Can one start TB medicines again for hip pain?
Hi doctor,
I am suffering from left-side hip pain for the last four months. The pain initially started while walking, but the pain is more acute for the previous two months. I am using an elbow crutch while going on the staircase, wearing hip support, using Volitra spray, and a hot water bag. I have taken all medicines like tablet Voveran, tablet Ultracet, and other drugs prescribed by the doctor. I did a hip X-ray six months, and the doctor recommended medication for muscular pain. I did a hip MRI recently, and it showed mild synovitis in the left hip. The doctor suggested a blood test suspecting TB in the hip, but that report shows normal. The doctor says I should again do MRI or blood test after two months to decide on further treatment. I have a history of tuberculosis, and I underwent six months of TB medication for pulmonary tuberculosis two and a half years ago. There was blood in the sputum a few times and a low fever before that. The sputum test showed negative, but based on the CT scan; the doctor suspected pulmonary TB. I was recommended medicine for six months. I gained 3 kgs of weight, and there was no blood in the sputum during treatment or to date now. I have increased by one kilogram currently and not having any fever now. I consulted another doctor with the hip MRI, and he says synovitis is the initial symptom of bone TB. The blood test will not show these things in the initial stage. He says I can start taking TB medicine suspecting bone TB to reduce the risk. He is suggesting tablet AKT 4 for two months and tablet AKT 3 for ten months. I have attached the initial hip X-ray, medicines taken, hip MRI, and blood test report. These are some queries. What can be the possible cause of pain in my left hip? Should I start TB medicine again for bone TB? Is there any other test except bone biopsy to find out bone TB? Will there be any adverse effects if I undergo TB medication again for one year? Can I completely cure bone TB, or TB going to appear again? What will be my life expectancy after having pulmonary TB and bone TB? Can my wife get infected from bone TB from me? If yes, what precautions need to be taken.
I am looking forward to your reply. Thank you.
24 Apr 2024 - 1 min read
Can you tell me the causes of my wrist pain and exercises to relieve it?
Hi doctor,
I am a newly married housewife. I am having pain in the right wrist for the last five days. I also feel pain in the right lower arm and sometimes above the right shoulder blade. The pain is also present in the fingers of the right hand. I cannot put enough force while making a grip with that hand, and the pain is being more frequent and constant in the right hand. I was staying at home earlier. Now, after marriage, there has been some increase in workload like cooking, etc. I am currently taking tablet Pregmic MN at night for the last two days. I am using Volitra APS spray, Tynor wrist support sometimes as well. I sometimes used to feel pain in my right wrist while cleaning clothes, making dough, etc., in the last four to five years. The pain earlier was coming and vanishing but not constant like this time. I remember having some sprain of the right wrist in childhood but do not exactly remember what happened. I used to play volleyball in college days that may have caused some issue in my wrist. There are some queries that I have in this regard. What could be the possible reason for wrist pain? Why am I also feeling pain in my fingers, lower arm, and shoulder blade? Which medicine will you suggest in this case? Should I use any support like a wrist splint in this case? Can you tell me any exercise to relieve pain? Does it require an X-ray, and if needed, please mention the exact areas where an X-ray has to be done.
I am looking forward to your reply.
28 Sep 2023 - 1 min read
Kindly interpret the MRI reports for my unbearable and worsening back pain.
Hi doctor,
I have worsening pain in my back for two decades. It has exacerbated a lot more now. I have unbearable pain throughout my back, along with chronic myofascial pain. I drove a school bus for 14 years with manual doors. I am having worsening severe pain in my thoracic region. Currently, I am taking Tizanidine 3 mg, Tramadol 50 mg, Fioricet, Baclofen 10 mg, and Prednisone 2.5 mg. Previously I have taken Soma. Can you help me interpret my MRI report? My report says, "standard non-contrast MRI of the thoracic spine was obtained with a 3 Tesla spectra scanner. No prior studies for comparison. Vertebral body alignment is normal. Vertebral body height is well maintained throughout the thoracic spine. There is moderate degenerative disk disease extending from T4-T5 through T11-T12 with disk space narrowing, endplate irregularities, signal loss in the disks on T2-weighted images, and small disc osteophyte complexes. At the T6-T7 level, there is a small superimposed central disk herniation. This causes mild ventral deformity of the spinal cord as it crosses the defect. There is also some minimal flattening of the ventral spinal cord as it crosses a disk osteophyte complex at T4-T5. The foramina are widely patent at each thoracic level. The cross-sectional area of the spinal canal is ample. The spinal cord is normal in signal intensity. No focal spinal cord lesions are seen. Impression: Moderate degenerative disk disease from T4-T5 through T11-T12. Small central disk herniation at T6-T7 is associated with slight ventral deformity of the spinal cord as it crosses this level. There is a mild ventral deformity of the spinal cord as it crosses a disk osteophyte complex at T4-T5."
25 Aug 2023 - 1 min read
The ring finger in my left hand is paining and stiff. Why?
Hello doctor,
I have my finger pain for few months, especially on the left hand of the ring finger. It becomes stiff also a bit like a trigger finger. I have pains, usually in the morning or when I wake up after a short or long sleep. When I fold the finger, the pain is not exactly in the joints of the finger. It is in between the joints, and I thought my right-hand finger also has some pain, but the left-hand finger is more. May I know what kind of condition is this?
25 Aug 2023 - 1 min read
I made a bad dance move that resulted in few slipped discs. Will I be able to dance again?
Hello doctor,
I am a 38-year-old, and I made a bad dance move with my back, and that resulted in a few slipped discs. The tingling, numbness (whole body but mostly left side) went away after about five to six days. The weakness in the arms (when raising the elbows, usually when I sit or lie down) went away a few days after that. I am at two weeks now past the incident. My question is, in about a month after finishing my physical therapy, should I be able to return to dance. The CT (computed tomography) scan results showed minimal disc protrusions on C3-C4, C4-C5, C6-C7, L4-L5, L5-S1, degenerative disc at C5-C6. All the doctors I have seen said, you do not worry about it. It is not serious, and after a few weeks, you can go back to normal. But how do I know what is safe for me to do when I dance and what is not safe as I never had any problems until now?
25 Aug 2023 - 1 min read
