Intermittent Muscle Twitching in the Left Cheek: Causes and Solutions
Twitching in the left zygomatic bone area? Hello, doctor. For the past couple of days, I've been experiencing intermittent and irregular muscle twitching in the left cheekbone area (without pain). Each twitch lasts about one to two seconds. Sometimes, looking down triggers t...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned that "the muscles in the left cheekbone area intermittently but irregularly twitch... and this symptom may be triggered by looking down." This symptom may need to be considered in the context of cervical nerve inflammation, especially among...[Read More] Intermittent Muscle Twitching in the Left Cheek: Causes and Solutions
Chronic Lower Back Pain After Childbirth: Seeking Solutions and Diagnosis
Lumbar pain I have been experiencing lower back pain for over two years after giving birth. I have undergone traditional rehabilitation and paid for shockwave therapy, but despite continuous rehabilitation, I still wake up at night due to pain. Recently, when pressing on the post...
Dr. Jiang Junyi Reply:
Hello Ms. Siro: You mentioned that "the posterior pelvic region and right hip are very painful," which may still suggest an issue with the lumbar spine structure, such as lumbar spondylolisthesis, among others. In addition to pain relief medications, I recommend strengt...[Read More] Chronic Lower Back Pain After Childbirth: Seeking Solutions and Diagnosis
Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients
Tremor issues? Yesterday, after taking a nap on the sofa, I woke up feeling tightness in my neck and shoulders, along with a slight headache. I have a history of C3-C4-C5 cervical disc herniation causing nerve compression (approximately 10 years), with symptoms that fluctuate. Oc...
Dr. Cai Zongzhang Reply:
Hello, Cheng: Neck pain is closely related to neck posture. It is recommended to avoid napping on the sofa, as it can have adverse effects on the cervical spine.[Read More] Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients
Understanding Recovery Patterns After Prolotherapy for Neck Disc Issues
Recovery status after proliferative treatment? Hello Dr. Jiang, I was previously diagnosed by a physician with a tear in the annulus fibrosus of my cervical disc, which has caused some mechanical protrusion affecting my peripheral nerves. My symptoms are primarily located in the...
Dr. Jiang Junyi Reply:
Hello Mr. Cliff: You mentioned that there is a sudden stabbing pain in a specific area of your upper left back. This symptom may still warrant consideration of a localized issue. If the symptoms persist, it is advisable to undergo a musculoskeletal ultrasound examination to check...[Read More] Understanding Recovery Patterns After Prolotherapy for Neck Disc Issues
Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Dementia issues Hello Dr. Wu, At the beginning of this year, my father was involved in a motorcycle accident where he sustained a head injury and was unconscious. A CT scan of the brain was performed in the emergency department, which showed no abnormalities. However, one month...
Dr. Wu Mukhan Reply:
Hello, according to current research, chronic pain or head trauma can indeed lead to long-term cognitive decline (dementia) as a consequence. However, it is challenging to establish a direct causal relationship between dementia and these factors in medical terms, especially since...[Read More] Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Understanding Nerve Conduction Studies: What Your Results Mean
Nerve conduction study Hello doctor, recently I've been experiencing occasional pain in my right hand, so I went for an examination. The doctor arranged for nerve conduction studies of the limbs and cervical spine. The results showed a slight slowing of the right ulnar nerve...
Dr. Wu Mukhan Reply:
Hello, abnormal nerve conduction velocity is most commonly caused by nerve compression or injury, and it usually improves with rest. The symptoms you mentioned do not resemble those of amyotrophic lateral sclerosis (ALS), so there is no need to worry excessively. If the symptoms ...[Read More] Understanding Nerve Conduction Studies: What Your Results Mean
Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues and ALS Concerns
Nerve conduction study Hello Doctor, recently I've been experiencing occasional pain in my right hand, so I went for an examination regarding ulnar nerve compression. The doctor arranged for four nerve conduction studies and a cervical spine examination. The results indicate...
