Understanding Facial and Scalp Tightness and Pain: A Neurology Perspective
Tightness and tingling pain in the face and scalp? The area around the left eye, forehead, and scalp feels tight, with a prickling sensation upon touch. The eyes can close tightly, and daily activities are normal with low stress levels and regular exercise. This symptom has persi...
Dr. Jiang Junyi Reply:
Hello: The location you described may suggest trigeminal neuralgia, as touching the area can cause a sharp, stabbing sensation. Trigeminal neuralgia is more common in women than in men and typically occurs in adults around the age of 50. The primary cause is often due to vascular...[Read More] Understanding Facial and Scalp Tightness and Pain: A Neurology Perspective
Understanding Head Injuries: When to Seek Medical Attention
Head issues Hello Doctor, about three weeks ago, I hit my forehead quite hard. I didn't lose consciousness at the time, but after two days, I experienced some dizziness and nausea that lasted for about one to two weeks. I didn't see a doctor. About five days later, due ...
Dr. Jiang Junyi Reply:
Based on your description: The neurological symptoms you mentioned after taking a hot shower are more likely caused by syncope. Loss of consciousness can occur when cerebral blood flow drops below 30 ml per minute, typically due to a rapid decrease in blood pressure or vasoconstr...[Read More] Understanding Head Injuries: When to Seek Medical Attention
Understanding Neck Pain: When to Seek Further Medical Advice
Pain occurs at the hairline three fingerbreadths to the right of the cervical spine? Hello Doctor: I originally experienced intermittent pain in my shoulder that radiated to my collarbone, and there was also intermittent pain at the hairline three finger widths to the right of my...
Dr. Jiang Junyi Reply:
Hello: The entire cervical spine to the occipital region of the head is where the neck muscles attach. Therefore, your symptoms are more indicative of myofascial inflammation in the neck. Regarding the medications you mentioned, if you are planning to become pregnant, it is advis...[Read More] Understanding Neck Pain: When to Seek Further Medical Advice
Understanding Persistent Head Pressure and Mild Pain: Causes and Prevention
Dull headache with a feeling of heaviness? I have occasionally experienced a sensation of heaviness in my head and tension-type headaches for about ten years, occurring roughly every one to two months. Last Thursday, I had a headache, which usually improves after a night's s...
Dr. Jiang Junyi Reply:
Hello: Common symptoms of tension-type headaches are usually bilateral, located in the occipital and parietal regions, and sometimes the pain can be widespread. The nature of the pain is dull, aching, with a sensation of pressure or tightness, and it is non-pulsating and stiff. T...[Read More] Understanding Persistent Head Pressure and Mild Pain: Causes and Prevention
Understanding Symptoms: Neck Pain, Nasal Discomfort, and Headaches
Occipital headache and nasal congestion? Recently, I have been experiencing a sensation of soreness in my nose when I look down, and sometimes I have pain in the back of my head. When I tilt my head to one side, I feel like something is flowing inside my brain. What could these s...
Dr. Jiang Junyi Reply:
Hello, you mentioned experiencing a sensation of nasal discomfort, which may be related to the patency of the nasolacrimal duct. The phrase "a runny nose and tears" refers to this condition. The pain in the back of your head could be attributed to cervical myofascial pa...[Read More] Understanding Symptoms: Neck Pain, Nasal Discomfort, and Headaches
Understanding Tension and Pain After Self-Inflicted Head Trauma
After hitting both temples, there is tightness in the temples and neck-shoulder area? Hello Dr. Jiang: I recently had an argument with my family and, due to emotional instability, I struck the sides of my head with my fists several times with considerable force. At the moment, I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are very similar to myofascial pain syndrome in the shoulder and neck region. This is because the fascia connects at the temples and the temporal lobes of the brain, and clinically, it often presents as pain at the affected area, di...[Read More] Understanding Tension and Pain After Self-Inflicted Head Trauma
Understanding Top of Head Pain During Strenuous Activities
Pain on the top of the head during exertion? Hello Dr. Jiang: I usually have a habit of weight training, but recently I've experienced a slight pain (not sure if it's a throbbing sensation) on the left side of my head when I reach muscle fatigue during workouts. I also ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration should be cervical myofascial pain syndrome. Clinically, it often presents as pain at the affected site, discomfort, muscle stiffness, or a sensation of heaviness. Symptoms may worsen upon waking in the morning or with cha...[Read More] Understanding Top of Head Pain During Strenuous Activities
Understanding Nighttime Anxiety: Headaches, Dizziness, and Sleep Issues
I'm really scared of dying... Please help me? I often have trouble sleeping at night, which has caused my sleep schedule to become reversed. One day, I felt dizzy and experienced tight, painful sensations around my forehead, with my blood pressure reaching as high as 135! I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, you have a history of hypertension, overweight, and other cardiovascular diseases. If you experience sudden neurological deficits such as limb weakness or slurred speech, the first consideration should be cerebrovascular disease. However, the sym...[Read More] Understanding Nighttime Anxiety: Headaches, Dizziness, and Sleep Issues
High Eye Pressure and Headaches: Understanding Neurological Symptoms
Elevated intraocular pressure sensation + headache? Since last week, I have suddenly been experiencing frequent dizziness and headaches. When I close my eyes while sleeping, I feel a slight swelling in my eyes, and there are also some bloodshot areas. Over the past few days, the ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of forehead swelling is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, bu...[Read More] High Eye Pressure and Headaches: Understanding Neurological Symptoms
First Seizure: Understanding Recurrence Risks and Follow-Up Care
Will a first seizure lead to recurrence? Doctor, a few days ago, I suddenly experienced a seizure with convulsions in my limbs, foaming at the mouth, and collapsed. After being taken to the hospital, the doctor determined it was likely epilepsy, but brain scans, chest X-rays, and...
Dr. Jiang Junyi Reply:
Hello: If you have only experienced one seizure, it may not yet be diagnosed as epilepsy. Epilepsy is a neurological disorder characterized by a tendency to have sudden seizures (epileptic seizures). Seizures occur due to a sudden and temporary disruption of normal electrical act...[Read More] First Seizure: Understanding Recurrence Risks and Follow-Up Care
Understanding Your Symptoms: Migraines and Shoulder Pain Explained
Migraine/Shoulder Pain Hello doctor, this week I have experienced transient headaches occurring at three different pain points on one side of my head, which sometimes shift to the other side. The pain is always transient and progressive, and I do not need to take painkillers. Occ...
Dr. Jiang Junyi Reply:
Hello, based on your description, due to the presence of localized pain points, myofascial pain syndrome in the neck should be considered first. This condition may present with pain, discomfort, muscle stiffness, or a feeling of heaviness. Symptoms may worsen with changes in weat...[Read More] Understanding Your Symptoms: Migraines and Shoulder Pain Explained
Should You Get Further Tests for Suspected Concussion After an Accident?
Is further examination needed for a suspected concussion? Hello Doctor, I was in a car accident on December 11th where my head hit the ground, but I did not sustain any external injuries. At the time, I was fully conscious and did not experience any nausea or vomiting. The hospit...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, and no symptoms such as taking anticoagulants or obvious localized hematomas, head injuries are mostly minor. Your symptoms are more indicative of cervical myofascial inflammation. The high-risk period for delayed b...[Read More] Should You Get Further Tests for Suspected Concussion After an Accident?
Can Stroke Be Treated? Understanding Care Options and Concerns
Can a stroke be treated? My mother suddenly experienced facial drooping and weakness in her left arm and leg, and was urgently taken to the hospital. The doctor diagnosed her with a stroke and administered three doses of tissue plasminogen activator (tPA) and started an IV drip. ...
Dr. Hong Weibin Reply:
Currently, for the treatment of stroke, if a patient arrives at the hospital within 3 hours of the onset of acute stroke symptoms (calculated from the last time they were normal), thrombolytic therapy can be administered. If the patient arrives within 4 to 6 hours (and in some ca...[Read More] Can Stroke Be Treated? Understanding Care Options and Concerns
Understanding Sleep Tension: Causes and Solutions for Relaxation
Inability to relax during sleep? Sometimes I suddenly wake up while sleeping, and I often feel tightness in the temples of my head. During sleep, I experience a sensation where tension starts from the lower half of my body and gradually moves up to my upper body and then to my he...
Dr. Jiang Junyi Reply:
Hello, the most common cause of neck stiffness 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 pain that may even extend to the bilateral postauricular fascia. Initi...[Read More] Understanding Sleep Tension: Causes and Solutions for Relaxation
Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Increased dizziness, swelling in the left leg, and occasional numbness in both hands, with the left hand being more affected? Hello, doctor. Basically, I'm experiencing dizziness and issues with my left leg (the hot weather affects me significantly; my dizziness worsens and ...
Dr. Jiang Junyi Reply:
Hello: The vascular stenosis you mentioned, if identified through a neck ultrasound, refers to the extracranial vessels, with the vertebral artery typically being more associated with dizziness. Controllable risk factors for stroke include metabolic syndrome, and your overweight ...[Read More] Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Understanding Headaches Triggered by Head Movement: When to Seek Help
Headache caused by shaking the head? Hello doctor, in the past week, I have frequently experienced pain in the back of my head due to head shaking, which is also accompanied by neck stiffness. Additionally, I have had low-grade fevers at night. However, during times without head ...
Dr. Jiang Junyi Reply:
Hello: A common cause of tension-type headaches is the common cold. During a cold, the body produces a large amount of lactic acid and inflammatory substances, leading to muscle soreness and discomfort. Usually, adequate hydration and rest can improve the condition. However, if t...[Read More] Understanding Headaches Triggered by Head Movement: When to Seek Help
Understanding Dizziness and Low Potassium Levels in Older Adults
Dizziness and hypokalemia? Hello Dr. Jiang, I would like to ask about my mother's condition. She is 65 years old. The week before last, she suddenly experienced dizziness accompanied by persistent vomiting, cold sweats, and numbness in her hands and feet around noon after ge...
Dr. Jiang Junyi Reply:
Hello, Your mother's symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV). The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or suddenly...[Read More] Understanding Dizziness and Low Potassium Levels in Older Adults
Post-Impact Symptoms: Understanding Long-Term Neurological Effects
Symptoms after a gravitational impact? Hello, doctor. I would like to inquire about an incident that happened several years ago when I was hit on the top of my head by a corner of a life jacket made of foam after falling from a height. I underwent some examinations at that time, ...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, the use of anticoagulants, or the presence of significant local hematomas typically indicates mild symptoms. Additionally, since your symptoms have persisted for over two years, the c...[Read More] Post-Impact Symptoms: Understanding Long-Term Neurological Effects
Understanding One-Sided Neck Tightness: Is It a Stroke Warning?
Unilateral posterior neck tightness? Hello Doctor: Recently, I have been feeling a tight and painful sensation on the right side of my neck and the back of my head, especially in the afternoon while at work. I have been sitting in front of the computer for long periods for the pa...
Dr. Jiang Junyi Reply:
Hello, if you are experiencing warning signs of a stroke, there are usually localized neurological dysfunctions, such as loss of speech, motor function, or sensation. Since you do not have issues with hypertension, hyperlipidemia, or diabetes, your risk of having a stroke is rela...[Read More] Understanding One-Sided Neck Tightness: Is It a Stroke Warning?
Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective
Muscle twitching, peripheral numbness in the limbs, shoulder and neck pain, headache? Hello Doctor: In November of this year, I began experiencing widespread muscle twitching and sudden pains throughout my body without a specific location (more frequently in my thighs, calves, an...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are not easily encompassed by a single disease. However, it is worth considering that patients with anxiety often exhibit symptoms of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increase in ...[Read More] Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective