Neck, Neurology FAQ - Page 17

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Understanding Occipital Headaches: Causes, Symptoms, and Next Steps

Occipital headache and dizziness? A week ago, I experienced some strain while doing deadlifts during weight training. It felt better after a minute, and I was able to continue training my back and chest a few days later. I tried smoking water pipe for the first time, and the next...


Dr. Jiang Junyi Reply:
Hello Mr. YI, Regarding the "Valsalva maneuver" you mentioned, it typically resolves after a few minutes. However, you noted experiencing "occipital headache, dizziness, a feeling of slight confusion, and elevated blood pressure at 130/75" lasting for about a...

[Read More] Understanding Occipital Headaches: Causes, Symptoms, and Next Steps


Understanding Neck Stiffness and Hand Numbness: When to Seek Help

Numbness in the hands and stiffness in the neck and shoulders? Hello, about two months ago, I started experiencing significant stiffness in my shoulders and neck, particularly when tilting my head forward to the right, which stretches the muscles on the left side. Initially, I th...


Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned experiencing slight numbness in your left hand, specifically in the shoulder, outer arm, and the back of the hand (most notably in the middle finger, ring finger, and little finger). This may indicate potential compression of the nerve root at the se...

[Read More] Understanding Neck Stiffness and Hand Numbness: When to Seek Help


Persistent Headaches: Seeking Effective Treatment Solutions

The treatment for headaches has not been effective in achieving a cure? Hello, I rarely experience headaches, and when I do, they usually resolve after a good night's sleep. However, this time, I woke up with persistent headaches that did not improve. Therefore, I consulted ...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I only have a headache, and the doctor measured my ear temperature at 37.4°C, determining that the headache is caused by inflammation in the body. I was treated with injections and medication. During the treatment, I experienced improvement ...

[Read More] Persistent Headaches: Seeking Effective Treatment Solutions


Understanding Post-Impact Brain Symptoms: Numbness, Pressure, and Nausea

Numbness, heat, and swelling in a localized area after a head injury, along with nausea while driving? Hello, the day before yesterday, I experienced some emotional instability and hit the table hard, resulting in a strong impact felt in the left posterior part of my head, follow...


Dr. Jiang Junyi Reply:
Dear Mr. Micky, Your symptoms may suggest cervical nerve root compression. This condition is often associated with tightness in the cervical muscles and fascia, as well as cervical degeneration. It typically presents as pain, discomfort, muscle stiffness, or neurological symptom...

[Read More] Understanding Post-Impact Brain Symptoms: Numbness, Pressure, and Nausea


Understanding MRI White Matter Lesions: MS and Neurological Symptoms

Brain MRI white matter lesions / Multiple sclerosis Hello Dr. Jiang, due to long-term headaches and sudden changes in my symptoms, I paid out of pocket for a brain MRI. (1) The attending physician said that my images showed no issues, and I even asked her to review them again, bu...


Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that the MRI showed numerous white matter lesions. It may be necessary to consider some central nervous system inflammation and myelin injury. Myelin is an insulating substance that surrounds nerves, and if it is damaged, the inflammatory process (pat...

[Read More] Understanding MRI White Matter Lesions: MS and Neurological Symptoms


Understanding Persistent Dizziness: Causes and Connections to Heart Symptoms

Persistent dizziness throughout the day? Hello Doctor, I have been experiencing dizziness for almost a week now, which varies in intensity throughout the day. It feels more like a heavy sensation in my head, sometimes accompanied by tingling, resembling a shaking sensation like a...


Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned experiencing a sensation of heaviness in your head along with tingling symptoms, which may indicate a potential issue with nerve root compression. Conditions such as cervical disc degeneration, facet joint degeneration, and cervical disc herniation ca...

[Read More] Understanding Persistent Dizziness: Causes and Connections to Heart Symptoms


Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns

I would like to inquire about the diagnosis and medication for epilepsy in infants and young children? Hello Doctor: My daughter was born in mid-June this year, with good development in utero, weighing nearly 3800 grams, head circumference at 40 weeks, and delivered via cesarean ...


Dr. Jiang Junyi Reply:
Dear Ms. Sherry, First of all, I want to acknowledge that the process of providing support is truly not easy. Regarding pediatric epilepsy, I recommend consulting a pediatric neurologist, as they have more extensive experience in this area. Generally, the common treatment princi...

[Read More] Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns


Understanding Neurological Symptoms: Left Head Pain and Hand Numbness

Mild pain in the left occipital region and slight numbness in the left hand? Hello Doctor: My irregular sleep schedule has been ongoing for about six years, compounded by significant stress from university exams. In mid-May of this year, I suddenly experienced a ringing in my lef...


Dr. Jiang Junyi Reply:
Dear Ms. Irene, The description you provided, "lying on your side using your left hand to use your phone, and then experiencing numbness in your entire left arm the following morning that has not improved," may suggest symptoms related to cervical spine issues. Additio...

[Read More] Understanding Neurological Symptoms: Left Head Pain and Hand Numbness


Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help

Dizziness, blurred vision, and vomiting? Hello Doctor, I need your help! Last month, while waiting for my meal, my vision started to blur and darken, and I began to feel dizzy. After about five minutes, I started to vomit! I experienced weakness in my limbs, and the right side of...


Dr. Jiang Junyi Reply:
Hello, Miss Ke: The symptoms you mentioned may initially suggest syncope. The most common causes to consider are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitio...

[Read More] Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help


Understanding Nighttime Headaches: Causes and Solutions

Waking up with a headache in the middle of the night versus waking up with a headache in the morning? Hello, Dr. Jiang! Regarding my headache issue, I have undergone an MRI, and the neurologist said there were no abnormalities. However, I still wake up in pain during the night. T...


Dr. Jiang Junyi Reply:
Hello: The headache you mentioned may be related to issues with the cervical myofascia. Many primary headaches do not show abnormalities on MRI, primarily caused by abnormal activation of the trigeminal nerve. Brain imaging is performed to rule out structural problems such as tum...

[Read More] Understanding Nighttime Headaches: Causes and Solutions


Understanding Numbness and Neck Pain in Seniors: A Guide

Numbness in the mouth and pain in the shoulders and neck? Hello Doctor: My grandmother is 66 years old and recently she has been experiencing some numbness in her mouth, along with shoulder and neck pain. She suddenly feels very uncomfortable for a period of time. I would like to...


Dr. Jiang Junyi Reply:
Dear Ms. Wen, Your grandmother is experiencing a sensation of "tingling in her mouth." I would like to know if there are similar symptoms in other parts of her body. If she is experiencing a bitter taste in her mouth, it may be worth considering that medication could b...

[Read More] Understanding Numbness and Neck Pain in Seniors: A Guide


Understanding Neck Twisting: When to Seek Neurology Help

The neck will turn? The patient experiences persistent neck turning to one side during episodes, which lasts until relaxation occurs. This can happen several times a day, even during sleep. It is currently unclear which specialty to consult. What treatment centers in the southern...


Dr. Cai Zongzhang Reply:
It is recommended to visit a neurology outpatient clinic for professional evaluation and treatment.

[Read More] Understanding Neck Twisting: When to Seek Neurology Help


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 Nerve Sensations: Tingling in the Outer Thigh from Knee Pressure

Pressing on the outer side of the right knee causes a slight tingling sensation (similar to the feeling of ants crawling) on the outer side of the right thigh? When pressing on the outer side of the right knee, there is a slight tingling sensation (similar to ants crawling) on th...


Dr. Jiang Junyi Reply:
Dear Ms. Cc, Your symptoms, which include numbness, may indicate compression of the fifth lumbar nerve root. Typical discomfort associated with lumbar radiculopathy includes pain radiating from the buttocks down to the legs, as well as numbness, tingling, and weakness in the toe...

[Read More] Understanding Nerve Sensations: Tingling in the Outer Thigh from Knee Pressure


Understanding Occasional Facial Numbness: Is It Related to Nerve Issues?

