Understanding Pulsatile Tinnitus and Its Connection to Cervical Myofascial Pain
Pulsatile tinnitus / Cervical myofascial pain syndrome I have been experiencing unilateral high-frequency continuous tinnitus for over six months, along with a simultaneous high-frequency pulsatile tinnitus (which is slightly quieter). This occurs 24 hours a day, and I can hear i...
Dr. Cai Zongzhang Reply:
Hello, have you been diagnosed with shoulder and neck myofascial pain syndrome? It is recommended that you consult your otolaryngologist to confirm the relationship. Wishing you a speedy recovery.[Read More] Understanding Pulsatile Tinnitus and Its Connection to Cervical Myofascial Pain
Do I Need a Neurologist for Muscle Pain? Health Insurance Coverage Explained
Health insurance reimbursement issues? Hello Dr. Hong, I have been a long-term vegetarian and recently I've been experiencing muscle and nerve pain, as well as neck and back discomfort. I visited an orthopedic doctor and took some pain relief and anti-inflammatory medication...
Dr. Hong Weibin Reply:
Shoulder and neck muscle soreness is mostly related to long-term chronic poor posture, such as being part of the "looking down" population or using an inappropriate pillow height while sleeping. However, it is important to be aware of potential cervical radiculopathy. C...[Read More] Do I Need a Neurologist for Muscle Pain? Health Insurance Coverage Explained
Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Heavy head, pressure in the head, dizziness, and stiffness and soreness in the shoulders and neck? Hello Dr. Jiang, my questions are as follows, please help me answer them: ● Medical History 1. For the past five years, I have almost daily experiences of head heaviness, dizziness...
Dr. Jiang Junyi Reply:
Hello: The most important thing for your condition is to cultivate the parasympathetic nervous system. 1. Do I need to have another brain MRI? Under what circumstances should dizziness warrant an MRI? A: Generally, if there are no new neurological symptoms, repeating an MRI is...[Read More] Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help
The lower eyelid has been twitching intermittently for a week? For a week, my lower eyelid has been twitching (since Sunday). That morning, I woke up feeling some swelling at the outer corner of my upper eyelid and lower eyelid. I thought it was just normal edema, so I didn'...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest myofascial pain syndrome in the posterior neck muscle group, which can also lead to referred discomfort in the eyes. The key issue lies within the muscles of the posterior neck. The myofascial connection points are located in the forehead area. I&...[Read More] Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help
Understanding Tension and Pain After Self-Inflicted Head Trauma
After hitting both temples, there is tightness in the temples and neck-shoulder area? Hello Dr. Jiang: I recently had an argument with my family and, due to emotional instability, I struck the sides of my head with my fists several times with considerable force. At the moment, I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are very similar to myofascial pain syndrome in the shoulder and neck region. This is because the fascia connects at the temples and the temporal lobes of the brain, and clinically, it often presents as pain at the affected area, di...[Read More] Understanding Tension and Pain After Self-Inflicted Head Trauma
Understanding Persistent Tinnitus: Causes and When to Seek Help
Suspected persistent tinnitus? Hello Doctor: Recently, I have been frequently cleaning my ears, and I suspect that I may have caused some inflammation in the ear canal. I suddenly started experiencing a persistent sharp, electric-like sound in one ear, but my hearing in both ears...
Dr. Jiang Junyi Reply:
Hello: Tinnitus can be attributed to issues originating from the ear or related to the brain. Common causes include external auditory canal inflammation, foreign body obstruction, and earwax buildup, which can all lead to tinnitus. Even dental extractions and temporomandibular jo...[Read More] Understanding Persistent Tinnitus: Causes and When to Seek Help
Is Waking Up at Night with Head Pain a Sign of Brain Tumor?
Waking up in the middle of the night due to pain is not necessarily indicative of a brain tumor? Last night, I experienced a dull headache before going to bed, and I was awakened by the pain around 5 AM. I took some pain relievers, and after one or two hours, the pain subsided. I...
Dr. Jiang Junyi Reply:
According to your description, the likelihood of a brain tumor causing headaches is relatively low, and the pain tends to worsen over time. Given your age, the more common causes are tension-type headaches or migraines. The symptoms of tension-type headaches are typically bilater...[Read More] Is Waking Up at Night with Head Pain a Sign of Brain Tumor?
Understanding Headaches While Chewing: Possible Causes and Solutions
Headache while chewing? I have never experienced headaches before, but over the past few days, I have been feeling pain in my right temple while chewing. Previously, I had a suspected esophageal burn due to medication, but I did not seek medical attention while abroad and only to...
Dr. Jiang Junyi Reply:
Hello, the common cause of left temporal pain is the symptoms associated with temporomandibular joint (TMJ) dysfunction. Patients typically report the following: pain in front of the ear (joint), facial soreness, temporal soreness, and shoulder and neck discomfort. When TMJ dysfu...[Read More] Understanding Headaches While Chewing: Possible Causes and Solutions
Understanding Right Shoulder and Neck Pain: When to See a Specialist
Right shoulder and neck pain, tightness, right lower back pain, and numbness in the right hand and right foot? Hello Doctor: I usually work sitting at a computer, and for the past six months, I have been experiencing pain and tightness in my right shoulder that extends to my neck...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to a herniated disc. Symptoms often worsen due to coughing or poor posture, but given your young age, the likelihood of simultaneous cervical and lumbar nerve root compression is low. It may be necessary to rule out o...[Read More] Understanding Right Shoulder and Neck Pain: When to See a Specialist
Intermittent Sharp Pain in Left Shoulder: Neurological Insights and Concerns
Transient sharp pain in the left shoulder? Over the past six months, I have experienced brief episodes of sharp pain in a fixed location on my left shoulder and neck about 2-3 times a month. The pain feels like a sudden electric shock, with an intensity ranging from 4 to 7 out of...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms seem to resemble nerve root compression in the cervical spine, which can produce symptoms similar to sciatica. Angina pectoris is caused by myocardial ischemia, resulting in a sensation of tightness or pain in the chest. Typical sym...[Read More] Intermittent Sharp Pain in Left Shoulder: Neurological Insights and Concerns
Understanding Neck Tension and Breathing Difficulties: A Neurology Perspective
Tightness in the shoulders and neck can lead to difficulty breathing? Doctor, about six months ago, I started to occasionally feel tightness in my shoulders and neck while walking, along with some difficulty breathing. Now, whenever I stand up and walk, my shoulders and neck beco...
Dr. Gao Chunde Reply:
Standing posture can lead to tightness in the shoulders and neck, making it difficult to breathe, and it can be challenging to determine the underlying issue. In neurology, if your symptoms are accompanied by orthostatic headaches that improve when lying down, it may be related t...[Read More] Understanding Neck Tension and Breathing Difficulties: A Neurology Perspective
Managing Neck and Throat Discomfort: Tips for Relief and Exercises
Including above the throat and neck? In the past, while sleeping, I unknowingly ended up lying on my back, and when I woke up in the morning, my jaw was misaligned, causing one side to protrude. When I pressed on it and swallowed repeatedly, it went back into place, but I felt ti...
Dr. Gao Chunde Reply:
Symptoms are more related to nervous tension and tightness in the shoulder and neck muscles. It is advisable to spend more time outdoors and avoid prolonged staring at computers or electronic devices. Taking a break every half hour to move your eyes, neck, and stretch is recommen...[Read More] Managing Neck and Throat Discomfort: Tips for Relief and Exercises
Understanding Chronic Neck Pain: Seeking Solutions for Persistent Discomfort
This issue is really troubling me? I would like to ask the doctor for some guidance. For the past year or two, I have been experiencing a sensation of heaviness and dizziness in the back of my head and neck. I used to spend a lot of time on the computer, and I wondered if I had a...
Dr. Gao Chunde Reply:
If the neurological examination shows no significant issues, you may consider a rehabilitation assessment to evaluate your shoulder and neck muscle condition and receive recommendations for some lifestyle maintenance strategies. Additionally, it is important to consider stress ma...[Read More] Understanding Chronic Neck Pain: Seeking Solutions for Persistent Discomfort
Understanding Side Effects of Nicametate Citrate 50mg in Neurology Patients
The side effects of Nicametate Citrate 50mg may include dizziness, headache, gastrointestinal disturbances such as nausea or diarrhea, and allergic reactions. If you Since October 2015, I have been experiencing involuntary body tremors during sleep, leading to insomnia, which is ...
Dr. Lan Shengxing Reply:
If the side effects of the medication Kylan outweigh its benefits, discontinuation may be considered. If stopping this medication does not pose a serious risk, most physicians would likely allow patients to decide whether to continue taking it. In this regard, the importance of n...[Read More] Understanding Side Effects of Nicametate Citrate 50mg in Neurology Patients
Persistent Pain in Left Arm, Leg, and Neck: When to Seek Medical Help?
Pain and discomfort in the left arm, leg, and neck? I have been feeling persistent soreness in my left limbs, even without exertion. I later realized that I seem to be unconsciously tensing my muscles, and only notice it when I consciously relax them. I'm not sure if this is...
Dr. Lan Shengxing Reply:
Dear An-An, experiencing persistent soreness in your limbs without exertion is concerning. Please seek evaluation from a neurologist or neurosurgeon as soon as possible.[Read More] Persistent Pain in Left Arm, Leg, and Neck: When to Seek Medical Help?
Understanding Side Effects of Nicametate Citrate 50mg: A Patient's Experience
The side effects of Nicametate Citrate 50 mg may include gastrointestinal disturbances such as nausea, vomiting, diarrhea, and abdominal pain. Other potential side effects Since October 2015, I have experienced involuntary body jerks that wake me up during sleep, leading to insom...
Dr. Gao Chunde Reply:
Based on the process you described, it seems to be a side effect of the medication. Generally, when we prescribe this medication to patients, the experience is relatively straightforward, and only a few have reported side effects similar to yours. Typically, these side effects re...[Read More] Understanding Side Effects of Nicametate Citrate 50mg: A Patient's Experience
Understanding Neurological Symptoms: Numbness and Dizziness Explained
Dizziness and a feeling of pressure in the back of the head? Hello, Doctor! I would like to ask about an incident that occurred on the night of April 8th. I was lying in bed watching TV and used my left pinky finger to scratch my face when suddenly my left pinky became weak and u...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms seem to resemble sensory abnormalities in the distribution area of the eighth cervical nerve root caused by nerve compression, along with shoulder and neck pain. The common causes are often due to overwork or poor posture leading to...[Read More] Understanding Neurological Symptoms: Numbness and Dizziness Explained
Understanding Neck and Shoulder Stiffness: When to Seek Medical Help
Stiffness in the shoulders and neck, as well as in the limbs? I am in my fifties and have been experiencing stiffness in my shoulders and neck for the past two months. My hands and feet often have joint pain, and sometimes my lumbar spine hurts to the point where I can't str...
Dr. Lan Shengxing Reply:
Dear Dolq, this symptom is something that most programmers experience to some extent. It is advisable to first consult with a rehabilitation specialist. If rehabilitation activities do not yield results, then consider visiting a neurologist or a neurosurgeon.[Read More] Understanding Neck and Shoulder Stiffness: When to Seek Medical Help
Could My Dizziness Be Related to the Cerebellum?
Is this related to the cerebellum? Recently, I have been experiencing a higher frequency of dizziness and a feeling of heaviness in my head, which is quite uncomfortable. I can't sleep for long periods without feeling dizzy. Occasionally, I also experience episodes of vertig...
Dr. Gao Chunde Reply:
If there is a problem with the cerebellum, there may be coordination difficulties, walking like a penguin, slurred speech, and clumsiness when eating, holding a bowl, or writing. Your situation could be considered another manifestation of chronic shoulder and neck fatigue or tens...[Read More] Could My Dizziness Be Related to the Cerebellum?
Understanding Dizziness and Fatigue: Neurological Insights on Stress Effects
Nervousness can easily cause dizziness? Hello Doctor: In recent months, I have been experiencing dizziness and fatigue. Two years ago, I fainted after donating blood. My usual blood pressure is around 100 to 120. However, in the past four months, I have felt dizzy whenever I go t...
Dr. Jiang Junyi Reply:
Based on your description, if the dizziness occurs during periods of emotional instability, it may be worth considering anxiety disorders as a potential cause of the physical symptoms. Regarding neck pain, especially when accompanied by upper arm pain during certain movements or ...[Read More] Understanding Dizziness and Fatigue: Neurological Insights on Stress Effects