Understanding Involuntary Muscle Twitches: Medication Consultation Insights
Muscle spasms or involuntary muscle twitching - Medication consultation? Hello, doctor. My neck shakes involuntarily, and I was informed about it by others; it has been happening for over ten years. I haven't actively sought treatment because I couldn't find the cause. ...
Dr. Peng Shiwei Reply:
Hello, Lyrica (pregabalin) is classified as a general sedative medication, which is somewhat different from typical addictive substances. However, it can still potentially lead to dependence. Your current dosage is considered mild. If you have concerns about addiction, dependence...[Read More] Understanding Involuntary Muscle Twitches: Medication Consultation Insights
Sudden Loss of Consciousness and Fever After Head Injury: What to Do?
Sudden loss of consciousness leading to a fall, with the head striking the floor, followed by persistent fever? Hello Doctor, last night I stood up from a chair and suddenly felt dizzy, then lost consciousness and fell to the ground, hitting my head on the floor. When I regained ...
Dr. Wu Mukhan Reply:
Hello, sudden dizziness accompanied by altered consciousness can be dangerous, as it may be caused by conditions such as cerebrovascular disease, epilepsy, encephalitis, or central nervous system infections, all of which require thorough examination. If symptoms persist, it is ad...[Read More] Sudden Loss of Consciousness and Fever After Head Injury: What to Do?
Understanding Unilateral Head Numbness: Causes and Relief Strategies
Unilateral head numbness Hello Doctor, I am 22 years old and a few weeks ago I suddenly started experiencing numbness on the left side of my head, specifically from the back of my skull to the top of my head. This occurs whether I am sitting, standing, or walking, and even while ...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned experiencing numbness on the left side of your head, specifically from the back of your skull to the top of your head. This symptom may be related to cervical nerve inflammation, particularly in individuals who frequently look down or overuse their c...[Read More] Understanding Unilateral Head Numbness: Causes and Relief Strategies
Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?
Tremor of the left thumb? Hello, doctor. I have had a cervical disc herniation at the C3-C4 and C5 levels for over ten years. My symptoms fluctuate; sometimes they improve, and other times they worsen. Occasionally, I experience neck and shoulder pain, as well as arm pain. This a...
Dr. Peng Shiwei Reply:
Hello, your symptoms are usually not related to brain lesions, but if they persist and worsen, it is recommended to visit an outpatient clinic for evaluation by a physician. Thank you for your inquiry.[Read More] Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?
Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Persistent dizziness throughout the day for half a month without improvement? On August 25, I suddenly started experiencing dizziness, headaches, pain around my right eye, vomiting, and difficulty focusing on the computer screen, especially with text, which made me feel nauseous....
Dr. Peng Shiwei Reply:
Hello, whether you need to undergo a CT scan should be discussed with your attending physician. Thank you for your question.[Read More] Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Post-Surgery Neck Tumor: Managing Persistent Numbness and Tightness
Sensory numbness and a tight pulling sensation after neck tumor resection? Hello doctor, I would like to ask about the persistent numbness and tightness in my neck three months after undergoing surgery to remove a neck tumor. The doctor mentioned that the nerve was severed and th...
Dr. Jiang Junyi Reply:
Dear Miss Alice, You mentioned "persistent numbness in the neck + a constant feeling of tightness... nerve severance." Essentially, once neuronal cells (brain cells and spinal cord neurons) die, they cannot regenerate. However, if it is due to surgery for a neck tumor,...[Read More] Post-Surgery Neck Tumor: Managing Persistent Numbness and Tightness
Intermittent Muscle Twitching in the Left Cheek: Causes and Solutions
Twitching in the left zygomatic bone area? Hello, doctor. For the past couple of days, I've been experiencing intermittent and irregular muscle twitching in the left cheekbone area (without pain). Each twitch lasts about one to two seconds. Sometimes, looking down triggers t...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned that "the muscles in the left cheekbone area intermittently but irregularly twitch... and this symptom may be triggered by looking down." This symptom may need to be considered in the context of cervical nerve inflammation, especially among...[Read More] Intermittent Muscle Twitching in the Left Cheek: Causes and Solutions
Persistent Numbness in Right Foot: Seeking Further Insights and Advice
Numbness in the skin on the dorsum of the right foot? Hello, I have been experiencing symptoms for about three weeks. Mainly, the right half of the skin on the dorsum of my right foot feels tingling when touched. Generally, there are no other abnormalities, but sometimes I feel a...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that "the right half of the skin on the dorsum of the right foot feels tingly when touched... there is a slight tingling sensation from the right temple to the right back of the head." This may indicate cervical nerve root compression, whi...[Read More] Persistent Numbness in Right Foot: Seeking Further Insights and Advice
Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?
Tremor of the left thumb? Hello doctor, I have a long-standing issue with cervical disc herniation at C3-C4 and C5, which has persisted for over a decade. My symptoms fluctuate; sometimes they improve, and other times I experience shoulder and neck pain, as well as arm discomfort...
Dr. Peng Shiwei Reply:
Hello, your symptoms are usually caused by muscle stiffness. Stroke symptoms typically include unilateral weakness or sensory abnormalities, and they tend to persist. If you experience such conditions, please seek medical attention as soon as possible. Thank you for your inquiry.[Read More] Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?
Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients
Tremor issues? Yesterday, after taking a nap on the sofa, I woke up feeling tightness in my neck and shoulders, along with a slight headache. I have a history of C3-C4-C5 cervical disc herniation causing nerve compression (approximately 10 years), with symptoms that fluctuate. Oc...
Dr. Cai Zongzhang Reply:
Hello, Cheng: Neck pain is closely related to neck posture. It is recommended to avoid napping on the sofa, as it can have adverse effects on the cervical spine.[Read More] Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients
Understanding Recovery Patterns After Prolotherapy for Neck Disc Issues
Recovery status after proliferative treatment? Hello Dr. Jiang, I was previously diagnosed by a physician with a tear in the annulus fibrosus of my cervical disc, which has caused some mechanical protrusion affecting my peripheral nerves. My symptoms are primarily located in the...
Dr. Jiang Junyi Reply:
Hello Mr. Cliff: You mentioned that there is a sudden stabbing pain in a specific area of your upper left back. This symptom may still warrant consideration of a localized issue. If the symptoms persist, it is advisable to undergo a musculoskeletal ultrasound examination to check...[Read More] Understanding Recovery Patterns After Prolotherapy for Neck Disc Issues
Understanding Numbness in the Neck, Back, and Arms: Causes and Solutions
Numbness of the skin Hello, doctor. I don't know why the skin on my neck, back, and arms feels numb or tingling. I would like to ask what this issue might be.
Dr. Jiang Junyi Reply:
Dear Mr. Ah-Wei, You mentioned that "the skin on your neck and back feels tingly, as well as your arms." This may indicate compression of the cervical spinal cord. This condition is commonly seen in individuals who maintain poor posture with their heads bent forward fo...[Read More] Understanding Numbness in the Neck, Back, and Arms: Causes and Solutions
Understanding Symptoms: Excessive Sweating, Pain, and Fatigue Explained
It seems like I'm feeling unwell - sweating at the back of the neck, skin tingling, fatigue, and so on? Hello, Doctor. Since this summer, I have been sweating excessively. On August 7, I visited a rehabilitation specialist due to pain in my lower left back (near the lumbar v...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "there is a very noticeable tingling sensation from the base of the ring finger, along the side of the little finger, on both the front and back sides of the palm, extending to the back of the forearm." This symptom may suggest ulnar nerv...[Read More] Understanding Symptoms: Excessive Sweating, Pain, and Fatigue Explained
Understanding Dementia: The Impact of Chronic Pain and Head Injuries
Dementia issues Hello Doctor, I am inquiring on behalf of my 73-year-old grandfather who was diagnosed with "mild dementia" by a neurologist within the past five months. On February 6, 2023, he fell and hit his head, experiencing a moment of altered consciousness. Subse...
Dr. Peng Shiwei Reply:
Hello, thank you for your concern about grandpa. However, since I am unable to diagnose patients online, I cannot provide you with an appropriate answer regarding whether grandpa's cognitive decline is due to long-term pain or a combination of various factors. It would be mo...[Read More] Understanding Dementia: The Impact of Chronic Pain and Head Injuries
Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Dementia issues Hello Dr. Wu, At the beginning of this year, my father was involved in a motorcycle accident where he sustained a head injury and was unconscious. A CT scan of the brain was performed in the emergency department, which showed no abnormalities. However, one month...
Dr. Wu Mukhan Reply:
Hello, according to current research, chronic pain or head trauma can indeed lead to long-term cognitive decline (dementia) as a consequence. However, it is challenging to establish a direct causal relationship between dementia and these factors in medical terms, especially since...[Read More] Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Understanding Persistent Head Sensations: Causes and Solutions
It feels like my brain is shaking? Hello Doctor, recently I have been feeling like my head is swaying almost all day long. It feels as if someone is tightly wrapping my head with a string and pulling it back and forth, side to side. It’s very tense, and I constantly feel like my ...
Dr. Cai Zongzhang Reply:
Hello HSN: The symptoms mentioned above are suspected to be caused by vestibular nerve dysfunction leading to balance disorders. It is recommended to continue follow-up treatment at the neurology outpatient clinic. An MRI scan should only be considered if there is no improvement ...[Read More] Understanding Persistent Head Sensations: Causes and Solutions
Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
The face or the scalp at the back of the neck feels strange? Hello, doctor. About ten years ago, I had an MRI of my cervical spine that diagnosed a herniated disc at the C3-C4-C5 levels, which was compressing a nerve. At that time, my main symptoms included pain in the left shoul...
Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned that "the fingers on my right hand occasionally feel a bit numb, or my arm suddenly feels a bit cool (not sure if it's numbness)." In addition to cervical nerve root compression, we should also consider the possibility of peripheral ne...[Read More] Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
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 Neck Ultrasound Results: Hypoplasia of the Left Vertebral Artery
Neck ultrasound examination Hello Doctor, I recently underwent a neck ultrasound examination, and the results indicated decreased flow volume and small caliber at the left vertebral artery (VA), suggesting hypoplasia. The diameter of the right/left VA (mm) is 3.5/-. Upon further ...
Dr. Cai Zongzhang Reply:
Hello Jim: According to the above report, there is a significant difference in the diameter of the left vertebral artery compared to previous examinations. It is recommended to schedule an earlier follow-up appointment to discuss your condition with the physician.[Read More] Understanding Neck Ultrasound Results: Hypoplasia of the Left Vertebral Artery
Understanding Body Tingling: Possible Causes and Concerns
Tingling sensation in the body? Hello, doctor. Last night, I suddenly felt a tingling sensation on the left side of my torso, which went away while I was sleeping after about 4-5 hours. I have experienced this symptom occasionally in the past, and it usually resolves within 1-2 d...
Dr. Jiang Junyi Reply:
Dear Mr. Guang, You mentioned, "Is it possible that it's multiple sclerosis, or is it multiple neuritis? ... Could it be caused by issues with the cervical and lumbar spine?" Your symptoms may need to first consider problems with the cervical and lumbar spine. The...[Read More] Understanding Body Tingling: Possible Causes and Concerns