Unexplained Leg Pain: Seeking Answers for Persistent Discomfort
Foot pain? Hello, doctor! I am 48 years old and I haven't fallen or twisted my ankle, but suddenly one of my legs started to hurt. The pain (in the back of my hip) has persisted for over a month. Physical therapy and rehabilitation have been ineffective. Initially, I had pai...
Dr. Wu Mukhan Reply:
Hello, X-rays can be used to examine the bones and joints of the limbs for any issues; however, problems related to nerves, muscles, blood vessels, and soft tissues cannot be fully diagnosed using X-rays alone. Elevated uric acid levels can lead to arthritis known as gout, which ...[Read More] Unexplained Leg Pain: Seeking Answers for Persistent Discomfort
Understanding Cervical Spine Issues: Symptoms and Treatment Options
Cervical spine issues Hello, doctor. Recently, I have been experiencing nausea and dry heaving, which has made it difficult for me to eat. I also have some weakness in my limbs and fatigue, along with severe stiffness in my neck that often produces cracking sounds when I turn it,...
Dr. Wu Mukhan Reply:
Hello, the sounds when turning the neck are usually caused by friction during the movement of the cervical spine joints, and sometimes may be related to joint diseases. Degenerative changes in the cervical spine can sometimes compress the cervical nerves, often leading to symptom...[Read More] Understanding Cervical Spine Issues: Symptoms and Treatment Options
Understanding Sciatica: Causes, Treatment, and Prevention Tips
Sciatica Hello, Dr. Jiang! I have been experiencing sciatica for a month. The doctor took an X-ray and said it is not serious. However, taking anti-inflammatory painkillers and undergoing rehabilitation have been ineffective. I feel pain when sitting or standing. I work while sit...
Dr. Jiang Junyi Reply:
Dear Ms. Christine, You mentioned, "I have pain when sitting and standing. I work sitting down every day. I haven't fallen or twisted anything. It happened suddenly, and I don't know the cause..." A herniated disc can cause compression of the nerve roots, lea...[Read More] Understanding Sciatica: Causes, Treatment, and Prevention Tips
Muscle Twitching and Shrinking in Right Leg: Possible Neurological Issues
Twitching in the right buttock and right leg muscle? Hello Doctor, I have been experiencing muscle twitching in my right leg and foot since this year. It is more pronounced when I am lying down or on my side, but it occurs less frequently when I sit up or stand and walk. The twit...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the right leg and foot are experiencing muscle twitching." Your symptoms may suggest that there is nerve compression in the lumbar spine. Peripheral neuropathy caused by nerve compression may present with the following characteristics: 1....[Read More] Muscle Twitching and Shrinking in Right Leg: Possible Neurological Issues
Understanding Muscle Tone Disorders After Cervical Spine Surgery
Dystonia Hello Doctor, I underwent a C4 to C7 discectomy and implantation of three artificial discs one and a half years ago. Three months post-surgery, I began experiencing stiffness on one side of my sternocleidomastoid muscle and stiffness in my shoulder and neck. I feel as th...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe it is important to rule out any cervical spine issues. You may want to consult a neurologist. Thank you for your inquiry.[Read More] Understanding Muscle Tone Disorders After Cervical Spine Surgery
Managing Dizziness from Vestibular Neuritis: Tips for Recovery
Dizziness for three months? Hello Doctor, I have been experiencing dizziness for three months. After ruling out cervical spine and brain issues, I was diagnosed with "vestibular neuritis." I would like to ask if I should avoid positions or movements that still cause diz...
Dr. Peng Shiwei Reply:
Hello, if you have already passed the acute phase, you can gradually train yourself to adapt to various positions. You may refer to this article: https://tcmc.tzuchi.com.tw/images/pdf/62/68-70.pdf Thank you for your question.[Read More] Managing Dizziness from Vestibular Neuritis: Tips for Recovery
Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
Neck issues, numbness in the limbs, facial nerve twitching? Initially, I experienced tightness in my shoulders and neck along with numbness in my hands (more severe in the right hand). Subsequently, I began to feel numbness in my left foot, and the muscles on both sides of my nec...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned experiencing "tingling in the left foot" and "intermittent electric shock-like sensations and pain in the muscles on both sides of the neck (right side)." Based on your description, it may be necessary to consider cervical spine disor...[Read More] Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
Understanding Skin Pain and Spasms: A Neurological Perspective
Skin prickling sensation? Hello Doctor: Last week, Mr. Zhang suddenly experienced spasms, occurring several times within a minute, with episodes recurring every few minutes. He reported sensitivity on the right side of his skin, accompanied by a burning and stabbing pain, as well...
