Understanding Persistent Mild Headaches: Causes and Next Steps
Mild headache for 50 consecutive days? Hello Doctor, I have been experiencing mild headaches for the past 50 days. The pain occurs approximately every 5 minutes, lasting for about 1 second each time, and it is almost continuous throughout the day. However, I sleep well at night. ...
Dr. Jiang Junyi Reply:
Hello: 1. The symptoms you described are likely due to muscle-related pain, and you may need to consider myofascial issues. 2. Is it possible to have slight discomfort in the neck and shoulders while experiencing continuous head pain? My understanding is that for head pain to ...[Read More] Understanding Persistent Mild Headaches: Causes and Next Steps
Neck Examination: Understanding Neurological Symptoms and Diagnostic Options
Neck examination Hello, Dr. Jiang: About ten years ago, one day I pressed hard on my left neck, and then suddenly felt as if my entire right side was filled with water; it felt strange. Since then, I have been unable to resolve several sequelae. 1. The corner of my mouth droops t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be more indicative of cervical radiculopathy due to nerve root compression, especially since the symptoms worsen after lifting heavy objects. Additionally, abnormalities in the cervical blood vessels can sometimes present similar symptoms. It is recommend...[Read More] Neck Examination: Understanding Neurological Symptoms and Diagnostic Options
Understanding Muscle Twitches: Neurological Symptoms Explained
Muscle twitching Initially, there was just a feeling of soreness in the muscles of the arms and legs, and standing for a longer period causes pain. The right hand experiences pain in the little finger, there is persistent noise and echo in the ears, and the left side of the face ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are quite atypical and involve multiple different neurological areas that need to be analyzed individually: 1. Pain in the little finger of the right hand: This may indicate a joint issue, but if there are symptoms of numbness or tingling, ulnar nerve patholo...[Read More] Understanding Muscle Twitches: Neurological Symptoms Explained
Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Heavy head, pressure in the head, dizziness, and stiffness and soreness in the shoulders and neck? Hello Dr. Jiang, my questions are as follows, please help me answer them: ● Medical History 1. For the past five years, I have almost daily experiences of head heaviness, dizziness...
Dr. Jiang Junyi Reply:
Hello: The most important thing for your condition is to cultivate the parasympathetic nervous system. 1. Do I need to have another brain MRI? Under what circumstances should dizziness warrant an MRI? A: Generally, if there are no new neurological symptoms, repeating an MRI is...[Read More] Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
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
Can Cervical Nerve Compression Cause Redness in Hands and Fingers?
Cervical nerve compression can cause redness in the palms? My mother is 51 years old and has been experiencing cervical nerve compression and degeneration for the past two years. In the last month, her palms and fingers have turned a reddish-dark color, but she has no other disco...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, cervical spine curvature and narrowing deformities, along with intervertebral disc compression at the C4-C5 level affecting the nerves that innervate the shoulders, can lead to neck and shoulder pain. Additionally, compression at the C5-C6 level affecti...[Read More] Can Cervical Nerve Compression Cause Redness in Hands and Fingers?
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 Dizziness and Neck Pain After Chiropractic Adjustment
Dizziness, headache, and cervical spine tenderness? Hello, doctor. A week ago, I had my cervical spine adjusted, and about twenty minutes later, I experienced symptoms of dizziness. Concerned about the possibility of vertebral artery dissection, I underwent a CTA (with contrast),...
Dr. Jiang Junyi Reply:
Hello, regarding the tender points in the cervical spine, myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. If a nerve is compressed, neurological symptoms such as numbness and altered temperature s...[Read More] Understanding Dizziness and Neck Pain After Chiropractic Adjustment
Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?
Tightness in the right posterior part of the head, along with shoulder and neck pain, which is also causing discomfort in the eyes? Hello, doctor. I would like to ask you a question. My husband is 40 years old and works in a physically demanding job. He has a smoking habit and ha...
Dr. Jiang Junyi Reply:
Hello: Your husband is a smoker, which places him in a high-risk group for stroke. If he experiences sudden neurological deficits such as unilateral limb weakness or slurred speech, cerebrovascular disease should be the first consideration. Other causes of limb pain, such as cerv...[Read More] Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?
Unraveling the Mystery of Unexplained Neurological Symptoms
Unknown etiology? Around June 14, I suddenly experienced a jolt of dizziness, the kind that made it hard to stand, but it was not accompanied by headaches or nausea. I thought it was just due to lack of sleep, as I had been under a lot of stress from final exams and had hardly ea...
Dr. Jiang Junyi Reply:
Hello, Student Chang: You have done a lot of homework, which is impressive. Myofascial pain syndrome in the neck should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be allev...[Read More] Unraveling the Mystery of Unexplained Neurological Symptoms
Understanding Left-Sided Numbness: When to See a Doctor?
Numbness on the left side of the body? Initially, I felt numbness on the left side of my buttocks, which then spread to my left hand and foot, followed by numbness in my left face. These sensations of numbness are accompanied by slight soreness and weakness, and they are persiste...
