Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Cervical nerve compression Hello, I am 42 years old and have recently discovered that cervical spine compression is causing numbness and tingling in my hands and feet. I am currently taking medication (B12 and a nerve stabilizer) and undergoing rehabilitation (heat therapy, elect...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Chen, You mentioned cervical nerve root compression and mitral valve insufficiency. Neither of these conditions is a contraindication for receiving the COVID-19 vaccine. The reactions that may occur after vaccination are mostly mild and include pain and swelling a...[Read More] Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Understanding Inner Thigh Muscle Twitches: Causes and Management Tips
Medial pulsation of the vastus medialis muscle? Thank you, Doctor, for taking the time to respond despite your busy schedule. I would like to ask a follow-up question regarding your previous response. You mentioned that the cause of my muscle twitching is primarily related to inf...
Dr. Jiang Junyi Reply:
You mentioned that the side effects listed in the medication leaflet for "Flupentixol 0.5mg/Melitracen 10mg" are very common: drowsiness and akathisia. Common side effects include dizziness accompanied by or without orthostatic hypotension and tremors. Less common side ...[Read More] Understanding Inner Thigh Muscle Twitches: Causes and Management Tips
Muscle vs. Nerve Twitching: Understanding Your Thigh Symptoms
Muscle or nerve twitching persists? Hello Doctor, I have been experiencing an increasing frequency of twitching on the inner side of my left thigh. I have sent two short videos for your preliminary assessment. https://youtu.be/avo45DGnfH0 https://youtu.be/csDjJ8YggPs Could you pl...
Dr. Jiang Junyi Reply:
Hello Mr. Ben: Your YouTube video shows twitching of the vastus medialis muscle in the quadriceps. This muscle twitching is primarily related to inflammation, which can be caused by exercise, acute viral infections, anxiety, and medication use. Among these, prolonged exercise is ...[Read More] Muscle vs. Nerve Twitching: Understanding Your Thigh Symptoms
Understanding Weakness and Numbness in Lower Legs: Causes and Solutions
Weakness in both calves below the knees, sometimes accompanied by numbness? Recently, I underwent a nerve conduction study, which indicated that there was slowed conduction in both legs. The physician provided a diagnosis of polyneuropathy and ordered blood tests, revealing a def...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned "polyneuropathy, with blood tests indicating folate deficiency that was supplemented for a while, yet still experiencing weakness. After retesting every three months, results showed normal, but the weakness persists. What could be the underlying ...[Read More] Understanding Weakness and Numbness in Lower Legs: Causes and Solutions
Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Chest tightness, numbness in hands and feet, mouth sores, palpitations, insomnia? Hello, doctor. I have the following questions regarding possible causes and which specialty I should consult. Thank you. 1. I experience numbness, tingling, and a burning sensation in the joints of...
Dr. Jiang Junyi Reply:
Dear Ms. Vivian, You mentioned experiencing symptoms such as numbness, tingling, and a burning sensation around the finger joints, the back and palm of the hands up to the elbows, as well as around the knees, the tops of the feet, the ankles, and the toes. These symptoms do not ...[Read More] Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Understanding Intermittent Pulsations: When to Seek Medical Advice
Irregular heartbeat phenomenon Hello doctor, I occasionally feel 1 to 2 pulsating sensations on the inner side of my left thigh while sitting, which feel like a heartbeat. When I touch it, I can sense it, and sometimes it also occurs under my left neck. Is this due to fatigue, or...
Dr. Jiang Junyi Reply:
Hello Mr. Ben: You mentioned that you experience "1 to 2 pulsating sensations on the inner left thigh near the knee while sitting." This symptom may be related to muscle twitching. Muscle twitching when awake could be associated with certain metabolic disorders, such as...[Read More] Understanding Intermittent Pulsations: When to Seek Medical Advice
Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Coccydynia (tailbone pain) issues? I had an X-ray of my coccyx, and the bones are fine. However, I experience significant pain when I stand up while riding my motorcycle, and some chairs cause pain when I sit down and then stand up. This has been bothering me for a long time. I a...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "it hurts a lot when I stand up after riding a motorcycle, and some chairs also cause pain when I sit and then stand up." Your symptoms may indicate a potential issue with the sciatic nerve. Herniated discs are often caused by spinal dege...[Read More] Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Understanding Nerve Disorders: Is Your Condition Related to ALS?
