Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective
Heavy and weak hips, abnormal tightness in leg muscles? Hello Doctor, I have been experiencing a heavy and weak sensation in my hip. When I try to sit up straight in a chair, it feels like my back muscles are doing all the work to lift my body. If I stand on my feet for a while (...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "the hip feels very heavy and weak, and when trying to sit up from a chair, it feels like the back muscles are the ones pulling the body up; standing on both feet for a while (5 minutes) makes them feel very tight, heavy, and weak; when one...[Read More] Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective
Understanding Knee Sensory Loss: Causes and Treatment Options
Diminished sensation in the anterior aspect of the knee? Hello, Doctor. I have been practicing aerial yoga once a week and occasionally doing light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my knee...
Dr. Jiang Junyi Reply:
Dear Ms. Tsao, You mentioned, "I feel numbness and still have the sensation of wanting to take anesthetics." This is a typical symptom of peripheral nerve injury. The statement "I feel pain when pressing on the inner side of my knee" indicates localized tissu...[Read More] Understanding Knee Sensory Loss: Causes and Treatment Options
Understanding Knee Sensory Loss: Causes and When to Seek Neurology Help
Diminished sensation in the anterior knee? Hello, doctor. I have been doing aerial yoga once a week and occasionally engaging in light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my knee, similar to ...
Dr. Jiang Junyi Reply:
Dear Ms. Tsao, You mentioned that "there is a sensation of numbness and a desire for anesthesia." This is a typical symptom of peripheral nerve injury. The statement "there is pain when pressing on the inner side of the knee" indicates localized tissue inflam...[Read More] Understanding Knee Sensory Loss: Causes and When to Seek Neurology Help
Understanding Knee Sensory Loss: Causes and Treatment Options
Diminished sensation in the anterior aspect of the knee? Hello, doctor. I have been doing aerial yoga once a week and occasionally engaging in light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my kne...
Dr. Jiang Junyi Reply:
Dear Ms. Tsao, Your symptoms of "electric shock sensation have disappeared, and your knee can move freely, but the feeling of numbness and the desire for anesthesia still persist." It seems that the nerves are gradually healing. I recommend increasing your intake of B ...[Read More] Understanding Knee Sensory Loss: Causes and Treatment Options
Understanding Sharp Pain Under Right Rib: When to Seek Medical Help
Sharp pain between the right chest and the ribs? Hello, doctor. I experience intermittent sharp pain at the junction of my ring finger and palm, as well as between my right chest and ribs. It feels like being pricked by a needle, and often occurs simultaneously. The pain lasts ab...
Dr. Cai Zongzhang Reply:
Hello Rachel: The symptoms mentioned may indicate a cervical spine nerve disorder. It is recommended to visit a neurology clinic for an examination to confirm the cause.[Read More] Understanding Sharp Pain Under Right Rib: When to Seek Medical Help
Understanding Lower Back Pain: Causes and When to Seek Help
Lumbar pain Yesterday, I spent the entire day moving heavy objects. Since I rarely exercise, I relied heavily on my lower back for strength. After finishing the lifting, I felt fine until bedtime. However, this morning when I woke up, I noticed pain on my right side, specifically...
Dr. Jiang Junyi Reply:
Dear Mr. Yang, You mentioned, "It hurts a little when I press on it, but only on the right side. I'm not sure if this pain is due to a tendon strain or if it has affected my lumbar vertebrae or coccyx." Your symptoms, particularly the presence of tenderness, are m...[Read More] Understanding Lower Back Pain: Causes and When to Seek Help
Understanding Spinal Issues: Neurological Pain and Diagnosis
Spinal issues Due to pain in the lumbar spine, nerve conduction studies and electromyography were performed during military service medical examination. Attached are the relevant reports and X-rays. I would like to inquire whether there is a nerve issue, as the pain is severe eno...
Dr. Jiang Junyi Reply:
Dear Mr. W: (As the attached file is no longer readable.) You mentioned experiencing pain so severe that you cannot stand or sleep, and that it extends to your toes. This may indicate symptoms of nerve compression due to a herniated disc or peripheral nerve compression. 1. The...[Read More] Understanding Spinal Issues: Neurological Pain and Diagnosis
Understanding Leg Neuropathic Pain: Causes and Management Strategies
Leg neuropathy, polyneuropathy? Hello Doctor, I have consulted multiple physicians (in rehabilitation, orthopedics, neurosurgery, and neurology), but I still cannot identify the problem... I am 32 years old and work as a software engineer. My symptoms seem quite variable, and I h...
