Dr. Amogh Sahai

Dr. Scott Keith and another doctor agree2 doctors agree

3 thanks

A 49-year-old female asked:

Can you have arthritis below rt. shoulder blade that causes tingling and can it effect nerves even if emg is normal? it's right at my bra hook line.

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Not likely: It sound like you had an EMG done that was negative. shoulder arthritis wont cause numbness in the arm. However, bear in mind that pain in the shoul... Read More

2.9k viewsAnswered >2 years ago

A 46-year-old male asked:

I have adhesive capsullitis with tendonitis and bursitis of shoulder. is normal to also have pain when stretching arm/neck in the upper chest/sternum?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Maybe: Depends what was the cause of these problem. I see very commonly patient that sustained an MVA or Motorcycle accident with pain in those areas that y... Read More

2.5k viewsReviewed >2 years ago

A 26-year-old female asked:

I have crps in. my right and and wrist. i have gone through pt & have most of my function back. sensitivity is still not improving. what to do to help?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Other treatment: There is a long list of medications that can be tried for crps. Some examples include: steroids, neuromodulators such as cymbalta, lyrica (pregabalin... Read More

2.5k viewsReviewed >2 years ago

Dr. Frank Amico Jr and another doctor agree2 doctors agree

A 42-year-old male asked:

Constant painless calf muscle twitches is it associated with hiv infection e.g. peripheral neurological types symptom that affect muscles and nerves ?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Not really...: Neuropathy and twitching are two different things which are not necessarily linked together. Symptoms of neuropathy include numbness in feet, burning... Read More

2.8k viewsAnswered >2 years ago

A 62-year-old female asked:

I have a cracking painful wrist. what can i do.

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Possible arthritis: The cracking might be "crepitus" which is seen in patients with advanced arthritis. If there is no history of trauma, you could try considering the u... Read More

2.9k viewsReviewed >2 years ago

Dr. Hirenkumar Italia and another doctor agree2 doctors agree

A 25-year-old female asked:

Straightening of the cervical lordosis. lots of upper neck pain. treatment?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Eval by PM&R: Would be advisable to see a physiatrist. Would consider physical therapy, ice/heat pack, nsaid if no aspirin allergy, and hep program. Also, should ... Read More

2.5k viewsReviewed >2 years ago

Dr. Marino Tavarez agrees1 doctor agrees

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A 36-year-old female asked:

My doctor called today saying i have a non displaced wrist fracture. have an appointment with an orthopedic in 2 weeks. what can i expect between now and then?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Limit ROM & weight: I would be very cautious with the involved wrist to avoid displacing the fracture. That means no weight lifting and extreme ROM. Might consider buyi... Read More

2.6k viewsAnswered >2 years ago

A 26-year-old female asked:

I sprained my ankle a month ago, hurt it a few times after that aswell, but i have been having weird burning pain in the same ankle, it has been real?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

See a doctor: If you have injured the ankle several times it would be a good thing to see PM&R, or orthopedic doctor so that they can examine you and rule out a... Read More

2.5k viewsAnswered >2 years ago

A 40-year-old female asked:

Feel sitting on my croccyx since 14days, from cat scan &xray its fractured.when could i normally sit, drive & normally bent my back plz?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Tincture of time: Fractures in any part of the body take time to heal up. The same could be expected from a coccyx fracture. My best advice would be to get a donut cu... Read More

2.6k viewsReviewed >2 years ago

Dr. Scott Keith and another doctor agree2 doctors agree

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A 23-year-old female asked:

I just got out in an air cast after 5 weeks non weight bearing. i was given allowance to walk, when i try i get a shock wave and pain. is this normal?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Ortho knows best: i am assuming you sustained some kind of fracture. The ortho md probably saw the last xray films and noticed that you had proper callus formation so ... Read More

2.6k viewsReviewed >2 years ago

1 comment

A 23-year-old male asked:

In conjunction with exercise, what's the best diet for losing weight and slimming down?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Based on Literature: If you look at the literature the evidence seems to suggest that diets focusing on higher protein intake, and less carbs tends to be more effective. ... Read More

2.5k viewsReviewed >2 years ago

Dr. Frank Amico Jr and 3 doctors agree4 doctors agree

A 34-year-old member asked:

What tips do you have for people going through rehabilitation programs after getting a serious injury?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Depends: recommendations might vary depending on the kind of injury sustained. For instance, a spinal cord injury patient is prone to venous thrombosis so dvt... Read More

