Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Temporomandibular joint disorder causing trigeminal neuralgia? Hello, my symptoms began four years ago when I bit down on a hard object, resulting in a sudden electric shock-like pain in the left side of my face. Over the past few years, I have consulted with neurosurgeons, denti...
Dr. Jiang Junyi Reply:
Dear Mr. Kenny, You mentioned "trigeminal neuralgia." The cause of trigeminal neuralgia is primarily due to abnormal transmission of sensory signals by the trigeminal nerve. Approximately 80% of cases are caused by vascular compression of the trigeminal nerve at its en...[Read More] Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Managing Tinnitus Linked to Migraine and Jaw Tension: What You Need to Know
Tinnitus issues? Hello Dr. Jiang: I have been troubled by migraines for three years, so I understand the tinnitus that can accompany them. However, in the past year, I have experienced unilateral (right ear) tinnitus when visiting the dentist, particularly when my cheeks or jaw a...
Dr. Jiang Junyi Reply:
Hello Ms. Bang, You mentioned that "exerting force on the jaw causes unilateral (right ear) tinnitus," which may be due to local blood vessels being affected. It is recommended that you undergo a carotid ultrasound examination. I suggest consulting with a neurologist t...[Read More] Managing Tinnitus Linked to Migraine and Jaw Tension: What You Need to Know
Understanding Cervical Nerve Compression and TMJ Disorders
Cervical nerve compression and temporomandibular joint arthritis? Hello, doctor. Starting from October 2023, I began experiencing hand numbness, which later progressed to spasms in my hands and feet. After undergoing X-rays at the neurology, orthopedics, and rehabilitation depart...
Dr. Chen Weida Reply:
Hello, Pain Patient: Your current pain may be due to chronic myofascial pain syndrome. Since the pain has spread from the upper back to affect the temporomandibular joint, it is recommended that you consult a neurologist for further evaluation and early treatment of the chronic p...[Read More] Understanding Cervical Nerve Compression and TMJ Disorders
Understanding Persistent Head Discomfort: Tinnitus and Sleep Issues
I've been feeling discomfort in my head for a long time? More than three years ago, I started experiencing tinnitus, and about two years ago, I also began to feel a pulling sensation in my head before falling asleep. When I touch my forehead, I can feel a heartbeat that alig...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned feeling a "pulling sensation in your head... is this feeling before falling asleep related to possible vascular blockage? I also have mild carotid artery stenosis..." Your symptoms are less likely to be caused by vascular narrowing, as vasc...[Read More] Understanding Persistent Head Discomfort: Tinnitus and Sleep Issues
Muscle Twitches and Weakness: Understanding Neurological Symptoms
Muscle twitching Hello, doctor. I am the patient who consulted you last time after hitting my head. I have been really busy at work and unable to visit the hospital for a check-up, so I have been observing my condition. I have noticed that from February 28 to now, March 14, I hav...
Dr. Jiang Junyi Reply:
Hello Mr. Pan: You mentioned "weakness in the limbs accompanied by muscle twitching and spasms." Generally speaking, the causes of limb weakness and muscle twitching can involve not only the muscles and nerves but also some metabolic disorders such as thyroid dysfunctio...[Read More] Muscle Twitches and Weakness: Understanding Neurological Symptoms
Understanding Balance Issues: When to Consult a Neurologist
Please ask your question? Hello doctor, I would like to ask two questions. Occasionally, I feel a slight swaying sensation (usually after using my phone), but it goes away after a while, and I do not experience dizziness or nausea. What could be the possible causes of this? Addit...
Dr. Jiang Junyi Reply:
Hello Mr. Mo: You mentioned, "Are we testing for cerebellar issues? Is it related to my staying up late?" Staying up late can lead to neuroinflammation, which may result in various symptoms. The symptoms resemble proprioceptive dysfunction, which refers to the sensory i...[Read More] Understanding Balance Issues: When to Consult a Neurologist
Which Specialist to See for Dizziness and Neck Tension?
Which department should I see? Hello doctor, I occasionally feel dizzy and can sense my pulse and heartbeat. I previously consulted an otolaryngologist regarding my dizziness, and the doctor mentioned it was due to vestibular dysfunction and prescribed medication for a while. I h...
Dr. Peng Shiwei Reply:
For the dizziness, it is recommended to follow up with an otolaryngologist to assess whether the condition has improved or if further treatment is needed. For other concerns, it is advisable to seek evaluation from a psychiatrist. Thank you.[Read More] Which Specialist to See for Dizziness and Neck Tension?
Post-Injection Neck and Shoulder Pain: Causes and Recovery Time
Pain upon touch in the shoulder and neck after an intramuscular injection? Hello Doctor: I received injections in both my right and left arms about two days ago for allergies (steroids and antihistamines). At the time of the injection, I felt a sudden soreness in my neck, which I...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "after receiving an injection (steroid, antihistamine), I felt a sudden soreness in my neck... and I experience pain in my back, shoulders, neck, and the back of my head." The injection may have affected the neuromuscular system: typicall...[Read More] Post-Injection Neck and Shoulder Pain: Causes and Recovery Time
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left posterior part of my head for a few seconds? Hello Doctor, I have been experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom or after ...
Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned "fourth cranial nerve palsy." Generally speaking, strabismus is caused by abnormal function of the six extraocular muscles. In the case of nerve palsy, it may be necessary to identify the underlying cause of nerve inflammation. If symptoms ...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Head and neck pain Recently, I bumped into a rolling iron door and went to the hospital for an examination, which revealed a mild compression of the cervical intervertebral discs at C3, C4, and C5. I underwent cervical traction, and although it relaxed the muscles, I noticed a sl...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the pain is worst when lying down, and after two weeks, the pain extends to the back of the head." This may indicate compression of the cervical nerves and the occipital nerve. High cervical nerve root compression occurs at the first to ...[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Understanding Headaches: When to See a Neurologist for Relief
I have a headache that radiates to the back of my head, with a hot sensation on my forehead and warmth in my upper back? Hello Dr. Jiang: Since the end of January, I have been experiencing pain in my forehead, which has now shifted to the lower back of my head, causing me to wake...
Dr. Jiang Junyi Reply:
Hello Ms. Yang, You mentioned that "the frontal headache has now shifted to pain in the lower back of the head, waking you up in pain, along with heat in the forehead and upper back." It is important to first consider cervicogenic headache. This type of headache is cau...[Read More] Understanding Headaches: When to See a Neurologist for Relief
Understanding Leg Pain and Numbness After Orthognathic Surgery
Swelling and pain in the calf, numbness in the dorsum of the foot? Hello Doctor, after undergoing orthognathic surgery (under general anesthesia for over 8 hours), I woke up to discomfort in my right leg, feeling similar to a calf cramp. I have intermittently visited traditional ...
Dr. Jiang Junyi Reply:
Dear Ms. Ruby, You mentioned that "the joint of the right big toe extends diagonally to the dorsum of the ankle, and touching it causes a tingling sensation, while not touching it does not elicit any numbness, although occasionally there is a sharp, electric pain in the mid...[Read More] Understanding Leg Pain and Numbness After Orthognathic Surgery
Understanding Autonomic Nervous System Disorders and Muscle Tremors
Autonomic nervous system dysfunction and muscle (exercise) tremors? Hello, Doctor: I would like to inquire about two aspects related to abnormal neurological and muscular movements: A. When I hold a pen with my right hand to write, I experience involuntary tremors that lead to ...
Dr. Peng Shiwei Reply:
Hello, it is recommended that you visit a neurology or pain management clinic for evaluation. Thank you.[Read More] Understanding Autonomic Nervous System Disorders and Muscle Tremors
Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Symptom Analysis Last week, after taking antiemetics for gastroenteritis, I experienced extrapyramidal symptoms (EPS). It started with my teeth chattering, followed by sudden jaw deviation. I immediately went to the emergency room for an injection, which corrected the jaw misalig...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned, "Last night before bed, I took a muscle relaxant and my muscles started twitching involuntarily." Generally speaking, symptoms of extrapyramidal syndrome (EPS) caused by medication typically improve within three days after discontinuation....[Read More] Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Sudden Sharp Pain in the Back of the Head When Turning: Causes Explained
Occasional sudden severe pain in the back of the head when turning the head? Hello, doctor. I have been experiencing this condition for about three to four years, but it occurs only occasionally, roughly every few months. When I turn my head, I feel a sharp, concentrated pain in ...
Dr. Jiang Junyi Reply:
Dear Mr. Chen Li, You mentioned that "occasionally turning my head causes intense pain concentrated at a specific point in the left back of my head," which may suggest cervicogenic headache. Symptoms of cervicogenic headache include unilateral severe headache, stiffnes...[Read More] Sudden Sharp Pain in the Back of the Head When Turning: Causes Explained
Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
I would like to inquire about what condition these symptoms may indicate? Sitting for 1-2 hours (such as in a car or at a desk) causes intense stabbing pain throughout the neck, shoulders, and upper back, along with a feeling of tightness and swelling around the neck and shoulder...
Dr. Jiang Junyi Reply:
Hello Ms. QZ: You mentioned experiencing a strong stabbing pain from your neck to your shoulders and upper back. I wonder if you also have any tingling sensations? We should first consider cervical nerve root compression, which is often related to tightness in the cervical muscle...[Read More] Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
Understanding Neck and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?
Shoulder and neck inflammation? Recently, I visited an orthopedic doctor due to pain in my left shoulder and neck, and I was diagnosed with muscle inflammation in that area. I took medication, but I still experience sudden pain or a tight sensation in my neck. Occasionally, I als...
Dr. Wu Mukhan Reply:
Hello, neck tightness may be related to inflammation of the shoulder and neck muscles. Symptoms related to the eyes and ears are usually not significantly affected by the shoulder and neck. It is recommended to consult a rehabilitation specialist to address the muscle inflammatio...[Read More] Understanding Neck and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?
Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Feeling of body swaying? Hello, doctor. Recently, I spent too much time at the computer maintaining a posture, and after getting up, I noticed stiffness in my neck muscles along with dizziness. I visited a traditional Chinese medicine practitioner who said my muscles were inflame...
Dr. Peng Shiwei Reply:
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Understanding Persistent Head Pain: Causes and Treatment Options
I've been experiencing a persistent feeling of pressure and dull pain in my head lately? Hello Doctor, my situation is as follows: Recently, I have been experiencing pain on the left side of my head, specifically the top and the back left side, which started in early Decembe...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "gastroesophageal reflux... I almost always sleep with my head elevated on my side (using a pillow and a body pillow to alleviate discomfort), and I wonder if my sleeping position is causing headaches." Elevating the head can indeed lead to ov...[Read More] Understanding Persistent Head Pain: Causes and Treatment Options
Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery
Tightness in the thigh muscles, numbness, and mild edema in the legs? My mother, who is 88 years old, participated in a volunteer trip on November 14, where she walked too much, resulting in foot pain and nerve compression that prevented her from sleeping and standing. During thi...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that your mother is experiencing numbness in her feet, along with a sensation that the tendons in her right foot seem to be pulling up towards her buttocks. This may indicate compression of the lumbar nerve roots. Post-surgery, it is common to encount...[Read More] Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery