Understanding New Headaches: When to Seek Medical Attention
Newly Discovered Headache Hello, doctor. I have been experiencing frequent headaches for many years, usually characterized by a pressure-like pain accompanied by neck stiffness. However, in April of last year, I noticed a new type of headache that feels like a sharp, electric sho...
Dr. Jiang Junyi Reply:
Dear Ms. Vicky, You mentioned that "the headache feels like a sharp pain... almost like an electric shock," which may suggest cervicogenic headache. Given the new symptoms, it is advisable to consult a neurologist for further evaluation. Neurologists who specialize in ...[Read More] Understanding New Headaches: When to Seek Medical Attention
Understanding Headaches: When to See a Neurologist for Relief
I have a headache that radiates to the back of my head, with a hot sensation on my forehead and warmth in my upper back? Hello Dr. Jiang: Since the end of January, I have been experiencing pain in my forehead, which has now shifted to the lower back of my head, causing me to wake...
Dr. Jiang Junyi Reply:
Hello Ms. Yang, You mentioned that "the frontal headache has now shifted to pain in the lower back of the head, waking you up in pain, along with heat in the forehead and upper back." It is important to first consider cervicogenic headache. This type of headache is cau...[Read More] Understanding Headaches: When to See a Neurologist for Relief
Understanding Electromyography: Concerns About Needle Safety and Breakage
Needle electromyography issues? Hello doctor, I was very nervous during the electromyography (EMG) procedure, which involved six needle insertions, with the last needle placed in the back of my neck. I would like to ask if the needles used for EMG are very sturdy, and is the like...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the probability of needle breakage is basically 0?" I can only say that I have never seen a case of needle breakage in electromyography. If you are concerned, metal objects are very visible on X-rays. An X-ray examination can be used to ...[Read More] Understanding Electromyography: Concerns About Needle Safety and Breakage
Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions
Neck tightness, tremors, and dizziness? Last week, I experienced a headache due to heatstroke and underwent cupping therapy (without cupping on the spine). However, the night after the treatment, I began to feel tightness in my neck when looking up or down, or in certain position...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Recently, the weather has been changing significantly, and I have a slight cold. I'm not sure if this is related. My condition has neither worsened nor improved, so I would like to consult with a doctor to see if I need to go to the hospital ...[Read More] Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions
Understanding Headaches and Vascular Issues: A Neurological Perspective
Headaches and vascular-related issues? Hello, doctor. I have been experiencing frequent headaches and fatigue. Here are my detailed symptoms: I have two types of headaches; one is unilateral (more often on the left side, but sometimes on the right) accompanied by a feeling of pre...
Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned, "If I need to see a specific specialist, which one would you recommend (due to heart and head, neurological issues)?" I'm not sure which issue is most concerning for you. I suggest starting with a neurologist, focusing on cervical spine ...[Read More] Understanding Headaches and Vascular Issues: A Neurological Perspective
Persistent Dizziness and Body Shaking: Seeking Answers for Neurological Symptoms
The sensation of body swaying and dizziness has persisted for six months? Hello, Doctor. Since being diagnosed at the end of May last year, I have been experiencing symptoms of hypoxia, such as blackouts and dizziness. By October, my hypoxia symptoms had improved, but recently I ...
Dr. Jiang Junyi Reply:
Dear Ms. P: You mentioned experiencing "sudden lapses of memory for 1 to 2 seconds while walking, without any symptoms of numbness in the limbs or face." Your symptoms may suggest postural hypotension. Additionally, conditions such as anemia, autonomic dysfunction, and...[Read More] Persistent Dizziness and Body Shaking: Seeking Answers for Neurological Symptoms
Sudden Sharp Pain in the Back of the Head When Turning: Causes Explained
Occasional sudden severe pain in the back of the head when turning the head? Hello, doctor. I have been experiencing this condition for about three to four years, but it occurs only occasionally, roughly every few months. When I turn my head, I feel a sharp, concentrated pain in ...
Dr. Jiang Junyi Reply:
Dear Mr. Chen Li, You mentioned that "occasionally turning my head causes intense pain concentrated at a specific point in the left back of my head," which may suggest cervicogenic headache. Symptoms of cervicogenic headache include unilateral severe headache, stiffnes...[Read More] Sudden Sharp Pain in the Back of the Head When Turning: Causes Explained
Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
I would like to inquire about what condition these symptoms may indicate? Sitting for 1-2 hours (such as in a car or at a desk) causes intense stabbing pain throughout the neck, shoulders, and upper back, along with a feeling of tightness and swelling around the neck and shoulder...
Dr. Jiang Junyi Reply:
Hello Ms. QZ: You mentioned experiencing a strong stabbing pain from your neck to your shoulders and upper back. I wonder if you also have any tingling sensations? We should first consider cervical nerve root compression, which is often related to tightness in the cervical muscle...[Read More] Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
Understanding Your Carotid Ultrasound and MRI Results: A Guide for Patients
CT Report Hello Doctor, I have diabetes and have been experiencing frequent headaches lately, which makes me worry about a stroke. I had a neck ultrasound and a brain MRI done in June, and I would like your assistance in understanding any important points to note. Thank you. Car...
Dr. Cai Zongzhang Reply:
Hello, Xiaoping: Both the carotid ultrasound and MRI show no abnormalities, indicating that there are no serious pains in the organs. It is recommended to improve sleep, increase physical activity, and enhance the control of blood sugar and lipids to alleviate symptoms.[Read More] Understanding Your Carotid Ultrasound and MRI Results: A Guide for Patients
Understanding Fluctuating Weakness: Is It Anxiety or a Neurological Issue?
The soft tissue in the area is moving around? Recently, I woke up with sudden weakness and soreness in my left arm (it felt as sour as squeezing a lemon), and the next day it shifted to my right leg. The following day, I woke up with a stiff neck. After visiting a rehabilitation ...
Dr. Cai Zongzhang Reply:
Hello, Ms. Shu: Based on the symptoms mentioned above, it is recommended to consult a neurologist for an examination.[Read More] Understanding Fluctuating Weakness: Is It Anxiety or a Neurological Issue?
Understanding Neck and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?
Shoulder and neck inflammation? Recently, I visited an orthopedic doctor due to pain in my left shoulder and neck, and I was diagnosed with muscle inflammation in that area. I took medication, but I still experience sudden pain or a tight sensation in my neck. Occasionally, I als...
Dr. Wu Mukhan Reply:
Hello, neck tightness may be related to inflammation of the shoulder and neck muscles. Symptoms related to the eyes and ears are usually not significantly affected by the shoulder and neck. It is recommended to consult a rehabilitation specialist to address the muscle inflammatio...[Read More] Understanding Neck and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?
Understanding Your Neurology Report: Key Findings and Next Steps
Examination Report Hello Doctor, this is the examination I had done in June last year. I would like to ask for your help in reviewing it for any issues that I should be aware of, as I have diabetes and have recently been experiencing headaches, which makes me fearful of a stroke....
Dr. Cai Zongzhang Reply:
Hello, Xiaoping: The right side examination report shows no evidence of cerebral infarction, and the degree of carotid artery atherosclerosis is mild. It is recommended to actively manage diabetes and to follow up with carotid ultrasound annually.[Read More] Understanding Your Neurology Report: Key Findings and Next Steps
Understanding Right Neck and Shoulder Pain: When to Seek Neurology Help
Right shoulder and neck tightness and pain? Hello Doctor: For the past six months, I have been experiencing a tight and painful sensation on the right side of my neck, extending from my head down to a certain point on my shoulder, similar to a nerve issue. I have difficulty turni...
Dr. Cai Zongzhang Reply:
Hello Ms. Liu: It is recommended to visit the neurology department for a cervical spine examination.[Read More] Understanding Right Neck and Shoulder Pain: When to Seek Neurology Help
Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Feeling of body swaying? Hello, doctor. Recently, I spent too much time at the computer maintaining a posture, and after getting up, I noticed stiffness in my neck muscles along with dizziness. I visited a traditional Chinese medicine practitioner who said my muscles were inflame...
Dr. Peng Shiwei Reply:
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Understanding Persistent Head Pain: Causes and Treatment Options
I've been experiencing a persistent feeling of pressure and dull pain in my head lately? Hello Doctor, my situation is as follows: Recently, I have been experiencing pain on the left side of my head, specifically the top and the back left side, which started in early Decembe...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "gastroesophageal reflux... I almost always sleep with my head elevated on my side (using a pillow and a body pillow to alleviate discomfort), and I wonder if my sleeping position is causing headaches." Elevating the head can indeed lead to ov...[Read More] Understanding Persistent Head Pain: Causes and Treatment Options
Understanding Persistent Dizziness: Possible Causes and Treatment Options
Persistent dizziness and vertigo? Hello Doctor, I discovered over a year ago that I have poor hearing in my left ear, along with unilateral tinnitus, a feeling of fullness in the ear, and headaches. I began visiting an otolaryngologist for examinations, during which I underwent A...
Dr. Peng Shiwei Reply:
You should seek medical treatment at a neurology outpatient clinic for your symptoms. Thank you.[Read More] Understanding Persistent Dizziness: Possible Causes and Treatment Options
Understanding Neck and Head Pain: Is It Related to Your Recent Cold?
Bending the head forward can cause significant pain? Hello, doctor: I've been experiencing persistent headaches lately. Bending down causes significant pain, which also radiates to my neck. During these episodes, I am unable to move at all. I had a cold a while ago, but my s...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned that "bending my head down is very painful, and it also hurts my neck... I feel a sensation of blood flowing through the top of my head when I bend down." Your symptoms may suggest cervical headache. This is related to tightness in the cervic...[Read More] Understanding Neck and Head Pain: Is It Related to Your Recent Cold?
Persistent Pain After Facelift Surgery: Is It a Long-Term Side Effect?
It has been a year since the facelift surgery, but the head still feels tight and numb, causing unbearable pain? In November 2022, I underwent a facelift surgery. Starting in February 2023, I experienced tightness and electric shock-like sensations in my head, along with recurren...
Dr. Jiang Junyi Reply:
Dear Ms. Cheng, You mentioned that the "tightness and electric sensation in your head" may indicate peripheral sensory nerve compression. These symptoms could be exacerbated by tightness in the cervical myofascia. It would be beneficial for you to supplement with B vit...[Read More] Persistent Pain After Facelift Surgery: Is It a Long-Term Side Effect?
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle twitching? Hello doctor, I am currently 26 years old. In the past few months, I have been experiencing shoulder and neck twitching just as I am about to fall asleep at night. This often causes me to wake up suddenly, and it happens multiple times throughout the...
Dr. Wu Mukhan Reply:
Hello, your description may be indicative of myoclonus, which can occur in some individuals upon falling asleep and is usually a normal physiological phenomenon. However, if the frequency of these episodes is high and affects your sleep or daily life, it is advisable to consult a...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Dizziness After Head Injury: When to Seek Further Evaluation
Slipping in the bathroom, head injury? Hello Doctor, I accidentally slipped and hit my head (upper right side of the occipital region) in the bathroom on November 28, 2023. I went to the emergency room and received six stitches. However, starting on December 6, 2023, I began to...
Dr. Jiang Junyi Reply:
Hello Mr. A-Lung, You mentioned, "On 2023/12/12, I have been feeling slightly dizzy all day. I wonder if it could be a concussion or a brain hemorrhage?" Generally speaking, if there is no loss of consciousness, no anticoagulant use, or significant local hematoma, head...[Read More] Understanding Dizziness After Head Injury: When to Seek Further Evaluation