Doctor insights on:
What Is Good For Worp On A Patient Middle Arm
Nerve pain: The most common nerve issue is meralgia paresthetica, and may respond to loose clothing, or nerve pain suppressant drugs or even a Lidoderm parch locally. However, could be due to hip problem, pinched nerve in back. Physical therapy might help, maybe even an injection locally. First, get firm diagnosis, then decide on treatment. ...Read more
With a T-score of minus 3.5 in spine is there any hope for recovery, and to what extent, and what is the normal care for someone in my position?
Needs evaluation: A T-score of -3.5 in your age group is very low. You should have evaluation to see if there is a secondary cause for bone loss (other than menopause). You will need treatment with calcium and vitamin d, and likely should be on an antiresorptive medication to prevent further bone loss. ...Read more
Is the graston technique good for someone that has neck pain? What is the physical treatment for neck pain? Please help this is driving me crazy
Graston technique: Is great for muscle and myofascial pain. If you have pain simply from that, someone with graston experience can help a great deal. However, if it is from nerve irritation, arthritis or disc issues, then it will not help. The treatment for neck pain really depends on the pathology causing the pain. ...Read more
What does a level of 17 for bilirubin for a period of a week mean for an alcoholic in the hospital. My brother is in this situation?
Depends: As a pathologist / lab doctor, we're always telling folks to look at the person more than the numbers. Severe jaundice can be anything from acute viral hepatitis to alcoholic hepatitis (a sudden illness) to hemolytic anemia to a medication allergy to a stray gallstone to cancer of the pancreas to several hundred less common entities. I'm glad you're there for your brother, good luck to you both. ...Read more
What would keep a pulse ox low on a hospital patient with emphysema who is on all the necessary meds.?
Exacerbation: Even when a patient is on "all the right medications"; the underlying lung disease can cause inflammation and lower the pulse oximetry readings (known as a COPD exacerbation). Most of the time the exacerbation will resolve over the course of 5-7 days but sometimes more powerful medications given intravenously (like steroids & antibiotics) are necessary. ...Read moreSee 1 more doctor answer
What is recovery time for a year old torn rotator cuff and what might prognosis be for future? Will this cause a disability in right arm?
What is the treatment for a cracked lower right rib? Breath sounds equal and bilateral but patient is intoxicated.
get xray: At this point the pt. (hopefully)should no longer be intoxicated.An xray is indicated to see if the rib is 'broke' and to rule out a pneumothorax.Even w/ breath sounds equal etc. Rib fxs. Generally heal on their own in 6-8 wks and just need protection while healing. Good luck! ...Read more
What would be a highly effective kind of chair to work on a computer if one suffers from back pain?
Computer chair: One with a good lumbar support. Keep the spine straight. Avoid bending forward while seated. Follow the rule of 10. Every 10 min get up for at least 10 sec. There are timer freewares available for download to remind you to get up. Also good for your eyes. There is no activity that can not wait for 10 sec! ...Read more
Back pain in young: Young patients rarely need further evaluation for back pain as it is usually self-limiting. For mild symptoms, muscle pains are most common. Consider also disc herniation which may cause pain without sciatica. Stress fracture occurs in 5% of the population without any symptoms. Treatment involves nsaid's, pt for mckenzie exercises, core exercises pilates/yoga/piyo. See a doc if persistent. ...Read more
How is tuba aperta diagnosed and what ia its best treatment option? Rured of the clicking sound for every one to hear!
Go to ENT: Tuba aperta is also know as patulous eustachian tube. The tube usually is closed. In this condition the tube intermittently opens. "when this happens the pt experiences autophony the hearing of self generated sounds. These sounds such as ones own breathing, voice and heartbeat vibrate directly onto the the ear drum and create a bucket on the head effect" (wikipedia). Get cured go to ent. ...Read moreSee 1 more doctor answer
Can you give me a recommendation for treating gout of the shoulder? My grandma is 98 years old and in otherwise great condition but this is sopainful.
If it is gout....: If it is gout, that is if gout (uric acid) crystals are found in fluid removed from the shoulder, low does colchicine, a non-steroidal anti-inflammatory drug or acth intramuscular injection should help - dependent upon her other medical problems and medications. ...Read moreSee 1 more doctor answer
What is the best alternative for treatment of a hard lump in my testicles without going for surgery ?
Don't have such fear: A hard lump in your testicle is serious business. First the urologist will probably order an ultrasound test. If highly suspicious intervention can save your life. A famous olympic athlete had surgery to remove the hard lump (it was cancer) followed by chemo and he was able to win a gold medal in his sport. If your lump is not cancer then you can rest easy with that knowledge. ...Read moreSee 1 more doctor answer
I am aware that this is a bit of an odd question, but it is still important for me to know the answer (if an answer is possible). If a patient is on bisoprolol and Lasix for CHF and abruptly taken off bisoprolol (no gradual decrease in the dosage) with a
Question: Sorry, but the most important part of your question was not available for us to read. Please rephrase so that we may attempt to provide you with answers. ...Read more
What is usually done for plantar fasciitis? I have it and it is very painful. Can't put the heel on the floor. What kind of physical therapy is done?
Inflammation: Soft tissue inflammation is usually treated initially with conservative management. Start wearing supportive shoes at all times during the healing period. RICE therapy and oral anti-inflammatory agents. Massage the sore area, followed with ace bandage compression and elevate limb above hip with knee bent and ice area after activity and before bed. Remove ace before sleep.(RICE) Orthotic control. ...Read more
My sister has a small lump on her upper right breast, what are the necessary checks for her, and what could the treatment options be? Thanks a lot!
A 69 year old woman has a foot pain that is going up her leg and its swollen. On a scale of 1-10, the pain is a 7.What should be done?
What is treatment for dark areas in elbow, knee and between legs? What about using lemon for that area, is it helpful?
Pigmentation: I don't think it will help. Most of the time it is from pigmentation after skin disease. Should get lighter eventually but could take ears. If pigmentation came on recently without any skin issues from before you should see a doc because it could be rarely a condition called acanthosis nigricans which is a manifestation of other internal diseases. ...Read more
Fistula +/- aneurysm: Dialysis patients need a mature vein that can withstand repeated puncture which is created by diverting arterial flow into a nearby vein. Needling the same site causes a loss of pain nerve fibers, and thus patients prefer that site for repeated use. This can cause fibrosis and thinning of the wall at that site, resulting in aneurysmal dilatation. This is not in danger of rupturing. ...Read moreSee 1 more doctor answer
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