Understanding Your Headache: Is It Migraine or Sinus Pain?
Is it a migraine? Hello, doctor. I would like to ask you about the types of headaches. Throughout my life, my headache experiences mostly start with a dull pain in the forehead, just above the eyebrows. This pain then shifts to either side of my head or the top of my head, accomp...
Dr. Jiang Junyi Reply:
Hello: Migraines are more common in women. Sinus headaches typically present with localized percussion pain. Your symptoms should first consider the more common tension-type headache. The characteristics of tension-type headache include: (1) It is often bilateral, located in the ...[Read More] Understanding Your Headache: Is It Migraine or Sinus Pain?
Understanding Weakness in the Left Thumb: Is It ALS or Something Else?
Weakness in pressing down with the left thumb? Three days ago, I suddenly lost strength in my left thumb, making it difficult to perform tasks such as wearing a helmet, buttoning clothes, and unplugging devices. It has felt somewhat stiff and less agile for almost a year now. Whe...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may need to rule out ulnar nerve pathology and other common issues. Generally, ulnar nerve pathology can cause numbness. In cases of severe ulnar nerve pathology, the muscles it innervates may atrophy, leading to a "claw hand" deformity. Atrophy of ...[Read More] Understanding Weakness in the Left Thumb: Is It ALS or Something Else?
Understanding Head Pain: Possible Causes After a Recent Accident
Head issues Hello Doctor, I would like to ask about some recent symptoms. I've been experiencing some headaches in the left posterior part of my head (sometimes other areas hurt, but not often). The pain is not severe; it comes in waves and usually focuses on one point. Some...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical myofascial pain. During head trauma, the neck muscles can sustain injuries due to external forces. If the cervical spine is improperly used at this time, such as by looking down while using electronic devi...[Read More] Understanding Head Pain: Possible Causes After a Recent Accident
Understanding Increased Headache Frequency: When to Seek Medical Advice
Increased frequency of headaches? Hello Doctor: I have experienced headaches since childhood, especially during stressful times. In the fourth grade, I underwent an EEG due to frequent headaches, which showed no abnormalities. Recently, the frequency of my headaches has increased...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with a widespread area of pain. The nature of the pain is dull, aching, with...[Read More] Understanding Increased Headache Frequency: When to Seek Medical Advice
Why Does My Head Hurt After Boxing? Understanding Post-Workout Pain
Experiencing pain at the back of the head the day after boxing? Experiencing dizziness immediately after being hit during boxing, even if the back of the head was not struck, can be attributed to several factors. The impact may have caused a concussion or a mild traumatic brain i...
Dr. Jiang Junyi Reply:
Hello: The most common cause of bilateral neck pain is cervical myofascial pain, which may occur due to soft tissue injury from external force. It is recommended to: 1. Rest: Resting allows the muscles to utilize their self-repair capabilities, and vigorous exercise should be avo...[Read More] Why Does My Head Hurt After Boxing? Understanding Post-Workout Pain
Understanding Eye Twitching: Causes, Symptoms, and Treatment Options
Eyelid twitching has persisted for a year? Hello, Doctor: I have been experiencing intermittent twitching of the muscles in my right upper and lower eyelids for a year, and recently I have also felt a ringing in my ears. I have seen doctors who said that I am under a bit of stres...
Dr. Jiang Junyi Reply:
Hello, based on your description, the MRI report indicates: no significant intracranial lesions. There are localized changes anterior to the left ear canal, which may represent pneumatization of the left temporal bone apex. You mentioned that the muscles of your right upper and l...[Read More] Understanding Eye Twitching: Causes, Symptoms, and Treatment Options
Chronic Headaches: Understanding Causes and Seeking Relief
Chronic headache Hello Dr. Jiang: I have been experiencing long-term headaches (entire head) along with severe pain in my shoulders and neck. The pain is continuous and does not stop; it lasts all day, every day. The worst pain occurs in the afternoon after my lunch break. I have...
Dr. Jiang Junyi Reply:
Based on your description, the most common causes are tension-type headaches or migraines. If the symptoms or intensity of the headache change, intracranial tumors should be considered. However, focusing on tension-type headaches: (1) They are often bilateral, located in the occi...[Read More] Chronic Headaches: Understanding Causes and Seeking Relief
Understanding Neck and Shoulder Pain: When to Seek MRI for Diagnosis
Head trauma and shoulder-neck issues! Hello, doctor. I've loved using computers since I was young and often stayed up late with poor posture, which has led to frequent sharp pain in my right neck and shoulder. Over time, the pain has subsided, but my right neck and shoulder ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are more indicative of cervical spine issues. In addition to an MRI, I recommend consulting a rehabilitation specialist for physical therapy and electromyography (EMG) testing. Wishing you good health and peace. Dr. Jiang, Neurology, Taoyuan Hosp...[Read More] Understanding Neck and Shoulder Pain: When to Seek MRI for Diagnosis
Understanding Facial Twitching: Causes, Symptoms, and Treatment Options
Facial twitching? Hello Doctor: Since yesterday, I have been experiencing involuntary muscle twitching on the right side of my face. During the twitching, the muscles under my right eye also twitch, and my right upper eyelid feels like it is drooping. The duration of the twitchin...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest blepharospasm, which often has an unknown cause and is three times more common in females than in males, typically occurring after the age of forty. Common causes include dry eye syndrome, high levels of stress, eye inflammation, light sensitivity...[Read More] Understanding Facial Twitching: Causes, Symptoms, and Treatment Options
Managing Post-Concussion Symptoms: A Guide for Patients
Post-concussion syndrome Hello Doctor, about three years ago, I accidentally fell while playing basketball and hit the back of my right head. At that time, I did not lose consciousness and had no external injuries, but the next day I suddenly felt unsteady while walking and began...
Dr. Jiang Junyi Reply:
Hello, based on your description, the cause of the right-sided neck pain radiating to the right eye socket is commonly due to cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the muscles in the back of the neck, resulting in neck and shoulder dis...[Read More] Managing Post-Concussion Symptoms: A Guide for Patients
Understanding Dizziness and Neck Pain: Seeking Answers for Your Symptoms
Dizziness and shoulder-neck pain? Hello, Doctor Jiang. I have been experiencing shoulder and neck pain, dizziness, and frequent yawning for over three months. I underwent evoked potential tests which came back normal, and an X-ray showed a slight bone spur, but the neurologist sa...
Dr. Jiang Junyi Reply:
Hello: You mentioned whether cervical spine issues are related to dizziness. Is it possible that cervical muscle spasms could lead to poor blood circulation and cause dizziness? Can X-rays reveal cervical spine problems? These three questions can be addressed through a carotid ul...[Read More] Understanding Dizziness and Neck Pain: Seeking Answers for Your Symptoms
Understanding Neck and Head Pain: When to Seek Further Medical Help
Head and neck issues? Hello doctor, a few days ago I suddenly experienced sharp pain in my neck along with stiffness, which was accompanied by headaches. However, after trying stretching and applying heat at night, the headache subsided, but my neck remains very stiff. Sometimes,...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscles in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate th...[Read More] Understanding Neck and Head Pain: When to Seek Further Medical Help
Understanding Scalp Tingling: Is It Related to Blood Circulation?
Scalp tingling? Frequent overuse of the brain can lead to a tingling sensation in the scalp, which feels tight as if wearing a hat. After taking a break, the scalp begins to twitch, and there is an increasing sense of relief, with less tension. I would like to know if this issue ...
Dr. Jiang Junyi Reply:
Hello, based on your description, 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...[Read More] Understanding Scalp Tingling: Is It Related to Blood Circulation?
Understanding Occasional Neck and Shoulder Pain: Causes and Insights
Shoulder and neck pain? Experiencing sharp pain in the left shoulder and neck when swallowing saliva, described as an electric shock-like sensation, occurs occasionally, about 1 to 2 times a month or even less frequently. Additionally, there are instances when raising the arm or ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. Symptoms typically include pain at the affected site, discomfort, muscle st...[Read More] Understanding Occasional Neck and Shoulder Pain: Causes and Insights
Understanding Fasciculations: Causes, Concerns, and Next Steps in Diagnosis
Fasciculation Hello Doctor: I often experience intermittent involuntary tremors in my body and facial muscles, and sometimes I feel a lack of strength. However, I still maintain a routine of strength training at the gym twice a week. I have been under the care of a neurologist at...
Dr. Jiang Junyi Reply:
Hello: The motor neuron disease you are concerned about generally involves upper motor neurons in the brain and lower motor neurons in the brainstem and spinal cord. When motor neurons become damaged, our muscles do not receive adequate nutrients and chemicals, which can lead to ...[Read More] Understanding Fasciculations: Causes, Concerns, and Next Steps in Diagnosis
Understanding Sleep Disturbances: Involuntary Body Jerks Before Sleep
Body twitching before sleep? Hello Doctor: Recently, I've been experiencing hand numbness that has led to sleep issues. While the numbness has improved significantly, I have started to experience involuntary body movements before falling asleep. Sometimes my back muscles twi...
Dr. Cai Zongzhang Reply:
Hello, it sounds like the numbness in your hands is affecting your sleep and causing you distress. I recommend that you consult with a psychiatrist or a specialist in sleep disorders, as it may be helpful for you.[Read More] Understanding Sleep Disturbances: Involuntary Body Jerks Before Sleep
Understanding Nerve Damage After a Fall: Symptoms and Concerns
I accidentally fell backward while exercising? Two days ago, I accidentally fell backward while exercising and hit my head. The next day, I went to see a doctor because my shoulder was very sore. The doctor advised me to let my muscles rest for a few days. However, when I got hom...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indeed warrant consideration of nerve compression. Taking the ulnar nerve as an example, resting the elbow on a hard surface or applying pressure to the elbow can likely lead to ulnar nerve pathology. Activities such as typing on a computer or scarring and fi...[Read More] Understanding Nerve Damage After a Fall: Symptoms and Concerns
Understanding Dizziness and Neck Pain: Causes and Solutions
Dizziness and neck and shoulder pain? Hello, doctor... I would like to ask a few questions. I have been experiencing dizziness for nearly three weeks. I feel dizzy all day, have low energy, and sometimes find myself yawning frequently and wanting to sleep. While walking, I don&#x...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. The symptoms of dizziness have persisted for nearly three weeks, with a constant feeling of dizziness throughout the day, low energy, frequent yawning, and a strong desire to sleep. While walking, I don't feel unstab...[Read More] Understanding Dizziness and Neck Pain: Causes and Solutions
Understanding Neck Pain and Dizziness: Possible Causes and Solutions
Cervical spine pain and dizziness? Hello, doctor... I have been experiencing dizziness for almost a month. The dizziness is constant throughout the day, and it's an indescribable feeling of lightheadedness and fatigue. I feel like I want to sleep all the time. My neck and sh...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. The symptoms of dizziness have persisted for nearly three weeks, with a constant feeling of dizziness throughout the day, poor energy levels, and frequent yawning, leading to a desire to sleep. While walking, I do not fee...[Read More] Understanding Neck Pain and Dizziness: Possible Causes and Solutions
Severe Head Pain During Orgasm: Causes and Concerns Explained
Severe headache during orgasm or ejaculation? Hello, doctor. I am a 30-year-old male currently weighing 107 kg. I do not smoke or drink alcohol, and I have no history of hypertension or diabetes, although there are related patients in my family. On the evening of August 18th, whi...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, with pain sometimes being widespread. The nature of the pain is dull, aching, with a s...[Read More] Severe Head Pain During Orgasm: Causes and Concerns Explained