Understanding Persistent Tinnitus: Causes and When to Seek Help
Suspected persistent tinnitus? Hello Doctor: Recently, I have been frequently cleaning my ears, and I suspect that I may have caused some inflammation in the ear canal. I suddenly started experiencing a persistent sharp, electric-like sound in one ear, but my hearing in both ears...
Dr. Jiang Junyi Reply:
Hello: Tinnitus can be attributed to issues originating from the ear or related to the brain. Common causes include external auditory canal inflammation, foreign body obstruction, and earwax buildup, which can all lead to tinnitus. Even dental extractions and temporomandibular jo...[Read More] Understanding Persistent Tinnitus: Causes and When to Seek Help
Can Cervical Nerve Compression Cause Redness in Hands and Fingers?
Cervical nerve compression can cause redness in the palms? My mother is 51 years old and has been experiencing cervical nerve compression and degeneration for the past two years. In the last month, her palms and fingers have turned a reddish-dark color, but she has no other disco...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, cervical spine curvature and narrowing deformities, along with intervertebral disc compression at the C4-C5 level affecting the nerves that innervate the shoulders, can lead to neck and shoulder pain. Additionally, compression at the C5-C6 level affecti...[Read More] Can Cervical Nerve Compression Cause Redness in Hands and Fingers?
Understanding Facial Nerve Spasms: Diagnosis and Treatment Options
Facial nerve spasm Hello Doctor: My father has been experiencing facial nerve spasms for almost 2 years now. He receives Botox injections at the hospital every 4 months, but I feel the results are not very effective; his symptoms persist, including "twitching of the right ey...
Dr. Hong Weibin Reply:
Hello: Hemifacial spasm is caused by involuntary discharges of the facial nerve, resulting in contractions of the eyelid and the corner of the mouth. However, in your description, in addition to eyelid blinking, there is also a simultaneous action of swallowing (is it a true swal...[Read More] Understanding Facial Nerve Spasms: Diagnosis and Treatment Options
Why Do I Feel No Sensation When Scratching My Arm?
Itching in the arm without sensation? Hello Doctor: Recently, when I scratch my left arm, I often feel little sensation, as if there is a thick layer of skin in between, but there is no numbness. I am very worried that there might be something wrong with my body. Could you please...
Dr. Jiang Junyi Reply:
Hello, based on your description, if there are sensory abnormalities in the peripheral nerves, the first consideration should be nerve compression. I wonder if you have a habit of carrying a backpack on one shoulder? If the symptoms worsen, it may be necessary to consider other a...[Read More] Why Do I Feel No Sensation When Scratching My Arm?
Understanding Involuntary Finger Twitches: Causes and Concerns
Finger twitching Hello doctor, recently my right hand's ring finger has been twitching on its own for no apparent reason! The frequency is irregular and it occurs throughout the day (but is easier to observe when at rest). I'm really worried that it might be ALS...
Dr. Jiang Junyi Reply:
Hello: You mentioned the issue of finger twitching, which is commonly associated with peripheral nerve disorders or instability. The area of the ulnar nerve distribution in your fingers may present clinical symptoms such as numbness, tingling, or muscle atrophy. In contrast, the ...[Read More] Understanding Involuntary Finger Twitches: Causes and Concerns
Understanding Sharp and Electric Pain in the Right Shoulder Blade: Causes and Next Steps
Intermittent sharp pain and electric shock-like sensations in the right scapular region? This condition has persisted for nearly four months since June 30 of this year. On that day, while working in the morning, I suddenly experienced a very intense sharp pain in my right scapula...
Dr. Jiang Junyi Reply:
Hello, your symptoms are more indicative of an intercostal muscle strain, which is typically associated with pain related to movement and posture. As for the intercostal nerves, they run along the ribs in the chest, passing from the back through the lateral abdomen to the front o...[Read More] Understanding Sharp and Electric Pain in the Right Shoulder Blade: Causes and Next Steps
Unusual Sensations in the Ring Toe: What Could It Mean?
The toe (ring toe) feels very strange? I experience a strange sensation in both of my toes when my ring fingers are touched or intentionally moved. It's not an itch that makes me want to scratch; rather, it's an odd feeling that's hard to describe, and it doesn...
