Understanding Neck Pain: When to Seek Further Medical Advice
Pain occurs at the hairline three fingerbreadths to the right of the cervical spine? Hello Doctor: I originally experienced intermittent pain in my shoulder that radiated to my collarbone, and there was also intermittent pain at the hairline three finger widths to the right of my...
Dr. Jiang Junyi Reply:
Hello: The entire cervical spine to the occipital region of the head is where the neck muscles attach. Therefore, your symptoms are more indicative of myofascial inflammation in the neck. Regarding the medications you mentioned, if you are planning to become pregnant, it is advis...[Read More] Understanding Neck Pain: When to Seek Further Medical Advice
Chronic Hand Numbness and Pain: Which Specialist Should You See?
For years of paralysis and pain, which specialty should I consult? Hello, doctor. I often experience numbness, stiffness, and pain in both my hands, which has been ongoing for several years. The pain tends to be particularly severe in winter, waking me up at night in tears, espec...
Dr. Jiang Junyi Reply:
Hello: Carpal tunnel syndrome occurs when the median nerve is compressed by ligaments as it passes through the wrist, leading to numbness in the hand from the thumb to half of the ring finger. Generally, sensory nerves are affected first, and after some time, motor nerves may als...[Read More] Chronic Hand Numbness and Pain: Which Specialist Should You See?
Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Muscle twitching and electromyography-related issues? Hello Doctor, Since around June 2017, I began to notice slight tremors in both of my hands, and when lying flat, I felt a sensation of my body vibrating. In July, I visited a neurologist for the first time, and the doctor ob...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, about 70% of patients with motor neuron disease present with limb weakness, while around 20% exhibit weakness in the bulbar region as their clinical manifestation. In terms of limb involvement, the initial presentation is usually asymmetric hand weaknes...[Read More] Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Can Cervical Nerve Compression Cause Redness in Hands and Fingers?
Cervical nerve compression can cause redness in the palms? My mother is 51 years old and has been experiencing cervical nerve compression and degeneration for the past two years. In the last month, her palms and fingers have turned a reddish-dark color, but she has no other disco...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, cervical spine curvature and narrowing deformities, along with intervertebral disc compression at the C4-C5 level affecting the nerves that innervate the shoulders, can lead to neck and shoulder pain. Additionally, compression at the C5-C6 level affecti...[Read More] Can Cervical Nerve Compression Cause Redness in Hands and Fingers?
Understanding Hand Numbness and Arm Tightness: Possible Causes and Solutions
Numbness in the hands and tightness in the arms? Hello Doctor, for the past two weeks, I have been waking up at night due to numbness in my palms. Upon waking, I notice that the sensation in my forearms becomes very dull, as if they have been compressed for a long time. However, ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms related to peripheral nerve compression, as the symptoms are associated with posture. Generally speaking, during sleep, our bodies only remain still during the rapid eye movement (REM) phase; throughout th...[Read More] Understanding Hand Numbness and Arm Tightness: Possible Causes and Solutions
Understanding Pain During Lumbar Pressure: When to Seek Medical Advice
Pain upon palpation of the lumbar spine? Hello Doctor: Recently, I accidentally discovered that I have pain in a specific area of my spine when pressure is applied. The general location is just above the buttocks, in an area that protrudes when I bend over. I can feel something l...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may indicate localized tendonitis. If it is lumbar spondylitis or a herniated disc, it typically causes pain or numbness during movement. It is recommended to strengthen your core muscles. If symptoms persist, it is advisable to consult a rehabilitation physi...[Read More] Understanding Pain During Lumbar Pressure: When to Seek Medical Advice
Understanding Dizziness and Neck Pain After Chiropractic Adjustment
Dizziness, headache, and cervical spine tenderness? Hello, doctor. A week ago, I had my cervical spine adjusted, and about twenty minutes later, I experienced symptoms of dizziness. Concerned about the possibility of vertebral artery dissection, I underwent a CTA (with contrast),...
Dr. Jiang Junyi Reply:
Hello, regarding the tender points in the cervical spine, myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. If a nerve is compressed, neurological symptoms such as numbness and altered temperature s...[Read More] Understanding Dizziness and Neck Pain After Chiropractic Adjustment
Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?
Tightness in the right posterior part of the head, along with shoulder and neck pain, which is also causing discomfort in the eyes? Hello, doctor. I would like to ask you a question. My husband is 40 years old and works in a physically demanding job. He has a smoking habit and ha...
Dr. Jiang Junyi Reply:
Hello: Your husband is a smoker, which places him in a high-risk group for stroke. If he experiences sudden neurological deficits such as unilateral limb weakness or slurred speech, cerebrovascular disease should be the first consideration. Other causes of limb pain, such as cerv...[Read More] Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?
Understanding Nerve Sensations: Tingling in the Left Pinky Toe
Tingling sensation in the left little toe when going down the stairs? Hello doctor, recently I have been experiencing a tingling sensation in my left little toe when going down the stairs. If I jump on my left foot, the little toe also feels tingling. Additionally, after standing...
Dr. Jiang Junyi Reply:
Hello: Numbness in the left little toe may indicate nerve compression, with the first consideration being compression of the lateral plantar nerve, which is often associated with uneven pressure on the foot, such as ill-fitting shoes. Additionally, it may be necessary to consider...[Read More] Understanding Nerve Sensations: Tingling in the Left Pinky Toe
Unraveling the Mystery of Unexplained Neurological Symptoms
Unknown etiology? Around June 14, I suddenly experienced a jolt of dizziness, the kind that made it hard to stand, but it was not accompanied by headaches or nausea. I thought it was just due to lack of sleep, as I had been under a lot of stress from final exams and had hardly ea...
Dr. Jiang Junyi Reply:
Hello, Student Chang: You have done a lot of homework, which is impressive. Myofascial pain syndrome in the neck should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be allev...[Read More] Unraveling the Mystery of Unexplained Neurological Symptoms
Understanding Left-Sided Numbness: When to See a Doctor?
Numbness on the left side of the body? Initially, I felt numbness on the left side of my buttocks, which then spread to my left hand and foot, followed by numbness in my left face. These sensations of numbness are accompanied by slight soreness and weakness, and they are persiste...
Dr. Jiang Junyi Reply:
Hello, your abnormal neurological sensations from the lower limbs to the face may warrant consideration of lesions above the cervical spine, including the brain. I recommend that you consult a neurologist to discuss examination and treatment options. Wishing you good health, peac...[Read More] Understanding Left-Sided Numbness: When to See a Doctor?
Understanding Nerve Compression: Symptoms of Tingling in Limbs and Face
Numbness in the hands and feet, and even the face is starting to feel numb? Hello, Dr. Jiang. Last month, I suddenly woke up one morning with simultaneous numbness in my left arm and leg. This sensation felt different from just an abnormal sleeping position. Even during the day, ...
Dr. Jiang Junyi Reply:
Hello, you mentioned that the issue of unilateral limb numbness is more indicative of cervical nerve root compression. As for the tingling sensations around the mouth and in the limbs, it may be necessary to consider hyperventilation syndrome. The typical symptoms include chest t...[Read More] Understanding Nerve Compression: Symptoms of Tingling in Limbs and Face
Post-Car Accident: Dealing with Right Leg Weakness and Numbness
After the car accident, there is weakness in the right leg muscles and frequent sensations of numbness? Hello, Dr. Jiang. I was in a car accident on June 4, 2017, during which I sustained noticeable abrasions on my right foot and right hand. However, after 2-3 weeks, the abrasion...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to a tendon injury. The lumbar spine can become inflamed or compress the nerve roots due to external forces. If rehabilitation treatment is not pursued due to pain, muscle atrophy may occur from disuse. In addition to...[Read More] Post-Car Accident: Dealing with Right Leg Weakness and Numbness
Understanding Oral Pain and Scalp Numbness: A Neurological Perspective
Oral pain and scalp numbness? Hello Doctor: My mother has been experiencing oral pain for some time now. She has seen several doctors and even visited Cheng Kung University Hospital, where the doctors said there were no issues with her oral mucosa. Blood tests were conducted, but...
Dr. Jiang Junyi Reply:
Hello: The issue of pain in the oral cavity may be related to the trigeminal nerve, which distributes sensory information from the forehead, cheeks, and chin to our brain. The sensations within the oral cavity are also transmitted by the trigeminal nerve. When there is an abnorma...[Read More] Understanding Oral Pain and Scalp Numbness: A Neurological Perspective
Understanding Upper Eye Pain: Neuropathic Issues and Sleep Impact
Headache, neuralgia Hello Doctor, the patient is experiencing a dull, aching pain in the upper part of both eyeballs (not the eye sockets) and the area between the eyebrows, which sometimes radiates to the occipital region at the back of the head. This discomfort persists through...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. (Your symptoms may be indicative of cervicogenic headache, which involves the sensory nerves near the upper cervic...[Read More] Understanding Upper Eye Pain: Neuropathic Issues and Sleep Impact
Understanding Chronic Neck Pain: When to See a Neurologist
Cervical spine pain Dear Doctor, I have been experiencing pain in my cervical spine for over six months. It hurts when I look down and also when I look up. I had never had any symptoms before this. The pain started about six months ago when I had to look down all day at work, b...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the...[Read More] Understanding Chronic Neck Pain: When to See a Neurologist
Understanding Back Pain: When to See a Specialist for Relief
Back problems Initially, I experienced pain on the left side of my chest. After two days, when I slept in a more horizontal position, I felt significant pain between my left shoulder blade and spine (the pain on the left side of my chest subsided). I went for acupuncture and saw ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of back pain is myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but over time ...[Read More] Understanding Back Pain: When to See a Specialist for Relief
Understanding Lower Back Pain: Kidney Issues or Pelvic Inflammation?
Pain in the lower back on both sides? Hello doctor, I have been experiencing unexplained pain on both sides of my lower back for the past couple of days. I'm not sure if it's related to my kidneys or if it's just lower back pain. Recently, I had an inflammation of ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to first consider renal pyelonephritis, which can present with bilateral pain. Clinically, diagnosis can be assisted through percussion and renal ultrasound. Generally, a herniated disc causing nerve root compression is typically ...[Read More] Understanding Lower Back Pain: Kidney Issues or Pelvic Inflammation?
Chronic Lower Back Pain: Seeking the Right Specialist for Relief
Pain on both sides of the lower back? Hello Doctor, my mother is 65 years old. She previously had an issue with lumbar disc herniation, which caused nerve compression and resulted in lower back pain, making it difficult for her to get out of bed and walk. She consulted a neurosur...
Dr. Jiang Junyi Reply:
Hello: Lumbar compression fractures can relieve nerve compression through surgery, but if rehabilitation is not continued to strengthen the core muscles, mobility may still be affected. The soreness and heat on both sides of your lower back may indicate symptoms of nerve root com...[Read More] Chronic Lower Back Pain: Seeking the Right Specialist for Relief
Neck Pain After Chiropractic Treatment: Is It Text Neck Syndrome?
Neck pain after chiropractic adjustment? Hello Doctor: Last Monday, I went for chiropractic treatment. Two days later, I started experiencing discomfort in my neck when looking down, jumping, coughing slightly, sitting with my head against the back of the chair, and lying down. T...
Dr. Jiang Junyi Reply:
Hello: The most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but over time it can...[Read More] Neck Pain After Chiropractic Treatment: Is It Text Neck Syndrome?