Understanding Muscle Twitches: Causes, Treatments, and Concerns
Muscle twitching Hello Doctor, I have been experiencing intermittent muscle twitching for two months now, feeling it several times a day. The twitches last about 2 seconds each and are not localized, mostly occurring in my feet, abdomen, shoulders, buttocks, and knees, with more ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "stretching causes a slight tingling sensation in the soles of the feet, which is quite uncomfortable." This may indicate symptoms caused by compression of the spinal nerve roots by surrounding tissues. It is advisable to visit a neurology clin...[Read More] Understanding Muscle Twitches: Causes, Treatments, and Concerns
Understanding MRI Findings: What Do Bright Spots in the Spine Mean?
Questions about the examination report? Hello Doctor, I visited a neurologist because I occasionally experience numbness in my hands and feet. I underwent an MRI with contrast, and the report showed some white spots in a portion of my spinal cord. The physician mentioned that thi...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your "hands and feet occasionally feel numb" and that you underwent an MRI (with contrast), which showed some white spots in a portion of your spinal cord. Because MRI imaging is highly sensitive, along with the nature of nerve damage that cann...[Read More] Understanding MRI Findings: What Do Bright Spots in the Spine Mean?
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
Prognosis After C4 AVM Rupture: Recovery from Nerve Damage and Surgery
Prognosis of ruptured spinal cord segment IV arteriovenous malformation? Previously, I experienced a subarachnoid hemorrhage and hydrocephalus due to the rupture of a C4 arteriovenous malformation (AVM). I am currently undergoing rehabilitation. Since I am scheduled for a venous ...
Dr. Jiang Junyi Reply:
Hello: The surgical treatment for AVM primarily aims to reduce the risk of rebleeding and to prevent new neurological damage. The originally damaged nerves must be rehabilitated to improve symptoms. It is recommended that you discuss this with your neurosurgeon. Wishing you good ...[Read More] Prognosis After C4 AVM Rupture: Recovery from Nerve Damage and Surgery
Understanding Nerve Damage After a Fall: Symptoms and Concerns
I accidentally fell backward while exercising? Two days ago, I accidentally fell backward while exercising and hit my head. The next day, I went to see a doctor because my shoulder was very sore. The doctor advised me to let my muscles rest for a few days. However, when I got hom...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indeed warrant consideration of nerve compression. Taking the ulnar nerve as an example, resting the elbow on a hard surface or applying pressure to the elbow can likely lead to ulnar nerve pathology. Activities such as typing on a computer or scarring and fi...[Read More] Understanding Nerve Damage After a Fall: Symptoms and Concerns
Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights
Facial nerve paralysis Hello, doctor! My father-in-law has been diagnosed with facial nerve paralysis... but he only took steroids for one day and then stopped. The doctor said that the inflammation of the nerve does not require further steroid treatment and that we should wait f...
Dr. Jiang Junyi Reply:
Hello: Peripheral facial nerve palsy primarily affects the seventh cranial nerve. The clinical symptoms include sensations of numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patients may notice an increased sensitiv...[Read More] Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights
Understanding Nerve Damage After Arterial Blood Draw: Causes and Solutions
Arterial blood draw numbness in the hand? Hello, doctor. I would like to ask about my husband. During the Lunar New Year, he went to the emergency department of a large hospital due to influenza A. At the time of his visit, since it had not yet been confirmed as influenza A, bloo...
Dr. Jiang Junyi Reply:
Hello: 1. Do I need to return to the original large hospital for treatment? Or is it advisable to go to another large hospital and see a neurologist? A: Generally, it is more convenient to receive treatment at the same hospital, as the medical records are more centralized, whi...[Read More] Understanding Nerve Damage After Arterial Blood Draw: Causes and Solutions
Understanding Facial Nerve Paralysis: Recovery and Symptoms Explained
Facial nerve paralysis Hello, Dr. Jiang. I sought medical attention on the second day of my illness, and the doctor diagnosed me with left-sided facial nerve paralysis. After a week of medication (steroids) and discontinuation of B vitamins, I began rehabilitation. However, after...
Dr. Jiang Junyi Reply:
Hello: In the acute phase of facial nerve paralysis, symptoms take time to improve due to nerve damage. The use of corticosteroids in the first week is primarily to control inflammation and reduce the extent of nerve injury. Other treatment options include medications such as vit...[Read More] Understanding Facial Nerve Paralysis: Recovery and Symptoms Explained
Can Facial Nerve Paralysis Aftermath Improve Over Time?
Facial nerve paralysis A year ago, I experienced facial nerve paralysis on the right side of my face. I went to the hospital for an examination and underwent relevant treatments for over a month at the time of the onset, and my condition improved significantly. However, there are...
Dr. Jiang Junyi Reply:
Hello: The peripheral facial nerve paralysis you mentioned is quite similar, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. In the acute ...[Read More] Can Facial Nerve Paralysis Aftermath Improve Over Time?
Understanding Nerve Damage Risks After Injections: What You Need to Know
Is there a possibility of nerve injury after receiving an injection? Hello Dr. Jiang, Last winter, I had a cold without a fever and visited a clinic. I was experiencing severe headaches that made me feel nauseous, so I asked the doctor for an injection. The doctor was an older m...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "piriformis syndrome." The piriformis muscle is located deep in the buttocks and spans between the spine and the hip joint. When the piriformis muscle becomes inflamed, it can compress the sciatic nerve, leading to symptoms of numbness a...[Read More] Understanding Nerve Damage Risks After Injections: What You Need to Know
Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Numbness and weakness in the left hand and foot? Hello Doctor: For the past two weeks, I have been experiencing numbness in my left hand and foot, particularly in my fingers. Additionally, my left hand has been shaking uncontrollably. The numbness is persistent and spreads quickl...
