Exploring Neuromuscular Disorders: What to Do When Tests Come Back Normal
Neuromuscular Disease Examination Hello doctor, I have been experiencing weakness in my limbs for over a year, and I am very concerned that it might be a rare neuromuscular disease. I have visited many major hospitals and undergone neurological examinations each time I saw a diff...
Dr. Jiang Junyi Reply:
Hello, sir: I am not sure if there is a medical center near your residence. Due to the nature of neurological disease examinations, they require a period of follow-up for comparison. For instance, if a score drops from 80 to 70, it may still be considered passing from a 60-point ...[Read More] Exploring Neuromuscular Disorders: What to Do When Tests Come Back Normal
Understanding Occipital Headaches: Causes, Symptoms, and Next Steps
Occipital headache and dizziness? A week ago, I experienced some strain while doing deadlifts during weight training. It felt better after a minute, and I was able to continue training my back and chest a few days later. I tried smoking water pipe for the first time, and the next...
Dr. Jiang Junyi Reply:
Hello Mr. YI, Regarding the "Valsalva maneuver" you mentioned, it typically resolves after a few minutes. However, you noted experiencing "occipital headache, dizziness, a feeling of slight confusion, and elevated blood pressure at 130/75" lasting for about a...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and Next Steps
Persistent Headaches: Seeking Effective Treatment Solutions
The treatment for headaches has not been effective in achieving a cure? Hello, I rarely experience headaches, and when I do, they usually resolve after a good night's sleep. However, this time, I woke up with persistent headaches that did not improve. Therefore, I consulted ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I only have a headache, and the doctor measured my ear temperature at 37.4°C, determining that the headache is caused by inflammation in the body. I was treated with injections and medication. During the treatment, I experienced improvement ...[Read More] Persistent Headaches: Seeking Effective Treatment Solutions
Left Arm and Leg Weakness: Seeking Answers for Neurological Issues
Weakness in the left arm and difficulty lifting the left leg, leading to trouble walking? Hello Doctor, As per the title, my mother has been experiencing weakness in her left hand and left leg for over a year. Both her left hand and leg have muscle atrophy, and her condition is...
Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned that your mother was previously able to walk to the bathroom with the aid of a walker, but now she is unable to walk and can only sit in a wheelchair. I am not sure if the doctor has any recommendations for further examinations. I wonder if your moth...[Read More] Left Arm and Leg Weakness: Seeking Answers for Neurological Issues
Muscle Twitches, Cramps, and Weakness: Understanding Neurological Issues
Involuntary muscle twitching, cramping, weakness in the left leg, and difficulties in walking? Hello Dr. Jiang! For the past three to four months, I have been experiencing involuntary muscle twitching, particularly noticeable on the left side of my body compared to the right. My ...
Dr. Jiang Junyi Reply:
Hello Mr. CooK: You mentioned that "when the palm is open and the thumb is pushed towards the palm, it can also cramp. The same situation applies to the index finger (both hands can experience this), and sneezing can cause cramps in the upper abdomen near the ribs." Thi...[Read More] Muscle Twitches, Cramps, and Weakness: Understanding Neurological Issues
Persistent Throat Discomfort and Vision Issues: A Neurological Perspective
Feeling of a lump in the throat, sensation of foreign body, difficulty breathing, blurred vision, eyelids often feel sticky as if sweating, fatigue, hair loss, and poor skin condition? Hello, doctor. My family member is experiencing significant discomfort, so I would like to inqu...
Dr. Jiang Junyi Reply:
Hello: I see that your family has undergone numerous examinations. I would like to suggest a principle to follow, which is the concept of "local healthcare." As we age and experience various symptoms, the recommended approach is to find a nearby hospital with an emergen...[Read More] Persistent Throat Discomfort and Vision Issues: A Neurological Perspective
Understanding Persistent Dizziness: Causes and Connections to Heart Symptoms
Persistent dizziness throughout the day? Hello Doctor, I have been experiencing dizziness for almost a week now, which varies in intensity throughout the day. It feels more like a heavy sensation in my head, sometimes accompanied by tingling, resembling a shaking sensation like a...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned experiencing a sensation of heaviness in your head along with tingling symptoms, which may indicate a potential issue with nerve root compression. Conditions such as cervical disc degeneration, facet joint degeneration, and cervical disc herniation ca...[Read More] Understanding Persistent Dizziness: Causes and Connections to Heart Symptoms
Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Mild pain in the left occipital region and slight numbness in the left hand? Hello Doctor: My irregular sleep schedule has been ongoing for about six years, compounded by significant stress from university exams. In mid-May of this year, I suddenly experienced a ringing in my lef...
