Understanding Knee Pain: When to Seek Neurological Evaluation
Knee pain Hello, Dr. Jiang... My mother has been experiencing knee pain for the past three months, with symptoms fluctuating. However, in the last two weeks, not only has the knee pain worsened, but she is also experiencing pain throughout her entire leg, making it difficult for ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "knee pain" may need to consider knee joint inflammation. Pain or swelling in the joint, especially during excessive activity or when going up and down stairs, or when standing up after prolonged sitting, can be more pronounced. In the m...[Read More] Understanding Knee Pain: When to Seek Neurological Evaluation
Exploring Causes of Leg Weakness: Beyond MRI and Dopamine Imaging
The left foot feels weak when starting to walk, and MRI, electromyography, and dopamine imaging have all shown no abnormalities? Hello Doctor, my family member has experienced foot drop for the past five years. When changing positions (from sitting to standing, starting to walk, ...
Dr. Peng Shiwei Reply:
It is recommended to take your family member to a neurosurgery department for evaluation. Thank you.[Read More] Exploring Causes of Leg Weakness: Beyond MRI and Dopamine Imaging
Chronic Cough and Chest Discomfort: When to See a Neurologist?
Chronic cough with occasional chest tightness and chest (back) pain? Hello, doctor. I have been experiencing related symptoms for about two years. The frequency of my cough is relatively high but not severe. My main concerns are "chest tightness and chest (back) pain," ...
Dr. Wu Mukhan Reply:
Hello, palpitations may be related to autonomic nervous system dysfunction causing an increased heart rate, or they may be associated with psychological factors such as anxiety and stress. If no cause is found in cardiology, further evaluation can be sought in neurology or psychi...[Read More] Chronic Cough and Chest Discomfort: When to See a Neurologist?
Understanding Numbness and Blood Flow Issues in Neck and Limbs
Numbness in the hands, feet, back, and neck, as well as concerns related to blood flow during turning? Hello Doctor: From November 27 to 29, I often felt tingling in my fingers, palms, and soles, mostly very mild and barely noticeable, without affecting my activities. Additionall...
Dr. Jiang Junyi Reply:
Good morning, Miss. You mentioned experiencing "numbness and tingling, particularly in the shoulders and back, which is quite pronounced and frequent... and feeling a significant rush of blood to the head when turning over." This may warrant consideration of dynamic cha...[Read More] Understanding Numbness and Blood Flow Issues in Neck and Limbs
Head Injury from Rolling Door: Symptoms and Next Steps
Hit the top of the head against a rolling metal door? Hello, doctor. Yesterday, I accidentally bumped into a rolling shutter door that was just about to rise while I was bending down. At the moment of impact, I felt nauseous once and experienced a temporary loss of vision twice. ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I can't really turn my head, and washing my hair while bending over causes severe pain. The right side also hurts a lot while sleeping, but it feels a bit better after waking up." Your symptoms may suggest inflammation of the cervic...[Read More] Head Injury from Rolling Door: Symptoms and Next Steps
Understanding the Causes and Concerns of ALS: A Patient's Journey
The causes of amyotrophic lateral sclerosis (ALS)? Hello, doctor. I apologize for the interruption. On November 21, I visited a clinic due to static tremors in my hands and feet, where I underwent four X-rays—two of my cervical spine and two of my lumbar spine. It was found that ...
Dr. Cai Zongzhang Reply:
Hello, Xiao Bo: There are various possible causes for involuntary muscle twitching, and it cannot be directly attributed to amyotrophic lateral sclerosis (ALS). If the symptoms do not improve after adequate rest, it is recommended to visit a neurology clinic for evaluation.[Read More] Understanding the Causes and Concerns of ALS: A Patient's Journey
Understanding Muscle Pain and Weakness After Pregnancy: A Neurological Perspective
Muscle fasciculations, soreness, weakness..? Hello, Doctor. I apologize for bothering you, but I would like to ask a question. I gave birth around mid-May this year. Due to a short cervical length, I had to undergo bed rest for about three months. After giving birth, I experience...
