Understanding Numbness in Right Face, Arm, and Neck: Possible Causes
There is a tingling sensation in the right side of the face, right arm, and back of the neck? Hello, doctor. Yesterday, while I was sleeping, I suddenly felt a tingling sensation in my right arm. When I sat up, I experienced a warm, swollen feeling in my neck along with tingling....
Dr. Jiang Junyi Reply:
Hello: The numbness you are experiencing may be caused by compression of the cervical spinal nerves. Additionally, you mentioned that the symptoms become more pronounced when you bend your neck, which could also be due to inflammation and swelling of the cervical spinal cord. It ...[Read More] Understanding Numbness in Right Face, Arm, and Neck: Possible Causes
Understanding the Causes of Persistent Headaches After a Concussion
Please have the doctor examine me to determine the cause of my headache? Hello doctor, during a physical education class in elementary school, I was hit on the lower left side of the back of my head by a soccer ball from a classmate. I was examined by a doctor at that time and di...
Dr. Jiang Junyi Reply:
Hello: In addition to the issues related to cervical myofascial pain, it may be necessary to consider the possibility of migraine as a contributing factor. Migraines are often accompanied by symptoms such as nausea, vomiting, photophobia, phonophobia, and pallor. Typically, one s...[Read More] Understanding the Causes of Persistent Headaches After a Concussion
Understanding Dizziness and Balance Issues: Causes and Solutions
Dizziness and loss of balance while walking? Hello, Doctor. On Tuesday evening, I started to feel something unusual while walking; I found myself leaning to the right and began to feel a bit dizzy. My hearing seems to be normal without any issues. I thought that resting at night ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest benign paroxysmal positional vertigo (BPPV), which occurs when turning the head, tilting the head back, or getting up from a lying position. The condition is caused by the displacement of otoliths into the posterior semicircular canal. However, th...[Read More] Understanding Dizziness and Balance Issues: Causes and Solutions
Should I Get Further Tests for Possible Neurological Issues?
Should I undergo additional tests to rule out the possibility of any lesions? Thank you? Hello Doctor: I have developed elevated intraocular pressure due to poor posture from frequently looking down while taking naps. I have seen an ophthalmologist, and my eye pressure is now und...
Dr. Jiang Junyi Reply:
Hello: The causes of discomfort in the forehead may initially be attributed to cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder pain that may extend to the forehead. In the early st...[Read More] Should I Get Further Tests for Possible Neurological Issues?
Understanding Facial Nerve Issues: Symptoms and When to Seek Help
Facial issues Hello Dr. Jiang, last November, I experienced intermittent twitching in my lower left lip for almost a month. I went to a neurologist for an examination, and tests for trigeminal nerve and thyroid function were normal, with no signs of inflammation. The doctor sugge...
Dr. Jiang Junyi Reply:
Hello: The clinical manifestation of facial nerve paralysis is muscle weakness. If accompanied by other sensory symptoms, one should consider the possibility of trigeminal nerve involvement. The most common cause of trigeminal nerve pathology is compression by vascular structures...[Read More] Understanding Facial Nerve Issues: Symptoms and When to Seek Help
Understanding Neck Pain: When to Seek Further Medical Advice
Pain occurs at the hairline three fingerbreadths to the right of the cervical spine? Hello Doctor: I originally experienced intermittent pain in my shoulder that radiated to my collarbone, and there was also intermittent pain at the hairline three finger widths to the right of my...
Dr. Jiang Junyi Reply:
Hello: The entire cervical spine to the occipital region of the head is where the neck muscles attach. Therefore, your symptoms are more indicative of myofascial inflammation in the neck. Regarding the medications you mentioned, if you are planning to become pregnant, it is advis...[Read More] Understanding Neck Pain: When to Seek Further Medical Advice
Understanding Symptoms: Neck Pain, Nasal Discomfort, and Headaches
Occipital headache and nasal congestion? Recently, I have been experiencing a sensation of soreness in my nose when I look down, and sometimes I have pain in the back of my head. When I tilt my head to one side, I feel like something is flowing inside my brain. What could these s...
Dr. Jiang Junyi Reply:
Hello, you mentioned experiencing a sensation of nasal discomfort, which may be related to the patency of the nasolacrimal duct. The phrase "a runny nose and tears" refers to this condition. The pain in the back of your head could be attributed to cervical myofascial pa...[Read More] Understanding Symptoms: Neck Pain, Nasal Discomfort, and Headaches
Unexplained Skin Pain: When to Seek Medical Advice for Neurological Issues
Unexplained skin pain? Hello, doctor. Today I noticed that a specific area in my lower back hurts when I touch it (not from direct contact, but when I rub it). There is no redness or swelling, but it feels similar to the pain experienced during a fever. This has happened before, ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of neuropathic pain, which is typically caused by damage or disease affecting the somatosensory nervous system. It particularly resembles peripheral nervous system disorders, commonly seen in postherpetic neuralgia, but can also arise from...[Read More] Unexplained Skin Pain: When to Seek Medical Advice for Neurological Issues
Understanding Sleep Tension: Causes and Solutions for Relaxation
Inability to relax during sleep? Sometimes I suddenly wake up while sleeping, and I often feel tightness in the temples of my head. During sleep, I experience a sensation where tension starts from the lower half of my body and gradually moves up to my upper body and then to my he...
Dr. Jiang Junyi Reply:
Hello, the most common cause of neck stiffness is 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 pain that may even extend to the bilateral postauricular fascia. Initi...[Read More] Understanding Sleep Tension: Causes and Solutions for Relaxation
Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Increased dizziness, swelling in the left leg, and occasional numbness in both hands, with the left hand being more affected? Hello, doctor. Basically, I'm experiencing dizziness and issues with my left leg (the hot weather affects me significantly; my dizziness worsens and ...
Dr. Jiang Junyi Reply:
Hello: The vascular stenosis you mentioned, if identified through a neck ultrasound, refers to the extracranial vessels, with the vertebral artery typically being more associated with dizziness. Controllable risk factors for stroke include metabolic syndrome, and your overweight ...[Read More] Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Understanding Headaches Triggered by Head Movement: When to Seek Help
Headache caused by shaking the head? Hello doctor, in the past week, I have frequently experienced pain in the back of my head due to head shaking, which is also accompanied by neck stiffness. Additionally, I have had low-grade fevers at night. However, during times without head ...
Dr. Jiang Junyi Reply:
Hello: A common cause of tension-type headaches is the common cold. During a cold, the body produces a large amount of lactic acid and inflammatory substances, leading to muscle soreness and discomfort. Usually, adequate hydration and rest can improve the condition. However, if t...[Read More] Understanding Headaches Triggered by Head Movement: When to Seek Help
Understanding Dizziness and Low Potassium Levels in Older Adults
Dizziness and hypokalemia? Hello Dr. Jiang, I would like to ask about my mother's condition. She is 65 years old. The week before last, she suddenly experienced dizziness accompanied by persistent vomiting, cold sweats, and numbness in her hands and feet around noon after ge...
Dr. Jiang Junyi Reply:
Hello, Your mother's symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV). The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or suddenly...[Read More] Understanding Dizziness and Low Potassium Levels in Older Adults
Understanding Hand Numbness and Arm Tightness: Possible Causes and Solutions
Numbness in the hands and tightness in the arms? Hello Doctor, for the past two weeks, I have been waking up at night due to numbness in my palms. Upon waking, I notice that the sensation in my forearms becomes very dull, as if they have been compressed for a long time. However, ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms related to peripheral nerve compression, as the symptoms are associated with posture. Generally speaking, during sleep, our bodies only remain still during the rapid eye movement (REM) phase; throughout th...[Read More] Understanding Hand Numbness and Arm Tightness: Possible Causes and Solutions
Understanding One-Sided Neck Tightness: Is It a Stroke Warning?
