Wellness Consultation
Hello, doctor.
I started working in September as a software engineer, which requires me to sit in front of the computer for long periods.
Since last year, I have intermittently experienced various neurological symptoms, including tinnitus, vestibular neuritis, and neck and shoulder pain.
These symptoms seem to occur one after another.
I believe that my irregular lifestyle due to my thesis before graduation contributed to this.
I intended to improve my habits and exercise more during July and August before starting work, and I did notice significant improvements in my health.
However, after starting my job, I began to experience headaches and a sensation of delayed balance, as if my brain takes a moment to catch up after stopping while walking.
My physical balance seems normal, so it doesn't feel like I'm truly losing my balance.
I'm uncertain if this is due to stress or fatigue.
On my days off, I feel better.
Recently, I have been trying to improve these conditions by getting up more often, drinking tea, and exercising for half an hour in the company gym during lunch.
After work, I also use a massage roller and apply heat to my neck and shoulders, which has improved my headache situation.
However, I still feel a bit foggy in my head after work.
These neurological issues have been bothering me for some time.
I have seen an ENT specialist, a neurologist, and a rehabilitation doctor, but none have found any significant problems.
After vestibular neuritis, I underwent balance tests that indicated recovery.
I have also tried taking B vitamins, but I feel that my nerve tolerance is relatively poor.
I would like to ask if there are any health practices I can try to promote brain blood circulation, nourish my nerves, and enhance my physical strength.
I am curious if products like chicken essence or over-the-counter medications from the pharmacy might be helpful.
Thank you for taking the time to respond.
Nìmíng, 20~29 year old female. Ask Date: 2020/09/29
Dr. Jiang Junyi reply Neurology
Hello: Regarding the repair of muscle nerves, in addition to nutritional supplements, adequate rest and avoiding injuries are essential.
In terms of food, it is recommended to consume substances that help eliminate free radicals, such as sufficient amounts of vitamins E and C, beta-carotene, selenium, and zinc.
Foods rich in these antioxidants, such as tomatoes, blueberries, seaweed, cabbage, kale, broccoli, grapefruit, onions, spinach, and hawthorn, can aid in muscle nerve repair.
Avoiding secondhand smoke and increasing water intake are also advised.
It is recommended that you consult a neurologist for discussion and treatment.
Wishing you good health, peace, and joy.
Reply Date: 2020/09/29
More Info
Managing neurological symptoms, especially for software engineers who spend long hours in front of a computer, can be quite challenging. Your symptoms, including tinnitus, vestibular neuritis, neck and shoulder pain, and feelings of imbalance, are not uncommon among individuals with sedentary jobs. Here are some strategies and insights that may help alleviate these issues.
Understanding Your Symptoms
1. Tinnitus and Vestibular Issues: Tinnitus can be exacerbated by stress and prolonged exposure to loud environments, including the noise from computer equipment. Vestibular neuritis, which affects balance, can lead to feelings of dizziness or imbalance, especially when transitioning from movement to stillness.
2. Musculoskeletal Pain: Prolonged sitting and poor posture can lead to muscle tension and pain in the neck and shoulders. This is often due to the strain on muscles that support the head and neck, especially when looking down at screens for extended periods.
3. Cognitive Fatigue: The feeling of mental fog or sluggishness after work can be attributed to cognitive overload, which is common in high-stress jobs like software engineering. This can also be compounded by inadequate breaks and poor ergonomics.
Tips for Relief
1. Ergonomic Workspace: Ensure your workstation is ergonomically designed. Your monitor should be at eye level, and your chair should support your lower back. Consider using a standing desk or an adjustable chair to change positions throughout the day.
2. Regular Breaks: Implement the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This helps reduce eye strain and gives your neck and shoulders a break.
3. Stretching and Movement: Incorporate stretching exercises into your daily routine. Simple neck rolls, shoulder shrugs, and wrist stretches can alleviate tension. Additionally, try to stand up and walk around every hour to promote circulation.
4. Hydration and Nutrition: Staying hydrated is crucial for overall health, including neurological function. Consider incorporating foods rich in omega-3 fatty acids (like fish) and antioxidants (like berries) into your diet, as they support brain health.
5. Mindfulness and Relaxation Techniques: Stress management techniques such as mindfulness meditation, yoga, or deep-breathing exercises can help reduce anxiety and improve your overall sense of well-being.
6. Physical Activity: Regular exercise can significantly improve your physical and mental health. Aim for at least 150 minutes of moderate aerobic activity each week, which can include brisk walking, cycling, or swimming.
7. Supplements: While B vitamins are essential for nerve health, consider discussing with a healthcare provider the potential benefits of other supplements like magnesium or omega-3 fatty acids. However, be cautious with over-the-counter supplements and ensure they are safe and appropriate for your situation.
8. Professional Help: Since you have already consulted with ENT specialists, neurologists, and rehabilitation professionals, consider seeking a physical therapist who specializes in vestibular rehabilitation. They can provide targeted exercises to improve balance and reduce dizziness.
9. Cognitive Exercises: Engage in activities that stimulate your brain, such as puzzles, reading, or learning a new skill. This can help improve cognitive function and may alleviate feelings of mental fatigue.
Conclusion
Managing neurological symptoms requires a multifaceted approach that includes lifestyle modifications, ergonomic adjustments, and stress management techniques. While it’s encouraging that you’ve already made some positive changes, continue to monitor your symptoms and consult with healthcare professionals as needed. Remember, improvement may take time, and consistency is key. If symptoms persist or worsen, further evaluation may be necessary to rule out any underlying conditions.
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