Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Dizziness, a feeling of pressure and fullness in both sides of the back of the head, numbness in the left side of the face, and discomfort in the left eye? Hello Doctor: I am a 37-year-old male. Since May of last year, I have been experiencing dizziness, a feeling of pressure in ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with the autonomic nervous system. I'm not sure if you have undergone any tests related to this or arterial blood gas analysis. Hyperventilation can also cause similar symptoms. Excessive hyperventilation leads to a decrease in carbo...[Read More] Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Neck Examination: Understanding Neurological Symptoms and Diagnostic Options
Neck examination Hello, Dr. Jiang: About ten years ago, one day I pressed hard on my left neck, and then suddenly felt as if my entire right side was filled with water; it felt strange. Since then, I have been unable to resolve several sequelae. 1. The corner of my mouth droops t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be more indicative of cervical radiculopathy due to nerve root compression, especially since the symptoms worsen after lifting heavy objects. Additionally, abnormalities in the cervical blood vessels can sometimes present similar symptoms. It is recommend...[Read More] Neck Examination: Understanding Neurological Symptoms and Diagnostic Options
Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Unknown dizziness 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, exercise ECG, ech...
Dr. Jiang Junyi Reply:
Hello: It seems that you have undergone many examinations, yet you still experience poor sleep. I wonder if you have had a sleep study done? Many symptoms such as dizziness, elevated blood pressure, and difficulty concentrating could potentially be explained by obstructive sleep ...[Read More] Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
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 the Causes of Persistent Headaches After a Concussion
Please have the doctor examine me to determine the cause of my headache? Hello doctor, during a physical education class in elementary school, I was hit on the lower left side of the back of my head by a soccer ball from a classmate. I was examined by a doctor at that time and di...
Dr. Jiang Junyi Reply:
Hello: In addition to the issues related to cervical myofascial pain, it may be necessary to consider the possibility of migraine as a contributing factor. Migraines are often accompanied by symptoms such as nausea, vomiting, photophobia, phonophobia, and pallor. Typically, one s...[Read More] Understanding the Causes of Persistent Headaches After a Concussion
Understanding Headaches and Numbness: Which Specialist to See?
Head numbness and headache? Hello Doctor: I have been experiencing headaches for the past six months. Sometimes they feel like sharp pains, other times they are more of a pressure pain, with no fixed pattern or location. Additionally, I have numbness in my head and face, and my e...
Dr. Jiang Junyi Reply:
Hello: Regarding the issue of high intraocular pressure, you can visit an ophthalmologist to measure your eye pressure, which can help rule out the problem of elevated intraocular pressure. As for the headache, it is advisable to first rule out migraine-related issues. Symptoms o...[Read More] Understanding Headaches and Numbness: Which Specialist to See?
Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?
Tightness in the right posterior part of the head, along with shoulder and neck pain, which is also causing discomfort in the eyes? Hello, doctor. I would like to ask you a question. My husband is 40 years old and works in a physically demanding job. He has a smoking habit and ha...
Dr. Jiang Junyi Reply:
Hello: Your husband is a smoker, which places him in a high-risk group for stroke. If he experiences sudden neurological deficits such as unilateral limb weakness or slurred speech, cerebrovascular disease should be the first consideration. Other causes of limb pain, such as cerv...[Read More] Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?
Chronic Headache for Over a Month: Possible Causes and Solutions
Headache lasting more than one month? Hello doctor, on August 14, I had sashimi and other raw foods. On the morning of August 16, I started experiencing sharp pain in the left back of my head, which came in waves. A couple of days later, I developed cold symptoms, including a sor...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The recurrent pain may be due to significant temperature fluctuations recently, which have led to many individuals experiencing repeated viral infections. The symptoms of tension-type headache include: (1)...[Read More] Chronic Headache for Over a Month: Possible Causes and Solutions
Understanding Nerve Compression Symptoms: Insights and Concerns
Nerve compression symptoms Hello Dr. Jiang, I previously experienced lower back pain due to prolonged standing and heavy lifting at work. A month ago, I consulted with traditional Chinese medicine, orthopedics, and neurosurgery. All the doctors indicated that my spinal X-ray res...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms should first consider lumbar nerve pathology, which is usually accompanied by decreased ankle and plantar reflexes. The calves often exhibit congestion and swelling, with sensory abnormalities on the outer side of the lower leg belo...[Read More] Understanding Nerve Compression Symptoms: Insights and Concerns
Post-Car Accident: Dealing with Right Leg Weakness and Numbness
After the car accident, there is weakness in the right leg muscles and frequent sensations of numbness? Hello, Dr. Jiang. I was in a car accident on June 4, 2017, during which I sustained noticeable abrasions on my right foot and right hand. However, after 2-3 weeks, the abrasion...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to a tendon injury. The lumbar spine can become inflamed or compress the nerve roots due to external forces. If rehabilitation treatment is not pursued due to pain, muscle atrophy may occur from disuse. In addition to...[Read More] Post-Car Accident: Dealing with Right Leg Weakness and Numbness
Understanding Muscle Tremors: Causes, Diagnosis, and Treatment Options
Muscle tremors Hello, doctor. Recently, I visited a traditional Chinese medicine practitioner for body adjustment and weight loss. After about two weeks, I started experiencing tremors in the muscles at the back of my left upper arm. The shaking comes and goes; sometimes it doesn...