2.8k viewsAnswered >2 years ago

A 29-year-old female asked:

I have swelling in my r hand, arm, leg, and face, l side is normal. what is going on?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Any other symptoms?: Swelling all by itself makes it a lot more challenging to consider a diagnosis. Are you also having weakness, slurred speech, numbness? If so, CNS p... Read More

2.9k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

A 41-year-old member asked:

How can i get rid of a strained muscle fast?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Not possible: strained muscle takes time to recover. Things that accelerate recovery include use of nsaid, ICE, stretching and some formal physical therapy that em... Read More

3k viewsReviewed >2 years ago

A 18-year-old female asked:

I have massive wrist pain in both of my wrists. it started out with just my right wrist, but then started in both of my wrists. i have to type a lot in school, and i dont know if that is the cause of this pain.. what are some suggestions that you can poss

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Possibilities: Hmm. Sticking to common problems, things to consider are a wrist sprain or Dequervain tenosynovitis which are both inflammation of ligaments/tendons.... Read More

2.9k viewsReviewed >2 years ago

A member asked:

Is swelling a hint of wether it is a sprain or fracture? and can it be for both or just one of the two?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Won't hint: Swelling is not a reliable indicator of predicting what kind of pathology might be present. There are other things on exam that are more accurate suc... Read More

2.9k viewsAnswered >2 years ago

A 24-year-old female asked:

I have pain in my back and legs bad what should i do?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Get evaluated: Hi there, I would like to know whether there is any history of trauma or did this arise out of the blue? For how long have you been dealing with the ... Read More

2.8k viewsReviewed >2 years ago

Dr. Alvin Lin agrees1 doctor agrees

A 25-year-old female asked:

Almost weekly i get tingling down 1 side of my body. is that a stroke? today i had the tingling but now also weakness in that arm felt like jelly arm

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Not likely: At your age it would be extremely rare to be suffering a stroke unless you have some obvious risk factor like: being a drug user (ie., cocaine), hype... Read More

2.7k viewsAnswered >2 years ago

A female asked:

Hi i rolled my ankle yesterday and there is swelling the size of a golf ball around my ankle bone but the pain goes up to my calf from my ankle?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Ankle Sprain: It sounds like an ankle sprain from the excessive inversion. Sometimes with high grade ankle sprains a fracture of the fibular bone could be present... Read More

2.9k viewsReviewed >2 years ago

Dr. Hirenkumar Italia agrees1 doctor agrees

A 27-year-old female asked:

I have a tingling burning in my left shoulder blade and when i press the back of my neck under my skull i get a sharp pain in my collar bone?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Cervical pathology: This seems to be coming from your neck. There are different possibilities as to what could be causing it but disc bulges compressing nerve and/or fac... Read More

2.9k viewsAnswered >2 years ago

A 34-year-old male asked:

Fell backwards upside down on back of head. heard noise in neck upon impact. lot of neck pain, but can move neck and do activities. rest or go to doc?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Go to doc asap: The neck is one of those areas in which you could cause significant damage to the spinal cord if a fracture goes untreated. I am assuming all of the ... Read More

2.9k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

A 41-year-old female asked:

For a year now i have been having bilateral leg pain with the worse walking up the stairs. they feel so extremely heavy and hurt like hell! mri and xray of back are normal. bloodwork showed ana 570. been to soooo many docs and i'm starting to feel as if t

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Other things: If imaging was normal, I would still consider doing an EMG of your lower extremities to rule out a neuro cause such as radiculopathy. If everything i... Read More

2.5k viewsReviewed >2 years ago

Dr. Al Hegab and 2 doctors agree3 doctors agree

A 52-year-old female asked:

What causes upper right rib cage/back hurt while breathing?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Many things: things in differential: costochondritis, rib fracture, pulmonary embolus, thoracic fracture, disc problem among other problems. Would need a better ... Read More

2.6k viewsAnswered >2 years ago

A 22-year-old female asked:

I fell on my knee 4 days ago. i don't have a bruise, just a little scratch. but my knee hurts all of the time. in the sides and the front of the knee too. should i see a doctor if there is no swelling. the pain is constant and sharp. thank you.

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Probably: Your knee complaints started after trauma. It would be advisable to see an MD to rule out a fracture if there is history of osteoporosis. Most likel... Read More

2.9k viewsAnswered >2 years ago

A 23-year-old female asked:

Hello i have been having problems with sleeping, peeing a lot lately, lots of fatigue, muscle weakness, heart racing, chest pains, shakiness, pain in back sides and a burning sensation there too??

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Bizarre symptoms: These symptoms could present from a lot of different causes. Things to consider in differential are early onset of some endo problem such as diabetes... Read More

2.6k viewsReviewed >2 years ago

Dr. Hirenkumar Italia agrees1 doctor agrees

A 37-year-old male asked:

How long does it take to heal from a broken neck c7?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Several months: I am assuming this happened as a result of trauma. The most important thing is to rule out cord compromise by MRI or CT scan which would require imme... Read More

2.6k viewsReviewed >2 years ago

Dr. Jeffrey Juchau and another doctor agree2 doctors agree

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A female asked:

Sharp pain in groin, hip, and lower back when moving. all on the right side?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Most likely hip: If pain happens with walking, getting out of the chair or bed, walking up flight of stairs then it is most likely hip OA. Other things that could be ... Read More

2.5k viewsReviewed >2 years ago

Dr. John Kim agrees1 doctor agrees

A 39-year-old female asked:

I have a neck injury in my c5-c7 area and now the next to last toe on my left foot has went numb, are these related? also what can i do to make it better?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Maybe: Depends on the history that lead to this. If lets say you sustained injury from a fall that lead to hitting the neck area then there is possibility t... Read More

2.6k viewsReviewed >2 years ago

Dr. Scott Keith and 3 doctors agree4 doctors agree

A 29-year-old female asked:

Lower spine trouble, problem sitting, feel like laying down most of the time. only 28 years old. does constant work keep spine from aging? treatment?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Several things asked: For how long you are dealing with back pain? Any trauma or strenuous activity prior to onset (ex., lifting something heavy)? One of the problems to ... Read More

2.6k viewsAnswered >2 years ago

A 44-year-old female asked:

I am seeing a ms specialist to rule in or out ms (not diagnosed). my uncle just died of als. can als wax and wane early in the disease?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

It could: ALS does not get expressed the same way in every person. So life expectancy can vary a lot. Muscle fasciculations is one of the hallmark features of... Read More

2.7k viewsAnswered >2 years ago

A 34-year-old female asked:

I am 6 weeks pregnant and i am having severe back pain what can i take what can i do?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Hard situation: You would have to discuss this with your ob/gyn specialist. Tylenol (acetaminophen) seems to be a safe bet during pregnancy but discuss it first with... Read More

3k viewsReviewed >2 years ago

A 39-year-old member asked:

Can pregnant women take cyclobenzaprine?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Flexeril (cyclobenzaprine hcl): Flexeril (cyclobenzaprine hcl) has been classified as Category B by the FDA. Category B drugs have not been shown to cause teratogenicity or fetal abn... Read More

2.8k viewsAnswered >2 years ago

A 21-year-old male asked:

Back muscles stiff and painful after three rib fractures. is this common?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Need more info: First of all, how did you end up with the rib fx? A fight, motor vehicle accident, a fall? If an MVA or a fall, I am assuming that you had some CT s... Read More

3k viewsAnswered >2 years ago

A 24-year-old female asked:

Ive had dull leg pain for years. its not in the joints, temporarily feels better with heat and movement &has been "migrating" recently. what is it? :/

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Not sure: Very generic description. Where exactly is the leg pain? In the feet or further up? If it's in the feet and soles then a peripheral neuropathy can ... Read More

3.1k viewsReviewed >2 years ago

A 33-year-old male asked:

What is the most potent nsaid for severe osteoarthritis?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Depends: When prescribing nsaid for osteoarthritis I am not necessarily looking at giving the strongest one but the one with least side effect profile for that... Read More

2.9k viewsAnswered >2 years ago

A 35-year-old female asked:

Burning sensation and pain in lower right leg, numbing sensation in foot, pinching sensation in hip ? no back pain.

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Depends: I would like to know where the pain starts. If it originates at the buttock it is possible that the problem could be coming from the back despite not... Read More

2.5k viewsReviewed >2 years ago

Dr. Frank Amico Jr and another doctor agree2 doctors agree

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A member asked:

My mom's been having a lot of shoulder pains on her right arm followed by a swollen hand, mostly on the palm and fingers. what could it be?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Many possibilities: First of all, I need to know whether any history of trauma. There are several conditions that can cause shoulder pain with hand swelling. One of the... Read More

3.1k viewsReviewed >2 years ago

A 28-year-old female asked:

Wanting to lose weight but blood pressure gets low easy, dizzy if i don't eat often, and working out makes me light headed and not feel good. help?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

You need guidance: I do some weight loss in my clinic. First of all, I would need to know what kind of diet you are doing. It is advisable not to do diet programs of l... Read More

3k viewsAnswered >2 years ago

A 20-year-old male asked:

Sudden feeling out of nowhere where when i raise my shoulders and let go, a shock goes through both arms to the last two fingers,cervical mri is clean?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Need more info: Indeed seems kind of bizarre presentation. How long have you been having these complaints? Any other symptoms such as headache, nausea, balance prob... Read More

3.1k viewsReviewed >2 years ago

A 30-year-old male asked:

Husband is having extreme lower abdominal and lower back pain. about 10 years ago he had his appendix removed. so i don't think it could be that. he keeps feeling he needs to have a bowel movement. but can not seem to pass anything. his stomach is disten

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Possible Ileus: For how long have these symptoms been going on? Has he had a bowel movement recently? If more than several days have gone thru without having a bowe... Read More

2.5k viewsReviewed >2 years ago

Dr. Mark Weston and another doctor agree2 doctors agree

A 37-year-old member asked:

Why does my lower back hurt so much when i walk?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Different reasons: I would need to have more history. Do you have history of injuries to the low back. Sometimes spinal stenosis is one condition that triggers low bac... Read More

2.8k viewsReviewed >2 years ago

Dr. Albert Pizzo and 2 doctors agree3 doctors agree

A 37-year-old female asked:

For the past 4 days i'm getting these brief subtle prickly tingle sensation in random areas of body. not numb. b12 is 453. vasc. circ. nerves?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Not sure: very generic description. I would need to know for how long these last and whether the face is also involved. Also, any other symptoms such as fatig... Read More

3.1k viewsReviewed >2 years ago

A female asked:

I've been having abdominal pain and leg pain on my right leg for about one week. the leg pain gets worse at night. i also have been constipated for 3 weeks. was using a laxative weight loss pill.

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Two separate problem: The pain started before or after taking the laxative? I don't think that the abdominal pain necessarily has some relationship to the leg pain. Have ... Read More

3.1k viewsReviewed >2 years ago

A 55-year-old female asked:

Having a cooled radio frequency nerve ablation trial run..still on pain meds how do i know if it works? butrans patch, lyrica (pregabalin) and oxymorphone, worried

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Relief will happen: The way you will know if the ablation was successful is that you wont feel the need to seek out your meds all the time. Sometimes a medial branch blo... Read More

2.5k viewsReviewed >2 years ago

A 40-year-old member asked:

What to do if i have pins and needles in my little finger and ring finger, what is it?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Get evaluated: There are several things to consider in the differential diagnosis. Ulnar neuropathy is one of the possibilities that might trigger these symptoms. ... Read More

2.8k viewsReviewed >2 years ago

Dr. Albert Pizzo and 2 doctors agree3 doctors agree

A 22-year-old male asked:

My orthopedic dr diagnosis me with chondromalacia. i done physical therapy, stretches, injections and meds. what else can i do i'm only 22 years old.

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Other things: Consider losing weight if overweight. In addition, you want to focus on vastus medialis strengthening. Also, for some patients the use of a patellar... Read More

2.7k viewsAnswered >2 years ago

A 41-year-old member asked:

Can you tell me how do i stop my muscles from twitching?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Different causes: Your twitching could be benign fasciculations and these many times happen from being overworked or too stressed out. If other symptoms are present su... Read More

2.5k viewsReviewed >2 years ago

Dr. Frank Kuitems and another doctor agree2 doctors agree

A 66-year-old female asked:

Can herniated discs, stenosis t-spine with loosening hardware from fusion cause pain in buttocks, groin and lower legs with weakness?

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Possibly: It seems like your fusion goes from the lower Tspine into the Lspine so yes there is a possibility that if the fusion has failed and/or if disc hernia... Read More

2.9k viewsAnswered >2 years ago

A 16-year-old male asked:

Ddx pain symptoms:stiffness-spine back&neck,hyperaesthesia,allodynia,paraesthesia,9/10 pain findings:undissipated central canal,few overactive reflexs

Dr. Amogh Sahaianswered

Physical Medicine and Rehabilitation 21 years experience

Several possibilitie: Your history is not entirely clear. I am assuming that the stiffness is only in the neck? Or the entire spine? Is there a history of fever? If so m... Read More

2.8k viewsAnswered >2 years ago