Doctor insights on:
30 y/o f HbSS & I am having less VOC & < bone pain, AVN, & now bone infarcts. left the ED & now I'm in more pain than b4. What can I do 2 lessen pain?
Specialist f/u: Limited data available.sickle cell disease (SCD) have acute and chronic disorders of bones , joints, including vasoocclusive pain episodes, osteomyelitis and septic arthritis, osteonecrosis of the femoral (hip)and humeral heads( shoulder), vertebral body collapse(back pain). f/u with specialist ASAP. Had you ever been on Hydroxyurea?opiates for chronic pain-tolerance/dependence ...Read more
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
What can I do to reduce pain of bone infarcts. The pain in my shin-ankle is getting worse, I went to the ED last night & woke up w/ more pain today.
Would an infection of mastoid/ temperol bone-posterior show on a CT scan of the head? Is it possible to mistake it for an old infarction?
Control risk factors: Lacunar infarcts are a type of ischemic stroke that is often due to risk factors for stroke including high blood pressure, high cholesterol, diabetes as well as lifestyle changes such as stopping smoking, exercise, and a healthy diet. The ataxia refers to a specific type of lacunar infarct and the associated symptoms of incoordination. It is best to seek full evaluation by a stroke neurologist. ...Read more
Yes: The sudden deceleration trauma may cause microscopic changes within the brain, possibly including a tiny amount of vascular damage which results in loss of blood flow to a small area, resulting in the loss of viability of that specific focus of tissue (infarct). However, this also may have happened independent of the mva. ...Read more
Likely incidental: It is difficult to answer without detailed history whether you ever had sudden paralysis, weakness or speech difficulty in the past. In view of your young age it may be only incidental radiological ct scan or MRI scan finding. Why was imaging done in the first place. Only your neurologist or ordering physician can explain better. ...Read more
When the blood supply of a tissue is compromised by whatever mechanism, the tissue will stop working and if blood flow is not restored, the tissue will eventually die ("infarct", both verb and noun). The clinical picture that runs with development of an infarct ("heart attack"; ...Read more