Understanding Nerve Injuries from Exercise: Causes and Solutions
Motor nerve injury Hello Dr. Jiang, I have been practicing with dumbbells and doing Zumba aerobic dance for over six months. Recently, I have started to experience numbness from my left arm to my fingers, especially when exercising with dumbbells. Initially, I only felt this duri...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression. Generally, the human body has seven cervical vertebrae and eight pairs of spinal nerves. Prolonged poor posture with the head down can lead to curvature, narrowing, and deformation ...[Read More] Understanding Nerve Injuries from Exercise: Causes and Solutions
Understanding Delayed Symptoms After a Concussion: What to Know
Head trauma Hello doctor, I would like to ask about a concussion I had from a car accident. I was wearing a helmet when I hit my head on the ground, and I was conscious at the time. During the week following the incident, I only experienced dizziness, which resolved after a week....
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, as the likelihood of intracranial hemorrhage is relatively low. External factors such as traffic accidents, falls, impacts to the head against hard objects, or excessive force during cervi...[Read More] Understanding Delayed Symptoms After a Concussion: What to Know
Understanding Neck Pain and Muscle Tension: When to See a Specialist
Physical issues Hello, doctor. For the past 3-4 months, I initially experienced pain and tightness in the left side of my neck. I had an X-ray, and the orthopedic specialist said that the bones appear to be fine, suggesting that it might be due to tight muscles, particularly arou...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of left-sided neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle at the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may allevia...[Read More] Understanding Neck Pain and Muscle Tension: When to See a Specialist
Why Head Injuries Can Cause Hand Numbness: What to Watch For
Head trauma resulting in numbness and tingling in both hands? Hello Doctor, the iron rolling door in my home’s motorcycle driveway malfunctioned, and I hit my head against the door as it was coming down. I was wearing a helmet at the time, so I have no external injuries, but I im...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider the possibility of nerve root compression in the neck due to the impact. When the intervertebral disc compresses the nerves between the fourth and fifth cervical vertebrae, it can lead to shoulder and neck pain. Compre...[Read More] Why Head Injuries Can Cause Hand Numbness: What to Watch For
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 Dizziness: Causes, Symptoms, and Treatment Options
Dizziness symptoms Hello, doctor. I've been troubled by dizziness for a long time, and the more I think about it, the worse it gets. My dizziness symptoms have persisted for over two months. I've seen an ENT specialist, a traditional Chinese medicine practitioner, and a...
Dr. Hong Weibin Reply:
Hello: Your condition may be peripheral vertigo, with a higher likelihood of Meniere's disease. You may seek assistance from an otolaryngologist or a neurologist specialized in the treatment of dizziness. Wishing you health and safety.[Read More] Understanding Dizziness: Causes, Symptoms, and Treatment Options
Understanding the Confusion Between Inner Ear Issues and Hypertension
The inner ear is affected by hypertension, and it can be difficult to distinguish between the two? Hello, Dr. Hong. My question has a bit of history and may be somewhat complex, so I will ask in an organized manner. I hope you can enlighten me. Thank you. 1. About 27 years ago, ...
Dr. Hong Weibin Reply:
1. Meniere's disease may improve dizziness gradually with age, but hearing loss may occur. 2. Non-rotational dizziness may be related to internal medical conditions. Factors such as medications, poor vascular circulation, and lack of sleep can contribute to this. 3. Ther...[Read More] Understanding the Confusion Between Inner Ear Issues and Hypertension
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 Neck, Shoulder, and Arm Pain: Possible Causes and Solutions
Regarding shoulder, neck, and arm pain? I'm not sure if it's a stiff neck, but I've been experiencing soreness along the left side of my neck down to the outer side of my left arm for about two weeks. There's a particularly tender spot near the outer side of m...
Dr. Jiang Junyi Reply:
Based on your description, it may be necessary to first consider the possibility of compression of the first thoracic nerve root. However, due to the presence of tender points, myofascial pain syndrome cannot be ruled out. It is recommended that you consult with a neurologist or ...[Read More] Understanding Neck, Shoulder, and Arm Pain: Possible Causes and Solutions
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
Understanding Tracheostomy for ALS Patients: Home Care Insights
Regarding tracheostomy? My wife, who is 28 years old, is a patient with amyotrophic lateral sclerosis (ALS). Currently, she is experiencing respiratory difficulties and uses a positive pressure ventilator for home care. She needs suctioning, but she finds it very uncomfortable an...
Dr. Jiang Junyi Reply:
Hello: Tracheostomy is typically performed by thoracic surgeons or otolaryngologists (ENT specialists). Prior to the surgery, it is necessary to evaluate coagulation function and assess for any bleeding tendencies, as well as to check for any anatomical abnormalities in the neck ...[Read More] Understanding Tracheostomy for ALS Patients: Home Care Insights
Understanding Unexplained Ear Heat and Thumb Sensations: A Neurological Perspective
Only my left thumb feels warm intermittently, and it's becoming more frequent? Hello, Doctor. Recently, both of my ears have been feeling very warm, but sometimes when I touch them, they don't feel hot. I first visited my family doctor, who said that only my right ear w...
Dr. Hong Weibin Reply:
Hello: If your symptoms persist and tend to worsen, it is advisable to seek evaluation and treatment from a clinical physician. You may consult an otolaryngologist or a neurologist. Wishing you a speedy recovery.[Read More] Understanding Unexplained Ear Heat and Thumb Sensations: A Neurological Perspective
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
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 Trigeminal Neuralgia: Symptoms and Possible Causes
Trigeminal neuralgia? The patient has recently experienced pain in the upper right teeth, described as a dull ache, and visited a dentist. The dentist indicated that the teeth themselves are fine, but there is mild inflammation of the gums. However, the patient has noticed that s...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to trigeminal neuralgia, but a period of observation is needed. According to the International Classification of Headache Disorders, Third Edition (ICHD-3), the diagnostic criteria for trigeminal neuralgia are as follows: - At least three ep...[Read More] Understanding Trigeminal Neuralgia: Symptoms and Possible Causes
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?