Understanding Foot Pain: When to See a Specialist for Relief
Toe pain and forefoot pain? Hello, Doctor. I have been experiencing pain, tightness, soreness, numbness, and weakness in my foot for the past two years. I have undergone 12 sessions of shockwave therapy, each with 10,000 pulses, but the symptoms remain the same, although there ha...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, You mentioned experiencing "foot pain, tightness, soreness, numbness, and weakness for the past two years, despite having undergone 12 sessions of shockwave therapy, each with 10,000 pulses, and still feeling the same after two years." I recommend that y...[Read More] Understanding Foot Pain: When to See a Specialist for Relief
Understanding the Connection Between Chronic Migraines and Eye Twitching
Chronic migraines and eyelid twitching issues? Hello, Doctor! I was previously diagnosed with aura migraines at a small clinic, and it has been nine years since my first episode, occurring approximately every four months. Before an attack, I experience photophobia, blurred vision...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "the upper right eyelid keeps twitching, occurring every few minutes, and has been happening for four to five days." Your symptoms are more indicative of migraine-related symptoms. You also noted experiencing some visual disturbances wh...[Read More] Understanding the Connection Between Chronic Migraines and Eye Twitching
Understanding Balance Issues and Dizziness: Causes and Solutions
Sometimes when sitting, I feel unsteady, and occasionally when lying down, I experience dizziness? Hello doctor, I have poor posture and often find myself looking down. One day, while lying on a chair, I started to feel unsteady, as if my body was leaning forward. Then, another d...
Dr. Jiang Junyi Reply:
Hello Mr. QWZ: You mentioned that "when turning over, I feel a pull in my back and start to feel dizzy," which may suggest the need to rule out cervicogenic dizziness. The symptoms of dizziness could originate from the cervical spine. You may experience nausea during mo...[Read More] Understanding Balance Issues and Dizziness: Causes and Solutions
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Hello, doctor. Since April of last year, I have been experiencing muscle twitching, primarily located just below the left arch of my foot (I have flat feet and a collapsed arch; additionally, I had a severe ankle sprain in high school that resulted in tightness i...
Dr. Hong Weibin Reply:
Hello: The body's muscles are controlled by nerves, which function like electrical wires, transmitting currents to control muscle movements. However, these wires can occasionally be affected by external factors such as temperature and humidity, leading to electrical leakage....[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Balance Issues and Headaches: When to Seek Help
A few days ago, I posted about the issue of headaches? Hello, I asked a question here a few days ago, and Dr. Jiang's response was that if I am very concerned, I can pay for an examination. Over the past few days, my headache has indeed improved, but last night I suddenly fe...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that you suddenly feel as if your balance is unstable and you might fall to the side. If you are concerned, I recommend the following principle for seeking medical attention: find a nearby hospital with an emergency department where you can have inte...[Read More] Understanding Balance Issues and Headaches: When to Seek Help
Post-Surgery Tinnitus: Understanding Symptoms and Next Steps
Tinnitus after brain surgery? Two years ago, a family member experienced a subarachnoid hemorrhage and underwent surgery. Subsequently, due to hydrocephalus, they had a ventriculoperitoneal shunt placed. There was damage to the language area, and it took nearly a year for their s...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the tinnitus is not constant; it appears about 2 hours after getting up and is accompanied by a feeling of fullness, sometimes in one ear and sometimes in both. However, the condition improves when lying down or bending forward." Your symptoms...[Read More] Post-Surgery Tinnitus: Understanding Symptoms and Next Steps
Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Involuntary muscle twitching on the inner side of the left foot? The inner side of my left foot has been twitching involuntarily, and sometimes the big toe also twitches along with it. This condition persisted for an entire day the day before yesterday, and since then it has not ...
Dr. Hong Weibin Reply:
Hello: The muscles in the body are controlled by nerves, which function like electrical wires, transmitting signals to control muscle movements. However, just as electrical wires can occasionally experience leakage due to external factors like temperature and humidity, muscles ma...[Read More] Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Is Your Itchy Sensation a Sign of Restless Legs Syndrome?
