Understanding MRI Results: When to Seek Further Medical Advice
Magnetic Resonance Imaging Interpretation Issues Hello, doctor. I have been experiencing some health issues, so I underwent a health check-up and paid for a full-body MRI. I would like to ask the following questions: 1. The MRI report from the health check-up only mentioned a cy...
Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned, "it's not a significant issue, so it wasn't documented." This often reflects the personal judgment of the radiologist who interprets the report; some physicians may choose to minimize descriptions to avoid complicating explanatio...[Read More] Understanding MRI Results: When to Seek Further Medical Advice
Understanding Nerve Pain: When Hand and Foot Numbness Occurs
Numbness in the hands followed by numbness in the feet? In May, I experienced a stiff neck and accidentally strained my back while lifting heavy objects. I applied heat therapy, which helped somewhat. However, starting in mid-June, I began to experience unexplained pain in my arm...
Dr. Jiang Junyi Reply:
Hello Ms. HARU: You mentioned that "the joints in your fingers hurt and your shoulders are stiff." If your issue involves multiple joints, it may be related to a multi-joint disease. You might also want to consider autoimmune-related arthritis. Thank you for your inquir...[Read More] Understanding Nerve Pain: When Hand and Foot Numbness Occurs
Dizziness After Exercise or Work: Understanding Your Symptoms
Dizziness or lightheadedness after exercise or work? Hello, recently I have been experiencing dizziness after intense exercise or during activities that involve holding my breath. I often feel dizzy when there is significant movement or shaking of my head and neck, especially aft...
Dr. Jiang Junyi Reply:
Hello Ms. Alex, You mentioned that you often feel dizzy after intense exercise or breath-holding activities, and after exertion (or standing up too quickly after bending down for a long time). This may indicate symptoms similar to syncope. When cerebral blood flow drops below 30...[Read More] Dizziness After Exercise or Work: Understanding Your Symptoms
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? I am a 35-year-old male, non-smoker, non-drinker, and I do not consume betel nut or coffee. I am 180 cm tall and weigh 55 kg. I have a regular exercise routine that includes both strength training and aerobic exercises. Over two years ago, I suddenly...
Dr. Jiang Junyi Reply:
Hello Mr. Hsuan, You mentioned experiencing "twitching in your toes, similar to after finishing a hike, a jog, walking a long distance, or sitting on a specific sofa..." The muscle twitching you are experiencing may be related to several factors: exercise, acute viral ...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Muscle Twitches: Causes and Concerns in Strength Training
I would like to inquire about muscle twitching issues? A few days ago, I experienced muscle twitching in my shoulder that occurs intermittently. I have been weight training, and although my performance has not declined or changed, the twitching in my left shoulder gives me a slig...
Dr. Jiang Junyi Reply:
Hello Mr. CC: You mentioned that you have a slight feeling of weakness in your left hand, describing it as "soft and sore." This symptom may suggest cervical radiculopathy. This is a type of peripheral nerve abnormality that often presents with: 1. Pain characterized by...[Read More] Understanding Muscle Twitches: Causes and Concerns in Strength Training
Understanding Trigeminal Neuralgia: Symptoms and Treatment Options
Trigeminal Neuralgia Hello, doctor: I have a dull, tingling pain in the back of my neck and on my cheeks. It feels sharp and sore. What should I do about trigeminal neuralgia?
Dr. Cai Zongzhang Reply:
Hello, Avi: The symptoms mentioned are indicative of neuropathic pain, which can have various causes. It is recommended that if the symptoms do not improve with adequate rest, you should visit a neurology outpatient clinic.[Read More] Understanding Trigeminal Neuralgia: Symptoms and Treatment Options
Understanding Persistent Dizziness: Possible Causes and Next Steps
Dizziness and an unsteady sense of balance? Hello Doctor, I have been experiencing dizziness for over a month. I have consulted with a neurologist, an otolaryngologist, and a cardiologist, and all tests have come back normal. However, my symptoms have not improved with medication...
