Understanding Nerve Compression: Pain in the Fourth Toe Explained
Painful sensation in the fourth toe? Hello Doctor! My right foot's fourth toe started to feel a sharp pain after I carried a heavy bag on my left shoulder while waiting for a bus for about 10 minutes. However, the pain subsided when I sat down, and there were no visible abno...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are likely indicative of compressive neuropathic pain, which is usually caused by damage to the sensory nervous system. This type of abnormal pain (experiencing pain from normally non-painful stimuli) and heightened pain sensitivity (increased response to pai...[Read More] Understanding Nerve Compression: Pain in the Fourth Toe Explained
Understanding Quadriceps Pain and Weakness After Exercise: Causes and Insights
Quadriceps soreness and weakness? Hello, doctor. After exercising (weight training) the day before yesterday, I have experienced soreness and weakness in my left quadriceps for the past two days. I have no issues walking or going up and down stairs, but I feel pain and weakness w...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to first consider the issue of tendinitis. However, symptoms caused by nerve compression from a herniated disc cannot be ruled out. A herniated disc can also occur due to sudden injuries, such as twisting the waist abruptly, b...[Read More] Understanding Quadriceps Pain and Weakness After Exercise: Causes and Insights
Understanding Neck and Shoulder Pain: When to Seek MRI for Diagnosis
Head trauma and shoulder-neck issues! Hello, doctor. I've loved using computers since I was young and often stayed up late with poor posture, which has led to frequent sharp pain in my right neck and shoulder. Over time, the pain has subsided, but my right neck and shoulder ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are more indicative of cervical spine issues. In addition to an MRI, I recommend consulting a rehabilitation specialist for physical therapy and electromyography (EMG) testing. Wishing you good health and peace. Dr. Jiang, Neurology, Taoyuan Hosp...[Read More] Understanding Neck and Shoulder Pain: When to Seek MRI for Diagnosis
Unexplained Electric Shock Sensation in the Back of the Thigh
Intermittent electric shock-like pain in the posterior thigh? Hello, I experience intermittent electric shock sensations in the area just above the popliteal fossa on the back of my right thigh. It feels like a jolt of electricity that lasts for a few seconds and can occur at any...
Dr. Jiang Junyi Reply:
Hello: Numbness in the back of the right thigh near the popliteal fossa may indicate nerve compression. The first consideration should be the compression of the femoral cutaneous nerve, which could be caused by sitting cross-legged, pressure from the toilet, among other reasons. ...[Read More] Unexplained Electric Shock Sensation in the Back of the Thigh
Managing Post-Concussion Symptoms: A Guide for Patients
Post-concussion syndrome Hello Doctor, about three years ago, I accidentally fell while playing basketball and hit the back of my right head. At that time, I did not lose consciousness and had no external injuries, but the next day I suddenly felt unsteady while walking and began...
Dr. Jiang Junyi Reply:
Hello, based on your description, the cause of the right-sided neck pain radiating to the right eye socket is commonly due to cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the muscles in the back of the neck, resulting in neck and shoulder dis...[Read More] Managing Post-Concussion Symptoms: A Guide for Patients
Understanding Dizziness and Neck Pain: Seeking Answers for Your Symptoms
Dizziness and shoulder-neck pain? Hello, Doctor Jiang. I have been experiencing shoulder and neck pain, dizziness, and frequent yawning for over three months. I underwent evoked potential tests which came back normal, and an X-ray showed a slight bone spur, but the neurologist sa...
Dr. Jiang Junyi Reply:
Hello: You mentioned whether cervical spine issues are related to dizziness. Is it possible that cervical muscle spasms could lead to poor blood circulation and cause dizziness? Can X-rays reveal cervical spine problems? These three questions can be addressed through a carotid ul...[Read More] Understanding Dizziness and Neck Pain: Seeking Answers for Your Symptoms
Understanding Dizziness and Neck Pain: When to Seek Further Evaluation
Dizziness and cervical spine pain? Hello, doctor. I would like to ask you a few questions. Since mid-August, I have been experiencing dizziness that has not improved. I always yawn continuously after getting out of bed and also before going to sleep. My head feels constantly dizz...