Itching in the muscles could be a symptom of Restless Legs Syndrome (RLS), but it is important to consider other potential causes as well. RLS is characterized by an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations. If you are experiencing persi...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "I can't even reach the itchy spot, and later discovered that the itch is deep inside." If it is an allergy, it could potentially be systemic. However, if your symptoms are localized to specific areas of nerve distribution, peripheral...[Read More] Is Your Itchy Sensation a Sign of Restless Legs Syndrome?
Understanding Perceptual Disturbances in Children After Gastroenteritis
Surrounding speed increases? The child is currently 10 years old. On June 12, he was diagnosed with gastroenteritis due to fever and vomiting. During the week of rest and medication for the fever, he experienced sensations of others speaking faster or moving more quickly, as well...
Dr. Jiang Junyi Reply:
Hello Emily: You mentioned that "during the week of fever and vomiting confirming gastroenteritis, there were 1-2 instances where I felt that others were speaking faster." This may need to be considered as drug-induced extrapyramidal symptoms, specifically Akathisia, wh...[Read More] Understanding Perceptual Disturbances in Children After Gastroenteritis
Burning Feet: Understanding Causes and Seeking the Right Specialist
Burning sensation in the soles of the feet? I constantly feel a burning sensation in the soles of my feet, and they become sore and weak after standing for a long time. I have consulted many specialties, but no cause has been identified. Could you please advise if there might be ...
Dr. Jiang Junyi Reply:
Dear Ms. Su, You mentioned that you feel a constant burning sensation in the soles of your feet, which is indicative of peripheral neuropathy. Symptoms of peripheral nerve compression include: 1. Pain characterized by burning and tingling sensations. 2. Symptoms that have a spec...[Read More] Burning Feet: Understanding Causes and Seeking the Right Specialist
Burning Feet: Understanding Neurological Causes and Solutions
Burning sensation in the soles of the feet? I constantly feel a burning sensation in the soles of my feet, and they become sore and weak after standing for a long time. I have consulted various specialists, but no cause has been identified. Could you please advise if there might ...
Dr. Jiang Junyi Reply:
Dear Miss Su, You mentioned that "the soles of my feet feel hot all the time," which is a symptom associated with peripheral neuropathy. Symptoms of peripheral nerve compression include: 1. Pain characterized by burning sensations and tingling; 2. Symptoms that have a ...[Read More] Burning Feet: Understanding Neurological Causes and Solutions
Understanding Proximal Limb Pain and Tremors: Possible Neurological Issues
Numbness and tingling in the hands and feet may occur along with tremors? Hello, doctor. I would like to ask what could be causing proximal limb pain. In addition to the pain, my mobility is slightly affected; sometimes, after walking a little, my legs start to shake uncontrollab...
Dr. Jiang Junyi Reply:
Dear Ms. Winnie, You mentioned, "What could be the cause of proximal limb pain? Besides the pain, the symptoms slightly affect my mobility, and sometimes after walking a bit, my legs tremble uncontrollably." Your symptoms may indicate not only muscle pathology but also...[Read More] Understanding Proximal Limb Pain and Tremors: Possible Neurological Issues
Understanding Proximal Limb Pain and Tremors: Possible Causes and Solutions
Numbness and tingling in the hands and feet may occur along with tremors? Hello, doctor. I would like to ask what could be the possible issues causing proximal limb pain. In addition to the pain, my mobility is slightly affected; sometimes when I walk a little, my legs start to s...
Dr. Jiang Junyi Reply:
Hello, Miss Winnie: You mentioned, "What could be the cause of proximal limb pain? Besides the pain, my mobility is slightly affected, and sometimes when I walk a little, my legs tremble continuously." Your symptoms may indicate not only muscle pathology but also a pot...[Read More] Understanding Proximal Limb Pain and Tremors: Possible Causes and Solutions
Understanding Isaac's Syndrome: Managing Muscle Spasms and Mobility Issues
Involuntary muscle twitching? Since July of last year, I have been experiencing involuntary muscle twitching in my legs, and now it has become difficult for me to move; even standing and walking are problematic. I have been to the hospital for examinations, and they diagnosed me ...
