Understanding Upper Body Numbness: Causes and When to Seek Help
Numbness in the upper body? Hello doctor, last night while sitting, I suddenly experienced numbness that radiated from my spine in the back of my chest to my hands and the muscles in my face below my eyes. During the numbness, both my hands and face were able to move freely, but ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are more indicative of hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in "respiratory alkalosis," which can cause systemic reactions and symptoms. Common manifestation...[Read More] Understanding Upper Body Numbness: Causes and When to Seek Help
Understanding Muscle Twitches and Nerve Sensitivity in the Arm
Tremor issues? Hello Doctor: I am currently in the United States, and accessing healthcare is not very convenient. I would like to request your assistance, thank you. For the past five days, I have been experiencing involuntary twitching in the upper left arm, specifically in the...
Dr. Jiang Junyi Reply:
Hello, based on your described symptoms, they are very similar to cervical myofascial pain syndrome. Clinically, it often presents as pain in the affected area, discomfort, muscle stiffness, or a heavy sensation, and sometimes palpable myofascial trigger points can be felt under ...[Read More] Understanding Muscle Twitches and Nerve Sensitivity in the Arm
Unexplained Skin Pain Without Visible Injury: Possible Neurological Causes
There are no wounds on the skin, but there is a tingling sensation when friction occurs? Dr. Jiang, I would like to ask about a recent issue I've been experiencing. The skin on my abdomen and chest feels sharp and painful when it rubs against clothing, even though there are ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of neuropathic pain, which is typically caused by damage or disease affecting the somatosensory nervous system. It particularly resembles peripheral nervous system disorders, commonly seen in postherpetic neuralgia, but can also arise from...[Read More] Unexplained Skin Pain Without Visible Injury: Possible Neurological Causes
Understanding Leg Numbness After Back and Hip Injuries
Numbness in the lower leg below the knee? Dear Dr. Jiang Junyi, Symptoms: Four days ago, I was accidentally knocked down by a metal door that fell on my lower back. At that moment, I got up and felt fine. Two days ago, while lifting heavy objects, I experienced a similar strain ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of sciatic nerve compression due to a herniated disc. A herniated disc can also occur due to sudden injuries, such as twisting the waist suddenly, bending to lift heavy objects, or experiencing excessive f...[Read More] Understanding Leg Numbness After Back and Hip Injuries
Understanding Recurring Perineal and Anal Numbness: Causes and Solutions
Intermittent numbness in the perineal and anal area? Hello Doctor, on March 23rd, I experienced intermittent numbness in the right perineum and anal area, which has been continuous. The next day, I visited a neurologist who said I could walk on my toes, which did not indicate cau...
Dr. Jiang Junyi Reply:
Hello: The tissues around the anus are primarily innervated by the pudendal nerve plexus and the coccygeal nerve. Various factors can lead to abnormal nerve sensations. If the symptoms are intermittent, it may be worth considering poor posture as a potential cause of nerve compre...[Read More] Understanding Recurring Perineal and Anal Numbness: Causes and Solutions
Understanding Joint Pain: Seeking Answers for Widespread Discomfort
Hello, doctor. I feel like I have issues with all my joints? I am losing confidence in my body. My left shoulder used to dislocate frequently, but that has stopped. However, recently, my joints have been getting increasingly stiff, starting with my right shoulder, which was diagn...
Dr. Jiang Junyi Reply:
Hello: Your issue may still stem from the cervical spine. If rehabilitation has not been effective after two months, doctors typically refer patients to a neurosurgeon to evaluate whether nerve compression is caused by a herniated disc. It is recommended to perform neck muscle st...[Read More] Understanding Joint Pain: Seeking Answers for Widespread Discomfort
Understanding Headaches: Can Neck Tension Heal Itself?
Continuing from #154498 regarding the headache issue? Hello, doctor. Previously, you suggested waiting for the pandemic to subside before getting checked. I currently feel that my condition is improving, and I hardly experience headaches anymore. I would like to ask if my symptom...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, nerve compression and inflammation have some self-healing capabilities. However, over time, they may still lead to structural changes. It is recommended to change your fixed posture every 30-60 minutes to avoid excessive use of local muscles. If symptom...[Read More] Understanding Headaches: Can Neck Tension Heal Itself?
