Understanding Facial Twitching: When to See a Neurologist
Facial twitching? Doctor, I started experiencing muscle twitching on the left side of my nose bridge while at work yesterday. The twitching is particularly noticeable when my body is relaxed, and it has persisted until now. Should I see a neurologist, or should I observe the symp...
Dr. Jiang Junyi Reply:
Hello Mr. Tian: You mentioned that "the muscle twitching on the left side of the nasal bridge, especially noticeable when the body is relaxed, has persisted until now." Facial movements are controlled by the facial nerve, and during the consultation, the physician will ...[Read More] Understanding Facial Twitching: When to See a Neurologist
Understanding Muscle Twitches: Causes and When to Seek Help
Muscle twitching is common? For the past ten years, I have experienced frequent muscle twitching throughout my body. However, since each episode lasted only a short time, I did not pay much attention to it. Now, this twitching has not ceased over time, and I find it quite distres...
Dr. Jiang Junyi Reply:
Dear Mr. Peter Zhan, You mentioned that "the muscles throughout my body often twitch, but since each twitch does not last long, I haven't paid much attention to it. However, this twitching has not stopped over time." Muscle twitching is primarily related to severa...[Read More] Understanding Muscle Twitches: Causes and When to Seek Help
Understanding Toe Numbness: Insights on Nerve Conduction Tests
Toe nerve conduction study? Hello, Dr. Jiang. I previously inquired about the issue of toe numbness due to lumbar spondylolisthesis, and I would like to ask two more questions: 1. Since I have lumbar spondylolisthesis and toe numbness, but my tests (blood tests and nerve conduc...
Dr. Jiang Junyi Reply:
Hello: You mentioned, "If the nerve conduction study is normal, can we rule out nerve compression caused by lumbar spondylolisthesis as the reason for toe numbness?" It may be necessary to perform an electromyography (EMG) to check for abnormalities in the muscles inner...[Read More] Understanding Toe Numbness: Insights on Nerve Conduction Tests
Understanding Eyelid Twitching: Causes and Connections to Oral Movements
Eyelid twitching? Hello Doctor: On January 26, 2023, in the afternoon, my left upper eyelid started twitching, and it felt heavy. On the evening of January 27, when I began to eat, the frequency of my jaw clenching coincided with the twitching of my left upper eyelid; every time ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the left upper eyelid is twitching, and it jumps when I bite." Your symptoms may initially suggest simple eyelid twitching. Eyelid movements are controlled by the facial nerve, and if the eyelid is twitching continuously, the doctor will...[Read More] Understanding Eyelid Twitching: Causes and Connections to Oral Movements
Understanding Eyebrow Movements and Associated Head Pain: When to Seek Help
Frowning and raising eyebrows, with a sharp pain at the back of the head? Hello doctor, since the afternoon of the day before yesterday, I've noticed that whenever I raise or furrow my right eyebrow, I feel a slight pulling pain in the back right side of my head. The pain wa...
Dr. Jiang Junyi Reply:
Dear Mr. Hsu, You mentioned experiencing a "slight pulling pain in the right posterior side of the head," which is commonly associated with left-sided neck pain due to cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the temporalis mus...[Read More] Understanding Eyebrow Movements and Associated Head Pain: When to Seek Help
Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
High intraocular pressure, pain in the temples and eye sockets, stiffness in the shoulders and neck, and nausea? Hello Doctor: I have been troubled by a persistent issue that occurs occasionally, and each time it is quite uncomfortable. The situations in which it happens are not ...
Dr. Jiang Junyi Reply:
Dear Ms. P: The symptoms you mentioned resemble typical vascular headaches, commonly known as migraines. The diagnostic criteria for migraines are as follows: 1. Headaches occur more than 5 times. 2. Without taking pain relief medication, the headache lasts for more than 4 hour...[Read More] Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
Understanding Muscle Pain: Causes and Solutions for Burning Sensations
Muscle pain Hello, doctor. Recently, I've been experiencing a burning tearing sensation in the front thigh muscles during certain movements. This sensation disappears immediately after I stop the movement, and there is no pain when I press on it. However, I noticed that when...
Dr. Jiang Junyi Reply:
Hello Mr. TOP: You mentioned, "pressing when experiencing a burning tearing sensation causes pain." Your symptoms may suggest a peripheral nerve issue. This could be due to muscle compression of nearby nerves and blood vessels in specific positions. Symptoms of peripher...[Read More] Understanding Muscle Pain: Causes and Solutions for Burning Sensations
Understanding Muscle Atrophy: Is It ALS or Another Condition?
Amyotrophic lateral sclerosis (ALS), muscle atrophy? Hello doctor, I am a 40-year-old male. About six years ago, I suddenly felt unusual soreness in my left arm, and later the small thenar muscle in my left hand began to twitch. A few days later, I noticed slight atrophy. I consu...
Dr. Jiang Junyi Reply:
Dear Mr. Aze, You mentioned that "my arms suddenly tremble continuously, my muscles twitch, and I experience inexplicable spasms throughout my body. I also noticed that my thighs seem to be atrophying, and I wonder if I might have this disease." The muscle atrophy you ...[Read More] Understanding Muscle Atrophy: Is It ALS or Another Condition?
Understanding Suboccipital Muscle Issues and Recovery Strategies
Suboccipital muscles After experiencing chills and shivering, I noticed that when I turn my head to the left, there is a popping sound. Slowly turning my head to the left is manageable, and when I support the back of my head with my hand while turning, there is no sound. I also n...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may be indicative of cervical spondylosis. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Suboccipital Muscle Issues and Recovery Strategies
Exploring the Connection Between Tinnitus and Neck Muscle Tension
I would like to ask a very peculiar question regarding the relationship between tinnitus and neck muscles? Hello Doctor: About a month ago, I suddenly experienced tinnitus in my left ear. I subsequently underwent hearing tests, tympanometry, and nasopharyngoscopy at two major hos...
