Cervical spine, Neurology FAQ

Understanding Facial Numbness: Insights for Ankylosing Spondylitis Patients

Frequent facial numbness? I was diagnosed with ankylosing spondylitis (AS) this May. In addition to the pain associated with AS, I have been experiencing persistent numbness on the right side of my face and right lip, along with occasional numbness in my right ear. This numbness ...

Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "cervical disc herniation can affect facial numbness," specifically regarding high cervical nerve root compression at the levels of C1 to C3. Since the nerves pass through the trigeminal nerve nucleus, this may be related to the persist...

Understanding Right-Sided Head Pain: Possible Causes and Solutions

Only the right side of my head feels uncomfortable? Hello, doctor. For the past three days, I've been experiencing pain on the right side of my temple, teeth, ear, and back of my neck. The pain is intermittent and persistent. I have seen a dentist, but they said there is no ...

Dr. Jiang Junyi Reply:
Hello Mr. Lu: You mentioned that you are experiencing pain in your teeth, ears, and the back of your neck, which may suggest considering cervical myofascial pain. The myofascia around the cervical spine has small muscles that connect to the head, while the larger superficial musc...

Understanding Dizziness and Neck Tension: Possible Causes and Concerns

Dizziness and a feeling of heaviness in the head? In the past week or two, I've been experiencing occasional dizziness and a feeling of pressure in my head, along with tightness in my shoulders, neck, and back of my head. There have been a few instances where I felt unsteady...

Dr. Peng Shiwei Reply:
Hello, your symptoms are not closely related to multiple sclerosis; however, there are many causes of dizziness. If there is no improvement in the near future, it is recommended that you consult a neurologist. Thank you for your inquiry.

Understanding Scalp Tingling: When to See a Neurologist

Scalp tingling? In the past couple of days, I've been experiencing sudden tingling sensations on my scalp, starting from the back of my head, moving to the top, and then to my forehead. The tingling comes in waves and is not constant, and I don't have any headaches or o...

Dr. Wu Mukhan Reply:
Hello, scalp tingling may be related to peripheral nerve disorders in the head and face, or it could be caused by issues with the cervical spine. It is recommended that you consult a neurologist for further evaluation or to arrange relevant tests.

Understanding Unilateral Head Numbness: Causes and Relief Strategies

Unilateral head numbness Hello Doctor, I am 22 years old and a few weeks ago I suddenly started experiencing numbness on the left side of my head, specifically from the back of my skull to the top of my head. This occurs whether I am sitting, standing, or walking, and even while ...

Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned experiencing numbness on the left side of your head, specifically from the back of your skull to the top of your head. This symptom may be related to cervical nerve inflammation, particularly in individuals who frequently look down or overuse their c...

Intermittent Muscle Twitching in the Left Cheek: Causes and Solutions

Twitching in the left zygomatic bone area? Hello, doctor. For the past couple of days, I've been experiencing intermittent and irregular muscle twitching in the left cheekbone area (without pain). Each twitch lasts about one to two seconds. Sometimes, looking down triggers t...

Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned that "the muscles in the left cheekbone area intermittently but irregularly twitch... and this symptom may be triggered by looking down." This symptom may need to be considered in the context of cervical nerve inflammation, especially among...

Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients

Tremor issues? Yesterday, after taking a nap on the sofa, I woke up feeling tightness in my neck and shoulders, along with a slight headache. I have a history of C3-C4-C5 cervical disc herniation causing nerve compression (approximately 10 years), with symptoms that fluctuate. Oc...

Dr. Cai Zongzhang Reply:
Hello, Cheng: Neck pain is closely related to neck posture. It is recommended to avoid napping on the sofa, as it can have adverse effects on the cervical spine.

Understanding Nerve Conduction Studies: What Your Results Mean

Nerve conduction study Hello doctor, recently I've been experiencing occasional pain in my right hand, so I went for an examination. The doctor arranged for nerve conduction studies of the limbs and cervical spine. The results showed a slight slowing of the right ulnar nerve...

Dr. Wu Mukhan Reply:
Hello, abnormal nerve conduction velocity is most commonly caused by nerve compression or injury, and it usually improves with rest. The symptoms you mentioned do not resemble those of amyotrophic lateral sclerosis (ALS), so there is no need to worry excessively. If the symptoms ...

Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues and ALS Concerns

Nerve conduction study Hello Doctor, recently I've been experiencing occasional pain in my right hand, so I went for an examination regarding ulnar nerve compression. The doctor arranged for four nerve conduction studies and a cervical spine examination. The results indicate...

Dr. Peng Shiwei Reply:
Hello, the symptoms of amyotrophic lateral sclerosis (ALS) do not involve damage to only one nerve, and it primarily begins with the degeneration of motor neurons. Sensory nerves are not affected in the early stages. Thank you for your question.

Understanding ALS Concerns: Do I Need an EMG Test?

Concerns about Amyotrophic Lateral Sclerosis (ALS) Hello Doctor, I recently experienced muscle soreness in my left thigh, so I went to the hospital for a nerve conduction study (F-wave) and a cervical spine examination, but I was not scheduled for an electromyography (EMG) test. ...