Dr. Peng Shiwei Reply:
Hello, the symptoms of amyotrophic lateral sclerosis (ALS) do not involve damage to only one nerve, and it primarily begins with the degeneration of motor neurons. Sensory nerves are not affected in the early stages. Thank you for your question.[Read More] Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues and ALS Concerns
Understanding ALS Concerns: Do I Need an EMG Test?
Concerns about Amyotrophic Lateral Sclerosis (ALS) Hello Doctor, I recently experienced muscle soreness in my left thigh, so I went to the hospital for a nerve conduction study (F-wave) and a cervical spine examination, but I was not scheduled for an electromyography (EMG) test. ...
Dr. Peng Shiwei Reply:
Hello, the symptoms of amyotrophic lateral sclerosis (ALS) do not involve damage to just one nerve; it primarily affects motor neurons first, while sensory neurons are not impacted in the early stages. Thank you for your question.[Read More] Understanding ALS Concerns: Do I Need an EMG Test?
Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
The face or the scalp at the back of the neck feels strange? Hello, doctor. About ten years ago, I had an MRI of my cervical spine that diagnosed a herniated disc at the C3-C4-C5 levels, which was compressing a nerve. At that time, my main symptoms included pain in the left shoul...
Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned that "the fingers on my right hand occasionally feel a bit numb, or my arm suddenly feels a bit cool (not sure if it's numbness)." In addition to cervical nerve root compression, we should also consider the possibility of peripheral ne...[Read More] Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues
Nerve conduction study Hello, doctor. Recently, I've been experiencing occasional pain in my right hand, so I went to check for ulnar nerve compression. The doctor arranged for nerve conduction studies and cervical spine examinations. The results showed that the conduction v...
Dr. Jiang Junyi Reply:
Dear Mr. Thelewa, You mentioned that "Lou Gehrig's disease" is a rare condition. Ulnar nerve injury is commonly associated with resting the elbow on a hard surface, such as a table, and applying pressure to the elbow can also lead to cubital tunnel syndrome. Activ...[Read More] Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues
Understanding Nerve Pain and Tingling After COVID-19: A Neurology Perspective
Occasional tingling and pain in the hands and feet? Hello, doctor. Since I tested positive for COVID-19 in June, I have been experiencing occasional soreness in my left eye for about one to two weeks. I have seen a doctor who said my eyes are fatigued and performed examinations, ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe there is a possibility of cervical spine compression, which can indeed cause symptoms on both sides. I recommend that you consult a neurologist for further evaluation. Thank you for your inquiry.[Read More] Understanding Nerve Pain and Tingling After COVID-19: A Neurology Perspective
Understanding Occasional Numbness and Tingling in Limbs: Causes and Concerns
Occasional tingling or numbness in the hands and feet? Hello doctor, last week I experienced soreness in my left eye for four to five days and consulted a physician who mentioned that my eyes were fatigued. During this time, I occasionally felt tingling sensations in my left arm ...
Dr. Jiang Junyi Reply:
Hello Mr. Zhe, You mentioned that "the right side has somewhat similar symptoms," which may still warrant consideration of spinal nerve root compression. Additionally, cerebrovascular diseases should also be ruled out. Multiple sclerosis is considered a rare disease in...[Read More] Understanding Occasional Numbness and Tingling in Limbs: Causes and Concerns
Understanding Body Tingling: Possible Causes and Concerns
Tingling sensation in the body? Hello, doctor. Last night, I suddenly felt a tingling sensation on the left side of my torso, which went away while I was sleeping after about 4-5 hours. I have experienced this symptom occasionally in the past, and it usually resolves within 1-2 d...
Dr. Jiang Junyi Reply:
Dear Mr. Guang, You mentioned, "Is it possible that it's multiple sclerosis, or is it multiple neuritis? ... Could it be caused by issues with the cervical and lumbar spine?" Your symptoms may need to first consider problems with the cervical and lumbar spine. The...[Read More] Understanding Body Tingling: Possible Causes and Concerns
Understanding Left Back and Thigh Discomfort: A Neurological Perspective
When sitting and lying flat, there is something unusual in the left back area and the left thigh? Hello, doctor! This issue has been troubling me for two years, but it has become particularly severe in the past few months. When I sit upright (with my back relatively straight) and...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it cannot be ruled out that they are related to deep muscle issues. If you are feeling very troubled, you may consider going to a major hospital to check your muscle enzymes, or consult with your physician about whether an MRI is necessary. Thank yo...[Read More] Understanding Left Back and Thigh Discomfort: A Neurological Perspective
Understanding Sudden Vision Changes: Possible Causes and Concerns
Vision problems I would like to ask the doctor under what circumstances symptoms of optic nerve compression could cause a sudden increase in my eye prescription. I primarily have issues with my eyes, but the ophthalmologist has not found any abnormalities. Here are my symptoms: ...
Dr. Peng Shiwei Reply:
Hello, regarding your question: 1. Generally, there are two types of brain lesions associated with the optic nerve. The first type involves brain lesions that cause compression of the optic nerve, with symptoms primarily manifesting as visual field defects, such as loss of peri...[Read More] Understanding Sudden Vision Changes: Possible Causes and Concerns
Understanding CT Scan Results for Brain Issues: Key Questions Answered
CT Report for Brain Issues After getting my new glasses, I felt an immediate increase in my prescription. I noticed a faint shadow in areas with light, and I have been experiencing some headaches. Concerned that it might be caused by a brain tumor, I underwent a brain CT scan. Th...
Dr. Jiang Junyi Reply:
Hello Mr. Li: First of all, the symptoms of "brain tumors" can vary depending on the location in the brain. You mentioned that "after getting new glasses... it feels like the prescription suddenly increased," which may require ruling out refractive issues. Cou...[Read More] Understanding CT Scan Results for Brain Issues: Key Questions Answered
Understanding Persistent Dizziness: Possible Causes and Next Steps
Dizziness and an unsteady sense of balance? Hello Doctor, I have been experiencing dizziness for over a month. I have consulted with a neurologist, an otolaryngologist, and a cardiologist, and all tests have come back normal. However, my symptoms have not improved with medication...
Dr. Jiang Junyi Reply:
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...[Read More] Understanding Persistent Dizziness: Possible Causes and Next Steps
Understanding Persistent Dizziness: Possible Causes and Next Steps
Dizziness and an unsteady sense of balance? Hello, Doctor. I have been experiencing dizziness for over a month. I have seen specialists in neurology, otolaryngology, and cardiology, and all tests have come back normal. However, my symptoms have not improved with medication. I wou...
Dr. Jiang Junyi Reply:
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...[Read More] Understanding Persistent Dizziness: Possible Causes and Next Steps
Understanding Outer Thigh Numbness: Causes and Solutions for Active Individuals
Numbness in the outer thigh caused by exercise (I have already researched and found no similar conditions)? Hello Doctor, I have been troubled by this issue for some time, and it may be a bit lengthy. I hope you can provide me with advice and assistance. (I have not experienced a...
Dr. Jiang Junyi Reply:
Hello Mr. Tommy, You mentioned experiencing a tingling sensation on the outer side of your right thigh near the knee. In addition to possible compression of the lumbar nerve roots (L2 and L3), it may be necessary to consider inflammation of the lateral femoral cutaneous nerve. T...[Read More] Understanding Outer Thigh Numbness: Causes and Solutions for Active Individuals
Understanding Cervical Disc Herniation: Recovery and Treatment Insights
Cervical disc herniation issues? Hello Dr. Jiang: Recently, I have been experiencing back pain due to my fitness routine. Initially, I sought treatment from traditional Chinese medicine focusing on my thoracic spine. After some improvement, there was no further progress, so I dec...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-fu, You mentioned the issue of low bone density (seemingly below -3), which may be due to my consistently low body weight since birth. However, will this affect my recovery from a herniated disc? A herniated disc is typically caused by improper posture combined wi...[Read More] Understanding Cervical Disc Herniation: Recovery and Treatment Insights