Unexplained Falls and Head Injuries: Understanding Neurological Concerns
Unexplained fall resulting in impact to the back of the head? Hello Doctor: On the 25th of this month, after taking a break and using the restroom (urinating), I fell and hit the back of my head. I have no memory of the fall or how I returned to the office. The surveillance foota...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms you mentioned are more likely caused by syncope, which is typically due to a rapid drop in blood pressure or vasoconstriction leading to decreased cerebral blood flow, resulting in cerebral hypoxia. Syncope is more likely to occur when a pe...[Read More] Unexplained Falls and Head Injuries: Understanding Neurological Concerns
Head Pain While Sleeping: Neurological Concerns and Solutions
Experiencing headaches while sleeping on your back? Hello, doctor. At the end of October, I experienced a headache in the back of my head. I visited a traditional Chinese medicine practitioner and took some medication, which improved my condition a bit. However, I still occasiona...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to cervical nerve root compression, causing cervicogenic headaches. Clinical diagnosis must rely on physical assessment, electromyography, cervical X-rays, and even cervical magnetic resonance imaging (MRI). Most symp...[Read More] Head Pain While Sleeping: Neurological Concerns and Solutions
Chronic Neck and Shoulder Pain: Seeking Effective Treatment Options
Neck pain accompanied by right shoulder pain and limited mobility? Hello Doctor: Every day around 2-3 PM, I experience neck pain, followed by stiffness on the right side of my neck extending to the occipital bone, which then radiates to my right shoulder, causing sharp pain. The ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the treatment for cervical disc herniation is determined by the severity of pain and whether there is compression of the nerve roots or cervical spinal cord. Most symptoms are temporary and respond well to conservative treatments such as medicati...[Read More] Chronic Neck and Shoulder Pain: Seeking Effective Treatment Options
Understanding Right Shoulder and Neck Pain: When to See a Specialist
Right shoulder and neck pain, tightness, right lower back pain, and numbness in the right hand and right foot? Hello Doctor: I usually work sitting at a computer, and for the past six months, I have been experiencing pain and tightness in my right shoulder that extends to my neck...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to a herniated disc. Symptoms often worsen due to coughing or poor posture, but given your young age, the likelihood of simultaneous cervical and lumbar nerve root compression is low. It may be necessary to rule out o...[Read More] Understanding Right Shoulder and Neck Pain: When to See a Specialist
Intermittent Sharp Pain in Left Shoulder: Neurological Insights and Concerns
Transient sharp pain in the left shoulder? Over the past six months, I have experienced brief episodes of sharp pain in a fixed location on my left shoulder and neck about 2-3 times a month. The pain feels like a sudden electric shock, with an intensity ranging from 4 to 7 out of...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms seem to resemble nerve root compression in the cervical spine, which can produce symptoms similar to sciatica. Angina pectoris is caused by myocardial ischemia, resulting in a sensation of tightness or pain in the chest. Typical sym...[Read More] Intermittent Sharp Pain in Left Shoulder: Neurological Insights and Concerns
Persistent Headaches for a Week: Understanding Your Symptoms
The headache has been ongoing for about a week? Hello Doctor, I started experiencing symptoms similar to dizziness about a week ago. Previously, I had been sneezing and visited my usual doctor, who prescribed me cold medication (Rhin Tab) for about three days, along with stomach ...
Dr. Gao Chunde Reply:
Perhaps the initial headache is not a cold, but rather a tension-type headache. The medication taken may contain analgesic components, which could provide some relief. If it is a tension-type headache, it is generally advisable to relax the shoulders and neck, take breaks from th...[Read More] Persistent Headaches for a Week: Understanding Your Symptoms
Understanding Fatigue, Neck Tension, and Cognitive Issues: A Neurology Perspective
Mental fatigue, heavy tiredness, frequent yawning, and tightness in the neck? In the past few days, my mental state has not been good; I often feel distracted, and I experience slight pressure and pain in my head, which is not too severe. I frequently yawn and occasionally feel n...
