Understanding Symptoms: Could Your Headaches Indicate a Brain Tumor?
Brain tumor Hello, doctor! I have been experiencing symptoms of migraine, trigeminal neuralgia, pulsating sensations in the back of my head, tightness in my right shoulder and neck, and stiffness in the back of my neck for many years, with daily occurrences. If I sleep too little...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, I would like to inquire if you experience snoring, as waking up suddenly at night may indicate the possibility of sleep apnea. Additionally, if you are experiencing vascular headaches, it might be beneficial to seek assistance from a neurologist. You may need to co...[Read More] Understanding Symptoms: Could Your Headaches Indicate a Brain Tumor?
Understanding Back Pain: Causes of Numbness and Discomfort
Back numbness and shooting pain? Hello doctor: I have a patch of skin on my upper back (near the shoulder blade) that feels unusual to the touch. It hurts when I press on it, and I often feel a tingling sensation along with occasional sharp pain. Sometimes, there is also a burnin...
Dr. Jiang Junyi Reply:
Dear Mr. Anderson, You mentioned that "a patch of skin feels strange... it often feels numb and occasionally has a burning sensation." This is more likely indicative of nerve root compression at the C7-C8 or T1 levels. Typically, this occurs due to prolonged poor postu...[Read More] Understanding Back Pain: Causes of Numbness and Discomfort
Understanding Nerve Pain: Insights on Tingling and Numbness
Tingling sensations in the hands and feet? Hello Doctor, on August 14th, after waking up from my afternoon nap, I felt a stabbing pain in the pad of my index finger. The next day, the stabbing pain improved, but I started to experience slight numbness in my right hand, which last...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may suggest a peripheral nerve issue. Pain accompanied by burning sensations, tingling, or even muscle weakness should raise concerns about nerve problems. Common causes of peripheral nerve injury include acute direct trauma such as nerve traction, t...[Read More] Understanding Nerve Pain: Insights on Tingling and Numbness
Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Oral and throat issues? Hello Doctor, I would like to consult you. I have difficulty describing the exact location of my symptoms, but I will try to explain. For the past few months, the area around my uvula and the posterior pharyngeal wall (below the nasopharynx) has been in a ...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You have many symptoms that seem to be related to gastroesophageal reflux disease (GERD) or sleep apnea. I wonder if you have any issues with metabolic syndrome? From a neurological perspective, I recommend improving autonomic nervous system function to regulate ga...[Read More] Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Hello Doctor: Recently, I have been experiencing muscle twitching all over my body at irregular times for nearly a month. It tends to occur when I lie down, change positions, or sneeze, with the most common areas being my left chest, back, and abdomen, followed b...
Dr. Jiang Junyi Reply:
Hello, Sir: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while t...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Occipital Pressure and Numbness: Causes and Concerns
Numbness in the back of the head? Hello Doctor: Recently, for the past two to three days, I have been experiencing a sensation of pressure and numbness in the back of my head. During these episodes, my blood pressure readings have been around 115-130/80-100 (my diastolic pressure...
Dr. Jiang Junyi Reply:
Hello, Sir: Your head injury occurred more than six months ago, and its relevance is relatively low. Your symptoms may suggest cervical myofascial pain syndrome, which can present with pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in w...[Read More] Understanding Occipital Pressure and Numbness: Causes and Concerns
Understanding Pain in the Back of the Head: Causes and Specialist Guidance
Pain in the back of the head can have several potential causes, including tension headaches, migraines, cervicogenic headaches, or issues related to the cervical spine such as herniated discs or arthritis. Other possibilities include occipital neuralgia or even more serious condi...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: Your symptoms may need to be initially considered as inflammation of the muscle fascia at the back of the head. You are concerned about the issue of thrombosis related to the AZ vaccine, which is currently referred to as VITT (Vaccine-induced immune thrombotic thr...[Read More] Understanding Pain in the Back of the Head: Causes and Specialist Guidance
Understanding Neurological Pain: Insights on Abnormal Test Results
Body pain Hello Doctor, I previously experienced upper abdominal pain, left chest pain, left upper back pain, and difficulty swallowing. After consulting with gastroenterology and cardiology, both departments found no issues. I then visited a neurologist, who conducted an examina...
