Dr. Howard Feinberg

Rheumatology 39 years experience

Degenerative Disk: Osteoarthritis and degenerative disk disease are very common but only about 1% of this disease occurs prior to age 30. The cause at this age includes... Read More

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6.1k viewsReviewed >2 years ago

Dr. Ahmad M Hadied and 3 doctors agree4 doctors agree

A 38-year-old female asked:

I have numbness in both of my hands every morning and i also have to sleep with my arms straight because the joints in my elbows will start to hurt?

Rheumatology 39 years experience

Pinched nerve: If the numbness is in the first 3 fingers the problem is most likely carpal tunnel syndrome. This is a problem in which the median nerve gets pinched... Read More

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2.9k viewsReviewed >2 years ago

Dr. Stephen Southard agrees1 doctor agrees

A 38-year-old female asked:

How often should one with stable lupus and secondary sjogrens with no organ involvement see their rheumatologist?

Rheumatology 39 years experience

3-4 months: This depends on the prior history of your disease, current medications , and current symptoms. Some mecications require more frequent monitoring. Pr... Read More

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3.1k viewsReviewed >2 years ago

Dr. Alan Ali agrees1 doctor agrees

A 20-year-old member asked:

My hip clicks when i walk. what is this?

Rheumatology 39 years experience

Clicking hip cause: A clicking hip in a young athlete is most commonly caused by a thickened tendon slipping over the greater trochanter of the femur (leg bone). In some... Read More

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6.1k viewsReviewed >2 years ago

Dr. Sahba Ferdowsi and another doctor agree2 doctors agree

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A male asked:

Hello i have had chest aching in the left rib cage, that only lasts for a quick second and i am worrying over whether it is cardiac or not. help?

Rheumatology 39 years experience

See a doctor: Classic angina (cardiac chest pain). Occurs with exercise and improves with rest. It lasts under 5 minutes. It can radiate to the inside of the uppe... Read More

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2.9k viewsReviewed >2 years ago

Dr. Clarene Cress and another doctor agree2 doctors agree

A 40-year-old male asked:

Podiatrist wants to give me shots for painful heel spurs. anti inflammatory didn't help. i've heard shots aren't effective for long. is it worth it?

Rheumatology 39 years experience

Works well: Shots are painful but usually work well. The options are anti-inflammatory medications, orthotics, injections, surgery. It sounds like an injection ... Read More

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4.6k viewsAnswered >2 years ago

A 71-year-old female asked:

Which of these 3 does the most good , with the least damage to the stomach? tylenol, (acetaminophen) motrin, or aleve?

Rheumatology 39 years experience

Tylenol (acetaminophen): Tylenol (acetaminophen) has the lowest risk of stomach problems. Make sure you do not go over the maximum dose on the package.

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4.6k viewsReviewed >2 years ago

Dr. Yash Khanna and another doctor agree2 doctors agree

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A 21-year-old female asked:

Is it true that tomatoes are bad for osteoarthritis?

Rheumatology 39 years experience

No: There is no diet, dietary supplement , or specific food that has been shown conclusively to affect osteoarthritis. If tomatoes or any other food affe... Read More

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4.8k viewsAnswered >2 years ago

A 53-year-old male asked:

Have neck and knee arthritus which doctor should i see?

Rheumatology 39 years experience

Rheumatologist : You can and should always start with your primary care physician. The rheumatologist is the specialist who would be your next strp.

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4.8k viewsReviewed >2 years ago

Dr. Ronald Krauser agrees1 doctor agrees

A 53-year-old male asked:

Neck arthritus feels like i'm slouching what can i do?

Rheumatology 39 years experience

Get a Diagnosis: The he first step in treating any problem is to know what the problem is. If your arthritis is osteoarthritis or disk disease the main treatment woul... Read More

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4.7k viewsAnswered >2 years ago

A 21-year-old male asked:

I have knee pain in my inner knee, i only appears when im cycling, or if im standing and making and pedalstroke movemnt, what can it be?

Rheumatology 39 years experience

Several possibilitie: Could be a meniscus problem( c cushion in the knee), tendon, or bursa(pad on top of the knee."), or a functional problem with your exercise positionin... Read More

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4.4k viewsAnswered >2 years ago

A 47-year-old male asked:

Have arthritis on my knees, how can i get some relief ?

Rheumatology 39 years experience

Depends on type: Treatment of arthritis depends on the type of arthritis. For osteoarthritis the primary treatment is quadriceps strengthening exercise.

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4.4k viewsAnswered >2 years ago

A member asked:

I have gout in my feet, have taken coltrazine for it, is this the best treatment or is there a generic one that doesn't cost a lot that would work as w?

