Understanding Back Pain: Causes of Numbness and Discomfort
Back numbness and shooting pain? Hello doctor: I have a patch of skin on my upper back (near the shoulder blade) that feels unusual to the touch. It hurts when I press on it, and I often feel a tingling sensation along with occasional sharp pain. Sometimes, there is also a burnin...
Dr. Jiang Junyi Reply:
Dear Mr. Anderson, You mentioned that "a patch of skin feels strange... it often feels numb and occasionally has a burning sensation." This is more likely indicative of nerve root compression at the C7-C8 or T1 levels. Typically, this occurs due to prolonged poor postu...[Read More] Understanding Back Pain: Causes of Numbness and Discomfort
Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Oral and throat issues? Hello Doctor, I would like to consult you. I have difficulty describing the exact location of my symptoms, but I will try to explain. For the past few months, the area around my uvula and the posterior pharyngeal wall (below the nasopharynx) has been in a ...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You have many symptoms that seem to be related to gastroesophageal reflux disease (GERD) or sleep apnea. I wonder if you have any issues with metabolic syndrome? From a neurological perspective, I recommend improving autonomic nervous system function to regulate ga...[Read More] Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Hello Doctor: Recently, I have been experiencing muscle twitching all over my body at irregular times for nearly a month. It tends to occur when I lie down, change positions, or sneeze, with the most common areas being my left chest, back, and abdomen, followed b...
Dr. Jiang Junyi Reply:
Hello, Sir: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while t...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Is it related to sleeping posture, cervical spine issues, or vascular problems? Hello, Dr. Jiang. 1. The first issue is a problem that has existed for many years. I often experience numbness in the fingers of both hands while riding a motorcycle. It doesn't always happen i...
Dr. Jiang Junyi Reply:
Hello Mr. Chang, It seems that there are four issues based on your description: 1. Carpal tunnel syndrome may need to be considered. 2. Cubital tunnel syndrome may also need to be considered. 3. Cervical spine degeneration causing nerve root compression may be a possibility. 4...[Read More] Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Understanding Occipital Pressure and Numbness: Causes and Concerns
Numbness in the back of the head? Hello Doctor: Recently, for the past two to three days, I have been experiencing a sensation of pressure and numbness in the back of my head. During these episodes, my blood pressure readings have been around 115-130/80-100 (my diastolic pressure...
Dr. Jiang Junyi Reply:
Hello, Sir: Your head injury occurred more than six months ago, and its relevance is relatively low. Your symptoms may suggest cervical myofascial pain syndrome, which can present with pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in w...[Read More] Understanding Occipital Pressure and Numbness: Causes and Concerns
Understanding Muscle Twitches and Pain: Is It Carpal Tunnel Syndrome?
Muscle issues Hello Doctor, a few days ago I asked about muscle twitching. Recently, I bought calcium effervescent tablets to drink, and the muscle spasms have improved somewhat, but they still occur frequently. How many days will it take to fully resolve? Additionally, in the pa...
Dr. Jiang Junyi Reply:
Hello: You mentioned carpal tunnel syndrome. Clinically, symptoms such as numbness and pain can occur in the sensory distribution area innervated by the median nerve. These symptoms often worsen at night, sometimes causing awakening due to pain. Numbness and pain may temporarily ...[Read More] Understanding Muscle Twitches and Pain: Is It Carpal Tunnel Syndrome?
Understanding Upper Back Numbness and Burning Sensation: Possible Causes and Next Steps
Numbness, tingling, and a burning sensation in the back? Hello, Doctor. Since the end of June, I have been experiencing a tingling sensation in my upper left back (around the area of the "Gao Huang" point), similar to a mild electric current. Gradually, by the evening, ...
Dr. Jiang Junyi Reply:
Dear Ms. Cherry, Your symptoms may suggest cervical radiculopathy. Prolonged periods of looking down can lead to overuse of the trapezius muscles in the neck, resulting in neck and shoulder pain. Initially, resting may alleviate the pain, but over time it can worsen and affect y...[Read More] Understanding Upper Back Numbness and Burning Sensation: Possible Causes and Next Steps
Understanding Involuntary Muscle Twitches: Is It Tourette Syndrome?