Dr. Hong Weibin Reply:
Hello: It is recommended that you discuss the disability assessment with your primary physician. Typically, to confirm whether it is amyotrophic lateral sclerosis (ALS), an electromyography (EMG) test will be conducted. You may want to discuss this with your physician.[Read More] Understanding Isaac's Syndrome: Managing Muscle Spasms and Mobility Issues
Breathing and Thinking: Understanding Cognitive Disruption in Neurology
Breathing and thinking cannot occur simultaneously? I have recently been experiencing issues where I often forget to breathe while thinking or talking to others. Sometimes I realize I need to breathe halfway through my thoughts, which interrupts my thinking process. To ensure I b...
Dr. Jiang Junyi Reply:
Hello Mr. MJ: You mentioned, "When I woke up that morning, my mind was blank, and I felt a dullness in my head, almost like a sensation of hypoxia?" Your symptoms may warrant consideration of certain medications that can cause memory difficulties, such as antihistamines...[Read More] Breathing and Thinking: Understanding Cognitive Disruption in Neurology
Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Pulsatile tinnitus I experience pulsatile tinnitus in my right ear every night. I had an EEG done, which showed no issues, and the medication prescribed has not improved my condition. My hearing is fine. I am scheduled for an MRI on the 24th, but due to the peak of the pandemic a...
Dr. Jiang Junyi Reply:
Dear Miss Lin, You asked, "Can a metal dental implant undergo MRI?" The imaging from an MRI may be affected by metal, potentially causing artifacts. However, the physician will interpret the results based on the available data. You also mentioned, "Straining durin...[Read More] Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Understanding Involuntary Facial and Hand Tremors: When to See a Neurologist
If you have been experiencing persistent twitching in the forehead area and involuntary shaking in both hands for nearly a year, it would be appropriate to consult a neurologist? The mother-in-law's forehead has been twitching continuously, especially when she is focused on ...
Dr. Hong Weibin Reply:
Hello: You may seek assistance from a neurologist to differentiate the types of tremors commonly seen in the elderly, such as physiological tremor, Parkinsonian tremor, drug-induced tremor, and essential tremor, among others.[Read More] Understanding Involuntary Facial and Hand Tremors: When to See a Neurologist
Understanding Pulsating Dorsalis Pedis Artery: When to Seek Medical Attention
Dorsalis pedis artery pulsation is prominent? In the past two weeks, I have noticed a significant pulsation in the arteries on the dorsum of my right foot. There is no numbness in my foot, and I haven't been standing or walking for long periods. Most of the time, I can feel ...
Dr. Jiang Junyi Reply:
Hello Ms. BB: You mentioned that "the artery on the dorsum of your right foot is noticeably pulsating." Have you compared the pulsation of the dorsalis pedis arteries on both sides? Generally, we should not be able to feel the pulsation of blood vessels, but if the arte...[Read More] Understanding Pulsating Dorsalis Pedis Artery: When to Seek Medical Attention
Managing Mild Dementia: Strategies for Caregivers and Health Concerns
Could you please clarify the relationship between dementia and occasional shortness of breath along with feelings of weakness? Hello Doctor, recently my father took my mother to the hospital for a neurology examination, and the doctor informed us that my mother has mild dementia....
Dr. Hong Weibin Reply:
Hello: In addition to pharmacological treatment for dementia, there are non-pharmacological interventions, including occupational therapy, cognitive training, reminiscence therapy, art therapy, and social activities, among others. You can contact the dementia care centers or long...[Read More] Managing Mild Dementia: Strategies for Caregivers and Health Concerns
Understanding Systemic Tingling: Possible Causes and Next Steps
Generalized tingling and numbness? Hello Dr. Jiang, this is Mr. Wu, who inquired about multiple sclerosis last time. I had a follow-up appointment on May 6th, and the cervical MRI report showed normal results. I informed the physician about the tingling sensation in the soles of ...
Dr. Jiang Junyi Reply:
Hello: You are currently on too many medications, and many gastrointestinal drugs can actually be adjusted. For example, the side effects of EPILON may include dry mouth, vomiting, constipation, urinary retention, blurred vision, headache, fatigue, and skin flushing, among others...[Read More] Understanding Systemic Tingling: Possible Causes and Next Steps