Understanding Delayed Symptoms After a Concussion: What to Know
Head trauma Hello doctor, I would like to ask about a concussion I had from a car accident. I was wearing a helmet when I hit my head on the ground, and I was conscious at the time. During the week following the incident, I only experienced dizziness, which resolved after a week....
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, as the likelihood of intracranial hemorrhage is relatively low. External factors such as traffic accidents, falls, impacts to the head against hard objects, or excessive force during cervi...[Read More] Understanding Delayed Symptoms After a Concussion: What to Know
Understanding Head Pain: Possible Causes After a Recent Accident
Head issues Hello Doctor, I would like to ask about some recent symptoms. I've been experiencing some headaches in the left posterior part of my head (sometimes other areas hurt, but not often). The pain is not severe; it comes in waves and usually focuses on one point. Some...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical myofascial pain. During head trauma, the neck muscles can sustain injuries due to external forces. If the cervical spine is improperly used at this time, such as by looking down while using electronic devi...[Read More] Understanding Head Pain: Possible Causes After a Recent Accident
Understanding Neck and Shoulder Pain: When to Seek MRI for Diagnosis
Head trauma and shoulder-neck issues! Hello, doctor. I've loved using computers since I was young and often stayed up late with poor posture, which has led to frequent sharp pain in my right neck and shoulder. Over time, the pain has subsided, but my right neck and shoulder ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are more indicative of cervical spine issues. In addition to an MRI, I recommend consulting a rehabilitation specialist for physical therapy and electromyography (EMG) testing. Wishing you good health and peace. Dr. Jiang, Neurology, Taoyuan Hosp...[Read More] Understanding Neck and Shoulder Pain: When to Seek MRI for Diagnosis
Managing Post-Concussion Symptoms: A Guide for Patients
Post-concussion syndrome Hello Doctor, about three years ago, I accidentally fell while playing basketball and hit the back of my right head. At that time, I did not lose consciousness and had no external injuries, but the next day I suddenly felt unsteady while walking and began...
Dr. Jiang Junyi Reply:
Hello, based on your description, the cause of the right-sided neck pain radiating to the right eye socket is commonly due to cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the muscles in the back of the neck, resulting in neck and shoulder dis...[Read More] Managing Post-Concussion Symptoms: A Guide for Patients
Understanding Dizziness and Neck Pain: Seeking Answers for Your Symptoms
Dizziness and shoulder-neck pain? Hello, Doctor Jiang. I have been experiencing shoulder and neck pain, dizziness, and frequent yawning for over three months. I underwent evoked potential tests which came back normal, and an X-ray showed a slight bone spur, but the neurologist sa...
Dr. Jiang Junyi Reply:
Hello: You mentioned whether cervical spine issues are related to dizziness. Is it possible that cervical muscle spasms could lead to poor blood circulation and cause dizziness? Can X-rays reveal cervical spine problems? These three questions can be addressed through a carotid ul...[Read More] Understanding Dizziness and Neck Pain: Seeking Answers for Your Symptoms
Understanding Neck Pain and Dizziness: Possible Causes and Solutions
Cervical spine pain and dizziness? Hello, doctor... I have been experiencing dizziness for almost a month. The dizziness is constant throughout the day, and it's an indescribable feeling of lightheadedness and fatigue. I feel like I want to sleep all the time. My neck and sh...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. The symptoms of dizziness have persisted for nearly three weeks, with a constant feeling of dizziness throughout the day, poor energy levels, and frequent yawning, leading to a desire to sleep. While walking, I do not fee...[Read More] Understanding Neck Pain and Dizziness: Possible Causes and Solutions
Severe Head Pain During Orgasm: Causes and Concerns Explained
Severe headache during orgasm or ejaculation? Hello, doctor. I am a 30-year-old male currently weighing 107 kg. I do not smoke or drink alcohol, and I have no history of hypertension or diabetes, although there are related patients in my family. On the evening of August 18th, whi...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, with pain sometimes being widespread. The nature of the pain is dull, aching, with a s...[Read More] Severe Head Pain During Orgasm: Causes and Concerns Explained
Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Dizziness lasting more than 2 months? On May 8th, I experienced mild dizziness and unsteadiness while walking. That evening, I had a condition where half of my left eye was blurry and appeared pixelated, and I was unable to focus; my right eye was normal. On May 10th, an ophthalm...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you are experiencing vestibular migraine. A brain imaging study can be arranged to rule out the concerns you have. It is recommended that you seek assistance from a neurologist.[Read More] Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Understanding Unexplained Limb Weakness: When to See a Neurologist
Sore feet and sore hands? Hello Dr. Jiang: Recently, I have been experiencing unexplained weakness and soreness in my legs and arms for the past two weeks. Which department should I consult? Is it neurology? Thank you for your clarification! (I have arrhythmia and angina, and I a...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to first consider localized blood circulation issues, which could lead to the accumulation of lactic acid and a sensation of weakness in the limbs. Additionally, if there is compression of the cervical spine, it can cause loca...[Read More] Understanding Unexplained Limb Weakness: When to See a Neurologist
Understanding Persistent Head Numbness: When to Seek Medical Advice
Facial concerns? Hello, I have been experiencing a tingling sensation in the back of my head lately, similar to the goosebumps you get when you're anxious, and it has been persistent. Could you please tell me what this issue might be? Do I need to see a doctor?
