Understanding Neck and Shoulder Pain: Symptoms and Solutions
I don't know what illness I have? Hello Doctor, I often use electronic devices and tend to look down and slouch, which has led to stiffness in my neck and shoulders. I sometimes feel a bit dizzy while sitting, and I experience tightness and pain around my shoulder blades. Oc...
Dr. Jiang Junyi Reply:
Hello, You mentioned experiencing tightness and pain in the area around your shoulder blades, occasional instability while walking, and a feeling of swelling and stiffness in your forearms. Your symptoms may be indicative of myofascial pain syndrome caused by cervical spine iss...[Read More] Understanding Neck and Shoulder Pain: Symptoms and Solutions
Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Long-term liver function abnormalities and bronchial sensitivity have recently led to increased ear ringing and worsening headaches? Hello, Doctor. Here is a summary of my pre-existing conditions and the issues that have arisen this past week. I have been a carrier of hepatitis B...
Dr. Jiang Junyi Reply:
Dear Miss Chiu, You mentioned that "the frequency of the popping sound in my left ear has decreased, but there are sudden sharp pains on the right side of my head, which are not the usual occasional dull aches. The pain is severe enough to furrow my brow and make my express...[Read More] Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Understanding Ankle Numbness: When to See a Neurologist or Orthopedist
Numbness in the ankle? Doctor, lately when I lie down, I feel a noticeable tingling and swelling sensation on the outer sides of both ankles. Since I often sprain my ankles, I went to a traditional Chinese medicine clinic for an examination, and they mentioned it might be a herni...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Leh, You mentioned, "With a herniated disc, should I see a neurologist or an orthopedic specialist?" The spine is subjected to repetitive stress, particularly from improper activities such as bending to pick things up or prolonged bending and twisting, w...[Read More] Understanding Ankle Numbness: When to See a Neurologist or Orthopedist
Managing Persistent Facial and Head Numbness: Expert Insights
Numbness and swelling in the head and face? I have been experiencing numbness and swelling in my head and face every day for over ten years. Last year, I went to Fu Jen Catholic University Hospital for a facial nerve examination, and the results were normal. The doctor prescribed...
Dr. Jiang Junyi Reply:
Hello Mr. Cool Dragon 999, You mentioned experiencing daily numbness and swelling in your head and face. This could potentially indicate a vascular headache, such as a migraine. The clinical diagnosis relies on your medical history, including any triggers and alleviating factors...[Read More] Managing Persistent Facial and Head Numbness: Expert Insights
Understanding Dizziness and Nerve Issues: When to Seek Medical Attention
Dizziness and issues related to the lumbar and cervical spine? Recently, I experienced dizziness followed by numbness in my left limbs. I visited a clinic, and they suggested that the numbness in my legs was due to issues with cervical and lumbar disc herniation. However, the num...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "Can X-rays alone reveal any issues with the spine and cervical spine?" This seems insufficient to explain the symptoms of dizziness. There are many factors that need clarification. The causes of dizziness are numerous; if your dizziness is r...[Read More] Understanding Dizziness and Nerve Issues: When to Seek Medical Attention
Understanding Left Foot Weakness: A Comprehensive Neurological Evaluation
Weakness in the left foot? The current situation is as follows: Since November 2021, there has been poor walking posture. In January 2022, weakness was noted in the left foot, with an inability to press down or lift up. Additionally, there have been frequent involuntary muscle tw...
Dr. Jiang Junyi Reply:
Hello Mr. Gao: You mentioned that in January 2022, you noticed weakness in pressing down and lifting up your left foot, as well as involuntary muscle twitching in the left foot. It seems that similar examinations are being conducted, and the lumbar MRI has been repeated. This is ...[Read More] Understanding Left Foot Weakness: A Comprehensive Neurological Evaluation
Understanding Electrical Sensations in the Upper Buttocks: Causes and Insights
It feels like there is an electric current passing through my buttocks? There is a prickling and tingling sensation in the upper left buttock, similar to an electric current, lasting for several seconds each time. It is neither painful nor sore, and daily activities are normal. T...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, You mentioned experiencing a tingling sensation in the upper left buttock, similar to an electric current, lasting for several seconds each time. It is neither painful nor uncomfortable, and your daily life remains normal. Your symptoms may suggest peripheral neur...[Read More] Understanding Electrical Sensations in the Upper Buttocks: Causes and Insights
Understanding Left-Sided Tingling: Possible Neurological Causes
Left-sided paresthesia? Hello, doctor. For the past few days, I've been experiencing mild tingling sensations on my left cheek, left hand, and left foot. Today, when I woke up, my fingers felt particularly sore and tingly. I'm curious about the cause, as there are no is...