Dr. Jiang Junyi Reply:
Hello: Your report indicates right peripheral hearing disorders. There is a peripheral dysfunction of the median nerve SSEP on the right side. Additionally, there is a peripheral dysfunction of the tibial nerve SSEP bilaterally. These abnormalities do not seem to explain the &quo...[Read More] Understanding Neurological Pain: Insights on Abnormal Test Results
Understanding Upper Back Numbness and Burning Sensation: Possible Causes and Next Steps
Numbness, tingling, and a burning sensation in the back? Hello, Doctor. Since the end of June, I have been experiencing a tingling sensation in my upper left back (around the area of the "Gao Huang" point), similar to a mild electric current. Gradually, by the evening, ...
Dr. Jiang Junyi Reply:
Dear Ms. Cherry, Your symptoms may suggest cervical radiculopathy. Prolonged periods of looking down can lead to overuse of the trapezius muscles in the neck, resulting in neck and shoulder pain. Initially, resting may alleviate the pain, but over time it can worsen and affect y...[Read More] Understanding Upper Back Numbness and Burning Sensation: Possible Causes and Next Steps
Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
I'm not sure where the problem lies? Hello, doctor! For the past 6-7 years, I have been experiencing 1. persistent stiffness in my neck and shoulders. Whenever this stiffness occurs, I feel a pressure in my temples and forehead, as if a rope is tied around or gripping me, fo...
Dr. Jiang Junyi Reply:
Dear Mr. QQ, I am unsure if you have metabolic syndrome (characterized by abdominal obesity, hypertension, elevated fasting blood glucose, and high lipid levels). If you do, you may be at high risk for cardiovascular diseases. You mentioned several issues that seem related to me...[Read More] Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
Managing Dizziness While Sitting or Lying Down: Tips and Insights
Feeling dizzy when sitting or lying down? Hello Doctor: I experience dizziness when sitting or lying down (feeling like I'm swaying but without nausea), while standing feels more comfortable. I went to a clinic and took medication (Diphenidol, Cinnazine, Valium) but it didn&...
Dr. Jiang Junyi Reply:
Dear Ms. Rita, Your symptoms may warrant consideration of vestibular disorders and hypnic jerks. Benign paroxysmal positional vertigo (BPPV) should be prioritized, characterized by episodes of dizziness lasting a few seconds, related to changes in head position, such as bending ...[Read More] Managing Dizziness While Sitting or Lying Down: Tips and Insights
Left-Side Numbness and Dizziness: Understanding Neurological Concerns
Numbness on the left side and dizziness? In the past two to three days, I've been experiencing a tingling and aching sensation in my left palm, arm, back, and rib area. My jaw also feels a bit unusual and uncomfortable, which I can't quite describe. For the past month, ...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may be indicative of cervical nerve root compression. If the nerve compression leads to peripheral neuropathy, the following characteristics may be present: 1. Pain with a burning or electric shock-like quality. 2. Symptoms with a specific dermatomal di...[Read More] Left-Side Numbness and Dizziness: Understanding Neurological Concerns
Understanding Nighttime Headaches: Causes and Concerns After Vaccination
The headache has persisted for several days and is causing nighttime awakenings? I received the vaccine on July 23, 2021, and started experiencing side effects the next day, including headaches and muscle and joint pain. However, aside from headaches and dizziness, I returned to ...
Dr. Jiang Junyi Reply:
Hello, sir: May I ask if you received the AZ vaccine? The adverse reaction of thrombosis associated with the AZ vaccine is currently referred to as VITT (Vaccine-induced immune thrombotic thrombocytopenia). The incidence rate is approximately 1 in 10,000 in Europe. It typically o...[Read More] Understanding Nighttime Headaches: Causes and Concerns After Vaccination
Post-Concussion Symptoms After Car Accident: Managing Chronic Head Pain
Post-traumatic sequelae following head injury from a car accident? In 2018, I was involved in a car accident where I collided with a window on the left side of my head. At the time, I experienced dizziness and faintness. Although there were no external injuries at the impact site...
