Doctor insights on:
Deep Tendon Reflexes In Pregnancy
Deep tendon reflexes, of which the knee-jerk is the best known, are spinal reflexes triggered by hitting certain tendons. Triceps, biceps, patellar (knee) and ankle are the most commonly tested and are graded 0-4 as follows:
4=clonic (continuous jerking)
clinical context and symmetry more important than the actual reflex grade though. ...Read more
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
See below: A DTR is a brisk contraction of a muscle in response to a sudden stretch induced by a sharp tap by a finger or rubber hammer on the tendon of insertion of the muscle. Absence of the reflex may be caused by damage to the muscle, peripheral nerve, nerve roots, or spinal cord at that level. A hyperactive reflex may indicate disease of the pyramidal tract above the level of the reflex arc being tested. ...Read more
No: If the person under the influence his reflexes should be down from normal. ...Read more
Deep tendon reflex: Dtr or deep tendon reflex is a test done on physical exam to evaluate specific nerve function. Certain nerves like cervical and lumber spinal nerves control certain reflexes and when absent can indicate a problem with that nerve. Like the patellar or knee reflex can indicate a spinal nerve problem or herniated disc. ...Read more
See below: A deep tendon reflex reflects the function of a part of the nervous system that travels to and from the spinal cord. It is also influenced by the brain. It is involuntary. Some people have brisker reflexes than others and it is completely normal. Some conditions can cause brisker reflexes like an overactive thyroid or certain nervous system conditions like injury to the brain or spinal cord. ...Read more
Is a change in your deep tendon reflex history an ominous sign? Like going from 2+ to 4+ on a scale that goes to 5+
That is not: A very sensitive test, depends on how performed and your mental state at that time. Would be significant if not present or you had other signs to associate with ...Read more
A little learning...: ... Is a dangerous thing. People's deep tendon reflexes are widely variable. A brain tumor that makes a DTR brisker will always (no exceptions) do so asymmetrically, and will have some other symptom (headache, personality change, nausea, altered walk). Some folks, including one of my neurology attendings, have no dtr's, and they're normal unless even a lay person can see they aren't. ...Read more
Big jerks in all of my deep tendon reflex test. I have numbness and tingling and postural tremors. Normal MRI of braim and spine. Low B12 and sjogrens
What happens to the patellar tendon reflex after running on the spot and why does this happen? Please help, this is urgent
Patellar reflex: The patellar tendon reflex is an involuntary reflex arc that occurs in response to rapid stretching of the tendon. When the tendon is tapped with a reflex hammer, involuntary stimulation of the quadriceps muscle (e.g., knee extension) is produced. Running and other exercises that promote fatiguability of the quad muscles can blunt, but typically cannot eliminate, the effect of the reflex itself. ...Read more
If you have an unprotected penis inside of you for less than 5 seconds and not very deep, what are the chances of pregnancy. I'm scared... : (?
Here are some…: Surely, there has been no known study specially designed to answer your question. However, nowadays, luckily, the easy availability of highly reliable HPT has taken the pressure off the shoulders of sexually active women. So, do HPT in a week after missing period and repeat it in a wk if the first test was (-) and still in doubt. Best wish… ...Read more
I have had this reocurring deep pain spot in the left side of my neck, between my adams apple and tendon. It hurts when I push on it or move my head.?
Don't: Don't push on it. Have your doctor do that. ...Read more
I am a 43 yr old male. I take 500mg metformin daily. My doctor recently wrote sluggish deep tendon response on my physical exam. What does that mean and what are the implications?
Several things: Could be a comment about your thyroid. Ask him/her what was meant and what is to be done about it. ...Read more
These are my thought: On the matter- other providers on Healthtap may be more knowledgeable about this subject. I have received deep tissue massage a number of times. It breaks down tissue and thus may release toxins into your system. Although, I believe that massage in general could be very beneficial to a pregnant woman - I would be more hesitant to recommend deep tissue work at that time. I don't have hard data to ...Read more
I spotted for 3 days 2wks ago n now I have started bleeding n it's bright red. Usually it's deep red. What's going on. Is pregnancy possible?
Check a test: If you are sexually active pregnancy is always possible. We usually suspect pregnnacy when you are having no periods not more though. Check a test and you will have your answer. Sounds like just an irregular period. If this is abnormal for you schedule a visit with your obgyn. ...Read more
I stabbed my hand with a knife about one inch below the palm's center, it wasn't too deep. But, I did some tendon damage its been months. Still no %100?
Tendons: Can heal a small partial tear but complete tears need surgical repair to regain function. ...Read more
Yes: As a rule, most topical creams or lotions have very little transfer of their content below the top skin layers. As such, they do not enter the blood and cannot be transferred to a fetus or through the breast milk. The exception to this rule are those preparations designed specifically to enter the blood, like the meds in a nicotiine patch, birth control patch, etc. Which use special chemicals to a ...Read more
2 mnts after type 1 pec tendon tear repair still lot of pain when moving and discomfort taking deep breaths rom isn't good yet what should I expect?
Be reevaluated: Of you are still having trouble 2 months after a pec repair, you would certainly want to be reevaluated to make sure you are making appropriate testing and that you do not need any more testing. ...Read more
I cut my finger fairly deep on the top crease but I can still move the portion of it I cut fairly well, could I still need surgery on the tendon?
Flexion/extension.: If you can both flex and extend the finger, then in all liklihood there is no need for tendon surgery; however, if unavle to fully flex and extend, consult a hand surgeon asap. ...Read more
Could a deep cut on the volar side of the thumb cut the extensor tendon while leaving the flexor tendon intact?
Depends: The thickness of the fat layer varies greatly between different parts of the body and in different people. The fat layer in hands and feet is usually quite thin while fat on the abdomen can be several inches thick. Obese people may have several inches of fat while athletic people may have nearly none. Nerves are present in the skin and below the fat but tendons are only present underneath the fat. ...Read more
Sperms in vagina: You can not get pregnant without male sperms entering the vagina. If there is no penetration or contact with the spermatic fluid with the vaginal opening you can not get pregnant. But contact with the penis with vagina or rubbing at the vaginal opening, there is an outside chance of getting pregnant as some preejaculation fluid may contain sperms. ...Read more
My md has recently written in my physical exam, deep tendon response is sluggish. What does it mean and what are the implications? I take 500mgmetfor
Not sure if I have a palpable supraclavicular lymph node or not. Should be able to feel tissue and tendons deep in hollow above collar bone?
Probably normal: People can easily feel muscles, tendons, and other irregularities if they try, this site or elsewhere. Anything you have to work hard to decide if it's abnormal probably is not. Repeated poking can cause tenderness and swelling -- and what was previously normal becomes nonspecifically inflamed and that much harder to diagnose. If you remain concerned, see a doctor. In the meantime, hands off. ...Read more
How deep does the sperm have to be deposited in the vagina to result in pregnancy? Will a 3ml syringe be as effective as 10ml for insemination?
How deep will the penis go inside vagina for a normal human being with descent erection to have better chances for pregnancy during her ovulation?
Good luck: Just ejaculate in the vagina and nature will take care of the rest. This is an exciting time for you, and too important to let old superstitions worry you. ...Read more
Rubbing penis on vagina wearing condom, sufficient to avoid pregnancy or any other steps need to be taken before going deep?
Questionable: Condoms often used for birth control, but may have a defect that still allows sperm to get through. Deep penetration is not always needed for pregnancy. Also, some sperm may be in the lubricating fluid before ejaculation. On rare occasions, the condom may come off. The best solution is a condom for the male and some kind of female protection of which there are many. ...Read more
I am 17 weeks pregnant. Last night I woke up extremely nauseous and my chest hurt to take a deep breath. Is this normal in pregnancy?
Not normal: Nausea can be normal. Heartburn is very common especially at night and can cause nausea and chest pain. Tums (calcium carbonate) may be helpful. Daily Prilosec or similar drugs may prevent recurrence. If you are still having chest pain or shortness of breath you should be seen immediately and notify your doctor. ...Read more
I'm in 15 weeks of my pregnancy I had lost my deep sleep at night by this I'm feeling very tired and sleepiness at early morning remedy please?
Normal: I know that you know and have probably read that this is completely normal. The hormones of pregnancy make us sleepy..... very sleepy. There's not much remedy, other than exercise and routine. Forcing yourself to follow a regimen during the day, and then maybe going to bed early at night. Up to 200mcg of caffeine/day is okay in pregnancy, so if you need a little pick me up, it's safe. ...Read more
Cramps & LMP since 15/5 till now, nausea cravings since then. Could it be pregnancy? Love sour products & hates oily food (smell of deep fried)
Unclear: Cramps can be caused by all sorts of things from constipation, gas, intestinal issues, bladder infections, ovarian cysts and other infections. With a vague symptom such as this there is not a clear cut answer. If you think you might be pregnant check then check a home pregnancy test. They are cheap, reliable and available at any pharmacy. ...Read more
Deep bruise from a fall on my right Achilles tendon 8wks ago. Still swollen, hurts to touch and is numb. Doc hasn't done tests. What do I do now?
Hi doctor. My knee pains when I deep squat. Also I feel clicking in one of the tendon at back of knee when I raise my leg towards back.?
See a physician: While this may be a normal finding depending on your age and personal history; a physical examination is warranted to rule out any serious problem. ...Read more
I have a pretty deep gash on my ankle bone, cut doesn't seem too bad but when I walk I feel pain run up my leg. Like a tendon issue. What should I do?
13 weeks pregnant. Just got a deep cut with kitchen knife today on hand n got 2 stitches. Is tetanus shot needed within 24 hours or later in pregnancy?
I had a deep knife cut on my R index finger, stitches took 14days to heal. Now that they're out, what is best actions to minimise scarring + get flexibility back? No tendons/ligaments were injured, but cut runs across distal and middle phalanx.
I have cut so deep I hit a tendon, my wrist and hand are starting to really hurt specially in the palm and thumb area. I am losing a lot of strength and feeling in my fingers and thumb. Is that because I cut my tendon or could it be something else?
Do I need to get my arm x-rayed? I was in a car wreck two months ago and I had a rather deep laceration on my arm. It was cut to the tendons and bone, but nothing is broken. The cut is now healed and its a scar that looks like a red abrasion. My arm is st
Have it evaluated: Any deep injury that is down to bone has a potential to infect the bone. Have an x-ray taken to evaluate the underlying bone. Have it properly evaluated to avoid preventable complications. ...Read more
Both of my breast been sore deep inside even without a bra my breast been sore for five days after ovulation is this pregnancy?
Do pregnancy test: Breast tenderness or soreness is common, and is often related to hormone fluctuations during the menstrual cycle. Although it can also be an early sign of pregnancy, it is not a reliable indicator. Anytime you are concerned about pregnancy, you should do a pregnancy test, which are reliable. Unless you want to be pregnant, you should use reliable birth control. Consult me to discuss options. ...Read more
What are the chances of pregnancy on Depo-Provera provera (medroxyprogesterone)? Been on it for 4 months, deep mood swings and extreme nausea&bloating!
Pregnancy unlikely: Depotprovera is among the most effective birth control methods. However, it occasionally comes with side effects, some of which you are unfortunately experiencing: the mood swings and the nausea and bloating, sometimes women complain of hair loss and extreme weight gain (30 kg +). The only remedy is to stop the depotprovera. ...Read more
- Talk to a doctor online
- Deep tendon reflexes that are hypoactive
- Hyperactive deep tendon reflexes
- Deep tendon reflex grading scale
- Causes of deep tendon reflex decrease
- No reflexes in knees
- No reflexes in legs
- Depressed reflexes
- Absence of reflexes
- Exaggerated deep tendon reflexes