Understanding the Causes of Occasional Pain in the Back of the Head
Occipital headache Hello Doctor: Recently, I have been experiencing frequent pain in the back of my head. Initially, I thought it was related to shoulder and neck pain, but these past few days while walking on the treadmill, I felt no pain in my head at first, but then the pain i...
Dr. Jiang Junyi Reply:
Dear Mr. Weng, You mentioned that "if I slightly pull my arm down, I feel pain at the back of my head, and the more I pull, the more it hurts." This may indicate cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle at ...[Read More] Understanding the Causes of Occasional Pain in the Back of the Head
Understanding Neck Discomfort: Causes and Solutions for Nerve Pain
Discomfort in the posterior neck? Hello Doctor, recently I've been feeling very uncomfortable in the right posterior area of my head where it connects to my neck. Occasionally, I experience sharp, brief pain along a specific nerve that lasts only a few seconds. Over time, th...
Dr. Jiang Junyi Reply:
Dear Miss MIN, You mentioned that you feel very uncomfortable at the right posterior side of your head connecting to your neck, and occasionally experience sharp, uncomfortable sensations in a certain nerve (which do not last long, about a few seconds). The common cause of the n...[Read More] Understanding Neck Discomfort: Causes and Solutions for Nerve Pain
Understanding Trigeminal Neuralgia: Symptoms, Treatments, and Relief Strategies
Trigeminal neuralgia Hello doctor, two nights ago I experienced severe pain in the area behind my right ear, but it subsided quickly. However, yesterday the pain suddenly intensified, accompanied by severe pain in my upper right teeth and cheek. Between midnight and 9 AM, I took ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the doctor said the pain in my cheek is trigeminal neuralgia, and one of the medications prescribed to me is 'Shunao.' After taking it, I still experienced pain about half an hour later. Is Shunao effective for trigeminal neuralgia?...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Treatments, and Relief Strategies
Severe Neck Pain: When to Seek Emergency Care?
If you are experiencing sudden, severe pain that prevents you from moving, you should go to the emergency room? Sudden neck pain that makes it difficult to breathe, with pain persisting even at rest, inability to move the head, weakness in the neck, and a sensation of breathlessn...
Dr. Jiang Junyi Reply:
Hello, You mentioned cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but over time, it can worsen and affect da...[Read More] Severe Neck Pain: When to Seek Emergency Care?
Understanding Right Neck and Head Pain: Causes and Relief Strategies
Right shoulder and neck pain with tenderness upon palpation at the right occipital region? Hello, I have a history of migraines, but recently I've been feeling a sense of heaviness in my head at times (not dizziness). After looking down for a while, I experience soreness in ...
Dr. Cai Zongzhang Reply:
Hello Ting: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Right Neck and Head Pain: Causes and Relief Strategies
Head Injury from Hitting a Wall: When to Seek Medical Attention
Bumped the top of the head against a wall corner with force? Hello, doctor. Yesterday, while wearing a hat, I didn't notice that the ceiling ahead was lower and walked straight into it, resulting in a strong impact on the right angle of the ceiling's concrete and steel ...
Dr. Cai Zongzhang Reply:
Hello, Lin: If you experience persistent numbness in the left side of your limbs, please visit a neurology or orthopedic outpatient clinic for evaluation.[Read More] Head Injury from Hitting a Wall: When to Seek Medical Attention
Understanding Eyelid Twitching: Causes and When to See a Neurologist
Eyelid twitching Hello, Doctor! I would like to inquire about a condition I experience. Whenever I close my eyes to rest, I can feel my eyelids rapidly twitching (similar to rapid blinking, but my eyes are still closed). This twitching does not stop even if I keep my eyes closed ...
Dr. Jiang Junyi Reply:
Hello Miss Tong, You mentioned, "After opening my eyes, my eyelids don't blink uncontrollably anymore, and this has been going on for a while. I wonder what could be causing this issue?" Most eyelid twitching is physiological and not caused by any disease. The eye...[Read More] Understanding Eyelid Twitching: Causes and When to See a Neurologist
Unexplained Weakness and Tremors in Children: A Neurological Concern
Unable to walk, feeling weak? Your question: A child was hospitalized due to severe abdominal pain and a Mycoplasma pneumoniae infection. The next day, they began experiencing continuous tremors in their hands and feet, generalized weakness, and shortness of breath. They have bee...
Dr. Jiang Junyi Reply:
Hello: You mentioned, "It has been 14 days, the cerebrospinal fluid has been tested and there are no issues, all necessary examinations have been conducted, and the symptoms remain the same. What other tests should be done?" In this case, it may be advisable to consult ...[Read More] Unexplained Weakness and Tremors in Children: A Neurological Concern
Understanding Arm Numbness: Possible Causes and Treatment Options
Questions about arm numbness? Hello Doctor, for the past month or so, I have been experiencing a sensation in my upper arm, specifically in the deltoid area, that feels similar to the numbness one gets after sleeping on their arm. Sometimes there is also a soreness, while other t...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned, "Are there other issues such as cubital tunnel syndrome or other neurological disorders that could produce similar symptoms? Or can we almost definitively conclude that it is a cervical spine issue?" Typically, symptoms resulting from nerve...[Read More] Understanding Arm Numbness: Possible Causes and Treatment Options
Neck Compression and Sleep Issues: Choosing the Right Pillow
Cervical spine compression and sleep issues? Hello, doctor. I have compressed nerves in my cervical spine. After rehabilitation, the pain has subsided, but I still experience occasional hand numbness and intermittent neck pain while sleeping. In this condition, are there any spec...
Dr. Jiang Junyi Reply:
Hello Mr. Ben, You mentioned that you still experience intermittent hand numbness and neck pain while sleeping. I would like to know which cervical vertebrae you have issues with. I recommend using a supportive neck pillow, as cervical spine disorders are closely related to the ...[Read More] Neck Compression and Sleep Issues: Choosing the Right Pillow
Understanding Unilateral Pupil Dilation and Its Possible Connections
Unilateral pupil dilation? Hello, doctor. Two years ago, while I was abroad, I suspect that I sustained a blunt force injury to the back of my head. At that time, my right pupil did not respond to light and remained dilated. Since I was unaware of the cause, I did not seek medica...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: You mentioned that "the right pupil had no light reflex and remained dilated. At that time, I didn't know the cause and didn't see a doctor. After about a month, the right pupil returned to normal, but afterwards, there was occasionally a small amou...[Read More] Understanding Unilateral Pupil Dilation and Its Possible Connections
Understanding Weakness and Tremors in Hand Grip: A Neurology Perspective
Weakness and numbness in the hands? Hello doctor, recently I have been experiencing difficulty in gently making a fist with both hands. When I try to make a light fist, my hands feel very weak and slightly tremble, similar to the weakness I feel in the morning upon waking up (fee...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "when not using your arms, there may be a slight feeling of soreness or weakness in the arm muscles (especially when lying down or sitting)." It is important to consider cervical nerve root compression. The fascia around the cervical spine has ...[Read More] Understanding Weakness and Tremors in Hand Grip: A Neurology Perspective
Understanding Brain Abscess: Symptoms, Causes, and Diagnosis
Brain abscess? Hello, doctor. Since I had two upper right molars extracted last year, I've been experiencing persistent discomfort in my head. I've seen doctors and had a CT scan done, and they all said my brain is fine, attributing my symptoms to anxiety and poor sleep...
Dr. Jiang Junyi Reply:
Hello: You mentioned, "Last year I had two upper right molars extracted... the extraction healed quite well in about three days..." Brain abscesses typically present with fever as a symptom, and the symptoms can be quite urgent, especially in cases of bacterial brain in...[Read More] Understanding Brain Abscess: Symptoms, Causes, and Diagnosis
Understanding Post-Anesthesia Dizziness: Causes and Concerns
Questions about dizziness for my mother? Mother underwent general anesthesia for a bladder endoscopy and resection surgery from February 23 to February 25. After the anesthesia, she experienced mild headache for one night, which resolved the next morning upon discharge. However, ...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "lacunar infarct at the left lentiform nucleus," which refers to a small infarct in the left lentiform nucleus. This may be related to motor function. However, it is still necessary to assess the relevant neurological functions. Regarding...[Read More] Understanding Post-Anesthesia Dizziness: Causes and Concerns
Understanding Persistent Tinnitus: Insights from a Neurology Perspective
Tinnitus Hello Dr. Jiang: I have been experiencing high-frequency tinnitus for 11 years, which started suddenly a few weeks after my military discharge. I served as a private in the artillery (not sure if it's related to stress or the sound of artillery?). The tinnitus is on...
Dr. Jiang Junyi Reply:
Hello Allen: You mentioned "right ear tinnitus at 3000-8000 Hz, high at 52 dB and low at 12 dB, left ear at 250-8000 Hz, high at 17 dB and low at 13 dB," which may indicate a loss of auditory nerve cells in the right ear due to the high decibel levels. The "closed ...[Read More] Understanding Persistent Tinnitus: Insights from a Neurology Perspective
Head Injury from Bathroom Fall: When to See a Neurologist?
I fell in the bathroom around noon and hit the back of my right head? Hello Doctor: I slipped and hit my head in the bathroom around noon. Since the bathroom is small, I didn't fall flat on my back; instead, my head struck the wall behind me at a nearly vertical angle. I ins...
Dr. Jiang Junyi Reply:
Dear Miss Emma, You mentioned experiencing "chest tightness that feels better with deep breaths, and mild swelling in your right hand. I would like to ask if you need to visit the neurology or surgery outpatient clinic tomorrow?" Generally speaking, if there is no loss...[Read More] Head Injury from Bathroom Fall: When to See a Neurologist?
Understanding Dizziness and Pressure: Neurological Insights and Solutions
Dizziness and a feeling of heaviness in the head? Hello Doctor: I have been experiencing dizziness, a feeling of pressure in my head, and nausea for almost three weeks. After visiting an ENT specialist and taking medication, I haven't vomited in the past few days, but I stil...
Dr. Jiang Junyi Reply:
Dear Miss Ling, You mentioned that "my head still feels a bit dizzy and swollen, with pain on both sides, and my ears also hurt a little. I feel heavy-headed and light-bodied, and looking at my phone causes some dizziness... After visiting the ENT and taking medication, I h...[Read More] Understanding Dizziness and Pressure: Neurological Insights and Solutions
Understanding Post-Impact Head Discomfort: Causes and Concerns
Head trauma Hello, doctor. In the first half of 2020, I had two upper molars extracted, and since then, I have experienced discomfort in my head. I started seeing doctors, but they all said it was unrelated to the tooth extraction, attributing it to anxiety and sleep issues. I ha...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Has the impact to the head caused internal bleeding or delayed bleeding? It has been a year and a half; could it last this long? Additionally, could the earlier tooth extraction have affected the brain? After all, I have been experiencing discomfo...[Read More] Understanding Post-Impact Head Discomfort: Causes and Concerns
Understanding Eyelid Twitching: Causes and Remedies Explained
Eyelid muscle twitching Hello Doctor: My eyelid has been twitching for nearly a month, specifically in the upper left eyelid. It twitches intermittently several times a day, although it is not very noticeable externally, I can clearly feel it. The twitching seems to occur more fr...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that your eyelid twitches "when you hit your head and when you are more tired; what could be the problem?" Eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe th...[Read More] Understanding Eyelid Twitching: Causes and Remedies Explained
Unexplained Tremors and Weakness in Children: A Neurological Concern
Continuous shaking of the limbs (weakness in the extremities), headache, and difficulty breathing? The child was hospitalized due to severe abdominal pain and a cough caused by a mycoplasma infection. Starting the next day, they experienced continuous tremors in their hands and f...
Dr. Jiang Junyi Reply:
Hello: You mentioned "Mycoplasma infection, which led to hospitalization, and starting the next day, there has been continuous trembling of the hands and feet, general weakness, and difficulty breathing." Some species of mycoplasma can potentially affect the nervous sys...[Read More] Unexplained Tremors and Weakness in Children: A Neurological Concern