Dr. Cai Zongzhang Reply:
Hello LILI! It is recommended to see a neurologist for an examination![Read More] Post-Concussion Symptoms After Car Accident: Managing Chronic Head Pain
Understanding Hand Numbness: When to Seek Medical Attention
Numbness in the hands? Hello Doctor: I usually experience numbness in my hands after intense exercise, but recently I've noticed that any movement of my hands causes numbness starting from my fingertips. If I continue to move, the numbness spreads to my entire palm, but if I...
Dr. Jiang Junyi Reply:
Dear Miss Yi-An, Your symptoms may be primarily attributed to hyperventilation caused by intense exercise, leading to sensations of abnormality. Hyperventilation can result in decreased carbon dioxide levels in the blood, causing an increase in pH, a condition known medically as...[Read More] Understanding Hand Numbness: When to Seek Medical Attention
Persistent Neck Heat: Understanding Symptoms and Possible Causes
Heat in the back of the neck? Hello, doctor! I initially thought that my fever was caused by a cold, but even though the cold has resolved for 1 to 2 months, I still experience a sensation of heat in the back of my neck. During the day, there are times when the back of my neck fe...
Dr. Jiang Junyi Reply:
Hello Mr. Haohao: Your symptoms may suggest cervical myofascial inflammation. In the early stages of cervical muscle and fascia tightness, there may not be obvious changes in the cervical spine, but imaging can show a decrease in curvature. Symptoms include pain at the affected s...[Read More] Persistent Neck Heat: Understanding Symptoms and Possible Causes
Understanding Cold Hands and Feet: Neurological Concerns Explained
Cold or numb hands and feet? Doctor, I have a question. When I was hiking, my hands would sometimes feel numb or cold. Taking a break would help, but it would happen again as soon as I continued hiking. Eventually, I started experiencing this even at work when I was in a hurry. I...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may indicate hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "respiratory alkalosis." This can trigger systemic reactions and...[Read More] Understanding Cold Hands and Feet: Neurological Concerns Explained
Evaluating Long-Term Effects of Traumatic Brain Injury on Neurological Health
Four years ago, I sustained a concussion to the right posterior part of my brain? Doctor: Hello, four years ago during my postpartum period, I fell from a table and hit the back right side of my head, resulting in a large swelling. I was taken to the emergency room, and after a C...
Dr. Cai Zongzhang Reply:
Hello, Ms. Yuan! If you have a head injury that did not involve the brain, it should not leave any lasting effects. If you are still experiencing symptoms after four years, there may be another underlying cause. It is recommended that you visit a neurology outpatient clinic.[Read More] Evaluating Long-Term Effects of Traumatic Brain Injury on Neurological Health
Understanding Burning Sensation in the Spine: Causes and Treatments
Burning sensation in the spine Hello doctor, I haven't been feeling well for the past few days. Last night, I felt a burning sensation in my left leg, starting from my hip down to my thigh and calf (mainly concentrated in the hip and thigh). This morning, I no longer felt th...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, The symptoms you mentioned may indicate the possibility of nerve root compression. If your symptoms persist and progress, it may be necessary to consider some autoimmune diseases. Pain caused by a herniated disc can have several sources, one of which is mechanical...[Read More] Understanding Burning Sensation in the Spine: Causes and Treatments
Understanding Groin Tightness: Causes and Solutions for Chronic Discomfort
Inguinal tightness and related issues? I am a 41-year-old female, married with two children. Since March 2020, I have gradually felt tightness in my groin area (from the pubic bone to the buttocks), especially when sitting or lying down. When standing, I occasionally feel a forei...
Dr. Jiang Junyi Reply:
Dear Ms. Kelly, Your issues may be exacerbated by prolonged poor posture, so I recommend making adjustments in your daily life. Have you undergone a "dynamic weight-bearing MRI" examination? It might be worth considering: https://www.chinatimes.com/realtimenews/2019091...[Read More] Understanding Groin Tightness: Causes and Solutions for Chronic Discomfort