Understanding Head and Neck Issues: Post-Injury Symptoms and Concerns
Head and neck issues Hello, Doctor Gao: I have a few questions to ask. Over two years ago, while moving something under the stairs, I suddenly forgot and stood up, hitting the top center of my head against the corner of a steel beam. At that moment, I saw stars, had a headache, a...
Dr. Gao Chunde Reply:
If the head examination is normal, some of your symptoms may be indicative of tension-type headaches, but they could also suggest cervical spine issues. Given the car accident and the relatively mild symptoms in your limbs and chest muscles, it would be advisable to inform your a...[Read More] Understanding Head and Neck Issues: Post-Injury Symptoms and Concerns
Understanding Muscle Twitches: Connection to ALS and Other Causes
The relationship between muscle twitching (spasms) and amyotrophic lateral sclerosis (ALS)? Hello, Doctor. I am 35 years old and started experiencing muscle twitches six months ago. At that time, the frequency was low, and I didn't pay much attention to it. However, for the ...
Dr. Gao Chunde Reply:
Amyotrophic lateral sclerosis (ALS) is characterized by the progressive loss of motor neurons, leading to a decrease in motor nerve function, muscle atrophy, and observable fasciculations. Concurrently, or at some point before or after, there is no definitive timeline; however, t...[Read More] Understanding Muscle Twitches: Connection to ALS and Other Causes
Understanding Neck and Scalp Numbness: Causes and Relief Strategies
Numbness in the neck (tight and tingling) and a tingling sensation in the scalp? Hello doctor, while I was relaxing in my flexible computer chair and leaned back to get up, I heard a popping sound from my cervical spine. When I turned my head, there was another sound, making it a...
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. If a nerve root is compressed, it ma...[Read More] Understanding Neck and Scalp Numbness: Causes and Relief Strategies
Morning Numbness or Swelling in Legs: When to See a Doctor?
Waking up with numb or swollen feet? Hello, Doctor. In the morning when I wake up, I often feel a tingling or swelling sensation below my knees. I can't quite distinguish whether it's tingling or swelling. I also experience this sensation during my commute on the MRT an...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest peripheral neuropathy causing foot numbness. Diagnosis typically requires examinations including clinical neurological assessments, blood tests, electromyography (EMG), and lumbar spine X-rays. The treatment for lumbar d...[Read More] Morning Numbness or Swelling in Legs: When to See a Doctor?
Understanding Headaches and Abdominal Pain: When to See a Neurologist
Diagnosis and Etiology I apologize for the inconvenience, and I sincerely seek your advice. My father recently experienced a headache (not the kind associated with a cold) after cleaning the water tank. Following that, he had difficulty urinating and experienced intermittent abdo...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether your father's cervical spine has degeneration causing nerve compression, which in turn could affect the autonomic nervous system, leading to symptoms such as bloating or urinary difficulties. Additionally, some muscle r...[Read More] Understanding Headaches and Abdominal Pain: When to See a Neurologist
Understanding Neurological Symptoms: Numbness and Dizziness Explained
Dizziness and a feeling of pressure in the back of the head? Hello, Doctor! I would like to ask about an incident that occurred on the night of April 8th. I was lying in bed watching TV and used my left pinky finger to scratch my face when suddenly my left pinky became weak and u...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms seem to resemble sensory abnormalities in the distribution area of the eighth cervical nerve root caused by nerve compression, along with shoulder and neck pain. The common causes are often due to overwork or poor posture leading to...[Read More] Understanding Neurological Symptoms: Numbness and Dizziness Explained
Pain Behind the Ear: Causes and Treatment Options
The bone behind the ear is very painful? Hello doctor, today my friend was playing basketball and accidentally got hit on the bone behind the ear by someone's elbow. It has been painful since then, radiating from the bone near the ear down to the neck, making it very difficu...