Dr. Cai Zongzhang Reply:
Hello MK: Based on the symptoms mentioned, it is recommended to schedule a carotid ultrasound examination with a neurologist.[Read More] Exploring the Connection Between Tinnitus and Neck Muscle Tension
Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Do I have epilepsy? Could I possibly have a brain tumor? Hello Doctor, I have two questions to ask you, regarding headaches and epilepsy. Most importantly, I am very worried that I might have a brain tumor or something similar, and I hope to receive some advice. Regarding epile...
Dr. Cai Zongzhang Reply:
Hello, Student C: The symptoms mentioned may be related to sleep apnea. It is recommended to visit a neurologist for a detailed examination to determine the underlying cause.[Read More] Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Neck issues? Recently, after taking a shower (bending over to wash my hair) and using the computer, I notice a clicking sound at the junction of my neck and shoulder, approximately at the trapezius muscle area, specifically on the right side. This occurs only in the evening and r...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the "cracking sound at the junction of the neck and shoulders" may indicate cervical joint pathology, primarily due to degeneration of the cervical facet joints or symptoms caused by cervical disc herniation. This is commonly seen in cases of p...[Read More] Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle twitching? Hello, doctor! Recently, I have been experiencing occasional muscle twitching and facial spasms. It feels like my face is on the verge of twitching, causing discomfort, particularly around the area near my eye socket close to my nose and the masseter...
Dr. Cai Zongzhang Reply:
Hello, if the above symptoms persist despite adequate rest and sleep, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Electromyography Results: Insights on Chronic Denervation and Neuropathy
Electromyography Interpretation I'm sorry, doctor. Due to symptoms of a herniated disc in the early stages, I underwent a month of treatment, including various tests such as MRI of the spine, X-rays, and electromyography (EMG). The EMG doctor mentioned that aside from some a...
Dr. Jiang Junyi Reply:
Hello Mr. Shang: You mentioned that the "Needle EMG study showed chronic denervation changes in the right tibialis anterior," which suggests chronic localized peroneal nerve pathology. This is not a typical finding for motor neuron disease. I recommend discussing this w...[Read More] Understanding Electromyography Results: Insights on Chronic Denervation and Neuropathy
Understanding Foot Pain: Neurological Causes and Symptoms Explained
Foot pain issues? Hello Dr. Jiang, I would like to ask if lumbar nerve compression can cause swelling or inflammation in the soles of the feet, along with foot pain after prolonged standing, and symptoms such as tightness and stiffness in the calf muscles. Does slow nerve conduct...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao: You mentioned that "lumbar nerve compression... slow nerve conduction equals nerve compression." Symptoms of peripheral nerve compression are commonly observed as follows: 1. Pain characterized by burning sensations and tingling. 2. Symptoms have a spec...[Read More] Understanding Foot Pain: Neurological Causes and Symptoms Explained
Understanding Facial Twitching: Risks and Treatment Options
Facial twitching or facial spasms? Is there a danger if the facial muscles are constantly twitching? How should it be treated? A friend told me that continuous facial twitching could harm the brain nerves. Thank you.
Dr. Cai Zongzhang Reply:
There are various possible causes for involuntary facial muscle twitching. If the symptoms persist and do not improve, it is recommended to visit a neurology clinic for evaluation.[Read More] Understanding Facial Twitching: Risks and Treatment Options
Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Hello, doctor. I would like to ask about some unusual phenomena related to tinnitus? Hello Dr. Jiang, I have been experiencing unilateral tinnitus with a buzzing sound in my left ear for about two weeks. I have already undergone hearing and tympanometry tests at other large hosp...
Dr. Jiang Junyi Reply:
Hello HJK: You mentioned that "when chewing food or yawning, the tinnitus becomes louder..." This could potentially be related to issues with the nerves or muscles around the ear. One possible cause is related to the Eustachian tube, as yawning and chewing help to equal...[Read More] Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Understanding Muscle Cramps: Fibromyalgia and Dryness Symptoms Explained
Back muscle cramps Hello doctor, I have suddenly started experiencing muscle cramps that feel like someone is squeezing my fascia, and my arm and leg muscles are also twitching involuntarily. Three doctors have diagnosed me with fibromyalgia, and I have a dry mouth, raising suspi...
Dr. Cai Zongzhang Reply:
Hello Ms. Liu: It is recommended to consult with the Neurology and Rheumatology departments.[Read More] Understanding Muscle Cramps: Fibromyalgia and Dryness Symptoms Explained
Understanding Neck and Back Pain: When to Worry About Serious Conditions
Pain in the occipital region of the neck? Hello Doctor: I have been experiencing symptoms such as neck pain and upper back pain since early last year. I have consulted with rehabilitation and neurology specialists, and underwent several neurological and X-ray examinations, which ...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may be related to neck muscle stiffness. It is recommended to relax the muscles.[Read More] Understanding Neck and Back Pain: When to Worry About Serious Conditions
Understanding Your Facial Pain: Possible Neurological Issues Explained
Could you please specify which symptoms you are referring to in order to determine which aspect of the nervous system may be involved? Hello Doctor, for the past few months, I have been experiencing pain in the gums of the last tooth on the left side at the back. Sometimes the pa...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "the acidic pain in the mouth can extend to the cheeks and then to the ears, and it can also radiate to the muscles of the tongue and the upper and lower jaws," which suggests trigeminal neuralgia. The diagnostic criteria for trigeminal...[Read More] Understanding Your Facial Pain: Possible Neurological Issues Explained