Neuropathy About ten years ago, my father underwent surgery on his right arm due to nerve compression, which caused atrophy and weakness in the entire arm. After the surgery, he did not experience further atrophy or weakness. Recently, however, he suddenly started to feel weaknes...
Dr. Jiang Junyi Reply:
Dear Ms. Hong, The condition you are concerned about, commonly referred to as "Lou Gehrig's disease," is known as amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. Generally, the motor neurons in the brain are referred to as upper motor...[Read More] Understanding Nerve Disorders: Is Your Condition Related to ALS?
Understanding the Causes of Front-to-Back Swaying Sensation
Sensation of swaying back and forth? Hello, doctor. I have a concern. Suddenly, one day, I started to feel a swaying sensation back and forth while standing, especially when walking normally; the feeling of swaying back and forth is very pronounced (not side to side!). This has b...
Dr. Jiang Junyi Reply:
Dear Mr. Dong-Chen, You mentioned that "the most noticeable sensation during walking is a forward and backward swaying... my mind feels tight. Is this due to autonomic nervous system dysfunction or hyperthyroidism?" Hyperthyroidism should be considered. Typically, auto...[Read More] Understanding the Causes of Front-to-Back Swaying Sensation
Understanding Cervical X-rays: Accuracy and Anomalies Explained
Cervical spine X-ray Hello, I had a cervical spine X-ray taken in 2019, and the neurologist at that time did not mention anything specific. Now, in 2022, another neurologist has told me that I have nerve compression issues in both my cervical and lumbar spine. Is it accurate to r...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned, "Is this accurate? Shouldn't I have another cervical spine X-ray? Also, it seems that most people have 6 cervical vertebrae, but I have 8; is that normal?" Humans typically have 7 cervical vertebrae. The important aspect regarding ...[Read More] Understanding Cervical X-rays: Accuracy and Anomalies Explained
Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues
Numbness in the hands? Hello Doctor, I have visited you before and was diagnosed with abnormalities in the parasympathetic nervous system. Currently, I am taking Fluxel and related vitamins. I went back to the rehabilitation department where I was previously diagnosed with cervic...
Dr. Jiang Junyi Reply:
Dear Mr. Sheng, You mentioned that "the numbness in your right thumb and index finger has not improved," which may indicate the need to consider compression of the median nerve rather than an issue with the autonomic nervous system. The median nerve is responsible for ...[Read More] Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues
Understanding Arm Numbness: Neurological Insights and Recovery Time
Numbness in the arm? Hello Doctor, I am the person who inquired about the numbness in my upper arm a few days ago (#179797). I greatly appreciate your prompt and helpful response! If possible, I would like to ask a few more questions: 1) You mentioned that the issue might be re...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned that "certain specific movements cause numbness extending to the little finger." It may be necessary to consider cubital tunnel syndrome, which can lead to compression of the ulnar nerve. Nerve repair requires supplementation of B vitamins, ...[Read More] Understanding Arm Numbness: Neurological Insights and Recovery Time
Understanding Arm Numbness: Possible Causes and Treatment Options
Questions about arm numbness? Hello Doctor, for the past month or so, I have been experiencing a sensation in my upper arm, specifically in the deltoid area, that feels similar to the numbness one gets after sleeping on their arm. Sometimes there is also a soreness, while other t...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned, "Are there other issues such as cubital tunnel syndrome or other neurological disorders that could produce similar symptoms? Or can we almost definitively conclude that it is a cervical spine issue?" Typically, symptoms resulting from nerve...[Read More] Understanding Arm Numbness: Possible Causes and Treatment Options
Understanding Hand Numbness and Arm Pain: When to See a Neurologist
Numbness in the hands and arm pain? I'm not sure if it's due to nerve compression in the wrist from exercising or prolonged computer use, but my fingers are numb, and my wrist cannot extend back to 90 degrees like it used to. I visited a clinic where I was prescribed an...
