Understanding Ear Pain: Possible Neurological Causes and Solutions
Ear pain Hello Doctor: I have visited an otolaryngologist who said that the appearance of my ear's inner membrane is normal. They prescribed muscle relaxants, but I still occasionally experience sharp pain that can make me tear up. The pain feels like a pulsating sharp sensa...
Dr. Jiang Junyi Reply:
Hello: The cause of ear pain is mostly due to middle ear inflammation, but in rare cases, it can be attributed to nerve abnormalities. The sensory nerves of the ear primarily originate from the mandibular branch of the trigeminal nerve, which innervates parts of the auricle, exte...[Read More] Understanding Ear Pain: Possible Neurological Causes and Solutions
Understanding Right Shoulder to Face Pain: Is It Trigeminal Neuralgia?
Pain radiating from the right shoulder to the right side of the face? Hello doctor, I fell and hit my right shoulder last Sunday, and starting the next day, I have been experiencing persistent pain from my right shoulder to my right face. Even the slightest touch causes severe pa...
Dr. Jiang Junyi Reply:
Hello: After an injury, tissue swelling, inflammation, and pain may occur. Generally, swelling will begin to subside and repair itself after about two weeks. If pain, numbness, or a tingling sensation persists beyond two weeks, neuropathic pain should be considered. It is advisab...[Read More] Understanding Right Shoulder to Face Pain: Is It Trigeminal Neuralgia?
Could This Be Trigeminal Neuralgia? Understanding Dental Pain Symptoms
Is this trigeminal neuralgia? Hello, doctor. After I had a tooth extraction, I experienced severe pain in the area of the upper left first and second premolars, with the pain radiating from the zygomatic bone to the ear. I went to the dentist for an examination, and everything ap...
Dr. Jiang Junyi Reply:
Hello, your symptoms are caused by trigeminal nerve instability, which is commonly seen in women around the age of 50. Since this occurred after your dental treatment, it is generally advisable to wait for the inflammatory phase to subside (approximately 2-3 weeks) before further...[Read More] Could This Be Trigeminal Neuralgia? Understanding Dental Pain Symptoms
Could Trigeminal Nerve Issues Cause Tooth Pain, Eye Strain, and Allergies?
Is toothache, eye strain, and nasal allergies caused by the trigeminal nerve? Hello Dr. Jiang, I would like to ask you a question. My father is in his fifties and has been experiencing unilateral tooth pain for some time. He went to the dentist, who said there were no cavities. ...
Dr. Jiang Junyi Reply:
Hello: Trigeminal neuralgia can be triggered in certain situations, such as touching the skin on the face, eating, yawning, brushing teeth, or exposure to cold air. This pain is extremely distressing, and some patients may avoid washing their face, shaving, applying makeup, or ev...[Read More] Could Trigeminal Nerve Issues Cause Tooth Pain, Eye Strain, and Allergies?
Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatment Options
Trigeminal neuralgia Hello, doctor. For the past couple of days, I've been experiencing pain on the left side of my teeth. Sometimes it affects my lower jaw, and other times it shifts to my upper jaw. There are moments when the pain subsides, but when it does hurt, I also fe...
Dr. Gao Chunde Reply:
Trigeminal neuralgia can sometimes have an unknown cause, while in other cases, it may be due to irritation from surrounding blood vessels or issues with the nerve itself, such as inflammation or compression. Stress can also be a contributing factor. If using carbamazepine in a 2...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatment Options
Understanding Brain Tumor Risks and Symptoms After a Serious Accident
Questions related to brain tumors? About 13 years ago, I was involved in a serious car accident where the person I was with suffered multiple fractures, while I only had abrasions. For about 4 to 5 years afterward, I experienced severe migraine symptoms that would typically occur...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, there is little correlation between head trauma and the occurrence of brain tumors. However, damage to cerebral blood vessels can increase the likelihood of vascular malformations, such as arteriovenous malformations. The head...[Read More] Understanding Brain Tumor Risks and Symptoms After a Serious Accident
Understanding Deep Eye Pain: Causes, Treatments, and When to Seek Help
Headache (pain deep in the eyes) Hello, Doctor Gao. I occasionally experience headaches, a condition that has persisted for over ten years. However, I have not sought medical attention frequently; it may occur two to three times a month or just once every two to three months. Som...
