Understanding Body Twitches and Sleep Issues: A Neurology Perspective
Body twitching and inability to sleep? Hello, doctor. I apologize for bothering you with a question. My mother (48 years old) has been experiencing some health issues. About a week ago, she started feeling her body twitching while she was conscious before falling asleep. Initiall...
Dr. Cai Zongzhang Reply:
Hello, the twitching you are referring to likely involves involuntary and rhythmic movements of a certain part of our body, most commonly seen as shaking of the hands or limbs. However, it can also occur in other areas such as the head, neck, and extremities. There are many cause...[Read More] Understanding Body Twitches and Sleep Issues: A Neurology Perspective
Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Dizziness lasting more than 2 months? On May 8th, I experienced mild dizziness and unsteadiness while walking. That evening, I had a condition where half of my left eye was blurry and appeared pixelated, and I was unable to focus; my right eye was normal. On May 10th, an ophthalm...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you are experiencing vestibular migraine. A brain imaging study can be arranged to rule out the concerns you have. It is recommended that you seek assistance from a neurologist.[Read More] Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Understanding Hand Tremors: Causes and When to Seek Help
Tremors when holding objects? Hello Doctor: I seem to have had a problem with hand tremors since I was a child. I heard from my dad that my kindergarten teacher once mentioned to him that I sometimes had tremors when using tools during class. I often notice that my hands shake wh...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to first consider physiological tremors. The causes of shaking can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors: These do...[Read More] Understanding Hand Tremors: Causes and When to Seek Help
Understanding Mild Body and Head Tremors: Causes and Concerns
Slight shaking of the body and head? Hello Doctor, recently I have been experiencing a slight shaking sensation in my body and head (not from my surroundings moving, but a slight shaking of my own). My head feels heavy, and this sensation is particularly noticeable when I am stil...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest physiological tremors rather than pathological tremors, such as those caused by structural abnormalities like cerebellar atrophy. Tremors can be categorized into four types: physiological tremors, psychological tremors, ...[Read More] Understanding Mild Body and Head Tremors: Causes and Concerns
Uncontrollable Hand Movements During Meals: When to Seek Medical Advice?
The hand does not move back and forth? Hello Doctor: Recently, I noticed that my father’s hands involuntarily move back and forth while eating (for example, when he is picking up food, his hands sway back and forth) for a few seconds before returning to normal. When I asked him a...
Dr. Jiang Junyi Reply:
Hello, based on your description, involuntary shaking is typically associated with tremors or seizures. The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors:...[Read More] Uncontrollable Hand Movements During Meals: When to Seek Medical Advice?
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 Hand Tremors: Causes and Concerns for Athletes
Tremor issues? Hello doctor, I am a baseball player. Sometimes my fingers tremble even when they are at rest, but it's not very pronounced. They also shake a bit when I write, but again, it's not severe. When I hold things, they tremble too, and sometimes my head feels ...
Dr. Cai Zongzhang Reply:
Hello, if you are engaging in intense exercise for an extended period, it is likely that fatigue may lead to muscle failure. If your team has a sports trainer, it is advisable to discuss this with them. If not, you may consult an orthopedic or rehabilitation physician with expert...[Read More] Understanding Hand Tremors: Causes and Concerns for Athletes
Understanding Hand Tremors: Causes and Concerns in Neurology
Tremor issues? I experience shaking in my hands when holding objects, though it's not very pronounced. Sometimes my hands feel weak, and my little finger occasionally goes numb. I also notice shaking during static moments, and it becomes more pronounced when I play mobile ga...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more indicative of ulnar nerve neuropathy, which can affect the sensation in the little finger. Leaning your elbow on a table or other hard surfaces, as well as applying pressure to the elbow, can likely cause ulnar nerve neurop...[Read More] Understanding Hand Tremors: Causes and Concerns in Neurology
Understanding Propranolol Side Effects: Tremors and Limb Weakness
Tremors and intermittent weakness in the limbs? A few days ago, I went for an examination due to mild hand tremors and was prescribed 309 Propranolol (Inderal) to take twice daily. I have been taking it for over three weeks now, but I am experiencing hand tremors, weakness in my ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, propranolol is primarily a sympatholytic agent. It has shown good therapeutic effects for essential tremors or tremors caused by emotional stress. However, due to potential side effects from decreased heart rate and blood pressure, such as fatigu...[Read More] Understanding Propranolol Side Effects: Tremors and Limb Weakness
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
Understanding Sleep Tremors and Migraines: When to Seek Medical Advice
Muscle twitching, migraine? Hello doctor, I would like to ask if the following symptoms my friend experiences while sleeping are normal and if she needs to go to the hospital for an examination. She is 20 years old, does not smoke or drink alcohol, has a family history of diabete...
