Understanding Right Arm Pain: Possible Causes and Solutions
Right arm pain? Hello Dr. Jiang: Since mid-April, I have been experiencing pain in my right arm upon waking up, but it usually subsides after about an hour. Recently, by the end of April, the pain has persisted for a long time after waking up. The affected areas include a tinglin...
Dr. Jiang Junyi Reply:
Dear Mr. A-Jeng, You mentioned experiencing a tingling sensation in your fingers and pain in your arm near the neck, particularly above the elbow (which becomes more pronounced when pressed). This may indicate cervical nerve root compression and related myofascial pain syndrome....[Read More] Understanding Right Arm Pain: Possible Causes and Solutions
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
Could a Brain Tumor Cause Nasal Pressure and Discomfort?
Brain tumor issues? Since November of last year, I have been experiencing a feeling of pressure and tightness in my nasal cavity and bridge of the nose. I have seen an otolaryngologist who ruled out nasal issues. I would like to ask if it is possible that this could be caused by ...
Dr. Jiang Junyi Reply:
Dear Mr. Yan, You mentioned that you have been experiencing a feeling of pressure and tightness in your nasal cavity and bridge of the nose. After consulting an otolaryngologist, nasal issues have been ruled out, and you are inquiring whether it could be due to a brain tumor pre...[Read More] Could a Brain Tumor Cause Nasal Pressure and Discomfort?
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 Right-Sided Numbness: When to Seek Further Medical Evaluation
Numbness in the right hand and right side of the body? Hello doctor, last week I started experiencing mild numbness in the tips of my fingers. I visited a neurologist who prescribed medication, but a few days later the numbness worsened, and soon my entire palm began to feel numb...
Dr. Jiang Junyi Reply:
Dear Mr. Jame, You mentioned that after visiting the neurology department and receiving medication, you experienced increasing numbness over the following days. The doctor indicated that the cervical spine X-ray showed no abnormalities, but by the weekend, you even felt slight n...[Read More] Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
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 Facial Changes After Tension Headaches: A Neurology Perspective
The cheeks look strange? Hello Dr. Jiang: In February, I experienced headaches and dizziness, and I consulted a neurologist who diagnosed me with tension-type headaches. I was prescribed pain relievers and muscle relaxants. Later, I noticed that one day my left cheek felt suddenl...
Dr. Jiang Junyi Reply:
Dear Mr. K, You mentioned that "compared to the right cheek, the left appears flatter, and when I smile, it doesn't feel as full as before; I can also feel a difference when I touch both sides... there are no issues with closing my eyes or loss of forehead wrinkles.&qu...[Read More] Understanding Facial Changes After Tension Headaches: A Neurology Perspective
Why Does My Left Cheek and Lip Twitch During Dumbbell Shoulder Workouts?
During dumbbell training, when exerting force with the right shoulder, the left upper lip and left cheek move along with it? Hello Doctor, due to the pandemic, I started working out at home and recently began using dumbbells. I've noticed that during some shoulder exercises,...
Dr. Jiang Junyi Reply:
Dear Ms. Tina, You mentioned that "when lifting a dumbbell with my right shoulder, my left cheek and left upper lip twitch slightly, and with each lift, the left cheek and left upper lip twitch again." This symptom seems to indicate a chain reaction of activation in th...[Read More] Why Does My Left Cheek and Lip Twitch During Dumbbell Shoulder Workouts?
Is It Dangerous If You Hit Your Head and Bleed Without Pain?
Is there a risk if I hit my head and there is bleeding but no pain? A family member (around 50 years old with no history of cardiovascular disease) accidentally fell this morning and hit their head against a sharp object. At the time, there was approximately enough blood to soak ...
Dr. Jiang Junyi Reply:
Dear Ms. Ida, You mentioned that a family member (around 50 years old, with no history of cardiovascular disease) accidentally fell this morning and hit their head against a sharp object, resulting in approximately the amount of blood that would fill two tissues, but it stopped ...[Read More] Is It Dangerous If You Hit Your Head and Bleed Without Pain?