Dr. Jiang Junyi Reply:
Hello, based on your description, the cause of toe numbness should first consider peripheral nerve compression. This uncomfortable sensation may feel like crawling, pain, itching, or tingling. It is recommended that you consult a neurologist for discussion, examination, and treat...[Read More] Unusual Sensations in the Ring Toe: What Could It Mean?
Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatment Options
Trigeminal Neuralgia I've been having trouble sleeping at night lately, and taking a lot of painkillers hasn't helped. The pain is mainly located above my left ear, in the upper left teeth, and I feel a tingling sensation below my eyes, around my eyebrows, and next to m...
Dr. Jiang Junyi Reply:
Based on your description, the facial pain you are experiencing is primarily in the area innervated by the second branch of the trigeminal nerve. Generally, the examinations that may be conducted during your visit include: 1. Neurological examination: To identify specific areas...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatment Options
Understanding Upper Eye Pain: Neuropathic Issues and Sleep Impact
Headache, neuralgia Hello Doctor, the patient is experiencing a dull, aching pain in the upper part of both eyeballs (not the eye sockets) and the area between the eyebrows, which sometimes radiates to the occipital region at the back of the head. This discomfort persists through...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. (Your symptoms may be indicative of cervicogenic headache, which involves the sensory nerves near the upper cervic...[Read More] Understanding Upper Eye Pain: Neuropathic Issues and Sleep Impact
Understanding Right-Sided Dizziness: Causes and Concerns
Dizziness predominantly on the right side? Hello Doctor: I have been experiencing occasional nerve pain (in one of the nerves on the right side of my neck) since my university days. It wasn't until my military service that I began to experience dizziness on the right side of...
Dr. Jiang Junyi Reply:
Hello, if fainting occurs with symptoms of convulsions, it may be necessary to consider epilepsy. Seizures can sometimes cause sudden collapse, resembling fainting, and may involve limb jerking and prolonged confusion. It is recommended that you consult a neurologist to discuss e...[Read More] Understanding Right-Sided Dizziness: Causes and Concerns
Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?
Multiple areas of numbness throughout the body - Poor blood circulation? Hello, Doctor. Recently, I've noticed that when I sleep with my arms bent over my chest, my hands become numb. In the past, certain positions didn't cause this numbness, but it has changed in the l...
Dr. Jiang Junyi Reply:
Hello, your symptoms may be related to hyperventilation syndrome. Rapid or deep breathing can lead to excessive carbon dioxide elimination from the body, resulting in respiratory alkalosis, which is characterized by an elevated blood pH. This condition can disrupt the normal elec...[Read More] Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?
Understanding Nerve Pain and Muscle Twitches: When to Seek Help
Numbness in the limbs and nerve twitching? Recently, I have been experiencing a tingling and painful sensation in my left pinky finger and the last three toes of my right foot. Prior to these symptoms, I often felt muscle twitches in various areas, but I'm not sure if there&...
Dr. Jiang Junyi Reply:
Hello, you mentioned that the discomfort in your hand's nerves may be a symptom of ulnar nerve injury, which is most commonly associated with numbness in the areas supplied by the ulnar nerve (the little finger, half of the ring finger, and the corresponding area of the palm...[Read More] Understanding Nerve Pain and Muscle Twitches: When to Seek Help
Understanding Loss of Sensation in Skin After Flea Bites
Loss of sensation in the skin? Recently, I have many wounds on my foot from flea bites, but the wounds are about to heal. I am still applying medication because I am afraid of cellulitis. However, while applying the medication, I noticed that the skin near the flea bites is compl...
Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest peripheral neuropathy, which is generally categorized into motor and sensory types, each presenting with various symptoms. Sensory nerve disorders can cause numbness in the hands and feet (especially at the tips), which may feel like tingling, cra...[Read More] Understanding Loss of Sensation in Skin After Flea Bites
Understanding Loss of Sensation in Skin After Flea Bites
Loss of sensation in the skin? Recently, I have many wounds on my foot from flea bites, but the wounds are about to heal. I am still applying medication because I am afraid of cellulitis. However, while applying the medication, I noticed that the skin near the flea bite sites is ...
Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest peripheral neuropathy, which is generally categorized into motor and sensory types, each presenting with various symptoms. Sensory nerve disorders can cause tingling or numbness in the hands and feet, particularly at the tips, and may feel like pi...[Read More] Understanding Loss of Sensation in Skin After Flea Bites
Understanding Ear Pain: Possible Neurological Causes and Solutions
Ear pain Hello Doctor: I have visited an otolaryngologist who said that the appearance of my ear's inner membrane is normal. They prescribed muscle relaxants, but I still occasionally experience sharp pain that can make me tear up. The pain feels like a pulsating sharp sensa...
Dr. Jiang Junyi Reply:
Hello: The cause of ear pain is mostly due to middle ear inflammation, but in rare cases, it can be attributed to nerve abnormalities. The sensory nerves of the ear primarily originate from the mandibular branch of the trigeminal nerve, which innervates parts of the auricle, exte...[Read More] Understanding Ear Pain: Possible Neurological Causes and Solutions
Post-Surgery Numbness and Hardness in Left Forehead: Is It Normal?
After the surgery for the lipoma on the left forehead, I feel a hardness and numbness in the upper left side of my head? Hello Doctor, I underwent an endoscopic tumor excision surgery for a lipoma on the left side of my forehead on March 17, 2017. On the day of the surgery, I fel...
Dr. Jiang Junyi Reply:
Hello, you mentioned that neuropathic pain differs from the pain associated with general tissue injury, including sensations such as tingling, stabbing, burning, coldness, numbness, and itching, which may sometimes be accompanied by varying degrees of sensory abnormalities. The k...[Read More] Post-Surgery Numbness and Hardness in Left Forehead: Is It Normal?
Understanding Neck and Shoulder Pain: Is It Nerve or Muscle Issues?
Stiffness in the shoulders and neck, numbness in the hands? I often feel tightness and soreness in my shoulders, neck, and upper back. The sides of my head, particularly around the temples, feel tense and swollen. My neck feels stiff, especially in the morning when I wake up and ...
Dr. Jiang Junyi Reply:
Hello, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but over time it can...[Read More] Understanding Neck and Shoulder Pain: Is It Nerve or Muscle Issues?
Understanding Facial Nerve Issues: Symptoms, Diagnosis, and Treatment
Facial nerve Hello, Doctor. On January 6th (Friday), I woke up to find that my right eyelid could not fully open (currently covering half of my eyeball). I can close it, but I cannot open it completely. There are no other symptoms such as drooling. I initially thought there might...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many causes for eyelid drooping, such as myasthenia gravis, nerve compression, autoimmune diseases, and medications that need to be investigated. Currently, you have ruled out significant structural issues. If you are concerned, you can...[Read More] Understanding Facial Nerve Issues: Symptoms, Diagnosis, and Treatment
Understanding Hand Numbness After a Car Accident: Treatment Options
Numbness in the hands after a car accident? Hello Doctor, my mother was in a car accident on January 7 and was immediately taken to Cheng Kung University Hospital. Currently, we are most concerned about her hand numbness. The doctor mentioned that there is nerve damage near her c...
Dr. Hong Weibin Reply:
Hello: After a car accident, experiencing hand numbness could indeed be related to cervical spine issues. In addition to cervical nerve compression, peripheral nerve disorders may also be a possibility (such as compression resulting from an elbow fracture). It is advisable to fir...[Read More] Understanding Hand Numbness After a Car Accident: Treatment Options
Understanding Double Vision and Eye Pain: Possible Causes and Solutions
Diplopia and eye pain? Hello Doctor, since middle school, I have occasionally experienced pain around my eyes and headaches after using the computer. Sometimes I also have blurred vision, but these symptoms do not last long. Last week, after using the computer for an afternoon, I...
Dr. Jiang Junyi Reply:
According to your description, there are many causes of diplopia. Whether due to damage or compression of the muscles or nerves, the inability of the eye muscles to coordinate can lead to diplopia. In cases of thyroid eye disease, where the eyeball protrudes, the extraocular musc...[Read More] Understanding Double Vision and Eye Pain: Possible Causes and Solutions