Post-Surgery Facial Recovery: Addressing Concerns After Jaw Surgery
Poor recovery status after orthognathic surgery? Hello, doctor... It has been over two years since my orthognathic surgery to advance my mandible, but the left side of my face is still experiencing muscle stiffness. When I smile, my face is uneven, and the left side of my mouth f...
Dr. Jiang Junyi Reply:
Hello: Your description does not rule out issues related to peripheral facial nerve problems. Aside from corticosteroids, there is insufficient evidence to support the effectiveness of other treatment methods. After the acute phase, there are almost no medications that are defini...[Read More] Post-Surgery Facial Recovery: Addressing Concerns After Jaw Surgery
Numbness in Right Big Toe: Possible Causes and Solutions
Numbness in the right big toe? Hello, Dr. Jiang. About two weeks ago, I started experiencing numbness on the outer side of my right big toe. There is no pain or insect bite, but I have a persistent tingling or numb sensation. Pressing on it makes the numbness feel more intense, b...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a consideration of peripheral nerve compression issues. The diagnosis of peripheral nerve injury can be assessed using nerve conduction studies. Nerve conduction studies involve the use of very fine electrical currents to stimulate the nerves in t...[Read More] Numbness in Right Big Toe: Possible Causes and Solutions
Understanding Facial Twitches: When Sneezing Triggers Muscle Spasms
Facial twitching? Hello, doctor: Recently, I have noticed that the muscles near my cheekbone rapidly twitch for about 1-2 seconds when I sneeze, but this does not happen at other times. It only occurs during the act of sneezing. Could this be a sign of facial nerve dysfunction? S...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be more indicative of facial nerve instability, which may be caused by an overreaction of the sympathetic nervous system or the use of stimulants such as caffeine. Your symptoms following a sneeze may also suggest instability of the associated nerves....[Read More] Understanding Facial Twitches: When Sneezing Triggers Muscle Spasms
Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Dizziness, a feeling of pressure and fullness in both sides of the back of the head, numbness in the left side of the face, and discomfort in the left eye? Hello Doctor: I am a 37-year-old male. Since May of last year, I have been experiencing dizziness, a feeling of pressure in ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with the autonomic nervous system. I'm not sure if you have undergone any tests related to this or arterial blood gas analysis. Hyperventilation can also cause similar symptoms. Excessive hyperventilation leads to a decrease in carbo...[Read More] Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Understanding Persistent Hip and IT Band Itching: Causes and Solutions
Deep itching in the hip area, along the iliotibial band? Hello, I am 35 years old and have been doing strength training for the past year and a half. Since a deep squat in January of this year, I have experienced a momentary pinching sensation in my hip, followed by a persistent ...
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 hip joint. When the piriformis muscle becomes inflamed, it can compress the nearby nerves, leading to tingling and pain. This co...[Read More] Understanding Persistent Hip and IT Band Itching: Causes and Solutions
Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments
Pain in the right hand and numbness in the left hand? Hello, I would like to ask about my right hand. Initially, I experienced pain in my wrist (extending from my thumb to my wrist), which later spread to my forearm and then to my right shoulder. The pain started about a year ago...
Dr. Jiang Junyi Reply:
Hello: Your symptoms in the right hand resemble those of nerve root compression in the cervical spine. Preventive measures include: 1. Change positions: Change your posture every 15 minutes to allow the neck tissues to rest. Any posture (including normal ones) maintained for a pe...[Read More] Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments
Understanding the Use of Shunao for Headache Management: Is It Right for You?
Regarding the medication "Shu Nao." Hello doctor, I have been experiencing unexplained headaches for the past two months, which have persisted daily until now. Today, I visited a large hospital and the doctor prescribed me "Shunao," instructing me to take one ...
Dr. Jiang Junyi Reply:
Hello: Shunao is a selective calcium channel blocker, which acts as a cerebral vasodilator and has shown good efficacy in preventing migraines. It can also be used to treat peripheral vascular diseases, particularly obstructive peripheral vascular disease. Additionally, it may pr...[Read More] Understanding the Use of Shunao for Headache Management: Is It Right for You?
Understanding Numbness in Hands and Feet: Causes and Solutions
Numbness in hands and feet? Hello Dr. Jiang: I apologize for the interruption. I have a medical concern that I would like to consult with you. For the past three months, every time I take a nap during my lunch break (lying face down for about 10 to 20 minutes), I wake up with num...
Dr. Jiang Junyi Reply:
Hello: If you do not experience numbness while lying down, your symptoms may suggest localized nerve compression. This can occur when sleeping on your stomach, which may compress the radial nerve in both arms, or when sitting, which may compress the sciatic nerve and the posterio...[Read More] Understanding Numbness in Hands and Feet: Causes and Solutions
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 Dynamic Vision Loss: Neurological Insights and Treatment Options
Dynamic visual acuity loss I participated in a course called "Listening Analysis" organized by a certain religious group. Due to some events that occurred, I felt as if one of my nerves had sunk down, and many neural connections seemed to disappear. Since then, I have b...
Dr. Jiang Junyi Reply:
Hello: If the symptoms are sudden, it may be necessary to consider vascular diseases, and it is recommended to consult a vascular neurologist for evaluation. Regarding rehabilitation, dynamic visual acuity issues are common among many children, and a relevant specialist may be an...[Read More] Understanding Dynamic Vision Loss: Neurological Insights and Treatment Options
Restoring Dynamic Vision: Solutions for Neurological Impairments
Dynamic vision has been lost? Dear Doctor, a few years ago, due to certain events, I lost my dynamic vision. At that time, I felt like one of my nerves sank down to the base, and a significant portion of my neural connections disappeared. As a result, I am now unable to perceive ...