Dr. Jiang Junyi Reply:
Hello: If you are still concerned about issues related to the brain or spine, major hospitals' health check centers offer self-paid MRI scans of the brain or spine. These scans are more sensitive for imaging the nervous system. However, if there is no structural problem, a p...[Read More] Understanding Dizziness and Neck Pain: When to Seek Further Evaluation
Understanding Neck Pain and Dizziness: Possible Causes and Solutions
Cervical spine pain and dizziness? Hello, doctor... I have been experiencing dizziness for almost a month. The dizziness is constant throughout the day, and it's an indescribable feeling of lightheadedness and fatigue. I feel like I want to sleep all the time. My neck and sh...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. The symptoms of dizziness have persisted for nearly three weeks, with a constant feeling of dizziness throughout the day, poor energy levels, and frequent yawning, leading to a desire to sleep. While walking, I do not fee...[Read More] Understanding Neck Pain and Dizziness: Possible Causes and Solutions
Severe Head Pain During Orgasm: Causes and Concerns Explained
Severe headache during orgasm or ejaculation? Hello, doctor. I am a 30-year-old male currently weighing 107 kg. I do not smoke or drink alcohol, and I have no history of hypertension or diabetes, although there are related patients in my family. On the evening of August 18th, whi...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, with pain sometimes being widespread. The nature of the pain is dull, aching, with a s...[Read More] Severe Head Pain During Orgasm: Causes and Concerns Explained
Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Dizziness lasting more than 2 months? On May 8th, I experienced mild dizziness and unsteadiness while walking. That evening, I had a condition where half of my left eye was blurry and appeared pixelated, and I was unable to focus; my right eye was normal. On May 10th, an ophthalm...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you are experiencing vestibular migraine. A brain imaging study can be arranged to rule out the concerns you have. It is recommended that you seek assistance from a neurologist.[Read More] Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Understanding Unexplained Limb Weakness: When to See a Neurologist
Sore feet and sore hands? Hello Dr. Jiang: Recently, I have been experiencing unexplained weakness and soreness in my legs and arms for the past two weeks. Which department should I consult? Is it neurology? Thank you for your clarification! (I have arrhythmia and angina, and I a...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to first consider localized blood circulation issues, which could lead to the accumulation of lactic acid and a sensation of weakness in the limbs. Additionally, if there is compression of the cervical spine, it can cause loca...[Read More] Understanding Unexplained Limb Weakness: When to See a Neurologist
Understanding Persistent Head Numbness: When to Seek Medical Advice
Facial concerns? Hello, I have been experiencing a tingling sensation in the back of my head lately, similar to the goosebumps you get when you're anxious, and it has been persistent. Could you please tell me what this issue might be? Do I need to see a doctor?
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression. This could be due to prolonged poor posture with the head bent forward, or rheumatic joint diseases, leading to curvature and narrowing deformities of the cervical spine. The interv...[Read More] Understanding Persistent Head Numbness: When to Seek Medical Advice
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 Numbness in the Right Upper Back: Possible Causes and When to Seek Help
Numbness in the back? Hello Dr. Jiang, for the past two or three days, I have frequently felt numbness in my right upper back (near the center). When I researched online, some people suggested it might be a cervical spine issue, but I don't seem to have any discomfort in my ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider thoracic nerve root compression, as the symptoms are located in the back. However, it is important to consult a physician to investigate the cause of the compression. Generally, cervical nerve root compression is m...[Read More] Understanding Numbness in the Right Upper Back: Possible Causes and When to Seek Help
Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Trapezius muscle issues and pulsatile tinnitus? Hello Dr. Jiang, Since I changed to a new pillow last September, I experienced a stiff neck that healed after a week. However, about a month later, I began to feel soreness and numbness in my left upper trapezius muscle, with inte...
Dr. Jiang Junyi Reply:
Hello: Regarding your questions, may I ask Dr. Jiang whether I can request a cervical ultrasound examination, or seek help from another specialty? A: Typically, vertebral artery issues are more related to hearing. If you request a carotid artery examination, the attending physici...[Read More] Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Left Leg Numbness: When to Seek Neurology Care?
Numbness in the left foot and left calf? Hello doctor, three days ago I noticed some mild numbness in my left foot and left calf. I just applied a pain relief patch that day and thought nothing of it, but over the next few days, I occasionally felt the numbness again. Sometimes i...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as ALS, is formally referred to as amyotrophic lateral sclerosis (ALS) or motor neuron disease. It typically does not present with sensory abnormalities; the clinical symptoms include muscle atrophy and abnormal twitchi...[Read More] Left Leg Numbness: When to Seek Neurology Care?
Understanding Leg Numbness and Back Pain: When to Seek a Second Opinion
Numbness in the legs and lower back pain? Hello, doctor. Recently, I've been experiencing lower back pain and my legs feel sore and numb. I visited a neurologist, but the doctor only tapped my knee (the reflex test we learned in middle school) and concluded that my issues ar...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider symptoms related to nerve compression due to a herniated disc, which may also occur as a result of sudden injuries, such as twisting the waist, bending to lift heavy objects, or experiencing excessive force, for exampl...[Read More] Understanding Leg Numbness and Back Pain: When to Seek a Second Opinion
Understanding Dizziness and Discomfort: A Neurological Perspective
Dizziness and general discomfort? Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, ex...
Dr. Jiang Junyi Reply:
Hello, based on your description, I wonder if you have been paying attention to the care of your neck, as cervical myofascial pain syndrome may cause symptoms such as pain, discomfort, muscle stiffness, or a heavy sensation, leading to fatigue-like symptoms. Regarding the adjustm...[Read More] Understanding Dizziness and Discomfort: A Neurological Perspective
Understanding Your Symptoms: Lower Back Pain, Numbness, and Neck Issues
Lower back pain, numbness on the left side of the body, and a growth on the left side of the neck? Hello Doctor, I am a desk worker who sits for long hours every day, and I have the symptoms mentioned above. First, regarding the lower back pain, I started experiencing soreness in...
Dr. Jiang Junyi Reply:
Hello: The numbness you described in your left foot and left arm may be due to nerve compression in the neck or lower back. First, consider the possibility of cervical or lumbosacral disc herniation compressing the nerves. Disc herniation can also occur due to sudden injuries, su...[Read More] Understanding Your Symptoms: Lower Back Pain, Numbness, and Neck Issues