Dr. Jiang Junyi Reply:
Hello: There are many reasons for muscle twitching. In addition to nerve conduction issues, it may be necessary to consider metabolic disorders such as hyperthyroidism and electrolyte imbalances. It is recommended that you discuss further treatment and examinations with your atte...[Read More] Understanding Muscle Tremors: Causes, Diagnosis, and Treatment Options
Understanding Right Jaw Pain: Possible Nerve Issues Explained
Pain in the right submandibular area? Hello doctor, recently I've been experiencing several small issues on the right side of my body. In early April, I strained the fascia around my right rib while lifting heavy objects, which extended to a sharp pain under my armpit. I saw...
Dr. Jiang Junyi Reply:
Hello, the neuropathic pain you mentioned may need to consider trigeminal neuralgia. Trigeminal neuralgia often occurs in the areas supplied by its lower two branches, which is the location you mentioned regarding your jaw. Patients typically describe experiencing sharp, stabbing...[Read More] Understanding Right Jaw Pain: Possible Nerve Issues Explained
Is It Panic Disorder or Autonomic Nervous System Dysfunction?
Am I experiencing panic disorder or autonomic nervous system dysregulation? Last week, after bingeing on spicy hot pot, I experienced dry mouth and throat, followed by two days of diarrhea. Concerned about my symptoms, I researched possible causes, and since then, my appetite has...
Dr. Hong Weibin Reply:
Your symptoms are quite complex; in addition to diarrhea, you also have numbness in your hands and feet. You should be cautious about the possibility of acute inflammatory demyelinating polyneuropathy (Guillain-Barré syndrome). It is advisable to seek medical assistance directly ...[Read More] Is It Panic Disorder or Autonomic Nervous System Dysfunction?
Chronic Leg Pain: Seeking Solutions for Persistent Muscle Tension
Leg problems Hello Doctor, I have been experiencing chronic tightness and pain in the anterior tibialis muscle of my left leg since childhood, particularly around the area of the upper tibia, which prevents me from sleeping. I can only relax enough to sleep after receiving a mass...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for leg tightness, such as muscle inflammation and lumbar nerve compression, which need to be evaluated. It is also important to consider the possibility of restless legs syndrome (RLS), a condition characterized b...[Read More] Chronic Leg Pain: Seeking Solutions for Persistent Muscle Tension
Electromyography for Facial Nerve Recovery: What to Expect?
Electromyography (EMG) of the facial nerve? Hello, doctor. About a month and a half ago, I received treatment for facial nerve paralysis, and I believe I have recovered over 95% so far (especially when raising my eyebrows or squinting, there is still a slight difference between t...
Dr. Jiang Junyi Reply:
Hello: Facial paralysis is believed to be caused by unknown reasons or viral infections, which lead to impaired blood flow in the vessels supplying nutrients to the facial nerve, resulting in paralysis. Improving blood flow to the facial nerve is the principle of treatment. This ...[Read More] Electromyography for Facial Nerve Recovery: What to Expect?
Understanding Hip and Thigh Pain: Causes and Treatment Options
Pain in the hip and thigh region? Hello doctor, my mother is currently 64 years old. Two years ago, she injured her lower back while lifting heavy objects. Initially, the pain was not severe, but after receiving a massage at a traditional Chinese medicine clinic, her condition wo...
Dr. Jiang Junyi Reply:
Hello: Your mother's symptoms may indicate localized tissue or nerve inflammation. The distribution of the symptoms may correspond to the area innervated by the sciatic nerve. Generally, for neuritis or injury, medications such as anti-inflammatory pain relievers and vitamin...[Read More] Understanding Hip and Thigh Pain: Causes and Treatment Options
Understanding Post-Concussion Symptoms: When to Seek Medical Help
Dizziness, headache, weakness in the limbs, and a lightheaded feeling..? On December 17, I was hit on the head by a friend, resulting in swelling and bruising on my forehead. After some time, I began to experience headaches and dizziness. When I went to the emergency room, the do...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of the vagus nerve, which leads to bradycardia and decreased cardiac output. This can occur when transitioning from a sup...[Read More] Understanding Post-Concussion Symptoms: When to Seek Medical Help
Head Pain While Sleeping: Neurological Concerns and Solutions
Experiencing headaches while sleeping on your back? Hello, doctor. At the end of October, I experienced a headache in the back of my head. I visited a traditional Chinese medicine practitioner and took some medication, which improved my condition a bit. However, I still occasiona...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to cervical nerve root compression, causing cervicogenic headaches. Clinical diagnosis must rely on physical assessment, electromyography, cervical X-rays, and even cervical magnetic resonance imaging (MRI). Most symp...[Read More] Head Pain While Sleeping: Neurological Concerns and Solutions
Chronic Neck and Shoulder Pain: Seeking Effective Treatment Options
Neck pain accompanied by right shoulder pain and limited mobility? Hello Doctor: Every day around 2-3 PM, I experience neck pain, followed by stiffness on the right side of my neck extending to the occipital bone, which then radiates to my right shoulder, causing sharp pain. The ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the treatment for cervical disc herniation is determined by the severity of pain and whether there is compression of the nerve roots or cervical spinal cord. Most symptoms are temporary and respond well to conservative treatments such as medicati...[Read More] Chronic Neck and Shoulder Pain: Seeking Effective Treatment Options
Understanding Lower Back Discomfort During Sleep: When to Seek Help
Experiencing a tingling or aching sensation in the lower back while sleeping? Hello Doctor: I used to have a habit of weight training, but I don't recall any injuries. About three months ago, I started waking up with lower back discomfort every night while sleeping, and I ha...
Dr. Lan Shengxing Reply:
Hello, this symptom can be addressed by either neurology or surgery, and you may also consult the rheumatology and immunology department.[Read More] Understanding Lower Back Discomfort During Sleep: When to Seek Help