Effective Methods for Assessing Peripheral Nerve Issues in Neurology
Methods for assessing peripheral nerves around the head? I currently have double vision and facial numbness due to peripheral nerve issues. How should I assess my current neurological condition? Which diagnostic method is more effective in general medical facilities, nerve conduc...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned the issue of "diplopia." If the symptoms have occurred acutely, it may be necessary to consider structural abnormalities. Peripheral issues may involve the structures of the eyes and orbits, such as the eyeball and extraocular muscles. Central ...[Read More] Effective Methods for Assessing Peripheral Nerve Issues in Neurology
Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Right ear pain? Doctor: I wake up at night with numbness in my left hand, which feels like an electric shock type of numbness, or just numbness. I also feel a sense of emptiness and swelling at the top of my head. I woke up at 1:20 AM, with blood pressure readings of 94/58/73 on ...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Does autonomic nervous system dysfunction cause hand numbness that is not due to pressure points?" If it is due to hyperventilation leading to decreased carbon dioxide levels in the blood, resulting in an increased pH, this condition is m...[Read More] Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Understanding Morning Eye Muscle Numbness: Causes and Insights
Waking up with a tingling sensation in the muscles at the corners of the eyes? Dr. Jiang, in the past two days, has experienced a tingling sensation in the muscles at the back of his eyes upon waking, but his vision seems to be unaffected. What could this phenomenon be? I kindly ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the muscles at the back of the eyes feel numb, but vision seems to be fine." This may indicate symptoms related to the trigeminal nerve... facial sensation. Normal vision could suggest that there are no abnormalities with the optic nerve. It i...[Read More] Understanding Morning Eye Muscle Numbness: Causes and Insights
Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Involuntary muscle twitching on the inner side of the left foot? The inner side of my left foot has been twitching involuntarily, and sometimes the big toe also twitches along with it. This condition persisted for an entire day the day before yesterday, and since then it has not ...
Dr. Hong Weibin Reply:
Hello: The muscles in the body are controlled by nerves, which function like electrical wires, transmitting signals to control muscle movements. However, just as electrical wires can occasionally experience leakage due to external factors like temperature and humidity, muscles ma...[Read More] Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Should You Seek Medical Attention After a Head Injury?
Head trauma A few days ago, I bumped the front right side of my forehead against the corner of a car trunk. Since then, I've been waking up with a tingling pain in the back left side of my head, which isn't particularly severe, but I feel a bit dizzy overall. My neck is...
Dr. Jiang Junyi Reply:
Dear Miss Chiao, You mentioned that "the left back of my head feels numb and painful, but it's not particularly severe, and overall I feel a bit dizzy, with some stiffness in the back of my neck." Your symptoms may suggest cervical myofascial inflammation, possibl...[Read More] Should You Seek Medical Attention After a Head Injury?
Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Recently, I have been experiencing pain in the left occipital region? Hello, doctor. Recently, I've been experiencing pain in the left back of my head. At first, it didn't affect my daily life and I occasionally didn't feel it, but over the past few days, the pain ...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned that "the pain feels like a sharp sensation, and the intensity is increasing. I have tried gentle massage... Does heavy smartphone usage have an impact?" It is important to first consider the possibility of myofascial inflammation around the ...[Read More] Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Understanding Tension Headaches: When to Consider MRI and Specialist Care
Tightness in the temples (EEG examination) Hello, Dr. Jiang. Thank you for your response in January (copied below). After your reply, I visited a nearby hospital (neurology department) and had an EEG, which came back normal. I asked the doctor if an MRI was necessary, and he said...
