Understanding Neck and Jaw Pain: Causes and When to Seek Help
Head and neck issues? Hello Doctor, I am the one who recently strained my neck and temporomandibular joint. I would like to ask what could be the cause of the tingling sensation after the neck strain. Recently, when I move my mouth (talking) or eat, I feel a tingling sensation in...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that there is a tingling sensation in the area just below the back of your head and above your throat... and that you also feel something in the lower back of your head. This may indicate that the nerves in the upper cervical spine are being compressed....[Read More] Understanding Neck and Jaw Pain: Causes and When to Seek Help
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left posterior part of my head for a few seconds? Hello Doctor, I have been experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom or after ...
Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned "fourth cranial nerve palsy." Generally speaking, strabismus is caused by abnormal function of the six extraocular muscles. In the case of nerve palsy, it may be necessary to identify the underlying cause of nerve inflammation. If symptoms ...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Understanding Progressive Sensory Abnormalities: A Neurological Concern
Abnormal sensations on the right side are gradually spreading? Hello Doctor, last Saturday, February 24th, I experienced mild numbness in my right lip, right finger, and half of my palm. By Monday, the numbness worsened, so I visited a family medicine doctor who prescribed medica...
Dr. Jiang Junyi Reply:
Dear Miss Lily, You mentioned that on March 2nd, you woke up and noticed abnormal sensations in your scalp, the back of your head, and your eyelids. Additionally, the numbness in your hands has spread to your entire palm, and you can no longer distinguish objects by touch. You a...[Read More] Understanding Progressive Sensory Abnormalities: A Neurological Concern
Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Head and neck pain Recently, I bumped into a rolling iron door and went to the hospital for an examination, which revealed a mild compression of the cervical intervertebral discs at C3, C4, and C5. I underwent cervical traction, and although it relaxed the muscles, I noticed a sl...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the pain is worst when lying down, and after two weeks, the pain extends to the back of the head." This may indicate compression of the cervical nerves and the occipital nerve. High cervical nerve root compression occurs at the first to ...[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Head Injury from Stair Climbing: Understanding Neurological Symptoms
While working, I bumped my head while climbing stairs? I bumped my head while climbing stairs at work on February 27. At the time, I didn't feel much, but starting the next day, February 28, I began to experience weakness in my limbs and a sense of imbalance. However, I have...
Dr. Jiang Junyi Reply:
Dear Mr. Pan, You mentioned that "you hit your head while climbing stairs and didn't feel much at the time, but starting from the next day, February 28, you began to experience weakness in your limbs and a sense of imbalance." Based on your description, the likeli...[Read More] Head Injury from Stair Climbing: Understanding Neurological Symptoms
Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms
Muscle pain There are several main issues: 1. Palpitations, occasionally feeling a strong heartbeat; 2. A sensation of electric shock throughout the body when startled; 3. Intermittent sharp pain and soreness in the left upper body; 4. Pain in the left upper body when exerting, w...
Dr. Jiang Junyi Reply:
Hello Mr. Lucas: You mentioned that "the pain is noticeably felt during pressure," which may indicate a muscular issue. It is advisable to consult a rehabilitation physician to discuss your daily posture. Pain specialists typically provide nerve block treatments after r...[Read More] Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms
Understanding MRI Findings and Tinnitus: What You Need to Know
MRI Report Issues & Tinnitus Hello, I have been experiencing tinnitus for the past few years (I hear a motor sound similar to a heartbeat frequency before falling asleep at night). When the sound is loud, people nearby can also hear it if they are close to my head. Recently, ...
