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Chronic Lower Back Pain After Childbirth: Seeking Solutions and Diagnosis

Lumbar pain I have been experiencing lower back pain for over two years after giving birth. I have undergone traditional rehabilitation and paid for shockwave therapy, but despite continuous rehabilitation, I still wake up at night due to pain. Recently, when pressing on the post...


Dr. Jiang Junyi Reply:
Hello Ms. Siro: You mentioned that "the posterior pelvic region and right hip are very painful," which may still suggest an issue with the lumbar spine structure, such as lumbar spondylolisthesis, among others. In addition to pain relief medications, I recommend strengt...

[Read More] Chronic Lower Back Pain After Childbirth: Seeking Solutions and Diagnosis


Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry

I have a severe headache that feels like an explosion on both sides, and the ringing in my ears has become louder? I have a terrible headache. I thought taking a nap would help, but the pain woke me up. I first went to a neurologist for an MRI, which showed no issues. I visited a...


Dr. Jiang Junyi Reply:
Dear Ms. Lin, You mentioned issues related to "headaches and cranial noises," which may suggest tension-type headache, a form of myofascial pain. Myofascia refers to the connective tissue that envelops the surface of muscles. Tension-type headaches are caused by tightn...

[Read More] Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry


Head Pain When Swallowing: Understanding Neurological Symptoms

Swallowing saliva causes headaches? In late June, after I sneezed forcefully, I experienced a sharp pain at the top right of my head. Initially, I had headaches when swallowing, but that subsided. However, I still occasionally feel pain when swallowing saliva, although eating foo...


Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned that "swallowing saliva causes headaches." Your symptoms may suggest the possibility of high cervical nerve root compression, specifically at the levels of C1 to C3. This is because the nerves pass through the trigeminal nerve nucleus. These ...

[Read More] Head Pain When Swallowing: Understanding Neurological Symptoms


Understanding Persistent Insomnia: When to See a Neurologist

Insomnia has persisted since June 5th? Hello Doctor: I am an office worker who usually engages in weight training. Last month, on June 5th, I suddenly developed insomnia that has persisted until now. I am unable to sleep at night, and I also cannot take a nap during the day. Init...


Dr. Cai Zongzhang Reply:
Hello Tina: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic for an examination.

[Read More] Understanding Persistent Insomnia: When to See a Neurologist


Headaches Triggered by Strong Smells: Understanding the Connection

Headache and Taste Sensation Hello, doctor. After quitting smoking for a year or two, I have been experiencing headaches triggered by the smell of smoke or strong food aromas. The pain can be so intense that it only improves the next day after I wake up. For example, I have stron...


Dr. Jiang Junyi Reply:
Dear Ms. Jun, You mentioned that "smelling smoke or food odors can trigger headaches," which may warrant consideration of migraine issues. The diagnosis of migraine includes the following criteria: 5: Headaches occurring more than 5 times. 4: Headaches lasting more th...

[Read More] Headaches Triggered by Strong Smells: Understanding the Connection


Understanding Chronic Fatigue: Causes and Solutions for Brain Fog

Feeling fatigued no matter what you do? Doctor, I sleep at least 8 hours every day. Usually, when I wake up in the morning, I don't feel refreshed. Sometimes on my days off, even after sleeping for 8 or 9 hours, I still feel very sleepy and can't go back to sleep. In th...


Dr. Cai Zongzhang Reply:
Hello Junjun: Based on the symptoms mentioned, it is recommended to first visit a family medicine clinic to check for any thyroid disorders. If none are found, it is advised to continue exercising to strengthen cardiovascular function, which can enhance physical stamina.

[Read More] Understanding Chronic Fatigue: Causes and Solutions for Brain Fog


Understanding Tiny Acute Ischemic Infarcts: Causes and Management

Physical examination revealed signs of a previous minor stroke? Hello Doctor: Last month, the MRI results for my brain were interpreted as follows: Z719 Counseling, unspecified, V6540 Counseling, not otherwise specified, ||cre:0, eGFRr:0 Imaging findings: Brain MRI study without ...


Dr. Jiang Junyi Reply:
Hello, sir: You mentioned "A tiny acute ischemic infarct, left occipital subcortical white." An elder relayed that it was a concussion; could this have related effects? MRI primarily detects cerebral infarctions within a month. It cannot explain events that occurred muc...

[Read More] Understanding Tiny Acute Ischemic Infarcts: Causes and Management


Understanding Muscle Tension: Symptoms and Solutions for Neurological Issues

Involuntary muscle tension? Hello Doctor: Since around middle school, I have experienced episodes where my head involuntarily turns to the left, and the muscles in my face, neck, and limbs temporarily (for about ten seconds) maintain a rigid posture, becoming twisted and unable t...


Dr. Peng Shiwei Reply:
Hello, there are many possible diagnoses for your symptoms. I recommend that you visit a neurology clinic for a detailed evaluation. Thank you for your inquiry.

[Read More] Understanding Muscle Tension: Symptoms and Solutions for Neurological Issues


Understanding Persistent Ear Congestion and Hearing Loss: Insights from Neurology

Ear fullness and difficulty hearing? Hello Dr. Jiang, In February 2022, I woke up one morning to find that I was experiencing ear fullness. I went to an otolaryngologist, and after a week of treatment, the ear fullness resolved. However, a week later, the ear fullness returned, ...


Dr. Jiang Junyi Reply:
Dear Mr. Hsiao Cheng, You mentioned experiencing symptoms such as "ear fullness, difficulty hearing, and dizziness... and that your brain MRI results were normal." Your symptoms may suggest Eustachian tube dysfunction. This issue can often present normal results in var...

[Read More] Understanding Persistent Ear Congestion and Hearing Loss: Insights from Neurology


Understanding Left Toe Numbness: Possible Causes and Solutions

Numbness in the third and fourth toes of the left foot? Hello Dr. Jiang: About four months ago, I started experiencing a tingling and numbness in my left toes when I stood on my tiptoes, similar to an electric shock sensation. Later, during the Qingming holiday, I noticed that my...


Dr. Jiang Junyi Reply:
Dear Ms. Li, You mentioned "polyneuropathy," which typically shows abnormalities in nerve conduction studies. The symptoms you described, such as soreness in the entire left leg and buttock, as well as soreness in the left buttock and posterior thigh while sitting, and...

[Read More] Understanding Left Toe Numbness: Possible Causes and Solutions


Understanding Dizziness: Causes, Symptoms, and Treatment Options

Dizziness and a feeling of pressure in the head? Hello Dr. Peng, I would like to ask about the sensation of dizziness that feels like my head is very tight and my neck is also tense. Sometimes it gets worse, and I suddenly feel faint. It feels like my brain cannot relax. Is this ...


Dr. Peng Shiwei Reply:
Based on your current symptoms, I believe there is no immediate danger. However, if you are still concerned, you may return to your original physician for further evaluation. Thank you for your inquiry.

[Read More] Understanding Dizziness: Causes, Symptoms, and Treatment Options


Post-Cold Dizziness: Understanding Symptoms and When to Seek Help

After catching a cold, I occasionally feel dizzy when lying down, experiencing sudden bouts of vertigo? Hello, doctor. I apologize for bothering you! About a week ago, I started experiencing a cold, and I have just recovered from it. While lying down, I occasionally feel a "...


Dr. Jiang Junyi Reply:
Hello Ms. L: You mentioned, "I gradually experience a type of headache similar to what occurs after taking a nap... it's quite bothersome. Should I see a doctor? If so, which specialty?" The headache you described may need to be considered as tension-type headache....

[Read More] Post-Cold Dizziness: Understanding Symptoms and When to Seek Help


Understanding Muscle Tone Disorders After Cervical Spine Surgery

Dystonia Hello Doctor, I underwent a C4 to C7 discectomy and implantation of three artificial discs one and a half years ago. Three months post-surgery, I began experiencing stiffness on one side of my sternocleidomastoid muscle and stiffness in my shoulder and neck. I feel as th...


Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe it is important to rule out any cervical spine issues. You may want to consult a neurologist. Thank you for your inquiry.

[Read More] Understanding Muscle Tone Disorders After Cervical Spine Surgery


Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms

Do I have epilepsy? Could I possibly have a brain tumor? Hello Doctor, I have two questions to ask you, regarding headaches and epilepsy. Most importantly, I am very worried that I might have a brain tumor or something similar, and I hope to receive some advice. Regarding epile...


Dr. Cai Zongzhang Reply:
Hello, Student C: The symptoms mentioned may be related to sleep apnea. It is recommended to visit a neurologist for a detailed examination to determine the underlying cause.

[Read More] Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms


Morning Headaches: Causes and Solutions for Better Sleep

Sometimes I experience headaches after waking up in the morning? Hello doctor, I would like to ask about experiencing headaches upon waking up in the morning (occurring about once or twice every one to two weeks). Sometimes it resolves on its own, while other times I need to take...


Dr. Hong Weibin Reply:
Hello: Possible factors for waking up with a headache include poor sleep quality, sleep apnea, medications, caffeine, and increased intracranial pressure, among others. It is recommended that you seek consultation with a neurologist for further evaluation and assistance.

[Read More] Morning Headaches: Causes and Solutions for Better Sleep


Managing Nerve Pain and Discomfort in Hands and Feet

Numbness and pain in the hands and feet? Hello Dr. Jiang, I previously underwent rehabilitation treatment for my cervical spine issues, during which the numbness and tingling in my fingers were not as severe. However, after moving, I have had less opportunity to continue rehabil...


Dr. Jiang Junyi Reply:
Dear Ms. Peng, You mentioned that "I must lie down to feel better, and lifting heavy objects or walking exacerbates the numbness and pain in my fingers, which has recently become unbearable." Your symptoms may suggest peripheral nerve compression, and there could also ...

[Read More] Managing Nerve Pain and Discomfort in Hands and Feet


Understanding the Buzzing Sound in Your Head When Hungry

When you are hungry, you may hear a rumbling sound in the back of your head? Hello, doctor. This issue has been bothering me for a long time. Although it doesn't significantly affect my daily life, I've noticed that this phenomenon doesn't seem to happen to everyon...


Dr. Jiang Junyi Reply:
Dear Ms. Dong, You mentioned that "when I am hungry, I hear a buzzing sound in the back of my head." It is unlikely that this sound is caused by the flow of cerebrospinal fluid. It would be more appropriate to consider issues related to the nasal cavity, oral cavity, E...

[Read More] Understanding the Buzzing Sound in Your Head When Hungry


Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction

Persistent sensation of shaking? Hello, Dr. Jiang. Last July, I went to the ENT department to check for ear stones, but no results were found. At that time, the ENT specialist asked me to perform the following tests related to cerebellar function and body movement. The public can...


Dr. Jiang Junyi Reply:
Dear Mr. Awei, You mentioned your concern about "signs of cerebellar atrophy." In fact, cerebellar atrophy is not primarily characterized by dizziness. The main symptoms of patients with spinocerebellar ataxia typically include: 1. Tremors, slowed movements, and decrea...

[Read More] Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction


Post-Root Canal Pain: Understanding Possible Nerve Issues

New deep pain begins after root canal treatment? Hello Doctor, I just completed a microscopic root canal treatment on my lower left second molar last week. During the procedure, I felt a spot (under the root) that repeatedly became inflamed and painful, but it would alleviate whe...


Dr. Jiang Junyi Reply:
Hello Mr. Zhang, From an epidemiological perspective, the annual incidence of trigeminal neuralgia is approximately 4 to 13 per 100,000 people. It is more common in females than in males and occurs more frequently in adults than in children. The incidence increases with age, com...

[Read More] Post-Root Canal Pain: Understanding Possible Nerve Issues


Understanding Left Lower Back and Hip Pain: Causes and Solutions

Left lumbar and hip pain? Hello doctor, I have been experiencing lower back pain for the past ten years due to sitting for long periods during exams and suddenly lifting heavy objects. Since then, my back occasionally hurts, and I need to stretch it. Typically, it takes about a m...


Dr. Jiang Junyi Reply:
Hello Ms. KOKO: You mentioned that after doing squats with an empty barbell, you felt some discomfort in your lower back. Upon returning home and resting, you found that even walking caused pain. After a night of rest, you felt slightly better, but the next day, even sneezing cau...

[Read More] Understanding Left Lower Back and Hip Pain: Causes and Solutions


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