Understanding Back Pain: When to See a Specialist for Relief
Back problems Initially, I experienced pain on the left side of my chest. After two days, when I slept in a more horizontal position, I felt significant pain between my left shoulder blade and spine (the pain on the left side of my chest subsided). I went for acupuncture and saw ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of back pain is myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but over time ...[Read More] Understanding Back Pain: When to See a Specialist for Relief
Scalp Tingling and Nausea: Understanding Neurological Symptoms in Tech Workers
Numbness in the scalp at the back of the head accompanied by nausea and a desire to vomit? Hello Doctor: I am a software engineer, so I spend most of my time sitting in front of a computer at the office. Recently, I have been experiencing a tingling sensation on my scalp accompan...
Dr. Jiang Junyi Reply:
Hello, sublingual nitroglycerin can rapidly dilate the heart's blood vessels, but it may also cause vascular headaches, which can be accompanied by symptoms such as nausea, vomiting, photophobia, phonophobia, and pallor. Typically, these symptoms will resolve after the medic...[Read More] Scalp Tingling and Nausea: Understanding Neurological Symptoms in Tech Workers
Understanding Left Occipital Pain: Causes and When to Seek Help
Pain in the left occipital region? Hello Doctor: About two weeks ago, I experienced sudden pain in the back of my head at night for no apparent reason. I went to sleep right after, and it felt better the next day. However, I later noticed that every couple of days, I would have i...
Dr. Jiang Junyi Reply:
Hello, the most common cause of pain in the left posterior part of the head is cervical myofascial pain. Long-term forward head posture can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, b...[Read More] Understanding Left Occipital Pain: Causes and When to Seek Help
Understanding Lower Back Pain: Kidney Issues or Pelvic Inflammation?
Pain in the lower back on both sides? Hello doctor, I have been experiencing unexplained pain on both sides of my lower back for the past couple of days. I'm not sure if it's related to my kidneys or if it's just lower back pain. Recently, I had an inflammation of ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to first consider renal pyelonephritis, which can present with bilateral pain. Clinically, diagnosis can be assisted through percussion and renal ultrasound. Generally, a herniated disc causing nerve root compression is typically ...[Read More] Understanding Lower Back Pain: Kidney Issues or Pelvic Inflammation?
Understanding Balance Issues: When to See a Neurologist for Dizziness
Recently, I have been feeling unsteady on my feet? In recent days, I have been feeling a lack of balance, similar to the sensation of dizziness after spinning in circles. However, the dizziness is quite mild and does not severely affect my ability to walk. It is usually more noti...
Dr. Jiang Junyi Reply:
Hello, based on your description, benign paroxysmal positional vertigo (BPPV) should be considered first. The characteristic symptoms include episodes of dizziness lasting a few seconds, related to changes in head position, such as bending over, tilting back, lying down, getting ...[Read More] Understanding Balance Issues: When to See a Neurologist for Dizziness
Chronic Lower Back Pain: Seeking the Right Specialist for Relief
Pain on both sides of the lower back? Hello Doctor, my mother is 65 years old. She previously had an issue with lumbar disc herniation, which caused nerve compression and resulted in lower back pain, making it difficult for her to get out of bed and walk. She consulted a neurosur...
Dr. Jiang Junyi Reply:
Hello: Lumbar compression fractures can relieve nerve compression through surgery, but if rehabilitation is not continued to strengthen the core muscles, mobility may still be affected. The soreness and heat on both sides of your lower back may indicate symptoms of nerve root com...[Read More] Chronic Lower Back Pain: Seeking the Right Specialist for Relief
Understanding Transient Limb Weakness: Possible Causes and Next Steps
Recently, I have experienced occasional and noticeable weakness in my limbs over the past month? Hello Doctor: For the past month, I have been experiencing intermittent episodes of transient weakness in my limbs. During these episodes, my hands and feet feel light, and I occasion...
Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest hyperventilation. Rapid or deep breathing can lead to excessive expulsion of carbon dioxide, resulting in respiratory alkalosis, which raises blood pH levels and affects the normal electrophysiological processes of the nervous system. Some patient...[Read More] Understanding Transient Limb Weakness: Possible Causes and Next Steps
Neck Pain After Chiropractic Treatment: Is It Text Neck Syndrome?
Neck pain after chiropractic adjustment? Hello Doctor: Last Monday, I went for chiropractic treatment. Two days later, I started experiencing discomfort in my neck when looking down, jumping, coughing slightly, sitting with my head against the back of the chair, and lying down. T...
Dr. Jiang Junyi Reply:
Hello: The most common cause of neck pain 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 discomfort. Initially, resting may alleviate the pain, but over time it can...[Read More] Neck Pain After Chiropractic Treatment: Is It Text Neck Syndrome?
Understanding Facial Muscle Tension: When to See a Neurologist
Tightness in the muscles on the right side of the face? Hello Doctor, for the past two weeks, I have been experiencing muscle tightness near my right cheekbone. Initially, it was just a mild tightness, but over the past few days, it has become quite tense. The muscles around my e...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of tightness in the forehead and temples is likely myofascial pain related to the second cervical nerve. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and...[Read More] Understanding Facial Muscle Tension: When to See a Neurologist
Understanding Left Occipital Headaches: Causes and Solutions
Pain in the left occipital region? Hello Doctor, I started experiencing pain from my left ear to the back of my left head on the morning of April 7th. The pain is not constant; it lasts about 1 to 2 seconds. It occurs when I yawn or quickly turn my head. After that, my left ear d...
Dr. Jiang Junyi Reply:
Hello, you mentioned pain in the occipital and cervical region. Myofascial disorders in the local area should be considered first, as they may present with sudden pain, muscle stiffness, or a feeling of heaviness. It is advisable to avoid maintaining the same posture for too long...[Read More] Understanding Left Occipital Headaches: Causes and Solutions
Understanding Recurring Symptoms: Fatigue, Nausea, and Breathing Difficulties
Generalized weakness > Nausea > Dizziness > Difficulty breathing > Rest > Recovery to normal? Hello doctor, yesterday morning when I woke up to go to work, I felt very tired the moment I opened my eyes. I slowly got up and walked to the bathroom, still feeling very...
Dr. Hong Weibin Reply:
Thank you for your inquiry. I recommend that you first seek assistance from a neurologist to check for any organic lesions or autonomic nervous system disorders. If those are ruled out, then consider consulting a psychiatrist to evaluate for possible panic disorder. Wishing you a...[Read More] Understanding Recurring Symptoms: Fatigue, Nausea, and Breathing Difficulties
Unexplained Hand or Foot Tremors: When to Seek Medical Advice
Uncontrollable trembling of the hands or feet? My boyfriend first noticed it when he felt a slight twitch in my hand while I was sitting relaxed on the back of his motorcycle. He asked if I was cold, wondering why I twitched. I said no and didn't realize I was twitching. Rec...
Dr. Jiang Junyi Reply:
Hello: You mentioned that muscle spasms are rapid involuntary muscle contractions, resembling a jolt. While in more severe cases, myoclonus can be a physical condition that affects a person's normal life, physiological myoclonus (such as hiccups, sleep myoclonus, and muscle ...[Read More] Unexplained Hand or Foot Tremors: When to Seek Medical Advice
Unexplained Thigh Heat Sensation: When to Seek Medical Advice?
Leg problems In the past month, I've been experiencing intermittent warmth in the middle outer part of my right thigh, sometimes two to three times a day, and other times not at all. I'm not sure why this is happening, and there doesn't seem to be any visible chang...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to lumbar disc herniation, which can also occur from sudden injuries, such as twisting the waist suddenly, bending to lift heavy objects, or experiencing excessive force, for examp...[Read More] Unexplained Thigh Heat Sensation: When to Seek Medical Advice?
Unexplained Dizziness: When Medication Doesn't Help
Sudden unexplained dizziness that persists even after taking medication? Hello Doctor: Last night around 7 PM, after finishing dinner, I suddenly felt dizzy. I thought it would pass, but it actually got worse, and by around 9 PM, I vomited. When I looked at things, it felt like t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms should first be considered as Benign Paroxysmal Positional Vertigo (BPPV). The characteristic symptoms include brief episodes of dizziness that are related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, ...[Read More] Unexplained Dizziness: When Medication Doesn't Help
Is It Panic Disorder or Autonomic Nervous System Dysfunction?