Dr. Jiang Junyi Reply:
Hello Mr. William, You mentioned, "If the EEG is normal, is there still a need for an MRI?" Due to health insurance limitations, typically when there are suspected structural abnormalities in the brain, an MRI can be requested under health insurance. Abnormal EEG findi...[Read More] Understanding Tension Headaches: When to Consider MRI and Specialist Care
Understanding Muscle Atrophy and Polyneuropathy: Causes and Concerns
Muscle atrophy and polyneuropathy? Hello, Dr. Jiang! Recently, I noticed a depression and atrophy in my left upper arm. However, aside from a slight soreness when I extend my arm backward, there are no other symptoms. I then went to a neurology clinic for an examination, where th...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may suggest a consideration of "brachial plexus injury... and polyneuropathy" for clinical diagnosis. In addition to physical examination, it is usually necessary to conduct peripheral nerve assessments. Peripheral nerve evaluations utilize...[Read More] Understanding Muscle Atrophy and Polyneuropathy: Causes and Concerns
Understanding Persistent Hand Numbness: Causes and Treatment Options
The issue of hand numbness has persisted for nearly a year without improvement? Hello, doctor. I work in the food service industry and frequently use my hands. I often experience numbness in my hands when lifting heavy objects. My dominant left hand often wakes me up at night due...
Dr. Jiang Junyi Reply:
Dear Ms. Chien, You mentioned, "What other methods can be used to determine the underlying cause of my hand numbness? Could it be related to my neck?" Common symptoms of peripheral nerve compression include pain, numbness, and weakness. Peripheral nerve examinations ca...[Read More] Understanding Persistent Hand Numbness: Causes and Treatment Options
Understanding Neck and Shoulder Pain: Symptoms and Solutions
I don't know what illness I have? Hello Doctor, I often use electronic devices and tend to look down and slouch, which has led to stiffness in my neck and shoulders. I sometimes feel a bit dizzy while sitting, and I experience tightness and pain around my shoulder blades. Oc...
Dr. Jiang Junyi Reply:
Hello, You mentioned experiencing tightness and pain in the area around your shoulder blades, occasional instability while walking, and a feeling of swelling and stiffness in your forearms. Your symptoms may be indicative of myofascial pain syndrome caused by cervical spine iss...[Read More] Understanding Neck and Shoulder Pain: Symptoms and Solutions
Understanding the Connection: Symptoms of Neck Pain and Head Pressure
Pressure sensation in the back of the head? Hello Doctor, I have been experiencing severe pain in the back of my neck due to cervical traction and electrical therapy during rehabilitation. I consulted a neurologist and underwent an MRI, which showed no signs of compression or bon...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to maintain proper neck posture, which can improve the aforementioned symptoms. Continuing rehabilitation is advised.[Read More] Understanding the Connection: Symptoms of Neck Pain and Head Pressure
Unexplained Leg Swelling and Pain: A Neurological Concern
Unexplained swelling and pain in both legs? Hello doctor, on the night of April 27th this year, I injured the bottom of my left foot on a plug, leaving a wound. I disinfected it and applied ointment, but the next evening, the top of my left foot suddenly swelled up like a hill. M...
Dr. Jiang Junyi Reply:
Dear Ms. Jill, You mentioned that the discomfort was initially localized below the ankle, but it has now extended to the thigh and is painful to the bone. This upward progression of abnormal sensations may suggest chronic polyneuropathy. However, you also noted symptoms of edema...[Read More] Unexplained Leg Swelling and Pain: A Neurological Concern
Understanding Isaac's Syndrome: Managing Muscle Spasms and Mobility Issues
Involuntary muscle twitching? Since July of last year, I have been experiencing involuntary muscle twitching in my legs, and now it has become difficult for me to move; even standing and walking are problematic. I have been to the hospital for examinations, and they diagnosed me ...
Dr. Hong Weibin Reply:
Hello: It is recommended that you discuss the disability assessment with your primary physician. Typically, to confirm whether it is amyotrophic lateral sclerosis (ALS), an electromyography (EMG) test will be conducted. You may want to discuss this with your physician.[Read More] Understanding Isaac's Syndrome: Managing Muscle Spasms and Mobility Issues
Understanding Muscle Concerns: Insights on Neurological Symptoms
Regarding one's own condition? Hello doctor, I recently noticed a depression on my left thigh that isn't present on the right side. I remember this depression has been there since my middle school years (about 10 years ago). For the past year, I've been worried tha...
Dr. Hong Weibin Reply:
Hello: If you have already undergone relevant examinations and have been diagnosed by a neurologist as normal, there is no need to worry too much.[Read More] Understanding Muscle Concerns: Insights on Neurological Symptoms
Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Pulsatile tinnitus I experience pulsatile tinnitus in my right ear every night. I had an EEG done, which showed no issues, and the medication prescribed has not improved my condition. My hearing is fine. I am scheduled for an MRI on the 24th, but due to the peak of the pandemic a...
Dr. Jiang Junyi Reply:
Dear Miss Lin, You asked, "Can a metal dental implant undergo MRI?" The imaging from an MRI may be affected by metal, potentially causing artifacts. However, the physician will interpret the results based on the available data. You also mentioned, "Straining durin...[Read More] Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Dorsalis pedis artery pulse is prominent? In the past two weeks, I have noticed a significant pulsation in the arteries on the dorsum of my right foot. There is no numbness in my foot, and I haven't been standing or walking for long periods. Most of the time, I can feel the ...
Dr. Jiang Junyi Reply:
Dear Miss BB, You mentioned that "the artery on the dorsum of your right foot is noticeably pulsating." Have you compared the pulsations of the dorsalis pedis arteries on both sides? Generally, we should not be able to feel the pulsation of blood vessels; however, if t...[Read More] Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Understanding Sudden Body Jerks Before Sleep: What Could It Be?
What is this problem? When I am about to fall asleep while lying in bed, my lower back suddenly jerks (I'm not sure if "jerk" is the right term). The movement is somewhat similar to kicking my legs out and then pulling them back in while sitting, with more force du...
Dr. Jiang Junyi Reply:
Dear Miss Chi Li, You mentioned that "when I am about to fall asleep while lying in bed, my lower back suddenly jerks (I'm not sure if 'jerk' is the right term), and the movement is somewhat like kicking my legs out and then pulling them back in, with more fo...[Read More] Understanding Sudden Body Jerks Before Sleep: What Could It Be?
Understanding Post-Nuchal Muscle Pain and Its Recovery Timeline
Suboccipital muscles Hello, Dr. Jiang. I apologize for bothering you with another question. I have been experiencing discomfort in the muscles at the back of my neck (the area around the occipital nerve) due to acute inflammation during my rehabilitation period. It has been nearl...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You asked, "Can an MRI detect inflammation of muscles or nerves?" Typically, muscle inflammation can be observed after the administration of contrast agents. Without contrast, it is usually only identifiable in more severe cases where there is infiltration...[Read More] Understanding Post-Nuchal Muscle Pain and Its Recovery Timeline
Understanding Forehead Twitches: Causes, Health Impact, and When to Seek Help
Consultation for Forehead Tics Dear Dr. Jiang, Recently, I have experienced occasional twitching in the area above my right eye on the forehead. The duration of the twitching varies; sometimes it lasts longer, and other times it disappears quickly. There are no noticeable discom...
Dr. Jiang Junyi Reply:
Dear Mr. Ah-Hsiang, You mentioned experiencing occasional twitching in the area above your right eye. If your symptoms involve muscle movements in the forehead region, these are typically controlled by the facial nerve. It is important to carefully observe the patient's fac...[Read More] Understanding Forehead Twitches: Causes, Health Impact, and When to Seek Help
Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Dorsalis pedis artery pulsation is prominent? In the past two weeks, I have noticed a significant pulsation in the artery on the dorsum of my right foot. There is no numbness in my foot, and I haven't been standing or walking for long periods. Most of the time, I can feel th...
Dr. Jiang Junyi Reply:
Dear Ms. BB, You mentioned that "the artery on the dorsum of your right foot is noticeably pulsating." Have you compared the pulsations of the dorsalis pedis arteries on both sides? Generally, we should not be able to feel the pulsation of blood vessels, but if the art...[Read More] Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention