Dr. Par Fatteh

Dr. Alan Ali and another doctor agree2 doctors agree

A 37-year-old member asked:

What can happen to a frail person during a wheelchair transfer?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Fracture fear: A fall and associated fracture, particularly of the hip, is the biggest fear during a transfer. In addition, you have to be careful of a tear of the s... Read More

5.2k viewsAnswered >2 years ago

A 50-year-old male asked:

Woke in middle of the night with a shooting pain just below left hip on outside of my leg.can hardly walk this morning. have i pulled a muscle ?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Muscle vs bursa: A common pain on the outside of the hip is trochanteric bursitis. It is an inflamed sac of fluid, and it responds well to local steroid injection. But... Read More

5.2k viewsAnswered >2 years agoMerged

A 44-year-old female asked:

I keep getting tingling in my fingers and my head keeps going numb?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Muscle versus nerve: Numbness of the head is often irritation of the scalp muscles, which can transmit to the muscles of the arms and lead to the hands. However, if this p... Read More

5.2k viewsAnswered >2 years ago

A 34-year-old female asked:

I have lower pain in my back and hip on the right side, so much so its difficult to walk at times. i don't know why?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Back vs hip: In an older person we worry about hip arthritis causing the pain in the hip and back. But in someone your age, the primary location is more likely the... Read More

5.2k viewsAnswered >2 years ago

A 29-year-old female asked:

Unhealed tibialtubercletransfer now have disuse osteoporosis n on lotsof opioids n in wheelchair r there any surgical options left?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Nonsurgical options.: You have unfortunately entered the world of chronic pain, which has its own set of rules. In my opinion, more surgery will only compound the problem. ... Read More

5.2k viewsAnswered >2 years ago

A 38-year-old female asked:

Muscle spasm headaches, makes it difficult to do anything, what can be done to help relieve pain. everyday i do stretching, shouldn't i be ok?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Mechanical traction: Mechanical cervical traction is great for neck muscle spasms that transmit to the scalp muscles and cause headaches. A trial can be done in physical t... Read More

5.2k viewsAnswered >2 years ago

A 21-year-old female asked:

Bad coccyx pain.. insurance doesn't cover er visit.. so what can i do? to help.its not everyday n usually when i bend over or sit a certain way.. help

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Did you fall?: Coccyx pain is most common after a fall. You would need a "donut" for sitting. This type of pain tends to linger. Physical therapy or massage can help... Read More

5.2k viewsReviewed >2 years ago

Dr. Mark Weston agrees1 doctor agrees

A 32-year-old male asked:

What is the mildest benzo i could take for anxiety (for use at work)?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Klonopin or Buspar (buspirone): Your , best bet would be low dose klonopin. It is well tolerated, and not as addicting as xanax. Another option would be to take the non-benzo Buspar ... Read More

5.2k viewsAnswered >2 years ago

A 34-year-old female asked:

Severe pain from neck into shoulder dull ache down right arm for 8 weeks now getting pins and needles in right hand is this a trapped nerve?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Yes, pinched nerve: Yes, sounds like a classic pinched nerve aka radiculopathy. It will usually resolve on its own, but mechanical cervical traction in physical therapy c... Read More

5.2k viewsReviewed >2 years ago

A 43-year-old male asked:

The cortisone shots are for my shoulder. ultimately im trying to avoid pain pills , after two mri's and being told my rotator cuff is torn! alternativ?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Noninvasive measures: A course of physical therapy, if not already done, can stabilize your rotator cuff and shoulder blade muscles. Aquatic therapy can be a more soothing ... Read More

5.2k viewsReviewed >2 years ago

8 thanks

A 19-year-old female asked:

Lam fat and l want to be thin what can l do?tell me doctor

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Diet, exercise, meds: The first step is to change the structure of your eating. Rather than 3 large meals, you should be eating multiple small meals. In fact, you should re... Read More

