Doctor insights on:
Lower Limb Bypass
GSV: Usually the great or small saphenous vein in the thigh or calf, respectively. Many places are using arteries from the chest muscle also. ...Read more
Numbness: Hello, there are various treatments to help resolve your numbness. It begins with a detailed evaluation and an appropriate treatment plan. Step number 1 is to see your doctor. ...Read more
It varies: Most leg prosthesis are modular and cost will depend on components. A below the knee (transtibial) will cost less than an above the knee (transfemoral) prosthesis. A basic transfemoral prosthesis (for patients with limited mobility) could include a sach (solid ankle cushion heel) foot, locking knee and custom socket (where the stump fits in). Custom sockets are needed to prevent skin problems. ...Read more
Depends: The type of prosthesis depends on the level where the leg was amputated. Most prosthesis now a days are modular so the higher up on the leg the more components are added. So there are toe fillers, prosthetic feet/ankle systems, knees, hips etc. A socket (the part where the residual limb fits into) is custom fabricated to prevent skin breakdown. ...Read more
See below: The first person who should be responsible for your skin is you. However, the prosthetist can teach you the best way to care for your skin and what to watch out for including, red spots, pimples, rashes etc. Once you become educated about this it is really a matter of inspecting your skin daily, trying to keep it as dry as possible and being aware of any persistent irritated areas. ...Read more
Generally not, but: It makes a difference depending on the underlying cause for the paralysis. If the paralysis is due to trauma or congenital problem, shouldn't affect fertility. If due to an underlying systemic disease, such as vasculitis, autoimmune disorder, multiple sclerosis, . ..It may. As usualy, need to see primary care physician, gynecologist, probably neurologist, maybe endocrinologist. ...Read more
Lymphedema: Is caused by a blockage in your lymphatic system, an important part of your immune and circulatory systems. The blockage prevents lymph fluid from draining well, and as the fluid builds up, it causes swelling. Infection, injury (from surgery or cancer treatments) can cause this. Talk to your doctor to see if this could be the case, or if there is another medical reason for your swelling. ...Read more
Is it possible to increase 20cm of height with limb lengthening? 10cm on the upper leg and 10cm on the lower leg.
I noticed my left lower limb is swollen. After a few days other leg got swollen. Doppler study shows that bilateral subcutaneous leg edema noted. Why?
Could: Be many reasons, kidney function needs checking, salt intake should be limited, venous status needs addressing and cardiac functions. See a doctor to review your medical status ...Read more
Daily cleaning: A prosthesis requires regular maintenance and care. Daily cleaning of the interior of the socket with a soft cloth and mild soap (not detergent). Allow to dry thoroughly overnight. Limb socks should be changed daily and washed as well. Residual soap should be avoided as this can irritate the skin. Maintenance checks with the prosthetist are equally important. ...Read more
EMG report say the sensory nerve conduction amplitude in the Right lower limb were on the lower limits of normal. What does that mean?
Means it's normal: Low or high end of normal is still normal when it comes to that sort of statement on an EMG report. If, however, the clinical situation were explained a bit more or if there were other EMG's you've had in the past that show a distinct change from these results then, there might reason to question the stated "normality." Otherwise, be glad you're done with the test! Good luck. ...Read more
Diabetic Lower limb amputation because of gangrene 3 weeks later skin getting black around wound? Is gangerene stil there? What's the reason?
At the l4-l5 level there is a diffuse circumferencial disc protrusion causing anterior thecal compresion causing heaviness of lower limb with pain?
Depends: A protrusion of the l4-5 disc is not unusual and can be associated with back and leg pain. It is quite a bit less common for it to cause a sensation of heaviness in the legs and so it is very important to make sure there is nothing else going on. A detailed exam and appropriate additional studies can usually determine the cause. Thank you. ...Read more
A 47 year women with complain of lower area (lower limb) and in the back during standing sitting and also lying down position. Also have cesarian op?
The deformity of lower limb is calculated in percentage. At what percentage a person cannot travel without the assistance of escort?
Disability: I assume you are talking about an ama disability rating (impairment rating)? We need more information to better answer your question. Thanks! ...Read more
Not sure but: In general in case the heart, liver and kidney functions are normal and the toes are not involved in the edema I would look to make sure the deep leg veins are normal or not. No idea when was the c-section and the time frame between the surgery and edema of the limb. So, have a d-dimer test (blood) and a leg vein ultrasound to r/o and possibility of a DVT (clot). Rare but does occur... ...Read more
Arteriogram: Giving contrast and tracing the blood vessels by fluro or MRA would be the gold standard to map the vessels. ...Read more
Slurred speech: This combination of symptoms could be caused by many, serious things. I strongly urge you to consult a neurologist as soon as possible. ...Read more
If you develope a blood clot in the femoar vein of the left lower limb, what could happen if the clot breaks loose?
Pulmomary Embolism: Dvt can break free from your deep veins, travel through your bloodstream, and lodge in your lungs. This clot can block blood flow in your lungs, which can strain your heart and lungs. This pulmonary embolism is a medical emergency. Dvt can also lead to chronic vein problems and swelling treatment with blood thinners is very effective in reducing risk. Compression stocking also recommended. ...Read more
I am 22.My stomach feels bloated most of the time and constant fogginess in my head. At times I lose balance in my lower limb eg sudden fall.?
See Dr. ASAP: Please see your primary care physician for a full physical exam and screening labwork as indicated. Your doctor can assess your balance and neurological exam for abnormalities to make sure that is not the problem. Many different things can cause bloating and brain fog. Falling is not as common and is a worrisome symptom. ...Read more
I occasionally have numbness with mild burning sensation on the right side of the head, right upper limb and right lower limb, what can be the cause?
I hv brownish discolored patches bilaterally on lower limbs. No itching/skin elevation, pain. Patch fades and recovers on othr places bt confined to leg?
CK 13309 SGPT 379 SGOT 345 Complain pain at lower limb Earlier used support to get up when down on floor, now need help Doc said its myopathy?
Myopathy: Go to an ER. With high CK concerned about rhabdomyolysis muscle break down -at that level can cause kidney damage so you need to have significant fluids., usually IV. This can be from thyroid conditions, inflammatory (autoimmune) polymyositis, dermatomyositis, inclusion body myositis, necrotizing, allergic reaction, alcohol, medicaitons, trauma, or infection. Go to ER today ...Read more
I am 30 yrs, my legs weaken with spine tb. Now I don't have tb. But the lower limbs not getting strength since 7 years. How can I walk individually?
See spine doctor: Since it has been a long time, you may never improve, but I would suggest seeing a spine surgeon for evaluation. Sometimes they can do something to keep the problem from worsening. The specialist can also arrange for therapy that might help. ...Read more
Hello Doctor! I have been observing brownish discolored patches on the lateral aspect of my lower limbs, on both the legs. There is no itching, pain?
It is very difficult to diagnose dermatologic conditions without a good history and direct observation or images.
A very common cause for dark patches on lower extremities can be a fungal skin infection. Can be treated easily with topical anti-fungals. ...Read more
Is c4-5 disc herniation related to lower limb paraesthesia? How long does it take for paraesthesias to get to normal after artificial disc replacement
Yes, it can.: A c4-5 disc herniation can cause compression of the spinal cord leading to lower limb symptoms including pain, numbness, and weakness. Assuming there is no longer any pressure on your spinal cord, it can take as long as one year (or even longer) for symptoms to improve. Weakness and numbness typically take the longest to return. Some symptoms may even be permanent even after surgery. ...Read more
I have spasticity in my lower limb from a tbi. I tried oral and injectable drugs. Split tendon transfer is not an option. I'm active. Thoughts on amputation?
Need to adapt: You have a permanent deficit. Many children with cerebral palsy learn to live with their disability and are active and participate in regular sports and activities. You now have a form of acquired cerebral palsy. Learn to adapt to it. A good therapy program will help, and trained therapists can be sure that you have the best bracing and stretching methods to provide optimal outcome. ...Read more
Doc said my uncle has inflammation in his backbone (c1-c4) also has pus. Now his lower limb was paralyze. Is he going to be alright? Wht cause this?
Serious condition: You are describing a spinal abscess that has affected the spinal cord. This is a very serious condition, with potentially irreversible damage. Abscess can occur from spread from other parts of the body via bloodstream, from adjacent tissue, or from procedures (injections, surgery). Treatments include surgery and appropriate antibiotics. Hopefully your uncle will improve, but no guarantees. ...Read more