Neck Movement Causing Stiffness and Pain in the Back of the Head
Neck rotation causing stiffness and pain in the occipital region of the head? Hello, doctor. I have a question. When I turn my neck at certain fixed angles, it causes stiffness and pain in the back of my head, especially on the left side, which is more painful. The pain also radi...
Dr. Hong Weibin Reply:
Hello: For neck pain, you can consult either a neurologist or an orthopedic specialist. Poor posture over a long period is the most common cause of neck pain and stiffness in the occipital region. It is recommended to limit the use of electronic devices and to avoid looking down ...[Read More] Neck Movement Causing Stiffness and Pain in the Back of the Head
Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Suspected cerebrospinal fluid leak? Hello Doctor: I have been experiencing very severe headaches intermittently since childhood. Sometimes they occur due to excessive exertion or fatigue, while at other times the cause is unclear. The symptoms are generally very painful whether I...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the location of the headache changes with different positions, and if I eat on one side, I feel nauseous (if not, I don't feel anything special).... I suspect it might be a cerebrospinal fluid leak." Your symptoms may need to be co...[Read More] Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Understanding Unilateral Tinnitus and Ear Pain: Seeking the Right Specialist
Tinnitus in the right ear with three different types, pain in the temple, and pain in the ear slightly higher towards the left? Every night, I experience persistent unilateral tinnitus that has evolved into three types: pulsatile tinnitus synchronized with my heartbeat, a mid-fre...
Dr. Jiang Junyi Reply:
Hello Ms. Lin: You mentioned "unilateral tinnitus, ear pain, pulsatile tinnitus, pain in the temple area, and discomfort in the back of the head that radiates towards the ear, with increased pain when leaning slightly to the left." I recommend that you first stabilize t...[Read More] Understanding Unilateral Tinnitus and Ear Pain: Seeking the Right Specialist
Which Specialist Should You See for Persistent Dizziness and Pain?
Which specialty should I see? Hello doctor, I would like to ask about my condition: I have been experiencing noticeable dizziness 24 hours a day for the past few days, and since yesterday, I have been feeling a distinct swelling and pain in the back right side of my head. My brea...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult both an otolaryngologist and a neurologist for the above symptoms.[Read More] Which Specialist Should You See for Persistent Dizziness and Pain?
Understanding Neurological Disorders: Symptoms and Concerns Explained
Neurodisorder Hello Doctor, my recent condition is as follows: On the night of November 2nd, I experienced tinnitus and dizziness. On the morning of November 3rd, I woke up with muscle cramps and palpitations, and I began to feel numbness in my tongue. On the night of November 6t...
Dr. Cai Zongzhang Reply:
The above symptoms are related to dysfunction of the right facial nerve. It is recommended to visit a neurology outpatient clinic for examination and treatment.[Read More] Understanding Neurological Disorders: Symptoms and Concerns Explained
Understanding Occipital Pain When Lying on a Pillow
Headache when lying on the pillow while sleeping? Hello, doctor. I experience pain about 3 centimeters above the back of my head when lying on a pillow. Pressing firmly with my hand also causes pain. There are no skin conditions on my scalp, and the pain feels like it originates ...
Dr. Peng Shiwei Reply:
Hello, if there is significant tenderness and the pain point is very specific, it may be an issue related to the subcutaneous tissue or bone. It is recommended to consult with an internal medicine physician.[Read More] Understanding Occipital Pain When Lying on a Pillow
Understanding Heart Palpitations and Chest Pain After Vaccination
Chest pain and palpitations? In the past, I had a habit of exercising. After receiving my second dose of the Moderna vaccine in May of this year, I experienced palpitations (heart rate of 130-140) and had to visit the emergency room several times. However, all cardiac tests came ...
Dr. Peng Shiwei Reply:
Hello, it is indeed possible to experience palpitations after receiving the Moderna vaccine, but they typically do not last for an extended period. If your symptoms persist and other symptoms begin to appear, it is advisable to consult a cardiologist to rule out any heart-related...[Read More] Understanding Heart Palpitations and Chest Pain After Vaccination
Understanding Evening Headaches: Causes and When to Seek Help
Normal during the day, headache at night? Hello Doctor, I apologize for bothering you. Currently, I work in the morning and attend classes in the evening, with my sleep schedule being approximately from 12:00 AM to 6:50 AM. I have experienced similar situations before, but they d...
Dr. Peng Shiwei Reply:
Based on your condition, it is recommended that you visit a neurology outpatient clinic for further evaluation, as additional tests may be necessary.[Read More] Understanding Evening Headaches: Causes and When to Seek Help
Understanding Complex Head and Neck Pain: Possible Causes and Solutions
Pain in the neck, occipital region, temples, eyebrows, and cheekbones? Hello doctor, last Wednesday I carried two bottles of formula, each weighing 1.6 kg, home by bike. It was noon and the sun was very strong and glaring. After getting home, I started to have a headache. I initi...
Dr. Jiang Junyi Reply:
Hello Ms. A: You mentioned that "when lying down, I feel very uncomfortable from the back of my head to my shoulders, and my head hurts when I lie down. Additionally, my gums around the upper left wisdom tooth have been inflamed recently, and I experience throbbing pain in t...[Read More] Understanding Complex Head and Neck Pain: Possible Causes and Solutions
Understanding Facial and Scalp Numbness: Causes and Next Steps
Regarding facial and scalp numbness (medical examination has been conducted)? Hello, doctor. For the past two months, I have been experiencing intermittent numbness on the right side of my scalp and cheek, and occasionally around my nose. I do not have diabetes, hypertension, or ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the right side of the scalp and cheek area experiences intermittent numbness, and occasionally there is a tingling sensation near the nose." The MRI report did not reveal any lesions related to the trigeminal nerve. The symptoms should b...[Read More] Understanding Facial and Scalp Numbness: Causes and Next Steps
Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Autonomic nervous system dysfunction, trigeminal neuralgia? Hello Doctor, my recent condition is as follows: On the night of November 2, I experienced tinnitus and dizziness. On the morning of November 3, I woke up with muscle cramps and palpitations, and I began to feel numbness...
Dr. Cai Zongzhang Reply:
The above symptoms are related to the function of the right facial nerve, and it is recommended to visit a neurology outpatient clinic for treatment.[Read More] Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Understanding Tremors: Head and Body Shaking Symptoms Explained
Tremors in the head and torso? I have had a problem with hand tremors in the past, occurring both at rest and during movement. However, in the past few months, I have noticed that my head and torso tremble before sleep, and sometimes this occurs right after waking up (I do not ha...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is recommended to seek consultation with a neurologist specializing in movement disorders as soon as possible.[Read More] Understanding Tremors: Head and Body Shaking Symptoms Explained
Understanding CT Scans for Headaches: With or Without Contrast?
Headache CT scan? Hello, doctor. I would like to ask about my recent visit due to headaches. The doctor arranged a CT scan without the use of contrast dye, stating that the contrast would be more effective in detecting tumors. However, based on my symptoms, the doctor believes it...
Dr. Hong Weibin Reply:
Hello: Generally, contrast agents are administered when there is suspicion of tumors, brain inflammation, infections, or similar conditions. After intravenous injection of the contrast agent, patients may experience discomfort, including swelling and warmth. Some individuals may ...[Read More] Understanding CT Scans for Headaches: With or Without Contrast?
CT Scan for Headaches: To Contrast or Not? Expert Insights
Headache, contrast agent, computed tomography? Hello, Doctor. I went to see a neurologist due to headaches, and they arranged for a CT scan without contrast. I visited two different hospitals; one said I needed contrast (a smaller local hospital), while the other (Chang Gung Memo...
Dr. Peng Shiwei Reply:
Hello, it is not possible to determine if there are vascular issues without the use of contrast agents. However, whether or not to use a contrast agent to assess for vascular problems may still depend on your headache symptoms. If the doctor believes that your headaches are likel...[Read More] CT Scan for Headaches: To Contrast or Not? Expert Insights
Managing Peripheral Neuropathy: Medications and Symptoms Explained
Systemic neuropathy Hello Dr. Jiang: I would like to ask, if this is a peripheral nerve issue, what medications should be used for management? After receiving the vaccine last year, the burning sensation in my palms disappeared after about a month, while the burning in my soles l...
Dr. Jiang Junyi Reply:
Hello: You mentioned, "Is taking medications like Lyrica and Topamax, as well as Rivotril, helpful?" Based on clinical experience, the recommendation for neurological disorders is to "start low and go slow." You can begin with a low dose and try one medication...[Read More] Managing Peripheral Neuropathy: Medications and Symptoms Explained
Understanding Persistent Headaches: Symptoms and Possible Causes
About headaches? Hello Doctor: Ten days ago, at around 8 PM, I suddenly felt a strange sensation in my head, possibly similar to increased intracranial pressure, followed by a brief tingling sensation and then a persistent, severe throbbing headache. After taking pain medication ...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned that at 8 o'clock, you suddenly felt something unusual in your head, possibly similar to increased intracranial pressure, followed by a brief tingling sensation and then a persistent, severe throbbing headache. You also noted that you experien...[Read More] Understanding Persistent Headaches: Symptoms and Possible Causes
Understanding Head Trauma: Long-Term Effects and Concerns
Head trauma Hello, doctor. Two years ago, I was struck on the head by a metal pipe while at work. At the time, I was unsure if there was any issue, so I went to an orthopedic doctor for an X-ray. The doctor said there was no fracture in the skull. After two months, I saw a neurol...
Dr. Jiang Junyi Reply:
Dear Mr. Xiao: You mentioned: 1. I have always had concerns about whether a person can still function normally if there is a fracture or a slight crack in the skull. It has been two years since then; if there was a fracture at that time, could the person still be conscious? A...[Read More] Understanding Head Trauma: Long-Term Effects and Concerns
Is My Recent Muscle Spasm a Sign of Epilepsy Relapse?
Previously, it was epilepsy caused by encephalitis? Hello, I had encephalitis in 2017 that led to epilepsy, and I was hospitalized and treated with medication until around 2020. I have been regularly following up with my doctor and have had no seizures, gradually tapering off the...
Dr. Cai Zongzhang Reply:
Hello Duoduo: Whether the above symptoms indicate a recurrence of epilepsy depends on whether they are similar to the previous epileptic symptoms. It is recommended to visit a neurologist for an EEG, which can provide a better assessment.[Read More] Is My Recent Muscle Spasm a Sign of Epilepsy Relapse?
Understanding Brain Vibrations and Sensations of Electric Currents
Vibrations in the brain, feeling like microcurrents? Hello, doctor. I am 20 years old and, unfortunately, due to a history of consuming a lot of rich foods, I have developed hereditary hypertension. My blood pressure at home is around 130/75, but it surprisingly rises to 150/90 a...
Dr. Hong Weibin Reply:
Hello: It is recommended that you regularly measure your blood pressure, twice a day. Does this sensation of "blood rushing to your head, creating a feeling of pressure as if something is pressing down on your head" only occur when you are using your phone? Does it happ...[Read More] Understanding Brain Vibrations and Sensations of Electric Currents
Managing Medication for Diabetic Neuropathy: Key Considerations
Regarding the issue of discontinuing medication for neuropathy? Hello Dr. Tsai, I would like to ask about my father who has diabetes. About a month ago, he experienced discomfort with symptoms such as pain and cramps in his limbs, as well as headaches, and he visited a neurologis...
Dr. Cai Zongzhang Reply:
Hello Ms. Lin: If there is no pain, the anticonvulsant medication can be discontinued, and Methycobal, which is a high-dose vitamin B12, can be continued.[Read More] Managing Medication for Diabetic Neuropathy: Key Considerations