Understanding Persistent Dizziness: Causes and Next Steps
Chronic dizziness with no identifiable cause? I would like to ask the doctor, I have been experiencing dizziness for almost two years. It mainly occurs when I walk; I do not feel dizzy when sitting or lying down. There is no sensation of spinning, but I feel unsteady and have a s...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You mentioned that "I mainly feel fine when sitting or lying down, but I feel dizzy when walking. There is no sensation of spinning, but I do feel unsteady and a sense of falling, along with a feeling of pressure around my eyes and visual disturbances." T...[Read More] Understanding Persistent Dizziness: Causes and Next Steps
Understanding Dizziness and Numbness: When to Seek Medical Help
Dizziness with occasional numbness? I have been experiencing occasional dizziness since July 28. Previously, I felt tightness in my head or around my temples, and I have had a few instances of facial numbness. Recently, aside from the tightness, I feel like I'm swaying while...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned that "it feels like the whole body is swaying side to side, but when standing, it doesn't sway much. I feel sleepy, and my neck and shoulders are stiff. When I slightly twist, there's a loud cracking sound, and when lying down to sleep...[Read More] Understanding Dizziness and Numbness: When to Seek Medical Help
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
Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Pain in the back of the head radiating to the ear and tongue? While lying down preparing to sleep, I suddenly experienced severe sharp pain in the lower left side of the back of my head (near the neck), which then radiated to my ear and tongue (near the throat). After a while, I ...
Dr. Jiang Junyi Reply:
Dear Miss Pei Pei, You mentioned that "after a while, I feel tightness in the muscles near the back of my head close to my neck, and the lymph nodes in my lower jaw also hurt during the process of tilting my head back." Your symptoms may suggest issues with the cervica...[Read More] Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Pain in the back of the head radiating to the ear and tongue? While lying down and preparing to sleep, I suddenly experienced severe pain in the lower left part of the back of my head (near the neck). The pain then radiated to my ear and tongue (near the throat). After a while, I...
Dr. Jiang Junyi Reply:
Dear Miss Pei Pei, You mentioned that "after a while, I feel tightness in the muscles at the back of my head near my neck, and there is pain in the lymph nodes of my lower jaw during the process of tilting my head back." Your symptoms may suggest issues related to the ...[Read More] Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Understanding Chronic Headaches and Neck Pain: Possible Causes and Solutions
Headache and neck pain? Hello, doctor. Since I hit the back of my head on a stone step corner in sixth grade, I have been experiencing persistent headaches. I have been to a large hospital for examinations, but they all said there was no problem. After that, I often find myself e...
Dr. Cai Zongzhang Reply:
Hello, the symptoms mentioned may be related to cervical spine disorders or hypotension. It is recommended to visit a neurology clinic for an examination to determine the underlying cause.[Read More] Understanding Chronic Headaches and Neck Pain: Possible Causes and Solutions
Understanding Balance Issues and Dizziness: Causes and Solutions
Sometimes when sitting, I feel unsteady, and occasionally when lying down, I experience dizziness? Hello doctor, I have poor posture and often find myself looking down. One day, while lying on a chair, I started to feel unsteady, as if my body was leaning forward. Then, another d...
Dr. Jiang Junyi Reply:
Hello Mr. QWZ: You mentioned that "when turning over, I feel a pull in my back and start to feel dizzy," which may suggest the need to rule out cervicogenic dizziness. The symptoms of dizziness could originate from the cervical spine. You may experience nausea during mo...[Read More] Understanding Balance Issues and Dizziness: Causes and Solutions
Understanding Limb and Facial Numbness: When to Seek Neurological Care
Numbness in the limbs extending to the face? Hello, doctor. Yesterday, while using my computer, I suddenly experienced numbness in my limbs. I had a similar episode in March and consulted a rehabilitation physician. Due to insurance coverage limitations, they only performed an X-...
Dr. Cai Zongzhang Reply:
Hello, the symptoms mentioned may indicate cervical spine discomfort. It is recommended to maintain proper sitting posture and correct neck positioning. If the symptoms do not improve, it is advisable to consult a neurologist for further evaluation.[Read More] Understanding Limb and Facial Numbness: When to Seek Neurological Care
Feeling Dizzy Like on a Boat: Understanding Your Symptoms and Solutions
When sitting or walking, it feels like there is an up-and-down motion, similar to being on a boat? Hello doctor, I have high blood pressure, and I experience tingling in my scalp while masturbating. I often look down while using electronic devices, which has led to a condition kn...
Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned that "sometimes when sitting or walking, it feels like you're swaying up and down like being on a boat." Your symptoms may suggest cervicogenic dizziness, which could originate from the cervical spine. Symptoms may include dizziness, ligh...[Read More] Feeling Dizzy Like on a Boat: Understanding Your Symptoms and Solutions
Understanding Neck Pain in Dialysis Patients: Causes and Concerns
Neck pain Hello, I am a dialysis patient. Recently, I have been experiencing stiffness in the front left side of my neck. After consulting with a cardiologist, they indicated that it is likely not heart-related. However, I am concerned it might be due to carotid artery stenosis, ...