Rheumatology 39 years experience

Gout : There is no longer a generic Colcrys (colchicine). This is one of several treatments for an acute flair-up of gout. You can discuss cheaper options ... Read More

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Dr. Heidi Fowler and 2 doctors agree3 doctors agree

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A 62-year-old male asked:

Gnawing intermittent pain in hip and groin are, mainly at rest. odd feeling in lower abdomen. ?

Rheumatology 39 years experience

May be hip joint: It is common for hip pain to hurt in the groin. If your pain extends into the abdomen it could be an abdominal problem causing radiation to the groin... Read More

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4.2k viewsAnswered >2 years ago

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A 21-year-old female asked:

Can you faint from a fast heart beat?

Rheumatology 39 years experience

Yes: If your heartbeat is too rapid it can limit the amount of blood your heart can pump and cause fainting. This can be very dangerous, even life threaten... Read More

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4k viewsAnswered >2 years ago

A 20-year-old male asked:

Dr changed my diclofenac potassium to sodium, not sure why? but i've felt intense flushing/hotflashes, & heartbeating fast, feeling odd, is it normal?

Rheumatology 39 years experience

No: There Re some people who notice a difference in effectiveness between these medications even though the active ingredient is the same. The side effec... Read More

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3.8k viewsReviewed >2 years ago

Dr. James Lin agrees1 doctor agrees

A 59-year-old male asked:

What is ibuprofen ?

Rheumatology 39 years experience

Motrin: Inoprofen is the genetic name for Motrin or the over the counter advil (ibuprofen). It is in a class of drugs called nonsteroidal anti inflammatory d... Read More

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4.6k viewsReviewed >2 years ago

Dr. Ronald Krauser and 3 doctors agree4 doctors agree

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A 39-year-old female asked:

Recently diagnosed with fibro, specialist wants me to take cymbalta, (duloxetine) is this safe for fibro? any alternatives, i hate meds.

Rheumatology 39 years experience

Yes: Cymbalta (duloxetine) is one of 3 medications fda approved for the treatment of fibromyalgua. It is most effective in controlling the pain symptoms. ... Read More

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Dr. Clifford Gevirtz agrees1 doctor agrees

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A 73-year-old female asked:

I have just been diagnosed with sensory neuropathy so what can i do for the pain apart from neurontin (gabapentin)?

Rheumatology 39 years experience

Find the cause: There are multiple treatments for the symptoms of sensory neuropathy. These include medications like neuron tin which you have been prescribed. Ther... Read More

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4.7k viewsAnswered >2 years ago

A 37-year-old member asked:

Hi doctors, can you tell me what is polymyxin b sulfate trimethoprim used for?

Rheumatology 39 years experience

Infection: These are antibiotics used to treat or prevent infection

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3.9k viewsReviewed >2 years ago

Dr. Ronald Krauser agrees1 doctor agrees

A 69-year-old male asked:

Have 640 ana, 74 iga tests, severe stomach pain, swollen red feet/legs, photosensitivity, fatigue, dizziness when walking. autoimmune disorder?

Rheumatology 39 years experience

Maybe: Some of your symptoms and tests could be related to an autoimmune disease. You will need a more thorough history and physical examination to know for... Read More

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4.3k viewsAnswered >2 years ago

A 34-year-old female asked:

What does green poop mean also have some abdominal pain i've had blood in my stools also some abdominal pain what foes it mean?

Rheumatology 39 years experience

Fast transit: Green stool is usually a sign of fast transit through your bowels. It is normally caused by bile that has not had time to fully "digest" after which ... Read More

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4.3k viewsAnswered >2 years ago

A 34-year-old female asked:

Trying to boost my immune system.can i take echinacea or astragalus while on humira (adalimumab) for as?

Rheumatology 39 years experience

Not a good idea: You should talk to your rheumatologist first. Medicines to boost your immune system could make your autoimmune disease worse.

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4.3k viewsAnswered >2 years ago

A 17-year-old female asked:

A basketball player has severe knee pain while playing and for around a week after. previous doctor mentioned calcium deposits in the knee. treatment?

Rheumatology 39 years experience

? CPPD ?: If there is no pain except with strenuous activity such as basketball quadriceps strengthening may help. The most important step is to get an accurat... Read More

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4k viewsReviewed >2 years ago

Dr. Diane Minich and another doctor agree2 doctors agree

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A 32-year-old male asked:

Ive been doing plyometrics for a month, and now after ive been still for a while and stand up, my left knee hurts for a little while... is it normal?

