Doctor insights on:
Rigid East And Lupus Films
Stiff person syndrome diagnosis in 21yo w/rigid lower limb, acquired scoliosis & oligoclonal bands in csf. Is anti-gad and seronegative. Could a rheuma help?
Maybe: If they treated such cases before. High dose benzodiazepines may help. Also consider neurologist. ...Read more
MRI leg/ankle/foot-Tech screwed up images for series 7 & 8 and has scans of my 2 legs overlaying each other. Can radiologist fix or are scans static?
Check with Radiolog-: ist as he might be able to make something out of it. I am sure they will get a repeat for you and most of them will do it free of charge if it was their tech's fault. Good Luck. ...Read more
Can notations of specific data points at t8-9, t9-10, t10-11 of disc disease be made without axial or coronal imaging. Just sagittal?
Please clarify: What is meant by notations of specific data points? ...Read more
Few cases of iritis. Saw rheumatologist. Lots of blood work done. All fine, except HS CRP is 2.6. Meaning? X-rays done on chest and si joints-normal.
Only 4 rheumatologist orthopedic have acquired hypermobility in ankles/knee joints from past- dance or gymnastics, can hypermobility spread 2 spine?
No: Hyper mobility is a result of ligamentous laxity which is a result of ur genetic makeup. It therefore can potentially be present at any joint, even if the symptoms/sequelae do not present all at the same time. Therefore, the laxity is a condition inherent to each joint ; does not "spread" like an infection or cancer. ...Read more
Generalised OA (x-Ray hands feet knees hip clavicle, MRI spine) dry eyes/mouth, history hypermobility, lumbar/cervical stenosis radiculopathy TMJD diverticulitis prolapses FUO - but seronegative and comprehensive blood tests always normal. Any ideas?
Patient with history of non-displaced cervical spine fx. Txed with halo for many weeks only. Months later 10/10 pain both feet o/w neuro intact. Who to see?
Have disc-degenitrive disease with l4, and L5 rupture without physical therapy, with recent severe muscle spasms through-out body with un-biopsied nodules in both lungs totalling !5 , cancelled pulmonary specialist appt due to fathers recent death and mov
You : You have two major issues going on and you need to have an immediate medical evaluation. Please call the nearest hospital/doctor referral line, and ask for a neurosurgeon and a pulmonologist. It is very important that you be seen immediately for a complete evaluation. Please be sure that you have your old records faxed immediately to yourself or your new doctors so that your care is not delayed. ...Read more
I'm having many neurological symptoms with a history of autoimmune disease, sarcoidosis and marrow reconversion in spine and base of skull. Thoughts?
Neurosarcoid: Your sarcoidosis is more advanced then average with lesions involving the nervous system and bone marrow. Involvement of red blood cell-producing areas in your bones is resulting in reactivation of dormant bone marrow regions to maintain an adequate supply of blood elements. You need a sarcoid specialist experienced with the use of immunosuppressive drugs. ...Read moreSee 1 more doctor answer
MRI facet changes in cerv spine and also some lumin narrowing. Have episodes of intense pain/pressure in neck from C-7 up to head. Incr w/ activity?
Cervicogenic: There is a condition known as cervicogenic headaches and they are basically headaches that are a referred pain from symptomatic facet joints, that sounds like what you have. Don't hesitate to be seen, there are many goog nonoperative treatment options ...Read more
Few cases of iritis in 9mos. And frequent mouth canker sores; also had crp, ESR tests and chest xray. Crp 3.6. How is behçet's disease diagnosis made?
Clinical diagnosis: Diagnosis is based on symptoms, not any specific test. ...Read more
Depends: This would depend on the state and country, but in general, licensed chiroprators in most states in the U.S. Can order mris of the spine. ...Read more
How do docs tell the difference between regular degenerative changes in facet joints and ankylosing spondylitis or autoimmune on imagine(mri, xrays etc?
See below: Each have distinct finding by x-rays. A MRI is even better. With contrast on a mri, you can detect whether ankylosing spondylitis is active or not and it can detect early changes unlike a x-ray which may not have changes early on x-ray. A MRI with contrast can also distinguish whether or not anylosing spondylitis is present in the setting of osteoarthritis of the spine. ...Read more
8modepend on position or holding things certain way tremor in hand.Not at rest though had 2head CT w/o cont for other issue CT normal.Serious?Ideas?
Essential tremor: A tremor with movement but not at rest sounds like a 'benign essentail tremor'. A neurologist can diagnose this easily. You might benefit from a dose of beta blockers like propanalol. I would recommend that you discusss with your primary care physician. This kind of a termor is very aggravating and embarrassing, but is not a serious health issue. ...Read moreSee 1 more doctor answer
MRI indicates 2008 L5S1 Fusion followed by MRSA scar tissue and bone fragments. In Pain all the time. Drs in Albuquerque say that cannot help me. ?
Got13small inactive demyelinations in the brain.Neurologists said not ms-demyelinations disposed different.Is pet scan enough to confirm or infirm ms?
Poor use of resource: In addition to the risk of radiation exposure, cost, and inefficient use of healthcare resources, it often reveals incidental findings that have no impact on patient's health and triggers additional testing. ...Read more
Would NSLBP originating from the facet joints show up on an MRI.
working diagnosis: NSLBP with deconditioning & he was denied all invasive procedures?
No: no need for any further tests. at this age. regular exercises, good st. posture and back muscle exercises may help. ...Read more