Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Neck issues? Recently, after taking a shower (bending over to wash my hair) and using the computer, I notice a clicking sound at the junction of my neck and shoulder, approximately at the trapezius muscle area, specifically on the right side. This occurs only in the evening and r...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the "cracking sound at the junction of the neck and shoulders" may indicate cervical joint pathology, primarily due to degeneration of the cervical facet joints or symptoms caused by cervical disc herniation. This is commonly seen in cases of p...[Read More] Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Understanding Sudden Nerve Pain: When to Seek Medical Help
Neuralgia The left side of the body near the clavicle (close to the esophagus) experiences intermittent sharp, stabbing pain that lasts about one to two seconds. This condition has been present for more than two years, initially occurring infrequently but has recently become more...
Dr. Jiang Junyi Reply:
Dear Miss Rongrong, You mentioned experiencing intermittent sharp, stabbing pain near the anterior clavicle (close to the esophagus) that lasts about one to two seconds. Your symptoms may need to rule out cervical nerve root compression. The symptoms of cervical nerve root compr...[Read More] Understanding Sudden Nerve Pain: When to Seek Medical Help
Managing Nerve Pain and Discomfort in Hands and Feet
Numbness and pain in the hands and feet? Hello Dr. Jiang, I previously underwent rehabilitation treatment for my cervical spine issues, during which the numbness and tingling in my fingers were not as severe. However, after moving, I have had less opportunity to continue rehabil...
Dr. Jiang Junyi Reply:
Dear Ms. Peng, You mentioned that "I must lie down to feel better, and lifting heavy objects or walking exacerbates the numbness and pain in my fingers, which has recently become unbearable." Your symptoms may suggest peripheral nerve compression, and there could also ...[Read More] Managing Nerve Pain and Discomfort in Hands and Feet
Understanding Electromyography Results: Insights on Chronic Denervation and Neuropathy
Electromyography Interpretation I'm sorry, doctor. Due to symptoms of a herniated disc in the early stages, I underwent a month of treatment, including various tests such as MRI of the spine, X-rays, and electromyography (EMG). The EMG doctor mentioned that aside from some a...
Dr. Jiang Junyi Reply:
Hello Mr. Shang: You mentioned that the "Needle EMG study showed chronic denervation changes in the right tibialis anterior," which suggests chronic localized peroneal nerve pathology. This is not a typical finding for motor neuron disease. I recommend discussing this w...[Read More] Understanding Electromyography Results: Insights on Chronic Denervation and Neuropathy
Understanding Complex Head and Neck Pain: Possible Causes and Solutions
Pain in the neck, occipital region, temples, eyebrows, and cheekbones? Hello doctor, last Wednesday I carried two bottles of formula, each weighing 1.6 kg, home by bike. It was noon and the sun was very strong and glaring. After getting home, I started to have a headache. I initi...
Dr. Jiang Junyi Reply:
Hello Ms. A: You mentioned that "when lying down, I feel very uncomfortable from the back of my head to my shoulders, and my head hurts when I lie down. Additionally, my gums around the upper left wisdom tooth have been inflamed recently, and I experience throbbing pain in t...[Read More] Understanding Complex Head and Neck Pain: Possible Causes and Solutions
Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Numbness in the hands and face accompanied by tinnitus? Previously, I visited a traditional Chinese medicine practitioner for a stiff neck, and after some time, my shoulder and neck pain improved. However, I suddenly started experiencing numbness in my hands, so I went to a nearb...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "sometimes when I wake up, I find my hands completely numb, and it takes about a few seconds to recover. The rehabilitation doctor said that invasive tests are needed to understand the symptoms." It may be necessary to consider compress...[Read More] Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Hello, doctor. I would like to ask about some unusual phenomena related to tinnitus? Hello Dr. Jiang, I have been experiencing unilateral tinnitus with a buzzing sound in my left ear for about two weeks. I have already undergone hearing and tympanometry tests at other large hosp...
