Dr. Ashraf Guirgues

Specializes in Orthopedic Surgery

Cartilage injury : Cartilage injury can occur even in young patients. It can lead to arthritic changes which would lead to pain with movement. The earlier it is treated... Read More

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1.6k viewsAnswered >2 years ago

A 34-year-old female asked:

What is causing numbness on the right side of the face and inflammation and pain on of left side of neck with raised jugular veins? also have pvcs

Specializes in Orthopedic Surgery

May not be related: Numbness to the face is supplied by cranial nerves that exit the brain directly into the face while PVCs are a cardiac condition which can be a sign a... Read More

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1.5k viewsAnswered >2 years ago

A 51-year-old female asked:

Chronic calf pain in both calves. throbbing when laying down. what could this be?

Specializes in Orthopedic Surgery

Vascular issues: If the calf tenderness is associated with swelling you should consider an evaluation for peripheral vascular disease. In addition the deep vein thromb... Read More

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1.6k viewsAnswered >2 years ago

A 33-year-old male asked:

Hello. i had a major groin tear and hip flexor tear. i had a large hematoma as a result. i had surgery to repair this problem. when is intercourse ok ?

Specializes in Orthopedic Surgery

Surgeons call: When your surgeon determines that you have had enough healing. First consider that this not usually treated surgically which means your tear was sever... Read More

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1.6k viewsAnswered >2 years ago

A 30-year-old male asked:

Hello i have right knee arthritis from injury. i dont want surgery what options do i have?

Specializes in Orthopedic Surgery

PT and injections : There are a number of options for young patients with knee arthritis such as PT to strengthen the muscles supporting the knee. If that doesn't give en... Read More

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795 viewsAnswered >2 years ago

A 26-year-old female asked:

Right temple aching all day,pressure in nose, intermittent pain in right temple. ct scan was normal?

Specializes in Orthopedic Surgery

Migraine: Headaches can cause unusual symptoms. This sounds like a severe headache and can be the source of significant pain but in a valuation by neurologist c... Read More

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1.5k viewsAnswered >2 years ago

A 39-year-old male asked:

When doing intense cardio, i noticed my sweat was white. my diet is clean and i am well hydrated. working out 25 yrs and in good shape. what gives?

Specializes in Orthopedic Surgery

Electrolytes evaluat: And electrolytes evaluation would be appropriate. In addition to evaluation by her primary care provider to make sure that there are no hormonal abnor... Read More

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1.5k viewsAnswered >2 years ago

A 23-year-old female asked:

I quit smoking hookah at the end of december. now sometimes i get a throbbing pain in the top of my back throat. what could it be?

Specializes in Orthopedic Surgery

Irritation: Smoking can lead to the burning of small hairs on the inside of the trachea. After quitting smoking these begin to grow which is the common cause for ... Read More

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1.5k viewsAnswered >2 years ago

A 17-year-old female asked:

Mild knee pain 2 years. suddenly got worse. back of knee & calf pain. hard 2 straighten. hurts worst in the morning & evening. minimal of swelling?

Specializes in Orthopedic Surgery

Inflammation: Inflammation within the knee joint is the likely cause for the symptoms. It could be associated with cartilage injury. If inflammation occurs within ... Read More

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1.6k viewsAnswered >2 years ago

A 66-year-old male asked:

I have ulcerative colitis in remission. can i use topical voltarol gel containing diclofenac for a painful hamstring strain?

Specializes in Orthopedic Surgery

Yes: You should be able to use the transdermal anti-inflammatories without too much of a problem. These medications commonly caused your Tatian of the G.I.... Read More

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1.4k viewsAnswered >2 years ago

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A 55-year-old female asked:

Can going off aleve (naproxen) give you bad headaches? i had to take advil cause aleve (naproxen) was giving me bad stomach pains, last one i took was friday, so is this wh

Specializes in Orthopedic Surgery

Acid reflux: Coming off a leave just like coming off any anti-inflammatory can lead to increased inflammation and rebound headaches can occur. But be very careful ... Read More

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1.5k viewsAnswered >2 years ago

A 49-year-old female asked:

Always feels like something in my throat,only after i eat i cough up clear to white thick phlem or mucous. do you know what it could be, or why?

Specializes in Orthopedic Surgery

Postnasal drip: If you have significant allergies or postnasal drip you can have phlegm the collects in the back of your throat but if it's only associated with food ... Read More

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1.5k viewsAnswered >2 years ago

A 29-year-old female asked:

Dvt in calf 15 mo. ago, occurred after leg in boot after ankle surgery. today had massage on that calf, later felt pain, twitches, burning. normal?

Specializes in Orthopedic Surgery

Normal: It is normal to occasionally have calf pain after having had a DVT in the calf years ago

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1.2k viewsAnswered >2 years ago

A 31-year-old male asked:

Rolled my ankle in tall heels. there's a large bump under my ankle.massive pain even slightly up my leg. can't bend my toes and bear weight,what to do?

Specializes in Orthopedic Surgery

Fractured : It is possible that you fractured the outside of your ankle and that could be the cause for the pain or you could have torn the ligaments supporting t... Read More

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1.5k viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

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A 25-year-old female asked:

Deep ankle pain at times a soreness. sometimes worse with dorsiflexion. worse on days i run and i noticed that i tend to overpronate sometimes.

Specializes in Orthopedic Surgery

Cartilage injury: Although it is unusual to have early arthritis at such a young age it is possible that an injury to the Cartlidge of the ankle took place even while i... Read More

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579 viewsAnswered >2 years ago

A 20-year-old male asked:

Skin on my left inner buttock appears to be purple & partly covered in a yellow substance (possibly puss). stings and i'm worried it could be serious.

Specializes in Orthopedic Surgery

Urgent : This is something that needs to be dealt with. Get this area evaluated by your physician or go to the nearest ER

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795 viewsAnswered >2 years ago

A 22-year-old female asked:

For 2 months i'm experiencing involuntary movements in neck, arms and legs. they appear when i'm tired and in a bad posture. what can this mean?

Specializes in Orthopedic Surgery

Spasms: Most likely cause is muscle spasms which can be painful and that should be evaluated to determine the cause. Treatment may include physical therapy a... Read More

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795 viewsAnswered >2 years ago

A 23-year-old female asked:

I am experiencing red pimple looking bumps on the inner part of my leg by my bum/ vagina?

Specializes in Orthopedic Surgery

Folliculitis: Most likely an irritation of the skin but if it is forming pimples the you may have to consider a visit with your doctor

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795 viewsAnswered >2 years ago

A 25-year-old female asked:

I been having sharp stabbing pains right below my left breast, and a dull ache in my left collarbone what could it be?

Specializes in Orthopedic Surgery

Rib pain: Routine can be the cause for those symptoms or it can be chest pain associated with heart disease. If this is associated with exertion it is more like... Read More

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1.5k viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A 43-year-old female asked:

Can taking oral liquid ferrous gluconate cause further damage dangerously in irritated esophagus? it hurts badly just after taking it, but i need iron

Specializes in Orthopedic Surgery

Possibly: It is important to understand that I am is digested and absorbed after being exposed to significant amount of stomach acid to break it down hence the ... Read More

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1.5k viewsReviewed >2 years ago

Dr. Rifat Naghmi and another doctor agree2 doctors agree

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A 44-year-old male asked:

Dont get much calcium ie no milk/dairy and take magcitrate 250mgday for heart/body.am noticing fast arthritis develop hands. can this combo be cause?

Specializes in Orthopedic Surgery

Absolutely not: There is no correlation between calcium intake and arthritic changes that is the wipes too. If you're worried about your calcium intake you should be ... Read More

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1.6k viewsAnswered >2 years ago

A member asked:

What is the treatment for a wedge fracture of the t-spine?

Specializes in Orthopedic Surgery

Spinal fracture: The treatment depends on if this is a new fracture or old and on the age of the patient and the mechanism of injury. If it's an old healed fracture th... Read More

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579 viewsAnswered >2 years ago

A 22-year-old female asked:

I have a black spot on my spine on my back what can it be?

Specializes in Orthopedic Surgery

Pigmentation : Miles can develop and become very dark and should be evaluated by a dermatologist

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1.5k viewsReviewed >2 years ago

Dr. Rajeev Sehgal and another doctor agree2 doctors agree

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A male asked:

Why does my right foot get numb when i lay down??

Specializes in Orthopedic Surgery

Nerve compression : There are a number of spinal conditions such as facet cysts which are aggravated by extension ( laying down). Consider seeing a spine specialist for ... Read More

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1.6k viewsAnswered >2 years ago

A 23-year-old female asked:

Hello i have pain on the medial aspect of both clavicles. my throat feels tight, and ears are plugged up. a week ago started singular for my ears?

Specializes in Orthopedic Surgery

Inflammation: Inflammation of the sternoclavicular joint is not very common but it appears to be what you're dealing with. I'm not sure if your allergies are associ... Read More

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1.3k viewsAnswered >2 years ago

A 24-year-old female asked:

I had unprotecte sex on the 25/26 (ovulation day) 3 days after, i felt light headed and had period cramps. 4th day i had light beeding?

Specializes in Orthopedic Surgery

Consider testing: There are two major issues at stake one is the consideration of sexually-transmitted disease is a significant issue versus pregnancy. I would recommen... Read More

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1.5k viewsAnswered >2 years ago

A female asked:

My left arm from my albow down to my hand is swollen and have a little rash on my hand as well and a little num?

Specializes in Orthopedic Surgery

Urgent: This could be a skin infection or a blood clot and should be evaluated right away. Please visit you doctor or go to the ER

Created for people with ongoing healthcare needs but benefits everyone.

795 viewsAnswered >2 years ago

A 26-year-old male asked:

Sharp pain around right knee shooting down leg when crossing it. patella doesn't hurt. full weight bearing and strength. not swollen either.

Specializes in Orthopedic Surgery

Meniscus injury: An injury to the meniscus can lead to pain when applying pressure to the inside of the knee while crossing the legs this can be aggravated. Although u... Read More

Created for people with ongoing healthcare needs but benefits everyone.

579 viewsReviewed >2 years ago

Dr. Vakas Sial and another doctor agree2 doctors agree