Understanding Internal Tremors: When to Seek Neurological Help
Internal tremors Hello, doctor. I have a question. When I wake up from sleep and lie flat, I feel a tremor in my body, although there is no visible shaking. It feels as if there are two hearts beating inside me, accompanied by numbness in my palms upon waking. Occasionally, I als...
Dr. Jiang Junyi Reply:
Hello: Your first question concerns body tremors. It may be necessary to consider that muscle tension is excessively high due to an inability to relax. Clinically, symptoms are often improved through relaxation training or the use of sedative medications. It is recommended that y...[Read More] Understanding Internal Tremors: When to Seek Neurological Help
Unusual Sensations on the Left Side of the Head: Causes and Concerns
I feel strange sensations on the left side of my head? I have been feeling strange in the left side of my head for a week, as if I have been on the phone for too long and the electromagnetic waves are making my brain feel odd. My left big toe has been numb for about a year, and t...
Dr. Jiang Junyi Reply:
Hello: Your issue may need to first rule out cervical nerve root compression before considering abnormalities in brain structure. External factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rotation can lead to cervical...[Read More] Unusual Sensations on the Left Side of the Head: Causes and Concerns
Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
Involuntary twitching of the eyes and a feeling of weakness in the limbs? Hello Doctor, Two weeks ago, I started experiencing twitching in the area under my right eye, which has continued until now. A few days later, I noticed frequent twitching in the back of my left foot and ...
Dr. Cai Zongzhang Reply:
Hello, you have many concerns about your symptoms. You have undergone relevant examinations, and it is recommended that you follow up with your physician based on the test results. Until a diagnosis is confirmed, try to relax and not let worry affect your mood.[Read More] Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
Understanding Numbness in Limbs: Possible Causes and Concerns
Causes of Limb Numbness Hello Doctor, I have been experiencing numbness in my limbs for about two to three weeks. It started one night when I woke up, and the previous evening I had taken a steam bath. Sometimes it is painful and feels like an electric shock. About 80% of the tim...
Dr. Hong Weibin Reply:
Hello: Your symptoms indeed suggest the possibility of multiple sclerosis; another potential diagnosis could be polyneuropathy. Typically, further examinations are required to confirm the diagnosis, which may include nerve conduction studies, evoked potentials, lumbar puncture, a...[Read More] Understanding Numbness in Limbs: Possible Causes and Concerns
Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders
Dizziness, back pain, and sweating of the hands? Hello Doctor, I have been experiencing dizziness frequently in the mornings, around 8 to 10 AM, which makes it difficult for me to concentrate at work. Before the dizziness occurs, I often feel a soreness in my back or a sensation ...
Dr. Jiang Junyi Reply:
Hello, based on your description: in addition to autonomic nervous system issues, it may be necessary to consider the possibility of arrhythmias. Furthermore, sleep apnea could also exacerbate the symptoms. Our autonomic nervous system is regulated by the sympathetic and parasymp...[Read More] Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders
Understanding Delayed Symptoms After a Concussion: What to Know
Head trauma Hello doctor, I would like to ask about a concussion I had from a car accident. I was wearing a helmet when I hit my head on the ground, and I was conscious at the time. During the week following the incident, I only experienced dizziness, which resolved after a week....
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, as the likelihood of intracranial hemorrhage is relatively low. External factors such as traffic accidents, falls, impacts to the head against hard objects, or excessive force during cervi...[Read More] Understanding Delayed Symptoms After a Concussion: What to Know
Understanding Hand Cramps: Causes, Symptoms, and Relief Strategies
Prolonged hand cramps? I started feeling discomfort in my hand since last night. I used the restroom that day and had some alcohol before going to bed. When I tried to sleep, I experienced painful muscle cramps in my hand, which made it impossible to fall asleep. After some stret...
