Shoulder and neck, Neurology FAQ

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Understanding Throat Foreign Body Sensation: Causes and Solutions

Foreign body sensation in the throat? Since starting fitness training in September of last year, I have begun experiencing difficulty swallowing. I have visited an otolaryngologist, neurologist, and endocrinologist, and all tests returned normal results. Eventually, a gastroenter...


Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "difficulty swallowing and a sensation of a foreign body in the throat have persisted," which could be due to cervical nerve compression, brainstem dysfunction, or sympathetic nervous system abnormalities, among other reasons. It is mor...

[Read More] Understanding Throat Foreign Body Sensation: Causes and Solutions


Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties

Cervical spine dysfunction I have been experiencing shoulder and neck pain for a long time. Since the end of September last year, I started having some difficulty swallowing. I went to an otolaryngologist who confirmed that there were no growths in my throat. I was then referred ...


Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "swallowing is still difficult, and I have recently noticed that the pain in my shoulders, neck, and back has become more severe... Could this be related to my cervical spine?" I suggest considering the symptoms related to the cervical ...

[Read More] Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties


Understanding Scalp Numbness: Causes and Concerns for Your Health

Scalp tingling? I've been experiencing frequent shoulder and neck pain over the past couple of days, and I feel a tingling sensation in the scalp at the back of my left head. I'm worried it might be a stroke or meningitis. My hands and feet also feel numb when I wake up...


Dr. Cai Zongzhang Reply:
Hello: The most common cause of the above symptoms is poor posture or prolonged bending of the head while using a mobile phone or laptop. Please avoid these activities and see if there is any improvement. If there is no improvement, please visit a neurology clinic.

[Read More] Understanding Scalp Numbness: Causes and Concerns for Your Health


Which Specialist to See for Dizziness and Neck Tension?

Which department should I see? Hello doctor, I occasionally feel dizzy and can sense my pulse and heartbeat. I previously consulted an otolaryngologist regarding my dizziness, and the doctor mentioned it was due to vestibular dysfunction and prescribed medication for a while. I h...


Dr. Peng Shiwei Reply:
For the dizziness, it is recommended to follow up with an otolaryngologist to assess whether the condition has improved or if further treatment is needed. For other concerns, it is advisable to seek evaluation from a psychiatrist. Thank you.

[Read More] Which Specialist to See for Dizziness and Neck Tension?


Understanding Multiple Body Issues: Neck Pain, Fatigue, and Neurological Concerns

Multifaceted health conditions? Dear Doctor: I have some health concerns that I would like to ask you about. I previously had dry eye syndrome, and now I have noticed multiple issues with my body. Firstly, I often wake up feeling tired despite getting enough sleep. I experience s...


Dr. Jiang Junyi Reply:
Hello Mr. Andy, You mentioned: 1. If the neck makes a cracking sound during movement, could it harm the skull or cranial nerves? Is there a possibility of a stroke as a result? This sound is likely produced by the pulling of the intervertebral disc cartilage in the cervical spin...

[Read More] Understanding Multiple Body Issues: Neck Pain, Fatigue, and Neurological Concerns


Is Autonomic Nervous System Disorder Linked to Cervical Spine Issues?

Is autonomic nervous system dysfunction caused by cervical spine issues? Hello, doctor. A couple of years ago, after sitting for a long time, I suddenly experienced symptoms such as chest tightness and sharp chest pain. After a while, I felt increasingly uncomfortable and fainted...


Dr. Cai Zongzhang Reply:
Hello Johnny: Based on the symptom description, it is recommended to visit a neurology outpatient clinic to check for any neurological pain.

[Read More] Is Autonomic Nervous System Disorder Linked to Cervical Spine Issues?


Understanding Neck and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?

Shoulder and neck inflammation? Recently, I visited an orthopedic doctor due to pain in my left shoulder and neck, and I was diagnosed with muscle inflammation in that area. I took medication, but I still experience sudden pain or a tight sensation in my neck. Occasionally, I als...


Dr. Wu Mukhan Reply:
Hello, neck tightness may be related to inflammation of the shoulder and neck muscles. Symptoms related to the eyes and ears are usually not significantly affected by the shoulder and neck. It is recommended to consult a rehabilitation specialist to address the muscle inflammatio...

[Read More] Understanding Neck and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?


Understanding Involuntary Muscle Twitches: Causes and Solutions

Involuntary muscle twitching? Hello doctor, I am currently 26 years old. In the past few months, I have been experiencing shoulder and neck twitching just as I am about to fall asleep at night. This often causes me to wake up suddenly, and it happens multiple times throughout the...


Dr. Wu Mukhan Reply:
Hello, your description may be indicative of myoclonus, which can occur in some individuals upon falling asleep and is usually a normal physiological phenomenon. However, if the frequency of these episodes is high and affects your sleep or daily life, it is advisable to consult a...

[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions


Head Injury from Rolling Door: Symptoms and Next Steps

Hit the top of the head against a rolling metal door? Hello, doctor. Yesterday, I accidentally bumped into a rolling shutter door that was just about to rise while I was bending down. At the moment of impact, I felt nauseous once and experienced a temporary loss of vision twice. ...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I can't really turn my head, and washing my hair while bending over causes severe pain. The right side also hurts a lot while sleeping, but it feels a bit better after waking up." Your symptoms may suggest inflammation of the cervic...

[Read More] Head Injury from Rolling Door: Symptoms and Next Steps


Understanding Right-Sided Head Pain: Possible Causes and Solutions

Only the right side of my head feels uncomfortable? Hello, doctor. For the past three days, I've been experiencing pain on the right side of my temple, teeth, ear, and back of my neck. The pain is intermittent and persistent. I have seen a dentist, but they said there is no ...


Dr. Jiang Junyi Reply:
Hello Mr. Lu: You mentioned that you are experiencing pain in your teeth, ears, and the back of your neck, which may suggest considering cervical myofascial pain. The myofascia around the cervical spine has small muscles that connect to the head, while the larger superficial musc...

[Read More] Understanding Right-Sided Head Pain: Possible Causes and Solutions


Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?

Tremor of the left thumb? Hello doctor, I have a long-standing issue with cervical disc herniation at C3-C4 and C5, which has persisted for over a decade. My symptoms fluctuate; sometimes they improve, and other times I experience shoulder and neck pain, as well as arm discomfort...


Dr. Peng Shiwei Reply:
Hello, your symptoms are usually caused by muscle stiffness. Stroke symptoms typically include unilateral weakness or sensory abnormalities, and they tend to persist. If you experience such conditions, please seek medical attention as soon as possible. Thank you for your inquiry.

[Read More] Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?


Understanding Dementia: The Impact of Chronic Pain and Head Injuries

Dementia issues Hello Doctor, I am inquiring on behalf of my 73-year-old grandfather who was diagnosed with "mild dementia" by a neurologist within the past five months. On February 6, 2023, he fell and hit his head, experiencing a moment of altered consciousness. Subse...


Dr. Peng Shiwei Reply:
Hello, thank you for your concern about grandpa. However, since I am unable to diagnose patients online, I cannot provide you with an appropriate answer regarding whether grandpa's cognitive decline is due to long-term pain or a combination of various factors. It would be mo...

[Read More] Understanding Dementia: The Impact of Chronic Pain and Head Injuries


Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective

The face or the scalp at the back of the neck feels strange? Hello, doctor. About ten years ago, I had an MRI of my cervical spine that diagnosed a herniated disc at the C3-C4-C5 levels, which was compressing a nerve. At that time, my main symptoms included pain in the left shoul...


Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned that "the fingers on my right hand occasionally feel a bit numb, or my arm suddenly feels a bit cool (not sure if it's numbness)." In addition to cervical nerve root compression, we should also consider the possibility of peripheral ne...

[Read More] Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective


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


Understanding Cervical Degenerative Disc Disease: Symptoms and Next Steps

Cervical spondylosis/Cervical disc disease Hello Doctor, I have been experiencing dizziness, headaches, and neck pain for over two weeks, so I visited a neurologist who arranged for an MRI. I saw the report in my health record, but since I have to wait more than a week for my fol...


Dr. Jiang Junyi Reply:
Dear Mr. Eric, You mentioned that the "MRI report" is essentially a relatively normal report indicating degenerative disc disease with a C5-6 bulging-protruding disc (right central to subarticular), bulging discs at C3-4 and C4-5, leading to mild thecal sac indentation...

[Read More] Understanding Cervical Degenerative Disc Disease: Symptoms and Next Steps


Exploring the Connection Between Tinnitus and Neck Muscle Tension

I would like to ask a very peculiar question regarding the relationship between tinnitus and neck muscles? Hello Doctor: About a month ago, I suddenly experienced tinnitus in my left ear. I subsequently underwent hearing tests, tympanometry, and nasopharyngoscopy at two major hos...


Dr. Cai Zongzhang Reply:
Hello MK: Based on the symptoms mentioned, it is recommended to schedule a carotid ultrasound examination with a neurologist.

[Read More] Exploring the Connection Between Tinnitus and Neck Muscle Tension


Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus

Numbness in the hands and face accompanied by tinnitus? Previously, I visited a traditional Chinese medicine practitioner for a stiff neck, and after some time, my shoulder and neck pain improved. However, I suddenly started experiencing numbness in my hands, so I went to a nearb...


Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "sometimes when I wake up, I find my hands completely numb, and it takes about a few seconds to recover. The rehabilitation doctor said that invasive tests are needed to understand the symptoms." It may be necessary to consider compress...

[Read More] Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus


Understanding Persistent Dizziness: Causes, Treatments, and Next Steps

Dizziness for two months, with fluctuations in severity? Hello Doctor: My condition began when I developed a stiff neck (twisted to the right) from sleeping while sitting, which caused dizziness with a spinning sensation and eye twitching when I moved. I could only lie flat in be...


Dr. Cai Zongzhang Reply:
Hello: Dizziness has not improved for two months; it is recommended to see a neurologist for a detailed examination.

[Read More] Understanding Persistent Dizziness: Causes, Treatments, and Next Steps


Understanding Intracranial Hemorrhage: Symptoms, Risks, and Recovery

Intracranial hemorrhage Hello Doctor, After having two upper molars extracted two years ago, I started feeling unwell. Later, at work, I was struck on the head by a heavy iron pipe that fell from above. 1. I am uncertain if I have hypertension; my company health check-ups hav...


Dr. Jiang Junyi Reply:
Hello Mr. Allen, You mentioned, "If there was a brain hemorrhage that was absorbed by itself, can it be seen on a CT scan? If the skull had previously fractured and healed, can a CT scan show that there was a prior injury?" Typically, in cases of severe brain injury, s...

[Read More] Understanding Intracranial Hemorrhage: Symptoms, Risks, and Recovery


Understanding Nerve Issues: Upper Back and Limb Numbness Explained

Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm not sure if they are related: 1. I frequently experience numbness in the upper left back, which started about three years ago. X-ray...


Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned that "your long-standing habit of resting your left elbow on the desk causes numbness, which can be slightly relieved by rolling a fascia ball over the affected area." This may indicate symptoms of ulnar nerve injury. Additionally, you noted ...

[Read More] Understanding Nerve Issues: Upper Back and Limb Numbness Explained


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