Understanding Facial Twitches and Sleep-Related Numbness: When to Seek Help
Facial twitching? Hello Doctor: I have two questions to ask. 1. I have been experiencing intermittent twitching in the philtrum area below my nose for several days, and I'm not sure what it could be; I am a bit worried. 2. I tend to sleep on my side and change positions whil...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the intermittent twitching in the philtrum area has been ongoing for several days, and you are unsure about the cause, which is causing some concern. If there are no other issues, this could be considered facial nerve instability, leading to minor muscle...[Read More] Understanding Facial Twitches and Sleep-Related Numbness: When to Seek Help
Understanding Serum Protein Electrophoresis: Resolving M-Spike Discrepancies
Serum protein electrophoresis analysis Hello, I have been experiencing a tingling sensation in my hands and feet (similar to wearing gloves and socks) and sought medical attention at two different healthcare institutions. Among the tests performed, the serum protein electrophores...
Dr. Jiang Junyi Reply:
Hello: M protein is typically used for classification testing in multiple myeloma. The symptoms you mentioned, such as numbness and tingling in the hands and feet (like gloves and socks), may still warrant consideration of peripheral neuropathy. Generally, a nerve conduction stud...[Read More] Understanding Serum Protein Electrophoresis: Resolving M-Spike Discrepancies
Understanding Scalp Tingling: Is It Related to Blood Circulation?
Scalp tingling? Frequent overuse of the brain can lead to a tingling sensation in the scalp, which feels tight as if wearing a hat. After taking a break, the scalp begins to twitch, and there is an increasing sense of relief, with less tension. I would like to know if this issue ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the...[Read More] Understanding Scalp Tingling: Is It Related to Blood Circulation?
Understanding Your Symptoms: Neurological Issues or Autonomic Dysfunction?
Is it a brain issue or autonomic nervous system dysfunction? Hello, Dr. Jiang: Recently, I have been feeling unwell, and the following symptoms have been occurring frequently: 1. Sometimes under bright lights, I perceive a flicker (as if the light is malfunctioning). I have a h...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "migraine with aura." This type of headache lasts from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel throbbing or pulsating, often accompanied by nausea and vomiting, as well as sensitivity to...[Read More] Understanding Your Symptoms: Neurological Issues or Autonomic Dysfunction?
Numbness Around the Back of the Head: Possible Causes and Concerns
Numbness near the occipital region? Hello doctor, starting today, I have been experiencing a tingling sensation in my head and face intermittently (sometimes lasting for a long time), primarily around the back of my head and near my cheeks. Could you please tell me what this migh...
Dr. Hong Weibin Reply:
Hello: External stress and irregular lifestyle can often lead to physiological issues, such as excessive fatigue, numbness, pain, and general discomfort. It is recommended that you get plenty of rest and observe whether your condition improves. Wishing you a speedy recovery.[Read More] Numbness Around the Back of the Head: Possible Causes and Concerns
Understanding Persistent Head Numbness: When to Seek Medical Advice
Facial concerns? Hello, I have been experiencing a tingling sensation in the back of my head lately, similar to the goosebumps you get when you're anxious, and it has been persistent. Could you please tell me what this issue might be? Do I need to see a doctor?
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression. This could be due to prolonged poor posture with the head bent forward, or rheumatic joint diseases, leading to curvature and narrowing deformities of the cervical spine. The interv...[Read More] Understanding Persistent Head Numbness: When to Seek Medical Advice
Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Dopamine deficiency and medications such as Levodopa and Clonazepam? In mid-August last year, I started experiencing noticeable symptoms where sometimes while walking, my left foot would suddenly start to twitch involuntarily (possibly due to anxiety or other reasons), or my left...
Dr. Hong Weibin Reply:
You are very diligent! You've done a lot of homework. Occasionally, you experience muscle twitching in your left leg, sometimes accompanied by a tingling sensation, followed by pain in your left thigh. My thought is that it may be due to lumbosacral radiculopathy. Lumbosacra...[Read More] Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Understanding Involuntary Body Twitches During Sleep: Causes and Solutions
Involuntary muscle contractions? Recently, I have been experiencing involuntary twitching on the left side of my body (arms and legs) while sleeping at night. Each episode lasts for 2-3 minutes, and this has been happening for a while. Last night was more severe, lasting for 2-3 ...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for muscle twitching, such as muscle atrophy and lumbar nerve compression, which require examination. Regarding the tingling sensation in your legs, it may be worth considering the possibility of restless legs synd...[Read More] Understanding Involuntary Body Twitches During Sleep: Causes and Solutions
Understanding Unexplained Chest and Facial Symptoms: A Neurological Perspective
I'm not sure where the problem lies? Hello Doctor, I am currently experiencing the following symptoms: Two nights ago, before going to bed, I felt a tightness near my left chest close to the armpit. Last night, before going to bed, I experienced intermittent sharp pains in t...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned do resemble neuropathic pain, as paresthesia is characteristic of this condition. It may be necessary to consider cervical nerve root compression. The clinical symptoms of herpes zoster can be quite atypical, ranging from severe pain to paresthes...[Read More] Understanding Unexplained Chest and Facial Symptoms: A Neurological Perspective
Managing Seizures Triggered by Antidepressants: A Patient's Journey
Post-drug-induced epilepsy Hello Doctor, about 14 years ago, I experienced a head injury. I have a history of depression and sleep disorders, and my depression improved over time. However, approximately 12 years ago, I fainted in the bathroom after taking antidepressant medicatio...
Dr. Cai Zongzhang Reply:
Hello, epilepsy requires regular medication adherence and treatment according to the physician's instructions. Additionally, maintaining a stable daily routine can help stabilize the condition.[Read More] Managing Seizures Triggered by Antidepressants: A Patient's Journey
Understanding Body Tingling: Possible Causes and Recommendations
Tingling sensation in the body? Hello Doctor, about a month ago I suddenly felt a tingling sensation all over my body, without a specific area, almost like it was moving around. I even experienced tingling in my face and head. For a period of time, I often had palpitations and ch...
Dr. Jiang Junyi Reply:
Hello: Your symptoms appear at the extremities, which may suggest a deficiency in B vitamins or abnormal electrolyte levels causing peripheral neuropathy. Clinically, many conditions can lead to hyperventilation, including sepsis, significant blood loss, hypoxia, and acute myocar...[Read More] Understanding Body Tingling: Possible Causes and Recommendations
Understanding Nerve Damage Risks After Injections: What You Need to Know
Is there a possibility of nerve injury after receiving an injection? Hello Dr. Jiang, Last winter, I had a cold without a fever and visited a clinic. I was experiencing severe headaches that made me feel nauseous, so I asked the doctor for an injection. The doctor was an older m...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "piriformis syndrome." The piriformis muscle is located deep in the buttocks and spans between the spine and the hip joint. When the piriformis muscle becomes inflamed, it can compress the sciatic nerve, leading to symptoms of numbness a...[Read More] Understanding Nerve Damage Risks After Injections: What You Need to Know
Why Your Hands Go Numb After Climbing: Understanding Nerve Issues
After climbing, my hands felt numb until the evening? Hello, I haven't exercised for a while, and today I hiked uphill for an hour. As a result, my hand gradually became numb, and by the evening, the numbness extended from my palm to my forearm. Is this normal? Thank you.
Dr. Jiang Junyi Reply:
Hello: Regarding the hand tingling sensation you mentioned related to exercise, the first thing that comes to mind is hyperventilation syndrome. This condition can lead to decreased carbon dioxide levels in the blood, resulting in an increased pH level. Consequently, blood flow t...[Read More] Why Your Hands Go Numb After Climbing: Understanding Nerve Issues
Understanding Unilateral Foot Numbness: Causes and Solutions
Unilateral plantar paresthesia? Hello, doctor. About two weeks ago, I started experiencing a tingling sensation in the sole of my left foot. Sometimes it comes in waves, and other times it doesn't occur at all. This sensation can happen whether I'm sitting or lying down...