Dr. Jiang Junyi Reply:
Dear Ms. Irene, The description you provided, "lying on your side using your left hand to use your phone, and then experiencing numbness in your entire left arm the following morning that has not improved," may suggest symptoms related to cervical spine issues. Additio...[Read More] Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Understanding Brief Occipital Pain: When to Seek Neurological Care
Transient headache? Whenever I lie down, even if I haven't fallen asleep, I experience a brief dull pain at the back of my head that lasts for about 5 seconds. This has been occurring for over a week without improvement. What could this be related to, and should I seek medic...
Dr. Jiang Junyi Reply:
Dear Ms. Li, You mentioned experiencing a symptom of "brief dull pain in the back of the head lasting less than 5 seconds," which may indicate cervicogenic headache. This is primarily due to instability in the fascia surrounding the cervical spine, as some small muscle...[Read More] Understanding Brief Occipital Pain: When to Seek Neurological Care
Understanding Right-Sided Pain and Discomfort: A Guide for Caregivers
Pain in the right limbs, sharp pain in the chest, and a feeling of fullness in the lower back without pain? Hello doctor, my mother (58 years old) is experiencing pain in her right limbs when the muscles relax, which may be related to her occupation as a cleaner or long-term fati...
Dr. Jiang Junyi Reply:
Dear Ms. Hsieh, You mentioned that your mother experiences symptoms of pain that persists even after a long period of rest, which may suggest degenerative spinal myofascial inflammation. Regarding the sudden, persistent stabbing pain in the chest around the xiphoid process that ...[Read More] Understanding Right-Sided Pain and Discomfort: A Guide for Caregivers
Understanding Electric Shock Sensations in the Back of the Head
Head electrocuted? In the past two months, I have occasionally experienced a sensation in the back of my head that feels like an electric shock, which startles me, but it is not painful. I only feel a bit dizzy afterward, and when I wake up the next day, it feels better. I have s...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, The primary causes of vertigo are issues within the balance sensory system, such as otoliths in the inner ear or vestibular neuritis. The sensation you mentioned of feeling like an electric shock in the head is not closely related. This symptom may be due to periph...[Read More] Understanding Electric Shock Sensations in the Back of the Head
Understanding Stroke Symptoms: Facial Twitching and Other Concerns
Stroke, facial twitching? Hello Doctor, on September 5th while cleaning the floor during my shower, I experienced a noticeable feeling of cerebral congestion, but it subsided after a while, occurring two or three times. Since I was cleaning a new house, the air quality was poor, ...
Dr. Jiang Junyi Reply:
Hello, Sir: (1) Doctor, could my symptoms be a precursor to a stroke or caused by autonomic nervous system dysfunction? Your symptoms seem more indicative of cervical spine issues. (2) I have intermittent strabismus with a significant angle, which makes it tiring to see thing...[Read More] Understanding Stroke Symptoms: Facial Twitching and Other Concerns
Understanding Back Pain: Causes of Numbness and Discomfort
Back numbness and shooting pain? Hello doctor: I have a patch of skin on my upper back (near the shoulder blade) that feels unusual to the touch. It hurts when I press on it, and I often feel a tingling sensation along with occasional sharp pain. Sometimes, there is also a burnin...
Dr. Jiang Junyi Reply:
Dear Mr. Anderson, You mentioned that "a patch of skin feels strange... it often feels numb and occasionally has a burning sensation." This is more likely indicative of nerve root compression at the C7-C8 or T1 levels. Typically, this occurs due to prolonged poor postu...[Read More] Understanding Back Pain: Causes of Numbness and Discomfort
Understanding Nerve Pain: Insights on Tingling and Numbness
Tingling sensations in the hands and feet? Hello Doctor, on August 14th, after waking up from my afternoon nap, I felt a stabbing pain in the pad of my index finger. The next day, the stabbing pain improved, but I started to experience slight numbness in my right hand, which last...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may suggest a peripheral nerve issue. Pain accompanied by burning sensations, tingling, or even muscle weakness should raise concerns about nerve problems. Common causes of peripheral nerve injury include acute direct trauma such as nerve traction, t...[Read More] Understanding Nerve Pain: Insights on Tingling and Numbness
Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Is it related to sleeping posture, cervical spine issues, or vascular problems? Hello, Dr. Jiang. 1. The first issue is a problem that has existed for many years. I often experience numbness in the fingers of both hands while riding a motorcycle. It doesn't always happen i...
Dr. Jiang Junyi Reply:
Hello Mr. Chang, It seems that there are four issues based on your description: 1. Carpal tunnel syndrome may need to be considered. 2. Cubital tunnel syndrome may also need to be considered. 3. Cervical spine degeneration causing nerve root compression may be a possibility. 4...[Read More] Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Understanding Muscle Twitches and Pain: Is It Carpal Tunnel Syndrome?
Muscle issues Hello Doctor, a few days ago I asked about muscle twitching. Recently, I bought calcium effervescent tablets to drink, and the muscle spasms have improved somewhat, but they still occur frequently. How many days will it take to fully resolve? Additionally, in the pa...
Dr. Jiang Junyi Reply:
Hello: You mentioned carpal tunnel syndrome. Clinically, symptoms such as numbness and pain can occur in the sensory distribution area innervated by the median nerve. These symptoms often worsen at night, sometimes causing awakening due to pain. Numbness and pain may temporarily ...[Read More] Understanding Muscle Twitches and Pain: Is It Carpal Tunnel Syndrome?
Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
I'm not sure where the problem lies? Hello, doctor! For the past 6-7 years, I have been experiencing 1. persistent stiffness in my neck and shoulders. Whenever this stiffness occurs, I feel a pressure in my temples and forehead, as if a rope is tied around or gripping me, fo...
Dr. Jiang Junyi Reply:
Dear Mr. QQ, I am unsure if you have metabolic syndrome (characterized by abdominal obesity, hypertension, elevated fasting blood glucose, and high lipid levels). If you do, you may be at high risk for cardiovascular diseases. You mentioned several issues that seem related to me...[Read More] Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
Understanding Left Chest Pain: Causes and When to Seek Medical Help
Left chest pain? Hello Doctor, last night while I was sleeping, I experienced a slight stabbing pain in the upper left side of my chest (closer to the center). The duration felt quite long, and it also felt somewhat like a mild cramp. I'm unsure if this is related to nerve p...
Dr. Cai Zongzhang Reply:
Hello, Li! It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Left Chest Pain: Causes and When to Seek Medical Help
Understanding Facial and Scalp Numbness: Possible Causes and Concerns
Tingling sensation in the scalp and face? I'm not sure if I have hypertension, hyperlipidemia, or diabetes. I experienced facial numbness a couple of days ago, which was limited to my face, but today the numbness has spread to my entire head and face. I also noticed red stre...
Dr. Jiang Junyi Reply:
Dear Mr. Blue Sky, You have reached middle age, and the likelihood of developing metabolic syndrome and the three highs (hypertension, hyperlipidemia, and hyperglycemia) increases significantly. It is recommended that you take advantage of the free adult health checkups provided...[Read More] Understanding Facial and Scalp Numbness: Possible Causes and Concerns
Persistent Neck Heat: Understanding Symptoms and Possible Causes
Heat in the back of the neck? Hello, doctor! I initially thought that my fever was caused by a cold, but even though the cold has resolved for 1 to 2 months, I still experience a sensation of heat in the back of my neck. During the day, there are times when the back of my neck fe...
Dr. Jiang Junyi Reply:
Hello Mr. Haohao: Your symptoms may suggest cervical myofascial inflammation. In the early stages of cervical muscle and fascia tightness, there may not be obvious changes in the cervical spine, but imaging can show a decrease in curvature. Symptoms include pain at the affected s...[Read More] Persistent Neck Heat: Understanding Symptoms and Possible Causes