Understanding Recovery Patterns After Prolotherapy for Neck Disc Issues
Recovery status after proliferative treatment? Hello Dr. Jiang, I was previously diagnosed by a physician with a tear in the annulus fibrosus of my cervical disc, which has caused some mechanical protrusion affecting my peripheral nerves. My symptoms are primarily located in the...
Dr. Jiang Junyi Reply:
Hello Mr. Cliff: You mentioned that there is a sudden stabbing pain in a specific area of your upper left back. This symptom may still warrant consideration of a localized issue. If the symptoms persist, it is advisable to undergo a musculoskeletal ultrasound examination to check...[Read More] Understanding Recovery Patterns After Prolotherapy for Neck Disc Issues
Understanding Symptoms: Excessive Sweating, Pain, and Fatigue Explained
It seems like I'm feeling unwell - sweating at the back of the neck, skin tingling, fatigue, and so on? Hello, Doctor. Since this summer, I have been sweating excessively. On August 7, I visited a rehabilitation specialist due to pain in my lower left back (near the lumbar v...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "there is a very noticeable tingling sensation from the base of the ring finger, along the side of the little finger, on both the front and back sides of the palm, extending to the back of the forearm." This symptom may suggest ulnar nerv...[Read More] Understanding Symptoms: Excessive Sweating, Pain, and Fatigue Explained
Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues and ALS Concerns
Nerve conduction study Hello Doctor, recently I've been experiencing occasional pain in my right hand, so I went for an examination regarding ulnar nerve compression. The doctor arranged for four nerve conduction studies and a cervical spine examination. The results indicate...
Dr. Peng Shiwei Reply:
Hello, the symptoms of amyotrophic lateral sclerosis (ALS) do not involve damage to only one nerve, and it primarily begins with the degeneration of motor neurons. Sensory nerves are not affected in the early stages. Thank you for your question.[Read More] Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues and ALS Concerns
Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options
Trigeminal and Facial Nerve Repair Hello, Doctor. I initially experienced hearing loss and headaches, so I consulted an otolaryngologist for a month, which caused me to miss the critical treatment window. Later, I discovered left facial paralysis and was referred to a neurologist...
Dr. Peng Shiwei Reply:
Hello, based on your description, I believe the treatment your physician has provided is appropriate. The residual effects of facial numbness may not always fully resolve. I recommend that you continue with your current treatment and observe for 1-3 months. As for the dizziness, ...[Read More] Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options
Understanding Nerve Pain from Foreign Objects: Risks and Concerns
Numbness and tingling in the hands and feet due to foreign objects? Hello Doctor, I would like to ask you about an issue I experienced a few days ago. My right pinky finger was struck by a foreign object, and I suspect there may be metal shavings in my skin or blood vessels. Sinc...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-An, You mentioned, "Is it possible for metal shavings to get lodged in blood vessels and cause infection? Is there a direct relationship between hand numbness and metal shavings getting stuck in nerves or blood vessels?" Foreign objects that enter the ar...[Read More] Understanding Nerve Pain from Foreign Objects: Risks and Concerns
Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
The face or the scalp at the back of the neck feels strange? Hello, doctor. About ten years ago, I had an MRI of my cervical spine that diagnosed a herniated disc at the C3-C4-C5 levels, which was compressing a nerve. At that time, my main symptoms included pain in the left shoul...
Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned that "the fingers on my right hand occasionally feel a bit numb, or my arm suddenly feels a bit cool (not sure if it's numbness)." In addition to cervical nerve root compression, we should also consider the possibility of peripheral ne...[Read More] Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
Head Pain When Swallowing: Understanding Neurological Symptoms
Swallowing saliva causes headaches? In late June, after I sneezed forcefully, I experienced a sharp pain at the top right of my head. Initially, I had headaches when swallowing, but that subsided. However, I still occasionally feel pain when swallowing saliva, although eating foo...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned that "swallowing saliva causes headaches." Your symptoms may suggest the possibility of high cervical nerve root compression, specifically at the levels of C1 to C3. This is because the nerves pass through the trigeminal nerve nucleus. These ...[Read More] Head Pain When Swallowing: Understanding Neurological Symptoms
Understanding Long-Term Effects of Head Injuries from Falls
Hello, doctor. I would like to ask about injuries from falls? Hello doctor, when I was 19 years old, I accidentally fell while going up the stairs and hit my head. At that time, I only felt dizzy but was fully conscious. Since there was bleeding, I went to the hospital. The docto...
Dr. Jiang Junyi Reply:
Hello Mr. Chen, You mentioned, "For the past 6 years, if I experience dizziness, will it be related to my previous injury?" Generally speaking, if there is no loss of consciousness, no anticoagulant medication use, or obvious local hematoma, head trauma is usually mild...[Read More] Understanding Long-Term Effects of Head Injuries from Falls
Understanding Sharp, Lightning-Like Pain in the Ankle: Causes and Solutions
Sharp, lightning-like needle sensations? Hello Dr. Jiang: In the past week, I have been experiencing intermittent sharp, lightning-like pain on the inner side of my left ankle. The frequency is irregular, and if it occurs while I am sleeping, it wakes me up. I also feel a crawlin...
Dr. Jiang Junyi Reply:
Dear Ms. Yen, Based on your description of experiencing a crawling sensation in your limbs and a lightning-like prickling feeling on the inner side of your right ankle, it is important to consider the possibility of lumbar nerve root compression. Symptoms of peripheral nerve com...[Read More] Understanding Sharp, Lightning-Like Pain in the Ankle: Causes and Solutions
Understanding Sensory Loss: Possible Causes and Solutions
Numbness sensation Hello Doctor: About three days ago, I noticed a reduction of approximately 80% in the sensation of cold and heat in my left hand's ring and little fingers, along with a slight decrease in strength, but there is no significant numbness or pain. In addition ...
Dr. Jiang Junyi Reply:
Dear Ms. K: You mentioned that you have decreased sensitivity to temperature in your left ring and little fingers. Your symptoms may suggest an abnormality in ulnar nerve function. The ulnar nerve innervates part of the little finger, half of the ring finger, and the correspondi...[Read More] Understanding Sensory Loss: Possible Causes and Solutions
High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
Frequent muscle twitching throughout the body and a feeling of weakness? Muscle twitching occurs frequently, with some localized spasms. It intensifies when I feel restless. I experience a tingling sensation similar to being electrocuted when sitting or lying down. I feel fatigue...
Dr. Jiang Junyi Reply:
Hello Mr. Pao, You mentioned experiencing a sensation similar to being electrocuted when sitting or lying down, which is a symptom of peripheral nerve compression. This is not indicative of amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. ALS present...[Read More] High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps
Is it amyotrophic lateral sclerosis (ALS)? Hello Doctor, last month a family elder was diagnosed with ALS, and blood tests are currently being analyzed to determine if there is a genetic mutation or hereditary cause. Since then, I have started to feel weakness in my right hand an...
Dr. Jiang Junyi Reply:
Dear Mr. Yu, You are concerned about ALS, which is a chronic muscle-wasting disease that can lead to muscle atrophy. If upper motor neurons die, abnormal signal transmission may cause muscle twitching. In the early stages, it is actually difficult to diagnose. Approximately only...[Read More] Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps
Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns
Heat in the right ankle? Hello, doctor. Recently, I've been experiencing sudden warmth in my right ankle that goes away quickly, but then returns after a while. I would like to know what could be causing this. Is it possible that it could be due to a brain tumor pressing on ...
Dr. Jiang Junyi Reply:
Hello Mr. Long: You mentioned that the area around your right ankle suddenly feels warm. I wonder if you are experiencing any abnormal sensations such as tingling or numbness? Are there any other neurological symptoms? We may need to consider peripheral tissue issues, particularl...[Read More] Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? I am a 35-year-old male, non-smoker, non-drinker, and I do not consume betel nut or coffee. I am 180 cm tall and weigh 55 kg. I have a regular exercise routine that includes both strength training and aerobic exercises. Over two years ago, I suddenly...
