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Understanding Cervical Nerve Compression and TMJ Disorders

Cervical nerve compression and temporomandibular joint arthritis? Hello, doctor. Starting from October 2023, I began experiencing hand numbness, which later progressed to spasms in my hands and feet. After undergoing X-rays at the neurology, orthopedics, and rehabilitation depart...


Dr. Chen Weida Reply:
Hello, Pain Patient: Your current pain may be due to chronic myofascial pain syndrome. Since the pain has spread from the upper back to affect the temporomandibular joint, it is recommended that you consult a neurologist for further evaluation and early treatment of the chronic p...

[Read More] Understanding Cervical Nerve Compression and TMJ Disorders


Understanding Scalp Numbness: Causes and Concerns for Your Health

Scalp tingling? I've been experiencing frequent shoulder and neck pain over the past couple of days, and I feel a tingling sensation in the scalp at the back of my left head. I'm worried it might be a stroke or meningitis. My hands and feet also feel numb when I wake up...


Dr. Cai Zongzhang Reply:
Hello: The most common cause of the above symptoms is poor posture or prolonged bending of the head while using a mobile phone or laptop. Please avoid these activities and see if there is any improvement. If there is no improvement, please visit a neurology clinic.

[Read More] Understanding Scalp Numbness: Causes and Concerns for Your Health


Could Choking Cause Brain Hypoxia? Understanding the Risks and Symptoms

Is there a lack of oxygen in the brain? A few days ago, I choked on sweet and sour spare ribs. However, I was still able to talk. At that moment, I asked a friend if the water was new or old. If it was new, I would give him money. Looking back now, I realize I was really foolish ...


Dr. Huang Hongling Reply:
If you did not lose consciousness and felt that your cognitive function or physical condition did not change before and after choking, there is no need to worry too much! A brief inability to breathe is similar to holding your breath underwater and typically does not have signifi...

[Read More] Could Choking Cause Brain Hypoxia? Understanding the Risks and Symptoms


Understanding Neck Traction Effects: Nerve Sensations and Anxiety Impact

Head and neck issues? Hello Doctor, I am the patient who had neck traction recently. Over the past few days, I've felt less tense, and there has been some relief in the area at the back of my head, but I still have a few symptoms. Before the neck traction, I didn't have...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that you hear a "whooshing" sound in your ear. Is this sound in sync with your heartbeat? Is it in one ear only? This is commonly caused by cervical spine degeneration, which can compress the vertebral artery and alter blood flow. I recommend ...

[Read More] Understanding Neck Traction Effects: Nerve Sensations and Anxiety Impact


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 back 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 the restroom...


Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned experiencing "pulsating pain in the left posterior part of the head for a few seconds, and occasionally feeling a slight pressure pain in the head." This may be related to muscle and fascia tightness in the cervical spine, as well as cervic...

[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits


Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options

Non-traumatic cortical hemorrhage in the left frontal lobe? Hello, doctor. At the end of January this year, after flying back to Taiwan, I experienced mild headaches, cold sweats, and vomiting the next day, along with pale complexion, which prompted me to seek emergency medical c...


Dr. Peng Shiwei Reply:
Each individual's condition is different, and online consultations cannot replace in-person diagnoses. It is advisable to discuss subsequent treatment options with your primary physician. Thank you.

[Read More] Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options


Post-Injection Neck and Shoulder Pain: Causes and Recovery Time

Pain upon touch in the shoulder and neck after an intramuscular injection? Hello Doctor: I received injections in both my right and left arms about two days ago for allergies (steroids and antihistamines). At the time of the injection, I felt a sudden soreness in my neck, which I...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "after receiving an injection (steroid, antihistamine), I felt a sudden soreness in my neck... and I experience pain in my back, shoulders, neck, and the back of my head." The injection may have affected the neuromuscular system: typicall...

[Read More] Post-Injection Neck and Shoulder Pain: Causes and Recovery Time


Why Lying Down Can Trigger Nausea and Dizziness: When to Seek Help

Sleeping while lying down can cause nausea? Hello doctor, recently when I lie flat to sleep, I feel a sensation similar to motion sickness, experiencing dizziness and nausea, which is very uncomfortable. At the same time, I also feel a tightness in my neck, as if it is being pres...


Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Ya, You mentioned that "when lying flat, I feel a sensation similar to motion sickness." It is important to consider benign paroxysmal positional vertigo (BPPV) as a potential cause. The characteristic symptoms include brief episodes of dizziness relate...

[Read More] Why Lying Down Can Trigger Nausea and Dizziness: When to Seek Help


Why Lying Down Can Trigger Nausea and Dizziness: When to See a Doctor

Sleeping while lying down can cause nausea? Hello, doctor. Recently, when I lie flat to sleep, I experience a sensation similar to motion sickness, feeling dizzy and nauseous, which is quite uncomfortable. At the same time, I also feel a tightness in my neck, as if it is being co...


Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Ya, You mentioned that "when lying flat, I feel a sensation similar to motion sickness." It is important to consider Benign Paroxysmal Positional Vertigo (BPPV) as a potential cause. The characteristic symptoms include brief episodes of dizziness relate...

[Read More] Why Lying Down Can Trigger Nausea and Dizziness: When to See a Doctor


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


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 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 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


Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study

Massive hemorrhagic stroke with severe coma? Hello, doctor! My father has a history of hypertension and has been a long-time smoker and drinker. A month ago, he underwent gallbladder removal surgery due to gallstones, during which arrhythmia was discovered. Two weeks after the in...


Dr. Cai Zongzhang Reply:
Hello Ms. Hsueh: 1. Brainstem hemorrhage can lead to post-hemorrhagic hydrocephalus, and ventriculostomy is a reasonable medical intervention. However, the timing of the surgery should be determined based on the patient's condition, so please collaborate with your physicia...

[Read More] Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study


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 Electromyography: Concerns About Needle Safety and Breakage

Needle electromyography issues? Hello doctor, I was very nervous during the electromyography (EMG) procedure, which involved six needle insertions, with the last needle placed in the back of my neck. I would like to ask if the needles used for EMG are very sturdy, and is the like...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the probability of needle breakage is basically 0?" I can only say that I have never seen a case of needle breakage in electromyography. If you are concerned, metal objects are very visible on X-rays. An X-ray examination can be used to ...

[Read More] Understanding Electromyography: Concerns About Needle Safety and Breakage


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