Understanding Dizziness and Neck Discomfort: Neurological Insights
Dizziness and discomfort in the back of the neck? Hello Dr. Jiang, I have been experiencing dizziness (a floating and swaying sensation) for two months, accompanied by a tight and swollen feeling near the back of my neck close to the occipital area. I wonder if these two issues a...
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 you also experience discomfort in the back of your head, issues like cervical myofascial inflammation should be considered. It ...[Read More] Understanding Dizziness and Neck Discomfort: Neurological Insights
Understanding Neck Pain and Facial Weakness: When to See a Specialist
Stiffness in the shoulders and neck, swelling in the neck, and facial weakness? I have numbness in the skin on the back of my right shoulder, and there is swelling extending along the right side of my neck. The right side of my face feels weak starting from the eyebrow area, whic...
Dr. Gao Chunde Reply:
It is suspected that there may be inflammation, infection, or other mass lesions in the skull base or deep right neck. A consultation with a neurologist or an otolaryngologist is recommended, and further examinations should be arranged if necessary.[Read More] Understanding Neck Pain and Facial Weakness: When to See a Specialist
Understanding Hand Tingling: When to Seek Further Medical Evaluation
Hand pain or hand prickling sensation? Hello doctor, I have been experiencing frequent sharp, needle-like pain in my hand. I visited a neurosurgery clinic and had a cervical X-ray, which showed no abnormalities. I also underwent nerve conduction studies that were normal. However,...
Dr. Gao Chunde Reply:
The sensation of tingling in the hands primarily requires determining the distribution of the symptoms—whether it affects one hand or both. The distribution may follow the territory of a cervical nerve root, or it could involve all fingertips, suggesting a peripheral neuropathy. ...[Read More] Understanding Hand Tingling: When to Seek Further Medical Evaluation
Understanding Dizziness: Possible Causes and Connections to Menstrual Cycle
Feeling of dizziness? Hello Dr. Lan, I have recently been experiencing a sensation of swaying, almost like being on a boat, whenever I move my head. However, I do not feel dizzy or nauseous, and the symptoms are intermittent, not lasting long. If I am tired, the sensation seems t...
Dr. Lan Shengxing Reply:
Dear Xiao Yu, your cough may be causing dizziness due to 1. interference with sleep and 2. head movement. Treating the cough may help. Additionally, it is important to maintain a regular sleep schedule and avoid high-sodium foods. If you frequently experience tinnitus, you should...[Read More] Understanding Dizziness: Possible Causes and Connections to Menstrual Cycle
Understanding Numbness in Hands and Feet: Causes and Concerns for Teens
Numbness in the hands and feet? Hello, I am 17 years old. Recently, I often feel numbness in my hands and feet, but it's not very severe, just uncomfortable. I haven't done anything specific to cause it, and it lasts for a long time. Could this be related to sitting too...
Dr. Lan Shengxing Reply:
Dear high school seniors, the numbness in your hands and feet is likely not significantly related to a spinal issue, unless the symptoms are occurring in the neck area. This may be associated with prolonged sitting or lack of posture changes. Additionally, the mention of headache...[Read More] Understanding Numbness in Hands and Feet: Causes and Concerns for Teens
Effective Treatments for Autonomic Nervous System Disorders
How should autonomic nervous system dysfunction be treated? Feeling of heaviness in the head, numbness only on the right side of the head, numbness in the hands and feet, occasional facial numbness, coldness in the hands and feet, muscle twitching, all complications are on the ri...
Dr. Jiang Junyi Reply:
Hello, based on your description, if neurological symptoms appear on the same side of the body and there is discomfort in the head, a more common cause is an issue in the neck leading to nerve compression symptoms. However, if the symptoms extend from the face to the lower limbs,...[Read More] Effective Treatments for Autonomic Nervous System Disorders
Understanding the Sensation of Head Dropping: Causes and Concerns
Feeling of head heaviness or downward pressure? When sitting, I feel like my head is drooping, and when walking, I experience a sensation of up-and-down movement. This feeling becomes more pronounced when I am tired or very warm. Recently, I've also started to experience som...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered first. It may present with pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be alleviated with stretching activities, often recurr...[Read More] Understanding the Sensation of Head Dropping: Causes and Concerns
Understanding Muscle Cramps and Joint Discomfort: Possible Neurological Issues
Experiencing muscle cramps throughout the body daily and joint discomfort? Hello, doctor. My job does not involve much physical labor or walking, but recently I've been experiencing frequent muscle cramps in various areas, including my shoulders, neck, thighs, calves, feet, ...
