Dizziness with tightness in the muscles around the head and behind the ears?
I have been experiencing sudden episodes of dizziness that last for a few seconds over the past few days, whether I am sitting or walking.
It feels like my head goes numb, my mind goes blank, and I feel lightheaded.
This has persisted for two days, and I have also noticed that my eyebrows involuntarily raise, along with tightness in the muscles behind my ears, which is very uncomfortable.
However, I cannot relax; my muscles remain tense, making my head feel uncomfortable.
Doctor, could this be a neurological disorder or something else?
Jiang Xiaojie, 20~29 year old female. Ask Date: 2019/04/12
Dr. Jiang Junyi reply Neurology
Hello, based on your description, the most common cause of tightness in the back of the neck is cervical myofascial pain.
Prolonged periods of looking down can lead to overuse of the trapezius muscles in the back of the neck, resulting in neck and shoulder pain.
Initially, resting may alleviate the pain, but over time it can worsen and affect daily activities.
Some patients experience severe neck pain upon waking, accompanied by stiffness, tightness, and intolerable pain levels.
I recommend the following:
1.
Change positions: Alter your posture every 15 minutes to allow the neck tissues to rest.
Maintaining any position (including a normal one) for an extended period can lead to tissue fatigue and inflammation, so moving around briefly can reduce the risk of muscle inflammation.
2.
Rest: Resting allows the muscles to utilize their self-repair capabilities; during this time, avoid vigorous exercise.
3.
Neck heat therapy: Apply heat for 15 to 20 minutes, ensuring the temperature is safe to avoid burns.
4.
Non-steroidal anti-inflammatory drugs (NSAIDs): For individuals without a history of gastric ulcers, allergies to NSAIDs, or normal kidney function, consider using NSAIDs as needed to reduce inflammation and alleviate pain.
5.
Neck muscle stretching exercises: After the acute pain phase, develop a habit of performing slow and gentle neck stretches every 15 to 20 minutes, avoiding any angles that cause discomfort.
You may want to consult a neurologist or a rehabilitation physician for further evaluation and treatment.
Wishing you good health and peace.
Dr.
Jiang from Taoyuan Medical Center cares about you.
Reply Date: 2019/04/12
More Info
Dizziness, particularly when accompanied by tension in the head and neck muscles, can be a complex issue that may stem from various underlying causes. Based on your description of experiencing sudden bouts of dizziness, muscle tightness, and discomfort, it is essential to consider several potential factors that could be contributing to your symptoms.
Firstly, the sensation of dizziness can often be linked to tension and stress in the neck and head muscles. When these muscles are tight, they can affect blood flow and nerve function, leading to feelings of lightheadedness or dizziness. This is particularly true if you are experiencing muscle tension in the areas around your forehead, temples, and neck. The tightness can create a sensation of pressure, which may feel like a cloudiness or fog in your head, contributing to the feeling of dizziness.
Additionally, the involuntary raising of your eyebrows and the tension in the muscles behind your ears suggest that your body may be responding to stress or anxiety. This muscle tension can lead to a cycle where the discomfort causes more stress, which in turn increases muscle tightness. This cycle can exacerbate feelings of dizziness and discomfort.
Another important consideration is the possibility of cervical spine issues. The cervical spine, or neck region, houses nerves that can affect balance and coordination. If there is any misalignment or tension in this area, it can lead to dizziness. Conditions such as cervical spondylosis or muscle strain can contribute to these symptoms.
Furthermore, dehydration, poor posture, and prolonged periods of sitting or looking down at screens can also lead to muscle tension and dizziness. If you have been spending a lot of time in a fixed position, it may be worthwhile to evaluate your posture and take regular breaks to stretch and move around.
In terms of neurological concerns, while it is less likely that you are experiencing a significant neurological disorder based solely on the symptoms described, it is essential to monitor for any additional symptoms. If you experience persistent dizziness, changes in vision, severe headaches, or any other concerning symptoms, it would be prudent to seek medical evaluation.
To address your symptoms, consider the following strategies:
1. Relaxation Techniques: Engage in relaxation exercises such as deep breathing, meditation, or yoga to help reduce muscle tension and stress.
2. Physical Therapy: A physical therapist can provide targeted exercises to strengthen neck muscles and improve posture, which may alleviate tension and dizziness.
3. Hydration: Ensure you are adequately hydrated, as dehydration can contribute to dizziness.
4. Posture Awareness: Be mindful of your posture, especially if you spend long hours sitting or working at a computer. Regular breaks to stretch and move can help alleviate tension.
5. Consultation: If symptoms persist or worsen, consider consulting a healthcare professional for a thorough evaluation. They may recommend imaging studies or other diagnostic tests to rule out any underlying conditions.
In conclusion, while your symptoms may be related to muscle tension and stress, it is essential to approach them holistically. By addressing lifestyle factors, seeking appropriate therapies, and monitoring your symptoms, you can work towards alleviating your discomfort and improving your overall well-being. If you have any concerns about your symptoms or if they persist, do not hesitate to seek medical advice for a comprehensive evaluation.
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