Rheumatology 39 years experience

No: Joint pain is not normal. Stiffness when you are starting a new or different exercise program is normal. The difference is important. A general rul... Read More

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4k viewsReviewed >2 years ago

Dr. John Munshower and 2 doctors agree3 doctors agree

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A 44-year-old female asked:

I have this pain in my back runs to my right hip and down my leg and pain in my lower right side. can u tell me what this could be?

Rheumatology 39 years experience

Disk disease: The most common cause of this is a disk problem in the low back. The most important treatment for this is resting your back when it is flaired up and... Read More

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3.3k viewsAnswered >2 years ago

A 34-year-old female asked:

Have trigger point knot in thoracic spine left side 8mo. went to pt. recent flare up and now have tingling knot in the middle/right. worry? cause?help

Rheumatology 39 years experience

Need diagnosis: You are on the right track in asking about cause. The most likely is a muskuloskeletal problem. Depending on where in the thoracic spine the pain so... Read More

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3.5k viewsAnswered >2 years ago

A 47-year-old member asked:

What can be done to treat lyme disease that has gone undiagnosed for several years?

Rheumatology 39 years experience

Antibiotic: Treatment is based on the stage of disease and tve severity. If Lyme disease is confirmed ( do not rely on a blood test alone) the treatment is usual... Read More

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3.5k viewsReviewed >2 years ago

Dr. Heidi Fowler and 3 doctors agree4 doctors agree

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A 41-year-old female asked:

Terrible pain in arms and legs, low grade fever pain bad enoigh cannot bear weight at times.family history psa & ra could it be rheumatology issue?15yr old

Rheumatology 39 years experience

Possible: At age 15 the most likely cause would be jia or fibromyalgia. With jia there should be swelling and not just pain. With fibromyalgia there should b... Read More

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4.3k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 30-year-old member asked:

Can contact dermatitis be lupus?

Rheumatology 39 years experience

No: There are several forms of lupus. All of these have skin changes. Contact dermatitis is a different problem and not part of lupus.

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4.8k viewsReviewed >2 years ago

Dr. John Chiu agrees1 doctor agrees

A 42-year-old member asked:

What do i do? i have this weird taste in my mouth/dry mouth?

Rheumatology 39 years experience

See a doctor/dentist: There are many causes for a dry mouth and strange taste. You should see your doctor or dentist for an evaluation.

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4.7k viewsAnswered >2 years ago

A 35-year-old member asked:

Have you ever heard of a 4 yr old child having tendonitis in there thigh tendons?

Rheumatology 39 years experience

Yes: This is certainly possible. Thigh pain in that age can also be a sign of a hip joint problem. If it is both legs it can also be a sign of a muscle d... Read More

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4.7k viewsAnswered >2 years ago

A 45-year-old member asked:

Metabolic bone disease v. osteoporosis, what's the difference?

Rheumatology 39 years experience

Same thing: Osteoporosis is a metabolic bone disease. There are many other metabolic bone diseases. Metabolic bone disease is a catagory of disease.

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4.7k viewsReviewed >2 years ago

Dr. David Trettin agrees1 doctor agrees

A 24-year-old male asked:

Which one of them is less harmful and contains less calories and sugar among beer, wine, rum, whisky, scotch, and which one is less harmful to fat person?

Rheumatology 39 years experience

None: All alcoholic beverages contain calories which can increase weight. Each of the beverages you listed contain alcohol which in some cases can cause ha... Read More

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Dr. Pamela Pappas and another doctor agree2 doctors agree

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A 27-year-old male asked:

Why would my doctor be testing my hla-b27 gene?

Rheumatology 39 years experience

Arthritis disease: The hla b-27 is a genetic test for ankylosing spondylitis and a group of similar diseases called seronegative spondyloarthropathies.

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4.4k viewsAnswered >2 years ago

A female asked:

Can barely swallow, chills, fever, difficulty breathing at times, swollen red throat, tender glands, white stuff on tonsils, loss of appetite, headache?

Rheumatology 39 years experience

See a doctor: Sounds like an active infection that requires treatment. See a doctor!

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4.5k viewsReviewed >2 years ago

Dr. Mark Pack and another doctor agree2 doctors agree

A 21-year-old female asked:

I m suffering from psoriasis. despite of certain treatment it is relapsing having it on palm and ankles should i go for puva therapy to stop spreading?

Rheumatology 39 years experience

One option: There are many treatments for psoriasis including ointments, steroids, methotrexate, puva, anti tnf Alpha therapy. Which treatment is best for you de... Read More

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4.5k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 32-year-old member asked:

How do bursitis and arthritis differ?

Rheumatology 39 years experience

Different anatomy : Bursitis is inflammation of a bursa. The bursa are cushions or pads in various areas of the body. Arthritis refers to inflammation, swelling or dama... Read More

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4.6k viewsAnswered >2 years ago

A 37-year-old female asked:

Would symptoms of cns vasculitis go on for months without major complications?

Rheumatology 39 years experience

No.: While possible this would be very unlikely. Without treatment the disease typically progresses and causes death in less than a year. There are peopl... Read More

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4.8k viewsAnswered >2 years ago

A 47-year-old member asked:

What causes nerve-twitchy stomach -lupus?

Rheumatology 39 years experience

Unlikely: If you have lupus this could be related to medication for your disease or to the lupus. The stomach problem you describe is not a typical feature of ... Read More

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4.8k viewsAnswered >2 years ago

A 53-year-old male asked:

What can i do with the crackling sound of neck arthritus?

Rheumatology 39 years experience

Physical therapy: If the problem is only noise and not pain, neurologic symptoms or nerve damage the most important treatment is regular physical therapy exercise. You... Read More

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4.7k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

A 31-year-old female asked:

What could swollen lymph nodes and sore throat be a sign of?

Rheumatology 39 years experience

Infection: Lymph nodes help to remove toxins in your body. They will enlarge with infection, toxin exposure, cancer, some autoimmune diseases. There are also o... Read More

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3.7k viewsReviewed >2 years ago

Dr. Susan Rhoads and another doctor agree2 doctors agree

A 56-year-old female asked:

Had taxotere/cytoxan 2 1/2 years ago, some peripheral neuropathy, which got better. can neuropathy return at some later point? have some symptoms.

Rheumatology 39 years experience

No: If you are developing neuropathy symptoms now they are most likely from a new cause. It's time to get checked for causes. There are many possibiliti... Read More

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3.8k viewsAnswered >2 years ago

A 32-year-old male asked:

Is meloxicam 15mg stronger than arthrotec (diclofenac and misoprostol) 75mg?

Rheumatology 39 years experience

Similar: Melodic am 15mg daily is the equivalent to 75mg twice a day of arthrotec (diclofenac and misoprostol). They are both nonsteroidal anti inflammatory d... Read More

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3.8k viewsReviewed >2 years ago

Dr. Susan Rhoads and another doctor agree2 doctors agree

A 39-year-old male asked:

Little finger pinky is a little numb just came on what treatment should i do thanks?

Rheumatology 39 years experience

Get a diagnosis: The first step in treating any problem is to get a diagnosis. The most common reason for this finger getting numb is a pinched nerve ( usually at the... Read More

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3.9k viewsReviewed >2 years ago

Dr. John Munshower and another doctor agree2 doctors agree

A 66-year-old female asked:

Have had asthma for 35 years do not smoke,dr now mentioned i have corp.is this any different thanks?

Rheumatology 39 years experience

CORP?: I am not sure about your abbreviation. (Corp). Cor pulmonale is a type of heart failure usually caused by high blood pressure or long term lung dise... Read More

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3.9k viewsReviewed >2 years ago

Dr. John Munshower agrees1 doctor agrees

A 24-year-old female asked:

Do i need a checkup before i conceive ??

Rheumatology 39 years experience

Depends: If you have any chronic illness, pelvic problems, prior pelvic problems, or if you are on any medications then yes. Otherwise only if you wish to est... Read More

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3.9k viewsAnswered >2 years ago

A 27-year-old female asked:

In therapy for scatic nerve issue not working allergic to nsaids and ibuprofen. is there a procedure to decompress the nerve? in alot of pain.

Rheumatology 39 years experience

Yes.: Sciatic nerve problems are usually caused by disk disease. The most portant treatment is physical therapy and avoiding lifting or injuring your back.... Read More

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3.9k viewsAnswered >2 years ago

A 33-year-old female asked:

Hello dr, i have contracted gb with multiple stones, each 7mm,dont have any other symptoms except the gastric issue with severe back pain, pls advice.

Rheumatology 39 years experience

Surgery: If the gallbladder has stones and is causing symptoms it is time for surgery. A low fat duet can help with symptoms until the surgery is done. Good ... Read More

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3.9k viewsReviewed >2 years ago

Dr. John Munshower and 2 doctors agree3 doctors agree

A 28-year-old female asked:

Can a healthy diet cause a high phosphorus level of 5? if not what could?

Rheumatology 39 years experience

No: Parathyroid disease. Excessive use of vitamins and supplements containing phosphorous.

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3.9k viewsReviewed >2 years ago