Understanding Involuntary Muscle Twitches: Causes and Solutions
Muscle twitching Hello Doctor: I have been experiencing involuntary muscle twitching throughout my body, along with a sensation of soreness in my left hand and foot. My neck has also been persistently tight and painful. These symptoms have been present for about a year. Initially...
Dr. Lan Shengxing Reply:
Dear Sam, the symptoms you described differ somewhat from those of amyotrophic lateral sclerosis (ALS). There is no need to worry excessively about cervical spine issues or problems arising from sleep itself. However, if you have undergone cervical spine imaging and electromyogra...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Muscle Tension: Symptoms and Possible Syndromes
General muscle tension? Hello, I currently do not have any chronic or congenital diseases, but there is something that has troubled me since childhood, and I would like to ask whether it might be a specific syndrome or if treatment is necessary. I have had a stuttering problem si...
Dr. Gao Chunde Reply:
Based on the symptom description, there are indications of Parkinsonian syndrome or dystonia. To determine the specific underlying condition, further evaluation and examination are necessary. Treatment should be tailored according to the diagnosis. It is recommended to visit a ma...[Read More] Understanding Muscle Tension: Symptoms and Possible Syndromes
Understanding Occipital Headaches: Causes, Symptoms, and When to Seek Help
Occipital headache Hello doctor, about a week ago, I experienced a sudden tightening pain in the back of my head while masturbating before bed. The pain stopped when I ceased the activity. The next day, I repeated the same behavior and felt the pain again, but it was less intense...
Dr. Gao Chunde Reply:
This is a rare type of headache known as sexual headache, which occurs during sexual activity, masturbation, or orgasm. Individuals who experience this type of headache may not have it every time they engage in these activities, and the headache typically diminishes within a few ...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and When to Seek Help
Understanding Headaches and Vision Issues: When to Seek Neurology Care
Please provide the content you would like to have translated into English? Hello, Doctor: I would like to ask you a question. If a vision test shows 1.2, indicating normal vision, but I occasionally experience stiffness in my shoulders and neck, along with headaches (possibly aro...
Dr. Gao Chunde Reply:
Vision is normal, but sometimes it becomes blurry or unfocused when looking at the computer, which may be caused by eye fatigue leading to weakened accommodation of the ciliary muscle. To alleviate this, it is recommended to take a break after using the eyes for thirty minutes, m...[Read More] Understanding Headaches and Vision Issues: When to Seek Neurology Care
Understanding Muscle Twitches: When to Worry About Neurological Issues
Muscle twitching Since June of last year, I have been experiencing twitching in my left eyelid. After a month of this, I visited a neurologist who prescribed muscle relaxants and Riluzole, asking me to observe the symptoms for two weeks before returning for a follow-up. During th...
Dr. Gao Chunde Reply:
In fact, muscle twitching is primarily associated with peripheral nerve and muscle issues in the field of neurology, and it is not easily linked to the central nervous system unless there is a confirmed problem with the peripheral nerves, and the lesions point to an invasion of t...[Read More] Understanding Muscle Twitches: When to Worry About Neurological Issues
Understanding Painful Blackened Feet: Possible Causes and Treatments
The lower legs and feet are dark in color, with holes present, and there is severe pain that feels like stabbing. Additionally, there is a sensation of hardness in the soles of the feet? 1. Several years ago, my mother developed dark discoloration in both of her lower legs. Initi...
Dr. Jiang Junyi Reply:
Based on your description, it is unclear whether your mother has a history of hypertension, diabetes, or tumors. There are many potential causes for chronic inflammation and sensory abnormalities in the lower extremities, which can lead to changes in skin color, such as venous in...[Read More] Understanding Painful Blackened Feet: Possible Causes and Treatments
Unconscious Neck Twitches: Understanding Stress and Muscle Tension
Unconscious twitching? When I feel tension and pressure in my neck, it involuntarily twitches. This started in high school when I switched classes and began to meet new classmates. In class or in social situations, I put pressure on myself, and when my neck feels sore, I don’t im...
