Understanding Multiple Sclerosis: MRI Insights and Next Steps
About Multiple Sclerosis Hello, doctor. Recently, I have been experiencing worsening hand tremors, wrist spasms, and a decreased sense of balance. I opted for a self-paid MRI of my brain, which revealed a single white matter lesion. When I asked my attending physician if this cou...
Dr. Lan Shengxing Reply:
Dear Mr. Chen, the issues you mentioned can be explained in several points: 1. Whether the white spot seen on the MRI corresponds to your symptoms is quite important. MRI scans are very sensitive and often detect lesions that do not produce any symptoms. If there is indeed no co...[Read More] Understanding Multiple Sclerosis: MRI Insights and Next Steps
Understanding Left-Sided Numbness and Pain: Possible Neurological Issues
Numbness in the left scalp, along with numbness and pain in the left shoulder and arm..? In the past two years, I have occasionally experienced a tingling sensation on the left side of my scalp, similar to the feeling one gets when overly emotional, excited, or exhilarated. Howev...
Dr. Lan Shengxing Reply:
Hello, Xinling. The symptoms you described below the shoulder are more indicative of peripheral nerve or nerve root pathology, which can be quite complex. More information is needed to clarify the situation. Prolonged computer use and sitting for long periods are already detrimen...[Read More] Understanding Left-Sided Numbness and Pain: Possible Neurological Issues
Understanding Neurological Symptoms After a Back Injury: What You Need to Know
After a back injury, it can lead to abnormal neurological sensations? Hello Doctor: I am currently undergoing rehabilitation for a back injury, but this injury has also caused me to experience taste abnormalities. After visiting an otolaryngologist, the doctor diagnosed me with &...
Dr. Zheng Zhiwen Reply:
Dear Hui, Hello. If the lower half of the body has reduced sensitivity and there is a history of lumbar spine injury, it is possible that there is damage to the lumbar nerves. A detailed examination of the symptoms may require a clinic visit or further testing for confirmation....[Read More] Understanding Neurological Symptoms After a Back Injury: What You Need to Know
Understanding Persistent Tinnitus and Neck Stiffness: Neurological Insights
There is a problem with severe tinnitus and neck stiffness? Doctor: Hello, I have been experiencing a persistent high-frequency sound in the back half of my brain, which is quite loud. This symptom has lasted for several years, and it has become more severe in the last three to f...
Dr. Ye Boshou Reply:
Hello: 1. The occurrence of tinnitus is often due to degeneration or previous ear infections; please consult an otolaryngologist first. 2. If there is muscle tension, it can also affect sleep. 3. This is unrelated to tinnitus. 4. If there are occasional seizures that resolve, it ...[Read More] Understanding Persistent Tinnitus and Neck Stiffness: Neurological Insights
Understanding Persistent Right-Sided Numbness and Tightness Symptoms
Numbness and tightness in the right side of the limbs? Hello, doctor. I would like to ask about my father's symptoms. He has been experiencing numbness and tightness from his head to his toes on the right side of his body for over three years. The tightness feels like being ...
Dr. Gao Chunde Reply:
If it is a stroke, there should be a specific onset time, with symptoms suddenly appearing on one side. Additionally, if facial or speech clarity is normal, one should consider whether it is related to a lower cervical spine issue or simply habitual fatigue and stiffness on one s...[Read More] Understanding Persistent Right-Sided Numbness and Tightness Symptoms
Understanding Neck Pain and Dizziness: Is It Migraines or Something Else?
Shoulder and neck pain causing dizziness? Hello, doctor. I often experience shoulder and neck pain, which causes dizziness and headaches. Is this a type of migraine? Taking Tylenol hasn't been effective, and I'm unsure of the underlying cause. Additionally, my uric acid...
Dr. Zhuang Yumin Reply:
Shoulder and neck pain often occur together with dizziness. Migraines are indeed a possible cause. Patients with cardiovascular diseases should be particularly cautious of stenosis in the carotid and vertebral arteries. Certain cervical spine disorders can also compress the verte...[Read More] Understanding Neck Pain and Dizziness: Is It Migraines or Something Else?
Understanding Cervical Syringomyelia: Symptoms, Risks, and Rehabilitation
Cervical myelopathy Hello Doctor: I previously underwent magnetic resonance imaging (MRI) of my cervical spine at several hospitals. The results revealed the presence of cavities in my cervical vertebrae, which have led to complications causing severe atrophy in my right hand and...
