Doctor Q&A
A 48-year-old member asked:
Critical Care 24 years experience
Depends how bad: The time and degree of recovery depend on the size and location of the hemorrhage. Bleeding and swelling go together. The swelling follows the bleedi... Read More 5.7k viewsAnswered >2 years ago
A 48-year-old member asked:
Critical Care 24 years experience
It can be: We want all of our patients to do well, but that doesn't always happen, because they often hqve very bad diseases. We go to work every day, do the bes... Read More 5.7k viewsReviewed >2 years ago
A 45-year-old member asked:
Critical Care 24 years experience
Clinically: Parkinson's disease is diagnosed by clinical signs and symptoms. The four key features of Parkinson's are tremor, slow movements, stiff limbs and a sh... Read More 6k viewsReviewed >2 years ago
A 36-year-old member asked:
Critical Care 24 years experience
Depends: For a standard cervical discectomy and fusion for radiculopathy it's 8-12 weeks. You could return to work more quickly depending on what you do. The... Read More 5.7k viewsReviewed >2 years ago
A 48-year-old member asked:
Critical Care 24 years experience
Sometimes: Autonomy means the patient can do whatever he or she wants.
Beneficence means that a doctor or other professional is looking out for the patient's ... Read More 5.7k viewsAnswered >2 years ago
A 46-year-old member asked:
Critical Care 24 years experience
Two parts: On the outside is the annulus fibrosis, the.
5.7k viewsAnswered >2 years ago
A 35-year-old member asked:
Critical Care 24 years experience
Principle of medicin: Patient autonomy is one of the ethical principles of medicine. It means that a patient cannot be compelled to do something they do not want, and that... Read More 5.7k viewsReviewed >2 years ago
A 33-year-old member asked:
Critical Care 24 years experience
Not awful: People with a really bad radiculopathy often wake up from surgery feeling better, happy to trade postoperative pain for the radicular pain. Patients t... Read More 5.7k viewsReviewed >2 years ago
A 38-year-old member asked:
Critical Care 24 years experience
A neurologist: A movement disorder specialist is a neurologist who has typically done extra fellowship training for diagnosis and treatment of advanced parkinson's, ... Read More 5.7k viewsReviewed >2 years ago
A 36-year-old member asked:
Critical Care 24 years experience
None: There is no cure for parkinsons disease. There are about two dozen medicines for parkinson's, some 60 years old, others five years old. Each of them... Read More 5.7k viewsAnswered >2 years ago
A 32-year-old member asked:
Critical Care 24 years experience
Severe nerve pinch: There is a bundle of nerves in the lumbar spine that hang down from the spinal cord. This is the cauda equina or the horse's tail. The syndrome is ca... Read More 5.7k viewsReviewed >2 years ago
A 29-year-old member asked:
Critical Care 24 years experience
Yes: It can help with arm pain, but usually does not help with myelopathy. There is more risk compared to lumbar epidural steroids. Talk to your pain physi... Read More 5.7k viewsReviewed >2 years ago
A 39-year-old member asked:
Critical Care 24 years experience
Depends: It depends on the location and pathology and size and any preopertive deficit. Even with a small lesion in a relatively "safe" area, people can feel ... Read More 5.7k viewsReviewed >2 years ago
A 37-year-old member asked:
Critical Care 24 years experience
NSAIDs and exercise: 85% of us will have an episode of back pain at some point in our lives. The treatment is generally non steroidal anti-inflammatory medication, light e... Read More 5.7k viewsReviewed >2 years ago
A 37-year-old member asked:
Critical Care 24 years experience
Beta blockers: Most neurologists will start with propanolol or another beta blocker for et. Other meds worth trying include primidone, and medium acting benzodiazep... Read More 5.7k viewsReviewed >2 years ago
A 33-year-old member asked:
Critical Care 24 years experience
Complicated: For a brain avm, there are three techniques available, which are all complementary: surgery, radiosurgery and embolization. Talk to your neurosurgeon... Read More 5.7k viewsReviewed >2 years ago
A 36-year-old member asked:
Critical Care 24 years experience
No: Lobotomy fell out of favor in the 1950s.