Dr. Gao Chunde Reply:
Your headache is a migraine, not trigeminal neuralgia. You should undergo a thorough examination to confirm the diagnosis and seek appropriate treatment. It is recommended to visit a neurology outpatient clinic. As for your eye pressure, it is advisable to have an ophthalmologist...[Read More] Understanding Deep Eye Pain: Causes, Treatments, and When to Seek Help
Understanding Temporal Pain: Is It Anxiety or a Medical Concern?
Temple pain Hello, Doctor. About two months ago, I had a cold along with an ear infection. One night, I suddenly felt a sharp pain near my left temple (which lasted for a second; I now think it might have been the pain from the ear infection). Since then, I have been particularly...
Dr. Gao Chunde Reply:
Inflammation of the external auditory canal or temporomandibular joint arthritis may also cause localized nerve pain. If possible, an evaluation by an otolaryngologist should be conducted to rule out symptoms caused by local inflammation or eustachian tube-related issues before c...[Read More] Understanding Temporal Pain: Is It Anxiety or a Medical Concern?
Occasional Sharp Pain Near Right Cheek by Ear: What Could It Be?
Occasional sharp pain near the right cheek close to the ear? Based on your symptoms of sharp pain near the right cheek close to the ear that lasts for a few seconds and occurs multiple times a day, you should consult a specialist in neurology or an ear, nose, and throat (ENT) spe...
Dr. Gao Chunde Reply:
For a few seconds, it feels like nerve pain, and this area corresponds to the trigeminal nerve canal. If there is pain when opening the mouth or chewing, temporomandibular joint (TMJ) inflammation should also be considered. Trigeminal neuralgia can be evaluated by a neurologist.[Read More] Occasional Sharp Pain Near Right Cheek by Ear: What Could It Be?
Post-Surgery Complications of Schwannoma: Seeking Answers for Lingering Symptoms
Post-surgery for a nerve tumor in the left neck? Hello Doctor, I am a patient who underwent surgery for a schwannoma one month ago. After the surgery, aside from pain at the incision site and left eyelid drooping, I did not experience any discomfort. However, two weeks later, I b...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest neuroinflammation. The location of the pain may indicate trigeminal neuralgia. Generally, for neuritis or injury, medications such as anti-inflammatory pain relievers and vitamin B can help alleviate numbness and pain. R...[Read More] Post-Surgery Complications of Schwannoma: Seeking Answers for Lingering Symptoms
Understanding Facial Numbness: Causes and Next Steps for Relief
Numbness in the left cheek? Hello, Doctor. My question is regarding my left cheek, from the corner of my left eye to the left side of my mouth. I have seen a neurologist and underwent facial nerve stimulation tests, which came back normal. I have taken antihistamines and medicati...
Dr. Lan Shengxing Reply:
Dear Mr. Liu, with the current technology, it is indeed difficult to detect the small branches of nerves in the epidermis. I believe this is more related to your issue. The facial nerve stimulation test can inform us whether there is an obstruction in the circuit between the fift...[Read More] Understanding Facial Numbness: Causes and Next Steps for Relief
Occasional Tingling Sensation in Right Face: Possible Causes and Tests
Occasionally, I experience a tingling sensation on the right side of my face throughout the day (but it is not painful)? (1) Duration: Approximately one month since onset. (2) Symptoms: Occasionally experiencing a tingling sensation on the right side of the face throughout the ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider trigeminal neuralgia. I recommend first consulting a dentist to rule out any dental issues. You may also want to see a neurologist to discuss further evaluation and treatment options. Wishing you good health and pe...[Read More] Occasional Tingling Sensation in Right Face: Possible Causes and Tests
Understanding Trigeminal Neuralgia: Symptoms, Causes, and Stress Connection
Trigeminal nerve I have been experiencing a dull pain in my upper left molar for about two months. The sensation is intermittent and varies in duration. It feels like it's coming from the gum area, and when it hurts, brushing my teeth makes it worse. I have already had my ad...
Dr. Jiang Junyi Reply:
Hello, according to your description, the trigeminal nerve has three branches that are responsible for sensation in the facial areas of the eyes, upper jaw, and lower jaw. Trigeminal neuralgia is characterized by severe, electric shock-like, sharp pain localized to the areas inne...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Stress Connection
Intermittent Severe Headaches: Causes and Treatment Options
Intermittent headaches Hello, doctor. I occasionally experience sudden, severe pain in the upper right side of my head. The pain occurs in intervals of about ten seconds, and each episode is extremely painful and uncomfortable. What treatment do I need? Should I go to a major hos...