Dr. Jiang Junyi Reply:
Hello Mr. Hsuan, You mentioned experiencing "twitching in your toes, similar to after finishing a hike, a jog, walking a long distance, or sitting on a specific sofa..." The muscle twitching you are experiencing may be related to several factors: exercise, acute viral ...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Muscle Twitches: Causes and Concerns in Strength Training
I would like to inquire about muscle twitching issues? A few days ago, I experienced muscle twitching in my shoulder that occurs intermittently. I have been weight training, and although my performance has not declined or changed, the twitching in my left shoulder gives me a slig...
Dr. Jiang Junyi Reply:
Hello Mr. CC: You mentioned that you have a slight feeling of weakness in your left hand, describing it as "soft and sore." This symptom may suggest cervical radiculopathy. This is a type of peripheral nerve abnormality that often presents with: 1. Pain characterized by...[Read More] Understanding Muscle Twitches: Causes and Concerns in Strength Training
Understanding Sudden Vision Changes: Possible Causes and Concerns
Vision problems I would like to ask the doctor under what circumstances symptoms of optic nerve compression could cause a sudden increase in my eye prescription. I primarily have issues with my eyes, but the ophthalmologist has not found any abnormalities. Here are my symptoms: ...
Dr. Peng Shiwei Reply:
Hello, regarding your question: 1. Generally, there are two types of brain lesions associated with the optic nerve. The first type involves brain lesions that cause compression of the optic nerve, with symptoms primarily manifesting as visual field defects, such as loss of peri...[Read More] Understanding Sudden Vision Changes: Possible Causes and Concerns
Understanding CT Scan Results for Brain Issues: Key Questions Answered
CT Report for Brain Issues After getting my new glasses, I felt an immediate increase in my prescription. I noticed a faint shadow in areas with light, and I have been experiencing some headaches. Concerned that it might be caused by a brain tumor, I underwent a brain CT scan. Th...
Dr. Jiang Junyi Reply:
Hello Mr. Li: First of all, the symptoms of "brain tumors" can vary depending on the location in the brain. You mentioned that "after getting new glasses... it feels like the prescription suddenly increased," which may require ruling out refractive issues. Cou...[Read More] Understanding CT Scan Results for Brain Issues: Key Questions Answered
Understanding Outer Thigh Numbness: Causes and Solutions for Active Individuals
Numbness in the outer thigh caused by exercise (I have already researched and found no similar conditions)? Hello Doctor, I have been troubled by this issue for some time, and it may be a bit lengthy. I hope you can provide me with advice and assistance. (I have not experienced a...
Dr. Jiang Junyi Reply:
Hello Mr. Tommy, You mentioned experiencing a tingling sensation on the outer side of your right thigh near the knee. In addition to possible compression of the lumbar nerve roots (L2 and L3), it may be necessary to consider inflammation of the lateral femoral cutaneous nerve. T...[Read More] Understanding Outer Thigh Numbness: Causes and Solutions for Active Individuals
Understanding Head and Tooth Pain: When to Seek Neurological Help
Head and tooth pain? Hello Doctor, I am a 23-year-old female. I have been experiencing pain in my head and teeth for a week. The headache is located on the left side, above the ear, extending to the top of the head. Accompanying symptoms include sharp pain in the lower left teeth...
Dr. Jiang Junyi Reply:
Hello Ms. Zhyn, You mentioned that "the location of the trigeminal nerve sometimes feels like being scratched by something, with a sharp pain similar to an electric shock lasting for a second; sometimes it occurs continuously, and other times with longer intervals. However,...[Read More] Understanding Head and Tooth Pain: When to Seek Neurological Help
Persistent Right Calf Pain: When to See a Specialist?
Right calf? If you have been experiencing pain in your right calf for over a month, and the pain persists even with Tramadol (37.5 mg) and Acetaminophen (325 mg), along with tenderness upon touch, it is advisable to consult a specialist. Given that you have a small varicose vein ...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned that "touching causes pain, and there is a small varicose vein that has been checked with ultrasound and found to be normal. Should I see a neurologist, a rehabilitation specialist, or a pain management specialist?" It is recommended that you...[Read More] Persistent Right Calf Pain: When to See a Specialist?