Recently Answered Questions
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Could you tell me the underlying cause for sciatica?
Query: Hi doctor, I have been recently diagnosed with sciatica. I have some difficulty in walking. I am having Tramadol and Paracetamol for pain relief but they are not helping much. Could you tell me the underlying cause? Will I require a walking aid? Read Full »
Answer: Hi,Welcome to icliniq.com. As you must be aware by now, sciatica is a term used when a person experiences radiating leg pain due to some pressure on the nerves. Assessment will include intensity of back pain, intensity of leg pain, the distance you walk without any requirement of analgesic and deta... Read Full »
Can a herniated disc cause testicular pain?
Query: Hello doctor, I am a 48 year old male. Ten days back, I noticed that my testicles has moved up and are receding into my groin. I also have a dull pain in the testicles. This pain is not always there, but it happens on and off. I am worried that this may be a serious condition. Could you please l... Read Full »
Answer: Hi, Welcome to icliniq.com. Sorry to hear about your pain. The most important condition to exclude when a testicle becomes high-riding with associated pain would be testicular torsion (twisting and occlusion of blood supply to testicle). Torsion is however incredibly rare in older males and oc... Read Full »
Why does my friend have numbness after hemilaminectomy surgery?
Query: Hello doctor, I am inquiring for a friend who underwent L4 - L5 hemilaminectomy surgery. He is recovering except for the persistent numbness, pins and needles and swelling in his left foot. It is more pronounced in the afternoon to evening. He is a teacher by profession. He has reported this to h... Read Full »
Answer: Hi, Welcome to icliniq.com. It sounds like your friend is bothered by the persistent tingling and numbness in his left foot. I understand these sensations can be quite irritating, especially if your work involves standing for long periods. Did he have these tingling sensations in the same are... Read Full »
Why is my thumb numb after cervical surgery?
Query: Hi doctor, I had an MRI last year, which indicated a herniated disc and stenosis at C6-C7 left. So, I had cervical surgery ACDF. Still, l had pain for a couple of months and the MRI showed to my dismay that I still had stenosis with displacement of the C7 nerve root. Also, it showed that C5-C6 protr... Read Full »
Answer: Hi, Welcome to icliniq.com. Sometimes it can take time for radiculopathy to improve even up to a year. If your neurological function is getting worse then a repeat MRI would be advisable. If the symptoms are the same and your neurological examination is not worse then you can wait before ... Read Full »
Why do I have severe pain in my leg?
Query: Hi doctor, I am a 59 year old female. I underwent radical mastectomy before one and a half years and undergoing regular checkups for every six months. Recently I had pain in the right leg, from the knee to ankle region. I got an entire medical checkup done. They showed high TSH levels and also high... Read Full »
Answer: Hello, Welcome to icliniq.com. I had gone through all the reports posted (attachments removed to protect patient identity). Many of the reports posted were normal, so to make it easy for you I will comment on each of abnormal ones and what to be done for them. Urine routine showing 10-15 white b... Read Full »
My partner had an electric shock a year ago and still has a shock-like feeling and pain. Why?
Query: Hello doctor, My partner got an electric shock to his right arm a year ago. Ever since then, he has felt like he is constantly shocked, and he has been unable to move his arm properly. He is on 750 mg of Lyrica a day to control the shock-like feeling and pain. However, the hand movement has not retu... Read Full »
Answer: Hi, Welcome to icliniq.com. Cases of motor neuron disease are seen after electric shocks. Most likely, your partner is experiencing wasting of muscles due to motor neuron disease post the electric shock. A motor neuron (or motoneuron) is a nerve cell, which directly or indirectly controls the... Read Full »
Query: Hi doctor, About five weeks ago, I started feeling some weakness in my left leg. I have consulted my family doctor and a neurologist. All physical tests showed no actual weakness. There were no other clinical signs and the reflexes were also normal. There is no activity or movement that I cannot do.... Read Full »
Dr. J. Mariano Anto Bruno Mascarenhas
Answer: Hi, Welcome to icliniq.com. The various symptoms you have described are due to L5-S1 moderate broad left paracentral disc protrusion mildly distorted the anterior aspect of the thecal sac and abutting without displacing the traversing nerve roots. When a disc prolapses and compresses the spinal c... Read Full »
Is the numbness in my right leg a normal symptom of peroneal neuropathy?
Query: Hi doctor, I got peroneal neuropathy after bariatric surgery. I have lost 97 lbs in the last six months, and all of a sudden, I was diagnosed with peroneal neuropathy in my right leg. My right leg was numb from the knee down all through my toes, but now the numbness has subsided and only my big toe ... Read Full »
Answer: Hello,Welcome to icliniq.com.Foot drop and impaired sensation on the outer side of the leg below the knee are possible common peroneal neuropathy. But the same can also happen by the involvement of partial sciatic nerve involvement or lumbar plexus involvement or the involvement of roots coming from... Read Full »
What is the cause of lower back pain despite taking medications?
Query: Hi doctor,I have seen many doctors regarding lower back problems since the past two years. I have had two courses of physiotherapy with no real improvement and cortisone injections, which also did not help. I have also had two CT scans and an MRI, and I have attached the reports. I am also prescrib... Read Full »
Answer: Hello, Welcome to icliniq.com. Looking at your symptoms and all the attached reports (attachment removed to protect patient identity), it makes me think that you need to be investigated by a rheumatologist or an immunologist for possible rheumatoid or other arthropathies. There is no evidence of ... Read Full »
Are my EMG reports suggestive of ALS?
Query: Hi doctor,I want a review of EMG analysis to reassure it to be unlikely ALS onset. My knee and arm reflexes were normal, as were the strength tests. Does "good recruitment" in the presence of atrial fibrillation and occasional positive waves point away from ALS or MND? In those cases, would the recr... Read Full »
Answer: Hi,Welcome to icliniq.com.I read your query and understand your concerns.First of all, I would like to inform you that the available EMG (electromyography) report does not suggest anything found in motor neuron disease (attachment removed to protect the patient's identity). My observation is based o... Read Full »