Dr. Gao Chunde Reply:
This area is actually very close to some important nerves and blood vessels. If the position is off or the force applied is too strong, it could lead to serious consequences. If it's just a muscle contusion or a subcutaneous hematoma, it should heal on its own. However, if i...[Read More] Pain Behind the Ear: Causes and Treatment Options
Understanding Left-Sided Lower Back Pain in Athletes: Causes and Solutions
Left-sided lower back pain? I don't recall having this issue before college, but now that I'm in my senior year, this problem has persisted for about two to three years. The most intense physical activities I engage in are volleyball and tennis. I first noticed this iss...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider nerve compression in the lumbar spine, which can lead to symptoms such as numbness and pain in the areas supplied by the affected nerves. If the symptoms are limited to localized pain, it could be related to myofas...[Read More] Understanding Left-Sided Lower Back Pain in Athletes: Causes and Solutions
Understanding Pashan Syndrome and Cervical Dislocation: Symptoms and Concerns
Pillars disease, cervical vertebral dislocation? At the age of 15, I was diagnosed with Chiari malformation at Taipei Veterans General Hospital, and at 14, I suffered a cervical spine dislocation due to a fall. I would like to ask: 1. Is the dizziness I experience and the neck pa...
Dr. Gao Chunde Reply:
Cervical vertebral displacement was ruled out during the MRI examination. If displacement still occurs, surgical treatment can resolve the issue, and this diagnosis will not be made. Basilar invagination is caused by changes in the distribution of venous blood within the cervical...[Read More] Understanding Pashan Syndrome and Cervical Dislocation: Symptoms and Concerns
Understanding Right-Sided Pain: Causes and Effective Treatments
Significant pain on the right side? Hello, Director: I have recently been experiencing stiffness in my cervical spine, soreness in my right back, chronic pain from my right leg to my pelvis, and both of my calves are very stiff. I need deep tissue massage to be able to sleep, and...
Dr. Lan Shengxing Reply:
Dear Ah Xiang, if this has been affecting your quality of life and sleep for a long time, you may very likely have fibromyalgia. Please consult a neurologist. Best regards, Lan Shengxing.[Read More] Understanding Right-Sided Pain: Causes and Effective Treatments
Understanding Sleep-Related Numbness: Causes and Solutions
Numbness while sleeping? Hello, doctor. Recently, I often wake up in the middle of the night with numbness on the same side of my body. My head, hand, and foot on the right side feel numb. When I move a bit, it gets better, but I'm not sure what's going on. Thank you, D...
Dr. Gao Chunde Reply:
Generally, poor peripheral blood circulation affects at most one limb, either a hand or a foot, especially if there is compression. If both the head and the same side limb are involved, it indicates a problem above the cervical spine, particularly in the brain. It is advisable to...[Read More] Understanding Sleep-Related Numbness: Causes and Solutions
Understanding Persistent Lower Back Pain: When to Seek Medical Help
Lower back pain Doctor, while brushing my teeth, I slightly leaned forward and suddenly felt a sharp pain in my lower back. I immediately stood up straight, but I keep experiencing episodes of pain. I have been using a lumbar support, but it doesn't always alleviate the pain...
Dr. Gao Chunde Reply:
You can consult with a neurosurgeon or an orthopedic surgeon to evaluate any potential issues with your lumbar spine.[Read More] Understanding Persistent Lower Back Pain: When to Seek Medical Help
Understanding Lower Back Pain: Causes and Concerns After a Fall
Lower back pain? Hello Doctor: I slipped in the bathroom last time, and since then I've been experiencing some pain in the lower back area, particularly near the spine. The pain tends to be worse when I get up after sleeping for a long time. I would like to know what this mi...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, which can also occur as a result of sudden injuries, such as twisting the waist suddenly, bending to lift heavy objects, or experiencing excessive force sudden...[Read More] Understanding Lower Back Pain: Causes and Concerns After a Fall
Understanding Lower Back Pain: Causes and Relief Strategies
Lower back pain? I've been feeling very uncomfortable in my lower back these past couple of days. I can't stand for long without feeling unbearable pain, and I have to lie down in bed and bend my body to feel some relief.
