Dr. Matthew Kozminski

Neurology 18 years experience

Conservative therapy: Start with physical therapy and conservative medications. If that is not helpful then seeing a pain provider can be helpful. It is not all about med... Read More

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817 viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A 27-year-old female asked:

Is it common for a bone marrow biopsy and a spinal tap to happen during the same day/doctor visit?

Neurology 18 years experience

Sedation?: If you have to by chance be under anesthesia or heavy sedation, your doctor may want to expose you to anesthesia one with two procedures versus anesth... Read More

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718 viewsReviewed >2 years ago

Dr. agrees1 doctor agrees

A 37-year-old female asked:

Positional severe headache, nausea & vomit x2 wks, stiff neck. rt arm pain/weak. brain mri wnl. lp fluid wnl. diagnosed pseudotumor cerebri. cervical mri shows spinal muscle inflammation only; crp 11.5. no known injury. what could cause inflammation?

Neurology 18 years experience

Depends: Depends on what they mean by "inflammation". I would also warn that almost every pseudotumor patient I see has "regular migraines" as well.

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444 viewsAnswered >2 years ago

A 38-year-old female asked:

Bp raises from 109/70 to 135/97 feel faint get shakes then bp comes down 104/69 a few times monthly. what's happening? still feel light headed after.

Neurology 18 years experience

Many things: Many things can cause this such as autonomic neuropathy, POTS, etc. These are never easy cases. Best to be evaluated by a Cardiologist with experien... Read More

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438 viewsReviewed >2 years ago

Dr. Bennett Machanic agrees1 doctor agrees

A 24-year-old female asked:

Does tizinidine usually cause a throbbing headache as a side effect? can tmj pain trigger a migraine?

Neurology 18 years experience

NO/YES: Can't say that many patients complain of throbbing headache with Tizanidine. More lightheadedness, sedation, rarely hallucinations (in high doses). ... Read More

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453 viewsReviewed Oct 30, 2021

Dr. Bennett Machanic agrees1 doctor agrees

A 41-year-old female asked:

Re started amytriptaline for arthritis pain as was keeping me awake but is making me badly constipated again annoying colitis . what's alternatives ?

Neurology 18 years experience

Yes: There are many alternatives!!! Of course, without knowing what you have/have not tried before I cannot make recommendations. Ask your doctor for an ... Read More

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736 viewsAnswered >2 years ago

A 31-year-old female asked:

I've been dealing with off and on cold sensations down the front of my right leg for two weeks. feels like goosebumps. only lasts for few seconds?

Neurology 18 years experience

A number of things: This could be related to a number of things. If it affects that thigh area, may be meralgia paresthestica. But like most things, if it does not impr... Read More

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1.2k viewsAnswered >2 years ago

A 16-year-old female asked:

I'm having terrible sinus headaches and built up pressure and really congested any tricks or remedies to help ?

Neurology 18 years experience

Maybe not sinuses: I see numerous cases of sinus headaches that turn out to be migraines. Best to speak to your regular doctor for evaluation and if needed then see a n... Read More

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823 viewsAnswered >2 years ago

A 32-year-old female asked:

Is social drinker an alkoholic too?

Neurology 18 years experience

Social: Depend on what you call social drinking. Going out with your friends and having a drink or two is social.

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700 viewsAnswered >2 years ago

A 25-year-old female asked:

Taking 2g diamox a day for iih or bih. could this be the cause of tingling and weakness in both legs today?

Neurology 18 years experience

Yes: Tingling is common with the medication. Some will insist you take it anyways depending on your vision and what your optic nerve look like

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708 viewsReviewed >2 years ago

Dr. Heidi Fowler and 8 doctors agree9 doctors agree

A 19-year-old female asked:

I know my blood pressure is suppose to be 120/80 but mine has been around 103/68. when do i need to get medication for my blood pressure being so low?

Neurology 18 years experience

Not quite: that not necessarily low, unless you are having symptoms of low blood pressure.

