Why Pain is Concentrated on the Right Side of the Body - Rare Disease

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Why is all the pain concentrated on the right side of the body?


1.
I previously had a deviated septum on the right side, which caused respiratory interference and chronic nasal congestion.
I underwent surgery to correct it, but I suspect that the condition may have developed due to certain blood and qi factors accumulating over time, as the following symptoms have not resolved after the correction of the deviated septum.
2.
I experience tinnitus in my right ear, and Western medical examinations have indicated middle ear damage that cannot be corrected.
3.
There is a very slow tendency for deformation on the right side of my face.
4.
My lower jaw is shifted to the right, with a misalignment of about half a tooth's width between the upper and lower jaws.
5.
For a long time, I have often felt a slight tingling sensation in the right side of my brain compared to the left side when I massage my head.
6.
I frequently experience soreness in my right neck and right shoulder.
7.
While sitting still, my right foot always goes numb, while my left foot never does.
This has been consistent for at least three years.

Jin, 20~29 year old female. Ask Date: 2009/02/20

Dr. Chen Shunsheng reply Rare Disease


The lesions are concentrated on the right side of the body and occur only with lesions in the left hemisphere of the brain or the upper brainstem, such as brain lesions causing cerebral palsy.
However, many of the symptoms you mentioned are unrelated to the aforementioned conditions.
Here are the responses to each symptom:
1.
There was a previous issue with a deviated septum on the right side, leading to respiratory interference and chronic nasal congestion, which was later corrected surgically by an otolaryngologist.
However, I suspect that this condition may have arisen from some long-term accumulation of Qi and blood factors, as the symptoms related to brain lesions have not diminished following the correction of the deviated septum.
Response: Unrelated, likely a localized issue.
2.
Tinnitus in the right ear, with examinations revealing middle ear damage that cannot be corrected.
Response: Unrelated, likely a localized issue.
3.
There is a very slow tendency for deformation on the right side of the face.
Response: This could be related, but it may also be a localized issue.
4.
The lower jaw is deviated to the right, with a misalignment of approximately half a tooth's width between the upper and lower jaws.
Response: This could be related, but it may also be a localized issue.
5.
For a long time, I have often felt a greater sensation of soreness and numbness in the right side of my head compared to the left when I massage my head.
Response: This could be related, but it may also be a localized issue.
6.
The right neck and right shoulder often experience soreness.
Response: This could be related, but it may also be a localized issue.
7.
When sitting still, my right foot always becomes numb, while my left foot never does.
Response: This could be related, but it may also be a localized issue.
This observation has been consistent for at least three years.
Conclusion: A medical consultation is still necessary.
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Reply Date: 2009/02/20

More Info


Understanding why pain is concentrated on one side of the body, particularly the right side in this case, requires a comprehensive evaluation of various potential causes. The symptoms you've described suggest a complex interplay of anatomical, neurological, and possibly psychological factors.

1. Nasal Septum Deviation: You mentioned a history of nasal septum deviation leading to breathing difficulties and chronic nasal congestion. While surgical correction may alleviate some symptoms, it is unlikely to directly cause pain on the right side of the body. However, chronic nasal congestion can lead to sinus pressure and headaches, which may contribute to discomfort in the facial region.

2. Tinnitus and Ear Issues: The right ear tinnitus and diagnosed middle ear damage could indicate a localized issue affecting the auditory system. Tinnitus can sometimes be associated with stress or anxiety, which may exacerbate the perception of pain or discomfort elsewhere in the body.

3. Facial Asymmetry: The slow change in the right side of your face, along with the misalignment of your jaw, could suggest a condition such as temporomandibular joint (TMJ) disorder. TMJ disorders can lead to referred pain in the neck, shoulders, and even the head, potentially explaining the discomfort you feel in those areas.

4. Neurological Symptoms: The sensation of increased tightness or discomfort in the right side of your head during self-massage could indicate a neurological issue. Conditions such as migraines or tension-type headaches can manifest with unilateral symptoms. It’s essential to consider whether these sensations are accompanied by other neurological signs, such as weakness, numbness, or visual disturbances.

5. Musculoskeletal Factors: The frequent pain in the right neck and shoulder could be attributed to muscle strain or tension, often exacerbated by poor posture or repetitive movements. Chronic muscle tension can lead to trigger points, which are localized areas of muscle that can refer pain to other regions.

6. Nerve Compression: The observation that your right leg experiences numbness while sitting could indicate nerve compression, possibly from prolonged sitting or a herniated disc in the lumbar region. This can lead to sciatica-like symptoms, where pain radiates down the leg.

7. Psychological Factors: Stress and anxiety can manifest physically, leading to muscle tension and pain. The mind-body connection is significant; emotional stress can exacerbate physical symptoms, creating a cycle of discomfort.

Given the complexity of your symptoms, it is crucial to approach this issue holistically. Here are some recommendations:
- Consult a Specialist: Given the variety of symptoms, it may be beneficial to consult with a neurologist for a thorough evaluation of your neurological health. Additionally, an ENT specialist may provide further insights into your ear and sinus issues.

- Physical Therapy: Engaging in physical therapy can help address musculoskeletal pain and improve posture, which may alleviate some of the discomfort in your neck and shoulders.

- Stress Management: Techniques such as mindfulness, yoga, or cognitive-behavioral therapy can help manage stress and its physical manifestations.

- Regular Monitoring: Keep a symptom diary to track when and how your symptoms occur. This can provide valuable information to your healthcare providers.

In conclusion, while the concentration of pain on the right side of your body may stem from various interrelated factors, a thorough evaluation by healthcare professionals is essential for accurate diagnosis and effective treatment. Addressing both physical and psychological aspects will likely yield the best outcomes in managing your symptoms.

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