Dr. Jiang Junyi Reply:
Dear Miss Xiao Tao, You mentioned that "the MRI images show some white spots, indicating arteriosclerosis, and you should pay attention to the issues related to the three highs (hypertension, hyperlipidemia, and hyperglycemia)." It is recommended that you undergo a sec...[Read More] Understanding MRI Findings and Tinnitus: What You Need to Know
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left posterior part of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using th...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai: You mentioned experiencing a pulsating pain in the left posterior part of your head for a few seconds, and the physician diagnosed it as a fourth cranial nerve palsy. For the headache component, it may be necessary to consider abnormalities in the cervical spine. ...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Managing Ear Pain and Sensitivity: Understanding Neurological Triggers
Sharp pain in the inner ear, with surrounding muscle tension, and a desire to dig in? Whenever I feel anxious or hear loud noises, I experience a sharp, stabbing pain in my ears, along with a sensation of foreign objects. I have an urge to dig in my ears, but I can't find an...
Dr. Jiang Junyi Reply:
Dear Mr. Hong, You mentioned that the symptoms of "foreign body sensation in the ear" may need to consider neurogenic pruritus. This primarily involves the nerves of the ear, specifically the vagus nerve and the trigeminal nerve, both of which are closely related to th...[Read More] Managing Ear Pain and Sensitivity: Understanding Neurological Triggers
Understanding Facial Numbness: Possible Causes and When to Seek Help
Stroke causes neurological damage? Hello, Doctor! Four months after getting my front tooth crown, I started experiencing a tingling sensation in my right nostril, right cheekbone, and right ear. Sometimes, the right side of my head also feels this way. What could be the cause? Tw...
Dr. Jiang Junyi Reply:
Hello Ms. Vivi, You mentioned experiencing "numbness on the right side of your face? This past six months, you've also had issues with slurred speech and a thick tongue." These symptoms do not seem to be explainable by cervical degeneration or herniated discs. It ...[Read More] Understanding Facial Numbness: Possible Causes and When to Seek Help
Can Epilepsy Patients Safely Supplement with 5-HTP for Sleep?
Can patients with epilepsy supplement with 5-HTP? Hello Doctor, my mother has epilepsy and is currently prescribed one "Xanax" at bedtime. Since developing epilepsy, she has been dreaming every night and usually remembers her dreams upon waking. Although her daytime ene...
Dr. Cai Zongzhang Reply:
Hello, Xiao K: Sleep disorders and frequent dreaming are commonly caused by age-related central nervous system degeneration. Symptomatic treatment with medication may be used, but there are other possible underlying causes. It is recommended to visit a neurology outpatient clinic...[Read More] Can Epilepsy Patients Safely Supplement with 5-HTP for Sleep?
Managing Hypertension Medication: Addressing Fatigue and Dizziness
Issues with Hypertension Medications I am taking antihypertensive medication, and my blood pressure is normal after taking the medication, but I still feel very fatigued and dizzy, which is quite uncomfortable. I have tried switching medications several times without improvement....
Dr. Jiang Junyi Reply:
Hello Mr. Liu: You mentioned that "after taking the medication, my blood pressure is normal, but I still feel very fatigued and dizzy, which is quite uncomfortable. I have also tried switching medications several times without improvement." I wonder if any of your medic...[Read More] Managing Hypertension Medication: Addressing Fatigue and Dizziness
Do Mild Concussions Require MRI Scans? Expert Advice for Parents
Is an MRI necessary for a mild concussion? Hello Doctor, my son had an accident while skiing in Japan before the Lunar New Year. He did not collide with any hard objects, but he experienced a mild concussion. At the time of the incident (around 10:00 PM, as it was night skiing), ...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Lin, You mentioned that your child needs an MRI, which is not inexpensive, and you would like to ask the doctor whether, given your child's current condition, an MRI is necessary for further examination. Currently, the out-of-pocket cost for MRI in Taiwan is...[Read More] Do Mild Concussions Require MRI Scans? Expert Advice for Parents
Understanding Peripheral Neuropathy: Causes and Treatment Options
Peripheral neuropathy in the hands and feet? I was diagnosed with Meniere's disease due to dizziness. Recently, after being diagnosed with Eustachian tube obstruction in 2023, my hearing has been affected, and my dizziness has worsened. I am currently undergoing Eustachian t...