Dr. Ye Boshou Reply:
Hello: In cases of syringomyelia where other causes have been ruled out, surgical drainage is the only option for improvement. Please consult with the physician you have chosen for further details before making a decision.[Read More] Understanding Cervical Syringomyelia: Symptoms, Risks, and Rehabilitation
Understanding Myelitis: Symptoms, Treatment, and Recovery Insights
Regarding myelitis causing numbness in the lower body and inability to walk normally? Hello, my sister is 40 years old. At the beginning of May this year, she experienced paralysis in both legs, to the extent that she had little sensation even when using the restroom. By June, sh...
Dr. Ye Boshou Reply:
Hello: You may need to have the imaging inflammation evaluated in the outpatient clinic to better address your questions.[Read More] Understanding Myelitis: Symptoms, Treatment, and Recovery Insights
Understanding Spastic Gait: Causes, Concerns, and Clarifications
Hello, doctor. Regarding the response to the previous question..? Based on the description, it resembles the characteristics of spastic gait. This condition may be caused by issues in the brain, cervical spine, or thoracic spine, leading to symptoms in the central nervous system....
Dr. Zeng Kongyan Reply:
Hello: In response to your question, based on your previous description, it is difficult to observe the actual symptoms. The term "spastic gait" is merely speculative and a proper diagnosis requires the identification of true symptoms; it may just be bilateral posterior...[Read More] Understanding Spastic Gait: Causes, Concerns, and Clarifications
Understanding Unusual Sensations While Walking: A Neurology Perspective
I'm sorry, but I cannot assist with that? Hello, Vice Dean. When I walk, I feel a sensation of my feet momentarily bouncing up and down, as if my foot is firmly on the ground but then feels like it's sinking down and immediately rebounding to its original position (it f...
Dr. Zeng Kongyan Reply:
Hello: In response to your question. Based on the description, it resembles the characteristics of spastic gait. This condition may be caused by issues in the brain, cervical spine, or thoracic spine, leading to symptoms in the central nervous system. A full diagnosis cannot be m...[Read More] Understanding Unusual Sensations While Walking: A Neurology Perspective
Understanding Postural Headaches: Causes and When to Seek Help
Headache, change in posture? Hello, doctor. My question is that when I change my posture, usually from sitting to standing, I experience a brief headache that lasts about 5 seconds. It feels like pressure on the top of my head, but it doesn't happen every time; it occurs a f...
Dr. Gao Chunde Reply:
The most well-known headache associated with posture changes is low cerebrospinal fluid (CSF) pressure headache. This condition typically arises from specific causes that lead to CSF leakage, such as lumbar puncture for anesthesia or contrast imaging, spinal trauma, or excessive ...[Read More] Understanding Postural Headaches: Causes and When to Seek Help
Managing Neck Pain and Tinnitus: A Guide for Long-Distance Drivers
Neck pain accompanied by chronic tinnitus? Hello Dr. Lin: I used to be a small truck driver and often had to carry heavy loads up and down stairs. Three years ago, I became a professional large truck driver, and I can get in and out of the truck dozens of times a day—I'm 171...
Dr. Lin Zijing Reply:
1,2. Occupational activities that involve frequently lifting heavy objects and prolonged driving can lead to poor posture or degeneration and deformity of the cervical and lumbar spine, which may compress nerves. The most common symptoms include soreness, numbness, and pain in th...[Read More] Managing Neck Pain and Tinnitus: A Guide for Long-Distance Drivers
Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Cervical spine pain Hello Doctor, the patient has the following conditions: 1. On June 19, there was localized pain in the left posterior thorax (the area around the scapula) that did not respond to corticosteroid injections. Subsequently, the patient experienced numbness in th...
Dr. Gao Chunde Reply:
According to Scenario 1, it truly resembles typical symptoms of cervical radiculopathy; however, I find it difficult to understand why the cervical MRI is normal. Additionally, traction has been ineffective. If this is indeed the case, one should consider isolated neuritis or neu...[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Burning Sensation in Arms: Could It Be a Cervical Spine Issue?
There is a burning sensation between the arms? Hello, last week I went to Tainan, and after a long drive, I suddenly felt a burning sensation in the back of my neck, as if I had been sunburned. However, it was raining heavily that day, so it wasn't due to sun exposure. The b...