Unilateral posterior neck tightness? Hello Doctor: Recently, I have been feeling a tight and painful sensation on the right side of my neck and the back of my head, especially in the afternoon while at work. I have been sitting in front of the computer for long periods for the pa...
Dr. Jiang Junyi Reply:
Hello, if you are experiencing warning signs of a stroke, there are usually localized neurological dysfunctions, such as loss of speech, motor function, or sensation. Since you do not have issues with hypertension, hyperlipidemia, or diabetes, your risk of having a stroke is rela...[Read More] Understanding One-Sided Neck Tightness: Is It a Stroke Warning?
Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective
Muscle twitching, peripheral numbness in the limbs, shoulder and neck pain, headache? Hello Doctor: In November of this year, I began experiencing widespread muscle twitching and sudden pains throughout my body without a specific location (more frequently in my thighs, calves, an...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are not easily encompassed by a single disease. However, it is worth considering that patients with anxiety often exhibit symptoms of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increase in ...[Read More] Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective
Understanding Occipital Pain: Causes and When to Seek Help
Occipital pain Hello Doctor: My profession is a software engineer, so I spend long hours sitting in front of the computer writing code. When I focus intently, I can sit for 3 to 4 hours without getting up to move. Recently, I've been experiencing a tight pain on the left sid...
Dr. Jiang Junyi Reply:
Hello, based on your description, it does not seem to be symptoms of a stroke. The more common symptoms of a stroke include unilateral weakness or numbness. The cause of pain in the left posterior neck is more commonly due to cervical myofascial pain: prolonged periods of looking...[Read More] Understanding Occipital Pain: Causes and When to Seek Help
Understanding Persistent Dizziness: Causes and Treatment Options
Dizziness improves quickly with medication but then starts again? I started experiencing unexplained dizziness on June 15 of this year and visited a doctor who suggested it was due to stress, but the medication was ineffective. I then consulted an otolaryngologist who prescribed ...
Dr. Jiang Junyi Reply:
Hello, based on your description, benign paroxysmal positional vertigo (BPPV) should be considered first. The symptoms are characterized by brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, o...[Read More] Understanding Persistent Dizziness: Causes and Treatment Options
Understanding Lip Twitching: Causes and When to Seek Medical Help
Twitching of the lower left lip? Hello Dr. Jiang, recently due to high stress, I have been staying up late until three or four in the morning. Last Tuesday night, when I closed my eyes to sleep, I felt like my left eyelid was twitching, but it returned to normal when I opened my ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of facial nerve inflammation. Abnormal twitching can also be related to caffeine consumption. If it involves the trigeminal nerve, there may be sensations of abnormality. Generally, nerve inflammation typi...[Read More] Understanding Lip Twitching: Causes and When to Seek Medical Help
Why Do I Feel No Sensation When Scratching My Arm?
Itching in the arm without sensation? Hello Doctor: Recently, when I scratch my left arm, I often feel little sensation, as if there is a thick layer of skin in between, but there is no numbness. I am very worried that there might be something wrong with my body. Could you please...
Dr. Jiang Junyi Reply:
Hello, based on your description, if there are sensory abnormalities in the peripheral nerves, the first consideration should be nerve compression. I wonder if you have a habit of carrying a backpack on one shoulder? If the symptoms worsen, it may be necessary to consider other a...[Read More] Why Do I Feel No Sensation When Scratching My Arm?
Understanding Dizziness During Sports: Possible Neurological Issues
Sudden dizziness during exercise, unable to determine direction? Hello Doctor, in the past two days while playing badminton, everything was normal for the first 10 minutes. After I squatted down to pick up a shuttlecock and stood up, I started feeling dizzy. My hands knew where t...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms can be divided into two categories. The first is the cause of dizziness: 1. Neurogenic reflex leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insufficient cerebral blood flow. 2. Or...[Read More] Understanding Dizziness During Sports: Possible Neurological Issues