Understanding Persistent Dizziness: Causes and Connections to Heart Symptoms
Persistent dizziness throughout the day? Hello Doctor, I have been experiencing dizziness for almost a week now, which varies in intensity throughout the day. It feels more like a heavy sensation in my head, sometimes accompanied by tingling, resembling a shaking sensation like a...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned experiencing a sensation of heaviness in your head along with tingling symptoms, which may indicate a potential issue with nerve root compression. Conditions such as cervical disc degeneration, facet joint degeneration, and cervical disc herniation ca...[Read More] Understanding Persistent Dizziness: Causes and Connections to Heart Symptoms
Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Mild pain in the left occipital region and slight numbness in the left hand? Hello Doctor: My irregular sleep schedule has been ongoing for about six years, compounded by significant stress from university exams. In mid-May of this year, I suddenly experienced a ringing in my lef...
Dr. Jiang Junyi Reply:
Dear Ms. Irene, The description you provided, "lying on your side using your left hand to use your phone, and then experiencing numbness in your entire left arm the following morning that has not improved," may suggest symptoms related to cervical spine issues. Additio...[Read More] Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Understanding Brief Occipital Pain: When to Seek Neurological Care
Transient headache? Whenever I lie down, even if I haven't fallen asleep, I experience a brief dull pain at the back of my head that lasts for about 5 seconds. This has been occurring for over a week without improvement. What could this be related to, and should I seek medic...
Dr. Jiang Junyi Reply:
Dear Ms. Li, You mentioned experiencing a symptom of "brief dull pain in the back of the head lasting less than 5 seconds," which may indicate cervicogenic headache. This is primarily due to instability in the fascia surrounding the cervical spine, as some small muscle...[Read More] Understanding Brief Occipital Pain: When to Seek Neurological Care
Understanding Electric Shock Sensations in the Back of the Head
Head electrocuted? In the past two months, I have occasionally experienced a sensation in the back of my head that feels like an electric shock, which startles me, but it is not painful. I only feel a bit dizzy afterward, and when I wake up the next day, it feels better. I have s...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, The primary causes of vertigo are issues within the balance sensory system, such as otoliths in the inner ear or vestibular neuritis. The sensation you mentioned of feeling like an electric shock in the head is not closely related. This symptom may be due to periph...[Read More] Understanding Electric Shock Sensations in the Back of the Head
Understanding Stroke Symptoms: Facial Twitching and Other Concerns
Stroke, facial twitching? Hello Doctor, on September 5th while cleaning the floor during my shower, I experienced a noticeable feeling of cerebral congestion, but it subsided after a while, occurring two or three times. Since I was cleaning a new house, the air quality was poor, ...
Dr. Jiang Junyi Reply:
Hello, Sir: (1) Doctor, could my symptoms be a precursor to a stroke or caused by autonomic nervous system dysfunction? Your symptoms seem more indicative of cervical spine issues. (2) I have intermittent strabismus with a significant angle, which makes it tiring to see thing...[Read More] Understanding Stroke Symptoms: Facial Twitching and Other Concerns
Understanding Back Pain: Causes of Numbness and Discomfort
Back numbness and shooting pain? Hello doctor: I have a patch of skin on my upper back (near the shoulder blade) that feels unusual to the touch. It hurts when I press on it, and I often feel a tingling sensation along with occasional sharp pain. Sometimes, there is also a burnin...
Dr. Jiang Junyi Reply:
Dear Mr. Anderson, You mentioned that "a patch of skin feels strange... it often feels numb and occasionally has a burning sensation." This is more likely indicative of nerve root compression at the C7-C8 or T1 levels. Typically, this occurs due to prolonged poor postu...[Read More] Understanding Back Pain: Causes of Numbness and Discomfort
Understanding Nerve Pain: Insights on Tingling and Numbness
Tingling sensations in the hands and feet? Hello Doctor, on August 14th, after waking up from my afternoon nap, I felt a stabbing pain in the pad of my index finger. The next day, the stabbing pain improved, but I started to experience slight numbness in my right hand, which last...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may suggest a peripheral nerve issue. Pain accompanied by burning sensations, tingling, or even muscle weakness should raise concerns about nerve problems. Common causes of peripheral nerve injury include acute direct trauma such as nerve traction, t...[Read More] Understanding Nerve Pain: Insights on Tingling and Numbness
Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Is it related to sleeping posture, cervical spine issues, or vascular problems? Hello, Dr. Jiang. 1. The first issue is a problem that has existed for many years. I often experience numbness in the fingers of both hands while riding a motorcycle. It doesn't always happen i...