Dr. Cai Zongzhang Reply:
Hello, regarding your friend's issue, it is uncertain if he is simply too fatigued. Especially considering the sleep conditions you described, this phenomenon may occur due to excessive fatigue or long-term irregular sleep patterns. It is recommended that he maintains a regu...[Read More] Understanding Sleep Tremors and Migraines: When to Seek Medical Advice
Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?
Fasciculation in amyotrophic lateral sclerosis (ALS)? I have been experiencing continuous muscle twitching all over my body for a month (in the soles and tops of my feet, backs of my hands, arms, elbows, shoulders, back, and face). A few days ago, my left calf twitched continuous...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons, and most patients do not have a family history. Motor neurons control muscle movement; those in the brain are referred to as upper mo...[Read More] Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?
Understanding Essential Tremor: Symptoms, Causes, and Concerns
Tremors and muscle twitching? Hello Doctor: Recently, I have noticed that my hands are trembling. After an examination at a large hospital, the doctor told me it is essential tremor. However, I learned that essential tremor is often hereditary, but my parents don't seem to h...
Dr. Jiang Junyi Reply:
Hello: Based on your description, primary tremor is primarily a symptom caused by instability in muscle coordination. Generally, physicians may prescribe Propranolol to stabilize the symptoms. This medication works by reducing sympathetic nervous system activity. Our autonomic ne...[Read More] Understanding Essential Tremor: Symptoms, Causes, and Concerns
Concerns About Propranolol: Side Effects and When to Stop Medication
I would like to ask a question about antiarrhythmic medications? A few days ago, I went for an examination due to slight hand tremors and was prescribed 245 mg of propranolol to take twice daily. The next morning, after taking the medication, I experienced several side effects, i...
Dr. Jiang Junyi Reply:
Hello, based on your description, the action of Propranolol is to reduce sympathetic nervous system activity. Our autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the accelerator and the other as the brake. The sympat...[Read More] Concerns About Propranolol: Side Effects and When to Stop Medication
Understanding Hand Tremors: When to Seek Neurological Advice
Tremor issues? Hello Doctor: Recently, I noticed that when I rest my wrist on the table and use my phone with one hand, I experience some shaking in my hand. The frequency is not fast, and the amplitude is not large; it just feels a bit unusual. I'm not sure if this has been...
Dr. Jiang Junyi Reply:
Hello, based on your description, our bodies can experience physiological tremors, primarily due to excessive use of large muscles or an overreaction of the sympathetic nervous system. However, these types of tremors tend to occur at a faster rate. Our autonomic nervous system is...[Read More] Understanding Hand Tremors: When to Seek Neurological Advice
Understanding Finger Tremors: Causes and Solutions for Gamers
Finger twitching I occasionally notice that when I raise my pinky finger while gaming at night (like when playing "Turtle"), it tends to shake a bit (the movement is quick, and if I relax my whole hand while only raising my pinky, the amplitude is slightly larger). Some...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing numbness and abnormal twitching in your little toe. First, we should consider the possibility of muscle hypertonicity causing abnormal contractions. Additionally, tremors may be due to thyroid dysfunction. I recommend that you visit a neurology o...[Read More] Understanding Finger Tremors: Causes and Solutions for Gamers
Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Muscle twitching and electromyography-related issues? Hello Doctor, Since around June 2017, I began to notice slight tremors in both of my hands, and when lying flat, I felt a sensation of my body vibrating. In July, I visited a neurologist for the first time, and the doctor ob...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, about 70% of patients with motor neuron disease present with limb weakness, while around 20% exhibit weakness in the bulbar region as their clinical manifestation. In terms of limb involvement, the initial presentation is usually asymmetric hand weaknes...[Read More] Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Understanding Sleep Tension: Causes and Solutions for Relaxation
Inability to relax during sleep? Sometimes I suddenly wake up while sleeping, and I often feel tightness in the temples of my head. During sleep, I experience a sensation where tension starts from the lower half of my body and gradually moves up to my upper body and then to my he...
Dr. Jiang Junyi Reply:
Hello, the most common cause of neck stiffness 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 pain that may even extend to the bilateral postauricular fascia. Initi...[Read More] Understanding Sleep Tension: Causes and Solutions for Relaxation
Uncontrollable Jaw Clenching: Understanding Neurological and Stress Factors
Involuntary mandibular clenching? Hello, Doctor. In early September of this year, due to high stress, I started grinding my teeth to protect them and wore an occlusal splint for two weeks. After that, my lower jaw began to involuntarily clench. My teeth often collide with each ot...
Dr. Jiang Junyi Reply:
Hello: The causes of excessive tension in the masticatory muscles may include electrolyte imbalances. Prolonged overuse of these muscles can lead to a square-shaped face or muscle tightness. The electrical stimulation response you mentioned refers to the facial nerve examination,...[Read More] Uncontrollable Jaw Clenching: Understanding Neurological and Stress Factors