Dr. Jiang Junyi Reply:
Hello HJK: You mentioned that "when chewing food or yawning, the tinnitus becomes louder..." This could potentially be related to issues with the nerves or muscles around the ear. One possible cause is related to the Eustachian tube, as yawning and chewing help to equal...[Read More] Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? Hello Doctor, since September 25th, I have been experiencing numbness in my fingers upon waking up. Initially, I thought it would resolve on its own, but by September 26th, the numbness extended to my toes and the soles of my feet. As of now, Octob...
Dr. Jiang Junyi Reply:
Dear Ms. Apple, You mentioned that "blood tests, nerve conduction studies, and spinal tap examinations all reported normal results, and the cerebrospinal fluid analysis was also normal, with only a noted slowing of nerve conduction." You pointed out abnormal sensory ne...[Read More] Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions
Persistent Headaches After Head Injury: When to Seek Help?
Intermittent headaches following a head contusion? Hello, doctor. I was diagnosed with a head contusion after a car accident, and over a month later, I am still experiencing headaches. Recently, the frequency has increased, and I have pain about five days a week, all in the same ...
Dr. Jiang Junyi Reply:
Hello, Miss Xiaoshan. You mentioned, "I experience severe headaches during these exercises. What should I do? Which specialist should I see?" Your symptoms may suggest cervical spine disorders. External factors such as traffic accidents, falls, head impacts against hard...[Read More] Persistent Headaches After Head Injury: When to Seek Help?
Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Neck pain Hello, doctor! A year ago, I have been experiencing a heavy sensation in the back of my neck and occiput, along with fatigue. Sometimes, I also feel pain and swelling in my jaw, as well as partial numbness in my face. My left ear feels stuffy, and I have tinnitus, which...
Dr. Jiang Junyi Reply:
Hello Mr. Kuan, You mentioned that your left hand experiences numbness, tingling, soreness, and weakness, and that the rehabilitation clinic indicated it might be due to nerve compression. I'm curious about the specific area where you feel the numbness and tingling. Based o...[Read More] Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Understanding Lower Leg Pain: When to See a Neurologist
Painful tingling below the calf? Today, the temperature is 20 degrees Celsius, and the tingling sensation is mild, only slightly felt on the dorsum of my feet. A few days ago, when the weather was hot and the air conditioning was set to 27 degrees, the tingling became severe and ...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "the tingling has severely spread to the calves, and it also occurs while sleeping." This symptom may indicate that the lumbar nerve roots are being compressed. Typical discomfort associated with lumbar nerve root pathology includes pain r...[Read More] Understanding Lower Leg Pain: When to See a Neurologist
Understanding Muscle Fasciculations: Causes, Symptoms, and Diagnosis
Fasciculation Hello doctor, I started experiencing muscle fasciculations on the outer side of my left thigh around October 3rd, which lasted continuously for half an hour. After that, it would occur every few days for a few minutes at a time, several times a day. I suspect this s...
Dr. Jiang Junyi Reply:
Dear Mr. Shang, You mentioned that you are "very anxious and worried whether it is ALS..." Your symptoms should still consider lumbar spine issues. ALS is a motor neuron disease, and your mention of "easily feeling numb" does not align with the characteristic...[Read More] Understanding Muscle Fasciculations: Causes, Symptoms, and Diagnosis
Understanding Right-Sided Numbness: Causes and Treatment Options
Numbness in the right side of the limbs? Hello, I would like to ask about a condition I started experiencing about a week and a half ago. I began to feel a slight numbness in my right big toe (it's not painful, just a tingling sensation, more like a mild numbness without any...
Dr. Jiang Junyi Reply:
Hello Ms. Feny: You mentioned that "the second, third, and fourth toes of my right foot feel a bit numb, and then over the next two days, the numbness spread to the top of my foot, my calf, and my knee, and even my right hand started to feel numb, particularly around the fin...[Read More] Understanding Right-Sided Numbness: Causes and Treatment Options
Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Numbness and tingling in both hands, weakness in both legs? Since March of last year, I started feeling a foreign sensation behind my occiput upon waking up one day. I consulted a doctor and took medication, but it did not improve. Later, the foreign sensation suddenly disappeare...