Dr. Hong Weibin Reply:
Hello: Based on your description, if the numbness is limited to the soles of your feet and does not extend proximally, it is likely due to plantar fasciitis or soft tissue pathology. It is advisable to check your shoes; if they are too rigid, consider switching to shoes with cush...[Read More] Understanding Unilateral Foot Numbness: Causes and Solutions
Understanding Muscle Indentation and Tingling Sensations in the Thigh
Slightly painful muscle indentation? Hello doctor, one day I suddenly noticed a horizontal indentation on my left thigh muscle. It doesn't seem to be a depression between muscle groups, and at first, I didn't think much of it. However, recently I've been feeling a ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned may be due to peripheral nerve compression causing tingling sensations. Possible causes include soft tissue fibromas, among others. If the symptoms are not progressing rapidly, the tingling sensations usually improve with rest. I recommend consul...[Read More] Understanding Muscle Indentation and Tingling Sensations in the Thigh
Understanding Thumb Pain: Causes and When to Seek Neurology Help
Sharp pain upon pressing the right thumb? Two days ago, I experienced a sharp pain at the tip of my thumb when I pressed on it, thinking something might be embedded. Upon closer inspection, there was no visible wound. By the evening, the pain shifted to the right side of the thum...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing a tingling sensation around your right thumb. If there are symptoms of redness, swelling, heat, and pain, it may be necessary to consider inflammation or infection of the soft tissue near the thumb. If there is nerve compression at the fingertip,...[Read More] Understanding Thumb Pain: Causes and When to Seek Neurology Help
Managing Nerve Pain After Surgery: Tips for Better Sleep and Comfort
Experiencing nerve pain when lying down, along with abnormal sensitivity to temperature changes? Two months after hemorrhoid surgery, I started experiencing pain in the groin area near the incision site, which only occurs when I lie down to sleep. The doctor mentioned that the sc...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing sharp or aching pain around the surgical site, which may initially suggest muscle tissue inflammation. If you are experiencing numbness or a tingling sensation, it may indicate nerve compression. A rehabilitation physician can arrange for a muscl...[Read More] Managing Nerve Pain After Surgery: Tips for Better Sleep and Comfort
Understanding Persistent Right Leg Numbness: Causes and Next Steps
I often experience tingling on the right side of my body, but I have already been examined by a neurosurgeon? I have been examined by a neurosurgeon, and both my cervical and lumbar spine show bone spurs, but the doctor said they are very small and do not require rehabilitation. ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "piriformis syndrome." The piriformis muscle is located deep in the buttocks and spans between the spine and the hip joint. When the piriformis muscle becomes inflamed, it can compress the sciatic nerve, leading to symptoms of numbness a...[Read More] Understanding Persistent Right Leg Numbness: Causes and Next Steps
Understanding Forehead Pain Near Eyebrows: Trigeminal Nerve Inflammation
Pain near the forehead close to the eyebrows? Hello Doctor, I have been feeling quite fatigued recently and have also experienced cold symptoms. Three days ago, I started feeling a tingling sensation around my eyebrows, which feels very tight. I initially thought it was due to we...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest that localized pressure is causing peripheral nerve damage, which can result in localized numbness. As for shingles, in addition to tingling, there may also be pain involved. If you notice the appearance of a rash, it is essential to visit a derma...[Read More] Understanding Forehead Pain Near Eyebrows: Trigeminal Nerve Inflammation
Understanding Numbness in the Right Upper Arm: Causes and Solutions
Numbness in the right upper arm? Hello Doctor: Recently, I've been experiencing a tingling sensation on the outer side of my right upper arm, and there is a slight pain when I perform chin-down movements, similar to feeling a tendon being pulled. I'm unsure what this co...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest that the nerve roots at the first thoracic vertebra or the seventh cervical vertebra are being compressed, leading to numbness. A physical examination and electromyography can assist in the diagnosis. It is recommended that you consult with a neur...[Read More] Understanding Numbness in the Right Upper Arm: Causes and Solutions