Understanding Left-Sided Headaches and Pulsatile Tinnitus: Causes and Concerns
Left-sided headache, numbness, and pulsatile tinnitus in the left ear? Hello, doctor. I previously asked this question, and it seems to have worsened. Could it be related to psychological factors? I have seen an ENT specialist, and there were no issues. I have had depression for ...
Dr. Jiang Junyi Reply:
Hello Mr. Hong: You mentioned experiencing a sensation of hearing blood flow or heartbeat, which feels pulsating. It seems to be pulsatile tinnitus, which can also be associated with vascular issues. Your symptoms: one of the most common causes of pulsatile tinnitus is dysfunctio...[Read More] Understanding Left-Sided Headaches and Pulsatile Tinnitus: Causes and Concerns
Is Autonomic Nervous System Disorder Linked to Cervical Spine Issues?
Is autonomic nervous system dysfunction caused by cervical spine issues? Hello, doctor. A couple of years ago, after sitting for a long time, I suddenly experienced symptoms such as chest tightness and sharp chest pain. After a while, I felt increasingly uncomfortable and fainted...
Dr. Cai Zongzhang Reply:
Hello Johnny: Based on the symptom description, it is recommended to visit a neurology outpatient clinic to check for any neurological pain.[Read More] Is Autonomic Nervous System Disorder Linked to Cervical Spine Issues?
Understanding Persistent Dizziness: Possible Causes and Treatment Options
Persistent dizziness and vertigo? Hello Doctor, I discovered over a year ago that I have poor hearing in my left ear, along with unilateral tinnitus, a feeling of fullness in the ear, and headaches. I began visiting an otolaryngologist for examinations, during which I underwent A...
Dr. Peng Shiwei Reply:
You should seek medical treatment at a neurology outpatient clinic for your symptoms. Thank you.[Read More] Understanding Persistent Dizziness: Possible Causes and Treatment Options
Understanding MRI Results: When to Seek Further Medical Advice
Magnetic Resonance Imaging Interpretation Issues Hello, doctor. I have been experiencing some health issues, so I underwent a health check-up and paid for a full-body MRI. I would like to ask the following questions: 1. The MRI report from the health check-up only mentioned a cy...
Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned, "it's not a significant issue, so it wasn't documented." This often reflects the personal judgment of the radiologist who interprets the report; some physicians may choose to minimize descriptions to avoid complicating explanatio...[Read More] Understanding MRI Results: When to Seek Further Medical Advice
Understanding Scalp Tingling: Is It a Sign of Stroke or Neck Issues?
Scalp tingling? Hello doctor, I have recently been experiencing occasional tingling sensations in the right back of my head (similar to the feeling of goosebumps). The frequency is not very high, and each episode lasts only a few seconds, but it continues to occur. Additionally, ...
Dr. Jiang Junyi Reply:
Hello Mr. TIM: You mentioned, "Is the tingling in the scalp more related to cervical spine issues or is it more likely related to a stroke?" Your symptoms should first consider cervical spine-related nerve compression. Typical discomfort symptoms associated with cervica...[Read More] Understanding Scalp Tingling: Is It a Sign of Stroke or Neck Issues?
Understanding Suboccipital Muscle Issues and Recovery Strategies
Suboccipital muscles After experiencing chills and shivering, I noticed that when I turn my head to the left, there is a popping sound. Slowly turning my head to the left is manageable, and when I support the back of my head with my hand while turning, there is no sound. I also n...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may be indicative of cervical spondylosis. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Suboccipital Muscle Issues and Recovery Strategies
Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Neck issues? Recently, after taking a shower (bending over to wash my hair) and using the computer, I notice a clicking sound at the junction of my neck and shoulder, approximately at the trapezius muscle area, specifically on the right side. This occurs only in the evening and r...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the "cracking sound at the junction of the neck and shoulders" may indicate cervical joint pathology, primarily due to degeneration of the cervical facet joints or symptoms caused by cervical disc herniation. This is commonly seen in cases of p...[Read More] Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Experiencing Dizziness While Sitting and Lying Down: Possible Causes and Solutions
Experiencing dizziness when lying down and a sensation of swaying while sitting? Hello doctor, starting from a certain day, I suddenly feel very dizzy while sitting, and it often occurs. However, it doesn't happen when I walk or exercise, and I experience vertigo when lying ...
Dr. Jiang Junyi Reply:
Dear Mr. YY, You mentioned that "one day I suddenly felt very dizzy while sitting, and it often occurs, but not when walking or exercising, and I experience vertigo when lying down." Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteri...[Read More] Experiencing Dizziness While Sitting and Lying Down: Possible Causes and Solutions
Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?
Can a congenital hypoplasia of the vertebral artery be improved by taking Xunli Ning to enhance cerebral blood circulation? I currently have symptoms due to cervical spondylosis affecting the C3, C4, and C5 vertebrae, which has led to related symptoms, one of which is dizziness. ...
Dr. Cai Zongzhang Reply:
Hello: There are many factors that can affect cerebral circulation. It is recommended to visit a neurology clinic for relevant examinations and to discuss treatment options with a physician. Please do not self-medicate.[Read More] Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?
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
Dizziness and Trapezius Pain: When to See a Neurologist?
Dizziness and trapezius muscle pain? Hello, Dr. Jiang. Recently, I've been experiencing neck pain and discomfort in my trapezius muscles, and I've also had some pain in my forehead and head. Whenever I sit and use the computer (due to work), the discomfort worsens. Some...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, specifically cervical spondylosis, which can cause neck pain and stiffness. This condition may compress nearby nerve roots, leading to pain that can extend to the shoulders, arms, and hand...[Read More] Dizziness and Trapezius Pain: When to See a Neurologist?
