Understanding Brief Occipital Pain: When to Seek Neurological Care
Transient headache? Whenever I lie down, even if I haven't fallen asleep, I experience a brief dull pain at the back of my head that lasts for about 5 seconds. This has been occurring for over a week without improvement. What could this be related to, and should I seek medic...
Dr. Jiang Junyi Reply:
Dear Ms. Li, You mentioned experiencing a symptom of "brief dull pain in the back of the head lasting less than 5 seconds," which may indicate cervicogenic headache. This is primarily due to instability in the fascia surrounding the cervical spine, as some small muscle...[Read More] Understanding Brief Occipital Pain: When to Seek Neurological Care
Understanding Right-Sided Pain and Discomfort: A Guide for Caregivers
Pain in the right limbs, sharp pain in the chest, and a feeling of fullness in the lower back without pain? Hello doctor, my mother (58 years old) is experiencing pain in her right limbs when the muscles relax, which may be related to her occupation as a cleaner or long-term fati...
Dr. Jiang Junyi Reply:
Dear Ms. Hsieh, You mentioned that your mother experiences symptoms of pain that persists even after a long period of rest, which may suggest degenerative spinal myofascial inflammation. Regarding the sudden, persistent stabbing pain in the chest around the xiphoid process that ...[Read More] Understanding Right-Sided Pain and Discomfort: A Guide for Caregivers
Understanding Eyelid Twitching: Causes, Treatments, and Concerns
Right eyelid twitching? Doctor, my right upper or lower eyelid has been twitching for about three weeks (the upper eyelid twitches several times a day, while the lower eyelid twitches continuously for a few hours and then stops). 1. The twitching is only in my right eyelid; there...
Dr. Jiang Junyi Reply:
Dear Miss Xiao Fen, You mentioned eyelid twitching, which is typically related to peripheral nerve issues. If it were a brain tumor, there would generally be additional symptoms related to dysfunction in nearby brain tissue. Eyelid movement is controlled by the facial nerve; if ...[Read More] Understanding Eyelid Twitching: Causes, Treatments, and Concerns
Understanding Recent Headaches and Dizziness: Possible Causes and Concerns
Recently, I've been experiencing sudden dizziness, and I woke up this morning with a headache and a fever? Recently, I have been experiencing sudden dizziness. This morning, I woke up with a headache and a fever. I have a history of headaches since childhood, which are a pec...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to considering common migraines, your symptoms may also suggest tension-type headaches. The characteristics of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The natu...[Read More] Understanding Recent Headaches and Dizziness: Possible Causes and Concerns
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Hello Doctor: Recently, I have been experiencing muscle twitching all over my body at irregular times for nearly a month. It tends to occur when I lie down, change positions, or sneeze, with the most common areas being my left chest, back, and abdomen, followed b...
Dr. Jiang Junyi Reply:
Hello, Sir: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while t...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Is it related to sleeping posture, cervical spine issues, or vascular problems? Hello, Dr. Jiang. 1. The first issue is a problem that has existed for many years. I often experience numbness in the fingers of both hands while riding a motorcycle. It doesn't always happen i...
Dr. Jiang Junyi Reply:
Hello Mr. Chang, It seems that there are four issues based on your description: 1. Carpal tunnel syndrome may need to be considered. 2. Cubital tunnel syndrome may also need to be considered. 3. Cervical spine degeneration causing nerve root compression may be a possibility. 4...[Read More] Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Understanding Occipital Pressure and Numbness: Causes and Concerns
Numbness in the back of the head? Hello Doctor: Recently, for the past two to three days, I have been experiencing a sensation of pressure and numbness in the back of my head. During these episodes, my blood pressure readings have been around 115-130/80-100 (my diastolic pressure...
Dr. Jiang Junyi Reply:
Hello, Sir: Your head injury occurred more than six months ago, and its relevance is relatively low. Your symptoms may suggest cervical myofascial pain syndrome, which can present with pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in w...[Read More] Understanding Occipital Pressure and Numbness: Causes and Concerns
Understanding Ankle Tightness After Sitting: Causes and Solutions
Tightness in the ankle when standing up from a seated position? Hello Doctor, recently whenever I sit and then stand up, I feel tightness and numbness in my right ankle. Sometimes, the sensation extends to my calf muscles as well. However, after walking for a while, I no longer e...
Dr. Jiang Junyi Reply:
Dear Sir: Your symptoms may suggest peripheral nerve compression, particularly related to the sciatic nerve. It is possible that a herniated disc is causing nerve root compression, leading to neuropathic pain (sciatica). The symptoms are often located in the posterior thigh, late...[Read More] Understanding Ankle Tightness After Sitting: Causes and Solutions
Understanding Upper Back Numbness and Burning Sensation: Possible Causes and Next Steps
Numbness, tingling, and a burning sensation in the back? Hello, Doctor. Since the end of June, I have been experiencing a tingling sensation in my upper left back (around the area of the "Gao Huang" point), similar to a mild electric current. Gradually, by the evening, ...
Dr. Jiang Junyi Reply:
Dear Ms. Cherry, Your symptoms may suggest cervical radiculopathy. Prolonged periods of looking down can lead to overuse of the trapezius muscles in the neck, resulting in neck and shoulder pain. Initially, resting may alleviate the pain, but over time it can worsen and affect y...[Read More] Understanding Upper Back Numbness and Burning Sensation: Possible Causes and Next Steps
Understanding Body Tremors When Rising: Causes and Concerns
Whole-body tremors when rising from a sitting or lying position? The frequency of episodes is very low, occurring about two to three times a year. I often experience dizziness and blackouts after squatting or sitting, but I can still manage to stand steadily until the blackout en...
Dr. Jiang Junyi Reply:
Hello, Ms. Jiu: Your symptoms may suggest a concern regarding syncope. The most common causes are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitioning from a supi...[Read More] Understanding Body Tremors When Rising: Causes and Concerns
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching I have recently noticed that certain muscles in my body twitch, similar to when I click a mouse, and my fingers occasionally tremble. The force of my clicks feels different than usual. Could this be related to my recent irregular schedule, or could it be a sign o...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "your muscles twitch, your fingers occasionally shake, and the force of your clicks feels different than usual." This may indicate localized muscle inflammation. Sometimes, insufficient rest and the consumption of caffeinated beverages can...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Muscle Twitches: Causes and Concerns Beyond Parkinson's
Muscle twitching Hello Doctor, I asked about muscle twitching last week, and you mentioned it is not Parkinson's disease. After the holiday break, the intensity of the muscle twitching has decreased a bit, but it still occurs. Additionally, when I click the mouse, I sometime...
Dr. Hong Weibin Reply:
Hello: The body's muscles are controlled by nerves, which act like electrical wires, transmitting signals to control muscle movements. However, just like wires can deteriorate over time and be affected by external factors such as temperature and humidity, leading to electric...[Read More] Understanding Muscle Twitches: Causes and Concerns Beyond Parkinson's
Understanding Left Chest Pain: Causes and Concerns in Neurology
Fixed point pain with a throbbing sensation in the left chest? Hello, Doctor: Recently, I have been experiencing pain in three or four fixed points on my left chest and left shoulder. There is tenderness upon palpation, particularly at the points located near the bones, with the ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned may first suggest localized myofascitis. The "throbbing pain" is usually caused by local nerve instability leading to spasms. "Cardiac-related pain is typically sudden." Clinically, myocardial ischemia is usually associated wi...[Read More] Understanding Left Chest Pain: Causes and Concerns in Neurology
Understanding Nerve Pain and Tingling: Causes and Concerns
Numbness issues? The left hand fingers (ring finger and pinky) started to feel numb and painful suddenly two days ago, and then the numbness extended from the elbow to the shoulder. After 3-4 hours, the elbow and shoulder felt much better, but the fingers continued to feel numb. ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may initially suggest cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. These issues should not affect the administration of the vaccine. It is recommended to drink plent...[Read More] Understanding Nerve Pain and Tingling: Causes and Concerns
Understanding Muscle Tremors: Causes and Solutions for Neurological Concerns
Muscle twitching Hello, I have noticed that my arms and thighs experience slight tremors when they are suspended, exerted, or extended at certain angles, similar to the shaking sensation when stretching. Essentially, I can feel the tremors while exerting force and when my limbs a...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may need to be considered as physiological tremors. 1. Physiological tremors: These do not occur under normal circumstances but only in certain situations such as stress, anxiety, or anger. Some medications, such as bronchodilators, as well as the co...[Read More] Understanding Muscle Tremors: Causes and Solutions for Neurological Concerns
Understanding Facial Discomfort: Causes and When to Seek Help
My cheeks feel strange? Hello Doctor: Since yesterday, I've suddenly felt something unusual in both of my cheeks. It's a bit hard to describe, but it feels somewhat stiff when I move my cheeks, and there's no pain—just a slight soreness when my cheeks are at rest. ...
Dr. Jiang Junyi Reply:
Dear Ms. Li, Your symptoms may suggest lactic acid accumulation in the facial muscles. I wonder if you have been using your masticatory muscles frequently? Additionally, if your symptoms progress, it may be necessary to consider some autoimmune issues. It is recommended to impro...[Read More] Understanding Facial Discomfort: Causes and When to Seek Help
Understanding Neck Pain and Nerve Twitches: When to Seek Help
Sensation of nerve twitching in the posterior neck? Hello doctor, due to long hours of sitting in the office using a computer, I have been experiencing significant pain in my shoulders and neck. I later went for traditional Chinese massage, but the improvement was only temporary....
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao, The most common cause of 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 alleviate the pain, but over t...[Read More] Understanding Neck Pain and Nerve Twitches: When to Seek Help
Coping with Anxiety Over Muscle Twitches: A Neurology Perspective
Regarding the previous question? Hello doctor, I have read your response. What kind of attitude/thoughts/actions should I adopt regarding my hand and the twitching muscles? I am very worried that the issues with my hand might indicate a condition like amyotrophic lateral sclerosi...
Dr. Jiang Junyi Reply:
Hello Sir: Immersing oneself in imagination can actually be quite uncomfortable. If emotions persist for more than two weeks, it may be worth considering the possibility of depression. I recommend increasing physical activity and sun exposure. In addition to B vitamins, supplemen...[Read More] Coping with Anxiety Over Muscle Twitches: A Neurology Perspective
Can Holding Back a Sneeze Cause Brain Damage? Understanding the Risks
Feeling a rush of air towards the back of the head when suppressing a sneeze? While lying on the floor reading, I suddenly felt the urge to sneeze. I held my mouth closed during the sneeze, and I felt a force pushing towards the back of my head. Now, about an hour has passed, and...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms should first consider inflammation of the neck muscles. This is related to overuse of the neck. Regarding your concern about cerebrovascular disease, it can sometimes present clinically as "thunderclap headache." Thunderclap headache is genera...[Read More] Can Holding Back a Sneeze Cause Brain Damage? Understanding the Risks
Understanding Neck Pain: Causes and Treatment After a Concussion
Neck issues Hello Doctor, last July I fell while ice skating and suffered a concussion. After recovering, I have been experiencing persistent neck pain. The pain became unbearable, so I went to the hospital for an examination. I had an X-ray of my neck, and the doctor said that t...
Dr. Jiang Junyi Reply:
Hello, Miss: Based on your description, it may be necessary to consider spinal-related disorders. Excessive force during neck rotation and other external factors can lead to cervical instability, dislocation, and cervical disc herniation. If there are pathological changes in the ...[Read More] Understanding Neck Pain: Causes and Treatment After a Concussion