Do You Need a Neurology Checkup for Numbness and Weakness?
Do I need to see a neurologist for an examination? Last year, around July and August 2017, I experienced numbness and some weakness on the left side of my hand, foot, waist, and neck. Sometimes, I even felt numbness behind my left ear. At that time, I went to the neurology depart...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may warrant consideration of brain lesions (sudden onset of blurred vision) and spinal cord nerve lesions (abnormal sensations in the left limbs), among others. May I ask what examinations you have undergone at our hospital? Please share your medical history ...[Read More] Do You Need a Neurology Checkup for Numbness and Weakness?
Understanding Balance Issues: Insights on Neurological Symptoms and Management
Frequent feelings of heaviness in the head and lightness in the legs, leading to imbalance during activities? Hello, I often feel unbalanced when I start moving in the morning (I don't feel much when sitting or lying down). For example, if I turn too quickly, I experience a ...
Dr. Jiang Junyi Reply:
Hello: Headaches can be quite bothersome, and if you are experiencing them frequently, you might consider using preventive medications that have low side effects and can be used long-term. Common prodromal symptoms of migraine include visual disturbances, such as seeing bright li...[Read More] Understanding Balance Issues: Insights on Neurological Symptoms and Management
Understanding Numbness in the Right Upper Arm: Causes and Solutions
Numbness in the right upper arm? Hello Doctor: Recently, I've been experiencing a tingling sensation on the outer side of my right upper arm, and there is a slight pain when I perform chin-down movements, similar to feeling a tendon being pulled. I'm unsure what this co...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest that the nerve roots at the first thoracic vertebra or the seventh cervical vertebra are being compressed, leading to numbness. A physical examination and electromyography can assist in the diagnosis. It is recommended that you consult with a neur...[Read More] Understanding Numbness in the Right Upper Arm: Causes and Solutions
Managing Post-Stroke Recovery: Dietary Changes and Work Readiness
Inquiry about Transient Ischemic Attack (TIA) Hello, my family member is 52 years old and recently experienced numbness on the right side of the body, leading to a diagnosis of a minor stroke. They previously had a history of smoking and drinking but have since quit. A magnetic r...
Dr. Jiang Junyi Reply:
Hello: 1. Recently, I experienced numbness on the right side of my body and was diagnosed with a minor stroke. I had a history of smoking and drinking but have quit. I have also scheduled an MRI. After the MRI, it was confirmed that there are no blockages in the brain vessels. ...[Read More] Managing Post-Stroke Recovery: Dietary Changes and Work Readiness
Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help
The lower eyelid has been twitching intermittently for a week? For a week, my lower eyelid has been twitching (since Sunday). That morning, I woke up feeling some swelling at the outer corner of my upper eyelid and lower eyelid. I thought it was just normal edema, so I didn'...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest myofascial pain syndrome in the posterior neck muscle group, which can also lead to referred discomfort in the eyes. The key issue lies within the muscles of the posterior neck. The myofascial connection points are located in the forehead area. I&...[Read More] Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help
Should I Get a Brain Scan for My Frequent Headaches and Dizziness?
I have a question to ask the doctor? Hello doctor, I have been experiencing frequent numbness in my head, dizziness, and neck stiffness. I also feel some tightness between my eyebrows. I had blood tests and urinalysis done recently, and the results were normal. Do I need to under...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be related to discomfort caused by tightness in the cervical fascia, as the cervical fascia connects to the forehead and the temporal region (temples) of the skull, allowing the head to rotate at various angles. I recommend the following: 1. Change p...[Read More] Should I Get a Brain Scan for My Frequent Headaches and Dizziness?
Understanding Persistent Headaches: Causes and Concerns
Headache for more than two weeks? Hello doctor, I have been experiencing migraines for several years. Previously, the pain was on the left side, occurring before my menstrual period or during times of stress. The pain felt like a throbbing sensation in the back of my head and tem...
Dr. Jiang Junyi Reply:
Hello, I am not sure if you are experiencing any cold symptoms, which could potentially lead to tension-type headaches. Common prodromal symptoms of migraines include visual disturbances, such as seeing stars or flashes of light, as well as blurred or distorted vision. These ar...[Read More] Understanding Persistent Headaches: Causes and Concerns
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 Deep Foot Pain: Causes and Solutions for Your Symptoms
Deep pain in the soles of both feet? Hello, Doctor. I would like to ask you: A few days ago, I started experiencing mild pain in the soles of both feet, which has progressed to localized pain today. The affected area includes the five toes (with the big toe experiencing more stab...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest Tarsal Tunnel Syndrome, as the posterior tibial nerve is compressed while passing through the tarsal tunnel behind the medial malleolus. Common clinical symptoms include numbness, burning sensations, tingling, and other abnormal sensations in the ...[Read More] Understanding Deep Foot Pain: Causes and Solutions for Your Symptoms
Understanding Head Injuries: When to Seek Medical Attention
Head issues Hello Doctor, about three weeks ago, I hit my forehead quite hard. I didn't lose consciousness at the time, but after two days, I experienced some dizziness and nausea that lasted for about one to two weeks. I didn't see a doctor. About five days later, due ...
Dr. Jiang Junyi Reply:
Based on your description: The neurological symptoms you mentioned after taking a hot shower are more likely caused by syncope. Loss of consciousness can occur when cerebral blood flow drops below 30 ml per minute, typically due to a rapid decrease in blood pressure or vasoconstr...[Read More] Understanding Head Injuries: When to Seek Medical Attention
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?
Unexplained Thigh Pain: Seeking Answers for Muscle Discomfort
Persistent thigh muscle soreness with no identifiable cause? Hello Doctor: I had sexual intercourse in early December, and since then, both my PCR and fourth-generation EIA tests have returned normal results. However, starting at the end of December, I began experiencing soreness...
Dr. Jiang Junyi Reply:
Hello: You mentioned Reiter's syndrome, which is associated with the HLA-B27 gene in approximately 60-80% of patients. Symptoms typically appear about 2-4 weeks after a bacterial infection. The most common pathogens are Chlamydia trachomatis and gastrointestinal bacteria suc...[Read More] Unexplained Thigh Pain: Seeking Answers for Muscle Discomfort
Understanding Facial Tingling and Muscle Twitches: Neurological Insights
Muscle twitching and a slight tingling sensation in the face that can be relieved by touching it? Hello doctor, I have been experiencing muscle twitching for over a year without addressing it. Recently, in the past month, I have noticed slight tingling and numbness in my face, wh...
Dr. Jiang Junyi Reply:
Hello: The symptoms you are experiencing, particularly the burning sensation, should first raise concerns about peripheral nerve issues, which typically suggest nerve compression. However, since your symptoms are localized to the face, it may be necessary to consider inflammation...[Read More] Understanding Facial Tingling and Muscle Twitches: Neurological Insights
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 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?
Should You Get Further Tests for Suspected Concussion After an Accident?
Is further examination needed for a suspected concussion? Hello Doctor, I was in a car accident on December 11th where my head hit the ground, but I did not sustain any external injuries. At the time, I was fully conscious and did not experience any nausea or vomiting. The hospit...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, and no symptoms such as taking anticoagulants or obvious localized hematomas, head injuries are mostly minor. Your symptoms are more indicative of cervical myofascial inflammation. The high-risk period for delayed b...[Read More] Should You Get Further Tests for Suspected Concussion After an Accident?
Is Walking Considered Rehabilitation After a Stroke?
Is walking also considered rehabilitation? Hello Dr. Hong, my grandfather recently experienced a minor stroke and during his hospital stay, he had several episodes of minor strokes. He is currently unable to walk properly, has a crooked mouth, and drools. After some time, he reco...
Dr. Hong Weibin Reply:
Hello: Ischemic stroke is caused by the occlusion of blood vessels supplying brain tissue, leading to hypoxia and necrosis of normal brain tissue. The acute phase of an ischemic stroke lasts approximately 5-7 days from the onset of symptoms. Risk factors for stroke include age (t...[Read More] Is Walking Considered Rehabilitation After a Stroke?
Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Increased dizziness, swelling in the left leg, and occasional numbness in both hands, with the left hand being more affected? Hello, doctor. Basically, I'm experiencing dizziness and issues with my left leg (the hot weather affects me significantly; my dizziness worsens and ...
Dr. Jiang Junyi Reply:
Hello: The vascular stenosis you mentioned, if identified through a neck ultrasound, refers to the extracranial vessels, with the vertebral artery typically being more associated with dizziness. Controllable risk factors for stroke include metabolic syndrome, and your overweight ...[Read More] Understanding Dizziness and Leg Discomfort: A Neurological Perspective