Involuntary muscle contractions? This condition has been ongoing for a while, where every few minutes, a certain part of the body experiences what feels like muscle twitching. It is not visibly noticeable, but it can be felt. Sometimes it occurs in the arms, other times in the th...
Dr. Cai Zongzhang Reply:
Hello, Lin! It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Involuntary Muscle Twitches: Is It Tourette Syndrome?
Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
I'm not sure where the problem lies? Hello, doctor! For the past 6-7 years, I have been experiencing 1. persistent stiffness in my neck and shoulders. Whenever this stiffness occurs, I feel a pressure in my temples and forehead, as if a rope is tied around or gripping me, fo...
Dr. Jiang Junyi Reply:
Dear Mr. QQ, I am unsure if you have metabolic syndrome (characterized by abdominal obesity, hypertension, elevated fasting blood glucose, and high lipid levels). If you do, you may be at high risk for cardiovascular diseases. You mentioned several issues that seem related to me...[Read More] Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
Left-Side Numbness and Dizziness: Understanding Neurological Concerns
Numbness on the left side and dizziness? In the past two to three days, I've been experiencing a tingling and aching sensation in my left palm, arm, back, and rib area. My jaw also feels a bit unusual and uncomfortable, which I can't quite describe. For the past month, ...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may be indicative of cervical nerve root compression. If the nerve compression leads to peripheral neuropathy, the following characteristics may be present: 1. Pain with a burning or electric shock-like quality. 2. Symptoms with a specific dermatomal di...[Read More] Left-Side Numbness and Dizziness: Understanding Neurological Concerns
Understanding Facial and Scalp Numbness: Possible Causes and Concerns
Tingling sensation in the scalp and face? I'm not sure if I have hypertension, hyperlipidemia, or diabetes. I experienced facial numbness a couple of days ago, which was limited to my face, but today the numbness has spread to my entire head and face. I also noticed red stre...
Dr. Jiang Junyi Reply:
Dear Mr. Blue Sky, You have reached middle age, and the likelihood of developing metabolic syndrome and the three highs (hypertension, hyperlipidemia, and hyperglycemia) increases significantly. It is recommended that you take advantage of the free adult health checkups provided...[Read More] Understanding Facial and Scalp Numbness: Possible Causes and Concerns
Understanding Left Chest Pain: Causes and Concerns in Neurology
Fixed point pain with a throbbing sensation in the left chest? Hello, Doctor: Recently, I have been experiencing pain in three or four fixed points on my left chest and left shoulder. There is tenderness upon palpation, particularly at the points located near the bones, with the ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned may first suggest localized myofascitis. The "throbbing pain" is usually caused by local nerve instability leading to spasms. "Cardiac-related pain is typically sudden." Clinically, myocardial ischemia is usually associated wi...[Read More] Understanding Left Chest Pain: Causes and Concerns in Neurology
Persistent Neck Heat: Understanding Symptoms and Possible Causes
Heat in the back of the neck? Hello, doctor! I initially thought that my fever was caused by a cold, but even though the cold has resolved for 1 to 2 months, I still experience a sensation of heat in the back of my neck. During the day, there are times when the back of my neck fe...
Dr. Jiang Junyi Reply:
Hello Mr. Haohao: Your symptoms may suggest cervical myofascial inflammation. In the early stages of cervical muscle and fascia tightness, there may not be obvious changes in the cervical spine, but imaging can show a decrease in curvature. Symptoms include pain at the affected s...[Read More] Persistent Neck Heat: Understanding Symptoms and Possible Causes
Understanding Muscle Tremors: Causes and Solutions for Neurological Concerns
Muscle twitching Hello, I have noticed that my arms and thighs experience slight tremors when they are suspended, exerted, or extended at certain angles, similar to the shaking sensation when stretching. Essentially, I can feel the tremors while exerting force and when my limbs a...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may need to be considered as physiological tremors. 1. Physiological tremors: These do not occur under normal circumstances but only in certain situations such as stress, anxiety, or anger. Some medications, such as bronchodilators, as well as the co...[Read More] Understanding Muscle Tremors: Causes and Solutions for Neurological Concerns
Evaluating Long-Term Effects of Traumatic Brain Injury on Neurological Health
Four years ago, I sustained a concussion to the right posterior part of my brain? Doctor: Hello, four years ago during my postpartum period, I fell from a table and hit the back right side of my head, resulting in a large swelling. I was taken to the emergency room, and after a C...
