Doctor insights on:
What Is The Best Treatment For Hyperactive Deep Tendon Reflexes
See below: A DTR is a brisk contraction of a muscle in response to a sudden stretch induced by a sharp tap by a finger or rubber hammer on the tendon of insertion of the muscle. Absence of the reflex may be caused by damage to the muscle, peripheral nerve, nerve roots, or spinal cord at that level. A hyperactive reflex may indicate disease of the pyramidal tract above the level of the reflex arc being tested. ...Read more
No: If the person under the influence his reflexes should be down from normal. ...Read more
0-4: Deep tendon reflexes, of which the knee-jerk is the best known, are spinal reflexes triggered by hitting certain tendons. Triceps, biceps, patellar (knee) and ankle are the most commonly tested and are graded 0-4 as follows: 0-absent 1-small reaction 2=normal 3=brisk 4=clonic (continuous jerking) clinical context and symmetry more important than the actual reflex grade though. ...Read more
Medical intervention: An evaluation and treatment by an orthopedic surgeon or a podiatrist. ...Read more
I have a sore Achilles tendon from running. Do I risk serious injury if I keep running? Is rest the best treatment? For how long?
Yes: If at is hurting rest it. Listen to you body when having pain. However, don't listen to your Achilles when not hurting. Meaning, when returning to running go gradually: do rest, tylenol, (acetaminophen) masssage, may be pt then do graudal return to activity-> walk, then faster walk, short jogging (on grass, threadmill), then run and advance distant and intensity carefully.. Do proper warm up, streach, & rest. ...Read moreSee 1 more doctor answer
A 28 year-old man wishes to know if a tendon transfer is the only option for a wrist drop after a humerus fracture.....?
It depends: Sounds like you might have a radial nerve injury after a humerus fracture which unfortunately can be relatively common. Is it a post op nerve palsy? or was no surgery done to fix the humerus. How long has it been? If its been >6 weeks, an EMG can be helpful to see if there is any re-inervation. Make sure you are doing at least passive range of motion to avoid stiffness. We can set up a consult. ...Read moreSee 10 more doctor answers
EARLY DIAGNOSIS!: The most important treatment is early diagnosis, which can make a difference in success. Aggressive home passive and active range-of-motion excercises, heat soaks (avoiding ice), along with medication management, is key to early success. Often sympathetic nerve blocks are useful. Seek a pain specialist soon for the best chance for success. ...Read moreSee 1 more doctor answer
Dampen Nerve Actvty: Multiple treatment options reduce pain from rsd - now known as crps 1. Neuropathic agents to reduce nerve related pain - gabapentin/lyrica 2. Topical agents - lidoderm, etc 3. Injections to block the nerve center (i.e. Stellate ganglion/lsb injections) 4. Spinal cord stimulation as last option. ...Read more
Ankle MRI report - ant tib tendon bowing, tendonitis in ant tib, tenosynovitis in posterior tib, mild tendonitis in Achilles'. Best treatment?
Cold compresses help: I have found that tendinitis frequently responds to application of cold compresses, particularly gel devices kept in a freezer which when applied to tendinitis will cut the inflammation down and provide comfort without the potential side effects of listed medications (which help as well but can cause considerable side effects). Such gel devices can be found in drug stores (OTC). ...Read moreSee 1 more doctor answer
Deep tendon reflex: Dtr or deep tendon reflex is a test done on physical exam to evaluate specific nerve function. Certain nerves like cervical and lumber spinal nerves control certain reflexes and when absent can indicate a problem with that nerve. Like the patellar or knee reflex can indicate a spinal nerve problem or herniated disc. ...Read more
See below: A deep tendon reflex reflects the function of a part of the nervous system that travels to and from the spinal cord. It is also influenced by the brain. It is involuntary. Some people have brisker reflexes than others and it is completely normal. Some conditions can cause brisker reflexes like an overactive thyroid or certain nervous system conditions like injury to the brain or spinal cord. ...Read more
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