Chronic Right Upper Arm Pain: Causes and Management Strategies
Persistent pain in the right upper arm? I would like to ask the doctor, I am currently 18 years old, but I have had persistent pain in my right upper arm since childhood. It is not particularly severe, but certain specific positions can trigger intense soreness, requiring me to c...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, possibly due to nerve root compression. Excessive force during cervical rotation and other external factors may lead to cervical instability, dislocation, and cervical disc herniation. Typ...[Read More] Chronic Right Upper Arm Pain: Causes and Management Strategies
Persistent Headaches: Understanding Symptoms and Seeking Solutions
Persistent headache for six months? One night, I experienced severe headaches and pain around my eye sockets. I was only able to sleep after taking a sleeping pill. The next day, the pain subsided, but I developed shoulder pain. This lasted for a day and then went away. Subsequen...
Dr. Jiang Junyi Reply:
Hello: You may need to consider issues related to cervical fascia. Degenerative changes in the cervical spine can lead to neck pain and stiffness, as well as pain that radiates to the shoulders, arms, and hands due to compression of nearby nerve roots, causing discomfort. Medic...[Read More] Persistent Headaches: Understanding Symptoms and Seeking Solutions
Understanding Symptoms of Autonomic Nervous System Disorders in Teens
Similar to autonomic nervous system dysfunction? My symptoms began in December 2019 when I experienced pain in my jaw and a clicking sound when opening my mouth. I thought it was nothing serious, so I ignored it. However, after catching a cold in January, my condition has worsene...
Dr. Cai Zongzhang Reply:
Based on the described symptoms, it is recommended to consult a neurologist for evaluation.[Read More] Understanding Symptoms of Autonomic Nervous System Disorders in Teens
Understanding Muscle Twitches and Nerve Sensitivity in the Arm
Tremor issues? Hello Doctor: I am currently in the United States, and accessing healthcare is not very convenient. I would like to request your assistance, thank you. For the past five days, I have been experiencing involuntary twitching in the upper left arm, specifically in the...
Dr. Jiang Junyi Reply:
Hello, based on your described symptoms, they are very similar to cervical myofascial pain syndrome. Clinically, it often presents as pain in the affected area, discomfort, muscle stiffness, or a heavy sensation, and sometimes palpable myofascial trigger points can be felt under ...[Read More] Understanding Muscle Twitches and Nerve Sensitivity in the Arm
Can Hirayama Disease and Spinal Injuries Cause Headaches and Dizziness?
Hirayama disease Can cervical spondylosis and nerve compression due to acquired injuries lead to headaches and dizziness?
Dr. Jiang Junyi Reply:
Hello, based on your description, the possible cause of cervical spondylotic myelopathy may be repetitive or sustained neck flexion, which causes abnormal anterior displacement of the cervical dura mater in the lower neck, leading to compression of the cervical spinal cord. Repea...[Read More] Can Hirayama Disease and Spinal Injuries Cause Headaches and Dizziness?
Understanding Dizziness and Neck Pain: When to Seek Medical Help
Dizziness and issues with the neck and shoulders? I'm not very good at describing it, but right now I feel a bit dizzy, though not extremely so. It feels somewhat like having a heavy head and light feet, with a sensation that my head might drop off, almost like being startle...
Dr. Lan Shengxing Reply:
Dear Mr. Pan, many of the symptoms you mentioned are common among neurology patients. I recommend that you directly schedule an appointment with a neurologist, as the conditions you mentioned cannot rule out the possibility of multiple sclerosis.[Read More] Understanding Dizziness and Neck Pain: When to Seek Medical Help
Understanding Neurological Symptoms: Seeking the Right Specialist for Diagnosis
Symptom inquiry? Hello Dr. Lin: Recently, I have been experiencing many symptoms and have seen numerous doctors in various hospitals without finding the cause. Could you please help explain my symptoms? 1. I have sharp pain in the left back of my head accompanied by muscle spasms...
Dr. Lin Zijing Reply:
Your symptoms are quite broad and nonspecific, which may indicate the presence of two to three concurrent conditions or a transient episodic illness. Here are some analyses based on your symptoms: 1. Headache: The stabbing pain and spasms in the back of your head may be due to n...[Read More] Understanding Neurological Symptoms: Seeking the Right Specialist for Diagnosis
Persistent Right Arm Pain: Causes and Solutions Explained
Persistent soreness in the right arm? Recently, I have been experiencing soreness in my right arm (including both the forearm and upper arm). It becomes particularly painful when I rest my elbow on the table. Additionally, I have a slight tingling sensation in all five fingers of...
Dr. Lin Zijing Reply:
The most likely scenario is that long-term incorrect posture has caused an imbalance in muscle strength, leading to cervical spine strain, misalignment, or deformation. This can result in narrowed intervertebral spaces and cervical spondylosis. Additionally, cervical nerve root c...[Read More] Persistent Right Arm Pain: Causes and Solutions Explained
Understanding Chronic Neck Pain: When to See a Neurologist
Discomfort in the nape of the neck? Hello Doctor: I have been experiencing discomfort and pain in the back of my neck for about 6 to 7 years. I often feel dizzy and mentally fatigued, and the pain occurs at irregular intervals. Therefore, I am considering getting checked at the h...
Dr. Ye Boshou Reply:
Discomfort in the posterior neck is most likely due to tendonitis, commonly seen in individuals who maintain fixed positions, such as drivers and office workers. It can heal with continued movement. Other conditions like hypertension or cervical spondylosis may warrant referrals ...[Read More] Understanding Chronic Neck Pain: When to See a Neurologist