Dr. Jiang Junyi Reply:
Hello Mr. Chang, It seems that there are four issues based on your description: 1. Carpal tunnel syndrome may need to be considered. 2. Cubital tunnel syndrome may also need to be considered. 3. Cervical spine degeneration causing nerve root compression may be a possibility. 4...[Read More] Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Understanding Muscle Twitches and Pain: Is It Carpal Tunnel Syndrome?
Muscle issues Hello Doctor, a few days ago I asked about muscle twitching. Recently, I bought calcium effervescent tablets to drink, and the muscle spasms have improved somewhat, but they still occur frequently. How many days will it take to fully resolve? Additionally, in the pa...
Dr. Jiang Junyi Reply:
Hello: You mentioned carpal tunnel syndrome. Clinically, symptoms such as numbness and pain can occur in the sensory distribution area innervated by the median nerve. These symptoms often worsen at night, sometimes causing awakening due to pain. Numbness and pain may temporarily ...[Read More] Understanding Muscle Twitches and Pain: Is It Carpal Tunnel Syndrome?
Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
I'm not sure where the problem lies? Hello, doctor! For the past 6-7 years, I have been experiencing 1. persistent stiffness in my neck and shoulders. Whenever this stiffness occurs, I feel a pressure in my temples and forehead, as if a rope is tied around or gripping me, fo...
Dr. Jiang Junyi Reply:
Dear Mr. QQ, I am unsure if you have metabolic syndrome (characterized by abdominal obesity, hypertension, elevated fasting blood glucose, and high lipid levels). If you do, you may be at high risk for cardiovascular diseases. You mentioned several issues that seem related to me...[Read More] Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
Understanding Left Chest Pain: Causes and When to Seek Medical Help
Left chest pain? Hello Doctor, last night while I was sleeping, I experienced a slight stabbing pain in the upper left side of my chest (closer to the center). The duration felt quite long, and it also felt somewhat like a mild cramp. I'm unsure if this is related to nerve p...
Dr. Cai Zongzhang Reply:
Hello, Li! It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Left Chest Pain: Causes and When to Seek Medical Help
Understanding Facial and Scalp Numbness: Possible Causes and Concerns
Tingling sensation in the scalp and face? I'm not sure if I have hypertension, hyperlipidemia, or diabetes. I experienced facial numbness a couple of days ago, which was limited to my face, but today the numbness has spread to my entire head and face. I also noticed red stre...
Dr. Jiang Junyi Reply:
Dear Mr. Blue Sky, You have reached middle age, and the likelihood of developing metabolic syndrome and the three highs (hypertension, hyperlipidemia, and hyperglycemia) increases significantly. It is recommended that you take advantage of the free adult health checkups provided...[Read More] Understanding Facial and Scalp Numbness: Possible Causes and Concerns
Persistent Neck Heat: Understanding Symptoms and Possible Causes
Heat in the back of the neck? Hello, doctor! I initially thought that my fever was caused by a cold, but even though the cold has resolved for 1 to 2 months, I still experience a sensation of heat in the back of my neck. During the day, there are times when the back of my neck fe...
Dr. Jiang Junyi Reply:
Hello Mr. Haohao: Your symptoms may suggest cervical myofascial inflammation. In the early stages of cervical muscle and fascia tightness, there may not be obvious changes in the cervical spine, but imaging can show a decrease in curvature. Symptoms include pain at the affected s...[Read More] Persistent Neck Heat: Understanding Symptoms and Possible Causes
Understanding Hand Numbness: Causes and Concerns for Your Health
Numbness in the hands? I apologize for bothering you, doctor. Some time ago, I spent a long time in bed using my phone and computer, and I have been experiencing pain in my left shoulder and neck that radiates down to my ring and little fingers, which sometimes feel numb. Occasio...
