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Doctor insights on: Pt Or Ot For Arm Symptoms

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Severe pain from sesamoiditis ~3 mos worsening even with PT and modified excercise. MRI scheduled, but doc doubts fracture. what treatments can help?

Severe pain from sesamoiditis ~3 mos worsening even with PT and modified excercise. MRI scheduled, but doc doubts fracture. what treatments can help?

Offloading: If the MRI is negative or even before that you can take the pressure off of the sesamoids with an orthotic or padding in your shoes, this should help with the pain. Your doctor could modify your shoe insert to help with this. Also you should not go barefoot, as this puts more pressure on the area. and avoid heeled shoes or shoes with a very narrow toe box. ...Read more

Dr. Isaak Halegoua
387 doctors shared insights

Occupational Therapy (Definition)

Occupational therapy is a type of physical therapy to improve one's engagement of activities of daily living and their occupation. It includes reintroducing daily tasks of living including physical and mental task to help one improve a type of disability. Hand therapy is also a ...Read more


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Can I wear a neck brace for 3 weeks for chronic neck muscle pain that hasnt responded to physical therapy or meds?

Can I wear a neck brace for 3 weeks for chronic neck muscle pain that hasnt responded to physical therapy or meds?

Yes you can: yes you can if it is making you more comfortable. you need to apply heat, and take muscle relaxant. and pain medication like naproxen or ibuprofen. not better get MRI to make sure that there is no internal damages ...Read more

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Should i get physical therapy or muscle activation therapy following arthroscopic shoulder surgery?

Should i get physical therapy or muscle activation therapy following arthroscopic shoulder surgery?

Yes : You should follow post-surgery instructions which almost certainly would include physical therapy/rehabilitation. This is usually critical to getting back to optimal function. Your surgeon will refer you and you should follow the prescriptions from him and the rehab medicine specialists or physical therapists. ...Read more

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Had chronic elbow tendonitis for 2.5 months due to lifting. MRI is normal but elbow still in pain and stiff. Motrin and PT not helping. Ice or heat?

Had chronic elbow tendonitis for 2.5 months due to lifting. MRI is normal but elbow still in pain and stiff. Motrin and PT not helping. Ice or heat?

Ice massage: sounds like you may have lateral epicondylitis ( tennis elbow) which often responds to NSAIDs ( ibuprofen), rest( from 'power grip' activities, a tennis elbow' brace' and ice massage. If this is not working than a well- placed steroid injection can be very helpful. Recalcitrant cases may require PRP injections or tennis elbow surgery( arthroscopic or open). Best of Luck! ...Read more

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Dx of hip labral tear. Doing pt for 6 wks then MRA. What can i do for pain besides ice? Ice is helpful but it causes stiffness then pain.

Dx of hip labral tear. Doing pt for 6 wks then MRA. What can i do for pain besides ice? Ice is helpful but it causes stiffness then pain.

Modify activities: For immediate pain relief besides icing, an over the counter anti-inflammatory medication (ibuprofen 600mg every 8 hours) or Tylenol (acetaminophen) (500mg every 6 hours) can be used. Another key to treating labrum tears without surgery is to modify certain activities. In general, trying to avoid deep hip flexion with significant hip rotation can help. Labrum tears usually become more painful when hip is flexed ...Read more

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I have scoliosis that does not require surgery. Constant muscular pain with pinched nerves and spasms at times. Will phy. Therapy help or medications?

At your age with a : Scoliosis that does not need surgery, then you need to be evaluated as to why you have these symptoms as classic idiopathic scoliosis of a non surgical degree is without symptoms. So a correct diagnosis and then treatment plan that may include pt and/or medication or even just lifestyle changes like regular exercise, weight control and avoiding smoking. See a physician who specializes in spine. ...Read more

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After injections and pt for patellofermoral doesn't work what is left to relieve pain and problems with knee and leg?

After injections and pt for patellofermoral doesn't work what is left to relieve pain and problems with knee and leg?

Scope or gel shots: If the above treatments havent been successful, you may need to consider an arthroscopic procedure which may require a lateral release which may help your pain from the patellofemoral joint also another option might be do consider viscosupplementation shots such as synvisc or orthovisc. ...Read more

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Should I have massage therapy with an undiagnosed shoulder injury, severe pain & weakness of arm?

Should I have massage therapy with an undiagnosed  shoulder injury, severe pain & weakness of arm?

Probably not: While massage therapy can be quite helpful in some patients, your pain and weakness is worrisome, and you need to have a complete workup. Your doctor may want you to have MRI studies of your brain, cervical spine and shoulder. If, after a complete work-up there is nothing serious found, then you can go back to massage therapy. ...Read more

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Which is a better pain managment for patellar tendonitis..Prp or cortisone injections or hyperbarics or just exercises? I see my doctor friday.

Which is a better pain managment for patellar tendonitis..Prp or cortisone injections or hyperbarics or just exercises? I see my doctor friday.

Find the cause first: Start with the cause for overloading the anterior knee (tight hamstrings, flat feet, weak quads) and address these first to prevent a recurrence. Initial treatment focuses on rest, unloading with a patellar band, pt, orthotics, and oral anti- inflammatories (if tolerated). I am not a big fan of steroid injections near the tendon due to risk of rupture. Prp is promising but still in its infancy. ...Read more

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Is cerv traction good for a neck like mine with so many issues. Symptoms are getting pretty bad. Neck pain arm pain and tingling pt 24 visit idnt hlp?

Is cerv traction good for a neck like mine with so many issues. Symptoms are getting pretty bad. Neck pain arm pain and tingling  pt 24 visit idnt hlp?

It MAY be an option: There is no "one size fits all" in terms of answers. Many people can carry on with this sort of neck first off--- I don't really know what your cervical spine looks like. Can you upload a .pdf of the test reports? Would even be sweeter if you can send us the DIGITAL FILE of the MRI/MRA. ...Read more

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Have shoulder stiffness not sure if muscle related or rotator cuff tear. What doctor should I see? Working with massage therapist now.

Have shoulder stiffness not sure if muscle related or rotator cuff tear. What doctor should I see?  Working with massage therapist now.

X ray: X ray may show hypertrophy of a-c joint. Mri will show if such arthritis has injured one of the 4 rotator ligaments. So any doctor that could prescribe those. ...Read more

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Cervical hnp diagnosed.Arm shoulder neck pain persist even after various nonsurgical management for a year.Is surgery thr only option?Or stick w nonop

Cervical hnp diagnosed.Arm shoulder neck pain persist even after various nonsurgical management for a year.Is surgery thr only option?Or stick w nonop

See details: Without being able to perform an exam and review MRI results, it is impossible to be precise. However, a year of conservative therapy without improvement is long enough. ...Read more

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28y.O. Female; decreased thirst; numbness to arms/hands; neck bothersome and feels need to be cracked or for a massage. Symptoms related?

28y.O. Female; decreased thirst; numbness to arms/hands; neck bothersome and feels need to be cracked or for a massage. Symptoms related?

Possibly: Problems like these can only be correctly handled by your doctor in person. He/she needs to listen to you, perform an examination and possibly run labs or other tests. That's the only way he/she can find out what's going on and what to do about it. ...Read more

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What can cause severe shoulder pain (radiates down towards elbow) and popping with a normal MRI? Also didn't get better with physical therapy.

What can cause severe shoulder pain (radiates down towards elbow) and popping with a normal MRI? Also didn't get better with physical therapy.

Popping: As for the popping that is generally just a normal variant. The question on the pain is, is the MRI of the neck or shoulder. IF the shoulder was it done with contrast or without? There are some things like labral tears (if you play sports) that could cause pain. Also, how long have you had the pain. Sometimes there is an injury that is minor and can't be seen but is painful. Give it 6-8 week ...Read more

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If conervative tx are tried for a year and symptoms got worse, is op the only option? diangosis cervical hnp 4.5.6.7 neck pain arm pain numbness.Im only 30 yrs old

Depends: If you have significant compression on the nerve roots based on the MRI scan and your symptoms are limited to the same involved nerve roots, then surgery will help you and is a good idea. If how ever your symptoms can not be explained, based on the nerve roots involved on x-rays then, surgery may not be helpful.I hope that helps good luck. ...Read more

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Piriformus syndrome with sensory loss and pins and needles on left leg. Orthopedic suggested pt. Any home remedies i can try. Concerned?

Piriformus syndrome with sensory loss and pins and needles on left leg. Orthopedic suggested pt. Any home remedies i can try. Concerned?

See physiatrist: There are many things that can temporarily relieve symptoms from piriformis syndrome including nerve pain meds, massage, trigger point injections, botox, acupuncture, etc. Vitamin b and d levels should be normal too. Nothing takes the place of physical therapy in terms of addressing the factors that are causing it to begin with (so it doesn't come back). Nerve glides can help relieve the pain. ...Read more

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Neck arm pain and numbness from cervical hnp but no motor weakness. Should i go for acdf in 30 yr. Pt? Mri shows rt. C5-6 root compress.Sx for a year

Nerve impingement: Of the neck is a very common problem, affecting about 10-12% percent of the adult population in the us. Nerve impingement can be caused by being sandwiched between two spinal bones, pressed by a bulging disc or encroached upon by bony overgrowth. It can cause severe vision impairment and muscle spasms. Rec.: see an interventional pain management specialist for further investigation. ...Read more

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3yrs of severe numbness elbows-hands. Doc thinks cubitalts. Had 3 nerve tests, bracing, ot and pt, seeing a surgeon tuesday. What should I expect?

3yrs of severe numbness elbows-hands. Doc thinks cubitalts. Had 3 nerve tests, bracing, ot and pt, seeing a surgeon tuesday. What should I expect?

Cubital Tunnel Syn: Cubital tunnel syndrome describes a condition where the ulnar nerve is entrapped at the elbow. Affected patients often experience numbness/tingling along the little finger and the ulnar half of the ring finger. This discomfort may be accompanied by weakness of grip and, rarely, by intrinsic muscle wasting. I see you are on metformin which is important because dm can cause your problem. Good luck. ...Read more