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Doctor Q&A for Dr. Vikram Patel

A 24-year-old member asked:
Dr. Vikram Patel
Pain Management 37 years experience
Knee muscles: It is best to go straight down (with support if you need it). Place the foot down softly rather than stepping too hard. Putting the toes first and then the heel will prevent any impact on the knees and hips. You can strengthen your thigh muscles and the shin muscles by regular walking as well.
A 31-year-old male asked:
Dr. Vikram Patel
Pain Management 37 years experience
Migraine: It is of course best to avoid the triggering factor (it may be certain food, bright light, loud sound etc). You should take a beta blocker as well which will prevent the arteries from going into spasm (the common factor that causes migraine). Once the headaches start, it is best to lie down in a dark, silent environment. You can take simple medications such as motrin or exedrine. Or prescription.
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A 32-year-old female asked:
Dr. Vikram Patel
Pain Management 37 years experience
Sharp pain: Most likely muscle spasm (muscle pull). It will hurt to use the muscle as well as to stretch it. Apply gentle heat (careful not to burn the skin!) twice a day and continue to use the muscle with gentle slow stretching. SHould be better in a couple of days.
A 33-year-old male asked:
Dr. Vikram Patel
Pain Management 37 years experience
Basilar migraine: Vertebro-basilar migraine usually has visual aura followed by classic throbbing headaches
A 53-year-old male asked:
Dr. Vikram Patel
Pain Management 37 years experience
Spondylosis: Very likely muscle spasms secondary to cervical spine spondylosis.
A 53-year-old member asked:
Dr. Vikram Patel
Pain Management 37 years experience
Parkinson's: Please see a neurologist and see if you have Parkinson's disease. Tremors with arm extension, shuffling gait and sometimes lack of balance are signs of Parkinson's. The can be controlled with proper medications as well as physical therapy.
A 31-year-old female asked:
Dr. Vikram Patel
Pain Management 37 years experience
Radiating leg pain: When a nerve is "pinched" in the lower back, the pain would radiate along that nerve's path, most of the times to the toes. This can happen if a disc is damaged in the lower spine. Dark urine is not related to these symptoms but a sign of dehydration. Drink more water for sure. Avoid prolonged sitting, bending, heavy lifting etc to give the disc a chance to heal.
A 37-year-old female asked:
Dr. Vikram Patel
Pain Management 37 years experience
Disc protrusion: The disc is in the front part of the spine. The spinal cord and nerves are in the canal within the spine. They are encased in a "sac" containing fluid. If a disc is partially damaged, it will have a weaker outer rim which will bulge out and may compress the cord (esp in neck) or the nerves(in the lower back). Slight bulge may cause disc pain which is usually localized in the back.
A 39-year-old female asked:
Dr. Vikram Patel
Pain Management 37 years experience
Gabapentin for migra: Gabapentin is not indicated for migraines as the mechanism for migraine is very different than for a nerve related pain (especially damaged nerves). If you are taking gabapentin for a pinched nerve in your neck, the neck pain would lead to headaches at the base of the skull in the back. That is due to muscle spasms. Regular exercise will help a lot.
A female asked:
Dr. Vikram Patel
Pain Management 37 years experience
Low back pain: Pain that only radiates unto the buttocks can never be from a pinched nerve. In your case it is likely that a disc is causing the pain. That pain also causes muscle spasms adding to the pain. It may have started in the past and got aggravated recently. Avoid prolonged sitting. Use a pillow behind your lower back. Avoid lifting heavy objects at least for a year. Most discs heal by themselves.
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