Dr. Jiang Junyi Reply:
Hello Mr. Zac, You mentioned that "when walking, the outer side of my left ankle feels like it's being electrified, and after this pain sensation appeared, my outer calf and the sole of my foot began to feel numb and tingly (which may indicate nerve damage)." This...[Read More] Understanding Leg Neuropathic Pain: Causes and Management Strategies
Understanding Dizziness and Neck Tension After Weightlifting: A Neurology Perspective
Brain issues (hypoxia, dizziness) Two weeks ago, while working out (performing incline bench press with a barbell), I struggled to lift the barbell on the last rep due to near exhaustion. Immediately after, I felt tightness around my forehead extending to the back of my head, fol...
Dr. Jiang Junyi Reply:
Hello Mr. L: You mentioned that "there is a tightness around the forehead extending to the back of the head... and I have been experiencing tightness in the back of the neck and dizziness due to exertion and hypoxia." It may be necessary to first consider issues related...[Read More] Understanding Dizziness and Neck Tension After Weightlifting: A Neurology Perspective
Understanding Right Hand Pain: Is It Shingles or Something Else?
Numbness and tingling in the right palm? Hello doctor, three weeks ago I was diagnosed with shingles on the left side of my ear. After the skin symptoms healed, I have been taking B vitamins to alleviate the nerve pain. Aside from occasional sharp nerve pain in my left cheek, las...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is unlikely that the area is affected by shingles. The most probable neuropathy in that region is carpal tunnel syndrome. You may try to reduce wrist movements and wear a wrist brace to alleviate the symptoms. You can continue taking B vitamins. ...[Read More] Understanding Right Hand Pain: Is It Shingles or Something Else?
Understanding Dizziness and Neck Issues: MRI Insights Without Contrast
Dizziness, cervical spine issues? Hello, Doctor. I would like to ask about the cervical spine MRI. If no contrast agent was injected, to what extent can vascular issues be identified? I have been experiencing neck tightness and stiffness for the past three months (which is why th...
Dr. Peng Shiwei Reply:
Hello, your issue is related to the settings of the MRI machine used during the examination and its resolution, so I cannot provide you with a definitive answer. However, considering your age, neck stiffness is mostly not directly related to the cervical blood vessels, unless you...[Read More] Understanding Dizziness and Neck Issues: MRI Insights Without Contrast
Could Weakness and Pain in Your Legs Signal ALS Symptoms?
Weakness and pain in the legs could be a precursor to amyotrophic lateral sclerosis (ALS)? In 2021, I was diagnosed with possible sciatica (only through X-rays). After continuous rehabilitation, I improved for a while, but occasionally my lower back would still feel sore, allowin...
Dr. Jiang Junyi Reply:
Dear Miss Xiao: You mentioned that "when walking, if the feeling underfoot is not right, there will be a sudden pain, and then the legs feel weak and powerless." These are not symptoms of amyotrophic lateral sclerosis (ALS). The ALS you are concerned about primarily re...[Read More] Could Weakness and Pain in Your Legs Signal ALS Symptoms?
Understanding Sudden, Short-lived Head Pain: Possible Causes and Next Steps
Unpredictable, short-duration headaches that feel similar to a stabbing pain? Hello, doctor. I occasionally experience sudden head pain. This symptom has persisted for quite some time (around 3 to 4 years) and occurs unexpectedly (for example, while blow-drying my hair, sitting s...