Dr. Jiang Junyi Reply:
Dear Miss Cactus, You mentioned that you are experiencing mild tingling sensations in your left face, left hand, and left foot, particularly in your fingers upon waking up today. I would like to know if the area of your facial symptoms extends beyond your chin. Your symptoms may...[Read More] Understanding Left-Sided Tingling: Possible Neurological Causes
Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Struggling for nearly six months? Hello Dr. Jiang, I started experiencing chest tightness and pain in my pectoral muscles last October, accompanied by weakness, shoulder pain, and numbness in my back during certain movements, with a sensation like electric shocks. When I raise my...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned "multiple sclerosis," which affects fewer than 5 people per 100,000 in Taiwan, making it a rare disease. The diagnosis of multiple sclerosis is based on clinical history and examinations that reveal multiple lesions in the nervous system. A d...[Read More] Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Understanding Right Arm Pain: Possible Causes and Solutions
Right arm pain? Hello Dr. Jiang: Since mid-April, I have been experiencing pain in my right arm upon waking up, but it usually subsides after about an hour. Recently, by the end of April, the pain has persisted for a long time after waking up. The affected areas include a tinglin...
Dr. Jiang Junyi Reply:
Dear Mr. A-Jeng, You mentioned experiencing a tingling sensation in your fingers and pain in your arm near the neck, particularly above the elbow (which becomes more pronounced when pressed). This may indicate cervical nerve root compression and related myofascial pain syndrome....[Read More] Understanding Right Arm Pain: Possible Causes and Solutions
Understanding Muscle Twitches and Weakness: When to Seek Help
Muscle twitching Recently, I have been experiencing muscle twitching that is not localized to a specific area. Sometimes, I notice a decrease in strength in my left hand, and at other times, it shifts to my left hand and left leg. After researching online, I came across the sympt...
Dr. Jiang Junyi Reply:
Hello Mr. Travis, You mentioned that "the strength in your hands has decreased, and sometimes the strength in your left hand and foot has also diminished..." Since these symptoms are on the same side, we should first rule out any cervical spine issues. You are concern...[Read More] Understanding Muscle Twitches and Weakness: When to Seek Help
Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Cervical nerve compression Hello, I am 42 years old and have recently discovered that cervical spine compression is causing numbness and tingling in my hands and feet. I am currently taking medication (B12 and a nerve stabilizer) and undergoing rehabilitation (heat therapy, elect...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Chen, You mentioned cervical nerve root compression and mitral valve insufficiency. Neither of these conditions is a contraindication for receiving the COVID-19 vaccine. The reactions that may occur after vaccination are mostly mild and include pain and swelling a...[Read More] Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Understanding Weakness and Numbness in Lower Legs: Causes and Solutions
Weakness in both calves below the knees, sometimes accompanied by numbness? Recently, I underwent a nerve conduction study, which indicated that there was slowed conduction in both legs. The physician provided a diagnosis of polyneuropathy and ordered blood tests, revealing a def...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned "polyneuropathy, with blood tests indicating folate deficiency that was supplemented for a while, yet still experiencing weakness. After retesting every three months, results showed normal, but the weakness persists. What could be the underlying ...[Read More] Understanding Weakness and Numbness in Lower Legs: Causes and Solutions
Why Do My Heels Feel Numb When Lying Flat? Causes and Solutions
Numbness in the legs while lying flat? When lying flat, if you experience soreness or numbness in your heels, and it alleviates when using a thin blanket or lying on your side, what could be the cause? Thank you, doctor.
