Dr. Christopher Nichols

Physical Medicine and Rehabilitation 28 years experience

Possibly: any med can have unusual side effects in individuals the best test is to be able to tell a difference off the med but since this is a diabetic med be ... Read More

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3.8k viewsAnswered >2 years ago

A 41-year-old member asked:

Could you explain what is steroid induced myopathy?

Physical Medicine and Rehabilitation 28 years experience

Too much steroids: It comes from too many steroids given for asthma , inflammation from different entities that results in more proximal muscle weakness and you have t... Read More

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4.6k viewsAnswered >2 years ago

A 40-year-old member asked:

I think i have spasmodic torticollis, help me! i hurt so much?

Physical Medicine and Rehabilitation 28 years experience

Botox: Botox is indicated for true spasmodic torticollis and not much else will help . If you have failed meds , like nsaids, muscle relaxers , local injec... Read More

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4.6k viewsAnswered >2 years ago

A 48-year-old member asked:

Please tell me what causes tremors (hand shakes a lot)?

Physical Medicine and Rehabilitation 28 years experience

Essential tremor: If it is essential it may causes rhythmic shaking and is common after 40 y/o and if so it can affect voice head and leg other options could be parkin... Read More

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4.6k viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A 25-year-old male asked:

I got tbe vaccines 1.may and 1.june 2014 (3rd one 1/2015). i got tick bite today to back of my knee (joint pain) at active tbe area. how to heal?

Physical Medicine and Rehabilitation 28 years experience

Needs to be seen: One would worry with any redness or pain at tick bite site about Lyme disease which requires antibiotics. I don't quite understand why you would have ... Read More

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3.8k viewsReviewed >2 years ago

Dr. John Michalski and another doctor agree2 doctors agree

A 23-year-old female asked:

I had ab muscle strain 4 weeks ago is it normal to get extremely gassy all of a sudden now? would it be okay to go back to the gym

Physical Medicine and Rehabilitation 28 years experience

Sounds unremarkable: Ab strain would have no bearing on flatulence if ab area no longer painful slow return to gym adviseable.

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4.4k viewsAnswered >2 years ago

A 30-year-old member asked:

Which condition/disorder would prevent movement in legs (besides paraplegia)?

Physical Medicine and Rehabilitation 28 years experience

Not sounding good: If someone can't move their legs it would be a nerve problem from the spine or a brain problem from a stroke it would be an emergency if just happen... Read More

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4.6k viewsAnswered >2 years ago

A 58-year-old female asked:

What causes shoulder blade pain? have acid reflux not real bad. also have some asthma and torn rotator cuff on right shoulder. pain is on left blade.

Physical Medicine and Rehabilitation 28 years experience

Muscle pain: Having to use left arm more due to rt shoulder issues rhomboid muscle likely tender ./ overused could get some stretches or massage lastly trigger ... Read More

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4.4k viewsAnswered >2 years ago

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A 35-year-old female asked:

Been experiencing some new form of pms for a couple of months now. body aches, light fever and joint pain. anything i can do to ease this?

Physical Medicine and Rehabilitation 28 years experience

Yes: Simple treatmentsw are nonsteroidal meds over the counter aleve , naprosyn etc also tylenol (acetaminophen).

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4.4k viewsAnswered >2 years ago

A 32-year-old male asked:

Emg/mri of head and neck with contrast normal. still feel weak, fat feeling in left arm and hand especially on top of hand. hard to open and close?

Physical Medicine and Rehabilitation 28 years experience

Sounds ominous: Dont like those symptoms proper workup already completed but if EMG was too early in the course may be normal and will be abnormal at 2 weeks from st... Read More

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4.4k viewsAnswered >2 years ago

A 32-year-old member asked:

How long does it take to get advil (ibuprofen) out of your body?

Physical Medicine and Rehabilitation 28 years experience

About 24 hours: 24 hours is average metabolism.

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4.7k viewsAnswered >2 years ago

5 thanks

A 36-year-old female asked:

Pin needle pain lower abd, constipation, cloudy pee, lower back pain, heavy abdmen, stretching bending hurts, navel hurts too.what can it be?thanks

Physical Medicine and Rehabilitation 28 years experience

Need a urinalysis: May be a bladder or related infection could get worse quick.

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4.5k viewsAnswered >2 years ago

A 40-year-old member asked:

Can you tell me is it okay to take advil (ibuprofen) the night after drinking?

Physical Medicine and Rehabilitation 28 years experience

Yes: As long as you do not have stomach acid problems as alcohol can make that worse and advil (ibuprofen) can irritate your stomach but otherwise should n... Read More

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4.7k viewsAnswered >2 years ago

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A 37-year-old member asked:

Which kind of diseases can be cured effectively by acupuncture and acupressure?