Dr. Peng Shiwei Reply:
It is recommended that you consult with your attending physician during your next follow-up appointment, or you may also seek evaluation at a neurology outpatient clinic. Thank you.[Read More] Understanding Peripheral Neuropathy: Causes and Treatment Options
Numbness and Weakness in Left Hand: When to See a Neurologist?
Numbness in the left ring and little fingers, along with weakness in the left hand? I have been sleeping on my left side and then switching to my right side. Recently, I have been experiencing numbness in my left ring and little fingers, weakness in my left hand (for example, I c...
Dr. Wu Mukhan Reply:
Hello, the symptoms you described may be related to an issue with the left ulnar nerve. If there is no improvement, it is advisable to consult a neurologist for nerve conduction studies or electromyography to confirm the diagnosis.[Read More] Numbness and Weakness in Left Hand: When to See a Neurologist?
Managing Sleep Issues and Stroke Recovery in Elderly Patients
Elderly stroke, drowsiness, and reversed sleep-wake cycle? Hello Doctor: My grandmother is 84 years old and had a stroke nearly a year ago, resulting in right-sided paralysis and aphasia. She is currently only taking medication prescribed by her cardiologist and resides in a care...
Dr. Jiang Junyi Reply:
Dear Ms. Yun, You mentioned that "the institution informed us that grandma sometimes does not sleep at night and has a reversed day-night cycle." This issue needs to be considered from multiple perspectives. For sleep disturbances and reversed day-night cycles, it is r...[Read More] Managing Sleep Issues and Stroke Recovery in Elderly Patients
Understanding Headaches: When to See a Neurologist for Relief
I have a headache that radiates to the back of my head, with a hot sensation on my forehead and warmth in my upper back? Hello Dr. Jiang: Since the end of January, I have been experiencing pain in my forehead, which has now shifted to the lower back of my head, causing me to wake...
Dr. Jiang Junyi Reply:
Hello Ms. Yang, You mentioned that "the frontal headache has now shifted to pain in the lower back of the head, waking you up in pain, along with heat in the forehead and upper back." It is important to first consider cervicogenic headache. This type of headache is cau...[Read More] Understanding Headaches: When to See a Neurologist for Relief
Understanding Hand Tremors: When to See a Neurologist
Hello Dr. Jiang: Regarding the issue of hand tremors? Hello Dr. Jiang: My right hand sometimes trembles involuntarily, but my left hand does not. My lips also exhibit similar symptoms, although they are milder. I am currently on psychiatric medication, but even after adjustments,...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: You mentioned that "your right hand sometimes trembles involuntarily, but your left hand does not, and your lips have similar symptoms." This may indicate an abnormality in the signaling of the motor nervous system. Additionally, medication side effects ...[Read More] Understanding Hand Tremors: When to See a Neurologist
Understanding Hand Tremors: Causes and Solutions for Young Adults
Tremors in the fingers while holding a phone with one hand and slight tremors in the fingers when both hands are extended? Hello Doctor, I am 21 years old. Recently, I noticed that when I hold my phone with one hand and swipe with my thumb and index finger, my thumb and index fin...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao: You mentioned that "when both hands are extended forward, all ten fingers tend to tremble slightly." This trembling may warrant consideration of certain metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Additionally, some nerve-sti...[Read More] Understanding Hand Tremors: Causes and Solutions for Young Adults
Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions
Neck tightness, tremors, and dizziness? Last week, I experienced a headache due to heatstroke and underwent cupping therapy (without cupping on the spine). However, the night after the treatment, I began to feel tightness in my neck when looking up or down, or in certain position...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Recently, the weather has been changing significantly, and I have a slight cold. I'm not sure if this is related. My condition has neither worsened nor improved, so I would like to consult with a doctor to see if I need to go to the hospital ...[Read More] Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions