Understanding Neck Heat: Possible Neurological Issues Explained
Neck issues? Hello Dr. Jiang, I often feel a warmth at the back of my neck lately. What could be the possible issues? Thank you.
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that your "neck feels warm" which may indicate cervical myofascial inflammation or nerve root compression. Cervical myofascial pain: Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resultin...[Read More] Understanding Neck Heat: Possible Neurological Issues Explained
Understanding Hip and Leg Pain: When to Seek Medical Advice
Medication Consultation Hello Dr. Peng: I often experience discomfort and aching in my right thigh near the hip joint, which extends to the thigh muscles. Pressing on that area causes significant soreness. When I sleep with my knees straightened or bent, I often hear cracking sou...
Dr. Peng Shiwei Reply:
Hello, it is recommended that you take B12 after meals, which may help improve your symptoms. As for the discomfort related to the hip, it seems to be more related to muscle or fascia issues. It is advisable to consult a neurologist or a rehabilitation specialist. Thank you for y...[Read More] Understanding Hip and Leg Pain: When to Seek Medical Advice
How to Differentiate Between Headaches and Neurological Issues
How to differentiate between various types of headaches that last for several months? I have been experiencing pain for six months in the area between my temple and ear, sometimes accompanied by a feeling of pressure or a sensation of a foreign body, as if something is pressing i...
Dr. Jiang Junyi Reply:
Hello Mr. Hong: You mentioned distinguishing between headaches and neurological or dermatological conditions. The pain you described, "often occurring between the temple and the ear, sometimes with a throbbing sensation," may suggest tension-type headache. The symptoms ...[Read More] How to Differentiate Between Headaches and Neurological Issues
Understanding Diaphragm Muscle Spasms: When to Seek Medical Attention
Diaphragmatic muscle twitching The muscles in the middle of the diaphragm are continuously contracting and pulsating, accompanied by a slight feeling of pressure, similar to a heartbeat but at a faster rate, with a rhythmic "thump-thump-thump" sensation. It feels as if ...
Dr. Jiang Junyi Reply:
Dear Ms. Jun, You mentioned that "the muscles in the middle of the diaphragm are continuously contracting and twitching." The diaphragm is primarily innervated by the phrenic nerve, which originates from the cervical spinal cord, typically from the nerve roots of C3 to...[Read More] Understanding Diaphragm Muscle Spasms: When to Seek Medical Attention
Cold Neck and Sweating: Understanding Possible Nerve Issues
Cold neck and sweating? Recently, after receiving a massage for back pain, I have been experiencing an inexplicable cold sensation in my neck during sleep or daily activities. I also feel pain in the 8th, 9th, 10th, 11th, and 12th vertebrae, and at times, I experience dizziness, ...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that the "cold sensation in the neck" may be related to nerve root compression at cervical levels 4-6? You also mentioned experiencing pain at thoracic vertebrae levels 8, 9, 10, 11, and 12. Are you referring to muscle pain adjacent to the t...[Read More] Cold Neck and Sweating: Understanding Possible Nerve Issues
Understanding Neck Tightness: Causes and Relief Strategies
Tightness in the back of the neck? Hello, doctor. Due to my work, I often sit in front of a computer desk or use my phone. Three days ago, after dinner, I suddenly felt tightness in the back of my neck, accompanied by mild headaches, dizziness, and nausea (I tend to be easily ner...
Dr. Wu Mukhan Reply:
Hello, your symptoms may be caused by neck muscle tension resulting from prolonged posture, poor sitting habits, or computer use. Anxiety and stress can also lead to physical tension, which may trigger headaches and neck discomfort. It is recommended to avoid maintaining the same...[Read More] Understanding Neck Tightness: Causes and Relief Strategies
Unexplained Leg Pain: Seeking Answers for Persistent Discomfort
Foot pain? Hello, doctor! I am 48 years old and I haven't fallen or twisted my ankle, but suddenly one of my legs started to hurt. The pain (in the back of my hip) has persisted for over a month. Physical therapy and rehabilitation have been ineffective. Initially, I had pai...