Am I experiencing panic disorder or autonomic nervous system dysregulation? Last week, after bingeing on spicy hot pot, I experienced dry mouth and throat, followed by two days of diarrhea. Concerned about my symptoms, I researched possible causes, and since then, my appetite has...
Dr. Hong Weibin Reply:
Your symptoms are quite complex; in addition to diarrhea, you also have numbness in your hands and feet. You should be cautious about the possibility of acute inflammatory demyelinating polyneuropathy (Guillain-Barré syndrome). It is advisable to seek medical assistance directly ...[Read More] Is It Panic Disorder or Autonomic Nervous System Dysfunction?
Understanding Recurring Postural Headaches: Causes and Solutions
Recently, I have been experiencing recurrent postural headaches for the past two weeks? Hello, doctor. Since the beginning of January, I have been suffering from various symptoms of autonomic nervous system dysfunction. I have seen many specialists, and although I underwent an EE...
Dr. Jiang Junyi Reply:
Hello: I wonder if you excessively use electronic devices in your daily life. Your symptoms are very similar to cervical myofascial pain syndrome, which commonly presents with pain at the affected site, discomfort, muscle stiffness, or a feeling of heaviness. Symptoms may worsen ...[Read More] Understanding Recurring Postural Headaches: Causes and Solutions
Post-Surgery Numbness and Hardness in Left Forehead: Is It Normal?
After the surgery for the lipoma on the left forehead, I feel a hardness and numbness in the upper left side of my head? Hello Doctor, I underwent an endoscopic tumor excision surgery for a lipoma on the left side of my forehead on March 17, 2017. On the day of the surgery, I fel...
Dr. Jiang Junyi Reply:
Hello, you mentioned that neuropathic pain differs from the pain associated with general tissue injury, including sensations such as tingling, stabbing, burning, coldness, numbness, and itching, which may sometimes be accompanied by varying degrees of sensory abnormalities. The k...[Read More] Post-Surgery Numbness and Hardness in Left Forehead: Is It Normal?
Understanding Leg Weakness and Pain: Possible Neurological Causes
Leg weakness and soreness? The doctor would like to inquire about recent symptoms of persistent leg weakness, lower back soreness, discomfort in the coccyx while sitting, and involuntary shaking of the lower back when bending over. What could be the cause of these symptoms?
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of a herniated disc, which commonly presents with lower back pain, cramping pain in the calves and the back of the thighs, and sensory abnormalities. Diagnosis can generally be assisted through physical examinations, nerve conduction studi...[Read More] Understanding Leg Weakness and Pain: Possible Neurological Causes
Understanding Dizziness and Cognitive Issues: When to See a Neurologist
Dizziness and difficulty concentrating? Doctor! I sometimes experience dizziness and a slight headache at the back of my head. I also feel a sensation of something stuck in my throat. Today, while writing, I found it very difficult to write smoothly, and my fingers felt quite unc...
Dr. Jiang Junyi Reply:
Hello: Regarding the discomfort in your neck and the numbness in your fingers, it is important to first consider cervical nerve root compression, which can present with pain, soreness, muscle stiffness, or a feeling of heaviness. Symptoms may worsen with changes in weather. I rec...[Read More] Understanding Dizziness and Cognitive Issues: When to See a Neurologist
Understanding Neck and Shoulder Pain: Is It Nerve or Muscle Issues?
Stiffness in the shoulders and neck, numbness in the hands? I often feel tightness and soreness in my shoulders, neck, and upper back. The sides of my head, particularly around the temples, feel tense and swollen. My neck feels stiff, especially in the morning when I wake up and ...
Dr. Jiang Junyi Reply:
Hello, the most common cause of neck pain 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 discomfort. Initially, resting may alleviate the pain, but over time it can...[Read More] Understanding Neck and Shoulder Pain: Is It Nerve or Muscle Issues?