Dr. Gao Chunde Reply:
Symptoms such as stress and lack of sleep can be alleviated by spending more time outdoors during the day to relax, applying a warm towel to the shoulders and neck before bedtime, and maintaining a regular sleep schedule. If these measures do not improve the situation, consider s...[Read More] Understanding Fatigue, Neck Tension, and Cognitive Issues: A Neurology Perspective
Understanding Neck Tension and Breathing Difficulties: A Neurology Perspective
Tightness in the shoulders and neck can lead to difficulty breathing? Doctor, about six months ago, I started to occasionally feel tightness in my shoulders and neck while walking, along with some difficulty breathing. Now, whenever I stand up and walk, my shoulders and neck beco...
Dr. Gao Chunde Reply:
Standing posture can lead to tightness in the shoulders and neck, making it difficult to breathe, and it can be challenging to determine the underlying issue. In neurology, if your symptoms are accompanied by orthostatic headaches that improve when lying down, it may be related t...[Read More] Understanding Neck Tension and Breathing Difficulties: A Neurology Perspective
Is Your Neck Discomfort a Sign of Stroke? Understanding the Symptoms
Is the risk of stroke high? Hello, Dr. Jiang: On October 14th, I felt a pressure in the left side of my neck below the ear, which was uncomfortable. On the morning of October 15th, when I woke up, my vision suddenly went black for about 20 seconds before turning white, and I felt...
Dr. Gao Chunde Reply:
Neck compression can be a sensation or the presence of a palpable mass. If there is an issue with the neck vessels, the most concerning condition is arterial dissection, such as carotid or vertebral artery dissection, which can occur due to external trauma or severe neck twisting...[Read More] Is Your Neck Discomfort a Sign of Stroke? Understanding the Symptoms
Managing Chronic Head Trauma: Effective Strategies Beyond Medication
Head trauma I often bump my head, and it's been a long time—some of these incidents happened years ago. However, the bruising seems to have not dissipated. When I apply light pressure, it hurts, but sometimes I experience severe, sharp pain. Regardless of what I do, it hurts...
Dr. Gao Chunde Reply:
The bruising should not last this long. It typically hurts with light pressure and remains painful when at rest, but the discomfort slightly alleviates with pressure. These symptoms are indicative of tension-type headaches, which can be relieved through massage and warm towel com...[Read More] Managing Chronic Head Trauma: Effective Strategies Beyond Medication
Understanding Parkinson's Disease: Symptoms and Diagnosis Clarified
Parkinson's disease My mother is 59 years old and was diagnosed with Parkinson's disease a year ago. At that time, the doctor informed us that medication would be highly effective for Parkinson's disease. However, my mother sometimes has quick reactions and other t...
Dr. Gao Chunde Reply:
The symptoms of Parkinson's disease do not necessarily include tremors or rigidity; however, bradykinesia refers to slowness of movement, not to the slowness in speech or difficulty in recalling words. When a physician prescribes Parkinson's medication, it can cause dis...[Read More] Understanding Parkinson's Disease: Symptoms and Diagnosis Clarified
Unexplained Dizziness and Pressure: Seeking Answers for Persistent Symptoms
Unexplained dizziness and a feeling of heaviness in the head? Hello Doctor, for the past month and a half, I have been experiencing a constant feeling of dizziness. It's not the spinning type of dizziness, but rather a dull, pressure-like sensation in the back of my head tha...
Dr. Gao Chunde Reply:
The neurologist's examination is aimed at ruling out some tumors and inflammation in the posterior cranial fossa, particularly in the brainstem. Sometimes, tension-type headaches or emotional stress, including anxiety, can present symptoms similar to yours. If these issues c...[Read More] Unexplained Dizziness and Pressure: Seeking Answers for Persistent Symptoms
Neck Pain with Dizziness and Tinnitus: Seeking the Right Specialist
Neck pain accompanied by dizziness and tinnitus? Hello doctor, I am a bus driver. Around the end of last year, I started experiencing neck pain and tightness due to long hours of driving. I often forcefully twisted my neck to stretch, which caused joint sounds similar to cracking...
Dr. Jiang Junyi Reply:
Hello, based on your description of tinnitus symptoms, it is important to first rule out any abnormalities from the middle ear, inner ear, and even up to the brainstem and cerebral cortex. Common issues include abnormal blood flow and inner ear imbalance. Additionally, cervical d...[Read More] Neck Pain with Dizziness and Tinnitus: Seeking the Right Specialist
Unexplained Discomfort Behind the Ear and Neck: A Neurology Perspective
Discomfort behind the ear and in the neck of unknown origin? Hello Doctor: About a month ago, I started experiencing a noticeable feeling of pressure in my left ear, similar to the sensation of having water trapped in the ear while showering. In quieter surroundings, I can hear a...
Dr. Gao Chunde Reply:
Left hand weakness is a new symptom; it is advisable to see a neurologist as soon as possible to arrange for further evaluation.[Read More] Unexplained Discomfort Behind the Ear and Neck: A Neurology Perspective
Managing Neck and Throat Discomfort: Tips for Relief and Exercises
Including above the throat and neck? In the past, while sleeping, I unknowingly ended up lying on my back, and when I woke up in the morning, my jaw was misaligned, causing one side to protrude. When I pressed on it and swallowed repeatedly, it went back into place, but I felt ti...
Dr. Gao Chunde Reply:
Symptoms are more related to nervous tension and tightness in the shoulder and neck muscles. It is advisable to spend more time outdoors and avoid prolonged staring at computers or electronic devices. Taking a break every half hour to move your eyes, neck, and stretch is recommen...[Read More] Managing Neck and Throat Discomfort: Tips for Relief and Exercises
Understanding Chronic Headaches: Causes, Treatments, and Nerve Compression
Acute chronic headache I have had issues with headaches and dizziness since childhood, starting from the back of my neck and skull. When the pain intensifies, I am unable to do anything. However, after undergoing spinal manipulation at a chiropractic clinic, the headaches and diz...
Dr. Gao Chunde Reply:
Your symptoms are indicative of neuropathic pain, but it is necessary for a neurologist to determine which specific nerve is involved. It could be the lesser occipital nerve emerging from the cervical spine or the trigeminal nerve originating from the brainstem. Additionally, neu...[Read More] Understanding Chronic Headaches: Causes, Treatments, and Nerve Compression
Understanding Left-Sided Head Pain: Possible Causes and Solutions
Headache Today I woke up with a severe pain on the left side of my head, which persisted into the evening. Coughing forcefully causes pain, and bending over also triggers discomfort. However, looking down, walking, and sitting do not cause any issues, and I am not sensitive to li...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for headaches, such as neck muscle inflammation and vascular headaches, among others. If accompanied by fever, neurological deficits, or rapid progression of symptoms, conditions like meningitis, which can be life-...[Read More] Understanding Left-Sided Head Pain: Possible Causes and Solutions
Understanding Nerve Issues: Persistent Numbness and Neck Stiffness
Numbness in the legs and stiffness in the neck? Hello Doctor, I would like to ask you about my condition. I have been experiencing mild numbness in both of my legs throughout the day for a long time. I often wake up at night with either my hands or feet feeling numb, and at times...
Dr. Gao Chunde Reply:
Symptoms such as poor blood circulation may indicate issues with the blood vessels or the composition of the blood itself. It is advisable to seek medical attention for further evaluation. Generally, you can consult a neurologist or a family medicine physician, and if necessary, ...[Read More] Understanding Nerve Issues: Persistent Numbness and Neck Stiffness
Understanding Chronic Neck Discomfort: Causes and Solutions
Discomfort in the neck? Hello doctor, I often feel discomfort in my neck, and I tend to twist my neck, shaking it left and right. This symptom has persisted for a long time, about 1 to 2 years. I have seen a doctor before, who took X-rays and mentioned some inflammation but said ...
Dr. Gao Chunde Reply:
When reading or using a computer, it's important to get up and stretch your limbs and neck muscles every thirty minutes. If you have time, you can also perform some localized massage or apply heat while taking a shower to alleviate local fatigue and soreness.[Read More] Understanding Chronic Neck Discomfort: Causes and Solutions
Understanding Tension Headaches: Causes and Remedies for Occipital Pain
Pain in the back of the head with a feeling of tightness? Hello, doctor. I have been experiencing pain in the back of my head (the area where the bone behind the ear protrudes), along with a tight feeling in my head and some dizziness. I tend to be more anxious, and I am currentl...
Dr. Gao Chunde Reply:
What you mentioned is possible. You can avoid direct exposure to the air conditioning, and additionally, make sure to get up regularly to move your shoulders and neck. Consider trying local massage and heat therapy as well.[Read More] Understanding Tension Headaches: Causes and Remedies for Occipital Pain