Dr. Gao Chunde Reply:
It is a type of involuntary movement characterized by neck spasms, typically manifesting during elementary school years, with symptoms gradually easing in adolescence. If there are multiple areas of motor tics or complex movements accompanied by involuntary sounds or inappropriat...[Read More] Unconscious Neck Twitches: Understanding Stress and Muscle Tension
Understanding Numbness in the Right Big Toe: When to See a Specialist
Numbness in the big toe without pain sensation? Hello, Doctor Gao. Recently, the outer side of my right big toe has been in a state of numbness. I haven't bumped it or been bitten by any insects. It doesn't hurt when I press on it, and there are no wounds. This has been...
Dr. Gao Chunde Reply:
It is likely that there is an issue with the medial plantar nerve's branch to the big toe. Since it is a distal nerve, it is generally difficult to detect through standard nerve conduction studies. This condition is usually due to post-compression changes, particularly from ...[Read More] Understanding Numbness in the Right Big Toe: When to See a Specialist
Understanding Migratory Pain During Sleep: A Neurological Perspective
Experiencing body pain while sleeping? Hello, Doctor: I experience "migratory" pain throughout my body while sleeping (in my head, neck, hands, feet, body, and groin). The pain shifts around (it hurts in one area for a moment, then disappears when I touch it, and then i...
Dr. Gao Chunde Reply:
There are generalized sensory abnormalities that are migratory in nature, but they tend to resolve on their own with some sensory feedback, occurring during sleep. It is agreed that this is a central nervous system dysfunction, but I am unable to provide a definitive diagnosis at...[Read More] Understanding Migratory Pain During Sleep: A Neurological Perspective
Understanding Left Shoulder Blade Numbness and Facial Asymmetry
Numbness in the left shoulder blade? Hello, doctor. I have been experiencing occasional numbness near my left scapula close to the armpit, and it can even be painful when pressed. This symptom has persisted for over a year. I would like to know if I need to go to the hospital. Al...
Dr. Lan Shengxing Reply:
Hello Rick, the issue with your left scapula may be related to an old injury causing nerve regeneration entrapment, or there could be other lesions causing compression, depending on your past medical history and whether your current symptoms have progressed. If the symptoms are w...[Read More] Understanding Left Shoulder Blade Numbness and Facial Asymmetry
Persistent Tension in the Neck and Head: Causes and Solutions
Frequent tightness in the back of the head and neck, along with a feeling of fullness in the right ear? Your question: Hello Doctor, I have been experiencing tightness and discomfort from the back of my head down to the back of my neck for about six months. I consulted an orthope...
Dr. Lan Shengxing Reply:
Most of these conditions are attributed to tension-type headaches or cervical and shoulder syndrome. The source is muscle tension that cannot relax properly. It is recommended to use muscle relaxants, apply heat therapy, and engage in light exercise to manage the symptoms.[Read More] Persistent Tension in the Neck and Head: Causes and Solutions
Understanding Involuntary Head and Facial Movements: A Patient's Journey
Involuntary movements of the head include constant tension and shaking of the head, face, and ears throughout the day? Hello, Dr. Gao! I have been suffering from involuntary tension and shaking in my head, face, and ears for nearly fourteen years. It has been incredibly painful, ...
Dr. Gao Chunde Reply:
Based on your description, both neurology and psychiatry should be followed up with regular appointments for treatment. Additionally, participating in activities such as hospital volunteering or other programs that provide care and support to patients can be beneficial. By helpin...[Read More] Understanding Involuntary Head and Facial Movements: A Patient's Journey
Understanding Persistent Sounds in the Left Back of the Head
There are often sounds occurring in the left posterior part of the brain? Hello, Doctor. I have been experiencing sounds in the left back of my head for almost a year now. Recently, for the past two months, it has been occurring several times a day. Previously, it only happened o...
Dr. Gao Chunde Reply:
If this sound can also be heard by others, or if it pulsates in sync with your heartbeat, it is advisable to see a neurologist as soon as possible. This could be due to turbulent sounds generated by vascular abnormalities in the intracranial area or the meninges, or other underly...[Read More] Understanding Persistent Sounds in the Left Back of the Head
Can Brain Hemorrhages Heal on Their Own? Understanding Recovery and Repair
Cerebral hemorrhage in children Will a brain hemorrhage absorb on its own? If the brain nerves are injured, will they repair themselves?
