Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm unsure if they are related: 1. I frequently experience numbness in the upper left back (around the scapula) that started about three...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned, "Could the physician determine if it is due to thoracic nerve compression or a brain issue?" The symptoms include "involuntary muscle twitching in small, localized areas throughout the body, visible to the naked eye, which has persisted...[Read More] Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
Understanding Neck Stiffness: When to See a Neurologist or ENT
Neck stiffness Recently, I have been experiencing stiffness in my cervical spine, making it difficult to turn my head. It feels tight and rigid, and I sometimes feel dizzy, but the dizziness passes quickly. I'm not sure what the issue could be. Should I see a neurologist or ...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned experiencing "stiffness in the cervical spine, difficulty turning your head, tightness, and dizziness that comes and goes." I would like to know if your dizziness is accompanied by any other neurological symptoms, such as hearing abnormali...[Read More] Understanding Neck Stiffness: When to See a Neurologist or ENT
Understanding Arm and Shoulder Numbness: Beyond Cervical Compression
Numbness in the shoulder and upper arm? Hello Doctor, recently I have experienced sudden numbness in my right shoulder and upper arm. I had an X-ray of my neck a while ago, and the doctor said there were no issues. Besides cervical spine compression, what other possibilities coul...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned that you suddenly experienced numbness in your right shoulder and upper arm, and that a recent cervical X-ray showed no issues. Your symptoms are more indicative of nerve root compression, which is commonly caused by cervical disc herniation or an imp...[Read More] Understanding Arm and Shoulder Numbness: Beyond Cervical Compression
Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Multiple Sclerosis or Autonomic Nervous System Dysfunction Hello Dr. Jiang, I have been experiencing a tingling and numbness in my hands and feet since early September. I visited a neurology clinic, and they suggested it could be either cervical spine inflammation or autonomic ne...
Dr. Jiang Junyi Reply:
Dear Miss Li, You mentioned that "the symptoms really seem very similar to those of multiple sclerosis, and considering that I am 21 years old, which is the age when this condition is more likely to occur..." I believe the chances are low, as multiple sclerosis is clas...[Read More] Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Understanding Upper Back Pain: Causes and Connections to MRI Findings
Shoulder and back pain? Hello, Doctor. Recently, I've been experiencing frequent upper back pain (on the right side, around the scapula) for the past two months. Sometimes, I also have shoulder pain (on both sides). When I turn my head to the left, I feel a slight pain... It...
Dr. Jiang Junyi Reply:
Dear Miss Sophia, You mentioned, "Is the pain related to previous symptoms? What could be the possible causes?" Your MRI report indicates: 2. Posterior bulging disc of C6/7 with mild anterior indentation on the thecal sac and mild narrowing of bilateral neural foramina...[Read More] Understanding Upper Back Pain: Causes and Connections to MRI Findings
Understanding Tension in the Temples: Causes and Solutions
Tightness in the temples? Hello Dr. Jiang, I have not experienced similar symptoms before (tightness in the temples, nausea, and a sense of imbalance). Here is a record of the process: On October 15, 2021, during a company health check (gastrointestinal endoscopy): a. Duodenal ...
Dr. Jiang Junyi Reply:
Dear Mr. William, You mentioned experiencing "headaches / slight imbalance / feelings of nausea... currently feeling tightness in the temples / forehead / between the eyebrows / back of the head" and that "lying on the sofa while using your phone" may indicat...[Read More] Understanding Tension in the Temples: Causes and Solutions
Understanding Nerve Damage and Recovery After Rhabdomyolysis
Numbness and weakness in the legs? Hello, doctor. On October 8th of this year, I drank too much at a social gathering and fell asleep on the floor. I woke up the next afternoon with my entire right leg feeling numb. I initially thought it would get better quickly, but I went to t...
Dr. Jiang Junyi Reply:
Hello Mr. Chang: You mentioned that "the doctor said it takes time to repair the nerves, and currently, I am undergoing rehabilitation and taking B12, but it has been two months since the incident... will treatment help me recover faster?" The symptoms seem more like ne...[Read More] Understanding Nerve Damage and Recovery After Rhabdomyolysis
Understanding Dizziness, Headaches, and Nausea: Possible Causes
Dizziness, headache, and nausea? Hello, doctor. One night, I suddenly experienced a headache, dizziness, and nausea. The pain is concentrated in the front of my head, while the back of my head feels heavy. My neck is sore, but it goes away when I lie flat. This has been ongoing f...
Dr. Jiang Junyi Reply:
Hello, Ms. Hsiang: You mentioned experiencing "severe pain in the front of the head, a heavy feeling in the back of the head, and neck soreness that resolves when lying flat." In addition to common cervical myofascial inflammation, intracranial hypotension may need to ...[Read More] Understanding Dizziness, Headaches, and Nausea: Possible Causes
Understanding Hand Numbness: Ulnar Nerve Compression and Neck Issues
Vague sensations of hand numbness? Hello Doctor, I have recently been experiencing a tingling and discomfort in my left hand fingers. Initially, it was a burning sensation in my ring and little fingers, and later the other three fingers on my left hand also started to feel numb, ...
