Understanding Ulnar Nerve Dysfunction: Symptoms, Diagnosis, and Treatment
Ulnar nerve neuropathy Hello Doctor: I began experiencing slight numbness in my left little finger and an unusual sensation when touched around mid-last year, which is not like the normal feeling of my fingers. I have tried various folk remedies, chiropractic treatments, and medi...
Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration should be ulnar nerve pathology. However, since the symptoms extend to the shoulder, it may also be necessary to consider compression of the nerve roots at the first thoracic vertebra. The causes of compression, whether it...[Read More] Understanding Ulnar Nerve Dysfunction: Symptoms, Diagnosis, and Treatment
Understanding Muscle Pain and Twitches: Causes and Solutions
Muscle pain and twitching? Hello Doctor, I have been experiencing soreness in my left hand and left foot for the past two months. A few days later, my right hand also started to hurt, and my fingers are painful as well. I have also noticed muscle twitches throughout my body (in m...
Dr. Jiang Junyi Reply:
Hello, based on your description of limb weakness and muscle twitching pain, the causes may include not only muscle and nerve issues but also some metabolic diseases such as thyroid dysfunction and sleep disorders. It is recommended that you first consult an internist for evaluat...[Read More] Understanding Muscle Pain and Twitches: Causes and Solutions
Understanding Tinnitus and Dizziness: Insights from Neurology
Tinnitus, dizziness? Hello Dr. Jiang, the following questions are for a patient (I actually have similar symptoms myself): 1. Tinnitus, dizziness, and a sensation of noise in the head have been intermittent for 30 years (I am 56 years old this year). 2. Recently, after 8 months ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the management of cardiovascular disease primarily involves controlling the three highs (hypertension, hyperlipidemia, and hyperglycemia), which you seem to have achieved. However, you did not mention any sleep issues, so it may be worth consider...[Read More] Understanding Tinnitus and Dizziness: Insights from Neurology
Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Hello, Dr. Jiang? In April 2019, I received a combined measles vaccine and was taking medication for Helicobacter pylori. After 1-3 days, I experienced severe throat pain, persistent phlegm, general weakness, and fatigue. I consulted an otolaryngologist and underwent a neck ultra...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether you are experiencing overweight issues. It may also be necessary to consider sleep apnea: if you have this condition, it can lead to daytime concentration difficulties and frequent drowsiness. There are generally two types...[Read More] Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Neck pain In 2019, there was an unexplained pain in the right side of the neck. After treatment by a physician, there were no major issues. However, since March of this year, any physical activity or use of neck strength leads to severe tightness and pain. For example, after abou...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit a neurologist for a detailed examination.[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Understanding Left-Sided Migraine and Anxiety: A Young Adult's Journey
Tension-type headache? Hello, Doctor Jiang. Let me explain my condition. I am 19 years old, and about three days ago, I started experiencing body aches and weakness. By the afternoon, I developed a headache, and in the evening, I had a fever (37.8°C). The next morning, the fever ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of left-sided 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 al...[Read More] Understanding Left-Sided Migraine and Anxiety: A Young Adult's Journey
Effective Recovery Strategies After a Head Injury from a Baseball Bat
Head struck by a baseball bat? Hello, doctor! A friend of mine, Peng, accidentally got hit in the head with a baseball bat nearly a year ago. The hospital has been administering glucose and mostly prescribing B12 and painkillers, but he says he hasn't improved. He still expe...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, no use of anticoagulants, or obvious local hematomas, head injuries are mostly mild. However, the following situations should raise concerns for delayed bleeding, and you should seek emergency care: (1) Deterioratio...[Read More] Effective Recovery Strategies After a Head Injury from a Baseball Bat
Understanding Pulsations in the Back of the Head: Is It Normal?
Pulsation of the blood vessels at the back of the head? Doctor, I would like to ask you about something. Recently, I have been looking down at my phone for a long time and became very focused on it. Suddenly, I felt a pulsing sensation at the back of my head, which I believe is r...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered. Symptoms may include pain, discomfort, muscle stiffness, a feeling of heaviness, and muscle twitching when the muscles are tense. Symptoms may worsen with changes in weather and can be allev...[Read More] Understanding Pulsations in the Back of the Head: Is It Normal?
Understanding Recurring Perineal and Anal Numbness: Causes and Solutions
Intermittent numbness in the perineal and anal area? Hello Doctor, on March 23rd, I experienced intermittent numbness in the right perineum and anal area, which has been continuous. The next day, I visited a neurologist who said I could walk on my toes, which did not indicate cau...
Dr. Jiang Junyi Reply:
Hello: The tissues around the anus are primarily innervated by the pudendal nerve plexus and the coccygeal nerve. Various factors can lead to abnormal nerve sensations. If the symptoms are intermittent, it may be worth considering poor posture as a potential cause of nerve compre...[Read More] Understanding Recurring Perineal and Anal Numbness: Causes and Solutions
Understanding Dizziness: Causes, Symptoms, and Treatment Options
Dizziness symptoms Hello, doctor. I've been troubled by dizziness for a long time, and the more I think about it, the worse it gets. My dizziness symptoms have persisted for over two months. I've seen an ENT specialist, a traditional Chinese medicine practitioner, and a...
Dr. Hong Weibin Reply:
Hello: Your condition may be peripheral vertigo, with a higher likelihood of Meniere's disease. You may seek assistance from an otolaryngologist or a neurologist specialized in the treatment of dizziness. Wishing you health and safety.[Read More] Understanding Dizziness: Causes, Symptoms, and Treatment Options
Chronic Headaches: Understanding Causes and Seeking Relief
Chronic headache Hello Dr. Jiang: I have been experiencing long-term headaches (entire head) along with severe pain in my shoulders and neck. The pain is continuous and does not stop; it lasts all day, every day. The worst pain occurs in the afternoon after my lunch break. I have...