5.7k viewsAnswered >2 years ago
A 36-year-old member asked:
Critical Care 24 years experience
Depends: If you had a ruptured aneurysm the recovery can be up to 18 months with variable level of disability. For unruptured aneurysms treated electively with... Read More 5.7k viewsAnswered >2 years ago
A 47-year-old member asked:
Critical Care 24 years experience
Yes: Depending on why the shunt is present, people can live full and regular lives with a vp shunt. 5.7k viewsReviewed >2 years ago
A 39-year-old member asked:
Critical Care 24 years experience
Yes: I had a patient who drank 1-2 gallons of diet soda every day and had a pretty bad peripheral neuropathy. When he cut back, his symptoms improved. 5.7k viewsReviewed >2 years ago
A 34-year-old member asked:
Critical Care 24 years experience
Progression: Kyphosis is normal in the thoracic spine. A cervical, lumbar or abnormally large thoracic kyphosis may worsen over time. Kyphosis can cause pain, po... Read More 6k viewsReviewed >2 years ago
A 41-year-old member asked:
Critical Care 24 years experience
It could be: The risk of having a stroke within one year after a TIA is very high, about 25%. So, if you really had a TIA 30 years ago, then i would say yes you a... Read More 6k viewsReviewed >2 years ago
A 28-year-old member asked:
Critical Care 24 years experience
It's OK: I've done a few. It works ok. The fusion still has to be backed up with posterior instrumentation. One major risk is a bowel injury. I never want to... Read More 5.8k viewsReviewed >2 years ago
A 32-year-old member asked:
Critical Care 24 years experience
Depends how bad: Soreness the next day or two after exercise can be normal, especially if you are just starting. Very bad pain can indicate that something more is goin... Read More 5.7k viewsReviewed >2 years ago
A 30-year-old member asked:
Critical Care 24 years experience
Hydrocephalus: Etv is short for endoscopic third ventriculostomy. It is generally done for obstructive hydrocephalus, commonly for aqueductal stenosis.
The proce... Read More 5.7k viewsAnswered >2 years ago
A 49-year-old member asked:
Critical Care 24 years experience
5.7k viewsAnswered >2 years ago
A 44-year-old member asked:
Critical Care 24 years experience
Yes: Oftentimes people will wake up the next day after an accident with a stiff neck. Talk to your doctor if symptoms persist. 5.7k viewsReviewed >2 years ago
A 43-year-old member asked:
Critical Care 24 years experience
Depends: If the symptoms aren't bad then i generally do not recommend surgery. If someone can't walk a block and has failed physical therapy and epidural stero... Read More 5.7k viewsReviewed >2 years ago
A 45-year-old member asked:
Critical Care 24 years experience
Small incision: Through a small incision, the surgeon works down to the spinal lamina. Make a window in in the lamina, remove or move aside the ligamentum flavum, dis... Read More 5.7k viewsAnswered >2 years ago
A 44-year-old member asked:
Critical Care 24 years experience
1st choice discectom: For a first herniated disc and anatomically consistent radicular symptoms that have not responded to conservative treatment and time, a discectomy is ... Read More 5.7k viewsAnswered >2 years ago
A 33-year-old member asked:
Critical Care 24 years experience
Yes possible: An acute DVT causes a pulmonary embolus about 10% of the time, but can cause a stroke if someone has a patent foramen ovale, which is usually not dete... Read More 5.7k viewsAnswered >2 years ago
A 47-year-old member asked:
Critical Care 24 years experience
Spasticity: Lioresal is a brand name for baclofen. This medication is used to reduce muscle spasticity, particularly after stroke or spinal cord injury. There is ... Read More 5.7k viewsAnswered >2 years ago
A 32-year-old member asked:
Critical Care 24 years experience
Not at all: There are four different ways to treat avms: 1) observation, 2) embolization, 3) radiosurgery, 4) microsurgery. Embolization with particles or glue is... Read More 6k viewsAnswered >2 years ago
A 39-year-old member asked:
Critical Care 24 years experience
6k viewsReviewed >2 years ago
A 29-year-old member asked:
Critical Care 24 years experience
Depends: Cauda equina is often caused by a very larger herniated disc. This can be treated with urgent surgery. Other causes would be tumors, hemorrhages and ... Read More 5.7k viewsReviewed >2 years ago
A member asked:
Critical Care 24 years experience
Standard ACDF risks: Bleeding (possibly causing airway compromise, rarely severe due to carotid or vertebral artery prob), infection, spinal fluid leak, nerve damage, spin... Read More 6k viewsReviewed >2 years ago
A 38-year-old member asked:
Critical Care 24 years experience
Nerve root malfuncti: Lumbar radiculopathy just means that a lumbar nerve root is not working properly. It is commonly caused by a herniated disc or spinal stenosis. Other ... Read More 5.7k viewsAnswered >2 years ago
A 42-year-old female asked:
Critical Care 24 years experience
Depends: Lots of people without pain have disc bulges, so it's not at all clear that surgery for a disc bulge would be helpful. 5.7k viewsReviewed >2 years ago
A 40-year-old member asked:
Critical Care 24 years experience
Electrodes in brain: Deep brain stimulation is a procedure used for advanced parkinson's, essential tremor and dystonia. It involves guiding thin electrodes to deep struct... Read More 5.7k viewsReviewed >2 years ago
A 30-year-old member asked:
Critical Care 24 years experience
No: There is no known cure for parkinsons disease.
5.7k viewsReviewed >2 years ago
A 38-year-old female asked:
Critical Care 24 years experience
Maybe: It may become worse or stay the same. About 50/50 chance.
5.7k viewsReviewed >2 years ago