Dr. Jiang Junyi Reply:
Hello, based on your description, the throbbing pain in the forehead may suggest tension-type headache. Additionally, trigeminal neuralgia should also be considered. Patients typically describe a severe pain in the cheek, jaw, or inside the mouth that feels like stabbing, cutting...[Read More] Intermittent Severe Headaches: Causes and Treatment Options
Understanding the Differences Between Migraines and Neuralgia Pain
Different places Could you please explain the differences between migraines and neuralgia? Are there differences in the nature of the pain? Thank you!
Dr. Gao Chunde Reply:
Migraine is a type of vascular headache characterized by pain that occurs after the blood vessels constrict and then excessively dilate. The pain is pulsating and synchronized with the heartbeat, often accompanied by nausea, vomiting, and sometimes sensitivity to light and sound....[Read More] Understanding the Differences Between Migraines and Neuralgia Pain
Understanding Left Facial Numbness: Possible Causes and Concerns
Numbness in the left cheek? Hello Doctor, my question is that initially I felt like there was a foreign body in my eye, but after visiting an ophthalmologist, they said there was no foreign body. I have also experienced a tingling sensation in the left side of my cheek. The ophth...
Dr. Jiang Junyi Reply:
According to your description, the facial sensation abnormalities you mentioned are primarily governed by the trigeminal nerve (the fifth cranial nerve). The area extending from below the left eye to the left side of the lip corresponds to the second division of the trigeminal ne...[Read More] Understanding Left Facial Numbness: Possible Causes and Concerns
Can Migraine and Neuralgia Occur Together? Understanding the Connection
Headache and neuropathic pain? Doctor, can migraine and neuralgia occur simultaneously? I have issues with migraines, and the doctor I consulted mentioned that I seem to have some characteristics of neuralgia, so I would like to ask about this. Thank you!
Dr. Gao Chunde Reply:
Yes, the two types of pain have different characteristics, and the physician will make a professional assessment based on your description.[Read More] Can Migraine and Neuralgia Occur Together? Understanding the Connection
Managing Chest Nerve Pain: Effective Strategies and Treatment Options
Chest nerve pain I often experience chest pain, specifically in the left chest and the center of the chest, without a fixed time. The pain lasts for about one to two hours. I visited a cardiologist who performed an ultrasound and diagnosed me with mitral valve prolapse and autono...
Dr. Gao Chunde Reply:
Mitral valve prolapse and autonomic nervous system dysfunction are typically treated with sympatholytic agents, which are standard medications and are effective for most patients. As for neuralgia, it presents with specific pain characteristics and requires investigation to deter...[Read More] Managing Chest Nerve Pain: Effective Strategies and Treatment Options
Understanding Cheek and Mouth Pain: Possible Neurological Causes
Pain in the corner of the mouth and cheek? Recently, I have been experiencing intermittent sharp pain in my cheek, especially in the evening after brushing my teeth. Initially, I thought it was a cavity, but before I could see a dentist, I noticed that the pain shifted to the ins...
Dr. Lan Shengxing Reply:
Dear Andy, the likelihood of Parkinson's disease or amyotrophic lateral sclerosis (ALS) is relatively low, especially considering your age, so there is no need for concern. The intermittent burning pain in your cheeks may suggest trigeminal neuralgia. I recommend that you co...[Read More] Understanding Cheek and Mouth Pain: Possible Neurological Causes
Understanding Tegretol: Uses and Effects in Neurology
Drug Inquiry Tegretol, also known as carbamazepine, is a medication primarily used to treat epilepsy and certain types of nerve pain, such as trigeminal neuralgia. It works by stabilizing electrical activity in the brain and reducing the frequency of seizures. Additionally, it ma...
Dr. Huang Yingzhe Reply:
Tegretol is primarily used to treat epilepsy, but it is sometimes also used to manage neuropathic pain or numbness, and even to address mood disorders. For detailed information, please consult the prescribing physician.[Read More] Understanding Tegretol: Uses and Effects in Neurology