Dr. Cai Zongzhang Reply:
Hello, alcohol consumption may affect neuronal transmission, especially if you experienced fatigue the previous day. It is advisable to continue monitoring your condition, and if symptoms persist, it is recommended to seek further medical attention.[Read More] Understanding Hand Cramps: Causes, Symptoms, and Relief Strategies
Understanding Numbness in the Thigh: Causes and Next Steps
Numbness in the thighs while lying flat? Hello, Doctor. Symptoms: For about two years, when I lie flat to sleep, I often experience numbness on the outer side of my left thigh, but I do not have this issue when standing or sitting. Additionally, when I press on both thighs, the p...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider inflammation of the lateral femoral cutaneous nerve. Pain or numbness occurs in the anterior lateral thigh, generally in an area about the size of a palm, and may sometimes radiate to the lateral aspect of the knee...[Read More] Understanding Numbness in the Thigh: Causes and Next Steps
Understanding Facial Twitches and Sleep-Related Numbness: When to Seek Help
Facial twitching? Hello Doctor: I have two questions to ask. 1. I have been experiencing intermittent twitching in the philtrum area below my nose for several days, and I'm not sure what it could be; I am a bit worried. 2. I tend to sleep on my side and change positions whil...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the intermittent twitching in the philtrum area has been ongoing for several days, and you are unsure about the cause, which is causing some concern. If there are no other issues, this could be considered facial nerve instability, leading to minor muscle...[Read More] Understanding Facial Twitches and Sleep-Related Numbness: When to Seek Help
Understanding Right Back and Hand Numbness: Causes and Solutions
Numbness in the right upper back? Hello Doctor, I would like to ask if it is possible that my poor sitting posture from long hours of working at a computer is causing my symptoms. Initially, I experienced numbness extending from my right pinky finger to my palm, but it doesn'...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest compression of the cervical spine at the seventh vertebra and the first thoracic nerve root, leading to numbness extending to the little finger. This could be due to prolonged poor posture while looking down, resulting i...[Read More] Understanding Right Back and Hand Numbness: Causes and Solutions
Understanding Nerve Pain: A Journey Through Neurology and Rehabilitation
Numbness, soreness, and sensory perception? I previously experienced some numbness in my fingers, which progressed to numbness in my right palm, along with soreness and pain in my arm, and diminished sensation due to the numbness. I visited the neurology department at Chang Gung ...
Dr. Jiang Junyi Reply:
Hello: I understand your concerns. You seem to be caught in a misconception of seeking treatment from someone with the same professional background. Currently, if my patients encounter situations that I cannot resolve due to my limitations, I adopt a perspective of empathy, meani...[Read More] Understanding Nerve Pain: A Journey Through Neurology and Rehabilitation
Understanding Hand Weakness: When to See a Neurologist
Occasionally experiencing weakness in both hands? Hello doctor, since early February, I have been experiencing occasional mild pain and soreness in the thumbs and the web spaces of both hands. Sometimes, my upper arms also feel weak and fatigued, and I occasionally notice muscle ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the symptoms may need to consider cervical nerve root compression at the sixth level causing paresthesia. As for the symptoms of amyotrophic lateral sclerosis (ALS): the primary manifestation of fasciculations is due to the degeneration of lower motor ne...[Read More] Understanding Hand Weakness: When to See a Neurologist
Understanding Cold Weather Headaches: Causes and Treatments
Headache due to cold weather? Hello, doctor. I would like to inquire about a symptom that has been persistent for a long time. Whenever there is a sudden drop in temperature, I experience pain in the right occipital region of my head (the frequency on the right side is significan...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. These symptoms tend to worsen in colder weather and can be alleviated with stretching activities, often r...[Read More] Understanding Cold Weather Headaches: Causes and Treatments
Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Benign tremor Hello Doctor: Over the past year, I have been experiencing muscle twitching all over my body, and sometimes I also feel weakness, which makes me quite anxious. I have consulted many Western and traditional Chinese medicine doctors, but the symptoms persist, and I fe...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems you are caught in a dilemma of seeking medical care from various sources. To address this issue, it is advisable to first select a medical center near your residence to consolidate your medical records, as cloud-based reports, while info...[Read More] Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Benign tremor Hello Doctor: Over the past year, I have been experiencing muscle twitching all over my body, and sometimes I feel weakness, which has made me quite anxious. I have consulted many Western and traditional Chinese medicine doctors, but the symptoms persist, and I feel...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems you are caught in a dilemma of seeking medical care from various sources. To address this issue, it is advisable to first select a medical center near your residence to consolidate your medical information. While cloud-based reports can ...[Read More] Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Managing Life After a Stroke: Blood Pressure Monitoring Challenges
Some aspects of life after a stroke and the pain of measuring blood pressure? The first minor stroke caused weakness in the left side of my limbs, and I collapsed. I consulted at Hospital A, where they started measuring my blood pressure, but I felt discomfort from the cuff and t...
Dr. Cai Zongzhang Reply:
Hello, in advanced countries in Europe and America, seeking a second opinion has been a common practice for many years and is a recognized aspect of medical care. In Taiwan, some physicians and hospitals are gradually adopting this concept as well. You can consider the opinions o...[Read More] Managing Life After a Stroke: Blood Pressure Monitoring Challenges
Understanding Hand Weakness: When to Seek Neurology Help
Hand issues? Hello Doctor: I often feel weakness in my hands and a lack of dexterity in my fingers. However, there are times when everything feels normal, and it currently does not affect my daily life. I frequently use my phone, often supporting it with the palms of both hands. ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a peripheral nerve compression issue, with carpal tunnel syndrome being quite common. Diagnosis of peripheral nerve injury can be performed using nerve conduction studies. Nerve conduction studies involve the use of very fine electrical currents t...[Read More] Understanding Hand Weakness: When to Seek Neurology Help
Understanding Finger and Palm Numbness: When to Seek Medical Help
Numbness and tingling in the fingers and palm? Doctor, I have a question: My left pinky finger is numb, and the half of my ring finger next to the pinky is also numb (the other half is normal). The palm of my left hand is partially numb, and there is no significant sensation in m...
Dr. Cai Zongzhang Reply:
Hello, your description does not allow us to determine whether your numbness is caused by trauma, external forces, or other factors, or if it is related to other disease symptoms. If the symptoms persist or if you have concerns, it is advisable to consult a neurologist.[Read More] Understanding Finger and Palm Numbness: When to Seek Medical Help
Understanding Palsy Symptoms: Insights on Nerve Compression Issues
Pangshan syndrome Hello, I often feel weakness in my hands when lifting heavy objects or gripping things, and sometimes my fingers tremble involuntarily. I previously underwent MRI and nerve tests at Chang Gung Memorial Hospital. The doctor mentioned that I have a condition simil...
Dr. Jiang Junyi Reply:
Hello: Based on your description, if a diagnosis of Friedreich's ataxia is to be considered, long-term follow-up treatment may be necessary. Some motor neuron diseases may initially be diagnosed as this type of condition. If it is Friedreich's ataxia, prolonged improper...[Read More] Understanding Palsy Symptoms: Insights on Nerve Compression Issues
Understanding Body Tingling: Possible Causes and Recommendations
Tingling sensation in the body? Hello Doctor, about a month ago I suddenly felt a tingling sensation all over my body, without a specific area, almost like it was moving around. I even experienced tingling in my face and head. For a period of time, I often had palpitations and ch...
Dr. Jiang Junyi Reply:
Hello: Your symptoms appear at the extremities, which may suggest a deficiency in B vitamins or abnormal electrolyte levels causing peripheral neuropathy. Clinically, many conditions can lead to hyperventilation, including sepsis, significant blood loss, hypoxia, and acute myocar...[Read More] Understanding Body Tingling: Possible Causes and Recommendations