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression. This could be due to prolonged poor posture with the head bent forward, or rheumatic joint diseases, leading to curvature and narrowing deformities of the cervical spine. The interv...[Read More] Understanding Persistent Head Numbness: When to Seek Medical Advice
Understanding Right Back and Hand Numbness: Causes and Solutions
Numbness in the right upper back? Hello Doctor, I would like to ask if it is possible that my poor sitting posture from long hours of working at a computer is causing my symptoms. Initially, I experienced numbness extending from my right pinky finger to my palm, but it doesn'...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest compression of the cervical spine at the seventh vertebra and the first thoracic nerve root, leading to numbness extending to the little finger. This could be due to prolonged poor posture while looking down, resulting i...[Read More] Understanding Right Back and Hand Numbness: Causes and Solutions
Understanding Nerve Pain: A Journey Through Neurology and Rehabilitation
Numbness, soreness, and sensory perception? I previously experienced some numbness in my fingers, which progressed to numbness in my right palm, along with soreness and pain in my arm, and diminished sensation due to the numbness. I visited the neurology department at Chang Gung ...
Dr. Jiang Junyi Reply:
Hello: I understand your concerns. You seem to be caught in a misconception of seeking treatment from someone with the same professional background. Currently, if my patients encounter situations that I cannot resolve due to my limitations, I adopt a perspective of empathy, meani...[Read More] Understanding Nerve Pain: A Journey Through Neurology and Rehabilitation
Understanding Numbness in the Right Upper Back: Possible Causes and When to Seek Help
Numbness in the back? Hello Dr. Jiang, for the past two or three days, I have frequently felt numbness in my right upper back (near the center). When I researched online, some people suggested it might be a cervical spine issue, but I don't seem to have any discomfort in my ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider thoracic nerve root compression, as the symptoms are located in the back. However, it is important to consult a physician to investigate the cause of the compression. Generally, cervical nerve root compression is m...[Read More] Understanding Numbness in the Right Upper Back: Possible Causes and When to Seek Help
Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Trapezius muscle issues and pulsatile tinnitus? Hello Dr. Jiang, Since I changed to a new pillow last September, I experienced a stiff neck that healed after a week. However, about a month later, I began to feel soreness and numbness in my left upper trapezius muscle, with inte...
Dr. Jiang Junyi Reply:
Hello: Regarding your questions, may I ask Dr. Jiang whether I can request a cervical ultrasound examination, or seek help from another specialty? A: Typically, vertebral artery issues are more related to hearing. If you request a carotid artery examination, the attending physici...[Read More] Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Understanding Dizziness and Discomfort: A Neurological Perspective
Dizziness and general discomfort? Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, ex...
Dr. Jiang Junyi Reply:
Hello, based on your description, I wonder if you have been paying attention to the care of your neck, as cervical myofascial pain syndrome may cause symptoms such as pain, discomfort, muscle stiffness, or a heavy sensation, leading to fatigue-like symptoms. Regarding the adjustm...[Read More] Understanding Dizziness and Discomfort: A Neurological Perspective
Muscle Twitches and Weakness: Understanding Neurological Concerns
Muscle twitching and a feeling of weakness? Hello, Doctor: I often experience involuntary muscle twitching throughout my body, including my facial cheekbones, and sometimes I feel weakness in my right hand. Recently, I visited the hospital for an examination and discussed my conc...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the muscle instability symptoms you mentioned are primarily related to exercise, acute viral infections, anxiety, and medication use. If there are only muscle fasciculations without significant muscle atrophy, it is usually caused by neuroinflamm...[Read More] Muscle Twitches and Weakness: Understanding Neurological Concerns
Understanding Neck Tension: Symptoms and Solutions for Head Pressure
Head issues Hello, I have a sensation of pressure near the back of my head close to my neck. I do not experience dizziness or headaches, and this symptom has persisted for over a year. It feels very much like muscle tension, as if my neck lacks the strength to support my head. I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of pain in the posterior neck is cervical myofascial pain. This issue is primarily characterized by degeneration of the cervical spine on CT scans, while brain imaging is mostly normal. Prolonged periods of looking down can ...[Read More] Understanding Neck Tension: Symptoms and Solutions for Head Pressure
Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments
Pain in the right hand and numbness in the left hand? Hello, I would like to ask about my right hand. Initially, I experienced pain in my wrist (extending from my thumb to my wrist), which later spread to my forearm and then to my right shoulder. The pain started about a year ago...
Dr. Jiang Junyi Reply:
Hello: Your symptoms in the right hand resemble those of nerve root compression in the cervical spine. Preventive measures include: 1. Change positions: Change your posture every 15 minutes to allow the neck tissues to rest. Any posture (including normal ones) maintained for a pe...[Read More] Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments
Head Injury from Diving: Understanding Pain and Muscle Tension
Diving injury resulting in sharp pain in the right occipital region? Hello doctor, two weeks ago I was diving in a pool with a depth of about 1.2 meters and hit my head, specifically on the top right side. The wound has healed, but in the first few days, I experienced sneezing an...
Dr. Cai Zongzhang Reply:
Based on your description, it is highly recommended that you go to the hospital for an examination immediately to accurately assess the impact of the trauma on your brain through imaging. It is advisable for you to follow up with outpatient care for further evaluation and treatme...[Read More] Head Injury from Diving: Understanding Pain and Muscle Tension
Understanding Neck Pain and Numbness: When to Seek Medical Help
Neck pain and numbness? Last Thursday afternoon, I experienced severe headaches, and after taking painkillers, I felt slightly better. However, on Friday morning, I began to feel soreness and numbness in the back of my neck. After that, whenever I sat or stood, the soreness and n...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest headaches caused by intracranial hypotension. The primary symptom of this type of headache is "postural headache," which worsens when the patient is standing or sitting and significantly improves or disappears when lying down. The most c...[Read More] Understanding Neck Pain and Numbness: When to Seek Medical Help