Dr. Cai Zongzhang Reply:
Hello, Ms. Yuan! If you have a head injury that did not involve the brain, it should not leave any lasting effects. If you are still experiencing symptoms after four years, there may be another underlying cause. It is recommended that you visit a neurology outpatient clinic.[Read More] Evaluating Long-Term Effects of Traumatic Brain Injury on Neurological Health
Understanding Burning Sensation in the Spine: Causes and Treatments
Burning sensation in the spine Hello doctor, I haven't been feeling well for the past few days. Last night, I felt a burning sensation in my left leg, starting from my hip down to my thigh and calf (mainly concentrated in the hip and thigh). This morning, I no longer felt th...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, The symptoms you mentioned may indicate the possibility of nerve root compression. If your symptoms persist and progress, it may be necessary to consider some autoimmune diseases. Pain caused by a herniated disc can have several sources, one of which is mechanical...[Read More] Understanding Burning Sensation in the Spine: Causes and Treatments
Understanding Neck Artery Issues: Risks, Symptoms, and Management
Neck issues Hello Doctor, I experienced sudden unilateral tinnitus in April, which led me to consult an otolaryngologist. My hearing test results were normal. Then one day, I suddenly experienced vertigo and sought medical attention again from the otolaryngologist. The doctor exa...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, If you are concerned about vascular aging, it is advisable to have a clear understanding of your condition regarding the three highs (hypertension, hyperglycemia, and hyperlipidemia). For blood pressure measurement: In the population around 50 years old, systoli...[Read More] Understanding Neck Artery Issues: Risks, Symptoms, and Management
Understanding Hand Numbness: Causes and Concerns for Your Health
Numbness in the hands? I apologize for bothering you, doctor. Some time ago, I spent a long time in bed using my phone and computer, and I have been experiencing pain in my left shoulder and neck that radiates down to my ring and little fingers, which sometimes feel numb. Occasio...
Dr. Cai Zongzhang Reply:
Hello! Based on the above, these symptoms do not match the clinical characteristics of amyotrophic lateral sclerosis (ALS). It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Hand Numbness: Causes and Concerns for Your Health
Understanding Persistent One-Sided Head and Neck Pain: A Neurology Perspective
Unilateral persistent pain in the head, temples, jaw, and shoulder-neck area? Dear Dr. Jiang, Thank you very much for your response. I will promptly visit the rehabilitation department for further examination, but I still have some questions I would like to ask. If we rule out t...
Dr. Jiang Junyi Reply:
Hello Mr. Xiao Lan, Regarding the out-of-pocket expenses, you might consider an "MRI of the brain." For fasciitis, will the inflammatory markers show up in blood tests? Typically, they are normal, but an ESR test can be conducted. If there are concerns about thrombosis...[Read More] Understanding Persistent One-Sided Head and Neck Pain: A Neurology Perspective
Understanding Spinal Burning Sensation: Causes and Treatment Options
Burning sensation in the spine? Hello doctor, I have been feeling unwell for the past few days. Last night, I experienced a burning sensation in my left leg, starting from my hip and extending down to my thigh and calf (mainly concentrated in the hip and thigh). When I woke up th...
Dr. Jiang Junyi Reply:
Hello, Miss: The symptoms you mentioned may suggest the possibility of nerve root compression. Pain caused by a herniated disc can have several sources. One of them is mechanical pain, which can occur during daily activities. The theory is that when the annulus fibrosus is damag...[Read More] Understanding Spinal Burning Sensation: Causes and Treatment Options