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Doctor insights on: Arborist Knots

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Can you advise for painful knots in upper back! fibromyalgia knots?

Can you advise for painful knots in upper back! fibromyalgia knots?

Treat disease: Your best option is to treat the Fibromyalgia. The 3 meds used for symptom control are lyrics, cymbals and savella (milnacipran). Avoid pain meds they can make this disease worse over time. The primary treatment for fibromyalgia is following good sleep habits, medications like Elavil at bedtime and aerobic exercise. The Tx is not easy but it works. ...Read more

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Could i get help with painful knots in upper back! are they fibromyalgia knots?

Could i get help  with painful knots in upper back! are they fibromyalgia knots?

I do not know if: Your knots or trigger points are related to another medical problem. Acupuncture can be superior for breaking down trigger points as can gua sha (scraping). Take care. ...Read more

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Hard cartilage like lumpin lower sacrum about 2cm in size, 7 groin lymph nodes, 2 neck with 1in collarbone since Dec, doctor won't send me for tests?

Hard cartilage like lumpin lower sacrum about 2cm in size, 7 groin lymph nodes, 2 neck with 1in collarbone since Dec, doctor won't send me for tests?

Lumps/enlarged nodes: An xray might help with the lump you feel on your sacrum. Groin nodes are always the largest ones we feel because that area just isn't clean & the nodes are constantly handling a lot of bacterial invaders. Neck nodes are also usually easy to feel, so don't panic. Your nodes may be normal, especially if they move easily. Worrisome symptoms include night sweats, fevers, unexplained weight loss. ...Read more

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Rt sd, swollen/tender neck glands 3 1/2 months.Sometimes hard to breathe.Lt side new lump/gland.Pink lump back neck.ENT 2 weeks.PM won't treat.Cancer?

Rt sd, swollen/tender neck glands 3 1/2 months.Sometimes hard to breathe.Lt side new lump/gland.Pink lump back neck.ENT 2 weeks.PM won't treat.Cancer?

Lymphnodes: Your symptoms as described appear to be possibly due to some underlying infectious process or something that would cause the swollen nodes, and now Shortness of breath. Be diligent, and get an evaluation. Hopefully the ENT will be more helpful to you and order some routine tests at least to include a cbc-dff and C-Xray to start, Best wishes. ...Read more

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Firm, non visible, pea size slight painful lumps near inner triceps, gracilis on thigh and lumbar area. PA-C friend said lymph nodes arent in this area. Could be lipoma? No ins. Warrant DR visit

Yes: Moist likely a lipoma. Or maybe mini tears in your muscle that may be inflamed. Try resting the muscle and anti inflammatories like Advil (ibuprofen) four times daily for two weeks. Usually lipomas are not painful. If no improvement see your doctor. ...Read more

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Feel five small lymph nodes under chin, could they be shotty?

Feel five small lymph nodes under chin, could they be shotty?

Unlikely: shotty lymph nodes are larger. If concerned about acute viral syndrome or HIV get tested ...Read more

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Under armpit fungal infection, urgent help! where should I go?

Under armpit fungal infection, urgent help! where should I go?

Why urgent: Donot shave, no chemicals, keep it air dry, Lotrisone (clotrimazole and betamethasone) would help, keep armpit dry with baking soda and hair drier, see a dermatologist. ...Read more

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Lipomas? Pea to marble size lumps near inner tricepsx2, inner thigh near gracilisx2 and lumbarx2. PA said these are not lymph nodes No ins. Dangerous?

Lipomas R Benign: Nope. They are left alone unless they get infected, injured or become intolerably painful. These are cysts of fat cells and are very common. ...Read more

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Purple pimple in area of panty line/ pubic hair. Saw derm immed. He dx small furuncle. Rx'd Bactroban (mupirocin). Read boils in groin DANGEROUS. Scared! MRSA?

Purple pimple in area of panty line/ pubic hair. Saw derm immed. He dx small furuncle. Rx'd Bactroban (mupirocin). Read boils in groin DANGEROUS. Scared! MRSA?

Bactroban (mupirocin) works well: on MRSA often, but in some cases oral antibiotics are necessary and or drainage. If not better in 48 hours call for oral meds, culture and possible drainage. ...Read more

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Nervous.Woke up and felt raised hard pea size lump on back of neck near hairline.Saw nurse practicioner same day.She says bug bite.Sounds wrong.Ideas?

Nervous.Woke up and felt raised hard pea size lump on back of neck near hairline.Saw nurse practicioner same day.She says bug bite.Sounds wrong.Ideas?

Keep an eye on it. : I would just keep an eye on it. If it resolves(which may take weeks to months), i would not worry. However, if it grows or multiplies i would go back to my medical provider. ...Read more

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Blue spot under nail bed, getting larger, causes sharp radiating pain. Google says glomus tumor?

Possibly: glomus tumors under the nail bed are blue appearing lesions caused by blood vessels that when placed under cold water enhance their pain. They can be confused with a traumatic episode to the nail bed where a small hematoma forms. Where the glomus does not usually enlarge, a hematoma does and when of concern can be partially drained by opening a paper clip, heating one end and penetrating the nail ...Read more

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Major myofascial pain w/TrP's (have confirmed late Lyme). Nothing releases them or shoulder spasms (phys ther, accup, chiro, massage etc). HELP!

Major myofascial pain w/TrP's (have confirmed late Lyme). Nothing releases them or shoulder spasms (phys ther, accup, chiro, massage etc). HELP!

Fibromyalagia: This is fibromyalgia and not directly related to Lyme. Your physician needs to direct you to a fibromyalgia program which includes: 1. Exercise - the pain is in the muscles 2. Sleep evaluation and treatment 3. Stress evaluation and treatment ...Read more

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Painful knots luq ab/oblique muscle on ribcage 4 mos.Stretch, wrap, ice?PCP visits no help,not paying attention to knots.Ct& xray clear.PLEASE help.

Painful knots luq ab/oblique muscle on ribcage 4 mos.Stretch, wrap, ice?PCP visits no help,not paying attention to knots.Ct& xray clear.PLEASE help.

Outside or in?: sounds like your PCP has thought about internal problems (LUQ is spleen, adrenals,intestine, stomach, etc). MRI? If you can feel the knots, and your diet is good, a trainer or RPT should be able to help suggest stretches. Good luck. ...Read more

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The muscles around lower back, neck, spine, shoulders, shoulder blades, & ribs hurt. Have tried PT/hot/cold/exercise/meds - no help. What should I do?

The muscles around lower back, neck, spine, shoulders, shoulder blades, & ribs hurt. Have tried PT/hot/cold/exercise/meds - no help. What should I do?

Consider Massage &PT: the first thing we need to figure out is why. We need to learn more about your spine, do an exam, get xrays and learn more about your work, sports and trauma if any. Many people see a Chiropractor or sports medicine doc who will do an exam and get imaging. If massage, stretching and exercise dont help a formal course of Physical therapy may be appropriate. If all this fails an MRI is indicated. ...Read more

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female 59 tender under ribs where ribs join, feel like a spare tyre, bloated,not firm lump but resistant,thicker tissue to touch, diarrheoa, nausea?

 female 59 tender under ribs where ribs join, feel like a spare tyre, bloated,not firm lump but resistant,thicker tissue to touch, diarrheoa, nausea?

Lump?: I have read your question several times and it is just unclear to me where you are saying the lump is. Please clarify that and also exactly what your question is. ...Read more