, may be related to a trigeminal nerve issue. It is recommended that you visit a hospital's neurology department for evaluation and to determine if further testing is...[Read More] Understanding Facial Pain: When to See a Neurologist
Understanding Muscle Twitching: Causes, Symptoms, and When to Seek Help
Involuntary muscle twitching? Hello doctor, over the past month, my muscles (not limited to any specific area, but mostly in my thighs and right shoulder) have been twitching involuntarily. The symptoms worsen during times of anxiety, tension, or panic. In the past few days, I&#x...
Dr. Jiang Junyi Reply:
Hello, Guo: You mentioned feeling "weakness in breathing, shallow breaths, and a sense of bodily weakness." Your concern about amyotrophic lateral sclerosis (ALS) primarily relates to issues with motor neurons. Motor neurons control muscle movement; generally, the moto...[Read More] Understanding Muscle Twitching: Causes, Symptoms, and When to Seek Help
Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps
Is it amyotrophic lateral sclerosis (ALS)? Hello Doctor, last month a family elder was diagnosed with ALS, and blood tests are currently being analyzed to determine if there is a genetic mutation or hereditary cause. Since then, I have started to feel weakness in my right hand an...
Dr. Jiang Junyi Reply:
Dear Mr. Yu, You are concerned about ALS, which is a chronic muscle-wasting disease that can lead to muscle atrophy. If upper motor neurons die, abnormal signal transmission may cause muscle twitching. In the early stages, it is actually difficult to diagnose. Approximately only...[Read More] Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? I am a 35-year-old male, non-smoker, non-drinker, and I do not consume betel nut or coffee. I am 180 cm tall and weigh 55 kg. I have a regular exercise routine that includes both strength training and aerobic exercises. Over two years ago, I suddenly...
Dr. Jiang Junyi Reply:
Hello Mr. Hsuan, You mentioned experiencing "twitching in your toes, similar to after finishing a hike, a jog, walking a long distance, or sitting on a specific sofa..." The muscle twitching you are experiencing may be related to several factors: exercise, acute viral ...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Muscle Twitches: Causes and Concerns in Strength Training
I would like to inquire about muscle twitching issues? A few days ago, I experienced muscle twitching in my shoulder that occurs intermittently. I have been weight training, and although my performance has not declined or changed, the twitching in my left shoulder gives me a slig...
Dr. Jiang Junyi Reply:
Hello Mr. CC: You mentioned that you have a slight feeling of weakness in your left hand, describing it as "soft and sore." This symptom may suggest cervical radiculopathy. This is a type of peripheral nerve abnormality that often presents with: 1. Pain characterized by...[Read More] Understanding Muscle Twitches: Causes and Concerns in Strength Training
Understanding Muscle Tension: Symptoms and Solutions for Neurological Issues
Involuntary muscle tension? Hello Doctor: Since around middle school, I have experienced episodes where my head involuntarily turns to the left, and the muscles in my face, neck, and limbs temporarily (for about ten seconds) maintain a rigid posture, becoming twisted and unable t...
Dr. Peng Shiwei Reply:
Hello, there are many possible diagnoses for your symptoms. I recommend that you visit a neurology clinic for a detailed evaluation. Thank you for your inquiry.[Read More] Understanding Muscle Tension: Symptoms and Solutions for Neurological Issues
Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective
Heavy and weak hips, abnormal tightness in leg muscles? Hello Doctor, I have been experiencing a heavy and weak sensation in my hip. When I try to sit up straight in a chair, it feels like my back muscles are doing all the work to lift my body. If I stand on my feet for a while (...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "the hip feels very heavy and weak, and when trying to sit up from a chair, it feels like the back muscles are the ones pulling the body up; standing on both feet for a while (5 minutes) makes them feel very tight, heavy, and weak; when one...[Read More] Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective
Understanding Head Pressure: When to Seek Neurological Help
Inquiry about Head Pressure Until yesterday, I had been staying up late for a week to complete assignments, with a sleep schedule of going to bed at 8 AM and waking up at 3 PM. For the past two nights, I experienced significant swelling in my head (above the temples on both sides...