Dr. Cai Zongzhang Reply:
Hello Jason: The most common causes of neck stiffness are inflammation of the neck muscles or degenerative changes in the cervical spine leading to bone spurs that compress the nerves. If the symptoms persist without improvement, it is recommended to consult a neurologist for eva...[Read More] Understanding Neck Pain in Dialysis Patients: Causes and Concerns
Understanding Left Arm Pain and Numbness: Possible Causes and Solutions
Left arm pain and numbness? Hello Doctor, recently I have been experiencing a tingling sensation in my left arm along with weakness in my left arm, which occurs several times a day but lasts only a few seconds. Additionally, my left foot occasionally feels numb, and I have also e...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms suggest a peripheral nerve issue, but the location of the problem may vary. You mentioned that your "left upper arm feels sore," which may indicate nerve compression in the cervical spine. The "numbness in the left palm" could sugges...[Read More] Understanding Left Arm Pain and Numbness: Possible Causes and Solutions
Post-Concussion Symptoms: Seeking Help for Persistent Neurological Issues
Post-concussion syndrome A 68-year-old elderly individual fell on the street a few months ago for unknown reasons, resulting in a head injury with a laceration on the left forehead that required 5-6 stitches. After the laceration healed, the individual developed insomnia and a pe...
Dr. Jiang Junyi Reply:
Dear Ms. Yeh, You mentioned that "after the head laceration healed, it caused insomnia and a tingling sensation in the head." This may be attributed to two possible reasons: localized nerve damage due to the injury or compression of the cervical nerve roots caused by e...[Read More] Post-Concussion Symptoms: Seeking Help for Persistent Neurological Issues
Understanding Eye Twitching and Facial Discomfort: Possible Causes and Solutions
After the twitching of the lower right eyelid, my face feels strange? Hello doctor, about four or five days ago, my right lower eyelid twitched for 2-3 days intermittently. Yesterday, the eyelid stopped twitching, but I felt some tightness in the area of my right cheekbone. Today...
Dr. Jiang Junyi Reply:
Dear Miss CC, You mentioned that "the apple of my right cheek feels a bit tight..." Have you looked in the mirror? Is there any asymmetry? Issues with the cervical spine typically manifest near the area behind the ear. If the symptoms persist, I recommend visiting a ne...[Read More] Understanding Eye Twitching and Facial Discomfort: Possible Causes and Solutions
Understanding Head Pain: Causes and When to Seek Help
Brain Issues - Headache Three days ago, I started experiencing pain in the back of my head. When I woke up today, I felt a heavy sensation in the entire area of the back of my head, and it is also painful. There is no vomiting, and my memory and balance seem fine, but whenever I ...
Dr. Jiang Junyi Reply:
Hello Mr. Jim, You mentioned that "the back of my head started to hurt, and when I woke up today, I felt a heavy sensation throughout the back of my head, and it also hurts." I would like to know if you are experiencing any blurred vision or fever. If your symptoms are...[Read More] Understanding Head Pain: Causes and When to Seek Help
Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment
Cervical spine issues Hello Doctor, I have been experiencing numbness in the tips of my fingers on both hands (more pronounced in the left hand) for over a year now, since I first noticed it. I visited a neurologist in May of this year. The doctor performed an X-ray and an electr...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "an MRI of the cervical spine has been scheduled, but it won't be until November. I would like to ask the doctor, with three months to wait, will this delay be too long to determine the extent of the compression?" If symptoms progr...[Read More] Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment
Understanding Unpredictable Head Pain: Causes and Solutions
Intermittent head pain? Hello Doctor, about two weeks ago, I started experiencing a mild pain at the top of my head. The next day, I began to feel intermittent pain throughout my entire head, even extending to the eye sockets, and I also had a stiff sensation in my neck. I later ...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that "the symptoms in the forehead and brow ridge are more pronounced" and also noted that "exercising more and massaging the neck, along with the topical medication you prescribed, have provided some improvement." It may be nece...[Read More] Understanding Unpredictable Head Pain: Causes and Solutions
Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Right ear pain? Doctor: I wake up at night with numbness in my left hand, which feels like an electric shock type of numbness, or just numbness. I also feel a sense of emptiness and swelling at the top of my head. I woke up at 1:20 AM, with blood pressure readings of 94/58/73 on ...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Does autonomic nervous system dysfunction cause hand numbness that is not due to pressure points?" If it is due to hyperventilation leading to decreased carbon dioxide levels in the blood, resulting in an increased pH, this condition is m...[Read More] Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Understanding Random Numbness: Causes and Next Steps in Diagnosis
Numbness in the face, hands, toes, and random tingling sensations throughout the body? Hello Doctor, I have recently experienced some random tingling sensations throughout my body. It hasn't reached a point where I can't take care of myself, but it occurs quite frequent...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned experiencing some slight tingling sensations throughout your body. You have already undergone examinations to rule out structural abnormalities, including magnetic resonance imaging (MRI) of the cervical spine and nerve conduction studies of the limbs. A...[Read More] Understanding Random Numbness: Causes and Next Steps in Diagnosis
Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Recently, I have been experiencing pain in the left occipital region? Hello, doctor. Recently, I've been experiencing pain in the left back of my head. At first, it didn't affect my daily life and I occasionally didn't feel it, but over the past few days, the pain ...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned that "the pain feels like a sharp sensation, and the intensity is increasing. I have tried gentle massage... Does heavy smartphone usage have an impact?" It is important to first consider the possibility of myofascial inflammation around the ...[Read More] Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Understanding Tension Headaches: When to Consider MRI and Specialist Care
Tightness in the temples (EEG examination) Hello, Dr. Jiang. Thank you for your response in January (copied below). After your reply, I visited a nearby hospital (neurology department) and had an EEG, which came back normal. I asked the doctor if an MRI was necessary, and he said...
Dr. Jiang Junyi Reply:
Hello Mr. William, You mentioned, "If the EEG is normal, is there still a need for an MRI?" Due to health insurance limitations, typically when there are suspected structural abnormalities in the brain, an MRI can be requested under health insurance. Abnormal EEG findi...[Read More] Understanding Tension Headaches: When to Consider MRI and Specialist Care