Understanding Neck Rigidity: Is It Due to Accessory Nerve or Cervical Nerves?
Accessory nerve Hello, I would like to ask this question: Meningeal irritation signs include neck stiffness. Is the neck stiffness caused by stimulation of the 11th cranial nerve (accessory nerve) or by stimulation of the cervical spinal nerves C3 and C4? Can neck stiffness occur...
Dr. Chen Haorong Reply:
It is neither a cranial nerve nor C3 or C4; rather, it is due to inflammation of the meninges along the distribution of the head and neck. At this point, the meninges become thickened and painful, resulting in neck stiffness.[Read More] Understanding Neck Rigidity: Is It Due to Accessory Nerve or Cervical Nerves?
Understanding Neuromuscular Tension: Causes and Recommended Tests
Neuromuscular tension I have been experiencing persistent neuromuscular tightness in my right neck, right shoulder, right arm, and right lower limb. Recently, I have also started to notice neuromuscular tightness on the right side of my face, and I have clearly observed that my t...
Dr. Ye Boshou Reply:
Hello: Please visit the neurology outpatient clinic for an examination as soon as possible.[Read More] Understanding Neuromuscular Tension: Causes and Recommended Tests
Understanding Right-Sided Muscle Tension and Back Pain: A Neurology Perspective
Tightness and pain on the right side of the body, along with lower back and upper back pain? Hello Doctor, When I was in the third grade, I started experiencing tightness on the right side of my body. At that time, I didn't think it was serious and didn't seek medical...
Dr. Ye Boshou Reply:
Hello: X-rays and CT scans have been performed, and no abnormalities were found. However, the symptoms persist, so a consultation with a neurologist is recommended for a physical examination to determine if everything is normal.[Read More] Understanding Right-Sided Muscle Tension and Back Pain: A Neurology Perspective
Chronic Constipation and Its Neurological Impacts: Seeking Solutions
Consultation I have been suffering from chronic constipation for about 26 years. When I was younger, I didn't know how to manage it and was very good at enduring it, having bowel movements only once every seven days, which made it easy to forget the pain. However, the long-t...
Dr. Zhuang Yumin Reply:
Dear Yu: Your symptoms, such as weakness in your hands and feet, to the point where you cannot even open a bottle cap, may indicate issues with your cervical spine or peripheral nerves. However, a proper diagnosis can only be made through an in-person examination by a neurologist...[Read More] Chronic Constipation and Its Neurological Impacts: Seeking Solutions
Understanding Balance Issues: The Impact of Extracranial Vascular Injuries
Body balance Hello, Doctor: 1. Can extracranial blood vessels cause a left-right imbalance in the body due to trauma (arterial or venous)? 2. After a laceration of extracranial blood vessels, can a delay in treatment lead to rupture? 3. If a rupture occurs, can it cause stiffness...
Dr. Ye Boshou Reply:
1. Extracranial vascular injury does not cause body imbalance. 2. What does vascular tear mean? Blood vessel? 3. A tear can lead to bleeding, but it is not related to the drooping of stiff muscles.[Read More] Understanding Balance Issues: The Impact of Extracranial Vascular Injuries
Understanding Chronic Pain in the Back of the Head: Causes and Solutions
Frequent pain in the occipital region? I often experience elevated intraocular pressure around 2 to 3 PM during work, accompanied by pain between my eyebrows and at the back of my head. Practicing yoga 2 to 3 times a week for 2 to 3 hours helps alleviate the symptoms, but without...
Dr. Gao Chunde Reply:
This is a typical tension-type headache. The term "tension" does not refer to psychological stress, but rather to the tightness of the muscles from the neck to the head. It is advisable to try to reduce prolonged fixed positions of the head and eyes, or to take breaks e...[Read More] Understanding Chronic Pain in the Back of the Head: Causes and Solutions
Understanding 'Shunao': Relief for Neurological Symptoms and Safety Concerns
Shu Nao Hello doctor, I have some symptoms including headaches, dizziness, a feeling of pressure in my head, dry mouth, stiff neck and shoulders, sudden increases in blood pressure for no apparent reason, occasional blurred vision, and numbness or weakness in my limbs. I have see...
Dr. Lin Zijing Reply:
Shunao is a selective calcium channel blocker that is effective in preventing migraines and can also be used to treat peripheral vascular diseases, particularly obstructive peripheral vascular disease. Additionally, it may provide partial improvement for symptoms caused by Menier...[Read More] Understanding 'Shunao': Relief for Neurological Symptoms and Safety Concerns
Persistent Right Arm Pain: Causes and Solutions Explained
Persistent soreness in the right arm? Recently, I have been experiencing soreness in my right arm (including both the forearm and upper arm). It becomes particularly painful when I rest my elbow on the table. Additionally, I have a slight tingling sensation in all five fingers of...
Dr. Lin Zijing Reply:
The most likely scenario is that long-term incorrect posture has caused an imbalance in muscle strength, leading to cervical spine strain, misalignment, or deformation. This can result in narrowed intervertebral spaces and cervical spondylosis. Additionally, cervical nerve root c...[Read More] Persistent Right Arm Pain: Causes and Solutions Explained
Understanding Neck Stiffness: The Role of Trigeminal Nerve Reflexes in Meningitis
Nuchal rigidity Hello: I have consulted with doctors but none could provide a definitive answer to the following question. I hope to resolve this issue through this platform! # Question: There is a medical term called the trigeminal-cervical reflex. Meningitis: meningeal signs,...
Dr. Zeng Kongyan Reply:
Hello KING: Based on your correspondence and after reviewing the data, I cannot confirm the existence of a trigeminal-cervical reflex. Generally speaking, meningitis is associated with neck stiffness, which is a result of irritation affecting the entire meninges (from the head to...[Read More] Understanding Neck Stiffness: The Role of Trigeminal Nerve Reflexes in Meningitis
Recognizing Warning Signs of a Mini-Stroke: What You Need to Know
I have symptoms of a transient ischemic attack (TIA)? Recently, I have not been feeling well. I noticed that you mentioned the symptoms of a transient ischemic attack (TIA): sudden speech difficulties, blurred vision, transient localized numbness or weakness in limbs, dizziness, ...
Dr. Lin Zijing Reply:
A transient ischemic attack (TIA) is caused by a sudden blockage or rupture of small blood vessels, resulting in the following symptoms that occur abruptly (one moment the individual is fine, and the next moment symptoms are evident): 1. Numbness or weakness in the face, arm, or ...[Read More] Recognizing Warning Signs of a Mini-Stroke: What You Need to Know
Persistent Dizziness and Blurred Vision: Possible Causes and Solutions
Dizziness, lightheadedness, and blurred vision? Doctor, I have been experiencing dizziness for over a year since I first felt faint. I have undergone various tests at different hospitals, including an MRI, all of which came back normal. My dizziness fluctuates, and I often experi...
Dr. Lin Zijing Reply:
There are many causes of dizziness, but it is usually necessary to rule out structural issues in the brain, functional disorders, and other problems outside the brain, such as anemia, infections, electrolyte imbalances, medications, lack of sleep, and various forms of stress. Aft...[Read More] Persistent Dizziness and Blurred Vision: Possible Causes and Solutions
Understanding Involuntary Muscle Tension and Tremors in the Head
Involuntary tension in the mind? I often experience involuntary muscle tension, pulling, and twitching in my head and neck, which persists throughout the day and includes involuntary twitching of my ears. As a result, I am unable to sleep without relying on sleeping pills. This p...
Dr. Lin Zijing Reply:
Involuntary twitching may originate from the nerves themselves or the muscles. Pathologies of peripheral nerves or increased nerve sensitivity can lead to spontaneous discharges, resulting in muscle contractions. Additionally, inadequate blood circulation or calcium deficiency in...[Read More] Understanding Involuntary Muscle Tension and Tremors in the Head
Understanding Meningitis: The Role of Trigeminal Nerve and Neck Stiffness
Meningitis: meningeal irritation signs, nuchal rigidity? Hello: I have consulted with doctors but none could provide a definitive answer to the following question. I hope to resolve this issue through this platform! # Question: There is a medical term called the trigeminal-cerv...
Dr. Huang Yingzhe Reply:
Dear Mr. Wang, Greetings from Dr. Huang Ying-Che, Director of the Neurology Department at Tainan Hospital, Ministry of Health and Welfare. The trigemino-cervical reflex is a brainstem reflex, which refers to the changes in electrical potential latency recorded from the sternocle...[Read More] Understanding Meningitis: The Role of Trigeminal Nerve and Neck Stiffness
Understanding Meningitis: The Role of Trigeminal Nerve Reflex and Neck Stiffness
Meningitis: Meningeal signs Hello: I have consulted with doctors regarding my questions, but none could provide a definitive answer. I hope to resolve this issue through this platform! # Question: There is a medical term called the trigeminal-cervical reflex. Does this mean tha...
Dr. Zhuang Yumin Reply:
Dear Xiao Wang, In addition to providing sensory innervation to the facial region, the trigeminal nerve also contributes to the sensation of the meninges and the regulation of the elasticity of the meningeal blood vessels. The trigeminal nerve also communicates with the cervical...[Read More] Understanding Meningitis: The Role of Trigeminal Nerve Reflex and Neck Stiffness
Post-Car Accident Symptoms: Neck Pain and Neurology Concerns
Post-accident sequelae? Dear Doctor, I was in a car accident abroad, and a few days later, I noticed pain near my neck, close to my jaw. I would like to schedule an appointment to return to Taiwan for an examination. Is it correct to see a neurologist for this issue? Additionally...
Dr. Ye Boshou Reply:
Hello: If there are sensory disturbances in the upper limbs or back, and there is only localized pain, it is often caused by a sprain or tendon strain. A neurological examination would be normal.[Read More] Post-Car Accident Symptoms: Neck Pain and Neurology Concerns
Understanding Intermittent Shoulder and Back Pain: Causes and Solutions
Frequent twitching and pain between the shoulders and arms? Hello Dr. Lin, Recently, I have been experiencing intermittent twitching pain between my shoulders and arms. The pain starts from the area between my shoulders and back, then radiates from my armpit down to my lower bac...
Dr. Lin Zijing Reply:
Hello: Pain between the shoulders and upper back is often related to prolonged poor posture (such as watching TV or working on the computer for too long). Poor posture can lead to muscle tension, making it easier to sustain injuries or develop inflammation. A smaller portion of t...[Read More] Understanding Intermittent Shoulder and Back Pain: Causes and Solutions
Understanding Numbness in the Right Shoulder: When to See a Doctor
The right shoulder and upper back feel numb? In the past two months, I've been experiencing a tingling sensation in my right shoulder and upper back... it comes and goes... it feels like there’s a point that feels a bit tight... but it’s not painful... no specific posture se...
Dr. Ye Boshou Reply:
Hello: It seems to be an issue with the right shoulder joint and tendons. Engage in more activity and start with warm-up stretching exercises along with heat therapy. If there is no improvement, consider consulting an orthopedic specialist, neurologist, or rehabilitation physicia...[Read More] Understanding Numbness in the Right Shoulder: When to See a Doctor
Can Tooth Extraction Damage Nerves? Understanding Risks and Symptoms
Is it possible to damage nerves during tooth extraction? First, I would like to ask if it is possible for tooth extraction to damage the cranial nerves. I had my lower left wisdom tooth extracted in mid-February (after the Lunar New Year), and later, when the wound accidentally c...
Dr. Lin Zijing Reply:
The nerve responsible for dental sensation is the trigeminal nerve. Tooth extraction can make the trigeminal nerve more susceptible to external environmental influences, leading to pain. Additionally, some soft tissues in the face and throat are interconnected; if there is locali...[Read More] Can Tooth Extraction Damage Nerves? Understanding Risks and Symptoms
Understanding Neck Pain and Dizziness: Possible Neurological Issues
Neck pain Dear Doctor, I have been feeling tightness and soreness from the back of my neck to my shoulders at work for the past few days, and I also feel dizzy. I am unsure what the issue might be.
Dr. Ye Boshou Reply:
Hello: Neck and shoulder pain is often related to tendon issues; try heat therapy and exercise.[Read More] Understanding Neck Pain and Dizziness: Possible Neurological Issues
Understanding Nerve Pain: Causes and When to Seek Further Testing
Neuralgia Dear Doctor: Since August of last year, I have been experiencing pain on both sides of my head (near the ears and temples) every few days. Occasionally, I also feel sharp nerve pain on the top of my head. Soon after, I started to feel soreness in the nerves at the back ...
Dr. Lin Zijing Reply:
Bilateral temporal headaches are often tension-type headaches caused by prolonged poor posture or stress. Pain in the posterior neck and occipital region is more commonly due to cervical nerve or muscle issues. The most severe pain upon waking may be attributed to improper sleepi...[Read More] Understanding Nerve Pain: Causes and When to Seek Further Testing