Dr. Jiang Junyi Reply:
Hello: I'm not sure what caused your dynamic vision impairment. The reasons for abnormal dynamic vision can range from injury to the ciliary muscle, damage to the extraocular muscles, to dysfunction of the brainstem nuclei. Generally speaking, for nerve recovery: 1. Avoid st...[Read More] Restoring Dynamic Vision: Solutions for Neurological Impairments
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 Numbness in the Right Face, Arm, and Neck: Causes and Concerns
Numbness in the right side of the face, right arm, and back of the neck? Hello Doctor, yesterday while I was sleeping, I suddenly felt a tingling sensation in my right arm. After sitting up, I experienced a warm, swollen feeling in my neck along with tingling. When I lay back dow...
Dr. Jiang Junyi Reply:
Hello: The numbness you are experiencing may be caused by compression of the cervical spinal nerves. Additionally, you mentioned that the symptoms become more pronounced when you bend your neck, which could also be due to inflammation and swelling of the cervical spinal cord. It ...[Read More] Understanding Numbness in the Right Face, Arm, and Neck: Causes and Concerns
Understanding Numbness in Right Face, Arm, and Neck: Possible Causes
There is a tingling sensation in the right side of the face, right arm, and back of the neck? Hello, doctor. Yesterday, while I was sleeping, I suddenly felt a tingling sensation in my right arm. When I sat up, I experienced a warm, swollen feeling in my neck along with tingling....
Dr. Jiang Junyi Reply:
Hello: The numbness you are experiencing may be caused by compression of the cervical spinal nerves. Additionally, you mentioned that the symptoms become more pronounced when you bend your neck, which could also be due to inflammation and swelling of the cervical spinal cord. It ...[Read More] Understanding Numbness in Right Face, Arm, and Neck: Possible Causes
Understanding the Causes of Persistent Headaches After a Concussion
Please have the doctor examine me to determine the cause of my headache? Hello doctor, during a physical education class in elementary school, I was hit on the lower left side of the back of my head by a soccer ball from a classmate. I was examined by a doctor at that time and di...
Dr. Jiang Junyi Reply:
Hello: In addition to the issues related to cervical myofascial pain, it may be necessary to consider the possibility of migraine as a contributing factor. Migraines are often accompanied by symptoms such as nausea, vomiting, photophobia, phonophobia, and pallor. Typically, one s...[Read More] Understanding the Causes of Persistent Headaches After a Concussion
Understanding Neck Pain: When to Seek Further Medical Advice
Pain occurs at the hairline three fingerbreadths to the right of the cervical spine? Hello Doctor: I originally experienced intermittent pain in my shoulder that radiated to my collarbone, and there was also intermittent pain at the hairline three finger widths to the right of my...
Dr. Jiang Junyi Reply:
Hello: The entire cervical spine to the occipital region of the head is where the neck muscles attach. Therefore, your symptoms are more indicative of myofascial inflammation in the neck. Regarding the medications you mentioned, if you are planning to become pregnant, it is advis...[Read More] Understanding Neck Pain: When to Seek Further Medical Advice
Chronic Hand Numbness and Pain: Which Specialist Should You See?
For years of paralysis and pain, which specialty should I consult? Hello, doctor. I often experience numbness, stiffness, and pain in both my hands, which has been ongoing for several years. The pain tends to be particularly severe in winter, waking me up at night in tears, espec...
Dr. Jiang Junyi Reply:
Hello: Carpal tunnel syndrome occurs when the median nerve is compressed by ligaments as it passes through the wrist, leading to numbness in the hand from the thumb to half of the ring finger. Generally, sensory nerves are affected first, and after some time, motor nerves may als...[Read More] Chronic Hand Numbness and Pain: Which Specialist Should You See?
Understanding Muscle Twitches: Are They Linked to ALS or Anxiety?
Muscle twitching Hello Doctor: I experienced dizziness and weakness in my limbs at the end of December last year. After visiting a neurology department at the hospital, an EEG showed no abnormalities. However, I continued to feel dizzy into early January, so I switched to another...
Dr. Jiang Junyi Reply:
Hello: The ALS you are concerned about primarily refers to issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those in the brainstem and spinal cord are called lower motor neuro...[Read More] Understanding Muscle Twitches: Are They Linked to ALS or Anxiety?
Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Muscle twitching and electromyography-related issues? Hello Doctor, Since around June 2017, I began to notice slight tremors in both of my hands, and when lying flat, I felt a sensation of my body vibrating. In July, I visited a neurologist for the first time, and the doctor ob...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, about 70% of patients with motor neuron disease present with limb weakness, while around 20% exhibit weakness in the bulbar region as their clinical manifestation. In terms of limb involvement, the initial presentation is usually asymmetric hand weaknes...[Read More] Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Understanding Tinnitus: When to Consult a Neurologist for Relief
Tinnitus issues Hello Doctor: Over the past year, I have been hearing a high-pitched ringing or hissing sound in my left ear, especially in quiet environments, which often affects my sleep. I have visited an otolaryngologist three times, and the doctors have stated that there are...
Dr. Jiang Junyi Reply:
Hello: Based on your description, if you are experiencing frequent tinnitus, it may be necessary to consider potential issues with the cochlea in the inner ear and the auditory nerve. This is commonly seen in individuals who work in noisy environments for extended periods, use me...[Read More] Understanding Tinnitus: When to Consult a Neurologist for Relief