Dr. Gao Chunde Reply:
There are many types of intracranial hemorrhage, including intracerebral hemorrhage, subarachnoid hemorrhage, subdural hemorrhage, and intraventricular hemorrhage. Some are single episodes of bleeding, while others involve gradual bleeding. The causes are numerous; in addition to...[Read More] Can Brain Hemorrhages Heal on Their Own? Understanding Recovery and Repair
Understanding Scalp Pain and Swelling: When to See a Specialist
Is there a painful lump under the scalp? Sometimes, I experience pain in the areas of my scalp where there are whirlpools, and after the pain occurs, the scalp becomes noticeably swollen. Even when there is no pain, there is still some swelling. I'm unsure if this could affe...
Dr. Gao Chunde Reply:
To determine whether the swelling is persistent, if it remains swollen throughout the day and shows a trend of increasing in size each day, it is important to seek medical evaluation promptly, preferably with a neurologist. If the swelling occurs and then subsides repeatedly, it ...[Read More] Understanding Scalp Pain and Swelling: When to See a Specialist
Left Leg Discomfort: When to Seek Medical Advice for Nerve Issues
Left leg soreness with abnormal sensations? I have been experiencing many discomfort symptoms recently. I have undergone a cardiac ultrasound, cervical spine MRI, chest X-ray, EEG, and visual evoked potentials, all of which did not reveal any issues. The neurologist believes that...
Dr. Gao Chunde Reply:
There are some symptoms of sciatica, as well as mild symptoms of restless legs syndrome. If the symptoms become more persistent and pronounced, it would be advisable to return to a neurologist for evaluation. Perhaps some diagnostic tests can confirm the condition, and targeted t...[Read More] Left Leg Discomfort: When to Seek Medical Advice for Nerve Issues
Break Free from Blushing: Innovative Surgery for Social Anxiety
Easily blushing sympathetic nerve surgery? In Spain, a surgical procedure has been developed to treat excessive blushing associated with shyness. According to Spanish doctors, blushing due to shyness can be considered a medical condition that, if severe, may lead to psychological...
Dr. Gao Chunde Reply:
This type of sympathetic nerve surgery performed through the armpit is used in Taiwan to treat hyperhidrosis, and its effectiveness for facial blushing still needs to be confirmed by thoracic surgeons who frequently perform this procedure. For them, this surgery is considered min...[Read More] Break Free from Blushing: Innovative Surgery for Social Anxiety
Is This a Case of Delusional Disorder? Understanding A's Symptoms
Is this a delusional disorder? Is this a case of delusional disorder? Ms. A believes that Ms. B has stolen her family and all of her clothing. Ms. A insists that these are her purchased clothes and questions why they would be worn for only 1-2 days before appearing at Ms. B'...
Dr. Huang Yongquan Reply:
It is recommended to interact with Ms. A using each other's preferred communication methods and to arrange for a medical appointment as soon as possible.[Read More] Is This a Case of Delusional Disorder? Understanding A's Symptoms
Understanding Facial Flushing and Dizziness: Neurological Insights
Facial flushing and warmth? Hello, whenever the air is stagnant, my face becomes very red, and I often feel dizzy and heavy-headed. Sometimes I feel nauseous, and when I exercise, my face turns extremely red and feels hot, with a heavy sensation in my head that takes a long time ...
Dr. Gao Chunde Reply:
Facial flushing is a phenomenon caused by the dilation of subcutaneous microvessels, which occurs when the body needs to increase heat dissipation due to warmth or exertion. The degree of response varies among individuals; for example, some people may flush easily after consuming...[Read More] Understanding Facial Flushing and Dizziness: Neurological Insights
Understanding Pulsating Blood Vessels in the Nose and Headaches
Pulsating blood vessels in the nasal bridge and headache? Hello! About three years ago, I started to notice a pronounced pulsation of the blood vessels on the left side of my nasal bridge. Initially, this was accompanied by a feeling of pressure in the facial area near the nasal ...
Dr. Lan Shengxing Reply:
Hello, anonymous patient. The pulsation of the blood vessels can indeed be a bothersome issue. It may be necessary to have a blood test to determine if it is vasculitis. Additionally, you might consider consulting an otolaryngologist for further advice.[Read More] Understanding Pulsating Blood Vessels in the Nose and Headaches