Chronic Migraines: Seeking Relief from Severe Headaches at Night
Increasingly severe headaches, requiring sitting up to sleep at night? Hello Dr. Jiang, I have been experiencing frequent migraines since high school, usually starting on the right side and spreading to the entire back of my head. When the pain is intense, I often vomit, and I h...
Dr. Jiang Junyi Reply:
Dear Ms. Ni, You mentioned that "since high school, I have frequently experienced migraines... I have visited several clinics, and they all prescribed pain relievers and muscle relaxants." Your symptoms may need to be considered for Chronic Daily Headache, defined as h...[Read More] Chronic Migraines: Seeking Relief from Severe Headaches at Night
Understanding Occasional Back Spasms: When to See a Neurologist
Could you please clarify what you mean by "back pain"? Recently, I have been experiencing cramping pain in the lower back, specifically on the left side near the spine. The cramping lasts for about a minute and occurs infrequently, about once or twice a week. I have con...
Dr. Chen Weida Reply:
Hello Mr. Lin! Regarding your inquiry about back pain, please note that back pain is a signal from your body indicating that something may be wrong. Try to recall if you have any other accompanying symptoms besides the back pain, as this information will be helpful for the physic...[Read More] Understanding Occasional Back Spasms: When to See a Neurologist
Understanding Sudden Leg Numbness and Flatfoot Symptoms
Regarding sudden unilateral leg numbness and arch collapse? After lying in bed and stretching the spine with one leg crossed for 20 minutes, I experienced numbness in one leg that did not subside. My toes felt weak and unable to support my arch, leading to a collapse of the foot ...
Dr. Chen Weida Reply:
Good afternoon! Regarding your inquiry about sudden numbness in the legs, it is recommended that you promptly visit a neurology or neurosurgery outpatient clinic at a regional hospital or higher. A specialist will evaluate whether you need further examination and treatment. Wishi...[Read More] Understanding Sudden Leg Numbness and Flatfoot Symptoms
Understanding Persistent Dizziness: When to See a Neurologist or Psychologist
1. No anemia, no low blood pressure, yet feeling dizzy all day? I just finished seeing the doctor, who recommended that I undergo a self-paid scan. Without the scan, I won't know anything. So far, I've seen a neurologist twice for issues related to migraines, insomnia, ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "No anemia, no low blood pressure, yet feeling dizzy all day?" Given the recent hot weather, it may be important to consider heat-related illnesses. The primary cause is the dilation of skin microvessels in high-temperature outdoor environme...[Read More] Understanding Persistent Dizziness: When to See a Neurologist or Psychologist
Understanding Muscle Cramps: Causes and Solutions for Your Symptoms
Frequent muscle cramps in the hands and feet? Hello Dr. Jiang, I have been experiencing severe cramps in my fingers, arms, and calves recently. I have visited the neurology, orthopedics, and metabolic departments at Taichung Chung Shan Hospital, where I underwent MRI scans of my ...
Dr. Jiang Junyi Reply:
Hello Mr. Chang, You mentioned experiencing "severe cramps from your fingers to your elbows and calves..." Cramps are caused by involuntary muscle contractions. Common causes include: Dehydration: Dehydration is a common cause of muscle cramps. When the body is lackin...[Read More] Understanding Muscle Cramps: Causes and Solutions for Your Symptoms
Facial and Limb Numbness When Standing: Possible Causes and Solutions
Numbness in one side of the face and leg while standing? Hello, Doctor Jiang. I have been experiencing numbness on the right side of my face (with slight tinnitus) since last week when standing. My right hand and right foot also feel numb, and there is a sensation of congestion i...
