Understanding Eye Movement Disorders: Causes and Treatment Options
Nystagmus and visual oscillation? Hello, Doctor. I have been experiencing involuntary eye (eyelid) twitching since February of last year, but it does not occur when my eyes are open. Starting in May, I noticed a slight tremor when looking at objects, especially when viewing grid ...
Dr. Lan Shengxing Reply:
This symptom makes it difficult to rule out neurological disorders. Nystagmus is an external observation and may not necessarily align with personal sensations; it is also harder to accurately observe true nystagmus when the eyes are closed. Therefore, it is advisable for you to ...[Read More] Understanding Eye Movement Disorders: Causes and Treatment Options
Post-Sinus Surgery MRI Insights: Understanding Headaches and Ear Pain
Magnetic Resonance Imaging (MRI) two months post-sinus surgery? Due to headaches, dizziness, deep pain in the right ear, and weakness in the right leg, a magnetic resonance imaging (MRI) was performed two months after chronic sinusitis surgery, and I have not yet recovered. I wou...
Dr. Gao Chunde Reply:
You may consider consulting a neurosurgeon to review your actual MRI images. Based on their experience, they can determine whether the condition of the right anterior inferior cerebellar artery in relation to the seventh and eighth cranial nerves can explain your current clinical...[Read More] Post-Sinus Surgery MRI Insights: Understanding Headaches and Ear Pain
Understanding Left Shoulder Pain, Dizziness, and Heart Symptoms
Left shoulder, neck, and back pain, palpitations, and dizziness? Hello, Doctor: I have been experiencing intermittent pain in my left shoulder, neck, and back for about two years. My presbyopia has been worsening. Last year, I suddenly experienced dizziness and went to the emerge...
Dr. Lan Shengxing Reply:
Dear Victor, based on your symptoms, I recommend that you seek treatment from a neurologist and a rehabilitation specialist. There is a high chance that your condition is related to the cervical spine, and treatment may include medication and physical therapy, among other options...[Read More] Understanding Left Shoulder Pain, Dizziness, and Heart Symptoms
Understanding Electric Sensations in Fingers: Possible Causes and Treatments
Finger electrical sensation Hello Doctor, I have recently been experiencing a slight tingling and electric sensation in my left hand fingers, specifically the middle and ring fingers. I have undergone cervical traction therapy at a rehabilitation clinic, but the results were not ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more indicative of cervical radiculopathy, which may be caused by cervical spine degeneration or disc herniation, leading to foraminal stenosis and compression of the cervical nerve roots. If the sixth cervical nerve root is com...[Read More] Understanding Electric Sensations in Fingers: Possible Causes and Treatments
Understanding Arm and Shoulder Pain: Possible Causes and Next Steps
Pain in the back of the arm? Hello, doctor... At the beginning of December, I started experiencing soreness in my shoulder, arm, and chest muscles. It hurts when pressed, but only feels achy when not pressed. I later visited a rehabilitation specialist who performed no tests, onl...
Dr. Gao Chunde Reply:
You may have pressed on a trigger point located on the scapula, which can cause numbness and discomfort throughout the entire arm. This typically occurs in muscles that have been subjected to poor posture, lack of exercise, and sleep disturbances, leading to dysfunction in the mu...[Read More] Understanding Arm and Shoulder Pain: Possible Causes and Next Steps
Understanding Neck and Shoulder Pain: Possible Neurological Issues
Shoulder and neck pain? Hello, Doctor Gao. I have been experiencing frequent headaches and neck and shoulder pain. Sometimes my neck feels tight, my right leg feels sore, and my left hand occasionally feels weak. Could you please tell me what might be the issue?
Dr. Gao Chunde Reply:
If the left hand feels increasingly weak and persistent, it is important to consider issues related to the cervical spine or intracranial nerves, and further evaluation by a neurologist is recommended. If there is soreness, pain, or stiffness, it is mostly related to fatigue and ...[Read More] Understanding Neck and Shoulder Pain: Possible Neurological Issues
Persistent Hand Numbness: Seeking Answers After 4 Months of Symptoms
Numbness in both hands for the past four months? Hello doctor, I have been experiencing numbness in my hands since the beginning of September. Initially, it was only in my right hand, but within a week, my left hand started to feel numb as well. The numbness has not ceased, causi...
Dr. Gao Chunde Reply:
When experiencing hand numbness, it is important to determine whether the distribution of symptoms falls within the peripheral nerve range, nerve roots, or central nervous system. Particularly, if nerve conduction studies are normal, carpal tunnel syndrome is almost ruled out. Sy...[Read More] Persistent Hand Numbness: Seeking Answers After 4 Months of Symptoms
Understanding Post-EMG Bruising and Pain: What You Need to Know
After the electromyography (EMG) procedure, there may be bruising and pain? After undergoing an electromyography (EMG) at the Veterans General Hospital, I experienced significant bruising and bleeding in my palm. The physician applied pressure for a long time due to my nervousnes...
Dr. Lan Shengxing Reply:
First, the chance of a needle breaking inside is very low, and it would be accompanied by other symptoms. If there are still concerns, since the needle is metal, an X-ray can confirm its presence. Diseases of the cervical spine or brachial plexus can indeed lead to muscle atrophy...[Read More] Understanding Post-EMG Bruising and Pain: What You Need to Know
Persistent Leg Numbness After Heavy Lifting: Possible Causes and Solutions
Persistent numbness near the tibia? Hello doctor, in July of this year, I experienced some soreness in my lower back while lifting heavy objects. After receiving a massage, I returned home and began to feel pain and numbness from my lower back to my buttocks, right thigh, right c...
Dr. Gao Chunde Reply:
Based on your medical history and symptom description, it strongly suggests that there is a herniated disc at the fifth lumbar vertebra compressing the nerve root. Typically, lumbar imaging (MRI or CT scan) would show this, so it is surprising that the results are normal. The phy...[Read More] Persistent Leg Numbness After Heavy Lifting: Possible Causes and Solutions
Treatment Options for C5 Spinal Injury: Surgery vs. Physical Therapy
If there is an injury to the fifth cervical vertebra (C5), the treatment approach may vary depending on the severity of the injury. Generally, treatment options may include: 1. **Conservative Management**: This may involve rest, physical therapy, and the use of a cervical collar...
Dr. Gao Chunde Reply:
Cervical spine injuries will be assessed based on imaging results, in conjunction with clinical neuromuscular function, and possibly supplemented by electromyography (EMG) tests. This assessment will determine the treatment plan, which may include physical therapy, oral medicatio...[Read More] Treatment Options for C5 Spinal Injury: Surgery vs. Physical Therapy
Understanding Nerve Symptoms: Foot Tingling, Leg Cramps, and More
Tingling in the soles of the feet, leg numbness, and muscle twitching? Hello Doctor, 1. Symptom Description A. After sitting for a few seconds, I experience numbness, tingling, and a sensation like electric shocks in the soles of my feet, and sometimes there is a sudden sharp ...
Dr. Lan Shengxing Reply:
Dear Mr. "Constantly Being Referred," your examination results appear to be normal, so the neurologist's ability to assist you is limited. I recommend that you seek treatment from the urology and rehabilitation departments. Rehabilitation may take some time, so ple...[Read More] Understanding Nerve Symptoms: Foot Tingling, Leg Cramps, and More
Understanding Lower Back Pain: Causes and When to Seek Help
Lower back pain? At the beginning of the year, I slipped at work and experienced lower back pain. I applied some medicated patches a few times, and then I didn't feel the pain anymore. However, after the school semester started and I returned to work, I began to feel lower b...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more consistent with a herniated disc compressing the nerve root. The spine is subjected to repetitive stress, especially from abnormal pressures such as bending to pick things up or working in a bent or twisted position for ext...[Read More] Understanding Lower Back Pain: Causes and When to Seek Help
Understanding Tension Headaches: The Role of EEG and MRI in Diagnosis
Electroencephalography (EEG) and Magnetic Resonance Imaging (MRI) Hello, doctor. Previously, I inquired about symptoms such as eye pressure (discomfort when moving the eyeballs), soreness, dull pain in the head, tightness in the neck at the back, and a strong desire to rest with ...
Dr. Gao Chunde Reply:
After ruling out postoperative infection, both sinusitis and tension-type headaches may occur following treatment. Simple tension-type headaches can be managed with oral medications prescribed by a physician, or by adjusting lifestyle habits to reduce stressors, engaging in moder...[Read More] Understanding Tension Headaches: The Role of EEG and MRI in Diagnosis
Understanding Post-Surgery Back Pain: Causes and Recovery Tips
Spinal pain Hello Dr. Lan, I had a car accident on April 1st of this year. The other driver hit me from behind, causing me to fall. The most severe injury was a rupture of the cartilage in my spine, which compressed my nerves and left me unable to walk. After surgery, I had two s...