Dr. Lan Shengxing Reply:
Dear Ms. Chen, since you are already attentive to supplementation and your work is not physically demanding, it is still recommended to visit a hospital's neurology outpatient clinic for an examination to rule out various neurological disorders.[Read More] Understanding Muscle Cramps and Joint Discomfort: Possible Neurological Issues
Understanding Eye and Hand Tremors: Causes and Solutions
Eyelid twitching and hand tremors? Hello Doctor, 12 days ago, I started experiencing twitching in my left lower eyelid. The frequency is quite rapid, and the amplitude of the twitching varies from large to small. However, it has occurred every day for the past 12 days, and I feel...
Dr. Lan Shengxing Reply:
Dear concerned individual, this condition is commonly referred to as eyelid spasm. The exact cause is unknown, but it may be related to factors such as late nights and stress. Most of the time, it resolves on its own; however, if your situation has persisted for a longer duration...[Read More] Understanding Eye and Hand Tremors: Causes and Solutions
Understanding Involuntary Muscle Twitches: Causes, Concerns, and Solutions
Involuntary muscle twitching? Hello, Doctor: I experience involuntary muscle twitching throughout my body, from my scalp to the soles of my feet, and I have also experienced soreness in my shoulders, neck, arms, and calves. At night, I sometimes wake up due to mild tremors in my ...
Dr. Gao Chunde Reply:
Since the current medical examinations show normal results and the doctor has informed you that it is benign, relax your mind, maintain a regular lifestyle, have a normal daily routine, and engage in regular exercise. Spend time outdoors in nature when possible. As for benign mus...[Read More] Understanding Involuntary Muscle Twitches: Causes, Concerns, and Solutions
Understanding Post-Workout Headaches: Causes and Solutions
Post-exercise headache? Hello, Dr. Gao. Ten days ago, I was doing squats at the gym (with a barbell on my shoulders, performing deep squats) and gradually increased the weight to a total of 30 kg. During the last two sets, I experienced severe pain in the back of my head. Since t...
Dr. Gao Chunde Reply:
This is a type of headache known as exertional headache. It typically occurs during intense physical exertion or activities that increase intrathoracic pressure. The exact physiological mechanism is unclear, but it may be related to impaired autoregulation of intracranial blood v...[Read More] Understanding Post-Workout Headaches: Causes and Solutions
Managing Neck Pain and Anxiety Medications: A Patient's Dilemma
Issues with taking anxiety medication for shoulder and neck pain? I have been experiencing shoulder and neck pain for several years, and for the past two years, I have also had intermittent hand numbness and pain. The nerve conduction study showed no issues, and the doctor said m...
Dr. Lan Shengxing Reply:
Dear YK, this issue may need to be discussed with the prescribing physician. Chronic pain lasting for two years almost invariably accompanies emotional issues. The original anxiety medication may be more effective for your symptoms. Treating chronic pain requires consideration of...[Read More] Managing Neck Pain and Anxiety Medications: A Patient's Dilemma
Understanding Involuntary Muscle Twitches: Causes and Solutions
Muscle twitching Hello Doctor: I have been experiencing involuntary muscle twitching throughout my body, along with a sensation of soreness in my left hand and foot. My neck has also been persistently tight and painful. These symptoms have been present for about a year. Initially...
Dr. Lan Shengxing Reply:
Dear Sam, the symptoms you described differ somewhat from those of amyotrophic lateral sclerosis (ALS). There is no need to worry excessively about cervical spine issues or problems arising from sleep itself. However, if you have undergone cervical spine imaging and electromyogra...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Muscle Tension: Symptoms and Possible Syndromes
General muscle tension? Hello, I currently do not have any chronic or congenital diseases, but there is something that has troubled me since childhood, and I would like to ask whether it might be a specific syndrome or if treatment is necessary. I have had a stuttering problem si...
Dr. Gao Chunde Reply:
Based on the symptom description, there are indications of Parkinsonian syndrome or dystonia. To determine the specific underlying condition, further evaluation and examination are necessary. Treatment should be tailored according to the diagnosis. It is recommended to visit a ma...[Read More] Understanding Muscle Tension: Symptoms and Possible Syndromes
Understanding Morning Hand Numbness and Involuntary Twitches
Numbness and twitching in the hands after waking up? Hello, Doctor: I would like to ask about something. Yesterday morning, after I woke up, I noticed that my left hand was numb, and my little finger was twitching involuntarily. I also felt soreness in my lower back and neck. The...
Dr. Gao Chunde Reply:
There is a high likelihood of cervical nerve compression; however, the presence of bruising is somewhat unusual. It is difficult to determine if there is internal bleeding. It is recommended to seek further evaluation at a neurology or neurosurgery outpatient clinic as soon as po...[Read More] Understanding Morning Hand Numbness and Involuntary Twitches
Managing Intermittent Neck Pain: Causes and Treatment Options
Intermittent neck pain? I would like to ask the doctor if the intermittent neck pain is due to a muscle strain. I previously had an injury from a collision and went to the hospital for an examination, where they diagnosed it as a muscle strain. However, I frequently experience ne...
Dr. Gao Chunde Reply:
The neck is primarily composed of muscles, but it also contains other structures such as bones (cervical vertebrae), cartilage (intervertebral discs), ligaments, nerves, and even blood vessels. Most of the muscles are concentrated in the posterior and lateral areas, and common ca...[Read More] Managing Intermittent Neck Pain: Causes and Treatment Options
Understanding Headaches and Vision Issues: When to Seek Neurology Care
Please provide the content you would like to have translated into English? Hello, Doctor: I would like to ask you a question. If a vision test shows 1.2, indicating normal vision, but I occasionally experience stiffness in my shoulders and neck, along with headaches (possibly aro...
Dr. Gao Chunde Reply:
Vision is normal, but sometimes it becomes blurry or unfocused when looking at the computer, which may be caused by eye fatigue leading to weakened accommodation of the ciliary muscle. To alleviate this, it is recommended to take a break after using the eyes for thirty minutes, m...[Read More] Understanding Headaches and Vision Issues: When to Seek Neurology Care
Understanding Nerve Entrapment: Causes, Symptoms, and Treatment Options
Nerve entrapment Hello, Doctor Gao: Last Friday, on the 10th, I sustained a strong impact to my left shoulder. X-rays, MRI, and CT scans showed no fractures or dislocations. As of today, the 16th, I still cannot perform specific movements with my left shoulder, such as raising it...
Dr. Gao Chunde Reply:
If the swelling, pain, or weakness is limited to the shoulder joint and the bone examination is completely normal, it is important to consider injuries and inflammation of the muscles or ligaments surrounding the shoulder joint. This requires the expertise and experience of an or...[Read More] Understanding Nerve Entrapment: Causes, Symptoms, and Treatment Options
Morning Stretch Leads to Neck and Head Pain: What to Know
In the morning, after stretching, I experienced pain in my head, neck, and the left side of my occipital region? After stretching in the morning, I experience pain in the left side of my head and neck when I turn my head to the left. I can only turn it comfortably when lying down...
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] Morning Stretch Leads to Neck and Head Pain: What to Know
Concussion Concerns: Neck Tightness After Head Injury Explained
Concussion or Stroke!? Hello, I bumped my head last week and saw a doctor who diagnosed me with a mild concussion. However, after 8 days, I am experiencing tightness in the area just below my right earlobe, down to my chin and right cheek. Is this normal? I'm concerned there...
Dr. Gao Chunde Reply:
The area from the lower part of the right ear, extending to the neck and right cheek, is innervated by a peripheral nerve known as the greater auricular nerve. This nerve branches from the cervical plexus and is responsible solely for sensation, lacking any motor function. Occasi...[Read More] Concussion Concerns: Neck Tightness After Head Injury Explained