Hello, Welcome to icliniq.com. I can advise you in detail if I have your detailed neurological charting, including assessment of motor power, sensory charting of lower limbs, and evaluation of deep tendon reflexes. Also, the latest MRI (magnetic resonance imaging) of the LS spine is required to see the adequacy of decompression. To answer your query, the best results come early after the spinal decompression surgery if motor loss can be ascribed to compression in the spinal cord or roots. Also, intensive physical therapy helps you to gain power.
Hello, Welcome to icliniq.com. You have mentioned that your wife sustained an injury to her left limb with extensive injury of the heel region and around the ankle. I presume an external fixator has been applied along with debridement and suturing of the wound. It is an understatement to say that it is a very complicated injury, especially with the fractures mentioned. I will need to see the clinical pictures of the wound at present along with the x-rays and CT scan images to actually understand the kind of fracture.
Hi, Welcome to icliniq.com. Actually, you are very young to have persistent back pain, and this episode appears to be an acute exacerbation of this pain. The cause of back pain can be due to a muscle strain or a small herniation of an intervertebral disc, followed by lifting heavy weights. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias, etc., then you can start with the following recommendations initially for a period of two weeks.
Hello, Welcome to icliniq.com. I have gone through your query and would like to give replies to your queries accordingly. The issue is that you have a concomitant knee ACL (anterior cruciate ligament) and MCL (medial collateral ligament) injury for which a surgical procedure will be required as you are very young and this cannot be neglected. But right now, the main issue is to correct your DVT issue (deep vein thrombosis) and for which I guess the appropriate medications have been initiated. The advice given to you has been correct, which means management of DVT first and then your knee ligaments, as ligament reconstructions are not emergency procedures and can be delayed.
Hi, Welcome to icliniq.com. I have gone through your query and also looked at the pictures (attachment removed to protect patient identity). Initially, I would like to throw some information about gout at you. It is a condition of altered purine metabolism in the body in which crystals of monosodium urate deposit in the joints, leading to inflammation comprising severe pain, redness, local warmth, etc. In the foot, the great toe is usually affected, although conventional gout does not easily involve the knees.
Hello,Welcome to icliniq.com.I have gone through your query and also seen the MRI images sent by you (attachment removed to protect patient identity).You have mentioned that the injury to your shoulder was a few years back. As you have described, there was a sudden pull, and I feel that it has resulted in some soft tissue insult in your joint. This could be a joint capsule, tendon injury, or injury to supporting structures like the labrum.
Hello, Welcome to icliniq.com. I can understand from your query that you are experiencing some hip pain with radiation to the knee region. Where exactly are you feeling some projecting swelling? Also, since this is only a week-old story, there is no need to worry, especially if there is no history of injury or any symptoms like fever, swelling around the hip, etc. Can you tell me whether there is any history of numbness in the affected leg, tingling, or altered sensation called paresthesia? Do you feel stiff when you wake up in the morning? Do you have any associated back pain? Lastly, have you done any investigations? If so, kindly send me the reports and films. Is it possible for you to send a clinical picture showing the swelling or projection that you are feeling? Once I have more clinical information and x-rays and blood tests, then I can look and let you know what is required.
Hello, Welcome to icliniq.com. I have seen your clinical picture and gone through your query (attachment removed to protect patient identity). I would strongly advise you to undergo a partial nail excision, debridement, and daily dressing of the wound until it shows healthy granulation tissue. It is because, unless you remove the offending portion of the nail, the wound will not heal. I would rather call it a procedure rather than a surgery, which can be done with local anesthesia (ring block) and in the OPD procedure room.
Hello, Welcome to icliniq.com. You mentioned heaviness in your left leg and a burning sensation, which we call paresthesia. Also, you have mentioned that you have back stiffness for many years. So, I presume that some nerve impingement may be causing these symptoms in your case. Can you tell me whether you have any associated numbness, weakness, etc.
Hi, Welcome to icliniq.com. You have mentioned from MRI findings as L5/S1 disc bulge, instability at L5/S1 level and pars defect of L5 with likely compression of both exiting L5 nerve roots. I would like to know few more details such as, what is the duration of back pain and its intensity on a scale of 1-10? s there any radiation of back pain going down in your legs? If yes, which leg and how much distance can you walk before the pain becomes unbearable? Is there any attending numbness, paresthesias, weakness in the legs? Or is there any bladder or bowel disturbance associated with it? I would like to see your MRI (magnetic resonance imaging) films and dynamic x-rays to understand the instability caused by the pars defect. So, kindly attach the images and send it across to me. If a personal visit and clinical examination is not possible, then I would like someone to do a detailed neurological examination including assessment of motor, sensory and evaluation of deep tendon reflexes of both lower limbs.
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