Dr. Jiang Junyi Reply:
Based on your description, the most common causes are tension-type headaches or migraines. If the symptoms or intensity of the headache change, intracranial tumors should be considered. However, focusing on tension-type headaches: (1) They are often bilateral, located in the occi...[Read More] Chronic Headaches: Understanding Causes and Seeking Relief
Could Numbness in Hands and Feet Indicate Heart Issues?
Numbness in the hands and feet, is it a sign of heart problems? Hello, I have a slight mitral valve insufficiency and sought traditional Chinese medicine for treatment, along with gynecological care. During the three days of treatment, I experienced symptoms of numbness in my han...
Dr. Cai Zongzhang Reply:
Hello, the slight insufficiency of your tricuspid valve that you mentioned could potentially lead to symptoms such as cold extremities and numbness. It is advisable to continue monitoring and follow-up examinations. If you experience any related symptoms, please discuss them with...[Read More] Could Numbness in Hands and Feet Indicate Heart Issues?
Understanding Nerve Pain: A Journey Through Neurology and Rehabilitation
Numbness, soreness, and sensory perception? I previously experienced some numbness in my fingers, which progressed to numbness in my right palm, along with soreness and pain in my arm, and diminished sensation due to the numbness. I visited the neurology department at Chang Gung ...
Dr. Jiang Junyi Reply:
Hello: I understand your concerns. You seem to be caught in a misconception of seeking treatment from someone with the same professional background. Currently, if my patients encounter situations that I cannot resolve due to my limitations, I adopt a perspective of empathy, meani...[Read More] Understanding Nerve Pain: A Journey Through Neurology and Rehabilitation
Understanding Headaches: Sneezing, Coughing, and Neurological Concerns
Sneezing, coughing, and then experiencing a headache? Hello, doctor. I am 26 years old. A few days ago, I experienced an allergic asthma attack, and the doctor prescribed a bronchodilator, which helped. However, I started to have headaches afterward. I often feel pressure in the ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of right occipital pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the ...[Read More] Understanding Headaches: Sneezing, Coughing, and Neurological Concerns
Understanding Hand Tremors: Can Young People Develop Parkinson's Disease?
Tremor issues? Hello doctor, may I ask if young people can develop Parkinson's disease? My fingers often shake, especially when I use my smartphone; my thumb shakes, and my fingers tremble even when at rest, although it's not very pronounced. Additionally, sometimes whe...
Dr. Cai Zongzhang Reply:
Hello, in most cases, muscle twitching does not require much concern. However, if it persists, muscle twitching may be a warning sign of a neuromuscular disorder. If the muscle twitching is accompanied by muscle weakness and atrophy, it is advisable to seek medical attention prom...[Read More] Understanding Hand Tremors: Can Young People Develop Parkinson's Disease?
Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Benign tremor Hello Doctor: Over the past year, I have been experiencing muscle twitching all over my body, and sometimes I also feel weakness, which makes me quite anxious. I have consulted many Western and traditional Chinese medicine doctors, but the symptoms persist, and I fe...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems you are caught in a dilemma of seeking medical care from various sources. To address this issue, it is advisable to first select a medical center near your residence to consolidate your medical records, as cloud-based reports, while info...[Read More] Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Benign tremor Hello Doctor: Over the past year, I have been experiencing muscle twitching all over my body, and sometimes I feel weakness, which has made me quite anxious. I have consulted many Western and traditional Chinese medicine doctors, but the symptoms persist, and I feel...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems you are caught in a dilemma of seeking medical care from various sources. To address this issue, it is advisable to first select a medical center near your residence to consolidate your medical information. While cloud-based reports can ...[Read More] Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Post-Stroke Care: Essential Tips for Recovery After 6 Months
Stroke, Care Recommendations for Patients After 6 Months Dear Dr. Tsai, My father is 68 years old and suffered a hemorrhagic stroke in early May this year, resulting in hemiplegia. After three months in a PAC (Post-Acute Care) unit, he was discharged in August. During his treatm...
Dr. Cai Zongzhang Reply:
Hello, regarding your father's situation, for the medication aspect, it is recommended that you continue follow-up visits and discuss the physiological effects of the medication with the physician. The physician will assess the possibility of any adjustments. The decision to...[Read More] Post-Stroke Care: Essential Tips for Recovery After 6 Months
Understanding Thigh Cramps and Back Pain: Finding Relief for Daily Struggles
Thigh cramps accompanied by lower back pain, causing discomfort while walking and sleeping? This has been a chronic issue for me. While working, I often experience severe pain in my right thigh, making it difficult to stand. It feels like I'm cramping, and I have to hunch ov...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider symptoms related to nerve compression due to a herniated disc, which may also result from sudden injuries, such as twisting the waist, bending to lift heavy objects, or experiencing excessive force, for example, fallin...[Read More] Understanding Thigh Cramps and Back Pain: Finding Relief for Daily Struggles
Struggling with Frequent Dreams and Shallow Sleep: Seeking Solutions
I have been experiencing continuous light sleep and vivid dreaming for almost three weeks? Hello, doctor. For the past two weeks, I have been dreaming every night and experiencing shallow sleep. The longest continuous sleep I get is about four hours, and in the worst cases, I wak...
Dr. Jiang Junyi Reply:
Hello: There are many potential causes for your insomnia, such as watching television before bed, consuming spicy foods at dinner that elevate metabolism, or experiencing sleep apnea. I recommend improving your sleep hygiene: try to avoid napping during the day. Avoid drinking co...[Read More] Struggling with Frequent Dreams and Shallow Sleep: Seeking Solutions