Cervical Spine Issues and Their Impact on Brain Health - Neurology

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Cervical spine issues related to the brain?


Recently, I have been experiencing a significant sense of pressure in the upper part of my head (crown area), frequent dizziness, and difficulty focusing my vision.
I also feel pain and tension in my cervical spine, along with frequent numbness in my limbs.
Previously, a doctor diagnosed me with poor peripheral circulation in my extremities.
Are my current symptoms related? Could you provide suggestions for improvement? Should I seek a comprehensive examination at a hospital?

Zhi Wang, 20~29 year old female. Ask Date: 2021/04/21

Dr. Jiang Junyi reply Neurology


Hello: Your symptoms may suggest tension-type headache, which is caused by muscle tightness in the head.
As for the diagnosis of poor circulation in the extremities, it may be related to peripheral vasoconstriction due to emotional stress.
It is recommended that you visit a neurology clinic for further examination and follow-up.
Wishing you good health and peace.
Dr.
Chiang Chun-Yi from Taoyuan Hospital cares about you.

Reply Date: 2021/04/21

More Info


Your symptoms, including the pressure sensation in the upper part of your head, dizziness, difficulty focusing your vision, neck pain, tightness, and numbness in your limbs, may indeed be interconnected and suggest a complex interplay between cervical spine issues and neurological health.
Cervical spine problems, such as degenerative disc disease, herniated discs, or cervical spondylosis, can lead to nerve root compression or spinal cord compression. These conditions can manifest as pain, numbness, or weakness in the arms and legs, as well as headaches and dizziness. The cervical spine houses important structures, including the spinal cord and nerve roots that innervate the upper body and limbs. When these structures are compromised, it can lead to a variety of neurological symptoms.

The pressure sensation you describe could be related to muscle tension or spasms in the neck, which can occur due to poor posture, stress, or underlying cervical spine issues. This muscle tension can contribute to headaches, often referred to as tension-type headaches, which can feel like a tight band around the head. Additionally, cervical spine problems can affect blood flow to the brain, particularly if there is significant compression of the vertebral arteries, which run through the cervical vertebrae and supply blood to the brain. This could potentially exacerbate feelings of dizziness and visual disturbances.

Given your history of poor peripheral circulation, it is essential to consider that compromised blood flow can also contribute to neurological symptoms. Reduced blood flow to the brain can lead to dizziness, cognitive difficulties, and other neurological signs. Therefore, your symptoms may indeed be related to both cervical spine issues and vascular concerns.

To address your symptoms, it is advisable to seek a comprehensive evaluation from a healthcare professional, ideally a neurologist or an orthopedic specialist with expertise in spinal disorders. They may recommend imaging studies, such as an MRI of the cervical spine, to assess for any structural abnormalities that could be contributing to your symptoms. Additionally, a Doppler ultrasound of the carotid and vertebral arteries may be warranted to evaluate blood flow.

In the meantime, there are several strategies you can consider to alleviate your symptoms:
1. Physical Therapy: Engaging in physical therapy can help strengthen the neck muscles, improve posture, and enhance flexibility. A physical therapist can provide tailored exercises to relieve tension and improve spinal alignment.

2. Pain Management: Over-the-counter pain relievers, such as NSAIDs (ibuprofen or naproxen), can help manage pain and inflammation. However, consult with your healthcare provider before starting any medication.

3. Stress Management: Techniques such as mindfulness, yoga, or meditation can help reduce stress and muscle tension, potentially alleviating some of your symptoms.

4. Ergonomic Adjustments: Ensure that your workspace is ergonomically friendly to reduce strain on your neck and back. This includes proper chair height, monitor level, and keyboard positioning.

5. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can support overall health and circulation.

6. Regular Check-ups: Regular follow-ups with your healthcare provider are crucial to monitor your symptoms and adjust treatment as necessary.

In conclusion, your symptoms may be interrelated, and a thorough evaluation is essential to determine the underlying causes and appropriate treatment. Do not hesitate to seek medical attention to ensure that you receive the care you need for both your cervical spine issues and any potential vascular concerns.

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