Understanding Cervical Spine Issues and Their Impact on Health
Consultation on cervical spine and related issues? Hello Dr. Jiang, I have been experiencing significant discomfort in my neck recently, so I came to seek your advice. Last week, due to a month-long episode of dizziness and lightheadedness, I visited Chang Gung Memorial Hospital ...
Dr. Jiang Junyi Reply:
Hello: 1. Is there really a concept of congenital straight cervical spine? It seems that there are differing opinions between neurologists and orthopedic doctors. 2. If there is indeed a congenital straight cervical spine, would it affect muscle stiffness? I have noticed that ...[Read More] Understanding Cervical Spine Issues and Their Impact on Health
Understanding Visual Symptoms in Migraine: Causes, Treatments, and Duration
Migraine with visual symptoms Hello Doctor: Recently, I have been experiencing zigzag-shaped flashes in my left eye every few days (without headaches), and whenever I lie down, I notice a slight flashing sensation, similar to a light bulb repeatedly turning on and off, or like te...
Dr. Jiang Junyi Reply:
Hello: 1. What medications are typically prescribed to alleviate migraine with visual symptoms? A: If the visual symptoms occur within half an hour before the headache, it is referred to as migraine with aura. Medications such as ergotamine (e.g., Cafergot) or triptans (e.g., ...[Read More] Understanding Visual Symptoms in Migraine: Causes, Treatments, and Duration
Understanding Nerve Issues: Leg Pain and Abdominal Tightness Explained
Foot arch problems? The patient reports experiencing numbness on the side of the thigh extending down to the foot, which is mild in nature. A nuclear magnetic resonance imaging (MRI) scan was performed at a large hospital, examining the cervical spine and pelvis, but no cause was...
Dr. Hong Weibin Reply:
Hello: Your symptoms may warrant an evaluation by a neurologist. If there is no evidence of sciatic nerve compression, it may be necessary to consider the possibility of a demyelinating nerve disease. It might be necessary to arrange for upper and lower limb nerve conduction stud...[Read More] Understanding Nerve Issues: Leg Pain and Abdominal Tightness Explained
Understanding Internal Tremors: When to Seek Neurological Help
Internal tremors Hello, doctor. I have a question. When I wake up from sleep and lie flat, I feel a tremor in my body, although there is no visible shaking. It feels as if there are two hearts beating inside me, accompanied by numbness in my palms upon waking. Occasionally, I als...
Dr. Jiang Junyi Reply:
Hello: Your first question concerns body tremors. It may be necessary to consider that muscle tension is excessively high due to an inability to relax. Clinically, symptoms are often improved through relaxation training or the use of sedative medications. It is recommended that y...[Read More] Understanding Internal Tremors: When to Seek Neurological Help
Unusual Sensations on the Left Side of the Head: Causes and Concerns
I feel strange sensations on the left side of my head? I have been feeling strange in the left side of my head for a week, as if I have been on the phone for too long and the electromagnetic waves are making my brain feel odd. My left big toe has been numb for about a year, and t...
Dr. Jiang Junyi Reply:
Hello: Your issue may need to first rule out cervical nerve root compression before considering abnormalities in brain structure. External factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rotation can lead to cervical...[Read More] Unusual Sensations on the Left Side of the Head: Causes and Concerns
Chronic Neck Stiffness and Swelling: Seeking Solutions for Persistent Pain
Unilateral neck swelling and tightness, with stiffness in the shoulders and upper back for many years? Hello, doctor. I have been experiencing stiffness and swelling in my right neck for many years. When I turn my head to the right, I feel tightness, and my right eyelid and eyebr...
Dr. Jiang Junyi Reply:
Hello, based on your description, I believe it is essential to first clarify whether there is cervical nerve root compression or cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder dis...[Read More] Chronic Neck Stiffness and Swelling: Seeking Solutions for Persistent Pain
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
Understanding Numbness and Tension: When to Seek Medical Advice
Numbness issues? Hello Doctor, I have been experiencing tightness in my scalp recently, occasionally accompanied by tingling sensations. This has been going on for a while. I also feel discomfort on the left side of my neck, near the sternocleidomastoid muscle, which is sometimes...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned, such as "discomfort on the left side of the neck near the sternocleidomastoid muscle occasionally accompanied by slight headaches," are more indicative of cervicogenic headache or tension-type headache. However, the "numbness in t...[Read More] Understanding Numbness and Tension: When to Seek Medical Advice
Understanding Persistent Headaches, Dizziness, Nausea, and Memory Issues
Headache, dizziness, nausea, forgetfulness? Hello, doctor. About two weeks ago, I started experiencing severe headaches around 2 PM every day, accompanied by dizziness and nausea. After taking painkillers, the pain subsides for just over an hour before the dizziness, headache, an...
Dr. Jiang Junyi Reply:
Hello: Although your symptoms are more indicative of tension-type headaches, they have been progressively worsening over the past two months. Additionally, there are signs of cognitive function impairment. It is strongly recommended that you seek medical evaluation to rule out an...[Read More] Understanding Persistent Headaches, Dizziness, Nausea, and Memory Issues
Understanding Hand Cramps: Possible Links to Neck Issues
Hand cramps I am right-handed, and this morning until noon, the muscle below my left thumb has been cramping for a few seconds intermittently, and my thumb also trembles. I read online that this might be related to the cervical spine. Is that true? Today, I spent more time studyi...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest the possibility of cervical nerve root compression at the sixth cervical vertebra. Additionally, inflammation of the median nerve should also be considered, which is commonly known as carpal tunnel syndrome. Carpal tunnel syndrome typically occurs...[Read More] Understanding Hand Cramps: Possible Links to Neck Issues
Post-Head Injury Seizures: Duration of Medication and Return to Work
Post-craniotomy seizures following a car accident? Hello, Doctor: After a car accident, I experienced intracranial hemorrhage and underwent skull surgery, which led to seizures (in March 2019). Since taking the medication prescribed by my doctor, I have not had any further seizur...
Dr. Cai Zongzhang Reply:
Hello, if you have a physician that you are regularly following up with, it is recommended that you continue to have regular check-ups. You can also discuss any adjustments and management of related medications with your physician.[Read More] Post-Head Injury Seizures: Duration of Medication and Return to Work
Severe Headaches: Understanding Causes and Seeking the Right Specialist
Severe headache? Hello, doctor. I am a patient with hypertension. I know that high blood pressure can cause headaches. However, in addition to experiencing headaches when my blood pressure is high, I also experience severe pain in the back of my head when riding a motorcycle over...
Dr. Cai Zongzhang Reply:
Hello, it is recommended that you seek further follow-up diagnosis and treatment from a neurosurgeon or neurologist.[Read More] Severe Headaches: Understanding Causes and Seeking the Right Specialist
Understanding Head Pain: Symptoms and When to Seek Help
Headache issues Hello Doctor, I have been experiencing pain in the back of my head, dizziness, nausea, memory issues, and tinnitus recently. I visited a clinic where the doctor examined my ears and blood pressure, both of which were normal. The doctor suggested that it might be a...
Dr. Cai Zongzhang Reply:
Hello, both physiological and psychological factors can contribute to headaches. It is recommended that you relax and maintain a regular routine. If the headache does not improve, it is advisable to consult a neurologist.[Read More] Understanding Head Pain: Symptoms and When to Seek Help
Understanding Occipital Pain and Nosebleeds After Sneezing
Occipital headache? Recently, every time I sneeze, I experience a nosebleed accompanied by pain in the back of my head, affecting both sides. The pain lasts about 5 to 10 minutes each time. However, I do not have symptoms like dizziness or nausea; it is just the pain in the back ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest sinusitis or lesions in the nasopharynx. The locations of the sinuses are as follows: Maxillary sinus: This is the largest sinus, located on the lateral side of the nasal cavity, beneath the eyeball. Ethmoid sinus: Located between the two eye s...[Read More] Understanding Occipital Pain and Nosebleeds After Sneezing
Understanding Head, Eye, and Tooth Pain: Neurological Insights
Pain in the back of the head, pain around the eyes, and toothache? Hello Dr. Jiang: I am 25 years old and have recently experienced intermittent tooth pain, discomfort around my eye socket, and pain in the back of my head. I visited the dentist just two weeks ago, so I don't...
Dr. Jiang Junyi Reply:
Hello, based on your description: your symptoms may suggest trigeminal neuralgia. As for the brain injury from four years ago, it is unlikely to be the cause of the symptoms you mentioned. Generally, if there is no loss of consciousness, no anticoagulant use, or obvious local hem...[Read More] Understanding Head, Eye, and Tooth Pain: Neurological Insights
Understanding Dizziness, Headaches, and Nausea: Possible Causes and Solutions
Dizziness, headache, nausea, and eye discomfort? Recently, I've been experiencing pain around my eye sockets, dizziness, nausea after eating, and occasional headaches. I researched online and found that it might be acute glaucoma, so I visited an ophthalmologist. However, th...
Dr. Jiang Junyi Reply:
Hello, based on your description, in addition to the eye issues, it may be necessary to consider factors such as migraines. Common symptoms of migraine with aura include visual disturbances. These may manifest as bright lights resembling stars or lightning, as well as blurred or ...[Read More] Understanding Dizziness, Headaches, and Nausea: Possible Causes and Solutions
Should Seniors Seek Immediate Medical Attention After a Fall?
An elderly person nearly 80 years old fell and hit their head? Hello Dr. Jiang, there is an elderly person who fell and hit his head in the bathroom before taking a shower. We discovered him about an hour later, and he had already bathed and changed his clothes, and he was able t...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious localized hematomas, head trauma is mostly mild. However, the following conditions should prompt consideration of delayed bleeding, and you should seek tr...[Read More] Should Seniors Seek Immediate Medical Attention After a Fall?
Understanding Neck Tension: Causes, Symptoms, and Treatment Options
Neck problems Hello, doctor. I have been experiencing a persistent tightness on the left side of my neck around the C4-C5 vertebrae, which feels like there is something there. Sometimes when I lower or nod my head, it feels like it’s being pulled, and when it gets really uncomfor...
Dr. Jiang Junyi Reply:
Hello: If the rehabilitation results are not satisfactory, it may be advisable for the rehabilitation physician to refer you to a neurosurgeon to assess for any nerve root compression, and you may need to wear a cervical collar for protection. In addition to rehabilitation, I rec...[Read More] Understanding Neck Tension: Causes, Symptoms, and Treatment Options
Understanding Occipital Pain During Ejaculation: Causes and Solutions
Pain in the back of the head after ejaculation? Hello doctor, for the past few days, I've been experiencing pain at the back of my head when I'm about to ejaculate. The pain lasts for about 5 minutes and has an intensity of around 4. I'm wondering if this could be ...
Dr. Hong Weibin Reply:
Hello: Can you have a neurologist check for cerebrovascular abnormalities? Below is an excerpt from the International Classification of Headache Disorders, 3rd edition (beta) in Chinese for your reference: 6.7.3 Headache attributed to reversible cerebral vasoconstriction syndrom...[Read More] Understanding Occipital Pain During Ejaculation: Causes and Solutions
Understanding Neck and Head Tension: Causes and Concerns
Head and neck Hello doctor, I used to have a tight spot on the left side of my neck, which would occasionally feel sore. Recently, I've been experiencing tightness in my scalp, forehead, and even around my eyes, which sometimes feel achy. Occasionally, I also feel a bit of w...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of left-sided neck pain is 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 al...[Read More] Understanding Neck and Head Tension: Causes and Concerns