Physical Medicine and Rehabilitation 28 years experience

No disease: I wouldn't say any disease process could be cured with acupuncture but symptoms are manageable like nausea, pain issues from muscles joints etc and ... Read More

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4.6k viewsAnswered >2 years ago

A 30-year-old male asked:

When i get very tired, it is often that i notice my stomach aching. why might it be that my exhaustion manifests itself in stomach aches and a sense of being bloated and generally uncomfortable? thx

Physical Medicine and Rehabilitation 28 years experience

Irritable bowel: It might be just the result of being run down or eating poorly and having digestion issues . Probiotics might help which can be found in supplements... Read More

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4.6k viewsAnswered >2 years ago

A 24-year-old male asked:

Is using of ice pack/bag recommended over hot water bottle for joint pain(oestoarthiritis) in the knee?

Physical Medicine and Rehabilitation 28 years experience

Both: Heat brings blood to the joint to help with healing or nutrition ice helps calm inflammation decreases the development of fluid or swelling.

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4.4k viewsReviewed >2 years ago

Dr. Zubin Khubchandani agrees1 doctor agrees

A 47-year-old member asked:

Is it rare to have tendonitis in outside of foot?

Physical Medicine and Rehabilitation 28 years experience

Not really rare: Peroneal tendons are on the outer border of foot and help extend and lift your foot outwards so can be brought on by shoe wear changes, training chang... Read More

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4.6k viewsReviewed >2 years ago

Dr. Yash Khanna agrees1 doctor agrees

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A 33-year-old female asked:

Can i take advil (ibuprofen) and flexeril together?

Physical Medicine and Rehabilitation 28 years experience

Yes no problem : Watch stomach acid symptoms with ibuprofen.

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4.7k viewsAnswered >2 years ago

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A 33-year-old member asked:

Could use expert help with why my mouth tingle when i eat dairy products?

Physical Medicine and Rehabilitation 28 years experience

Sounds like allergy: A mild reaction to dairy may be a food allergy if your lips swell it could get more serious as dairy allergy is more common than others and it could b... Read More

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4.6k viewsAnswered >2 years ago

A 43-year-old male asked:

I have a pain from my left shoulder down my left arm i've had physio to treat it a couple of years ago but worried it might be something more serious?

Physical Medicine and Rehabilitation 28 years experience

Neck vs shoulder: Need to have a good exam may be a neck problem or shoulder problem injections may help if neurological thought maybe MRI difficult to say without a ... Read More

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4.4k viewsAnswered >2 years ago

A 25-year-old male asked:

I've recently suffered a lower back injury from weight lifting and the pain has sort of shifted to my left hip. any ideas on what the issue is?

Physical Medicine and Rehabilitation 28 years experience

Sacroiliac joint ?: Weight lifting could cause a disc problem if central back pain if its on one side of buttock and maybe some anterior hip and lateral hip pain the sa... Read More

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4.6k viewsAnswered >2 years ago

A 24-year-old male asked:

Just switched from 1.5 mg/day xanax (alprazolam) to .5 mg twice daily of klonopin. took first klonopin 4 hrs ago now have 100 dg fever. should i be concerned?

Physical Medicine and Rehabilitation 28 years experience

Not related: Change in anxiety med does not cause fever and not very concerning unless101

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3.8k viewsAnswered >2 years ago

2 thanks

A 21-year-old female asked:

Sharp pain in l inner thigh that shot dwn after i sat up in bed (1 day), since then cold foot, diff walking, pain in whole leg. strain? pinched nerve?

Physical Medicine and Rehabilitation 28 years experience

Blood clot or other: If on birth control or smoke could have a clot there also could be muscular or neurological if u have back issues need to check with md.

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4.5k viewsReviewed >2 years ago

Dr. Heidi Fowler agrees1 doctor agrees

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A 42-year-old member asked:

Tell me more about hydrotherapy/ colonics -are they safe to do even while you are not on a cleanse program?

Physical Medicine and Rehabilitation 28 years experience

Maybe: Need to be aware of overall hydration as can be dehydrated and have sodium potassium and other ions out of line, must be careful of sterility of facil... Read More

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4.6k viewsAnswered >2 years ago

A 17-year-old female asked:

Pain in back, possibly along sciatic nerve, when on period. most definitely not cramps. occurring for 1+ years. only lasts for duration of period.

Physical Medicine and Rehabilitation 28 years experience

Likely related: Your comment of only having the symptom during a period tells a lot. Hormones and fluid changes account for symptoms sometimes nsaids can help and a... Read More

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3.8k viewsReviewed >2 years ago

Dr. Adam Lewis agrees1 doctor agrees