Understanding Persistent Numbness in the Left Back: Causes and Solutions
Numbness in the left side of the back when squatting or sitting? Hello, doctor. At the end of last year, after carrying a heavy bag of books with one hand, I started experiencing numbness on the left side of my back the next day. This condition has persisted until now without imp...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the left side of my back started to feel numb the next day, and this condition has persisted without improvement... there is a numb sensation extending from the inner side of my left scapula to my arm... sitting up straight helps alleviate the...[Read More] Understanding Persistent Numbness in the Left Back: Causes and Solutions
Understanding Involuntary Muscle Twitches: Causes and Concerns
Intermittent involuntary movements Hello doctor, I sometimes feel twitching in the left front area between my neck and shoulders, and I can feel it moving when I touch it. At times, I also feel twitching in the inner side of my left thigh. What could be the issue? Thank you.
Dr. Jiang Junyi Reply:
Hello Mr. Ben: You mentioned that you sometimes feel twitching in the left front area between your neck and shoulders, as well as twitching in the inner thigh of your left leg. I wonder if you are also experiencing any sensory abnormalities along with these symptoms? If it is onl...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
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 Left-Hand Tremors: Causes, Symptoms, and Diagnosis
Tremors, atrophy, and involuntary movements in the left hand? Hello Doctor, I am currently 21 years old and noticed a hand tremor issue around the age of 12. The tremor occurs only in my left hand; it does not shake when at rest, but all five fingers tremble when I exert force. S...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "there is muscle atrophy in the left palm, blood tests for thyroid hormones are normal, and a nerve conduction study has been arranged... is it possible that brain or cerebellar lesions are the cause?" Typically, peripheral nerve lesio...[Read More] Understanding Left-Hand Tremors: Causes, Symptoms, and Diagnosis
Understanding Nerve Issues: Numbness and Urinary Problems After Vaccination
Numbness in the feet and urinary issues? Hello Dr. Jiang, Recently, I have been experiencing numbness in my left foot and difficulty urinating. After undergoing several tests at the hospital, I was informed that my health is generally good. An MRI revealed inflammation near the ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "MRI showed inflammation near the 11th and 12th vertebrae, and tests indicated low levels of B12 and folate. You informed your physician that you received the third dose of the Moderna vaccine on February 18, and the hospital indicated that vaccine ...[Read More] Understanding Nerve Issues: Numbness and Urinary Problems After Vaccination
Understanding Eyelid Twitching: Causes and When to See a Neurologist
Eyelid twitching Hello, Doctor! I would like to inquire about a condition I experience. Whenever I close my eyes to rest, I can feel my eyelids rapidly twitching (similar to rapid blinking, but my eyes are still closed). This twitching does not stop even if I keep my eyes closed ...
Dr. Jiang Junyi Reply:
Hello Miss Tong, You mentioned, "After opening my eyes, my eyelids don't blink uncontrollably anymore, and this has been going on for a while. I wonder what could be causing this issue?" Most eyelid twitching is physiological and not caused by any disease. The eye...[Read More] Understanding Eyelid Twitching: Causes and When to See a Neurologist
Can Vaccines Cause Neurological Issues? Understanding Eye and Muscle Twitches
Can vaccination cause neurological issues? Hello doctor, I had no issues after receiving the first two doses of the AstraZeneca vaccine. However, after my third dose of Moderna, I started experiencing frequent twitching in my left lower eyelid about a week later, occurring 2-5 ti...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "after receiving the third dose of Moderna, my left lower eyelid started twitching frequently, 2-5 times an hour, and it has been nearly three weeks." Your symptoms do not seem to indicate a serious adverse reaction. There have been many r...[Read More] Can Vaccines Cause Neurological Issues? Understanding Eye and Muscle Twitches
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
Neck Compression and Sleep Issues: Choosing the Right Pillow
Cervical spine compression and sleep issues? Hello, doctor. I have compressed nerves in my cervical spine. After rehabilitation, the pain has subsided, but I still experience occasional hand numbness and intermittent neck pain while sleeping. In this condition, are there any spec...
Dr. Jiang Junyi Reply:
Hello Mr. Ben, You mentioned that you still experience intermittent hand numbness and neck pain while sleeping. I would like to know which cervical vertebrae you have issues with. I recommend using a supportive neck pillow, as cervical spine disorders are closely related to the ...[Read More] Neck Compression and Sleep Issues: Choosing the Right Pillow