Dr. Jiang Junyi Reply:
Dear Mr. August, You mentioned that "after prolonged computer use, my fingers feel numb," which may indicate common median nerve injury or ulnar nerve injury. Median nerve injury, also known as carpal tunnel syndrome, typically occurs in individuals who perform repetit...[Read More] Understanding Hand Numbness and Arm Pain: When to See a Neurologist
Understanding Post-Impact Head Discomfort: Causes and Concerns
Head trauma Hello, doctor. In the first half of 2020, I had two upper molars extracted, and since then, I have experienced discomfort in my head. I started seeing doctors, but they all said it was unrelated to the tooth extraction, attributing it to anxiety and sleep issues. I ha...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Has the impact to the head caused internal bleeding or delayed bleeding? It has been a year and a half; could it last this long? Additionally, could the earlier tooth extraction have affected the brain? After all, I have been experiencing discomfo...[Read More] Understanding Post-Impact Head Discomfort: Causes and Concerns
Understanding Body Tingling: Causes and When to Seek Help
Tingling sensation in the body? Hello, doctor. I have been experiencing tinnitus, general weakness, and tightness along my neck, shoulders, and legs, along with numbness and pain. I consulted a neurosurgeon and had a cervical MRI, which showed degeneration and bone spurs, but the...
Dr. Jiang Junyi Reply:
Dear Mr. Ahao, You mentioned symptoms such as "tinnitus, generalized weakness, tightness and numbness in the neck, shoulders, and legs... pain in one elbow, swelling and tingling after prolonged bending." Your symptoms are more indicative of peripheral nerve injury. Th...[Read More] Understanding Body Tingling: Causes and When to Seek Help
Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Muscle fasciculations and muscle soreness with weakness? Since 2019, I have experienced occasional muscle soreness in my limbs (about once every 3 to 6 months, lasting approximately 1.5 weeks). My hand strength has decreased, and when I go shopping and lift items weighing 2 to 5 ...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms, it is recommended that you seek assistance from a neurologist specializing in neuromuscular diseases at a major hospital. They may arrange for blood tests, electromyography (EMG), and other evaluations. Cervical spine compression or myasthenia gravi...[Read More] Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Sudden Electric Shock Sensation in Buttocks: What Could It Be?
The flesh on the buttocks feels like it has been punctured? About a month ago, I started experiencing a sensation in my left buttock while sitting, like an electric shock that lasts for about two seconds. This occurs occasionally, sometimes once a day or every two to three days, ...
Dr. Jiang Junyi Reply:
Hello, Ms. Gui: You mentioned experiencing a sensation in your buttock that feels like an electric shock lasting about two seconds, specifically on the left side. This symptom is more indicative of peripheral nerve compression. It may be worth considering "piriformis syndro...[Read More] Sudden Electric Shock Sensation in Buttocks: What Could It Be?
Understanding Inner Elbow Nerve Pain After Surgery: Causes and Recovery
Numbness and pain on the inner side of the hand? Doctor, I underwent surgery for axillary hyperhidrosis last October, using a spiral curette technique. After the surgery, my right arm is normal, but the entire inner side of my left elbow has been experiencing numbness and pain. D...
Dr. Jiang Junyi Reply:
Hello Mr. Alan, You mentioned that after the surgery with a spiral curette, my right hand is normal, but the entire inner side of my left elbow experiences numbness and pain. This may indicate ulnar nerve compression injury, particularly cubital tunnel syndrome. Frequent bending...[Read More] Understanding Inner Elbow Nerve Pain After Surgery: Causes and Recovery
Understanding Unusual Cold Sensations and Fatigue: A Neurological Perspective
Coolness in the back of the head. Fatigue? I woke up feeling fatigued this morning, but I am currently on my menstrual period, so I'm not sure if that is related. Then tonight, while lying in bed, I suddenly felt a cool sensation at the back of my head, which went away withi...
Dr. Jiang Junyi Reply:
Hello, Miss Xiaozhu: You mentioned feeling a sudden coolness at the back of your head and that your feet have been consistently cool. These may be two separate issues. The cool sensation at the back of your head could indicate an abnormality in the peripheral nerves, such as ner...[Read More] Understanding Unusual Cold Sensations and Fatigue: A Neurological Perspective