Dr. Jiang Junyi Reply:
Hello Miss Hsuan-er: You mentioned that "my whole body feels like it's getting thinner and I don't feel like I have any muscle left; is it all atrophying?" Muscle atrophy may first require consideration of insufficient protein intake. Your concerns might also ...[Read More] Understanding Muscle Pain and Weakness After Pregnancy: A Neurological Perspective
Managing Withdrawal Symptoms After Steroid Treatment: What to Expect
Withdrawal side effects Hello, doctor. In April 2023, I was diagnosed with edema at the seventh cervical vertebra and was treated with corticosteroids. I stopped taking corticosteroids at the end of October and have been prescribed B vitamins and B12 to continue. Currently, I am ...
Dr. Wu Mukhan Reply:
Hello, it is unclear from the article what caused your cervical spine edema (inflammation, infection, or injury are all possibilities), making it difficult to determine whether it is related to your current symptoms. I recommend consulting your original physician to clarify the c...[Read More] Managing Withdrawal Symptoms After Steroid Treatment: What to Expect
Assessing Potential Concussion Symptoms After a Head Injury
The right occipital region was hit by a ball? Hello, Doctor. On November 9th, during gym class at 10 AM, a pickleball (about the size of a baseball, hollow plastic, and quite light) suddenly hit me on the back of my right head. It came from about 4 or 5 meters away. At the mome...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "At the moment, I don't feel it will be very painful and I think it will get better soon, so I didn't go to the health room... The pain seems to radiate to my forehead." This symptom is more indicative of cervical myofascial inflamm...[Read More] Assessing Potential Concussion Symptoms After a Head Injury
Understanding Hand and Foot Numbness: Neurological Insights and Concerns
Numbness in both hands and weakness in the legs? After experiencing numbness in the first phalanx of both hands, the second phalanx also became completely numb. Continuous examinations have ruled out carpal tunnel syndrome, and both cervical and peripheral nerves are intact. Ther...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that "recently my right leg has been weak while walking, and I need to use both hands to pull myself up the stairs. I also cannot lift my right leg high and have not yet found the cause. I am currently continuing to see a neurosurgeon and do not...[Read More] Understanding Hand and Foot Numbness: Neurological Insights and Concerns
Understanding Nerve Pain and Tingling: Is It Related to Spinal Issues?
Occasional tingling and pain in the hands and feet? Hello, doctor. When I turn my neck to the left, I experience tightness and pain. Sometimes, my left arm also hurts, and my fingers occasionally feel numb. Additionally, I have soreness in the left side of my lower back, and my s...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: The symptoms mentioned are consistent with cervical nerve root compression. In addition to rehabilitation, maintaining good neck posture is crucial for treatment. If the symptoms persist and do not improve, it is advisable to visit a neurology outpatient clinic.[Read More] Understanding Nerve Pain and Tingling: Is It Related to Spinal Issues?
Neck Injury After Basketball: When to See a Doctor?
Neck issues A few days ago, while playing basketball, I jumped and got hit by someone, causing my head to tilt backward in the air. I heard a cracking sound from my neck, and afterward, I felt some stiffness in my neck. By the evening, I started experiencing dizziness, and it has...
Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that "I started feeling dizzy in the evening, and it has persisted for several days." I apologize for the delay in my response. Your symptoms may suggest a possible muscle injury in the cervical spine. If you experience any ischemic neurol...[Read More] Neck Injury After Basketball: When to See a Doctor?
Understanding Facial Numbness: Insights for Ankylosing Spondylitis Patients
Frequent facial numbness? I was diagnosed with ankylosing spondylitis (AS) this May. In addition to the pain associated with AS, I have been experiencing persistent numbness on the right side of my face and right lip, along with occasional numbness in my right ear. This numbness ...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "cervical disc herniation can affect facial numbness," specifically regarding high cervical nerve root compression at the levels of C1 to C3. Since the nerves pass through the trigeminal nerve nucleus, this may be related to the persist...[Read More] Understanding Facial Numbness: Insights for Ankylosing Spondylitis Patients
Understanding Numbness in Both Feet: Causes and Solutions
Numbness in both feet? Hello Doctor: Over the past year, I have had issues with prolonged sitting, and I have a habit of crossing my left leg while sitting, which causes my left leg to become numb after sitting for a long time. However, it usually improves after I lower my leg fo...
