Recently Answered Questions
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My mom has back pain, and might have spine TB. Please help.
Query: Respected doctor, My 63 year old mother was diagnosed with tuberculosis meningitis (TBM) 10 months ago when she complained of a severe headache. She has undergone CSF study and the report of the study is attached. She has been taking ATT medicines since then. The list of all the medicines she is tak... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post which has nicely described the events. Also, I reviewed her reports (attachment removed to protect patient identity). If she has received ATT (antitubercular therapy) for tubercular meningitis 10 months ago, it is highly unlikely that she has ... Read Full »
Can my mother with osteoporosis safely use Teriparatide?
Query: Hello doctor,My mother is 60 years old. She is being treated for osteoporosis currently for which we are already consulting a specialist. I am attaching a few other reports which would request you to evaluate the same and let me know your interpretation and concerns and treatments if any. For choles... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I have checked the attached reports thoroughly (attachment removed to protect patient identity). Here is my comment: Fortunately, there are no autoimmune rheumatoid arthritis or SLE (systemic lupus erythematosus) as both ANA and anti-CCP are negative. Unfortunately,... Read Full »
What can be done for mobile knee in a femur plasmacytoma patient?
Query: Hello doctor, I would like to know an orthopedist opinion about my mother's situation. She had femur plasmacytoma 20 years ago and 4 prostheses, because she had many infections after the operations. She remained with her external popliteus paralyzed. Now, she began to feel his knee mobile, and she ... Read Full »
Answer: Hello, Welcome to icliniq.com. The entire femur seen is grossly osteoporotic and the knee is showing evidence of osteoarthritis though I could not see the knee in the AP view. She needs a knee replacement but with the large hip prosthesis and very weak bone stock, I would support the use of a tota... Read Full »
Is Zoledronic acid better than Ibandronic acid for bone problem?
Query: Hi doctor, My mother is suffering with breast cancer as primary and now there is brain metastasis. The disease has spread to all the parts of the body including the bones. I have attached her PET scan for your reference. We are taking the treatment for the disease and her physical condition was ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern about the patient. As per the scan report you sent (attachment removed to protect patient identity), though the metastasis is widespread, she has relatively improved as far as bone are considered (sclerotic). In case of cancers, bone quality is l... Read Full »
What can cause chronic pain in vertebrae, fracture or bone cancer?
Query: Hello doctor, I have had mild pain from one of my vertebrae for about eight months. It is one of the thoracic vertebrae. I am not certain of which one it is approximately in the middle of my back. It feels slightly sore when I bend backward. Also, if I press with my thumb on the spinous process. I ... Read Full »
Answer: Hi, Welcome to icliniq.com. Eight months period is quite a long time and I feel you should not ignore it. A few things I want to know. Do you have any other ailment, like diabetes or hypertension or hypothyroidism? What you do and how much physical activity you have in your daily routine? Have you... Read Full »
I have brain issues. Should I undergo a GH screening?
Query: Hi doctor,I am a 28-year-old male, and I have been living with a lower quality of life for the past eight to nine years, starting around six to seven months after I had a pretty severe concussion. I had been diagnosed with post-concussion syndrome and saw several neurologists who ran numerous tests ... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query, and from what you have mentioned, I feel that you could have osteoporosis or osteopenia rather than growth hormone deficiency. You can have your bone DEXA scan done and follow up with your orthopedician if it turns out to be either. Growth hor... Read Full »
Can my husband take Adalimumab for ankylosing spondylitis?
Query: Hello doctor,My husband is suffering from ankylosing spondylitis, and he is under treatment since last year. His doctor has now suggested Adfrar 40 injections along with physiotherapy and a belt. The doctor has also suggested halting swimming until further instructions. I am looking for a second opi... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect the patient's identity), and his disease does look quite severe. Developing a compression fracture is an indication that the disease activity is high. The reason for stopping exercises would be the f... Read Full »
My mother has spondylolisthesis. Please advise.
Query: Hello doctor, My mother, aged 55 years, has slipped and hurt her back. X-ray says spondylolisthesis L4/5 and L3/S1 grade with reduced L5/S1 disc spaces and compression fracture D11 vertebra. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. I can see that your mother needs an urgent orthopedic review if you already have not had one from your description. Please take it seriously. She will need an MRI (magnetic resonance imaging) to know about the status of the spinal cord and may even need a CT (computed t... Read Full »
How to cure my thoracic vertebra compression fracture?
Query: Hi doctor, I am a 72-year-old female. Recently I had a thoracic vertebra fracture (compression fracture) for bone number 12. I can hardly stand up and raise my hand. I was in bed for about a week. When I lay flat, I did not feel any pain. I am taking Calcitriol and Vitamin D3 supplements. I have lum... Read Full »
Answer: Hello, Welcome back to icliniq.com. I have gone through your MRI (magnetic resonance imaging) and x-rays (attachment removed to protect the patient's identity). I can see that there is a compressive fracture of the T12 Vertebra, which is stable. Currently, the best treatment is bracing, includ... Read Full »
My father's leg broke 20 years ago, but it started swelling and hurting a few days back. Why?
Query: Hello doctor, My father's leg was broken 20 years ago. But a few days back, that leg started swelling and hurting. He cannot even walk now. Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. A 20-year-old injury is a very long time. There are chances that the injury that occured at that time is now causing the development of arthritis in the knee or ankle that is causing recurrent episodes of swelling in the leg. Also, there are chances that due to old a... Read Full »