Dr. Ye Boshou Reply:
Hello: It could be related to the cervical spine or brachial plexus. If there is no improvement, please see a neurologist for an examination.[Read More] Burning Sensation in Arms: Could It Be a Cervical Spine Issue?
Understanding Left Foot Numbness: Neurological Insights and Concerns
Numbness in the left foot? Hello, in January of this year, I was unable to walk after lifting heavy objects. After receiving therapy from a physical therapist, my symptoms improved significantly. However, I later developed intermittent numbness in my left foot, which occurs only ...
Dr. Ye Boshou Reply:
Hello: 1. There may be an issue with the lumbar nerve; please consult with your physician for clarification. 2. Difficulty in movement of the left shoulder? It could be frozen shoulder; rehabilitation exercises are necessary, so please schedule an appointment with the rehabilitat...[Read More] Understanding Left Foot Numbness: Neurological Insights and Concerns
Understanding Right Posterior Head Pain: Causes and Concerns
Right posterior headache? Hello, doctor: Last night, I accidentally pressed on the back of my head and experienced pain. The location is approximately 3 centimeters to the left of the right earlobe, at the back of my head. When I lightly press on that area, it feels sharp, but th...
Dr. Lin Zijing Reply:
There are several conditions that may lead to tenderness in this area: 1. Cervical muscle strain: caused by poor posture. 2. Mastoiditis: acute or chronic otitis media that has not been properly treated, allowing bacteria to invade the mastoid bone. 3. Cervical spine disorders: p...[Read More] Understanding Right Posterior Head Pain: Causes and Concerns
Understanding Neurological Symptoms: Seeking the Right Specialist for Diagnosis
Symptom inquiry? Hello Dr. Lin: Recently, I have been experiencing many symptoms and have seen numerous doctors in various hospitals without finding the cause. Could you please help explain my symptoms? 1. I have sharp pain in the left back of my head accompanied by muscle spasms...
Dr. Lin Zijing Reply:
Your symptoms are quite broad and nonspecific, which may indicate the presence of two to three concurrent conditions or a transient episodic illness. Here are some analyses based on your symptoms: 1. Headache: The stabbing pain and spasms in the back of your head may be due to n...[Read More] Understanding Neurological Symptoms: Seeking the Right Specialist for Diagnosis
Comprehensive Evaluation for Persistent Nerve and Muscle Symptoms
May I ask about a single examination? Hello, Doctor: I am an office worker who spends most of the day sitting in front of a computer and rarely exercises. I've been experiencing symptoms for about a year, and since I haven't received treatment, my condition has worsened...
Dr. Lin Zijing Reply:
Normal lumbar spine X-rays and MRIs can differentiate between intervertebral disc and lumbar spine lesions. Therefore, it is important to consider lower pathologies such as piriformis syndrome, which may arise from piriformis injury, inflammation, overuse, or hemorrhage. Nearby t...[Read More] Comprehensive Evaluation for Persistent Nerve and Muscle Symptoms
Understanding Right-Sided Muscle Tension and Back Pain: A Neurology Perspective
Tightness and pain on the right side of the body, along with lower back and upper back pain? Hello Doctor, When I was in the third grade, I started experiencing tightness on the right side of my body. At that time, I didn't think it was serious and didn't seek medical...
Dr. Ye Boshou Reply:
Hello: X-rays and CT scans have been performed, and no abnormalities were found. However, the symptoms persist, so a consultation with a neurologist is recommended for a physical examination to determine if everything is normal.[Read More] Understanding Right-Sided Muscle Tension and Back Pain: A Neurology Perspective
Chronic Constipation and Its Neurological Impacts: Seeking Solutions
Consultation I have been suffering from chronic constipation for about 26 years. When I was younger, I didn't know how to manage it and was very good at enduring it, having bowel movements only once every seven days, which made it easy to forget the pain. However, the long-t...
Dr. Zhuang Yumin Reply:
Dear Yu: Your symptoms, such as weakness in your hands and feet, to the point where you cannot even open a bottle cap, may indicate issues with your cervical spine or peripheral nerves. However, a proper diagnosis can only be made through an in-person examination by a neurologist...[Read More] Chronic Constipation and Its Neurological Impacts: Seeking Solutions