Dr. Jiang Junyi Reply:
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...[Read More] Understanding Persistent Dizziness: Possible Causes and Next Steps
Understanding Persistent Dizziness: Possible Causes and Next Steps
Dizziness and an unsteady sense of balance? Hello, Doctor. I have been experiencing dizziness for over a month. I have seen specialists in neurology, otolaryngology, and cardiology, and all tests have come back normal. However, my symptoms have not improved with medication. I wou...
Dr. Jiang Junyi Reply:
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...[Read More] Understanding Persistent Dizziness: Possible Causes and Next Steps
Understanding Muscle Tension: Symptoms and Solutions for Neurological Issues
Involuntary muscle tension? Hello Doctor: Since around middle school, I have experienced episodes where my head involuntarily turns to the left, and the muscles in my face, neck, and limbs temporarily (for about ten seconds) maintain a rigid posture, becoming twisted and unable t...
Dr. Peng Shiwei Reply:
Hello, there are many possible diagnoses for your symptoms. I recommend that you visit a neurology clinic for a detailed evaluation. Thank you for your inquiry.[Read More] Understanding Muscle Tension: Symptoms and Solutions for Neurological Issues
Understanding Cervical Disc Herniation: Recovery and Treatment Insights
Cervical disc herniation issues? Hello Dr. Jiang: Recently, I have been experiencing back pain due to my fitness routine. Initially, I sought treatment from traditional Chinese medicine focusing on my thoracic spine. After some improvement, there was no further progress, so I dec...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-fu, You mentioned the issue of low bone density (seemingly below -3), which may be due to my consistently low body weight since birth. However, will this affect my recovery from a herniated disc? A herniated disc is typically caused by improper posture combined wi...[Read More] Understanding Cervical Disc Herniation: Recovery and Treatment Insights
Understanding Non-Specific Dizziness: Symptoms and Next Steps
Non-specific dizziness has multiple symptoms? Hello, doctor. I have been experiencing dizziness for a month. It started a month ago due to academic pressure, but even though the pressure has decreased, the dizziness persists. I have seen both a neurologist and an ENT specialist, ...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: There are many possible causes for headaches and dizziness, most of which fall under the specialties of neurology or otolaryngology. If the symptoms persist without improvement, you may consider visiting a second neurologist for an evaluation of potential underlyi...[Read More] Understanding Non-Specific Dizziness: Symptoms and Next Steps
Understanding Head Pressure: When to Seek Neurological Help
Inquiry about Head Pressure Until yesterday, I had been staying up late for a week to complete assignments, with a sleep schedule of going to bed at 8 AM and waking up at 3 PM. For the past two nights, I experienced significant swelling in my head (above the temples on both sides...
Dr. Jiang Junyi Reply:
Dear Mr. Wood, You mentioned that "after a week of continuous late nights... my head is very swollen (above the temples on both sides)," and we should first consider tension-type headache. The symptoms of this type of headache are as follows: 1. It is often bilateral...[Read More] Understanding Head Pressure: When to Seek Neurological Help
Should You Visit the ER for Severe Headaches and Nausea?
Do headaches, vomiting, and chest pain require a visit to the emergency room for evaluation? Hello Doctor, I would like to ask about the symptoms I started experiencing a few days ago. I have been having intermittent headaches, and after seeing a doctor, I was told it might be du...
Dr. Cai Zongzhang Reply:
Hello, Xiao Hao: If your headache continues to worsen and does not improve with rest, it is recommended to visit a neurology outpatient clinic.[Read More] Should You Visit the ER for Severe Headaches and Nausea?
Understanding Diplopia: Follow-Up Tests and Stroke Risk Management
Follow-up examinations for binocular diplopia? Hello Doctor: Recently, I experienced double vision after suddenly looking at certain objects, but my vision returned to normal afterward. I went to the hospital for an examination, and the ophthalmology report showed no issues. Howe...
Dr. Jiang Junyi Reply:
Hello Mr. Green Tea, You mentioned "normal blood sugar levels" in relation to cardiovascular disease risk factors. In addition to diabetes, other risk factors include hypertension, smoking, and hyperlipidemia. Prolonged exposure to these risk factors can lead to athero...[Read More] Understanding Diplopia: Follow-Up Tests and Stroke Risk Management
Understanding Neck Stiffness and Muscle Tension: Causes and Solutions
Stiffness when turning the neck and tightness in the muscles at the back of the head? Hello doctor, for the past six months, I have been experiencing stiffness in my neck muscles when turning my head, often unable to turn it fully, especially when using my phone or computer. I fi...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is likely that chronic tension in the upper neck is caused by prolonged poor posture. I recommend starting with improving your posture and incorporating relaxation exercises for your neck. If these methods provide limited improvement, it would be...[Read More] Understanding Neck Stiffness and Muscle Tension: Causes and Solutions
Understanding Leg Neuropathic Pain: Causes and Management Strategies
Leg neuropathy, polyneuropathy? Hello Doctor, I have consulted multiple physicians (in rehabilitation, orthopedics, neurosurgery, and neurology), but I still cannot identify the problem... I am 32 years old and work as a software engineer. My symptoms seem quite variable, and I h...
Dr. Jiang Junyi Reply:
Hello Mr. Zac, You mentioned that "when walking, the outer side of my left ankle feels like it's being electrified, and after this pain sensation appeared, my outer calf and the sole of my foot began to feel numb and tingly (which may indicate nerve damage)." This...[Read More] Understanding Leg Neuropathic Pain: Causes and Management Strategies
Understanding Your Neck Ultrasound Results: A Guide to Carotid Atherosclerosis
Neck ultrasound examination Hello, doctor. In 2020, I had a neck ultrasound examination, and the doctor said everything was normal, did not prescribe any medication, and did not mention the need for follow-up tests. However, I found on Google Translate that there might be issues ...
Dr. Jiang Junyi Reply:
Dear Ms. Heifetz, You mentioned, "Neck ultrasound report: Conclusion Mild carotid atherosclerosis without significant hemodynamic change." Essentially, this examination report indicates that the level of atherosclerosis is within the normal range. Common risk factors f...[Read More] Understanding Your Neck Ultrasound Results: A Guide to Carotid Atherosclerosis
Understanding Dizziness and Neck Tension After Weightlifting: A Neurology Perspective
Brain issues (hypoxia, dizziness) Two weeks ago, while working out (performing incline bench press with a barbell), I struggled to lift the barbell on the last rep due to near exhaustion. Immediately after, I felt tightness around my forehead extending to the back of my head, fol...
Dr. Jiang Junyi Reply:
Hello Mr. L: You mentioned that "there is a tightness around the forehead extending to the back of the head... and I have been experiencing tightness in the back of the neck and dizziness due to exertion and hypoxia." It may be necessary to first consider issues related...[Read More] Understanding Dizziness and Neck Tension After Weightlifting: A Neurology Perspective
Understanding Widespread Tingling: Possible Causes and Concerns
Generalized numbness and tingling? Hello, Doctor. I am Aisha, who asked a question three days ago. The tingling sensation in my right palm spread to my upper arm the next day, and now I also have tingling in my left palm, arms, both legs, inner thighs, as well as my back and neck...
Dr. Peng Shiwei Reply:
Hello, numbness and tingling may be related to peripheral nerve or spinal cord issues, while the likelihood of brain-related problems is lower. During the waiting period for the report, please monitor for any increasing weakness in the limbs, as well as any "head" sympt...[Read More] Understanding Widespread Tingling: Possible Causes and Concerns
Understanding Dizziness and Neck Issues: MRI Insights Without Contrast
Dizziness, cervical spine issues? Hello, Doctor. I would like to ask about the cervical spine MRI. If no contrast agent was injected, to what extent can vascular issues be identified? I have been experiencing neck tightness and stiffness for the past three months (which is why th...
Dr. Peng Shiwei Reply:
Hello, your issue is related to the settings of the MRI machine used during the examination and its resolution, so I cannot provide you with a definitive answer. However, considering your age, neck stiffness is mostly not directly related to the cervical blood vessels, unless you...[Read More] Understanding Dizziness and Neck Issues: MRI Insights Without Contrast