Dr. Jiang Junyi Reply:
Hello Mr. JAM: You mentioned that "the other three fingers of my left hand also started to feel numb, and there is some weakness in my hand. I visited a rehabilitation specialist who said it is ulnar nerve compression." If it is ulnar nerve compression, it typically rel...[Read More] Understanding Hand Numbness: Ulnar Nerve Compression and Neck Issues
Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Autonomic Nervous System Dysfunction or Multiple Sclerosis? Hello Dr. Jiang, In early September, I experienced brief episodes of numbness and tingling in my limbs, lasting only a few seconds but occurring quite frequently. I consulted a clinic, and they suggested it might be a c...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "temporary numbness and tingling in your limbs, which lasts for a few seconds but occurs quite frequently." These symptoms are more indicative of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels ...[Read More] Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Understanding Numbness in the Thumb and Back: Causes and Concerns
Mild numbness in the right thumb and slight numbness in the back? Doctor, I started experiencing a slight tingling sensation around my right thumb yesterday (similar to the feeling of a foot falling asleep but not going away, though it's mild and only noticeable when touched...
Dr. Jiang Junyi Reply:
Dear Mr. Fook Chi, You mentioned that "there is a slight tingling sensation around the right thumb... and that you have seen a doctor for shoulder and neck pain, which was diagnosed as a herniated disc at the C6 level." It is important to consider that the C6 nerve roo...[Read More] Understanding Numbness in the Thumb and Back: Causes and Concerns
Understanding Right-Side Pain and Numbness: Causes and Solutions
Pain and numbness on the right side of the body? Hello Doctor: I have been experiencing these symptoms for over a year. The main issues are soreness and tightness in the right side of my neck and shoulder, along with numbness and tingling that radiates from my right arm to my fin...
Dr. Jiang Junyi Reply:
Dear Mr. Tsao, You mentioned that "the soreness and tightness in the right shoulder and neck, along with numbness and tingling extending from the right arm to the fingers," may indicate a potential issue with cervical nerve root compression. It is important to consider...[Read More] Understanding Right-Side Pain and Numbness: Causes and Solutions
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not related to sexual arousal. This has led to abnormal erections and discomfort that radiates to the right leg, persist...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort extending to the right leg..." which may warrant consideration of lumbar nerve root compression. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg,...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not driven by sexual desire. This condition has led to abnormal erections and discomfort radiating down the right leg, p...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort radiating down the right leg..." which may indicate compression of the lumbar nerve roots. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg, as we...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not related to sexual arousal. This has led to abnormal erections and discomfort extending to the right leg, lasting for...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort extending to the right leg..." which may indicate compression of the lumbar nerve roots. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg, as well...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Sudden Left Foot Pain and Heart Discomfort: A Neurology Perspective
Foot pain and palpitations? In the past year, I have been experiencing sudden pain in my left foot. It started with my big toe, and now the pain has progressed upwards, reaching below my knee. This issue only affects my left foot; my right foot is completely fine. The pain comes ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiang, You mentioned that "only the thumb... suddenly hurts a lot." I wonder if this pain is located at the joint? It may be necessary to first consider joint-related diseases, such as gout, among others. However, if you experience symptoms including pain, nu...[Read More] Understanding Sudden Left Foot Pain and Heart Discomfort: A Neurology Perspective
Understanding Facial Twitching and Arm Symptoms: When to Seek Medical Advice
Facial twitching? Hello, Doctor Jiang. I have two questions to ask. About two years ago, I was rehabilitating at home for frozen shoulder when I suddenly noticed that my right cheek would involuntarily twitch while performing a stretching exercise that involved making large cir...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the right cheek still has noticeable involuntary twitching. After testing, it was found that the twitching of the right cheek is triggered by movements involving the left arm," which may indicate a neurological dysfunction affecting the motor ...[Read More] Understanding Facial Twitching and Arm Symptoms: When to Seek Medical Advice
Understanding Hip and Thigh Pain: Possible Nerve Compression or Muscle Inflammation?
Hip and thigh pain? Hello, doctor. I experience soreness in my lower back, hips, and thighs after sitting for about 15 minutes. It feels better when I stand up, but the soreness returns when I sit down again, sometimes to the point where it makes it difficult to sleep. I have see...
Dr. Jiang Junyi Reply:
Dear Ms. Umbrella, Muscle inflammation typically presents with localized tenderness. You mentioned experiencing "pain in the lower back, hips, and thighs," which is more indicative of lumbar nerve root compression (possibly at levels L2, L3, or L4). You also noted that...[Read More] Understanding Hip and Thigh Pain: Possible Nerve Compression or Muscle Inflammation?
Understanding Hip and Thigh Pain: Nerve Compression or Muscle Inflammation?
Hip and thigh pain? Hello, doctor. I experience pain in my lower back, hips, and thighs after sitting for about 15 minutes. Standing up alleviates the discomfort, but sitting down again causes the pain to persist, sometimes making it difficult to sleep. I have seen a rehabilitati...
Dr. Jiang Junyi Reply:
Dear Miss Umbrella, You mentioned experiencing "lower back, hip, and thigh pain," which is more indicative of lumbar nerve root compression (possibly at lumbar levels 2, 3, or 4). You also noted that "bending at the waist and knees does not cause pain," which...[Read More] Understanding Hip and Thigh Pain: Nerve Compression or Muscle Inflammation?
Understanding Neuromuscular Disease Testing: Insights and Next Steps
"Neuromuscular Disease Examination" Hello Dr. Jiang, thank you for your response. I am currently in Kaohsiung. I first visited Kaohsiung Medical University for an emergency consultation around March of last year due to unexplained dizziness. At that time, the resident p...
Dr. Jiang Junyi Reply:
Hello, sir: Generally, when abnormalities are observed in electromyography (EMG), an MRI is performed to locate the tissue for a planned biopsy of the muscle. This is because it is not easy to locate the tissue once the surgery begins. It is recommended to follow up with Dr. Chen...[Read More] Understanding Neuromuscular Disease Testing: Insights and Next Steps