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550 viewsReviewed >2 years ago

Dr. Al Hegab and 4 doctors agree5 doctors agree

1 comment

A 26-year-old female asked:

I take half of mirtazapine 15 mg at bedtime.problem is i feel sleepy whole day after waking up.how can i prevent this?

Neurology 18 years experience

Timing: take earlier in the evening such as after dinner instead or right at bedtime. That is the only tip I can provide at this time. If unhelpful, then sp... Read More

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741 viewsAnswered >2 years ago

A 24-year-old female asked:

24; female. chronic temple headaches. anything triggers them. sometimes pressure in base of skull when bending over. dr doesn't know what is causing it?

Neurology 18 years experience

There can be a whole: List of reasons as to why this occurs, some as benign as migraine to something more serious. I'd consider seeing a neurologist.

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4.3k viewsAnswered >2 years ago

A 61-year-old male asked:

Experiencing loud bangs in my head similar to a clash of cymbals. occurs at onset of sleep. seems to originate inside my head. very loud but no pain. ?

Neurology 18 years experience

From what you: Describe, this may be exploding head syndrome. No, this is not a joke. It is associated with fatigue, sometimes whenever some medications are stopped... Read More

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4.3k viewsAnswered >2 years ago

A 35-year-old member asked:

How much time until benedryl drowsiness wears off?

Neurology 18 years experience

Typically about four: hours, but that depends on how much one has taken, and let's face it, we all have different rates of metabolism.

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4k viewsReviewed >2 years ago

Dr. Robert Roschmann agrees1 doctor agrees

A 24-year-old male asked:

What is the best way to deal with generalized anxiety without medication?

Neurology 18 years experience

I am not expert: but you can try relaxation therapies and biofeedback. See if there are any psychologist in your region that offer such a service. There lies the pro... Read More

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3.9k viewsAnswered >2 years ago

A 30-year-old female asked:

My dr recently put me on neurontin (gabapentin) for migraines. along w many other meds.i am an rn, and i'm very hesitant to take this pill. any knowledge will help?

Neurology 18 years experience

Sorry, I ended up: commenting instead of answering. As I said earlier, I have had some patient respond to Gabapentin for migraines but typically at higher doses, 1800mg... Read More

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4k viewsAnswered >2 years ago

A 39-year-old member asked:

What do you suggest if my husband has awful migraines and nothing seems to help!?

Neurology 18 years experience

It depends: on what has been tried and what has not been tried. Doctors and medications can only go so far, patients need to watch for dietary triggers and alter... Read More

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3.9k viewsAnswered >2 years ago

A 42-year-old female asked:

How common is it for a 42 female to have canal stenosis cervical radiculopathy nerve root impingement herniated discs forimanal narrowing?

Neurology 18 years experience

I would say that: for most people, by the time we reach 40, we are going to find something "wrong" in their spine, degenerative changes, etc. Wear and tear is part of ... Read More

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4.1k viewsAnswered >2 years ago

A 48-year-old member asked:

I don't know how to smell. about three years back my ability to smell went away.?

Neurology 18 years experience

I would see: your doctor as soon as possible to be evaluated for this. Have you had any head trauma? There of course, are other things to consider. I just would... Read More

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3.8k viewsAnswered >2 years ago

A 28-year-old female asked:

Severe headache on left side near temple and behind left eye?

Neurology 18 years experience

Headache: May be migraine, may be something more serious. If these are new problems and have never occurred before, then you need to be evaluated to ensure tha... Read More

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4.6k viewsAnswered >2 years ago

2 thanks

A 33-year-old male asked:

Hi, having being prescribed betaserc for vertigo symptoms when moving.any suggestions to alleviate it more?

Neurology 18 years experience

Rehab: The best methods are self head exercises. Research "self epley" or self semont maneuvers.

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4.6k viewsReviewed >2 years ago

Dr. Natalie Hodge agrees1 doctor agrees

A 38-year-old female asked:

Are two normal 3 tesla mra/mris and a normal cta enough to exclude brain aneurysm in the case of unexplained unilateral head pain and unequal pupils?

Neurology 18 years experience

Maybe: Cta is a fairly good study; however, i would include the neck region and make sure that there are no problems with the carotid arteries as well.

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4.6k viewsAnswered >2 years ago

A 31-year-old male asked:

I have pain in my forehead exactly just above eyes borrows i can't concentrate well i went to norologyst but she said there is no nerves problem.

Neurology 18 years experience

Supraorbital?: There are nerve that emerge just about your eyebrows. Supraorbital neuralgia comes to mind, but is rare and i would have to ask why you developed the... Read More

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4.5k viewsAnswered >2 years ago

A 42-year-old female asked:

Can topomax stop your menstral cycle?

Neurology 18 years experience

Maybe: It is listed as a side effect in the package insert; however, I have never seen it in a patient, so possibly? I still would not risk it, take a pregn... Read More

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4.5k viewsAnswered >2 years ago

A 27-year-old female asked:

What are the symptoms of the sphenoid sinusitis?is it life threatening if it's not treated?

Neurology 18 years experience

Maybe: For a severe case, it may lead to unrelenting headaches that do not respond to anything. Talk to an ENT to see if the sinusitis is "real". Meningiti... Read More

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4.6k viewsAnswered >2 years ago

A 19-year-old female asked:

Tingling hands and feet it's getting worse moving up my leg and arms i have scoliosis and doctor just told me i have to live with it but i'm worried?

Neurology 18 years experience

Second opinion: Scoliosis may lead to back pain but should not lead to tingling of the hands and feet. You may have a condition not related to the back. I'd conside... Read More

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4.6k viewsReviewed >2 years ago

Dr. Jeffrey Wint and 2 doctors agree3 doctors agree

A 38-year-old member asked:

Is it normal to have super-sensitive hearing after brain aneurysm clipping operation?

Neurology 18 years experience

Depends: The facial nerve is complex and has many branches. One brach goes to those little bones in your ears that dampen sound. If this branch was accidenta... Read More

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4.6k viewsReviewed >2 years ago

Dr. Mohammed Parvez agrees1 doctor agrees

A 19-year-old male asked:

Why do i have so many grooves or indents on my skull?

Neurology 18 years experience

YOur skull has: "sutures", just google "skull sutures" to see a picture. Yes, if you try hard enough you can actually feel these with your fingers as an indentation.

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4.3k viewsAnswered >2 years ago

A 51-year-old female asked:

I get a morning headache that is brought on by valsalva and then have pain and pressure sensation along sides neck and head pressure. ear pain. cause?

Neurology 18 years experience

Numerous: There can be a number of causes for this, some benign, some very dangerous. Because of the later, i'd ask your doctor to consider a brain mri, especi... Read More

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4.6k viewsAnswered >2 years ago

2 thanks

A 44-year-old member asked:

What causes a burning sensation up and down the left hand?

Neurology 18 years experience

As I have said: In other posts, I am quick to blame these symptoms on carpal tunnel syndrome. The best way to know is to see your doctor and start with a work up.

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4.2k viewsReviewed >2 years ago

Dr. Bennett Machanic and another doctor agree2 doctors agree

A 31-year-old male asked:

I've had a concussion on 11/13. it seems that heat (hot rooms) causes the symptoms to come back. headaches, fuzzy thinking and fatigue. any reason?

Neurology 18 years experience

It may take some: Time for these postconcussive symptoms to improve, especially the headaches. In the meantime, all you can do is treat the symptoms and rehabilitate y... Read More

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4.5k viewsReviewed >2 years ago

Dr. Zachary Veres agrees1 doctor agrees

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A 79-year-old male asked:

What would cause pins and needles down your left arm every so often?

Neurology 18 years experience

A number of things: Could be radiculopathy (pinched nerve at the neck) or something as simple as carpal tunnel syndrome. The best way to know is emg/nerve conduction stu... Read More

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4.6k viewsAnswered >2 years ago

A 20-year-old female asked:

What does a complete neurologicsal evaluation for frequent headaches consist of? what type of neurological tests and other procedures will be done?

Neurology 18 years experience

Depends: Imaging study of the brain is warranted. I screen patients for medical conditions that can provoke or cause headache if they report problems that cou... Read More

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4.6k viewsAnswered >2 years ago

A 35-year-old male asked:

Severe cramps in baby toes. baby fingers as well. have this everyday. been to er a few times now. after last visit sometimes get a tingle in left leg.

Neurology 18 years experience

Anything goes: Sensory disturbances in multiple parts of the body typically warrants MRI of the brain to make sure that there is nothing going on there that may expl... Read More

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4.6k viewsAnswered >2 years ago

3 thanks

A 63-year-old female asked:

I have trilgimal nerugia i'm on dilanta and gabapintin . i still have. a lot of pain. do i have to stop the dilanta completely to start tegretol?

Neurology 18 years experience

Maybe: Depends on your dosage of dilantin.

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4.6k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 37-year-old female asked:

Im concerned when me & my husband have sex it good but why can't he come?

Neurology 18 years experience

Medications?: Is he taking any antidepressant medications? These can be a issue.

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4.5k viewsReviewed >2 years ago

Dr. Paul Grin agrees1 doctor agrees

A 46-year-old female asked:

1 cm pituitary neoplasm, stable but has been called tumor, hypophysitis, nothing, leading to $1ks of mris with no certainty as to diagnosis of pituitary or partial adrenal insuff, biopsy worth risks?

Neurology 18 years experience

Maybe: There is risk for any surgery, even having a mole removed. However, i'd search for a surgeon that can do explanded endonasal approach. It is a minim... Read More

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4.6k viewsAnswered >2 years ago

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A 39-year-old member asked:

Spinal tap / lumbar puncture headache, is there anything i can do to relieve this?

Neurology 18 years experience

Yes: Rest, fluids, caffeine, over the counter medications. If these do not work, a blood patch may be needed. This is where any anesthesiologist injects ... Read More

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4.6k viewsReviewed >2 years ago

Dr. Heidi Fowler and 3 doctors agree4 doctors agree

A 21-year-old female asked:

Why does my my head feel tension and pressure in both eyes with a bit of double vision?

Neurology 18 years experience

Number of things: This can be from something as simple as a migraine to something more serious. With the double vision, i'd talk to your doctor very soon to make sure ... Read More

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4.5k viewsAnswered >2 years ago

A 18-year-old female asked:

Neurology 18 years experience

Depends: How severe is the carpal tunnel? This can be a nagging painful problem, but should not interfere with intercourse.

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4.6k viewsReviewed >2 years ago

Dr. Pierrette Mimi Poinsett and another doctor agree2 doctors agree

A 53-year-old female asked:

How to treat muscle myopathy without corticosteroids. they made my husband so sick,but now his calf muscles twitch always. and he gets moody & tired?

Neurology 18 years experience

Depends?: If he has polymyositis or dermatomyositis, talk to the neurologist about ACTHAR gel.

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4.1k viewsAnswered >2 years ago

A 43-year-old member asked:

What do i do about severe sciatica - please help!?

Neurology 18 years experience

Conservative Therapy: Start with physical therapy. Depends on what is causing the sciatic pain? If traced back to the nerve roots, interventional pain physicians can also... Read More

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4.6k viewsReviewed >2 years ago

Dr. Qamar Khan agrees1 doctor agrees

A 33-year-old male asked:

What is neural forminal hypertrophic vhanges of the ligamentum flavum bilataterally bulging of intervertebral disc and facet arthropathy?

Neurology 18 years experience

Anatomy: Not enough space here to write. If you google these things, you will find nice pictures to explain it all. Foramen is the "hole" in the bone where y... Read More

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4.6k viewsAnswered >2 years ago