Dr. Jiang Junyi Reply:
Hello Mr. AC: You mentioned experiencing "numbness on the right side of your face (mild tinnitus), numbness in your right hand and right foot, and a feeling of congestion in your right foot." It is important to first rule out any issues related to brain structure or cer...[Read More] Facial and Limb Numbness When Standing: Possible Causes and Solutions
Understanding Urological and Spinal Nerve Issues: A Patient's Journey
Uro-neurology or spinal nerves Hello, about 3-4 years ago, I had an incident while exercising where I twisted my ankle and fell, resulting in a skin tear on my foreskin. The next day, I experienced pain while urinating and was diagnosed with a urinary tract infection. During urin...
Dr. Cai Zongzhang Reply:
Hello Mr. Hong: Based on the symptoms mentioned, the most common cause of groin and thigh pain is lumbar nerve compression. An MRI scan is arranged to help confirm the diagnosis.[Read More] Understanding Urological and Spinal Nerve Issues: A Patient's Journey
Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Neurological issues related to the head? I’m not sure when it started, but sometimes when I feel more tired, I lie down on the table or bed to rest for about 15 to 30 minutes. After waking up, I experience a slight tremor at the back of my head, my heartbeat feels stronger, and s...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may indicate peripheral nerve compression. 1. The nature of the pain is characterized by burning and tingling sensations. 2. The symptoms have a specific dermatomal distribution, and can be triggered by touch or pressure. 3. There is also accompanying mu...[Read More] Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Sneezing and Numbness: Understanding Neurological Symptoms
Experiencing a tingling sensation on the scalp when sneezing? Recently, whenever I sneeze, I experience a tingling sensation in the back of my head that extends down to my neck and upper back. What could be causing this?
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned that "after sneezing, I start to feel numbness in the back of my head extending to my neck and upper back." This temporary numbness may be caused by compression of the cervical nerves at the C4-C5 levels due to abnormal cervical posture. I ...[Read More] Sneezing and Numbness: Understanding Neurological Symptoms
Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options
Dizziness and tinnitus with no identifiable cause? Hello Doctor: I started experiencing dizziness about a month ago. It's not a spinning sensation but rather a feeling of heaviness in my head and lightness in my legs. Occasionally, I feel a tingling sensation on my scalp, an...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned: "1. Is the dizziness symptom caused by autonomic nervous system dysfunction the same as the continuous dizziness I am currently experiencing? 2. Could dizziness caused by cervical nerve compression present as my current persistent dizziness? ...[Read More] Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options
Understanding Cervical Spine Issues and Central Sleep Apnea Symptoms
Cervical spine issues and sleep apnea? Hello, Doctor. Thank you very much for your response. I have been suspecting that I might have central sleep apnea. About a year ago, I frequently stayed up late and later began to feel extremely fatigued. Whenever I didn't get enough s...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptom description, the cause may be related to cervical spine disease. It is recommended to visit a neurologist for a definitive diagnosis.[Read More] Understanding Cervical Spine Issues and Central Sleep Apnea Symptoms
Understanding Dizziness and Numbness: Neurological Concerns Explained
Dizziness and numbness in the face and hands? Hello Doctor, on Thursday night, I started feeling a warm sensation in the back of my head. On Friday, my temperature ranged from 37 to 37.5 degrees Celsius (the weather has been getting warmer), and my head still felt warm. I had lit...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "neck tightness and tilting back or forward can cause dizziness, and sometimes I experience headaches... my left hand is numb, and I feel numbness in my left teeth and left side of my face, with occasional headaches (the pain radiates outward)....[Read More] Understanding Dizziness and Numbness: Neurological Concerns Explained
Understanding Sudden Electric Sensations in the Body: Causes and Insights
The body experiences intermittent sensations of electric shock? Hello, doctor. In the past few weeks, I have been experiencing intermittent sensations of electric shocks throughout my body, as if I am being shocked internally. The intensity of these sensations varies, and they ca...