Dr. Wu Mukhan Reply:
Hello, X-rays can be used to examine the bones and joints of the limbs for any issues; however, problems related to nerves, muscles, blood vessels, and soft tissues cannot be fully diagnosed using X-rays alone. Elevated uric acid levels can lead to arthritis known as gout, which ...[Read More] Unexplained Leg Pain: Seeking Answers for Persistent Discomfort
Understanding Sciatica: Causes, Treatment, and Prevention Tips
Sciatica Hello, Dr. Jiang! I have been experiencing sciatica for a month. The doctor took an X-ray and said it is not serious. However, taking anti-inflammatory painkillers and undergoing rehabilitation have been ineffective. I feel pain when sitting or standing. I work while sit...
Dr. Jiang Junyi Reply:
Dear Ms. Christine, You mentioned, "I have pain when sitting and standing. I work sitting down every day. I haven't fallen or twisted anything. It happened suddenly, and I don't know the cause..." A herniated disc can cause compression of the nerve roots, lea...[Read More] Understanding Sciatica: Causes, Treatment, and Prevention Tips
Understanding Facial Twitching: Causes, Concerns, and Solutions
Facial twitching? Hello, doctor. I've been troubled by facial twitching for several years. The twitching mainly occurs on both sides of my cheeks. It used to happen primarily when I was nervous about going on stage, but now it occurs even during casual interactions like chat...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "nervousness occurs when going on stage." When the body is under stress, excessive fatigue, mental tension, and psychological anxiety, it may lead to involuntary muscle twitching. Muscle tremors while awake may warrant consideration of cer...[Read More] Understanding Facial Twitching: Causes, Concerns, and Solutions
Managing Low White Blood Cell Count in Myasthenia Gravis Patients
Myasthenia gravis with leukopenia? Hello: My mother is a patient with myasthenia gravis, specifically type I, which only affects the ocular muscles, resulting in muscle weakness around the eyes, leading to ptosis and diplopia. Since recovering from herpes zoster three months ago,...
Dr. Peng Shiwei Reply:
Hello, in response to your questions: 1. Currently, there are no specific foods that can increase white blood cell counts. Typically, blood cell counts will gradually return to normal after the acute phase of an illness has passed. However, it is still recommended to consume nu...[Read More] Managing Low White Blood Cell Count in Myasthenia Gravis Patients
Understanding Finger Weakness: When to See a Neurologist
Finger weakness Because my husband works as a chef, he has recently been experiencing weakness in his fingers. He usually uses his thumb and index finger for pinching motions (specifically for making buns), but recently the weakness in his index finger has become so severe that h...
Dr. Wu Mukhan Reply:
Hello, the movements of the fingers are primarily commanded by the brain, transmitted through the central and peripheral nervous systems, which control the activity of the finger muscles and joints. Therefore, if there is an issue in any part of this process, it may lead to sympt...[Read More] Understanding Finger Weakness: When to See a Neurologist
Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
Neck issues, numbness in the limbs, facial nerve twitching? Initially, I experienced tightness in my shoulders and neck along with numbness in my hands (more severe in the right hand). Subsequently, I began to feel numbness in my left foot, and the muscles on both sides of my nec...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned experiencing "tingling in the left foot" and "intermittent electric shock-like sensations and pain in the muscles on both sides of the neck (right side)." Based on your description, it may be necessary to consider cervical spine disor...[Read More] Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
Understanding Diplopia: Causes and Symptoms Beyond One Centimeter
Binocular diplopia occurs within 1 centimeter (at least) without lateral shadows, but outside of 1 centimeter, lateral shadows will be present? However, beyond 1 meter, there is double vision. What could be the neurological issue? Additionally, there is a sharp pain behind the le...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "diplopia" may require consideration of issues related to cranial nerves (oculomotor, trochlear, and abducens) to the brainstem. It may also involve compression of the muscles behind the eye. Typically, brain imaging, blood tests, and nerv...[Read More] Understanding Diplopia: Causes and Symptoms Beyond One Centimeter
Managing Daytime Sleepiness in Patients with Sleep Apnea
Easily feeling sleepy? I often feel sleepy during afternoon video courses, so I lie down and take short naps before continuing. I have sleep apnea and weigh 118 kg. What should I do about feeling sleepy?