Dr. Cai Zongzhang Reply:
Hello! Based on the above, these symptoms do not match the clinical characteristics of amyotrophic lateral sclerosis (ALS). It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Hand Numbness: Causes and Concerns for Your Health
Persistent One-Sided Head and Neck Pain After COVID-19 Vaccination
Unilateral persistent pain in the head, temples, jaw, and shoulder-neck region? Hello, Doctor. I received my first dose of the AstraZeneca vaccine in early May. At that time, the side effects included severe pain in my head and neck, as well as a low-grade fever. I rarely experie...
Dr. Jiang Junyi Reply:
Hello, Sir: Your symptoms seem to indicate cervical myofascial inflammation, and cervicogenic headache is a common cause. You mentioned, "I consulted two neurologists along the way; one believed it might be related to autonomic nervous system dysfunction, but I did not exper...[Read More] Persistent One-Sided Head and Neck Pain After COVID-19 Vaccination
Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Dizziness, headache, and tightness and pain in the shoulder and cervical spine? Hello, doctor. I started experiencing severe headaches, dizziness, neck tightness and pain, and numbness in my hands and feet around July of last year. I initially thought it was due to fatigue or hea...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to your original issues, we may need to consider vascular headaches, which could be related to your menstrual cycle. Furthermore, since you mentioned a connection to posture, we should consider "intracranial hypotension headache." The primary sy...[Read More] Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Understanding Neck Pain: Causes and Treatment After a Concussion
Neck issues Hello Doctor, last July I fell while ice skating and suffered a concussion. After recovering, I have been experiencing persistent neck pain. The pain became unbearable, so I went to the hospital for an examination. I had an X-ray of my neck, and the doctor said that t...
Dr. Jiang Junyi Reply:
Hello, Miss: Based on your description, it may be necessary to consider spinal-related disorders. Excessive force during neck rotation and other external factors can lead to cervical instability, dislocation, and cervical disc herniation. If there are pathological changes in the ...[Read More] Understanding Neck Pain: Causes and Treatment After a Concussion
Understanding Sudden Neck and Head Pain: When to Seek Neurology Help
Headache and neck pain, with the size and intensity of the pain points being consistent? Hello Doctor, thank you for taking the time to address my concerns amidst your busy schedule. Two days ago, while standing and working on a report, I suddenly experienced severe pain below my...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned wanting to know if this is a sign of a blood clot. A: If a blood clot is present, you can check the D-dimer to see if the clotting index has risen. In the case of vertebral artery embolism, it is usually accompanied by symptoms of loss of motor function...[Read More] Understanding Sudden Neck and Head Pain: When to Seek Neurology Help
Understanding Pulsating Sensation in the Left Occipital Region
Twitching of the muscles near the left ear and occipital region? Hello Doctor, since last Friday night, I have been experiencing a pulsating sensation in the left side of my occiput (just above the left side). It feels similar to an eyelid twitch, but now it is in the back of my ...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Chieh, In this era where everyone uses electronic devices, such issues are relatively common. The most common cause of muscle spasms in the left cervical region is nerve root compression in the cervical spine, leading to muscle tension. Prolonged periods of looki...[Read More] Understanding Pulsating Sensation in the Left Occipital Region
Understanding Potential Allergic Reactions to Ganderston Ointment
Follow-up on suspected drug allergy? Hello Dr. Jiang, thank you very much for taking the time to respond to my previous question. However, I still have some doubts. I applied a small amount of Ganderson ointment on the back of my left hand, which has no wounds. About a minute lat...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms do not seem to be caused by the ointment. Ganderston ointment contains a higher concentration of steroids. I would like to know the area of your numbness. It may still be necessary to consider peripheral nerve compression, which could be due to nerve roo...[Read More] Understanding Potential Allergic Reactions to Ganderston Ointment