Dr. Jiang Junyi Reply:
Dear Mr. Chang, You mentioned that "the frequency of spasms has gradually decreased, but they have shifted to the right leg, and there are times when I experience sudden weakness; difficulty urinating; and sharp pain upon touching the right calf, right thigh, right abdomen,...[Read More] Understanding Skin Pain and Spasms: A Neurological Perspective
Understanding Stroke: Exploring Links Between Car Accidents and Brain Infarction
Cerebral infarction (stroke) Hello, I had a car accident on December 9, 2022, and initially only sustained some external injuries. However, on January 12, 2023, I suddenly experienced a loss of vision and went to Tzu Chi Hospital to see a neurologist. An MRI revealed that I had a...
Dr. Cai Zongzhang Reply:
Hello, A-You: The causes of cerebral infarction are not directly related to trauma; it may be necessary to investigate other rare causes of cerebral infarction. The recovery period for neurological damage is lengthy, and complete recovery is often difficult, with most patients ex...[Read More] Understanding Stroke: Exploring Links Between Car Accidents and Brain Infarction
Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Post-concussion syndrome includes symptoms such as sleep disturbances, limb tremors, and dizziness? Hello Doctor: Since the night of the car accident on January 6th, I have experienced sudden jerking movements in my left hand and foot shortly after falling asleep. I wake up and c...
Dr. Jiang Junyi Reply:
Dear Miss Rabbit, You mentioned that "since the night of the car accident on January 6th, my right eye has been blurry, and my left hand and foot have been experiencing spasms... I have never had these symptoms before." Your symptoms may warrant consideration of lesion...[Read More] Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Understanding Cervical Degenerative Disc Disease: Symptoms and Next Steps
Cervical spondylosis/Cervical disc disease Hello Doctor, I have been experiencing dizziness, headaches, and neck pain for over two weeks, so I visited a neurologist who arranged for an MRI. I saw the report in my health record, but since I have to wait more than a week for my fol...
Dr. Jiang Junyi Reply:
Dear Mr. Eric, You mentioned that the "MRI report" is essentially a relatively normal report indicating degenerative disc disease with a C5-6 bulging-protruding disc (right central to subarticular), bulging discs at C3-4 and C4-5, leading to mild thecal sac indentation...[Read More] Understanding Cervical Degenerative Disc Disease: Symptoms and Next Steps
Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Numbness in the body after a cold? Hello Doctor, After experiencing a mild fever due to a cold on February 16, I have been feeling numbness in my arms and legs. Sometimes, when I change my body position, I feel a tingling sensation from my back to the back of my head, especiall...
Dr. Jiang Junyi Reply:
Hello Mr. Yang, You mentioned that "there is a slight stabbing pain when the left side of my head is pressed or rubbed while sleeping, and my left palm also has some tingling sensations." Based on your description, we may need to consider cervical nerve root compressio...[Read More] Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Understanding Scalp Tingling: Is It a Sign of Stroke or Neck Issues?
Scalp tingling? Hello doctor, I have recently been experiencing occasional tingling sensations in the right back of my head (similar to the feeling of goosebumps). The frequency is not very high, and each episode lasts only a few seconds, but it continues to occur. Additionally, ...
Dr. Jiang Junyi Reply:
Hello Mr. TIM: You mentioned, "Is the tingling in the scalp more related to cervical spine issues or is it more likely related to a stroke?" Your symptoms should first consider cervical spine-related nerve compression. Typical discomfort symptoms associated with cervica...[Read More] Understanding Scalp Tingling: Is It a Sign of Stroke or Neck Issues?