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned the issue of "sleep apnea," which can lead to daytime inattention and frequent drowsiness. Obstructive sleep apnea is the most common type, accounting for about 90% of cases. Soft tissue near the throat obstructs the airway, causing the upper a...[Read More] Managing Daytime Sleepiness in Patients with Sleep Apnea
Understanding Cervical Degenerative Disc Disease: Symptoms and Next Steps
Cervical spondylosis/Cervical disc disease Hello Doctor, I have been experiencing dizziness, headaches, and neck pain for over two weeks, so I visited a neurologist who arranged for an MRI. I saw the report in my health record, but since I have to wait more than a week for my fol...
Dr. Jiang Junyi Reply:
Dear Mr. Eric, You mentioned that the "MRI report" is essentially a relatively normal report indicating degenerative disc disease with a C5-6 bulging-protruding disc (right central to subarticular), bulging discs at C3-4 and C4-5, leading to mild thecal sac indentation...[Read More] Understanding Cervical Degenerative Disc Disease: Symptoms and Next Steps
Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Numbness in the body after a cold? Hello Doctor, After experiencing a mild fever due to a cold on February 16, I have been feeling numbness in my arms and legs. Sometimes, when I change my body position, I feel a tingling sensation from my back to the back of my head, especiall...
Dr. Jiang Junyi Reply:
Hello Mr. Yang, You mentioned that "there is a slight stabbing pain when the left side of my head is pressed or rubbed while sleeping, and my left palm also has some tingling sensations." Based on your description, we may need to consider cervical nerve root compressio...[Read More] Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Understanding Photosensitive Epilepsy: Symptoms and What to Avoid
Alas... this is inappropriate behavior, please do not imitate it? Two days ago, I decided to test whether I have photosensitive epilepsy by watching several videos with intense flashing lights. Unexpectedly, I experienced two situations: the first was that during the viewing, my ...
Dr. Jiang Junyi Reply:
Hello Mr. Jose: You mentioned that "photosensitive epilepsy" typically involves generalized brain discharges, which can lead to temporary loss of consciousness. This is usually observed by family members. Your symptoms should first consider abnormalities in the muscle f...[Read More] Understanding Photosensitive Epilepsy: Symptoms and What to Avoid
Understanding Facial Twitches Before Sleep: Causes and Solutions
Facial twitching? Hello Doctor, I experience twitching from my left cheekbone to the corner of my mouth before going to sleep, but it does not occur while I am awake. The twitching usually lasts from half a second to four seconds and happens one to four times a night. This has be...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the left cheekbone to the corner of your mouth is twitching." Your symptoms may suggest facial nerve spasms. The twitching of facial muscles is primarily associated with several factors: exercise, acute viral infections, anxiety, and med...[Read More] Understanding Facial Twitches Before Sleep: Causes and Solutions
Understanding Neck Tension: Causes, Exercises, and Relief Options
Shoulder and neck issues? There are no specific underlying conditions. About three to four days ago, I started feeling a slight tightness in the back of my neck when I bend my neck while reading or looking at my phone, which I have never experienced before. This sensation only oc...
Dr. Jiang Junyi Reply:
Hello Mr. Lin, You mentioned that "the back of my neck feels a bit tight... it only happens when I sit and look down at a book... should I use cupping therapy to relieve it?" The common cause of neck pain is cervical myofascial pain syndrome. Prolonged periods of looki...[Read More] Understanding Neck Tension: Causes, Exercises, and Relief Options
Can You Have Myasthenia Gravis Without Obvious Symptoms?
Can myasthenia gravis occur without obvious symptoms? Hello Doctor: Previously, I visited an ophthalmologist due to tightness around my eye muscles and dry eye syndrome. I informed the doctor that after using a medication containing "neostigmine" for about a month, my p...
Dr. Jiang Junyi Reply:
Hello, Miss: The main clinical manifestation of myasthenia gravis is muscle weakness, with weakness of the extraocular muscles that control eye movement being the most common. "Night sweats and palpitations" typically occur when the myasthenia gravis worsens and affects...[Read More] Can You Have Myasthenia Gravis Without Obvious Symptoms?