Dr. Jiang Junyi Reply:
Hello, based on your description, the medication Micobalamin is Vitamin B12, while Baclofen is a muscle relaxant that may cause muscle weakness. A common cause of neck pain is cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle ...[Read More] Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Is Ear Pain Normal During Recovery from Facial Nerve Disorder?
Is it common to experience pain in front of and behind the ear during the recovery process from facial nerve dysfunction? Hello Dr. Jiang, one week ago (Monday), I sought medical attention due to symptoms of right-sided muscle weakness and facial drooping. After a CT scan of the ...
Dr. Jiang Junyi Reply:
Hello: You mentioned peripheral facial nerve paralysis, which primarily affects the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patients may notice...[Read More] Is Ear Pain Normal During Recovery from Facial Nerve Disorder?
Understanding Disc Herniation: Causes of Foot Vibrations and Muscle Twitches
Herniated disc with foot vibration? Recently, I experienced numbness and pain in my left foot, which later progressed to muscle twitching in both legs, prompting me to see a neurosurgeon. An MRI diagnosis revealed a herniated lumbar disc, centrally located, which is causing the m...
Dr. Jiang Junyi Reply:
Hello: The symptom of vibration in the feet is generally indicative of peripheral nerve damage, and it may be necessary to consider cervical nerve root compression. I recommend that you visit a neurology or rehabilitation clinic for an examination to determine the location of the...[Read More] Understanding Disc Herniation: Causes of Foot Vibrations and Muscle Twitches
Numbness in the Outer Side of the Left Pinky: Should You See a Doctor?
Loss of sensation on the outer side of the left little finger? Hello, doctor! A week ago, my mom gave me a jade bracelet to celebrate my acceptance into college. After the shopkeeper forced the bracelet onto my wrist, I couldn't take it off at all. I struggled for an entire ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more consistent with ulnar nerve neuropathy (affecting the sensory area near the little finger). When the wrist rests on a hard surface like a table, pressure can lead to ulnar nerve neuropathy. This condition typically causes n...[Read More] Numbness in the Outer Side of the Left Pinky: Should You See a Doctor?
How Long Can I Take Micobalance for Nerve Repair?
How long can Micropore be taken? Hello Dr. Jiang, I participated in a half marathon in the second half of last year, and after finishing, I noticed pain in the ball of my foot. This later developed into numbness in my toes, and even in winter, my big toe becomes numb in colder we...
Dr. Jiang Junyi Reply:
Hello: Your issue may be related to compression of the plantar nerves causing metatarsal nerve damage. If you are experiencing recurrent pain in the forefoot, it may be worth considering excessive foot rotation while running and insufficient arch support. Regarding the use of vit...[Read More] How Long Can I Take Micobalance for Nerve Repair?
Understanding Facial Nerve Dysfunction After Cosmetic Procedures
Facial nerve Hello, doctor. Two years ago, I had a cosmetic mole removal procedure done near the inner corner of my eyebrow. About a month later, I noticed a slight drooping of my eyelid, but since it was not very noticeable, I thought I was overreacting and did not see a doctor....
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Typically, the imp...[Read More] Understanding Facial Nerve Dysfunction After Cosmetic Procedures
Exploring Nerve or Muscle Damage After Orthognathic Surgery: A Case Study
Nerve damage or muscle damage? Three years after orthognathic surgery, I have been experiencing pain and pressure behind my eyes, eye fatigue, blurred vision, and mental exhaustion, with no improvement over the past three years. Muscle relaxants and pain medications have been ine...
Dr. Jiang Junyi Reply:
Hello: I'm not sure if you have any refractive issues, such as myopia or presbyopia due to aging of the ciliary muscle, which may require more effort to focus when using your eyes. Since the distance from the sinuses to the eyeball is considerable, and the extraocular muscle...[Read More] Exploring Nerve or Muscle Damage After Orthognathic Surgery: A Case Study
Understanding Forehead Pain Near Eyebrows: Trigeminal Nerve Inflammation
Pain near the forehead close to the eyebrows? Hello Doctor, I have been feeling quite fatigued recently and have also experienced cold symptoms. Three days ago, I started feeling a tingling sensation around my eyebrows, which feels very tight. I initially thought it was due to we...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest that localized pressure is causing peripheral nerve damage, which can result in localized numbness. As for shingles, in addition to tingling, there may also be pain involved. If you notice the appearance of a rash, it is essential to visit a derma...[Read More] Understanding Forehead Pain Near Eyebrows: Trigeminal Nerve Inflammation
Understanding Facial Nerve Disorders: Symptoms and Concerns
Facial nerve Hello, I would like to ask if the following symptoms could be related to facial nerve dysfunction. Last night, I felt pain behind my ear, and by around noon today, I noticed that when I smile, the movement on the right side of my face is reduced. I also have a tingli...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patient...[Read More] Understanding Facial Nerve Disorders: Symptoms and Concerns
Understanding Facial Nerve Paralysis: Symptoms, Treatment, and Recovery
Facial nerve paralysis Hello, doctor. I would like to ask about my condition. Today marks the sixth day of my facial nerve disorder. I have been taking steroids for the first three days. Yesterday, I underwent an electromyography (EMG) test. After returning home, I started to mas...
Dr. Jiang Junyi Reply:
1. Facial nerve paralysis is a relatively common condition, with statistics indicating that there are 15 to 40 cases per 100,000 people each year. The progression of this condition is quite rapid in the early stages, typically reaching its peak within two days. Prior to the onset...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Treatment, and Recovery