Dr. Jiang Junyi Reply:
Dear Mr. He, You mentioned that "in recent weeks, I have been experiencing intermittent electric shock sensations throughout my body, feeling as if my entire internal system is suddenly electrified." I recommend first ruling out issues related to cervical spine compres...[Read More] Understanding Sudden Electric Sensations in the Body: Causes and Insights
Unexplained Body Pain and Muscle Twitching: Seeking Neurological Insights
Widespread pain that is not fixed in time, muscle twitching for one month, and numbness in the hands? Hello Doctor, I started experiencing headaches around January 2024, and after visiting the hospital, the doctor conducted a preliminary assessment and diagnosed me with tension-t...
Dr. Jiang Junyi Reply:
Hello Ms. Hone, You mentioned that you were "initially diagnosed with tension-type headache... and prescribed antiarrhythmic medication (without relevant examinations), but you feel that the pain and muscle twitching have not improved with the medication." Typically, n...[Read More] Unexplained Body Pain and Muscle Twitching: Seeking Neurological Insights
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 Muscle Twitches: Causes, Concerns, and When to Seek Help
Muscle twitching Hello Doctor, I asked you the same question about three years ago. I am very concerned about frequent muscle twitching, and I fear a serious illness may be affecting me. The situation is as follows: my muscles occasionally twitch (some areas are particularly freq...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned "frequent muscle twitching... electromyography... frequent twitching in the left hand's thenar eminence." If you are concerned about a muscle disease, it typically presents with significant atrophy, and the electromyography would show abno...[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Understanding Head and Chest Discomfort: Possible Neurological Concerns
Occasionally experiencing tingling on both sides of the head? A few weeks ago, I started experiencing chest tightness, difficulty breathing, and a tingling sensation in the area of my left shoulder blade. After a chest X-ray and listening to my heartbeat, the doctor said there we...
Dr. Jiang Junyi Reply:
Hello Mr. Leon, You mentioned that you feel numbness in the area of your left shoulder and occasionally experience a heavy, numb sensation on both sides of your head (around the temples and the top of your head). These symptoms are less indicative of a stroke, which typically pr...[Read More] Understanding Head and Chest Discomfort: Possible Neurological Concerns
Understanding Cervical Nerve Compression and TMJ Disorders
Cervical nerve compression and temporomandibular joint arthritis? Hello, doctor. Starting from October 2023, I began experiencing hand numbness, which later progressed to spasms in my hands and feet. After undergoing X-rays at the neurology, orthopedics, and rehabilitation depart...
Dr. Chen Weida Reply:
Hello, Pain Patient: Your current pain may be due to chronic myofascial pain syndrome. Since the pain has spread from the upper back to affect the temporomandibular joint, it is recommended that you consult a neurologist for further evaluation and early treatment of the chronic p...[Read More] Understanding Cervical Nerve Compression and TMJ Disorders
Understanding Persistent Head Discomfort: Tinnitus and Sleep Issues
I've been feeling discomfort in my head for a long time? More than three years ago, I started experiencing tinnitus, and about two years ago, I also began to feel a pulling sensation in my head before falling asleep. When I touch my forehead, I can feel a heartbeat that alig...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned feeling a "pulling sensation in your head... is this feeling before falling asleep related to possible vascular blockage? I also have mild carotid artery stenosis..." Your symptoms are less likely to be caused by vascular narrowing, as vasc...[Read More] Understanding Persistent Head Discomfort: Tinnitus and Sleep Issues
Understanding Neck Traction Effects: Nerve Sensations and Anxiety Impact
Head and neck issues? Hello Doctor, I am the patient who had neck traction recently. Over the past few days, I've felt less tense, and there has been some relief in the area at the back of my head, but I still have a few symptoms. Before the neck traction, I didn't have...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that you hear a "whooshing" sound in your ear. Is this sound in sync with your heartbeat? Is it in one ear only? This is commonly caused by cervical spine degeneration, which can compress the vertebral artery and alter blood flow. I recommend ...[Read More] Understanding Neck Traction Effects: Nerve Sensations and Anxiety Impact