Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction
Persistent sensation of shaking? Hello, Dr. Jiang. Last July, I went to the ENT department to check for ear stones, but no results were found. At that time, the ENT specialist asked me to perform the following tests related to cerebellar function and body movement. The public can...
Dr. Jiang Junyi Reply:
Dear Mr. Awei, You mentioned your concern about "signs of cerebellar atrophy." In fact, cerebellar atrophy is not primarily characterized by dizziness. The main symptoms of patients with spinocerebellar ataxia typically include: 1. Tremors, slowed movements, and decrea...[Read More] Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction
Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Right arm swelling and pain extending to finger numbness? Hello, I have been working in the food industry for a long time, and recently my right wrist appears more swollen compared to my left wrist and is less flexible. It hurts whenever I exert force, and I even struggle to push...
Dr. Jiang Junyi Reply:
Hello, Ms. Ruby: The symptoms you mentioned seem to indicate two issues combined. You noted that "the palms and fingers also feel numb, and at their worst, even the vibrations while riding a bike can cause the entire palm to go numb and unable to grip." This symptom re...[Read More] Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Understanding Dizziness and Numbness: When to Seek Medical Help
Dizziness with occasional numbness? I have been experiencing occasional dizziness since July 28. Previously, I felt tightness in my head or around my temples, and I have had a few instances of facial numbness. Recently, aside from the tightness, I feel like I'm swaying while...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned that "it feels like the whole body is swaying side to side, but when standing, it doesn't sway much. I feel sleepy, and my neck and shoulders are stiff. When I slightly twist, there's a loud cracking sound, and when lying down to sleep...[Read More] Understanding Dizziness and Numbness: When to Seek Medical Help
Understanding Chronic Headaches and Neck Pain: Possible Causes and Solutions
Headache and neck pain? Hello, doctor. Since I hit the back of my head on a stone step corner in sixth grade, I have been experiencing persistent headaches. I have been to a large hospital for examinations, but they all said there was no problem. After that, I often find myself e...
Dr. Cai Zongzhang Reply:
Hello, the symptoms mentioned may be related to cervical spine disorders or hypotension. It is recommended to visit a neurology clinic for an examination to determine the underlying cause.[Read More] Understanding Chronic Headaches and Neck Pain: Possible Causes and Solutions
Understanding the Differences Between Brain MRI and Head MRI: A Comprehensive Guide
The difference between a brain MRI and a head MRI lies primarily in the focus of the imaging. A brain MRI specifically targets the brain tissue, providing detailed images of the brain's structure, including the cerebral cortex, cerebellum, and The first time I sought medical...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "dizziness, vertigo, unilateral tinnitus, and wanting to check for Alzheimer's atrophy, whether there is a stroke, acoustic neuroma, or brain tumor; what kind of imaging should be done for a comprehensive evaluation?" These issues can gen...[Read More] Understanding the Differences Between Brain MRI and Head MRI: A Comprehensive Guide
Understanding Balance Issues and Dizziness: Causes and Solutions
Sometimes when sitting, I feel unsteady, and occasionally when lying down, I experience dizziness? Hello doctor, I have poor posture and often find myself looking down. One day, while lying on a chair, I started to feel unsteady, as if my body was leaning forward. Then, another d...
Dr. Jiang Junyi Reply:
Hello Mr. QWZ: You mentioned that "when turning over, I feel a pull in my back and start to feel dizzy," which may suggest the need to rule out cervicogenic dizziness. The symptoms of dizziness could originate from the cervical spine. You may experience nausea during mo...[Read More] Understanding Balance Issues and Dizziness: Causes and Solutions
Feeling Dizzy Like on a Boat: Understanding Your Symptoms and Solutions
When sitting or walking, it feels like there is an up-and-down motion, similar to being on a boat? Hello doctor, I have high blood pressure, and I experience tingling in my scalp while masturbating. I often look down while using electronic devices, which has led to a condition kn...
Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned that "sometimes when sitting or walking, it feels like you're swaying up and down like being on a boat." Your symptoms may suggest cervicogenic dizziness, which could originate from the cervical spine. Symptoms may include dizziness, ligh...[Read More] Feeling Dizzy Like on a Boat: Understanding Your Symptoms and Solutions
Understanding Neck Pain in Dialysis Patients: Causes and Concerns
Neck pain Hello, I am a dialysis patient. Recently, I have been experiencing stiffness in the front left side of my neck. After consulting with a cardiologist, they indicated that it is likely not heart-related. However, I am concerned it might be due to carotid artery stenosis, ...
Dr. Cai Zongzhang Reply:
Hello Jason: The most common causes of neck stiffness are inflammation of the neck muscles or degenerative changes in the cervical spine leading to bone spurs that compress the nerves. If the symptoms persist without improvement, it is recommended to consult a neurologist for eva...[Read More] Understanding Neck Pain in Dialysis Patients: Causes and Concerns
Persistent Shoulder and Neck Pain: When to Seek Neurology Care?
Shoulder and neck pain? I have been experiencing shoulder and neck pain (without numbness, just a tight sensation and discomfort) for over four months. I have tried physical therapy, traditional Chinese medicine, chiropractic care, and even massage, but my condition has not impro...
Dr. Jiang Junyi Reply:
Dear Miss Yu, You mentioned that you have been experiencing "shoulder and neck pain (without numbness, just a tight feeling and discomfort) for over four months, and have visited rehabilitation, traditional Chinese medicine, and out-of-pocket chiropractic doctors..." Y...[Read More] Persistent Shoulder and Neck Pain: When to Seek Neurology Care?
Understanding Head Pain: Causes and When to Seek Help
Brain Issues - Headache Three days ago, I started experiencing pain in the back of my head. When I woke up today, I felt a heavy sensation in the entire area of the back of my head, and it is also painful. There is no vomiting, and my memory and balance seem fine, but whenever I ...
Dr. Jiang Junyi Reply:
Hello Mr. Jim, You mentioned that "the back of my head started to hurt, and when I woke up today, I felt a heavy sensation throughout the back of my head, and it also hurts." I would like to know if you are experiencing any blurred vision or fever. If your symptoms are...[Read More] Understanding Head Pain: Causes and When to Seek Help
Understanding Neck Pain and Dizziness: Is It Autonomic Nervous System Dysfunction?
Sometimes when sitting, it feels like being in an elevator? Hello, doctor. I often use my computer and phone while looking down, but one day I suddenly started experiencing shoulder and neck pain, along with stiffness and pain in the occipital region. I also began to feel dizzy w...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned "shoulder and neck pain, dizziness similar to being in an elevator... could this be autonomic nervous system dysfunction?" Your symptoms do not align with autonomic nervous system issues. It may be necessary to first consider Benign Paroxysmal ...[Read More] Understanding Neck Pain and Dizziness: Is It Autonomic Nervous System Dysfunction?
Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Recently, I have been experiencing pain in the left occipital region? Hello, doctor. Recently, I've been experiencing pain in the left back of my head. At first, it didn't affect my daily life and I occasionally didn't feel it, but over the past few days, the pain ...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned that "the pain feels like a sharp sensation, and the intensity is increasing. I have tried gentle massage... Does heavy smartphone usage have an impact?" It is important to first consider the possibility of myofascial inflammation around the ...[Read More] Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Understanding Right Shoulder Blade Pain and Numbness: Causes and Solutions
Numbness and pain in the lower right scapula? The symptoms are located near the far right side and persist even after receiving treatment at a martial arts clinic. The numbness is not constant; it was only occasionally present during work a couple of days ago, but today it occurs...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may be caused by cervical nerve root compression. It is recommended to visit a neurologist for a detailed examination.[Read More] Understanding Right Shoulder Blade Pain and Numbness: Causes and Solutions
Understanding Persistent Hand Numbness: Causes and Treatment Options
The issue of hand numbness has persisted for nearly a year without improvement? Hello, doctor. I work in the food service industry and frequently use my hands. I often experience numbness in my hands when lifting heavy objects. My dominant left hand often wakes me up at night due...
Dr. Jiang Junyi Reply:
Dear Ms. Chien, You mentioned, "What other methods can be used to determine the underlying cause of my hand numbness? Could it be related to my neck?" Common symptoms of peripheral nerve compression include pain, numbness, and weakness. Peripheral nerve examinations ca...[Read More] Understanding Persistent Hand Numbness: Causes and Treatment Options
Understanding Neck and Shoulder Pain: Symptoms and Solutions
I don't know what illness I have? Hello Doctor, I often use electronic devices and tend to look down and slouch, which has led to stiffness in my neck and shoulders. I sometimes feel a bit dizzy while sitting, and I experience tightness and pain around my shoulder blades. Oc...
Dr. Jiang Junyi Reply:
Hello, You mentioned experiencing tightness and pain in the area around your shoulder blades, occasional instability while walking, and a feeling of swelling and stiffness in your forearms. Your symptoms may be indicative of myofascial pain syndrome caused by cervical spine iss...[Read More] Understanding Neck and Shoulder Pain: Symptoms and Solutions
Understanding the Connection: Symptoms of Neck Pain and Head Pressure
Pressure sensation in the back of the head? Hello Doctor, I have been experiencing severe pain in the back of my neck due to cervical traction and electrical therapy during rehabilitation. I consulted a neurologist and underwent an MRI, which showed no signs of compression or bon...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to maintain proper neck posture, which can improve the aforementioned symptoms. Continuing rehabilitation is advised.[Read More] Understanding the Connection: Symptoms of Neck Pain and Head Pressure
Understanding Dizziness and Neck Pain: When to Seek Medical Advice
Dizziness and neck pain? Hello, Dr. Jiang. For the past two or three days, I have occasionally experienced dizziness (a sensation of swaying or mild shaking while sitting or lying down). I often wake up in the middle of the night, and when I do, I feel some pain near the occipita...
Dr. Jiang Junyi Reply:
Dear Mr. KK, You mentioned experiencing a sensation of swelling and pain from the center of your forehead to the right eye socket, along with mild nasal congestion and pain on the right side, and ear fullness upon waking this morning. It is important to first consider benign par...[Read More] Understanding Dizziness and Neck Pain: When to Seek Medical Advice
Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Struggling for nearly six months? Hello Dr. Jiang, I started experiencing chest tightness and pain in my pectoral muscles last October, accompanied by weakness, shoulder pain, and numbness in my back during certain movements, with a sensation like electric shocks. When I raise my...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned "multiple sclerosis," which affects fewer than 5 people per 100,000 in Taiwan, making it a rare disease. The diagnosis of multiple sclerosis is based on clinical history and examinations that reveal multiple lesions in the nervous system. A d...[Read More] Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Neck Pain Leading to Headaches and Numbness: Relief Tips
Cervical spine pain radiating to headaches and numbness in the back? I started experiencing neck pain about a week ago, possibly due to excessive use of my phone or computer. The soreness has persisted for over a week. I also noticed some numbness in my back after taking a nap at...
Dr. Jiang Junyi Reply:
Dear Ms. Ke, You mentioned that "the soreness has lasted for over a week. I noticed some numbness in my back when I got up after napping at work. Can I use heat or ice packs to relieve this soreness more quickly?" Generally, the principle of using ice is as follows: ...[Read More] Neck Pain Leading to Headaches and Numbness: Relief Tips
Neck Pain When Bending: Should You Seek Medical Advice?
Neck pain due to neck strain? Hello: When I bend my neck to the left (not turning) at a certain angle, I feel a sharp pain extending from the left back of my neck to the left side of my head, almost like a muscle is being pulled. It is extremely painful and sometimes accompanied ...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that "there is a muscle in the left side of my brain that gets strained, causing extreme pain, sometimes accompanied by a bit of dizziness and nausea. However, as soon as I change my position, it immediately alleviates..." Your symptoms seem...[Read More] Neck Pain When Bending: Should You Seek Medical Advice?