Understanding Finger Numbness After Cervical Disc Surgery: Causes and Insights
Numbness in the fingertips? After undergoing surgery for cervical disc herniation, why is the tip of my right index finger still numb and tingling, and my hand still feels weak, although it's less painful than before the surgery? What could be the reason?
Dr. Jiang Junyi Reply:
Hello: After your recent surgery, the tissues are still in a swollen state, which may cause some nerve compression and related symptoms. It should improve in about two weeks. I recommend discussing this with your attending physician for further evaluation and treatment. Wishing y...[Read More] Understanding Finger Numbness After Cervical Disc Surgery: Causes and Insights
Understanding Leg Pain and Numbness: When to Seek Neurological Help
Leg pain? Hello, doctor. My right leg feels sore and numb, and sometimes my lower back hurts as well. This has been going on for about six months, and I have a habit of crossing my legs. What could be the problem? Which specialist should I see? Thank you!
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, which can also result from sudden injuries such as twisting the waist, bending to lift heavy objects, or experiencing excessive force, for example, falling fro...[Read More] Understanding Leg Pain and Numbness: When to Seek Neurological Help
Understanding Unexplained Nerve Sensations in the Armpit Area
Tingling and warmth in the armpit? Hello, doctor. Recently, I have been experiencing symptoms such as a tingling and warm sensation under my left armpit, although there are no visible skin issues. Occasionally, I also feel some sensitivity or itchiness around my chest area, parti...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms related to the intercostal nerves or thoracic nerve roots. Your symptoms could be associated with the fourth thoracic nerve root. A herniated disc may also result from sudden injury or conditions such as s...[Read More] Understanding Unexplained Nerve Sensations in the Armpit Area
Understanding Delayed Symptoms After a Concussion: What to Know
Head trauma Hello doctor, I would like to ask about a concussion I had from a car accident. I was wearing a helmet when I hit my head on the ground, and I was conscious at the time. During the week following the incident, I only experienced dizziness, which resolved after a week....
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, as the likelihood of intracranial hemorrhage is relatively low. External factors such as traffic accidents, falls, impacts to the head against hard objects, or excessive force during cervi...[Read More] Understanding Delayed Symptoms After a Concussion: What to Know
Understanding Weakness in the Left Thumb: Is It ALS or Something Else?
Weakness in pressing down with the left thumb? Three days ago, I suddenly lost strength in my left thumb, making it difficult to perform tasks such as wearing a helmet, buttoning clothes, and unplugging devices. It has felt somewhat stiff and less agile for almost a year now. Whe...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may need to rule out ulnar nerve pathology and other common issues. Generally, ulnar nerve pathology can cause numbness. In cases of severe ulnar nerve pathology, the muscles it innervates may atrophy, leading to a "claw hand" deformity. Atrophy of ...[Read More] Understanding Weakness in the Left Thumb: Is It ALS or Something Else?
Managing Severe Right Leg Pain: Insights from Neurology and Rehabilitation
The pain in my right foot is becoming increasingly severe? Hello Doctor, about a year ago, I went to the hospital for an examination because I frequently felt soreness in my right leg. After being evaluated by a neurologist, the electromyography showed weakness in my right leg, a...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, especially when hiking uphill or downhill, as the compression of the nerve roots can become more severe. A herniated disc can also result from sudden injuries,...[Read More] Managing Severe Right Leg Pain: Insights from Neurology and Rehabilitation
Understanding Neck, Shoulder, and Arm Pain: Possible Causes and Solutions
Regarding shoulder, neck, and arm pain? I'm not sure if it's a stiff neck, but I've been experiencing soreness along the left side of my neck down to the outer side of my left arm for about two weeks. There's a particularly tender spot near the outer side of m...
Dr. Jiang Junyi Reply:
Based on your description, it may be necessary to first consider the possibility of compression of the first thoracic nerve root. However, due to the presence of tender points, myofascial pain syndrome cannot be ruled out. It is recommended that you consult with a neurologist or ...[Read More] Understanding Neck, Shoulder, and Arm Pain: Possible Causes and Solutions
Understanding Numbness in the Thigh: Causes and Next Steps
Numbness in the thighs while lying flat? Hello, Doctor. Symptoms: For about two years, when I lie flat to sleep, I often experience numbness on the outer side of my left thigh, but I do not have this issue when standing or sitting. Additionally, when I press on both thighs, the p...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider inflammation of the lateral femoral cutaneous nerve. Pain or numbness occurs in the anterior lateral thigh, generally in an area about the size of a palm, and may sometimes radiate to the lateral aspect of the knee...[Read More] Understanding Numbness in the Thigh: Causes and Next Steps
Understanding Nerve Compression: Pain in the Fourth Toe Explained
Painful sensation in the fourth toe? Hello Doctor! My right foot's fourth toe started to feel a sharp pain after I carried a heavy bag on my left shoulder while waiting for a bus for about 10 minutes. However, the pain subsided when I sat down, and there were no visible abno...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are likely indicative of compressive neuropathic pain, which is usually caused by damage to the sensory nervous system. This type of abnormal pain (experiencing pain from normally non-painful stimuli) and heightened pain sensitivity (increased response to pai...[Read More] Understanding Nerve Compression: Pain in the Fourth Toe Explained
Understanding Quadriceps Pain and Weakness After Exercise: Causes and Insights
Quadriceps soreness and weakness? Hello, doctor. After exercising (weight training) the day before yesterday, I have experienced soreness and weakness in my left quadriceps for the past two days. I have no issues walking or going up and down stairs, but I feel pain and weakness w...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to first consider the issue of tendinitis. However, symptoms caused by nerve compression from a herniated disc cannot be ruled out. A herniated disc can also occur due to sudden injuries, such as twisting the waist abruptly, b...[Read More] Understanding Quadriceps Pain and Weakness After Exercise: Causes and Insights
Unexplained Electric Shock Sensation in the Back of the Thigh
Intermittent electric shock-like pain in the posterior thigh? Hello, I experience intermittent electric shock sensations in the area just above the popliteal fossa on the back of my right thigh. It feels like a jolt of electricity that lasts for a few seconds and can occur at any...
Dr. Jiang Junyi Reply:
Hello: Numbness in the back of the right thigh near the popliteal fossa may indicate nerve compression. The first consideration should be the compression of the femoral cutaneous nerve, which could be caused by sitting cross-legged, pressure from the toilet, among other reasons. ...[Read More] Unexplained Electric Shock Sensation in the Back of the Thigh
Understanding Trigeminal Neuralgia: Symptoms and Possible Causes
Trigeminal neuralgia? The patient has recently experienced pain in the upper right teeth, described as a dull ache, and visited a dentist. The dentist indicated that the teeth themselves are fine, but there is mild inflammation of the gums. However, the patient has noticed that s...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to trigeminal neuralgia, but a period of observation is needed. According to the International Classification of Headache Disorders, Third Edition (ICHD-3), the diagnostic criteria for trigeminal neuralgia are as follows: - At least three ep...[Read More] Understanding Trigeminal Neuralgia: Symptoms and Possible Causes
Understanding Muscle Relaxants: Safe Use and Pain Management After Injury
Medication Consultation Hello, doctor. I was in a car accident and am experiencing lower back pain and weakness in my right upper and lower limbs (with a feeling of uneven weight distribution in both legs, suspecting a leg length discrepancy). My right foot feels numb when I step...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider nerve compression as the cause of your numbness and pain. The medication you mentioned is SOMA from Sandoz, which contains the following components: Acetaminophen 250 mg, Chlorzoxazone 150 mg, Caffeine Anhydrous 20...[Read More] Understanding Muscle Relaxants: Safe Use and Pain Management After Injury