Occasional facial numbness? Last night, while lying flat in bed, I suddenly felt a tingling and numb sensation on the left side of my face and around my ear. It felt somewhat cool and was different from the numbness caused by posture issues. It was only slightly uncomfortable, bu...


Dr. Jiang Junyi Reply:
Dear Ms. Cherry, You mentioned that "facial movements are normal," which is less indicative of facial nerve damage. Facial nerve damage primarily affects the seventh cranial nerve, with clinical symptoms including a sensation of stiffness in the face and loss of motor ...

[Read More] Understanding Occasional Facial Numbness: Is It Related to Nerve Issues?


Understanding Facial Numbness: When to Seek Medical Attention

Numbness in the face? I appreciate Dr. Jiang's response, which alleviated my concerns. However, I have the following questions regarding the symptoms of cervical radiculopathy mentioned by Dr. Jiang: 1. During the episodes of facial numbness, I did not experience any typic...


Dr. Jiang Junyi Reply:
Hello Ms. Cherry: If the frequency of occurrences has not significantly increased and the symptoms have not worsened, you can document the events leading up to the next episode and seek medical attention, which will assist the physician in making a diagnosis. It is advisable to a...

[Read More] Understanding Facial Numbness: When to Seek Medical Attention


Understanding Symptoms of Autonomic Nervous System Dysfunction

The body feels tense and warm? Hello, Doctor: Recently, I have been feeling tightness in my shoulders and neck, and sometimes I also feel tightness in my right ear. I have been experiencing nerve pain, with occasional tingling in my calves and near my toes. My body feels warm, in...


Dr. Jiang Junyi Reply:
Dear Ms. Deddy, You mentioned "autonomic nervous system dysfunction," a term that is widely used because it is important to identify the underlying causes of this phenomenon. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic ne...

[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction


Could Improper Massage Techniques Lead to Nerve Damage?

Is there a possibility of nerve damage? Hello, doctor. During the pandemic, my mother felt unwell after carrying heavy objects and has been experiencing persistent headaches. She used an old handheld massager for full-body massage (not a fascia massage gun), and during the massag...


Dr. Jiang Junyi Reply:
Dear Ms. Hu, Your mother is likely over 65 years old, and if she is experiencing an atypical fracture at the junction of the shoulder and chest, it may be necessary to consider osteoporosis. An evaluation for an elderly patient should include: bone density testing, metabolic syn...

[Read More] Could Improper Massage Techniques Lead to Nerve Damage?


Persistent Symptoms After Concussion: Seeking Answers for Ongoing Brain Disturbances

Symptoms such as brain movement and discomfort after a concussion lasting more than two months? Dear Dr. Jiang, In June, I was rear-ended by a large truck while driving, and I hit the back of my head inside the car. I did not lose consciousness or experience any bleeding at the ...


Dr. Jiang Junyi Reply:
Dear Miss Jia-Jia, Your symptoms are likely indicative of post-concussion syndrome. The symptoms following a concussion can be categorized into three main types: 1. Physical symptoms: headache, fatigue, photophobia, neck pain, nausea, decreased balance, dizziness, etc. 2. Emoti...

[Read More] Persistent Symptoms After Concussion: Seeking Answers for Ongoing Brain Disturbances


Understanding Symptoms: Could Your Headaches Indicate a Brain Tumor?

Brain tumor Hello, doctor! I have been experiencing symptoms of migraine, trigeminal neuralgia, pulsating sensations in the back of my head, tightness in my right shoulder and neck, and stiffness in the back of my neck for many years, with daily occurrences. If I sleep too little...


Dr. Jiang Junyi Reply:
Dear Ms. Amy, I would like to inquire if you experience snoring, as waking up suddenly at night may indicate the possibility of sleep apnea. Additionally, if you are experiencing vascular headaches, it might be beneficial to seek assistance from a neurologist. You may need to co...

[Read More] Understanding Symptoms: Could Your Headaches Indicate a Brain Tumor?


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