Dr. Peng Shiwei Reply:
Hello, the symptoms of amyotrophic lateral sclerosis (ALS) do not involve damage to just one nerve; it primarily affects motor neurons first, while sensory neurons are not impacted in the early stages. Thank you for your question.

Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective

The face or the scalp at the back of the neck feels strange? Hello, doctor. About ten years ago, I had an MRI of my cervical spine that diagnosed a herniated disc at the C3-C4-C5 levels, which was compressing a nerve. At that time, my main symptoms included pain in the left shoul...

Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned that "the fingers on my right hand occasionally feel a bit numb, or my arm suddenly feels a bit cool (not sure if it's numbness)." In addition to cervical nerve root compression, we should also consider the possibility of peripheral ne...

Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues

Nerve conduction study Hello, doctor. Recently, I've been experiencing occasional pain in my right hand, so I went to check for ulnar nerve compression. The doctor arranged for nerve conduction studies and cervical spine examinations. The results showed that the conduction v...

Dr. Jiang Junyi Reply:
Dear Mr. Thelewa, You mentioned that "Lou Gehrig's disease" is a rare condition. Ulnar nerve injury is commonly associated with resting the elbow on a hard surface, such as a table, and applying pressure to the elbow can also lead to cubital tunnel syndrome. Activ...

Understanding Nerve Pain and Tingling After COVID-19: A Neurology Perspective

Occasional tingling and pain in the hands and feet? Hello, doctor. Since I tested positive for COVID-19 in June, I have been experiencing occasional soreness in my left eye for about one to two weeks. I have seen a doctor who said my eyes are fatigued and performed examinations, ...

Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe there is a possibility of cervical spine compression, which can indeed cause symptoms on both sides. I recommend that you consult a neurologist for further evaluation. Thank you for your inquiry.

Understanding Occasional Numbness and Tingling in Limbs: Causes and Concerns

Occasional tingling or numbness in the hands and feet? Hello doctor, last week I experienced soreness in my left eye for four to five days and consulted a physician who mentioned that my eyes were fatigued. During this time, I occasionally felt tingling sensations in my left arm ...

Dr. Jiang Junyi Reply:
Hello Mr. Zhe, You mentioned that "the right side has somewhat similar symptoms," which may still warrant consideration of spinal nerve root compression. Additionally, cerebrovascular diseases should also be ruled out. Multiple sclerosis is considered a rare disease in...

Understanding Body Tingling: Possible Causes and Concerns

Tingling sensation in the body? Hello, doctor. Last night, I suddenly felt a tingling sensation on the left side of my torso, which went away while I was sleeping after about 4-5 hours. I have experienced this symptom occasionally in the past, and it usually resolves within 1-2 d...

Dr. Jiang Junyi Reply:
Dear Mr. Guang, You mentioned, "Is it possible that it's multiple sclerosis, or is it multiple neuritis? ... Could it be caused by issues with the cervical and lumbar spine?" Your symptoms may need to first consider problems with the cervical and lumbar spine. The...

Understanding Sudden Vision Changes: Possible Causes and Concerns

Vision problems I would like to ask the doctor under what circumstances symptoms of optic nerve compression could cause a sudden increase in my eye prescription. I primarily have issues with my eyes, but the ophthalmologist has not found any abnormalities. Here are my symptoms: ...

Dr. Peng Shiwei Reply:
Hello, regarding your question: 1. Generally, there are two types of brain lesions associated with the optic nerve. The first type involves brain lesions that cause compression of the optic nerve, with symptoms primarily manifesting as visual field defects, such as loss of peri...

Understanding CT Scan Results for Brain Issues: Key Questions Answered

CT Report for Brain Issues After getting my new glasses, I felt an immediate increase in my prescription. I noticed a faint shadow in areas with light, and I have been experiencing some headaches. Concerned that it might be caused by a brain tumor, I underwent a brain CT scan. Th...

Dr. Jiang Junyi Reply:
Hello Mr. Li: First of all, the symptoms of "brain tumors" can vary depending on the location in the brain. You mentioned that "after getting new glasses... it feels like the prescription suddenly increased," which may require ruling out refractive issues. Cou...

Understanding Persistent Dizziness: Possible Causes and Next Steps

Dizziness and an unsteady sense of balance? Hello Doctor, I have been experiencing dizziness for over a month. I have consulted with a neurologist, an otolaryngologist, and a cardiologist, and all tests have come back normal. However, my symptoms have not improved with medication...

Dr. Jiang Junyi Reply:
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...

Understanding Persistent Dizziness: Possible Causes and Next Steps

Dizziness and an unsteady sense of balance? Hello, Doctor. I have been experiencing dizziness for over a month. I have seen specialists in neurology, otolaryngology, and cardiology, and all tests have come back normal. However, my symptoms have not improved with medication. I wou...

Understanding Cervical Disc Herniation: Recovery and Treatment Insights

Cervical disc herniation issues? Hello Dr. Jiang: Recently, I have been experiencing back pain due to my fitness routine. Initially, I sought treatment from traditional Chinese medicine focusing on my thoracic spine. After some improvement, there was no further progress, so I dec...

Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-fu, You mentioned the issue of low bone density (seemingly below -3), which may be due to my consistently low body weight since birth. However, will this affect my recovery from a herniated disc? A herniated disc is typically caused by improper posture combined wi...

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