Doctor insights on:
Herbal Treatment For Increased Tendon Reflexes
Pincered t-spine at t-9 in 1988. Incessant buckling led to paraspinal swelling; cumulative trauma disorder. What treatment modalities are available?
multiple: The treatment of chronic thoracic pain can range from the conservative, to the much more aggressive. Conservative options, which presumably yo have done can include medications, activity restrictions, and non -invasive treatments such as therapy. More aggressive options usually fall under either interventional pain management or surgical approaches. Sitting down with a spine specialist can help. ...Read more
Is there evidence for effectiveness of prp or plorotherpay/sclerotherpay for wrist injuries such as tfcc tear?
Dx after 1/13 fall-talocalcaneal coalition.Fusion symptoms recommended.What are longterm effects/complications of this sx?I'm an rn, will this affect my job?
Fusion: Surgery may pose the risk of subsequent limited range of motion. The incidence can be reduced with careful attention to appropriate and regular post-op pt. Try googling the search operators below... "complications rearfoot arthrodesis" excellent surgical technique, vigorous pt/rest and a positive attitude is highly recommended! ...Read moreSee 1 more doctor answer
Deconditioning and POTS the same? Cause vs effect? (Postural Ortho. Tacchy. Syndrome) will slow and careful reconditioning be valid either way?
No POTS and: deconditioning are NOT the same....the former is a disorder of the nervous system which contracts the peripheral vessels when upright position is assumed thus causing a drop in blood pressure and a corresponding increase in heart rate! A rapid heart rate is however sometimes due to deconditioning and slow careful exercise will help! Exerciseis USEFUL in pattients with POTS but not "curative"! Dr Z ...Read more
Suffering from rsi injuries including chronic tendonitis of multiple fingers and shoulder blade trigger points.Even after 4 months therapy, healing is too slow/weak muscles. Any blood tests recommend?
Chronic pain: Vitamin d, vitamins b1.6, 12 are very important for pain trigger points, joint pain. S ed. Rate, aso titer, sjogren syndrome. , lime disease, anca, hormones, like but not limited to gh, testosterone, others, all vitamis, .Including e, a, , aminoacids, cortisol, diodine, dhea............. ...Read moreSee 1 more doctor answer
Pm docs- what type of interventional treatment other than medication and pt have proven to be successful in treating small fiber neuropathy?
Can you suggest some alternative medicines for muscle, ligament or tendon injury in the knee of a 12 year old osteogenic patient?
Rest, ice pm,heat am: Not sure it is an alternative treatment but in an oi patient it just take a little longer but rest if painful, ice 15 minutes on 15 minutes off in the evening and heat in the am to decrease the amount of inflammation while the tissue heals itself. ...Read moreSee 1 more doctor answer
What do you think of optimal chiropractic treatment with the activator appliance for soft tissue injury following an rta 5 yrs ago?
Not much: Chiropractic "treatment" is a form of exaggerated massage designed to keep you coming back for steady income. There is little in chiropractic practice or theory which can be considered to have as a goal - cure. If you have a persistent problem you should see your orthopedic physician for a true understanding. ...Read moreSee 1 more doctor answer
Thanks for asking!: Hypothalamic and pituitary disorders have low levels of gonadotropin and estrogen.Hgh has not been indicated for treatment of secondary amenorrhea. In cases of turner's syndrome where recombinent hgh along with estrogen is used as part of standard treatment but not for amenorrhea per say. ...Read moreSee 1 more doctor answer
Muscle hernia following fasciotomy for chronic exertional compartment syndrome - is treatment necessary? What are risks?
Depends: It depends on how large it is, whether it causes you pain, and risk of trapping other abdominal organs. Most small ones do not need repair. ...Read more
Can I take horse chestnut supplements 300 mg. during treatment and after treatment for sclerotherapy for vascular health & support? Any interactions
Horse chestnut supplements 300 mg.: Yes, Standardized Extract With added Rutin A Dietary Supplement Vegetarian/Vegan Horse Chestnut (Aesculus hippocastanum) is commonly used in European herbalism. It has many active constituents, including saponins and flavones, which have been scientifically shown to support the integrity of the vascular system and connective tissue. Rutin, a powerful free radical scavenger,... ...Read more
Can an ankle cystic bone lesion cause burning and warmth? What type of treatment is available. Physical therapy provided no relief.
Possibly: It depends on where the cyst is located, how big it is, and what it is close to. I recommend you see an ankle specialist for evaluation and treatment. ...Read more
Have metabolic induced foot drop(b12 deficiency, from a partial gastrectomy), ideas about recovery time? (b12 is helping, also w sleep & appetite.)
Peripheral Neuropath: You likely have peripheral neuropathy caused by B12 deficiency. This causes death to the axon fibers of the nerve and this can be a long recovery process. It can take up to 24 months for recovery but unfortunately it may not fully recover depending on the extent of initial nerve damage. ...Read moreSee 1 more doctor answer
See below: For any musculoskeletal injury, tendon, ligament, muscle, etc, nsaid's are good, like ibuprofen. For any injury, the riice (rest, ice, ibuprofen, compression, elevation) mnemonic is recommended. However, if you have a significant injury, see you doctor for further evaluation. ...Read more
Is pdt treatment for numerous facial actinic kerotosis well recognized? Will the side effects keep you out of work for an extended time?
PDT effective for AK: Actinic keratoses (ak) are precancerous lesions. When you have many, your dermatologist might recommend field treatment with photodynamic therapy using ala and blue light. Ala is preferentially absorbed by ak's, and when activated with blue light, these cells are preferentially destroyed. Pain and crusting are side effects. Yes, you will need to stay out of the sun for at least 48 hours after. ...Read more
Is chronic sinusitis treatment with prednisone (total 275mg in 20d)and antibiotics beneficial for diabetic with thyroid problems?Or priority tosurgery
Diagnosis: 20 days of Prednisone is too long for the treatment of sinusitis. The usual dose is 60 mg. Daily for 5 days. The Prednisone can have an effect on your blood sugar. If the cat scan reveals chronic sinusitis and you have been on multiple antibiotics and you are symptomatic, that is, yellow green nasal discharge, pain and pressure in the face for more than 90 days. Surgery is appropriate. ...Read more
Is medical marijuana a good option to help relieve side effects of lung cancer drug treatment such as nausea, appetite loss, and weakness?
I say 'yes': If they can obtain it legally, i would urge them to try it. For as long as I have been in medicine, I have been told about how effective many people have found this. For almost as long, the mainstream medical press -- not a hotbed of social radicals or fuzzy thinkers -- have felt that our cannabis policies are at best ill-informed. I am glad you are there for your friend with cancer. Obey the law. ...Read more
Are there any effect from the compined therapy thats include indometacin 25mg *2 pc. And diclofenac 50mg *3 pc.
NSAIDS are dangerous: The other doctors answer is corret. More specifically, out of about 7 or so chemically similar grouping in the NSAID class (non steroidal antiinflammatories) both diclofenac and Indomethacin are in the Acetic Acid category of medications. This makes their combination additive and therefore all side effects of standard nsaids (gastric bleeding being most dangerous) compounded. Please avoid! ...Read moreSee 1 more doctor answer
Is ice only a good treatment for acute injuries? My podiatrist has recommended icing 3 tinmes daily for insertional achilles tendonosis per MRI
Icy Hot.: There is a general consensus that icing might be indicated for most acute injuries. As one moves away from acuteness, however, the indications for the use of icing becomes fuzzy. Ultimately, it is a matter of experience and preference of the physician. ...Read moreSee 1 more doctor answer
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