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What Causes Headache Along With Tingling Sensation In Face And Lips?

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Posted on Mon, 17 Aug 2015
Question: 2 days since a pop in the head..was told it was musculoskeletal pain..still headache. .
and lips and face tingling. ..was is it
doctor
Answered by Dr. Dariush Saghafi (55 minutes later)
Brief Answer:
Are you sure YOU MOVED your quickly or did someone do that for you?

Detailed Answer:
I can't imagine a situation likely to occur where a person can voluntarily move their heads in such a way with such force that they could cause the types of symptoms you're talking about. I can certainly imagine such a movement of rapidity occurring if someone MOVED a head about in such a way...very much the way chiropractors might do when performing adjustments....or what may happen in a whiplash injury, or when someone's head bounces off the ground after being tackled from the front or being clipped in the back.

The tingling in the face and lips suggests to me that a portion of the trigeminal nerve that dips down into the spinal cord was caught in the crossfire of whatever the activity was that caused the head to snap in this way and that perhaps there could be some inflammation or swelling, possibly some very very microscopic bleeding could've taken place depending on if the force of movement was so strong as to cause a shearing effect in the upper spinal cord where the trigeminal nerve enters and exits back up toward the head to innervate structures in the head such as the face and lips.

I would continue to take some anti-inflammatory for pain relief and then, also place ice packs all about the neck (front and back) twice to thrice daily for 20-30 minutes at a time.

If this doesn't relieve itself within about 1 week from the time it happened then, I think an imaging study of the cervical spine (MRI preferably) with gadolinium contrast is justified and should be done.

I hope these answers satisfactorily addresses your question. If so, may I ask your favor of a HIGH STAR RATING with some written feedback?

Also, if there are no other questions or comments, may I ask you CLOSE THE QUERY on your end so this question can be transacted and archived for further reference by colleagues as necessary?

Please direct more comments or inquiries to me in the future at:

bit.ly/drdariushsaghafi

I would be honored to answer you quickly and comprehensively.

Please keep me informed as to the outcome of your situation.

The query has required a total of 11 minutes of physician specific time to read, research, and compile a return envoy to the patient.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dariush Saghafi (29 minutes later)
yes..this happened while I was driving a fly landed on my eye while driving my semi in winds gusting to 50 miles an hour and I did have a back injury a couple years ago but it was the lower like the 5 or 6 lumbar..I just want to die just yet. .I am very panicking
doctor
Answered by Dr. Dariush Saghafi (1 hour later)
Brief Answer:
Everything I said still holds

Detailed Answer:
Thanks for the clarification. I've been in situations where something has caught be by unexpected XXXXXXX causing me to move my head suddenly. You're lucky you didn't crash the truck.

Again, I believe the idea of a muscle strain or pull I think is very plausible....I don't think it's likely to be anything more than that....convalescent time can vary from person to person. I've had cranks to my neck after wrestling practice or even a good hard game of racquetball where I've made some very hard diving plays and run my head into the wall and gotten a very stiff neck or numb face and it's taken up to 3-4 weeks to clear everything.

I haven't heard anything in your story that should make you panic. If you wish to get another set of eyes or hands on the situation then, you're always at your XXXXXXX to either call your local physician or head to the ER. They'll get at least an X-ray of the neck to show you that nothing is fractured and then, they'll likely recommend the same conservative treatment.

All the best

I hope these answers satisfactorily addresses your question. If so, may I ask your favor of a HIGH STAR RATING with some written feedback?

Also, if there are no other questions or comments, may I ask you CLOSE THE QUERY on your end so this question can be transacted and archived for further reference by colleagues as necessary?

Please direct more comments or inquiries to me in the future at:

bit.ly/drdariushsaghafi

I would be honored to answer you quickly and comprehensively.

Please keep me informed as to the outcome of your situation.

The query has required a total of 26 minutes of physician specific time to read, research, and compile a return envoy to the patient.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 2473 Questions

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What Causes Headache Along With Tingling Sensation In Face And Lips?

Brief Answer: Are you sure YOU MOVED your quickly or did someone do that for you? Detailed Answer: I can't imagine a situation likely to occur where a person can voluntarily move their heads in such a way with such force that they could cause the types of symptoms you're talking about. I can certainly imagine such a movement of rapidity occurring if someone MOVED a head about in such a way...very much the way chiropractors might do when performing adjustments....or what may happen in a whiplash injury, or when someone's head bounces off the ground after being tackled from the front or being clipped in the back. The tingling in the face and lips suggests to me that a portion of the trigeminal nerve that dips down into the spinal cord was caught in the crossfire of whatever the activity was that caused the head to snap in this way and that perhaps there could be some inflammation or swelling, possibly some very very microscopic bleeding could've taken place depending on if the force of movement was so strong as to cause a shearing effect in the upper spinal cord where the trigeminal nerve enters and exits back up toward the head to innervate structures in the head such as the face and lips. I would continue to take some anti-inflammatory for pain relief and then, also place ice packs all about the neck (front and back) twice to thrice daily for 20-30 minutes at a time. If this doesn't relieve itself within about 1 week from the time it happened then, I think an imaging study of the cervical spine (MRI preferably) with gadolinium contrast is justified and should be done. I hope these answers satisfactorily addresses your question. If so, may I ask your favor of a HIGH STAR RATING with some written feedback? Also, if there are no other questions or comments, may I ask you CLOSE THE QUERY on your end so this question can be transacted and archived for further reference by colleagues as necessary? Please direct more comments or inquiries to me in the future at: bit.ly/drdariushsaghafi I would be honored to answer you quickly and comprehensively. Please keep me informed as to the outcome of your situation. The query has required a total of 11 minutes of physician specific time to read, research, and compile a return envoy to the patient.