Dr. Jiang Junyi Reply:
Dear Mr. Wood, You mentioned that "after a week of continuous late nights... my head is very swollen (above the temples on both sides)," and we should first consider tension-type headache. The symptoms of this type of headache are as follows: 1. It is often bilateral...[Read More] Understanding Head Pressure: When to Seek Neurological Help
Understanding Lower Back Pain: Causes and When to Seek Help
Lumbar pain Yesterday, I spent the entire day moving heavy objects. Since I rarely exercise, I relied heavily on my lower back for strength. After finishing the lifting, I felt fine until bedtime. However, this morning when I woke up, I noticed pain on my right side, specifically...
Dr. Jiang Junyi Reply:
Dear Mr. Yang, You mentioned, "It hurts a little when I press on it, but only on the right side. I'm not sure if this pain is due to a tendon strain or if it has affected my lumbar vertebrae or coccyx." Your symptoms, particularly the presence of tenderness, are m...[Read More] Understanding Lower Back Pain: Causes and When to Seek Help
Understanding Neck Stiffness and Muscle Tension: Causes and Solutions
Stiffness when turning the neck and tightness in the muscles at the back of the head? Hello doctor, for the past six months, I have been experiencing stiffness in my neck muscles when turning my head, often unable to turn it fully, especially when using my phone or computer. I fi...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is likely that chronic tension in the upper neck is caused by prolonged poor posture. I recommend starting with improving your posture and incorporating relaxation exercises for your neck. If these methods provide limited improvement, it would be...[Read More] Understanding Neck Stiffness and Muscle Tension: Causes and Solutions
Understanding Leg Neuropathic Pain: Causes and Management Strategies
Leg neuropathy, polyneuropathy? Hello Doctor, I have consulted multiple physicians (in rehabilitation, orthopedics, neurosurgery, and neurology), but I still cannot identify the problem... I am 32 years old and work as a software engineer. My symptoms seem quite variable, and I h...
Dr. Jiang Junyi Reply:
Hello Mr. Zac, You mentioned that "when walking, the outer side of my left ankle feels like it's being electrified, and after this pain sensation appeared, my outer calf and the sole of my foot began to feel numb and tingly (which may indicate nerve damage)." This...[Read More] Understanding Leg Neuropathic Pain: Causes and Management Strategies
Could Weakness and Pain in Your Legs Signal ALS Symptoms?
Weakness and pain in the legs could be a precursor to amyotrophic lateral sclerosis (ALS)? In 2021, I was diagnosed with possible sciatica (only through X-rays). After continuous rehabilitation, I improved for a while, but occasionally my lower back would still feel sore, allowin...
Dr. Jiang Junyi Reply:
Dear Miss Xiao: You mentioned that "when walking, if the feeling underfoot is not right, there will be a sudden pain, and then the legs feel weak and powerless." These are not symptoms of amyotrophic lateral sclerosis (ALS). The ALS you are concerned about primarily re...[Read More] Could Weakness and Pain in Your Legs Signal ALS Symptoms?
Understanding Sudden, Short-lived Head Pain: Possible Causes and Next Steps
Unpredictable, short-duration headaches that feel similar to a stabbing pain? Hello, doctor. I occasionally experience sudden head pain. This symptom has persisted for quite some time (around 3 to 4 years) and occurs unexpectedly (for example, while blow-drying my hair, sitting s...
Dr. Jiang Junyi Reply:
Dear Ms. Zoe, You mentioned "the area from the upper neck to the ear. The pain occurs suddenly each time, with a very intense sensation that lasts for about 3 to 5 minutes before returning to normal." This symptom may suggest muscle spasms in the cervical spine. There ...[Read More] Understanding Sudden, Short-lived Head Pain: Possible Causes and Next Steps
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Doctor, for the past few days, I've been experiencing a peculiar twitching sensation in my chest, primarily when I'm sitting in a chair. It feels like it's happening near my heart, with some muscle twitching a little bit. Sometimes it twitches once...
Dr. Jiang Junyi Reply:
Dear Mr. Bin, You mentioned that "the position of the muscle twitching is just a little bit next to the heart," which may indicate instability in the pectoral muscle group. Muscle twitching while awake could be associated with certain metabolic disorders, such as hyper...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology