Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Trapezius muscle issues and pulsatile tinnitus? Hello Dr. Jiang, Since I changed to a new pillow last September, I experienced a stiff neck that healed after a week. However, about a month later, I began to feel soreness and numbness in my left upper trapezius muscle, with inte...
Dr. Jiang Junyi Reply:
Hello: Regarding your questions, may I ask Dr. Jiang whether I can request a cervical ultrasound examination, or seek help from another specialty? A: Typically, vertebral artery issues are more related to hearing. If you request a carotid artery examination, the attending physici...[Read More] Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Understanding Dizziness and Discomfort: A Neurological Perspective
Dizziness and general discomfort? Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, ex...
Dr. Jiang Junyi Reply:
Hello, based on your description, I wonder if you have been paying attention to the care of your neck, as cervical myofascial pain syndrome may cause symptoms such as pain, discomfort, muscle stiffness, or a heavy sensation, leading to fatigue-like symptoms. Regarding the adjustm...[Read More] Understanding Dizziness and Discomfort: A Neurological Perspective
Persistent Headaches and Chest Pain: Seeking Answers for Unexplained Symptoms
Intermittent pain in the left temple and behind the right ear (Fengchi point) for 24 hours, accompanied by chest pain? My husband has been experiencing headaches for 6 days, which is unusual for him. He has visited the hospital twice, but the doctors have been unable to determine...
Dr. Hong Weibin Reply:
Hello: If you have never experienced similar headaches in the past and are currently experiencing neck stiffness, it is advisable to seek a consultation with a neurologist for a personal evaluation. It may be necessary to rule out dangerous causes of headaches, such as central ne...[Read More] Persistent Headaches and Chest Pain: Seeking Answers for Unexplained Symptoms
Severe Headaches and Nausea: Understanding Neurological Symptoms
Headache accompanied by nausea and other symptoms? I have been experiencing mild, intermittent headaches for about 3 to 4 months. They are usually not very noticeable, but I feel the pain more acutely when I shake my head. Recently, the situation has worsened, and for the past tw...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be alleviated with stretching activities, often recur...[Read More] Severe Headaches and Nausea: Understanding Neurological Symptoms
Overcoming Insomnia: Tips for Breaking Bad Sleep Habits
Insomnia issues (1) Hello, doctor. I've been trying to quit my bad habit of staying up late. I used to sleep at around 3 AM and wake up around noon. Last night and today, I went to bed at 10 PM, but I couldn't fall asleep at all. I feel like punching myself in the face ...
Dr. Jiang Junyi Reply:
Hello, based on your description, you may want to consider Delayed Sleep Phase Disorder. The main characteristics are: - Sleep onset and wake times are uncontrollably later than ideal. - Sleep onset time is generally consistent each day. - Once asleep, individuals do not easily ...[Read More] Overcoming Insomnia: Tips for Breaking Bad Sleep Habits
Understanding Headaches: Sneezing, Coughing, and Neurological Concerns
Sneezing, coughing, and then experiencing a headache? Hello, doctor. I am 26 years old. A few days ago, I experienced an allergic asthma attack, and the doctor prescribed a bronchodilator, which helped. However, I started to have headaches afterward. I often feel pressure in the ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of right occipital pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the ...[Read More] Understanding Headaches: Sneezing, Coughing, and Neurological Concerns
Understanding Hand Tremors: Can Young People Develop Parkinson's Disease?
Tremor issues? Hello doctor, may I ask if young people can develop Parkinson's disease? My fingers often shake, especially when I use my smartphone; my thumb shakes, and my fingers tremble even when at rest, although it's not very pronounced. Additionally, sometimes whe...
Dr. Cai Zongzhang Reply:
Hello, in most cases, muscle twitching does not require much concern. However, if it persists, muscle twitching may be a warning sign of a neuromuscular disorder. If the muscle twitching is accompanied by muscle weakness and atrophy, it is advisable to seek medical attention prom...[Read More] Understanding Hand Tremors: Can Young People Develop Parkinson's Disease?
Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Childhood Absence Seizures Hello, Doctor Jiang. My son is currently 2 years and 10 months old. When he was about 6 months old, he had a febrile seizure and was diagnosed with complex febrile seizures. Then, at 1 year and 10 months, he experienced another seizure of unknown origin...
Dr. Jiang Junyi Reply:
Hello: In the field of neurology, pediatric neurological disorders often involve various genetic or metabolic diseases. Regarding epilepsy, if it is absence epilepsy, there will be a specific pattern observed on the electroencephalogram (EEG). Benign focal epilepsy should also be...[Read More] Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Childhood Absence Seizures Hello Dr. Jiang, my son is currently 2 years and 10 months old. When he was about 6 months old, he had a febrile seizure and was diagnosed with complex febrile seizures. Then, at 1 year and 10 months, he had another seizure of unknown origin. At 2 years...
Dr. Jiang Junyi Reply:
Hello: In the field of neurology, pediatric neurological disorders require consideration of various genetic or metabolic diseases. For epilepsy, if it is absence epilepsy, there will be a specific pattern observed on the electroencephalogram (EEG). Benign focal epilepsy should al...[Read More] Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Chest Tightness, Dizziness, and Rapid Heartbeat: Seeking Further Diagnosis
Chest tightness, dizziness, and rapid heartbeat? For the past six months, I have frequently experienced chest tightness, dizziness, and a rapid heartbeat. I have undergone a comprehensive health check-up at my own expense, and everything came back normal. Additionally, I have had...
Dr. Jiang Junyi Reply:
Hello, based on your description, if you are overweight or experiencing severe snoring, you may want to consider sleep apnea. This condition is commonly caused by the obstruction of the airway due to soft tissue in the throat, which narrows the upper airway and leads to snoring a...[Read More] Chest Tightness, Dizziness, and Rapid Heartbeat: Seeking Further Diagnosis
Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Benign tremor Hello Doctor: Over the past year, I have been experiencing muscle twitching all over my body, and sometimes I also feel weakness, which makes me quite anxious. I have consulted many Western and traditional Chinese medicine doctors, but the symptoms persist, and I fe...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems you are caught in a dilemma of seeking medical care from various sources. To address this issue, it is advisable to first select a medical center near your residence to consolidate your medical records, as cloud-based reports, while info...[Read More] Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Benign tremor Hello Doctor: Over the past year, I have been experiencing muscle twitching all over my body, and sometimes I feel weakness, which has made me quite anxious. I have consulted many Western and traditional Chinese medicine doctors, but the symptoms persist, and I feel...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems you are caught in a dilemma of seeking medical care from various sources. To address this issue, it is advisable to first select a medical center near your residence to consolidate your medical information. While cloud-based reports can ...[Read More] Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Understanding Afternoon Limb Weakness: Possible Neurological Causes and Solutions
Every day, around 4 to 6 PM, I experience a brief and mild sensation of weakness in my limbs? Hello Doctor: My symptoms are a bit strange → I consistently experience mild weakness in my limbs around 4-6 PM every day, accompanied by palpitations (at other times, I feel fine; it se...
Dr. Jiang Junyi Reply:
Hello: Have you considered the possibility of medication-related issues? The side effects of medications? Or cardiovascular instability due to inconsistent medication adherence? It is advisable to choose a specific hospital for examination and analysis, as the reliability of data...[Read More] Understanding Afternoon Limb Weakness: Possible Neurological Causes and Solutions
Post-Stroke Care: Essential Tips for Recovery After 6 Months
Stroke, Care Recommendations for Patients After 6 Months Dear Dr. Tsai, My father is 68 years old and suffered a hemorrhagic stroke in early May this year, resulting in hemiplegia. After three months in a PAC (Post-Acute Care) unit, he was discharged in August. During his treatm...
Dr. Cai Zongzhang Reply:
Hello, regarding your father's situation, for the medication aspect, it is recommended that you continue follow-up visits and discuss the physiological effects of the medication with the physician. The physician will assess the possibility of any adjustments. The decision to...[Read More] Post-Stroke Care: Essential Tips for Recovery After 6 Months
Understanding Thigh Cramps and Back Pain: Finding Relief for Daily Struggles
Thigh cramps accompanied by lower back pain, causing discomfort while walking and sleeping? This has been a chronic issue for me. While working, I often experience severe pain in my right thigh, making it difficult to stand. It feels like I'm cramping, and I have to hunch ov...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider symptoms related to nerve compression due to a herniated disc, which may also result from sudden injuries, such as twisting the waist, bending to lift heavy objects, or experiencing excessive force, for example, fallin...[Read More] Understanding Thigh Cramps and Back Pain: Finding Relief for Daily Struggles
Muscle Twitches and Weakness: Understanding Possible Neurological Issues
Muscle twitching and weakness? Hello, Doctor: I would like to ask about frequently feeling muscle twitching throughout my body, without a specific location, usually just a few twitches. I also experience headaches and dizziness, along with a general sense of fatigue and weakness....
Dr. Jiang Junyi Reply:
Hello, based on your description, if you are concerned about autonomic nervous system issues, you can undergo autonomic nervous system testing to check for any abnormalities in your heart rate variability. The symptoms you described may also warrant consideration of obstructive s...[Read More] Muscle Twitches and Weakness: Understanding Possible Neurological Issues
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
Do You Need Further Testing for Headaches? Insights from Neurology
Do headaches require further examination? Hello Doctor, I am 56 years old. In early March of this year, I experienced a severe headache for the first time due to stress. It resolved on its own within 1 to 2 hours without medication. In early May, while traveling abroad, I had thr...
Dr. Hong Weibin Reply:
If your headache triggers are tension and lack of sleep, and your headache improves after taking medication and adjusting your lifestyle, it indicates that you are experiencing a primary headache. Primary headaches include tension-type headaches and migraines, among others, and d...[Read More] Do You Need Further Testing for Headaches? Insights from Neurology
Understanding Sleep Tremors and Migraines: When to Seek Medical Advice
Muscle twitching, migraine? Hello doctor, I would like to ask if the following symptoms my friend experiences while sleeping are normal and if she needs to go to the hospital for an examination. She is 20 years old, does not smoke or drink alcohol, has a family history of diabete...
Dr. Cai Zongzhang Reply:
Hello, regarding your friend's issue, it is uncertain if he is simply too fatigued. Especially considering the sleep conditions you described, this phenomenon may occur due to excessive fatigue or long-term irregular sleep patterns. It is recommended that he maintains a regu...[Read More] Understanding Sleep Tremors and Migraines: When to Seek Medical Advice
Understanding Seizure Symptoms: Causes of Dizziness and Sleepiness
Symptoms of epilepsy? Doctor, during my previous visit, the doctor mentioned that my condition was stable, so they did not increase my medication dosage. However, I also told the doctor that I have experienced dizziness and drowsiness once or twice recently. If I continue to feel...
Dr. Cai Zongzhang Reply:
Hello, you may be aware that dizziness is one of the symptoms of epilepsy. Recurrent dizziness can be distressing, especially when it occurs frequently or when effective treatment is not achieved. Medication is one solution, but it should be adjusted appropriately by a physician ...[Read More] Understanding Seizure Symptoms: Causes of Dizziness and Sleepiness