Understanding the Causes of Occasional Pain in the Back of the Head
Occipital headache Hello Doctor: Recently, I have been experiencing frequent pain in the back of my head. Initially, I thought it was related to shoulder and neck pain, but these past few days while walking on the treadmill, I felt no pain in my head at first, but then the pain i...
Dr. Jiang Junyi Reply:
Dear Mr. Weng, You mentioned that "if I slightly pull my arm down, I feel pain at the back of my head, and the more I pull, the more it hurts." This may indicate cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle at ...[Read More] Understanding the Causes of Occasional Pain in the Back of the Head
Understanding Neck Discomfort: Causes and Solutions for Nerve Pain
Discomfort in the posterior neck? Hello Doctor, recently I've been feeling very uncomfortable in the right posterior area of my head where it connects to my neck. Occasionally, I experience sharp, brief pain along a specific nerve that lasts only a few seconds. Over time, th...
Dr. Jiang Junyi Reply:
Dear Miss MIN, You mentioned that you feel very uncomfortable at the right posterior side of your head connecting to your neck, and occasionally experience sharp, uncomfortable sensations in a certain nerve (which do not last long, about a few seconds). The common cause of the n...[Read More] Understanding Neck Discomfort: Causes and Solutions for Nerve Pain
Severe Neck Pain: When to Seek Emergency Care?
If you are experiencing sudden, severe pain that prevents you from moving, you should go to the emergency room? Sudden neck pain that makes it difficult to breathe, with pain persisting even at rest, inability to move the head, weakness in the neck, and a sensation of breathlessn...
Dr. Jiang Junyi Reply:
Hello, You mentioned cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but over time, it can worsen and affect da...[Read More] Severe Neck Pain: When to Seek Emergency Care?
Understanding Left-Hand Tremors: Causes, Symptoms, and Diagnosis
Tremors, atrophy, and involuntary movements in the left hand? Hello Doctor, I am currently 21 years old and noticed a hand tremor issue around the age of 12. The tremor occurs only in my left hand; it does not shake when at rest, but all five fingers tremble when I exert force. S...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "there is muscle atrophy in the left palm, blood tests for thyroid hormones are normal, and a nerve conduction study has been arranged... is it possible that brain or cerebellar lesions are the cause?" Typically, peripheral nerve lesio...[Read More] Understanding Left-Hand Tremors: Causes, Symptoms, and Diagnosis
Understanding Right Neck and Head Pain: Causes and Relief Strategies
Right shoulder and neck pain with tenderness upon palpation at the right occipital region? Hello, I have a history of migraines, but recently I've been feeling a sense of heaviness in my head at times (not dizziness). After looking down for a while, I experience soreness in ...
Dr. Cai Zongzhang Reply:
Hello Ting: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Right Neck and Head Pain: Causes and Relief Strategies
Understanding Arm Numbness: Possible Causes and Treatment Options
Questions about arm numbness? Hello Doctor, for the past month or so, I have been experiencing a sensation in my upper arm, specifically in the deltoid area, that feels similar to the numbness one gets after sleeping on their arm. Sometimes there is also a soreness, while other t...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned, "Are there other issues such as cubital tunnel syndrome or other neurological disorders that could produce similar symptoms? Or can we almost definitively conclude that it is a cervical spine issue?" Typically, symptoms resulting from nerve...[Read More] Understanding Arm Numbness: Possible Causes and Treatment Options
Understanding Hand Numbness and Arm Pain: When to See a Neurologist
Numbness in the hands and arm pain? I'm not sure if it's due to nerve compression in the wrist from exercising or prolonged computer use, but my fingers are numb, and my wrist cannot extend back to 90 degrees like it used to. I visited a clinic where I was prescribed an...
Dr. Jiang Junyi Reply:
Dear Mr. August, You mentioned that "after prolonged computer use, my fingers feel numb," which may indicate common median nerve injury or ulnar nerve injury. Median nerve injury, also known as carpal tunnel syndrome, typically occurs in individuals who perform repetit...[Read More] Understanding Hand Numbness and Arm Pain: When to See a Neurologist
Neck Compression and Sleep Issues: Choosing the Right Pillow
Cervical spine compression and sleep issues? Hello, doctor. I have compressed nerves in my cervical spine. After rehabilitation, the pain has subsided, but I still experience occasional hand numbness and intermittent neck pain while sleeping. In this condition, are there any spec...
Dr. Jiang Junyi Reply:
Hello Mr. Ben, You mentioned that you still experience intermittent hand numbness and neck pain while sleeping. I would like to know which cervical vertebrae you have issues with. I recommend using a supportive neck pillow, as cervical spine disorders are closely related to the ...[Read More] Neck Compression and Sleep Issues: Choosing the Right Pillow
Understanding Unilateral Pupil Dilation and Its Possible Connections
Unilateral pupil dilation? Hello, doctor. Two years ago, while I was abroad, I suspect that I sustained a blunt force injury to the back of my head. At that time, my right pupil did not respond to light and remained dilated. Since I was unaware of the cause, I did not seek medica...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: You mentioned that "the right pupil had no light reflex and remained dilated. At that time, I didn't know the cause and didn't see a doctor. After about a month, the right pupil returned to normal, but afterwards, there was occasionally a small amou...[Read More] Understanding Unilateral Pupil Dilation and Its Possible Connections
Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? I have recently noticed a numbness in my fingers and the soles of my feet, similar to having a layer of skin over them. A few days ago, I experienced numbness in my right fingers while sleeping, which made me uncomfortable and unable to sleep. The ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned experiencing a "numbness in your fingers and the soles of your feet." If this occurs bilaterally, it may be worth considering hyperventilation. This can lead to systemic reactions and symptoms, with common manifestations including vasoconstrict...[Read More] Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Weakness and Tremors in Hand Grip: A Neurology Perspective
Weakness and numbness in the hands? Hello doctor, recently I have been experiencing difficulty in gently making a fist with both hands. When I try to make a light fist, my hands feel very weak and slightly tremble, similar to the weakness I feel in the morning upon waking up (fee...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "when not using your arms, there may be a slight feeling of soreness or weakness in the arm muscles (especially when lying down or sitting)." It is important to consider cervical nerve root compression. The fascia around the cervical spine has ...[Read More] Understanding Weakness and Tremors in Hand Grip: A Neurology Perspective
Understanding Neck Discomfort: Causes and Solutions for Relief
Neck discomfort? About one to two weeks ago, I started feeling a strange sensation in the front of my neck, but it wasn't painful, so I didn't pay much attention to it. However, in the last two to three days, I've noticed a tight feeling in my neck, with slight num...
Dr. Jiang Junyi Reply:
Dear Ms. A-Zhu, You mentioned feeling a slight tightness and mild numbness in your neck, which may indicate a cervical spine issue. I recommend the following: 1. **Change Positions**: Change your posture every 15 minutes to allow the neck tissues to rest. Maintaining any positi...[Read More] Understanding Neck Discomfort: Causes and Solutions for Relief
Understanding Severe Sleep Apnea: Your Questions Answered
Questions related to respiratory arrest? Hello Doctor, I recently underwent an examination at a sleep center and was diagnosed with severe obstructive sleep apnea (AHI=37, obstructive). I have been trying a CPAP machine at home, starting from being unable to sleep at all to being...
Dr. Hong Weibin Reply:
Hello: The data from the ventilator for sleep apnea is for reference only; accurate assessment should rely on the interpretation of polysomnography. If there are concerns about central sleep apnea, you can discuss this with your physician during your follow-up visit, and arrangem...[Read More] Understanding Severe Sleep Apnea: Your Questions Answered
Understanding Sleep-Related Breathing Difficulties: A Neurology Perspective
Respiratory sleep disorders Hello Doctor: Sometimes when I wake up and want to continue sleeping (lingering in bed), I suddenly feel short of breath, as if my whole body is frozen and I can't move, with a vague consciousness and the sensation of holding my breath. I need to ...
Dr. Hong Weibin Reply:
Hello, it is recommended to consult a sleep specialist to check for the possibility of sleep paralysis.[Read More] Understanding Sleep-Related Breathing Difficulties: A Neurology Perspective
Head Injury from Bathroom Fall: When to See a Neurologist?
I fell in the bathroom around noon and hit the back of my right head? Hello Doctor: I slipped and hit my head in the bathroom around noon. Since the bathroom is small, I didn't fall flat on my back; instead, my head struck the wall behind me at a nearly vertical angle. I ins...
Dr. Jiang Junyi Reply:
Dear Miss Emma, You mentioned experiencing "chest tightness that feels better with deep breaths, and mild swelling in your right hand. I would like to ask if you need to visit the neurology or surgery outpatient clinic tomorrow?" Generally speaking, if there is no loss...[Read More] Head Injury from Bathroom Fall: When to See a Neurologist?
Understanding Post-Impact Head Discomfort: Causes and Concerns
Head trauma Hello, doctor. In the first half of 2020, I had two upper molars extracted, and since then, I have experienced discomfort in my head. I started seeing doctors, but they all said it was unrelated to the tooth extraction, attributing it to anxiety and sleep issues. I ha...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Has the impact to the head caused internal bleeding or delayed bleeding? It has been a year and a half; could it last this long? Additionally, could the earlier tooth extraction have affected the brain? After all, I have been experiencing discomfo...[Read More] Understanding Post-Impact Head Discomfort: Causes and Concerns
Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders
Could it be a misdiagnosis by a psychiatrist? I have been suffering from severe insomnia since I was around 16 years old, accompanied by cognitive dysfunction. At that time, I suddenly found it difficult to understand what I was reading in vocational school and could not comprehe...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "I would like to ask if the lack of effectiveness of medication for seemingly psychiatric symptoms could be a neurological issue, and whether I need to undergo a CT scan or MRI..." When diagnosing neuropsychiatric disorders, it is common to ar...[Read More] Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders
Understanding Unusual Brain Sensations: When to Seek Neurological Help
Cerebrovascular events feel like an electric shock? Doctor, I have been experiencing sensations in my head that feel like pressure on my blood vessels or like an electric shock. It's similar to the feeling of stepping on a water pipe or compressing it, and it happens frequen...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Yu, You mentioned that your head feels like it's being compressed, similar to pressure on a blood vessel or an electric shock, akin to stepping on a water pipe and squeezing it. This may warrant consideration of cervical headache. The small muscles connected...[Read More] Understanding Unusual Brain Sensations: When to Seek Neurological Help
Understanding Dizziness and Balance Issues: When to Seek Medical Help
Sudden dizziness with a sensation of losing balance? Hello Doctor: About a month ago, I felt dizzy just before my menstrual period, but it went away afterward. This month, the day before my period, I suddenly felt dizzy again! It also passed after a while, but I have been feeling...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned, "The day before my menstrual period, I suddenly felt dizzy! It got better after a while, but I still felt lightheaded and unsteady. Later, when I lay down to rest, I gradually improved! On the fourth day of my period, when I looked down at my p...[Read More] Understanding Dizziness and Balance Issues: When to Seek Medical Help
Managing Severe Headaches During Pregnancy: Tips and Solutions
Headaches in Pregnant Women I have often experienced migraines even before pregnancy, especially when I go out and don't sleep well; they usually occur about twice a month. A single pain reliever or Eve (a brand of pain medication) typically resolves the issue quickly. Howev...
Dr. Jiang Junyi Reply:
Hello Miss QQ: You mentioned that you often experience migraines, especially when traveling or not sleeping well, and that usually one painkiller or Eve resolves it quickly. Eve contains the active ingredient ibuprofen, along with Anhydrous Caffeine - 80 mg and Allylisopropylacet...[Read More] Managing Severe Headaches During Pregnancy: Tips and Solutions