Improving Tinnitus After COVID-19: What You Need to Know
Improvement of Tinnitus Issues Hello Doctor, three months ago I contracted COVID-19, and since then I have experienced significant tinnitus in my left ear, along with a loud heartbeat sound when I turn my head to the right. I visited an ENT specialist in Taoyuan, who advised me t...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "you can feel your heartbeat when turning your head," which may indicate compression of the vertebral artery in the cervical spine. It is advisable to avoid excessive neck twisting. I recommend visiting a neurology clinic to discuss the po...[Read More] Improving Tinnitus After COVID-19: What You Need to Know
Concerns After Toddler Falls from High Chair: What Parents Should Know
The child stood up from the high chair and fell to the ground? Hello, doctor. My son is one year and ten months old. On February 14, he stood up from his high chair and fell onto the tile floor from a height of approximately 120 cm. After the fall, he cried but did not lose consc...
Dr. Jiang Junyi Reply:
Hello Cherry, You mentioned "confirming whether there is delayed bleeding in the brain." If the child is active and responsive within a week, a small amount of bleeding can be absorbed. Generally, radiation exposure should be minimized as much as possible. The anterior...[Read More] Concerns After Toddler Falls from High Chair: What Parents Should Know
Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology
Fasciculation with partial weakness? Hello Doctor, since March of last year, I have been experiencing muscle twitching all over my body. Sometimes the twitching is localized to my left upper arm, which feels slightly weak and the muscle has noticeably softened. My left arm is sli...
Dr. Peng Shiwei Reply:
Hello, if the electromyography (EMG) is normal, it cannot be diagnosed as ALS. However, based on your description, I would still prioritize considering neurological issues (such as brachial plexus or cervical spine problems). I'm not sure if the physician you consulted menti...[Read More] Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology
Understanding Foot Pain and Numbness: Causes and Next Steps
Light pressure on the sole of the foot causes sharp pain? Numbness below the ankle (including toes and soles) is often experienced, with light pressure causing sharp pain and a sensation of poor blood circulation, making walking difficult. There is also numbness in the calves and...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "below the ankle (including toes, soles, etc.) often feels numb... The MRI only indicated that the spine is slightly smaller, and it seems there is no compression on the nerves." Since lumbar MRI is performed while lying down, it cannot tr...[Read More] Understanding Foot Pain and Numbness: Causes and Next Steps
Understanding Increased Nerve Pain After Diagnosis: Causes and Treatments
Diagnosis leads to exacerbation of neuropathic pain? Recently, after being diagnosed, the previously occasional neuropathic pain has become frequent, primarily occurring in the abdomen and thighs, both during the day and night (persistent). After taking painkillers, the pain retu...
Dr. Jiang Junyi Reply:
Hello, Ms. Bai: You mentioned that the pain primarily occurs in the abdomen and thighs, is persistent both day and night, and continues after taking pain medication for three to four hours, causing tears. Is this situation common? How should it be assessed and treated? Your sympt...[Read More] Understanding Increased Nerve Pain After Diagnosis: Causes and Treatments
Understanding Neurological Symptoms: Is Smoking or High Blood Pressure the Cause?
Experiencing a sensation of heat in the back of the head during winter, inability to lie flat, and starting to feel dizzy after being awake for 16 hours, with the dizziness becoming progressively milder as the night goes on and having no desire to sleep? I started smoking at the ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to reduce smoking and consult a neurologist to check for any vascular diseases.[Read More] Understanding Neurological Symptoms: Is Smoking or High Blood Pressure the Cause?
Understanding Neck Ultrasound Results: What Your Report Means
Neck ultrasound examination? Hello Doctor, since August of this year, I have been experiencing a series of physical discomforts. I have undergone many tests, and I frequently have pain in my shoulders and neck, along with numbness in my left hand. Recently, I have also experience...
Dr. Cai Zongzhang Reply:
Hello Serein: Based on the symptoms mentioned, it is suggested that there may be conditions related to cervical spine or intracranial vascular diseases. It is recommended to visit a neurologist for a detailed examination to determine the cause.[Read More] Understanding Neck Ultrasound Results: What Your Report Means