5.2k viewsAnswered >2 years ago

A 43-year-old member asked:

What could cause muscle spasms in my chest?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Overuse: First, always make sure with your doctor that your chest pain is not cardiac or pulmonary. After that, look at the usage of your arms. Activities such... Read More

5.2k viewsAnswered >2 years ago

A 43-year-old male asked:

I have been taking cortisone shots for eight months now. it seems that their not working any longer! what can i do to stay out of pain?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Noninvasive measures: I assume you are getting epidural steroid injections for back or neck pain. Your best bets would be a combination of biofeedback for control of nerve ... Read More

5.2k viewsAnswered >2 years ago

A 19-year-old male asked:

Provided i use two pain relievers, paracetamol & ibuprofen for example, do i need to watch their daily dosages seperately or should i reduce usage?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Separate: Paracetamol or Acetaminophen is of particular importance to track because of its effect on the liver. The official limit in the U.S. Is 4000mg per day... Read More

5.2k viewsReviewed >2 years ago

Dr. Michael Sparacino and 2 doctors agree3 doctors agree

A 25-year-old female asked:

What could cause lower back pain thats worse on the right side and also causes pain towards the hip area? icy hot and heating pad no help.

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Pinched nerve...: It could very well be a pinched nerve out of the right side of the lumbar spine. It could also be bursitis of the right hip, especially if it is painf... Read More

5.2k viewsAnswered >2 years ago

A member asked:

What cause stiff neck and how do you get rid of it its been going on for 3 days?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Muscle spasms: A stiff neck is usually the result of muscle spasms. A common cause is awkward sleeping posture at night, but that should resolve in a handful of days... Read More

5.2k viewsReviewed >2 years ago

Dr. Martin Raff agrees1 doctor agrees

A 30-year-old member asked:

What exactly happens in during drug rehab?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Reducing dependence: The goal of rehab is to reduce physiological dependence, and undo psychological dependence. For the physiological side, the dose of prescription drugs... Read More

5.2k viewsReviewed >2 years ago

Dr. Carlos Satulovsky agrees1 doctor agrees

A 44-year-old member asked:

Cannot take statins due to muscle pain & slightly elevated ana. current md wants me on zetia or livalo (pitavastatin). i'm afraid of muscle pain again. can i say no?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Yes, of course.: You are fully in charge of your body. Sometimes we as physicians are very focused on pharmaceutical options, but if it is not a life threatening issue... Read More

5.2k viewsAnswered >2 years ago

A 24-year-old male asked:

Neck gets tense really fast even after acupuncture and massage. low stress life but high stress from psychiatric dru withdrawal and dental abnormality?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Muscle spasms likely: Muscle spasms are being triggered by the drug withdrawal, dental problems, or both. A low dose muscle relaxant medication would help. Mechanical cervi... Read More

5.2k viewsReviewed >2 years ago

Dr. Evan Altman and another doctor agree2 doctors agree

A 38-year-old female asked:

It took me so long to memorise things in school , does this mean i ve learning disability or learning difficulty?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Focus/concentration.: This is often a problem with focus and concentration, which could be a sign of attention deficit disorder, which is treatable with the help of a psych... Read More

5.2k viewsAnswered >2 years ago

A 36-year-old member asked:

Right hand hurts like tingling numbing mostly at night. what does this sound like?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Carpal Tunnel likely: This would appear to be carpal tunnel syndrome, involving median nerve irritation of the right wrist. A wrist brace worn at night would help. Or it co... Read More

5.2k viewsReviewed >2 years ago

Dr. Heidi Fowler and 3 doctors agree4 doctors agree

4 thanks

A 21-year-old male asked:

My mom have rheumatoid arthritis and suffer from severe ankle pain only in the right leg, while walking. what is the solution ?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Depends on duration.: The most common cause of ankle pain, especially in a younger, active person, is a soft tissue injury such as a sprain. However, it is easy to rule out... Read More