Dr. Jiang Junyi Reply:
Hello Ms. Pin, You mentioned experiencing soreness or numbness in your heels while lying flat, which may indicate "piriformis syndrome" or compression of the sciatic nerve. The piriformis muscle is located deep in the buttocks and spans between the spine and the hip jo...[Read More] Why Do My Heels Feel Numb When Lying Flat? Causes and Solutions
Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Numbness in the right hand and right side of the body? Hello doctor, last week I started experiencing mild numbness in the tips of my fingers. I visited a neurologist who prescribed medication, but a few days later the numbness worsened, and soon my entire palm began to feel numb...
Dr. Jiang Junyi Reply:
Dear Mr. Jame, You mentioned that after visiting the neurology department and receiving medication, you experienced increasing numbness over the following days. The doctor indicated that the cervical spine X-ray showed no abnormalities, but by the weekend, you even felt slight n...[Read More] Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Deep pain in the left eye (radiating to the left shoulder and neck)? Hello, Dr. Jiang. Three months ago, I experienced eye pain and visited an ophthalmologist. The doctor diagnosed my intraocular pressure at the critical value of 21. I continued to use the prescribed eye drops re...
Dr. Jiang Junyi Reply:
Hello Mr. Bai: You mentioned that "the assessment indicated a neurological issue, and I was referred to the neurology department, where the neurologist suggested the possibility of migraine?" The symptoms you described may need to consider Trigeminal Autonomic Cephalalg...[Read More] Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Coccydynia (tailbone pain) issues? I had an X-ray of my coccyx, and the bones are fine. However, I experience significant pain when I stand up while riding my motorcycle, and some chairs cause pain when I sit down and then stand up. This has been bothering me for a long time. I a...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "it hurts a lot when I stand up after riding a motorcycle, and some chairs also cause pain when I sit and then stand up." Your symptoms may indicate a potential issue with the sciatic nerve. Herniated discs are often caused by spinal dege...[Read More] Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Understanding Post-Concussion Syndrome: Symptoms and Dietary Tips
Post-concussion syndrome Fifteen years ago, I suffered a head injury and cervical spine damage in a car accident. Although I consulted a neurologist at the time, the doctor did not order detailed examinations since I was able to walk and communicate normally. As a result, my head...
Dr. Jiang Junyi Reply:
Dear Mr. E, You mentioned that "memory has significantly declined... and you are unsure if there are dietary suggestions for improvement." For dietary aspects, you can adopt the Mediterranean diet, the Dietary Approaches to Stop Hypertension (DASH) diet, and the Medite...[Read More] Understanding Post-Concussion Syndrome: Symptoms and Dietary Tips
Understanding the Causes of Front-to-Back Swaying Sensation
Sensation of swaying back and forth? Hello, doctor. I have a concern. Suddenly, one day, I started to feel a swaying sensation back and forth while standing, especially when walking normally; the feeling of swaying back and forth is very pronounced (not side to side!). This has b...
Dr. Jiang Junyi Reply:
Dear Mr. Dong-Chen, You mentioned that "the most noticeable sensation during walking is a forward and backward swaying... my mind feels tight. Is this due to autonomic nervous system dysfunction or hyperthyroidism?" Hyperthyroidism should be considered. Typically, auto...[Read More] Understanding the Causes of Front-to-Back Swaying Sensation
Understanding Unexplained Pain and Forehead Headaches in Patients
Unexplained muscle pain and frontal headache? Hello, doctor. I have Marfan syndrome and have previously undergone spinal surgery. After the surgery, I began experiencing weakness and stiffness in my legs and spine, making it difficult to move, along with some pain. These symptoms...
Dr. Jiang Junyi Reply:
Dear Mr. Lei, You mentioned that "lying down causes headaches, and now I also experience pain while standing, along with frequent headaches... which may be due to compression of the spinal vessels, leading to headaches." Typically, when blood vessels are compressed, it...[Read More] Understanding Unexplained Pain and Forehead Headaches in Patients