Dr. Jiang Junyi Reply:
Hello, your abnormal neurological sensations from the lower limbs to the face may warrant consideration of lesions above the cervical spine, including the brain. I recommend that you consult a neurologist to discuss examination and treatment options. Wishing you good health, peac...[Read More] Understanding Left-Sided Numbness: When to See a Doctor?
Understanding Oral Pain and Scalp Numbness: A Neurological Perspective
Oral pain and scalp numbness? Hello Doctor: My mother has been experiencing oral pain for some time now. She has seen several doctors and even visited Cheng Kung University Hospital, where the doctors said there were no issues with her oral mucosa. Blood tests were conducted, but...
Dr. Jiang Junyi Reply:
Hello: The issue of pain in the oral cavity may be related to the trigeminal nerve, which distributes sensory information from the forehead, cheeks, and chin to our brain. The sensations within the oral cavity are also transmitted by the trigeminal nerve. When there is an abnorma...[Read More] Understanding Oral Pain and Scalp Numbness: A Neurological Perspective
Understanding Upper Eye Pain: Neuropathic Issues and Sleep Impact
Headache, neuralgia Hello Doctor, the patient is experiencing a dull, aching pain in the upper part of both eyeballs (not the eye sockets) and the area between the eyebrows, which sometimes radiates to the occipital region at the back of the head. This discomfort persists through...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. (Your symptoms may be indicative of cervicogenic headache, which involves the sensory nerves near the upper cervic...[Read More] Understanding Upper Eye Pain: Neuropathic Issues and Sleep Impact
Understanding Chronic Neck Pain: When to See a Neurologist
Cervical spine pain Dear Doctor, I have been experiencing pain in my cervical spine for over six months. It hurts when I look down and also when I look up. I had never had any symptoms before this. The pain started about six months ago when I had to look down all day at work, b...
Dr. Jiang Junyi Reply:
Hello, based on your description, 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...[Read More] Understanding Chronic Neck Pain: 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?
Understanding Hand Numbness After a Car Accident: Treatment Options
Numbness in the hands after a car accident? Hello Doctor, my mother was in a car accident on January 7 and was immediately taken to Cheng Kung University Hospital. Currently, we are most concerned about her hand numbness. The doctor mentioned that there is nerve damage near her c...
Dr. Hong Weibin Reply:
Hello: After a car accident, experiencing hand numbness could indeed be related to cervical spine issues. In addition to cervical nerve compression, peripheral nerve disorders may also be a possibility (such as compression resulting from an elbow fracture). It is advisable to fir...[Read More] Understanding Hand Numbness After a Car Accident: Treatment Options
Understanding Numbness in Left Toes: Causes and Treatment Options
Numbness in the toes of the left foot? Hello Dr. Jiang, I have a question I would like to ask you. I have a mild scoliosis, which has caused the muscles in my left upper back to be more prominent, and I experience more frequent soreness in that area. Since the beginning of this y...
Dr. Jiang Junyi Reply:
Hello, based on your description, subtle nerve injury and inflammation may sometimes not be detectable through nerve conduction studies, and are primarily assessed through physical examination. Given your issue with scoliosis, it may also be necessary to consider lumbar nerve roo...[Read More] Understanding Numbness in Left Toes: Causes and Treatment Options
Neck Pain and Hand Numbness: Understanding the Causes and Treatments
Neck pain and numbness in the hands? I often experience neck pain, and recently I've been waking up with numbness in my hands, especially when I sleep on my back with my hands on my stomach or when lying on my side. I also sometimes feel a tingling sensation in various parts...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be due to cervical nerve root compression or peripheral nerve compression. Clinically, the affected area of numbness can help determine which nerve is involved. For example, cervical radiculopathy from the sixth cervical nerve r...[Read More] Neck Pain and Hand Numbness: Understanding the Causes and Treatments
Intermittent Sharp Pain in Left Shoulder: Neurological Insights and Concerns
Transient sharp pain in the left shoulder? Over the past six months, I have experienced brief episodes of sharp pain in a fixed location on my left shoulder and neck about 2-3 times a month. The pain feels like a sudden electric shock, with an intensity ranging from 4 to 7 out of...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms seem to resemble nerve root compression in the cervical spine, which can produce symptoms similar to sciatica. Angina pectoris is caused by myocardial ischemia, resulting in a sensation of tightness or pain in the chest. Typical sym...[Read More] Intermittent Sharp Pain in Left Shoulder: Neurological Insights and Concerns
Understanding Chronic Headaches: Causes, Treatments, and Nerve Compression
Acute chronic headache I have had issues with headaches and dizziness since childhood, starting from the back of my neck and skull. When the pain intensifies, I am unable to do anything. However, after undergoing spinal manipulation at a chiropractic clinic, the headaches and diz...
Dr. Gao Chunde Reply:
Your symptoms are indicative of neuropathic pain, but it is necessary for a neurologist to determine which specific nerve is involved. It could be the lesser occipital nerve emerging from the cervical spine or the trigeminal nerve originating from the brainstem. Additionally, neu...[Read More] Understanding Chronic Headaches: Causes, Treatments, and Nerve Compression