5.2k viewsAnswered >2 years ago

A 30-year-old female asked:

Can neck pain causes back and chest pain? thank you

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Yes, it can.: The muscle spasms associated with neck pain can definitely communicate with the muscles of the upper back and even the chest. Neck muscle spasms that ... Read More

5.2k viewsReviewed >2 years ago

Dr. Aaron Milstone agrees1 doctor agrees

7 thanks

A 39-year-old member asked:

What would cause dizzy & shaky spells?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Low blood sugar: You must be very aware of metabolic/electrolyte problems. Low blood sugar is a very common cause of shaky/dizzy feelings. You also need to be on the l... Read More

5.2k viewsAnswered >2 years ago

A 26-year-old female asked:

Having neck sprain again and again at same side only..... is there something serious about it or shall i just stop worrying too much?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Not usually serious.: This is not usually serious, but it is often a positional or postural issue. Awkward neck positioning, or improper pillow support, at night are common... Read More

5.2k viewsReviewed >2 years ago

A 47-year-old member asked:

I cannot seem to focus on a task unless i am stressed, could this be adult add? i know this may seem like an organization issue, but currently at work, and in the past at university i seem to have this problem: it is extremely difficult to stay focused

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Yes, sounds like ADD: This sounds like classic add, in this case in adulthood. Medication options are effective, and there are well-tolerated time-release options. Of non-p... Read More

5.2k viewsReviewed >2 years ago

A member asked:

I have this constant numbing sensation in my pinky finger lft hand like when u sleep on it 4 4days now? is it serious? it dosent function like it used to the sensation is frm the tip of the finger to my elbow.

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Ulnar neuropathy: This could very well be ulnar neuropathy of the elbow, which often gets triggered at night when the elbow is kept in the flexed position. An elbow sle... Read More

5.2k viewsReviewed >2 years ago

5 thanks

A 41-year-old female asked:

Physical therapists: had surgery month ago, left me with left outer thigh burning pain, tingling&numbness.

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Meralgia Paresthetic: I am a physical medicine & rehabilitation doctor. This could very well be meralgia paresthetica, which is irritation of the lateral femoral cutaneous ... Read More

5.2k viewsReviewed >2 years ago

Dr. Craig Morton agrees1 doctor agrees

A 37-year-old female asked:

Is a resting heart rate of 70 normal?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Yes!: The normal range for resting heart rate is commonly considered 60-100, so 70 is right in the middle of that.

5.2k viewsReviewed >2 years ago

Dr. Ankush Bansal and another doctor agree2 doctors agree

A 26-year-old female asked:

I am 26 years old and have lost strength in my hands. i find it difficult performing simple tasks such as opening a soda bottle.also pain in palms?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Carpal Tunnel: Carpal tunnel syndrome, irritation of the median nerve at the wrist, is a common cause of hand weakness and pain. But this is usually accompanied by n... Read More

5.2k viewsReviewed >2 years ago

Dr. Craig Morton agrees1 doctor agrees

4 thanks

A 21-year-old female asked:

What causes trigger finger? can scoliosis causes it?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Not related: A trigger finger is caused by overuse of that finger/hand. It is unrelated to scoliosis, which is a sideways curve of the spine.

5.2k viewsReviewed >2 years ago

Dr. Mark Weston agrees1 doctor agrees

1 comment

A 54-year-old male asked:

Recently i was diagnosed with a hern disk at l5/s1. most of the acute symptoms have gone away after 6 weeks except for soreness in my left calf. should i try steroids or injections or will this go away?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Treat leg not back: Treatment should only be based on pain levels and functional status, not on the anatomical/mri state of your spine. If the left calf pain is minor, th... Read More

5.2k viewsAnswered >2 years ago

A 41-year-old female asked:

Last year i was diagnosed with fibromyalgia.i experienced a horrible pain then.drs. gave me effexor& lyrica75mg 1pill.pain 90%gone but now comes back?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Body and mind: Lyrica (pregabalin) is fda indicated for fibromyalgia, so it appears to have helped. With any chronic pain disorder depression can set in, so Effexor ... Read More

5.2k viewsReviewed >2 years ago

Dr. Alan Ali and 2 doctors agree3 doctors agree

6 thanks

A 19-year-old female asked:

Is gastritis normal in a 19 year old girl?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Not if frequent.: The most common causes of gastritis in your case would be food poisoning, medication reaction (such as with Ibuprofen or aspirin), viral syndrome (sto... Read More

5.2k viewsAnswered >2 years ago

A 27-year-old male asked:

Mr.doctor.my wait is 115.00kg so what i do to i lose the wait?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Change meal patterns: Start by shifting from 3 square meals to multiple, say 5 or 6, smaller meals each day. Eventually shift to eating something every 2 hours. Every time ... Read More

5.2k viewsAnswered >2 years ago

A 40-year-old male asked:

I have 2 herniated disks at l4/5 and a large step at l2 which is extremely painful when stood upright, also have pain when walking can you help?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

For how long?: Anything over 3-6 months is considered chronic pain, and this type of pain doesn't follow the same rules as acute pain. The body doesn't know how to t... Read More

5.2k viewsReviewed >2 years ago

Dr. Mark Weston agrees1 doctor agrees

A 25-year-old female asked:

Can i perform planks while i have knee injury in both knees?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Yes, as tolerated.: Plank exercises generally are not weight-bearing as far as the knees are concerned. And, there is a certain amount of quad muscle strenthening (among ... Read More

5.2k viewsReviewed >2 years ago

Dr. Thomas Namey agrees1 doctor agrees

A 28-year-old female asked:

When i lay down for bed at night i am just dozing off and my body starts to vibrate, it is not felt by touch on the outside.?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Restless legs: This sounds like restless leg syndrome, which can cause the legs, and often other parts of the body, to shake upon falling asleep at night. There are ... Read More

5.2k viewsAnswered >2 years ago

A 19-year-old male asked:

I have fibromyalgia and am curently taking medication. the pain in my back is unbearable. any recommendations to help with the pain?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Biofeedback.: Mecications can help with fms, but treatment should be multifactorial. Biofeedback helps greatly with such chronic pain disorders. Massage therapy wou... Read More

5.2k viewsAnswered >2 years ago

A 40-year-old female asked:

What is the best treatment for sciatic nerve pain?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Traction/injections: Mechanical lumbar traction, or lumbar epidural steroid injections, are the best treatment options.

5.2k viewsReviewed >2 years ago

Dr. Heidi Fowler and 2 doctors agree3 doctors agree

A 38-year-old male asked:

Im a 38 year old male and i have a pain radiating down my left arm and it feels like a pinched nerve. i also get pins and needles in this arm daicthis?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Yes, pinched nerve: Yes, sounds like a classic pinched nerve aka radiculopathy. It will usually resolve on its own, but mechanical cervical traction in physical therapy c... Read More

5.2k viewsReviewed >2 years ago

5 thanks

A 34-year-old male asked:

If u feel pain in a part of your body, but upon touching it to locate the source, u realize it doesn't hurt to the touch, does that mean it's a nerve?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Muscle vs nerve: You are describing "referred pain." nerve irritation can cause referred or radiating pain. But a more common cause is myofascial pain, in which knots ... Read More

5.2k viewsAnswered >2 years ago

A 55-year-old female asked:

After bike n swim, hip joint inflamed. sometimes pain n electric shock sensation when i stand n twist body left n right. lumbar mri fine. what's wrong?

Dr. Par Fattehanswered

Functional Medicine 28 years experience

Arthritis/bursitis: The hip could have osteoarthritis, which can be diagnoses by xray. If the hip is tender on the outer side, it could be a bursitis, which responds well... Read More

5.2k viewsAnswered >2 years ago