Understanding Facial Numbness and Twitching: Is It Trigeminal Neuralgia?
Left facial pain, with twitching of the upper left lip? Doctor, I have been experiencing a tingling sensation in the upper left corner of my mouth recently, and sometimes it twitches like a spasm. There is also soreness around the inner side of my left cheekbone. Could this be tr...
Dr. Cai Zongzhang Reply:
Hello, if your symptoms persist, it is recommended to visit a neurology outpatient clinic for further evaluation and treatment.[Read More] Understanding Facial Numbness and Twitching: Is It Trigeminal Neuralgia?
Understanding Spontaneous Intracranial Hypotension and Hearing Issues
Suspected spontaneous intracranial hypotension headache causing hearing issues? Hello Doctor, thank you for your response. Background information: 1. Normal weight, no hypertension. I have never had headaches in my life. 2. In 2016, I was hit from behind by a motorcycle. There wa...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indeed raise a high suspicion of intracranial hypotension headache. The treatment for this condition primarily involves identifying the location of the cerebrospinal fluid leak and applying a blood patch to "seal the hole." Considering your relative...[Read More] Understanding Spontaneous Intracranial Hypotension and Hearing Issues
Understanding Cervical Spine Issues and Their Impact on Health
Consultation on cervical spine and related issues? Hello Dr. Jiang, I have been experiencing significant discomfort in my neck recently, so I came to seek your advice. Last week, due to a month-long episode of dizziness and lightheadedness, I visited Chang Gung Memorial Hospital ...
Dr. Jiang Junyi Reply:
Hello: 1. Is there really a concept of congenital straight cervical spine? It seems that there are differing opinions between neurologists and orthopedic doctors. 2. If there is indeed a congenital straight cervical spine, would it affect muscle stiffness? I have noticed that ...[Read More] Understanding Cervical Spine Issues and Their Impact on Health
Understanding Body Tingling: Causes and When to See a Neurologist
Tingling sensation in the body (more pronounced in the fingers)? Hello Doctor, a few nights ago I experienced a tingling sensation in my fingers while I was asleep, without any pressure or injury. When I woke up, the tingling sensation in my fingers persisted, although it had les...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more commonly the result of hyperventilation syndrome, which leads to a decrease in carbon dioxide levels in the blood, causing an increase in pH and resulting in systemic reactions and symptoms. Common manifestations include vasoconstriction and hypocalc...[Read More] Understanding Body Tingling: Causes and When to See a Neurologist
Unusual Sensations on the Left Side of the Head: Causes and Concerns
I feel strange sensations on the left side of my head? I have been feeling strange in the left side of my head for a week, as if I have been on the phone for too long and the electromagnetic waves are making my brain feel odd. My left big toe has been numb for about a year, and t...
Dr. Jiang Junyi Reply:
Hello: Your issue may need to first rule out cervical nerve root compression before considering abnormalities in brain structure. External factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rotation can lead to cervical...[Read More] Unusual Sensations on the Left Side of the Head: Causes and Concerns
Chronic Neck Stiffness and Swelling: Seeking Solutions for Persistent Pain
Unilateral neck swelling and tightness, with stiffness in the shoulders and upper back for many years? Hello, doctor. I have been experiencing stiffness and swelling in my right neck for many years. When I turn my head to the right, I feel tightness, and my right eyelid and eyebr...
Dr. Jiang Junyi Reply:
Hello, based on your description, I believe it is essential to first clarify whether there is cervical nerve root compression or cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder dis...[Read More] Chronic Neck Stiffness and Swelling: Seeking Solutions for Persistent Pain
Understanding Muscle Twitches and Nerve Sensitivity in the Arm
Tremor issues? Hello Doctor: I am currently in the United States, and accessing healthcare is not very convenient. I would like to request your assistance, thank you. For the past five days, I have been experiencing involuntary twitching in the upper left arm, specifically in the...
Dr. Jiang Junyi Reply:
Hello, based on your described symptoms, they are very similar to cervical myofascial pain syndrome. Clinically, it often presents as pain in the affected area, discomfort, muscle stiffness, or a heavy sensation, and sometimes palpable myofascial trigger points can be felt under ...[Read More] Understanding Muscle Twitches and Nerve Sensitivity in the Arm
Understanding Numbness and Tension: When to Seek Medical Advice
Numbness issues? Hello Doctor, I have been experiencing tightness in my scalp recently, occasionally accompanied by tingling sensations. This has been going on for a while. I also feel discomfort on the left side of my neck, near the sternocleidomastoid muscle, which is sometimes...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned, such as "discomfort on the left side of the neck near the sternocleidomastoid muscle occasionally accompanied by slight headaches," are more indicative of cervicogenic headache or tension-type headache. However, the "numbness in t...[Read More] Understanding Numbness and Tension: When to Seek Medical Advice
Unexplained Height Increase in Adults: Causes and Concerns
Questions about unexplained height increase in adults? Hello, Dr. Jiang. I am 27 years old this year. I started my menstrual period in the sixth grade of elementary school, and at that time, my height was 163 cm. After graduating from high school until I was 25, my height remaine...
Dr. Jiang Junyi Reply:
Hello: (1) Today, when reviewing the report, it was mentioned that if the size is less than one centimeter, there is no need for concern, surgery, or medication. However, I still have doubts about whether the pituitary gland could enlarge in this condition, or if regular follow-u...[Read More] Unexplained Height Increase in Adults: Causes and Concerns
Understanding Hand Cramps: Possible Links to Neck Issues
Hand cramps I am right-handed, and this morning until noon, the muscle below my left thumb has been cramping for a few seconds intermittently, and my thumb also trembles. I read online that this might be related to the cervical spine. Is that true? Today, I spent more time studyi...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest the possibility of cervical nerve root compression at the sixth cervical vertebra. Additionally, inflammation of the median nerve should also be considered, which is commonly known as carpal tunnel syndrome. Carpal tunnel syndrome typically occurs...[Read More] Understanding Hand Cramps: Possible Links to Neck Issues
Could Your Ongoing Symptoms Indicate Autonomic Nervous System Disorder?
Is it autonomic nervous system dysfunction? I started experiencing a cold in February of this year, with symptoms such as nasal congestion and a sensation of something stuck in my throat. I have been seeing an otolaryngologist and taking medication, but I have developed additiona...
Dr. Jiang Junyi Reply:
Hello, based on your description, the autonomic nervous system can be affected by life stress or irregular lifestyle patterns. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, one acts as the accelerator and the other as...[Read More] Could Your Ongoing Symptoms Indicate Autonomic Nervous System Disorder?
Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Muscle twitching Hello Doctor, I am a 23-year-old student. Two weeks ago, I experienced persistent twitching in the area under my right eye, which has since improved. However, I then started to have frequent twitching in my left foot and the top of my foot, so I went to see a neu...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of sympathetic nervous system hyperactivity. The ALS you are concerned about primarily refers to issues with motor neurons, which control muscle movement. Generally, the motor neurons in the brain are referred to as upper motor neurons, wh...[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Understanding Neck Tension: Causes, Symptoms, and Treatment Options
Neck problems Hello, doctor. I have been experiencing a persistent tightness on the left side of my neck around the C4-C5 vertebrae, which feels like there is something there. Sometimes when I lower or nod my head, it feels like it’s being pulled, and when it gets really uncomfor...
Dr. Jiang Junyi Reply:
Hello: If the rehabilitation results are not satisfactory, it may be advisable for the rehabilitation physician to refer you to a neurosurgeon to assess for any nerve root compression, and you may need to wear a cervical collar for protection. In addition to rehabilitation, I rec...[Read More] Understanding Neck Tension: Causes, Symptoms, and Treatment Options
Understanding Neck and Head Tension: Causes and Concerns
Head and neck Hello doctor, I used to have a tight spot on the left side of my neck, which would occasionally feel sore. Recently, I've been experiencing tightness in my scalp, forehead, and even around my eyes, which sometimes feel achy. Occasionally, I also feel a bit of w...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of left-sided 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 al...[Read More] Understanding Neck and Head Tension: Causes and Concerns
Understanding Joint Pain: Seeking Answers for Widespread Discomfort
Hello, doctor. I feel like I have issues with all my joints? I am losing confidence in my body. My left shoulder used to dislocate frequently, but that has stopped. However, recently, my joints have been getting increasingly stiff, starting with my right shoulder, which was diagn...
Dr. Jiang Junyi Reply:
Hello: Your issue may still stem from the cervical spine. If rehabilitation has not been effective after two months, doctors typically refer patients to a neurosurgeon to evaluate whether nerve compression is caused by a herniated disc. It is recommended to perform neck muscle st...[Read More] Understanding Joint Pain: Seeking Answers for Widespread Discomfort
Understanding Headaches: Can Neck Tension Heal Itself?
Continuing from #154498 regarding the headache issue? Hello, doctor. Previously, you suggested waiting for the pandemic to subside before getting checked. I currently feel that my condition is improving, and I hardly experience headaches anymore. I would like to ask if my symptom...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, nerve compression and inflammation have some self-healing capabilities. However, over time, they may still lead to structural changes. It is recommended to change your fixed posture every 30-60 minutes to avoid excessive use of local muscles. If symptom...[Read More] Understanding Headaches: Can Neck Tension Heal Itself?
Managing Neck Pain: Sleep Aids vs. Muscle Relaxants for Better Rest
Cervical spine issues I have tightness and soreness in my neck and shoulders. Recently, I had an X-ray that confirmed a displacement of the fifth and sixth cervical vertebrae. I am currently undergoing rehabilitation and neck stretching treatments. I often have trouble falling as...
Dr. Jiang Junyi Reply:
Hello, based on your description, the treatment for cervical myofascial pain primarily focuses on maintenance. 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 ...[Read More] Managing Neck Pain: Sleep Aids vs. Muscle Relaxants for Better Rest
Understanding Neck Tension and Ear Sounds: Possible Causes and Solutions
Cervical issues Hello, doctor. Recently, I've been feeling a tightness in my neck, and when I turn my head, I hear a sound similar to pressure in my right ear. Sometimes, when I lie flat at night, I can also hear a heartbeat in my right ear. However, if I press on the right ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are likely caused by cervical myofascial inflammation and tension, as the blood vessels near the cervical spine can contribute to these issues. It is recommended to change your posture every 15 minutes to allow the neck tissues to rest. Maintaining any postur...[Read More] Understanding Neck Tension and Ear Sounds: Possible Causes and Solutions
Understanding Heart Medications: Concerns About Verapamil and Stroke Risk
Xinsuping and Katie Heart Hello Dr. Hong, This article continues from the previous question <a href="https://adoctor.tw/article/153145">#153145</a>. I will list my questions for easier reading, and I kindly ask for your clarification. Thank you. 1. I ofte...
Dr. Hong Weibin Reply:
Hello: 1, 2, 4. Diltiazem and Verapamil are both classified as calcium channel blockers in pharmacology, commonly used to treat hypertension and alleviate tachycardia. However, they are not recommended for use in cases of bradycardia or in patients with atrioventricular (AV) bloc...[Read More] Understanding Heart Medications: Concerns About Verapamil and Stroke Risk
Understanding Abdominal Strain-Induced Headaches: Causes and Insights
Abdominal straining causing headaches? I have stiffness in my neck and shoulders, so I notice that when I exert myself (like during bowel movements, pushing for about 5 seconds), I sometimes experience pain in the back of my head, but occasionally I also feel pain in the front of...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the most common cause is tension-type headache, rather than an issue related to intracranial pressure. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with a wide ra...[Read More] Understanding Abdominal Strain-Induced Headaches: Causes and Insights