Dr. Jiang Junyi Reply:
Dear Miss Vicky, You mentioned "Multiple sclerosis? Neuritis? Autoimmune diseases? Diabetes? Herniated disc? Amyotrophic lateral sclerosis? CIDP?... Which specialty should I consult to thoroughly identify and resolve the issue?" You also noted that "the discomfort...[Read More] Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Left Shoulder Pain and Numbness: Which Specialist to See?
Left shoulder pain and numbness in the left hand? I have been experiencing pain in my left shoulder for some time, which is usually alleviated by using a medicated patch. However, recently the pain has intensified to the point where my left arm feels numb and weak. Which departme...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned experiencing symptoms of "pain radiating to the left arm with numbness," which may suggest compression of the nerve roots from the sixth cervical vertebra to the thoracic spine. This could be due to a herniated disc or structural issues in ...[Read More] Left Shoulder Pain and Numbness: Which Specialist to See?
Left Shoulder Pain and Numbness: Which Specialist to See?
Left shoulder pain and numbness in the left hand? I have been experiencing pain in my left shoulder for a while, which is usually relieved by applying a medicated patch. However, recently the pain has intensified to the point where my left arm feels numb and weak. Which departmen...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned experiencing symptoms of "pain radiating to the left arm with numbness," which may indicate compression of the nerve roots from the sixth cervical vertebra to the thoracic spine. This could be due to a herniated disc or structural issues wi...[Read More] Left Shoulder Pain and Numbness: Which Specialist to See?
Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction
Persistent sensation of shaking? Hello, Dr. Jiang. Last July, I went to the ENT department to check for ear stones, but no results were found. At that time, the ENT specialist asked me to perform the following tests related to cerebellar function and body movement. The public can...
Dr. Jiang Junyi Reply:
Dear Mr. Awei, You mentioned your concern about "signs of cerebellar atrophy." In fact, cerebellar atrophy is not primarily characterized by dizziness. The main symptoms of patients with spinocerebellar ataxia typically include: 1. Tremors, slowed movements, and decrea...[Read More] Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction
Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Right arm swelling and pain extending to finger numbness? Hello, I have been working in the food industry for a long time, and recently my right wrist appears more swollen compared to my left wrist and is less flexible. It hurts whenever I exert force, and I even struggle to push...
Dr. Jiang Junyi Reply:
Hello, Ms. Ruby: The symptoms you mentioned seem to indicate two issues combined. You noted that "the palms and fingers also feel numb, and at their worst, even the vibrations while riding a bike can cause the entire palm to go numb and unable to grip." This symptom re...[Read More] Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Understanding Intracranial Hemorrhage: Symptoms, Risks, and Recovery
Intracranial hemorrhage Hello Doctor, After having two upper molars extracted two years ago, I started feeling unwell. Later, at work, I was struck on the head by a heavy iron pipe that fell from above. 1. I am uncertain if I have hypertension; my company health check-ups hav...
Dr. Jiang Junyi Reply:
Hello Mr. Allen, You mentioned, "If there was a brain hemorrhage that was absorbed by itself, can it be seen on a CT scan? If the skull had previously fractured and healed, can a CT scan show that there was a prior injury?" Typically, in cases of severe brain injury, s...[Read More] Understanding Intracranial Hemorrhage: Symptoms, Risks, and Recovery
Sudden Weakness in Both Arms: Causes and Next Steps for Diagnosis
Sudden weakness in both hands? Hello Doctor, my mother was born in 1947 and has recently experienced sudden weakness in both hands (she describes it as a feeling like blood is not flowing to her hands). This has occurred 2 to 3 times in September. She mentioned that there is no s...
Dr. Cai Zongzhang Reply:
Hello, Tong: Based on the description, the weakness in both hands is intermittent and non-persistent. It is important to consider cervical spine pain leading to nerve or spinal cord compression. It is recommended to visit a neurology clinic for examination.[Read More] Sudden Weakness in Both Arms: Causes and Next Steps for Diagnosis