Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Neck pain Hello Doctor, for the past month, I have been experiencing soreness when tilting my neck backward and downward to the left. When I touch the painful area, it is located on the left side of my neck, and while I can't pinpoint a specific spot on the back, there is a ...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned are related to prolonged poor posture of the neck and upper arms during work. It is recommended to visit a neurology clinic for examination and further treatment recommendations.[Read More] Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Managing Neuropathy: Concerns About B12 and Vitamin Overdose
Myasthenia Gravis, medication issues? Hello Doctor: I previously experienced lumbar disc protrusion with lower back pain and ankle numbness. The doctor prescribed Methylcobalamin (B12) for nerve maintenance, but it doesn't seem to be effective. Is this considered a high-dose...
Dr. Peng Shiwei Reply:
Hello, in response to your inquiry, I can address it in two parts: 1. Can vitamin B complex be taken in excess? It is true that doctors often prescribe high doses of B12, but vitamins B and C are water-soluble vitamins. If the body takes in excess amounts, they are usually excr...[Read More] Managing Neuropathy: Concerns About B12 and Vitamin Overdose
Understanding Unilateral Tinnitus and Ear Pain: Seeking the Right Specialist
Tinnitus in the right ear with three different types, pain in the temple, and pain in the ear slightly higher towards the left? Every night, I experience persistent unilateral tinnitus that has evolved into three types: pulsatile tinnitus synchronized with my heartbeat, a mid-fre...
Dr. Jiang Junyi Reply:
Hello Ms. Lin: You mentioned "unilateral tinnitus, ear pain, pulsatile tinnitus, pain in the temple area, and discomfort in the back of the head that radiates towards the ear, with increased pain when leaning slightly to the left." I recommend that you first stabilize t...[Read More] Understanding Unilateral Tinnitus and Ear Pain: Seeking the Right Specialist
Which Specialist Should You See for Persistent Dizziness and Pain?
Which specialty should I see? Hello doctor, I would like to ask about my condition: I have been experiencing noticeable dizziness 24 hours a day for the past few days, and since yesterday, I have been feeling a distinct swelling and pain in the back right side of my head. My brea...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult both an otolaryngologist and a neurologist for the above symptoms.[Read More] Which Specialist Should You See for Persistent Dizziness and Pain?
Understanding Occipital Pain When Lying on a Pillow
Headache when lying on the pillow while sleeping? Hello, doctor. I experience pain about 3 centimeters above the back of my head when lying on a pillow. Pressing firmly with my hand also causes pain. There are no skin conditions on my scalp, and the pain feels like it originates ...
Dr. Peng Shiwei Reply:
Hello, if there is significant tenderness and the pain point is very specific, it may be an issue related to the subcutaneous tissue or bone. It is recommended to consult with an internal medicine physician.[Read More] Understanding Occipital Pain When Lying on a Pillow
Understanding Heart Palpitations and Chest Pain After Vaccination
Chest pain and palpitations? In the past, I had a habit of exercising. After receiving my second dose of the Moderna vaccine in May of this year, I experienced palpitations (heart rate of 130-140) and had to visit the emergency room several times. However, all cardiac tests came ...
Dr. Peng Shiwei Reply:
Hello, it is indeed possible to experience palpitations after receiving the Moderna vaccine, but they typically do not last for an extended period. If your symptoms persist and other symptoms begin to appear, it is advisable to consult a cardiologist to rule out any heart-related...[Read More] Understanding Heart Palpitations and Chest Pain After Vaccination
Understanding Complex Head and Neck Pain: Possible Causes and Solutions
Pain in the neck, occipital region, temples, eyebrows, and cheekbones? Hello doctor, last Wednesday I carried two bottles of formula, each weighing 1.6 kg, home by bike. It was noon and the sun was very strong and glaring. After getting home, I started to have a headache. I initi...