Dr. Jiang Junyi Reply:
Dear Ms. Zoe, You mentioned "the area from the upper neck to the ear. The pain occurs suddenly each time, with a very intense sensation that lasts for about 3 to 5 minutes before returning to normal." This symptom may suggest muscle spasms in the cervical spine. There ...[Read More] Understanding Sudden, Short-lived Head Pain: Possible Causes and Next Steps
Sudden Forehead Pain Above Right Eye: Causes and When to Seek Help
There is a sudden sharp pain above the right eye on the forehead? Hello, as mentioned in the topic, I sometimes experience a sudden sharp pain in the upper right part of my forehead when I turn my head, squat down, or change the position of my head. This pain feels like it is rad...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "there is a throbbing pain in the upper right part of the forehead that seems to radiate from within... the pain is always in the same location." Your symptoms may be related to your posture and could be due to myofascial issues associate...[Read More] Sudden Forehead Pain Above Right Eye: Causes and When to Seek Help
Understanding Finger Numbness: Insights on Herniated Discs and Treatment
Numbness in the fingers? Hello, doctor. My fingers are numb, and my arm hurts. I went to the neurology department for an MRI, which was done on the 17th. They said it would take seven working days to get the report. Is that true? I want to see the report sooner in the outpatient ...
Dr. Jiang Junyi Reply:
Hello, Sir: Due to the fixed consultation hours of the physician, if there is no progression in your condition, follow-up appointments are usually scheduled biweekly. In case of an urgent condition, you may visit the emergency department or see a different physician within the sa...[Read More] Understanding Finger Numbness: Insights on Herniated Discs and Treatment
Understanding Left Shoulder Blade Tension: Causes and Treatments
Tightness in the upper left back and shoulder blade? Hello, Doctor: I previously had an examination due to discomfort in my back, which revealed that there was a knot formed in the spinal ligaments. It was eventually resolved through manual therapy, but I have noticed that my lef...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-fu, You mentioned experiencing "a sudden sharp pain that then returns to normal," which may suggest nerve root compression at the C7 vertebra or upper thoracic spine. If there is a herniated disc, it could lead to localized inflammatory responses causing...[Read More] Understanding Left Shoulder Blade Tension: Causes and Treatments
Understanding Sudden Thigh Pain and Mobility Issues in Seniors
Thigh pain, significant difficulty walking, occasional cramping? Hello, Doctor. My mother is 82 years old. A few days ago, she suddenly experienced pain in her right leg and the inner side of her right thigh, making it difficult for her to walk. Sometimes she also feels sudden sh...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your initial diagnosis might be a muscle strain... and there are concerns about potential lumbar spine issues. It is important to first consider muscle injury, as nerve root compression typically results in radiating pain and numbness extending to the lo...[Read More] Understanding Sudden Thigh Pain and Mobility Issues in Seniors
Understanding Finger Numbness: Causes and When to Seek Help
Numbness in the fingers? Hello, doctor. A few days ago, I felt numbness in my hand, and it felt like I was being electrocuted. Now, only my fingertips are numb. I went to see a neurologist, and after a preliminary examination, he asked if I felt an electric shock sensation. I sai...
Dr. Jiang Junyi Reply:
Dear Mr. Jayen, You mentioned "finger numbness... MRI examination," which clinically may suggest cervical nerve compression. Typical discomfort symptoms associated with cervical radiculopathy include pain in the shoulder or arm, as well as numbness, tingling, and weakn...[Read More] Understanding Finger Numbness: Causes and When to Seek Help
Cold Neck and Sweating: Understanding Possible Nerve Issues
Cold neck and sweating? Recently, after receiving a massage for back pain, I have been experiencing an inexplicable cold sensation in my neck during sleep or daily activities. I also feel pain in the 8th, 9th, 10th, 11th, and 12th vertebrae, and at times, I experience dizziness, ...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that the "cold sensation in the neck" may be related to nerve root compression at cervical levels 4-6? You also mentioned experiencing pain at thoracic vertebrae levels 8, 9, 10, 11, and 12. Are you referring to muscle pain adjacent to the t...[Read More] Cold Neck and Sweating: Understanding Possible Nerve Issues
Neck Issues Impacting Brain and Vision: A Neurology Consultation Guide
Consultation for Brain and Eye Issues Related to Cervical Spine Problems The elderly patient has been taking dementia medication since last year and has recently experienced discomfort in the head and blurred vision. A cervical spine X-ray was performed, and the report indicates ...
Dr. Peng Shiwei Reply:
Hello, based on your cervical X-ray, I would also recommend focusing on rehabilitation therapy. Cervical degeneration typically does not cause dizziness. If you are concerned about inadequate blood flow from the carotid or vertebral arteries, you may consult a neurologist to eval...[Read More] Neck Issues Impacting Brain and Vision: A Neurology Consultation Guide