Persistent Pulsating Sensation on the Left Side of the Head: Causes and Solutions
There is a persistent pulsating sensation on the left side of my head? Hello Doctor: Recently, I have been experiencing a pulsating sensation on the left side of my head, accompanied by a feeling of pressure, but there is no headache. This pulsating sensation has persisted for se...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a common type of migraine in women. The symptoms can be categorized as migraine with aura, which includes visual disturbances such as seeing stars and flashes of light, as well as blurred or distorted vision. These are considered the aura of the m...[Read More] Persistent Pulsating Sensation on the Left Side of the Head: Causes and Solutions
Understanding Body Vibrations and Limb Numbness: Neurological Insights
There is a sensation of vibration throughout the body, and the limbs often experience feelings of numbness, tingling, and soreness? Hello, doctor~~~ Recently, I've been feeling a persistent vibration sensation in my body, like an urge to shake that I can't seem to relea...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms seem to resemble those of hyperventilation, especially if you are experiencing numbness in the face and fingertips. However, some individuals may also experience localized numbness due to cervical nerve root compression. Compression...[Read More] Understanding Body Vibrations and Limb Numbness: Neurological Insights
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 Dizziness and Cognitive Issues: When to See a Neurologist
Dizziness and difficulty concentrating? Doctor! I sometimes experience dizziness and a slight headache at the back of my head. I also feel a sensation of something stuck in my throat. Today, while writing, I found it very difficult to write smoothly, and my fingers felt quite unc...
Dr. Jiang Junyi Reply:
Hello: Regarding the discomfort in your neck and the numbness in your fingers, it is important to first consider cervical nerve root compression, which can present with pain, soreness, muscle stiffness, or a feeling of heaviness. Symptoms may worsen with changes in weather. I rec...[Read More] Understanding Dizziness and Cognitive Issues: When to See a Neurologist
Understanding Numbness in the Middle Toe: Causes and Diagnosis
Numbness in the middle toe? Hello, doctor... I noticed a tingling sensation in my left middle toe and its joint over ten years ago. Now, it has become very pronounced, with a feeling of numbness extending from my left middle toe to the entire toe, especially noticeable when I was...
Dr. Jiang Junyi Reply:
Hello, the lumbar nerve root compression you mentioned commonly presents with symptoms such as numbness and pain radiating to one side of the lower limb. If the numbness is limited to the middle finger, it may be necessary to consider peripheral nerve compression or inflammation ...[Read More] Understanding Numbness in the Middle Toe: Causes and Diagnosis
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 Toe Twitching After Fibula Fracture: Causes and Concerns
Toe twitching Hello doctor, I recently suffered a closed fibula fracture near my ankle. I have been in a cast for three weeks. Since then, I have mostly been lying flat or sitting up in bed with my leg elevated. Yesterday, I suddenly felt a slight tingling sensation in my big toe...
Dr. Jiang Junyi Reply:
Hello: The symptoms you described may suggest a peripheral nerve disorder. If your toe twitching is accompanied by pain or numbness, it could indicate nerve compression. The deep peroneal nerve and superficial peroneal nerve innervate the peroneus longus and brevis muscles, tibia...[Read More] Understanding Toe Twitching After Fibula Fracture: Causes and Concerns
Understanding Dizziness and Nausea During Study Sessions: Causes and Solutions
Dizziness, hello? Hello, I have an upcoming exam and sometimes I find myself playing on the computer first. When I think about the exam, I try to study, but even in school, while attending classes, my eyes start to flicker, I feel dizzy, and I want to vomit. I’ve asked others, an...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider a migraine with aura. Symptoms include visual disturbances such as seeing stars and flashes of light, as well as blurred or distorted vision, which are all signs of a migraine aura. A few minutes after the aura app...[Read More] Understanding Dizziness and Nausea During Study Sessions: Causes and Solutions
Wrist Pain During Pull-Ups: Understanding Nerve and Ligament Issues
Experiencing intermittent pain in the wrist while doing pull-ups? Hello Dr. Jiang: I have a habit of weight training, and during my pull-up exercises, I experience an issue with my right wrist. While pulling up, I do not feel any tingling or pain in my right wrist (with both hand...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to carpal tunnel syndrome. This condition is caused by compression of the median nerve as it passes through the wrist, leading to numbness and tingling in the index finger, middle finger, and thumb. Clinically, a neurologist will arrange for ...[Read More] Wrist Pain During Pull-Ups: Understanding Nerve and Ligament Issues
Understanding Hip and Thigh Pain: Causes and Treatment Options
Pain in the hip and thigh region? Hello doctor, my mother is currently 64 years old. Two years ago, she injured her lower back while lifting heavy objects. Initially, the pain was not severe, but after receiving a massage at a traditional Chinese medicine clinic, her condition wo...
Dr. Jiang Junyi Reply:
Hello: Your mother's symptoms may indicate localized tissue or nerve inflammation. The distribution of the symptoms may correspond to the area innervated by the sciatic nerve. Generally, for neuritis or injury, medications such as anti-inflammatory pain relievers and vitamin...[Read More] Understanding Hip and Thigh Pain: Causes and Treatment Options
Can I Take Mycobal for Facial Nerve Paralysis Recovery?
Medications for Facial Nerve Palsy Hello, about a month ago I experienced facial nerve paralysis on the left side of my face. I have been taking steroids and B vitamins, and my symptoms have improved by more than 90% so far. I am currently on the lowest dose of steroids (one pill...
Dr. Jiang Junyi Reply:
Hello: Mecobalamin, the main component of which is vitamin B12, has the following functions: 1. Improves nucleic acid and protein metabolism in nerve cells: It participates in the synthesis of nucleic acids and nucleoproteins, activating the metabolism and biosynthesis of amino a...[Read More] Can I Take Mycobal for Facial Nerve Paralysis Recovery?
Understanding Numbness in Hands and Feet: Causes and Concerns
Numbness in the palms and soles? About two weeks ago, I experienced numbness in my fingers and toes (both hands and feet). It was more pronounced when lying down or sitting, but not when standing. A few days later, the symptoms disappeared, but this week they have returned, exten...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to first consider hyperventilation syndrome. The typical symptoms include chest tightness, chest pain, palpitations, shortness of breath, and numbness in the hands and feet, as well as scalp tingling. Physical examination may ...[Read More] Understanding Numbness in Hands and Feet: Causes and Concerns
Understanding Right-Sided Numbness: Possible Causes and Concerns
Numbness in the right side of the limbs? Hello doctor, I am 19 years old. About three weeks ago, I started feeling something unusual in my right hand, which felt different from my left hand, but it wasn't quite numb. I didn't pay much attention to it at the time, but re...
Dr. Hong Weibin Reply:
Hello: In addition to stroke, the most common cause of numbness in the hands and feet is peripheral nerve compression, such as cervical or lumbosacral radiculopathy, and peripheral nerve entrapment (for example, carpal tunnel syndrome, cubital tunnel syndrome, etc.). Additionally...[Read More] Understanding Right-Sided Numbness: Possible Causes and Concerns
Essential Tests for Stroke and Dementia in Elderly Patients
Examination items for stroke/dementia in the elderly? Hello, my mother is 73 years old. Last month, she had a cold and visited a clinic near our home for medication. The following afternoon, she went out as usual but did not return home for a long time. In the evening, family mem...
Dr. Hong Weibin Reply:
Hello, thank you for your inquiry. Your concern for your mother is truly touching. Based on your description, it seems that your mother is experiencing acute altered mental status (personality changes, slowed movements). Your neurologist is correct; potential causes could include...[Read More] Essential Tests for Stroke and Dementia in Elderly Patients
Understanding Dizziness, Palpitations, and Headaches: A Neurological Perspective
Headache, dizziness, and increased heart rate? Hello Doctor, about a year and a half ago, I had a severe cold, after which I began experiencing symptoms of premature ventricular contractions. I underwent an echocardiogram, which showed normal results, but the arrhythmia has persi...
Dr. Jiang Junyi Reply:
Based on your description: You mentioned symptoms of dizziness, which may need to consider a drop in blood pressure or cerebral vasoconstriction leading to reduced cerebral blood flow, resulting in cerebral hypoxia. Syncope is more likely to occur when a person is standing. Many ...[Read More] Understanding Dizziness, Palpitations, and Headaches: A Neurological Perspective
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 the Differences Between Bulging and Herniated Discs: A Guide
Herniated disc Hello, doctor. Recently, I underwent a self-paid full-body MRI, and in the spine section, it showed: 1. C4/5/6 central bulging disc with mild spinal cord compression. 2. L5/S1 herniated disc. Both conditions are referred to as disc herniation (HIVD) in Chinese. Cou...
Dr. Jiang Junyi Reply:
According to your description, the main difference between a bulging disc and a herniated disc lies in the severity. A herniated disc is typically more serious, as it has already caused compression of the surrounding tissues. If it compresses a nerve root, it can lead to symptoms...[Read More] Understanding the Differences Between Bulging and Herniated Discs: A Guide
Headache and Dizziness After Nose Injury: Is It Related?
Nasal trauma causing headache? Hello, four days ago while training my dog, I was hit on the bridge of my nose, which resulted in swelling. About 20 minutes later, I suddenly experienced pain in my temples and then vomited four times. After that, I continued to feel dizzy and naus...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head trauma is mostly mild. However, the following conditions should prompt consideration of delayed bleeding and a visit to the emer...[Read More] Headache and Dizziness After Nose Injury: Is It Related?
Can Antibiotics Cause Peripheral Neuropathy? Symptoms and Treatment Options
Peripheral neuropathy? Doctor: Hello, may I ask if antibiotics (such as Levofloxacin) can potentially cause peripheral neuropathy? If it does occur, what relief and treatment options are available? I have experienced peripheral neuropathy after taking antibiotics for an extended ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your report mentions polyneuropathy, but cervical radiculopathy cannot be ruled out. There are many potential causes, and in addition to medications, some internal diseases such as diabetes can also lead to neuropathy. I recommend that you consul...[Read More] Can Antibiotics Cause Peripheral Neuropathy? Symptoms and Treatment Options
Understanding Numbness in Left Toes: Causes and Treatment Options
Numbness in the toes of the left foot? Hello Dr. Jiang, I have a question I would like to ask you. I have a mild scoliosis, which has caused the muscles in my left upper back to be more prominent, and I experience more frequent soreness in that area. Since the beginning of this y...
Dr. Jiang Junyi Reply:
Hello, based on your description, subtle nerve injury and inflammation may sometimes not be detectable through nerve conduction studies, and are primarily assessed through physical examination. Given your issue with scoliosis, it may also be necessary to consider lumbar nerve roo...[Read More] Understanding Numbness in Left Toes: Causes and Treatment Options