Injury to the spinal cord due to severe compression is called myelopathy. Spinal injuries, congenital stenosis, disc herniation, rheumatoid arthritis, spinal tumors, etc., can result in myelopathy. Symptoms include pain in the neck, arm, leg, back, walking problems, balancing issues, and urinary or bowel control loss.
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Query: Hello doctor, I suffered from traumatic myelopathy six months ago when I was hit by a car. I had severe arthritis at C6, so the whiplash contused my spinal cord. I do not have motor deficits. I have sensory deficits, mainly in the hips, legs, and feet (back of my arms). The neurologist said I could ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Yes, the recovery in such cases is slow and gradual. It may take a year or two at times to get complete relief. Gabapentin should be gradually stopped before starting Pregabalin. When you begin taking tablet Pregabalin (Lyrica), symptoms wil... Read Full »
I have imbalance and lightheadedness issues. Please help.
Query: Hi doctor, I am a 45 year old male. My weight is 211.41 Pounds and height is 6 feet. I have severe sleep apnea and minor CAD (Coronary Artery Disease) with hypertension. I am facing problems of imbalance and lightheadedness. This started some six months back. Then, I was diagnosed with an uncompensa... Read Full »
Answer: Hello, Welcome to icliniq.com. From the information you gave me, it looks like your imbalance is due to a condition called cervical myelopathy. The examination findings of your spine specialist also correlate with your diagnosis. This happens when there is undue pressure or compression of the spinal... Read Full »
Why do I feel pins and needles in both legs?
Query: Hello doctor, I had a neck fusion a few years back. I like to understand more about my MRI. I am going to start Gabapentin for nerve issues soon and also I have Crohn's disease and Lyme. Currently experiencing pins and needles in both legs. I have seen a neurologist and going to see a few surgeons t... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read through your query in detail. Sorry to hear the pain and discomfort you are having and wish you a quick recovery. Please find my observations below. Your MRI scan reports (attachment removed to protect patient identity) show that there are changes seen in t... Read Full »
Is there any cure for my myelopathy due to Hashimoto's disease?
Query: Hello doctor, I am a 59-year-old female who was diagnosed five years back with the rare I have not had an magnetic resonance imaging (MRI) scan or seen by a neurologist for a follow-up. Since I was diagnosed, I have not been given a prognosis of myelopathy associated with Hashimoto’s. I was paraly... Read Full »
Answer: Hi, Welcome to icliniq.com. I am sorry to hear about your illness. You are likely suffering from Hashimoto's myelopathy based on your description. It is rare condition and only a handful of cases have been described worldwide. It is known to be very steroid responsive and there should be a remarkab... Read Full »
Are muscle twitches related to the COVID vaccines?
Query: Hello doctor, I received the Novavax clinical trial COVID vaccine two months back. A few days later, I woke up, and my arms fell asleep. Well, shortly after that, muscle twitches started in my arm, then lower arm, hands, calves, thighs, lower back, and cheeks below my ear. They happen sporadically ... Read Full »
Answer: Hello, Welcome to icliniq.com. I would like to know some further detail about your symptoms: 1. The muscle twitches at mentioned body parts happen simultaneously or occur at a different location at different timings? 2. Are these twitching increasing with time, or is it the same or decreasing wi... Read Full »
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