Dr. Wu Mukhan Reply:
Your symptoms may be caused by nerve compression. Prolonged sitting can lead to muscle tightness or spinal degeneration, both of which can contribute to such symptoms. It is recommended to have support for your lower back and spine while sitting, and to get up and walk around at ...[Read More] Understanding Numbness in Both Feet: Causes and Solutions
Understanding Right-Sided Head Pain: Possible Causes and Solutions
Only the right side of my head feels uncomfortable? Hello, doctor. For the past three days, I've been experiencing pain on the right side of my temple, teeth, ear, and back of my neck. The pain is intermittent and persistent. I have seen a dentist, but they said there is no ...
Dr. Jiang Junyi Reply:
Hello Mr. Lu: You mentioned that you are experiencing pain in your teeth, ears, and the back of your neck, which may suggest considering cervical myofascial pain. The myofascia around the cervical spine has small muscles that connect to the head, while the larger superficial musc...[Read More] Understanding Right-Sided Head Pain: Possible Causes and Solutions
Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Groin discomfort, iron deficiency, restless legs syndrome, and tightness of the cremaster muscle? Hello, doctor. About 4-5 years ago, I underwent laparoscopic surgery for bilateral varicocele. Approximately 1-2 years post-surgery, I started experiencing a dull pain in the right g...
Dr. Jiang Junyi Reply:
Hello Mr. Chen, You mentioned that "the pain has spread to the inner side of the right thigh, the outer side of the right calf, and the right testicle experiences spasms and sometimes involuntary twitching." These symptoms may suggest a neuropathy related to the sacral...[Read More] Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Groin discomfort, iron deficiency, restless legs syndrome, and tightness of the cremaster muscle? Hello, doctor. About 4-5 years ago, I underwent laparoscopic surgery for bilateral varicocele. Approximately 1-2 years post-surgery, I began experiencing a vague, dull pain in the ri...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "the pain has spread to the inner thigh, posterior lateral side of the right calf, and the right testicle experiences spasms and sometimes involuntary twitching." These symptoms may suggest a neuropathy of the sacral plexus. Symptoms o...[Read More] Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Understanding Dizziness and Neck Tension: Possible Causes and Concerns
Dizziness and a feeling of heaviness in the head? In the past week or two, I've been experiencing occasional dizziness and a feeling of pressure in my head, along with tightness in my shoulders, neck, and back of my head. There have been a few instances where I felt unsteady...
Dr. Peng Shiwei Reply:
Hello, your symptoms are not closely related to multiple sclerosis; however, there are many causes of dizziness. If there is no improvement in the near future, it is recommended that you consult a neurologist. Thank you for your inquiry.[Read More] Understanding Dizziness and Neck Tension: Possible Causes and Concerns
Understanding Scalp Tingling: When to See a Neurologist
Scalp tingling? In the past couple of days, I've been experiencing sudden tingling sensations on my scalp, starting from the back of my head, moving to the top, and then to my forehead. The tingling comes in waves and is not constant, and I don't have any headaches or o...
Dr. Wu Mukhan Reply:
Hello, scalp tingling may be related to peripheral nerve disorders in the head and face, or it could be caused by issues with the cervical spine. It is recommended that you consult a neurologist for further evaluation or to arrange relevant tests.[Read More] Understanding Scalp Tingling: When to See a Neurologist
Understanding Unilateral Head Numbness: Causes and Relief Strategies
Unilateral head numbness Hello Doctor, I am 22 years old and a few weeks ago I suddenly started experiencing numbness on the left side of my head, specifically from the back of my skull to the top of my head. This occurs whether I am sitting, standing, or walking, and even while ...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned experiencing numbness on the left side of your head, specifically from the back of your skull to the top of your head. This symptom may be related to cervical nerve inflammation, particularly in individuals who frequently look down or overuse their c...[Read More] Understanding Unilateral Head Numbness: Causes and Relief Strategies