Dr. Lan Shengxing Reply:
Dear A-Juan, the old injury in your lower back has been treated but is starting to hurt again. There could be many reasons for this, so it's important to follow up at the hospital. Regarding rehabilitation and activities after surgery, it's best to consult with the orth...[Read More] Understanding Post-Surgery Back Pain: Causes and Recovery Tips
Understanding Lower Back and Spine Pain: Causes and Solutions
Lower back pain? Hello doctor, I started experiencing pain in my lower back and back yesterday, and it has become worse today. This is the first time I've had such pain, and it hurts even to walk. I haven't lifted heavy objects or overexerted myself. When I lightly tap ...
Dr. Lan Shengxing Reply:
Dear Qingqing, with your description, it is not possible to determine the condition. It would be best to visit a nearby clinic for a physical examination and a review of your medical history to get a better understanding. Thank you.[Read More] Understanding Lower Back and Spine Pain: Causes and Solutions
Understanding Toe Cramps in Parkinson's: Causes and Treatment Options
Cramps in the second, third, and fourth toes? I have Parkinson's disease (for three years), and recently I have been experiencing cramps and pain in the second, third, and fourth toes of my left foot. I have consulted both a neurologist and an orthopedic specialist, and I wa...
Dr. Jiang Junyi Reply:
Based on your description, the causes of cramping pain may include insufficient levels of minerals in the blood (such as magnesium and calcium), mild tears in the muscles or tendons, excessive emotional stress, improper posture during exercise, or poor muscle coordination. If the...[Read More] Understanding Toe Cramps in Parkinson's: Causes and Treatment Options
Persistent Cramps and Numbness in Left Hand and Leg: Possible Causes
Persistent cramping sensation in the left hand and left foot? Hello Doctor, recently I've been experiencing a persistent sensation in my left hand that feels somewhat like a mild cramping. Sometimes my palm feels a bit numb, and my fingers occasionally feel strange (for exam...
Dr. Lan Shengxing Reply:
Dear Xiao Ai, the symptoms mentioned above may require consideration of other conditions, such as mild cervical spine compression. However, I am unable to perform a neurological examination online, so I kindly ask you to visit the neurology outpatient department at various hospit...[Read More] Persistent Cramps and Numbness in Left Hand and Leg: Possible Causes
Understanding Involuntary Muscle Twitches: Causes and Solutions
Muscle twitching Hello Doctor: I have been experiencing involuntary muscle twitching throughout my body, along with a sensation of soreness in my left hand and foot. My neck has also been persistently tight and painful. These symptoms have been present for about a year. Initially...
Dr. Lan Shengxing Reply:
Dear Sam, the symptoms you described differ somewhat from those of amyotrophic lateral sclerosis (ALS). There is no need to worry excessively about cervical spine issues or problems arising from sleep itself. However, if you have undergone cervical spine imaging and electromyogra...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Throat Tightness: Is It a Spine or Nerve Issue?
Throat tightness? Thank you, Dr. Lan, for your previous response. I would like to follow up on my throat issue. My situation is that when my head is in a normal position, swallowing is best (though it requires a bit more effort than usual). However, when I lean forward, I experie...
Dr. Lan Shengxing Reply:
Dear Mr. J, due to the specific nature of your issue, a clinical neurological examination is necessary to determine if there is any impact. Therefore, I cannot provide an answer online. Please visit the neurology outpatient clinic for further evaluation.[Read More] Understanding Throat Tightness: Is It a Spine or Nerve Issue?
Understanding Morning Hand Numbness and Involuntary Twitches
Numbness and twitching in the hands after waking up? Hello, Doctor: I would like to ask about something. Yesterday morning, after I woke up, I noticed that my left hand was numb, and my little finger was twitching involuntarily. I also felt soreness in my lower back and neck. The...
Dr. Gao Chunde Reply:
There is a high likelihood of cervical nerve compression; however, the presence of bruising is somewhat unusual. It is difficult to determine if there is internal bleeding. It is recommended to seek further evaluation at a neurology or neurosurgery outpatient clinic as soon as po...[Read More] Understanding Morning Hand Numbness and Involuntary Twitches