Understanding Recent Headaches and Dizziness: Neurological Insights
Recently, I have been experiencing dizziness, headaches, and a feeling of heaviness? Hello doctor, about two weeks ago I started experiencing sudden, unexplained sharp pains in my head. Sometimes it’s in the left occipital area, sometimes in the right parietal region, and other t...
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 Recent Headaches and Dizziness: Neurological Insights
Understanding Dizziness: When to Seek Neurological Help
Regarding the issue of dizziness? Hello doctor, I have been experiencing mild dizziness for the past week, sometimes accompanied by a feeling of unsteadiness. It suddenly feels like I'm spinning. My menstrual period started three days ago, and I initially thought it might be...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. Since your symptoms occur after menstruation, it is essential to rule out anemia or fluid deficiency that could lead to insufficient ...[Read More] Understanding Dizziness: When to Seek Neurological Help
Understanding Persistent Mild Headaches: When to Seek Further Evaluation
Mild headache persisting for 4 days? Hello, Doctor. I have rarely experienced headaches throughout my life, only occasionally having them for half a day to a day when I haven't slept well. About five days ago, I had a headache for a day, with a pain level of about four, and ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, we should first consider tension-type headache or myofascial inflammatory headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature ...[Read More] Understanding Persistent Mild Headaches: When to Seek Further Evaluation
Severe Headaches Triggered by Breath-Holding and Straining: What to Know
Severe headaches occur when holding breath or straining? Yesterday, while practicing the jellyfish float and breathing techniques during swimming, I experienced severe pain at the back of my head after completing five breathing cycles, accompanied by mild neck soreness. However, ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of a variant of migraine or myofascial pain syndrome. However, if the headache persists for more than three days, it may be necessary to consider the rare possibility of cerebral venous thrombosis, which differs from typical cerebral arter...[Read More] Severe Headaches Triggered by Breath-Holding and Straining: What to Know
Neck Examination: Understanding Neurological Symptoms and Diagnostic Options
Neck examination Hello, Dr. Jiang: About ten years ago, one day I pressed hard on my left neck, and then suddenly felt as if my entire right side was filled with water; it felt strange. Since then, I have been unable to resolve several sequelae. 1. The corner of my mouth droops t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be more indicative of cervical radiculopathy due to nerve root compression, especially since the symptoms worsen after lifting heavy objects. Additionally, abnormalities in the cervical blood vessels can sometimes present similar symptoms. It is recommend...[Read More] Neck Examination: Understanding Neurological Symptoms and Diagnostic Options
Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Unknown dizziness Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests, including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, exercise ECG, ech...
Dr. Jiang Junyi Reply:
Hello: It seems that you have undergone many examinations, yet you still experience poor sleep. I wonder if you have had a sleep study done? Many symptoms such as dizziness, elevated blood pressure, and difficulty concentrating could potentially be explained by obstructive sleep ...[Read More] Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching and weakness? Hello, doctor. Last Tuesday, I visited the neurology department with complaints of facial nerve dysfunction and decreased dexterity in my right hand. During my follow-up appointment this Tuesday, my right hand is still not functioning well. I am ver...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned, combined with sensory abnormalities, may suggest peripheral nerve inflammation. Amyotrophic lateral sclerosis (ALS) primarily affects motor neurons and typically does not present with sensory abnormalities. Regarding fasciculations, they are ass...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Heavy head, pressure in the head, dizziness, and stiffness and soreness in the shoulders and neck? Hello Dr. Jiang, my questions are as follows, please help me answer them: ● Medical History 1. For the past five years, I have almost daily experiences of head heaviness, dizziness...
Dr. Jiang Junyi Reply:
Hello: The most important thing for your condition is to cultivate the parasympathetic nervous system. 1. Do I need to have another brain MRI? Under what circumstances should dizziness warrant an MRI? A: Generally, if there are no new neurological symptoms, repeating an MRI is...[Read More] Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Understanding Right Neck Pain Radiating to the Eye: Possible Causes and Solutions
Pain extending from the right posterior neck to the right orbital region? Hello Dr. Jiang, a few days ago I started experiencing a dull pain in the right posterior neck, which has continued for the past two days, typically starting around noon. The pain is localized in the right ...
Dr. Jiang Junyi Reply:
Hello: 1. What could be the possible causes of the current headache symptoms? A: 1. You mentioned that the symptoms improve after stretching, which may indicate a myofascial issue. 2. Additionally, consider cluster headaches, which are more common in males and typically occur ...[Read More] Understanding Right Neck Pain Radiating to the Eye: Possible Causes and Solutions
Understanding Headaches: Risks and When to Seek Medical Attention
I would like to inquire about issues related to headaches? Hello Doctor, my wife often experiences headaches when she is overly fatigued or sleep-deprived, and she frequently needs to take pain relievers to fall asleep. I would like to ask: 1. Are there any potential risks associ...
Dr. Jiang Junyi Reply:
Hello: Regarding the symptoms of headaches, if there are neurological abnormalities such as unilateral limb numbness or weakness, or if there is a thunderclap headache, it is essential to visit a neurology clinic for examination. The more common causes of headaches in women are t...[Read More] Understanding Headaches: Risks and When to Seek Medical Attention
Discomfort from Wearing a Hat Too Long: Neurological Insights
Wearing a hat for too long can cause discomfort in the head? Hello doctor, I have been wearing a hat for the past couple of days, and now I have a persistent sensation of wearing a hat on my head. Since last night, I have been feeling discomfort and numbness in the area between m...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, aching, ...[Read More] Discomfort from Wearing a Hat Too Long: Neurological Insights
Understanding Facial Nerve Palsy: Causes, Symptoms, and Treatment Options
Facial nerve paralysis Hello, doctor. On March 14th, I suddenly felt pain in the right side of my neck, which didn't feel like a muscle strain but rather like nerve pain. However, it improved by the evening. On the morning of March 15th, the pain returned and lasted all day ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indicate peripheral facial nerve paralysis, primarily affecting the seventh cranial nerve (if it were due to cervical nerve compression, it would not affect the face). Clinically, symptoms may include pain behind the ear 1-2 days prior to the onset. There may...[Read More] Understanding Facial Nerve Palsy: Causes, Symptoms, and Treatment Options
Do You Need a Neurology Checkup for Numbness and Weakness?
Do I need to see a neurologist for an examination? Last year, around July and August 2017, I experienced numbness and some weakness on the left side of my hand, foot, waist, and neck. Sometimes, I even felt numbness behind my left ear. At that time, I went to the neurology depart...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may warrant consideration of brain lesions (sudden onset of blurred vision) and spinal cord nerve lesions (abnormal sensations in the left limbs), among others. May I ask what examinations you have undergone at our hospital? Please share your medical history ...[Read More] Do You Need a Neurology Checkup for Numbness and Weakness?
Understanding Numbness in the Right Upper Arm: Causes and Solutions
Numbness in the right upper arm? Hello Doctor: Recently, I've been experiencing a tingling sensation on the outer side of my right upper arm, and there is a slight pain when I perform chin-down movements, similar to feeling a tendon being pulled. I'm unsure what this co...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest that the nerve roots at the first thoracic vertebra or the seventh cervical vertebra are being compressed, leading to numbness. A physical examination and electromyography can assist in the diagnosis. It is recommended that you consult with a neur...[Read More] Understanding Numbness in the Right Upper Arm: Causes and Solutions
Understanding Post-Concussion Symptoms: What to Do After a Head Injury
Concussion inquiries? Hello Doctor: I was involved in a motorcycle accident four weeks ago as a passenger, wearing a full-face helmet. I have no memory of the accident and when I opened my eyes again, I was already in the hospital. I was unconscious when I was brought to the hosp...
Dr. Jiang Junyi Reply:
Hello: Because you have sustained a severe head injury, common symptoms include the following: – Vomiting two times or more – Age over 65 or under 2 years – Drug or alcohol overdose – Persistent severe diffuse headache – Loss of consciousness for more than 30 minutes after the in...[Read More] Understanding Post-Concussion Symptoms: What to Do After a Head Injury
Understanding Fasciculations: Causes, Concerns, and When to Seek Help
Fasciculation Hello, Doctor: Over the past two months, I have been experiencing intermittent muscle twitching in various parts of my body, sometimes in my arms, calves, thighs, and buttocks. I am very concerned about whether this could indicate any serious illness. During this tw...
Dr. Jiang Junyi Reply:
Hello: The symptoms of amyotrophic lateral sclerosis (ALS) you mentioned, such as fasciculations, are indicative of lower motor neuron (LMN) involvement, which affects motor neurons located in the brainstem and spinal cord. This is typically accompanied by muscle atrophy, often s...[Read More] Understanding Fasciculations: Causes, Concerns, and When to Seek Help
Understanding Prolonged Headaches: Could It Be a Tumor or Tension?
May I ask the doctor? I have been experiencing migraines recently that have lasted for three weeks. I feel a pressure in the back of my head on one side, and sometimes I have sudden sharp pains in the temples, back of the head, or the top of my head. I do not feel nauseous, and I...
Dr. Jiang Junyi Reply:
Hello: The migraine you mentioned may differ from the medical definition of migraine. Migraine is a type of vascular headache characterized by symptoms such as nausea, vomiting, photophobia, and phonophobia during an attack. It is often accompanied by severe unilateral throbbing ...[Read More] Understanding Prolonged Headaches: Could It Be a Tumor or Tension?
Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help
The lower eyelid has been twitching intermittently for a week? For a week, my lower eyelid has been twitching (since Sunday). That morning, I woke up feeling some swelling at the outer corner of my upper eyelid and lower eyelid. I thought it was just normal edema, so I didn'...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest myofascial pain syndrome in the posterior neck muscle group, which can also lead to referred discomfort in the eyes. The key issue lies within the muscles of the posterior neck. The myofascial connection points are located in the forehead area. I&...[Read More] Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help
Should I Get a Brain Scan for My Frequent Headaches and Dizziness?
I have a question to ask the doctor? Hello doctor, I have been experiencing frequent numbness in my head, dizziness, and neck stiffness. I also feel some tightness between my eyebrows. I had blood tests and urinalysis done recently, and the results were normal. Do I need to under...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be related to discomfort caused by tightness in the cervical fascia, as the cervical fascia connects to the forehead and the temporal region (temples) of the skull, allowing the head to rotate at various angles. I recommend the following: 1. Change p...[Read More] Should I Get a Brain Scan for My Frequent Headaches and Dizziness?
Understanding Dizziness and Imbalance: Possible Neurological Causes
Dizziness and a sense of imbalance? Hello Doctor, I have been experiencing frequent headaches and dizziness lately. However, the dizziness is not like the room spinning; it feels more like a sudden moment of disorientation, accompanied by a sensation of my heart skipping a beat. ...
Dr. Jiang Junyi Reply:
Hello: If dizziness is related to head position, it may be necessary to consider benign paroxysmal positional vertigo (BPPV), which is usually caused by inner ear imbalance. However, since you mentioned symptoms of visual and sensory tilt, it may be important to consider issues r...[Read More] Understanding Dizziness and Imbalance: Possible Neurological Causes