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems that you have lumbar spine pathology such as a herniated disc causing nerve root compression. Typically, the pain is located in the lower back and may radiate down to the legs. The risk of damage increases with greater activity levels. S...[Read More] Understanding Lower Back Pain: Causes and Relief Strategies
Understanding Hand Numbness: Causes and Solutions for Textile Workers
Hand numbness and tingling? I apologize for the inconvenience, but I would like to ask about my mother, who is in her early 50s and works in the textile industry, managing her own factory. Her job often requires her to use her hands to thread and arrange gears to achieve the desi...
Dr. Gao Chunde Reply:
It is important to further understand the specific location of hand numbness, as different distributions of numbness correspond to different nerves and can indicate various lesion sites, allowing for further speculation on the underlying causes. Overuse commonly leads to carpal t...[Read More] Understanding Hand Numbness: Causes and Solutions for Textile Workers
Understanding Hand Numbness and Pain: When to Seek Neurological Help
Hand numbness and pain? I used to experience hand numbness, but it would go away after a while. Recently, however, the numbness has extended from my fingertips to my entire palm and even to my elbow (it's numb to the point of pain), and it radiates from my shoulder to my bac...
Dr. Gao Chunde Reply:
Issues related to cervical spine nerves can be evaluated and diagnosed by either a neurosurgeon or a neurologist.[Read More] Understanding Hand Numbness and Pain: When to Seek Neurological Help
Understanding Neck and Shoulder Stiffness: When to Seek Medical Help
Stiffness in the shoulders and neck, as well as in the limbs? I am in my fifties and have been experiencing stiffness in my shoulders and neck for the past two months. My hands and feet often have joint pain, and sometimes my lumbar spine hurts to the point where I can't str...
Dr. Lan Shengxing Reply:
Dear Dolq, this symptom is something that most programmers experience to some extent. It is advisable to first consult with a rehabilitation specialist. If rehabilitation activities do not yield results, then consider visiting a neurologist or a neurosurgeon.[Read More] Understanding Neck and Shoulder Stiffness: When to Seek Medical Help
Understanding Lumbar Pain: Causes, Symptoms, and Specialist Guidance
Lumbar pain Around the end of October 2011, I sprained my ankle while playing basketball at noon. However, when I went to play again in the afternoon, the pain that was originally located below my spine seemed to have disappeared. But at the moment I stepped out with my right foo...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more indicative of a lumbar disc herniation, where the intervertebral disc compresses one of the two nerve roots at each level. Patients typically complain of pain radiating down one leg, while simultaneous radiation to both leg...[Read More] Understanding Lumbar Pain: Causes, Symptoms, and Specialist Guidance
Understanding Lower Back Pain: Causes and Management Strategies
Lower back pain Hello, Doctor. I would like to ask you about issues related to lower back pain. A month ago, I visited a traditional Chinese medicine clinic for spinal manipulation. The practitioner asked me to lie on my side and struck my lower back once on each side. At that mo...
Dr. Gao Chunde Reply:
A month ago, after treatment, the pain has persisted until now. If it were a muscle inflammation or strain, it shouldn't last this long unless there was no rest and repetitive movements that could exacerbate the inflammation. If that is not the case, issues with the lumbar v...[Read More] Understanding Lower Back Pain: Causes and Management Strategies
Understanding Unexplained Body Pain and Numbness: A Neurology Perspective
Feeling unwell all over? In the past month, I have experienced body aches that progressed to numbness in my legs and hands. My legs feel weak and painful when standing, and I have intermittent pain or twitching throughout my body. Sometimes my wrists, near my ankles, and knees al...
Dr. Lan Shengxing Reply:
Dear Ms. Chen, the symptoms you described are most likely caused by cervical spine issues. It is recommended that you first visit a neurology clinic for a detailed neurological examination to determine the underlying cause. Additionally, it is advised not to use overly soft beddi...[Read More] Understanding Unexplained Body Pain and Numbness: A Neurology Perspective