Dr. Jiang Junyi Reply:
Hello Ms. A: You mentioned that "when lying down, I feel very uncomfortable from the back of my head to my shoulders, and my head hurts when I lie down. Additionally, my gums around the upper left wisdom tooth have been inflamed recently, and I experience throbbing pain in t...[Read More] Understanding Complex Head and Neck Pain: Possible Causes and Solutions
Understanding Limb Weakness: Anxiety and Autonomic Nervous System Impact
There is a persistent issue of weakness in the limbs? Hello Doctor, I am a junior in college and I have anxiety disorder. I tend to become very anxious about physical symptoms. I take Diazepam in the morning and evening, and Clonazepam before bed. Recently, for more than two week...
Dr. Jiang Junyi Reply:
Hello, Student Chen: You mentioned that "for more than two weeks, there has been sudden weakness in the limbs and stiffness in the shoulders and neck, with shaking occurring when bending the arms and legs to a point of exertion." It may be necessary to first consider t...[Read More] Understanding Limb Weakness: Anxiety and Autonomic Nervous System Impact
Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Hello, doctor. I would like to ask about some unusual phenomena related to tinnitus? Hello Dr. Jiang, I have been experiencing unilateral tinnitus with a buzzing sound in my left ear for about two weeks. I have already undergone hearing and tympanometry tests at other large hosp...
Dr. Jiang Junyi Reply:
Hello HJK: You mentioned that "when chewing food or yawning, the tinnitus becomes louder..." This could potentially be related to issues with the nerves or muscles around the ear. One possible cause is related to the Eustachian tube, as yawning and chewing help to equal...[Read More] Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? Hello Doctor, since September 25th, I have been experiencing numbness in my fingers upon waking up. Initially, I thought it would resolve on its own, but by September 26th, the numbness extended to my toes and the soles of my feet. As of now, Octob...
Dr. Jiang Junyi Reply:
Dear Ms. Apple, You mentioned that "blood tests, nerve conduction studies, and spinal tap examinations all reported normal results, and the cerebrospinal fluid analysis was also normal, with only a noted slowing of nerve conduction." You pointed out abnormal sensory ne...[Read More] Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Persistent Headaches: Symptoms and Possible Causes
About headaches? Hello Doctor: Ten days ago, at around 8 PM, I suddenly felt a strange sensation in my head, possibly similar to increased intracranial pressure, followed by a brief tingling sensation and then a persistent, severe throbbing headache. After taking pain medication ...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned that at 8 o'clock, you suddenly felt something unusual in your head, possibly similar to increased intracranial pressure, followed by a brief tingling sensation and then a persistent, severe throbbing headache. You also noted that you experien...[Read More] Understanding Persistent Headaches: Symptoms and Possible Causes
Understanding Muscle Fasciculations: Causes, Concerns, and When to Seek Help
Fasciculation Hello Doctor, since my diagnosis over a week ago, I have been experiencing visible muscle twitching throughout my body. I consulted a neurologist and underwent an electromyography (EMG), and the doctor informed me that everything was normal and no fasciculations wer...
Dr. Jiang Junyi Reply:
Hello Mr. Hong, You mentioned that "for two consecutive days, I experienced jumping in the back of my thighs for two hours before sleep, and after getting up, it continued for a while until noon. I also feel a bit of tightness in my arches, and my arms occasionally feel sor...[Read More] Understanding Muscle Fasciculations: Causes, Concerns, and When to Seek Help
Understanding Brain Vibrations and Sensations of Electric Currents
Vibrations in the brain, feeling like microcurrents? Hello, doctor. I am 20 years old and, unfortunately, due to a history of consuming a lot of rich foods, I have developed hereditary hypertension. My blood pressure at home is around 130/75, but it surprisingly rises to 150/90 a...
Dr. Hong Weibin Reply:
Hello: It is recommended that you regularly measure your blood pressure, twice a day. Does this sensation of "blood rushing to your head, creating a feeling of pressure as if something is pressing down on your head" only occur when you are using your phone? Does it happ...[Read More] Understanding Brain Vibrations and Sensations of Electric Currents
Understanding the Buzzing Sound in Your Head When Hungry
When you are hungry, you may hear a rumbling sound in the back of your head? Hello, doctor. This issue has been bothering me for a long time. Although it doesn't significantly affect my daily life, I've noticed that this phenomenon doesn't seem to happen to everyon...
Dr. Jiang Junyi Reply:
Dear Ms. Dong, You mentioned that "when I am hungry, I hear a buzzing sound in the back of my head." It is unlikely that this sound is caused by the flow of cerebrospinal fluid. It would be more appropriate to consider issues related to the nasal cavity, oral cavity, E...[Read More] Understanding the Buzzing Sound in Your Head When Hungry
Is Breath-Holding During Exercise Risky for Cervical Artery Dissection?
Questions about vertebral artery dissection? Holding your breath for 5 to 10 seconds and then breathing again, or practicing diaphragmatic breathing to extend the inhalation and exhalation times, without engaging in other physical activities, may carry some risks. There have been...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned concerns about "vertebral artery dissection... using diaphragmatic breathing to prolong inhalation and exhalation." The clinical symptoms you are worried about regarding vertebral artery dissection may include severe pain near the back of the n...[Read More] Is Breath-Holding During Exercise Risky for Cervical Artery Dissection?
Understanding Balance Issues: The Impact of Stress on Neurological Health
Body swaying, unstable center of gravity? Hello, doctor. Two months ago, I was under a lot of stress and only sleeping six hours a day. I often experienced nasal congestion, had canker sores on my tongue, and noticed white spots on almost every fingernail (which I hadn't exp...
Dr. Cai Zongzhang Reply:
Hello: I have been experiencing dizziness for over a month. Ear examinations showed no abnormalities, and I was advised to see a neurologist for further evaluation.[Read More] Understanding Balance Issues: The Impact of Stress on Neurological Health
Understanding Neck and Back Pain: When to Worry About Serious Conditions
Pain in the occipital region of the neck? Hello Doctor: I have been experiencing symptoms such as neck pain and upper back pain since early last year. I have consulted with rehabilitation and neurology specialists, and underwent several neurological and X-ray examinations, which ...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may be related to neck muscle stiffness. It is recommended to relax the muscles.[Read More] Understanding Neck and Back Pain: When to Worry About Serious Conditions
Sudden Weakness in the Back of the Head and Limbs: Possible Causes and Next Steps
Sudden weakness in the back of the head and limbs? Hello, doctor. Over the past month, I have experienced two episodes of symptoms similar to what I described in the subject. It feels like I am about to lose my balance, but my consciousness remains clear. Additionally, I have bee...
Dr. Jiang Junyi Reply:
Hello Mr. Shawn, You mentioned that "after the episode, my heart rate rises to about 150, and my blood pressure reaches 139/93, but after resting for about 20 minutes, both return to normal... I'm not sure if there might be an issue with the cerebellum or brainstem, or...[Read More] Sudden Weakness in the Back of the Head and Limbs: Possible Causes and Next Steps
Understanding Your Facial Pain: Possible Neurological Issues Explained
Could you please specify which symptoms you are referring to in order to determine which aspect of the nervous system may be involved? Hello Doctor, for the past few months, I have been experiencing pain in the gums of the last tooth on the left side at the back. Sometimes the pa...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "the acidic pain in the mouth can extend to the cheeks and then to the ears, and it can also radiate to the muscles of the tongue and the upper and lower jaws," which suggests trigeminal neuralgia. The diagnostic criteria for trigeminal...[Read More] Understanding Your Facial Pain: Possible Neurological Issues Explained
Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Neck pain Hello, doctor! A year ago, I have been experiencing a heavy sensation in the back of my neck and occiput, along with fatigue. Sometimes, I also feel pain and swelling in my jaw, as well as partial numbness in my face. My left ear feels stuffy, and I have tinnitus, which...
Dr. Jiang Junyi Reply:
Hello Mr. Kuan, You mentioned that your left hand experiences numbness, tingling, soreness, and weakness, and that the rehabilitation clinic indicated it might be due to nerve compression. I'm curious about the specific area where you feel the numbness and tingling. Based o...[Read More] Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues