Questions & Answers

Q&A

Answered by Dr. Muheb Ullah

I have rheumatoid arthritis. Can physical therapy help me?

Hello, Welcome to icliniq.com. I understand and heard your concerns. Thank you for reaching out. I understand how frustrating it can be when rheumatoid arthritis (RA) continues to limit daily activities despite Methotrexate therapy. RA is a chronic autoimmune condition where the immune system attacks the joints, causing inflammation, pain, and swelling.

May 5, 2026

Is psoriatic arthritis hereditary?

Hello, Welcome to icliniq.com I understand your concern, especially with joint pain and early joint damage. It is completely natural to feel worried about disability, but the good news is that psoriatic arthritis can be controlled well with timely and appropriate treatment. You have psoriatic arthritis. When treatment is started early, the risk of permanent joint damage and long-term disability is significantly reduced. The main goal of therapy is to control inflammation, relieve pain and stiffness, and prevent further joint destruction.

April 29, 2026

Why do I feel fatigue and brain fog if my TSH is normal?

Hello, Welcome to icliniq.com. I have read your query. I can understand how exhausting and discouraging this must feel. When you are taking your medication properly, and your TSH (thyroid-stimulating hormone) comes back normal, yet you still feel tired, foggy, or emotionally low, it can feel invalidating. Please know that your symptoms are real.

April 25, 2026

Is a transplant needed for severe polycystic kidney disease?

Hello, Welcome to icliniq.com I have read your detailed history and understand your concerns. I am truly sorry that you are going through this. What you describe is physically exhausting and emotionally distressing, especially with your family responsibilities and medical history. Your concerns are completely valid, and seeking realistic, forward-looking guidance is the right approach. Based on your description, this is consistent with rapidly progressive autosomal dominant polycystic kidney disease, with markedly enlarged kidneys contributing to chronic pain, early satiety, reflux, and sleep disturbance.

April 20, 2026

Are biologics better than Methotrexate for my RA at 47?

Hello, Welcome to icliniq.com. I have read your query and can understand your concern. I​‍​‌‍​‍‌ realize how frustrating it might be for you to have increased morning stiffness despite being on Methotrexate and Hydroxychloroquine. Rheumatoid arthritis (RA) is a long-term condition in which the body’s immune system attacks itself. For some patients, conventional DMARDs may not be sufficient to control the inflammation or slow down the disease.

April 18, 2026

Should I splint a healing cut on my finger?

Hi,Welcome to icliniq.com.I can understand your concern.Finger cuts over joints can be tricky to manage because movement can keep reopening them, but it is encouraging to hear that your wound is improving each day.Since it is healing well and showing no signs of infection, you generally would not need a full splint. However, providing temporary support and protection can help the cut heal completely.

April 17, 2026

I have osteoporosis. What are bisphosphonate alternatives?

Hello,Welcome to icliniq.com.I understand that this diagnosis can be worrying, especially after having a fracture, and it is completely natural to feel concerned.Osteoporosis means that your bones have become weaker due to bone loss after menopause, mainly because of reduced estrogen levels.Your DEXA (dual-energy X-ray absorptiometry) T-score of −2.6 confirms osteoporosis, and the previous wrist fracture indicates an increased risk of future fractures, which is why treatment is important.

April 16, 2026

What is the effective treatment for my hypothalamic obesity?

Hello, Welcome to icliniq.com. I understand how distressing it can be to experience significant weight gain despite consistent efforts with diet and exercise, especially after surgery for a craniopharyngioma. Hypothalamic obesity is a rare and challenging condition that occurs when the part of the brain responsible for regulating hunger, metabolism, and energy balance, namely the hypothalamus, is affected by surgery or radiation. In such cases, standard weight-loss strategies often become much less effective. The possible causes include: Hypothalamic obesity occurring after craniopharyngioma surgery.

April 10, 2026

What other cancer treatments can be tried after immunotherapy?

Hello,Welcome to icliniq.comThank you so much for sharing your concern with me. I understand how distressing it can be to see your father experiencing fatigue and shortness of breath while receiving immunotherapy for metastatic urothelial carcinoma. These symptoms can understandably raise concerns about disease progression or treatment-related side effects, and careful evaluation is essential.Your father has metastatic urothelial carcinoma with lung involvement and has been on immunotherapy for six months. A mixed response on CT (computed tomography) scan, where some lesions shrink while others remain stable or progress, is not uncommon during immunotherapy.

April 9, 2026

I have colon cancer. Can genome testing reveal cancer risk?

Hello, Welcome to icliniq.com. Thank you for reaching out. I understand that a recent colon cancer diagnosis can feel overwhelming, and it is natural to have questions about treatment and family risk. I will explain cancer genome testing, its usefulness, limitations, and the next steps. Cancer genome testing analyzes the DNA (deoxyribonucleic acid) of your tumor to identify mutations that can guide targeted therapy.

April 8, 2026

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