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...[Read More] Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
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...[Read More] Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues
Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
I have a severe headache that feels like an explosion on both sides, and the ringing in my ears has become louder? I have a terrible headache. I thought taking a nap would help, but the pain woke me up. I first went to a neurologist for an MRI, which showed no issues. I visited a...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You mentioned issues related to "headaches and cranial noises," which may suggest tension-type headache, a form of myofascial pain. Myofascia refers to the connective tissue that envelops the surface of muscles. Tension-type headaches are caused by tightn...[Read More] Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
Understanding Tightness and Dizziness While Sitting: Possible Causes and Solutions
When sitting, my head feels tight and swollen, and sometimes I feel dizzy? Recently, I often feel a tight and swollen sensation in my head while sitting in front of the computer, almost like a feeling of inadequate or excessive blood flow to the head. It’s not as severe when I’m ...
Dr. Peng Shiwei Reply:
Hello, if the headache is caused by posture, you may consider consulting a neurologist. However, I believe that if the headache only occurs while sitting, especially when using the computer, it may be related to chronic poor posture. I recommend that you go for a consultation so ...[Read More] Understanding Tightness and Dizziness While Sitting: Possible Causes and Solutions
Can Head Injuries Lead to Mental Illness? Understanding the Risks
Can a head injury lead to mental illness? When my brother was in the second year of junior high school, we were playing basketball, and in a moment of anger, I pushed him while he was in the air. This caused him to fall face-first onto the ground. At that moment, he had facial br...
Dr. Jiang Junyi Reply:
Hello Mr. Stephen: Generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious local hematomas, head trauma is mostly mild. You mentioned that "a few months later, your brother developed a high fever and experienced symptoms of epilepsy," ...[Read More] Can Head Injuries Lead to Mental Illness? Understanding the Risks
Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Severe headache on one side at a specific time during sleep? Since last week, I have been waking up in severe pain around five or six in the morning. The pain starts from my left temple and radiates to the entire left side of my face, lasting about five minutes before subsiding f...
Dr. Jiang Junyi Reply:
Dear Ms. Qianyu, You mentioned that "you are often awakened by severe pain around five or six in the morning, starting from the left temple." Your symptoms may suggest a consideration of sinus headache. Typically, there is a feeling of pressure or fullness around the e...[Read More] Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Understanding Sensory Loss: Possible Causes and Solutions
Numbness sensation Hello Doctor: About three days ago, I noticed a reduction of approximately 80% in the sensation of cold and heat in my left hand's ring and little fingers, along with a slight decrease in strength, but there is no significant numbness or pain. In addition ...
Dr. Jiang Junyi Reply:
Dear Ms. K: You mentioned that you have decreased sensitivity to temperature in your left ring and little fingers. Your symptoms may suggest an abnormality in ulnar nerve function. The ulnar nerve innervates part of the little finger, half of the ring finger, and the correspondi...[Read More] Understanding Sensory Loss: Possible Causes and Solutions
Understanding Head and Tooth Pain: When to Seek Neurological Help
Head and tooth pain? Hello Doctor, I am a 23-year-old female. I have been experiencing pain in my head and teeth for a week. The headache is located on the left side, above the ear, extending to the top of the head. Accompanying symptoms include sharp pain in the lower left teeth...
Dr. Jiang Junyi Reply:
Hello Ms. Zhyn, You mentioned that "the location of the trigeminal nerve sometimes feels like being scratched by something, with a sharp pain similar to an electric shock lasting for a second; sometimes it occurs continuously, and other times with longer intervals. However,...[Read More] Understanding Head and Tooth Pain: When to Seek Neurological Help
Understanding Muscle Tension: Symptoms and Solutions for Neurological Issues
Involuntary muscle tension? Hello Doctor: Since around middle school, I have experienced episodes where my head involuntarily turns to the left, and the muscles in my face, neck, and limbs temporarily (for about ten seconds) maintain a rigid posture, becoming twisted and unable t...
Dr. Peng Shiwei Reply:
Hello, there are many possible diagnoses for your symptoms. I recommend that you visit a neurology clinic for a detailed evaluation. Thank you for your inquiry.[Read More] Understanding Muscle Tension: Symptoms and Solutions for Neurological Issues
Understanding Pain Around the Big Toe: Possible Causes and Solutions
Pain in the front side and underneath of the big toe? Doctor, my big toe is experiencing pain around the nail and underneath the toe. It feels sore and has a tingling sensation. There is slight redness on the surface, and taking medication for gout has not been effective. I would...
Dr. Wu Mukhan Reply:
Hello, gout typically occurs at the metatarsophalangeal joint of the big toe, which is different from the location you described and is less likely to be gout. If there is redness, swelling, and pain, there may be inflammation or infection. It is recommended to visit a dermatolog...[Read More] Understanding Pain Around the Big Toe: Possible Causes and Solutions
Understanding Unexplained Dry Heaving: Possible Neurological Causes
Frequent unexplained dry heaving? Hello Doctor, I am currently 21 years old and a university student. For the past three years, I have occasionally experienced dry heaving and nausea. Initially, I suspected that it might be due to eye strain from prolonged use of my phone or comp...
Dr. Jiang Junyi Reply:
Hello Mr. Kevin, You mentioned experiencing symptoms of bright vision and dry heaving occurring simultaneously, which typically requires a day of rest and sleep for the symptoms to resolve the next day. I wonder if you are also experiencing headaches? It may be worth considering...[Read More] Understanding Unexplained Dry Heaving: Possible Neurological Causes
Understanding Facial Twitching: Causes and When to See a Neurologist
I've been experiencing twitching in my right cheek before going to bed these past couple of days? As per the title, over the past couple of days, I have been experiencing a tight sensation in my right cheek during the evenings, which may twitch once or twice. When lying down...
Dr. Jiang Junyi Reply:
Hello Ms. Chang, You mentioned that "the right cheek feels a bit tight and may twitch once or twice," which could still be symptoms related to poor sleep. Your symptoms do not seem to resemble facial nerve paralysis, which affects the seventh cranial nerve and is clini...[Read More] Understanding Facial Twitching: Causes and When to See a Neurologist
Understanding Facial Numbness and Tingling: Possible Causes and Concerns
Numbness in the face and hands? Hello, doctor. I have a slight tingling sensation around my right cheek and right ear. Two years ago, it was around my ear, and now it’s on my cheek. I can feel a soft, movable lump about one centimeter on my right cheek. Visually, the nasolabial f...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned several issues. Clinically, we should first address the acute problems. The "slight tingling sensation around the right cheek and right ear... a soft, movable lump" may indicate potential compression of the trigeminal nerve, specifically the ...[Read More] Understanding Facial Numbness and Tingling: Possible Causes and Concerns
Understanding Left-Sided Numbness: Possible Neurological Causes
Left-sided partial numbness? Hello, I have a situation that may seem strange, but I couldn't find similar reasons no matter how much I searched, so I'm reaching out to you. It started with an itch in a single tooth, and I initially thought it was a gum issue. However, t...
Dr. Wu Mukhan Reply:
Hello, it seems that you are experiencing sensory abnormalities on the left side of your face as well as on the left side of your body. This situation requires ruling out any issues related to the brain, as stroke or central nervous system lesions cannot be completely excluded. I...[Read More] Understanding Left-Sided Numbness: Possible Neurological Causes
Why Mixing Medications Can Lead to Severe Headaches
Taking medications together can cause headaches? Hello, doctor. I have previously taken both Tylenol and antibiotics without any issues, but whenever I take two or more medications together, I experience headaches. It doesn't matter if they are pain relievers or antibiotics;...
Dr. Jiang Junyi Reply:
Dear Miss Yoda, You mentioned "antibiotics... headaches, orbital pain, tongue pain, pain inside the ears, and pain on almost half of the face." I am unsure of the specific antibiotic you are referring to. If it is a fluoroquinolone, headaches can indeed occur as a side...[Read More] Why Mixing Medications Can Lead to Severe Headaches
Post-Radiation Facial Numbness After Trigeminal Neuroma Treatment: What to Do?
Facial numbness after radiation therapy for trigeminal nerve tumor? After undergoing radiation therapy for a trigeminal nerve tumor, will facial numbness improve two months later? I have consulted my doctor and have been taking vitamin B for three months, but there has been no si...
Dr. Cai Zongzhang Reply:
Hello: The function of the trigeminal nerve is to control the sensory functions of the face. After treatment for trigeminal neuralgia, it is difficult to avoid residual facial numbness; however, this symptom is not life-threatening and can be managed with ongoing treatment in the...[Read More] Post-Radiation Facial Numbness After Trigeminal Neuroma Treatment: What to Do?
Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
Neck issues, numbness in the limbs, facial nerve twitching? Initially, I experienced tightness in my shoulders and neck along with numbness in my hands (more severe in the right hand). Subsequently, I began to feel numbness in my left foot, and the muscles on both sides of my nec...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned experiencing "tingling in the left foot" and "intermittent electric shock-like sensations and pain in the muscles on both sides of the neck (right side)." Based on your description, it may be necessary to consider cervical spine disor...[Read More] Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
Understanding Muscle Spasms and Chest Pain: When to Seek Help
Experiencing a seizure to the point of nearly fainting? It felt like a cramp, but I wasn't sure if it was actually a cramp. One moment I was in a good mood playing, and then I got on a motorcycle. Within a minute, I started feeling pain in the left pectoral muscle near the a...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may be caused by a neurological disorder, and it is recommended to visit a neurology clinic for further evaluation.[Read More] Understanding Muscle Spasms and Chest Pain: When to Seek Help
Managing Trigeminal Neuralgia After an Ear Injury: Expert Advice
Trigeminal neuralgia Hello, doctor: I accidentally pulled my left ear and now I have trigeminal neuralgia. What should I do?
Dr. Wu Mukhan Reply:
Hello, the trigeminal nerve is one of the important sensory nerves in the human face, primarily located around the forehead, eyes, nose, cheeks, and lips. Pain behind the ear is likely not related to the trigeminal nerve. If the pain behind the ear is caused by a pull or injury, ...[Read More] Managing Trigeminal Neuralgia After an Ear Injury: Expert Advice
Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments
Trigeminal neuralgia Hello, doctor: I have a tingling sensation in my left ear, my cheek feels numb, there is nerve pain below the left ear, and I am experiencing severe pain in the area above and to the left of my ear. Is this related to trigeminal neuralgia? What treatment shou...
Dr. Jiang Junyi Reply:
Dear Mr. Avi, You mentioned experiencing a "tingling sensation in the cheeks," which may warrant consideration of inflammation of the mandibular branch of the trigeminal nerve. This can occur due to compression by vascular structures as the trigeminal nerve enters the ...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments