Recently Answered Questions
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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 »
I have severe back pain. Please review my MRI reports.
Query: Hi doctor, Around four weeks ago, I drove for three hours. I had pain in my abdomen that had spread to my spine. I had to crawl everywhere for one week as I could not walk. The pain has reduced, but still I am uncomfortable. I have been advised by my doctor not to work until I consult a specialist a... Read Full »
Answer: Hi, Welcome to icliniq.com. Your MRI (magnetic resonance imaging) report (attachment removed to protect patient identity) is suggestive of compression of the spinal cord in the thoracic spine. There is also some swelling within the cord (cord edema) because of the compression. You can wait till the ... Read Full »
My doctor recommended another spinal surgery. Why?
Query: Hello doctor, I recently had two spinal surgeries for cauda equina syndrome. I was told that a second surgery was required due to a dural tear. However, on reading my clinical notes, I now question this. I have the operation notes, which I can send (about a paragraph each) if you have a spinal surge... Read Full »
Dr. J. Mariano Anto Bruno Mascarenhas
Answer: Hello, Welcome to icliniq.com. I have gone through your query with diligence and would like you to know that I am here to help you. Can you please elaborate on what your question is? Read Full »
I have sinus and cervical spine issues. Please help.
Query: Hi doctor, I have mucosal thickening with aerated secretions in the sphenoid sinuses with surrounding hyperostosis. The mucosal thickening in left maxillary sinus is greater than right maxillary sinus, with trace aerated secretions. Also, opacification of right mastoid air cells and right middle ear... Read Full »
Answer: Hello, Welcome to icliniq.com. You have sent me the verbatim report of the MRI of the cervical spine and the mastoids. This, however, is very little to help me as I do not know the exact symptoms you have. Do you have more problems with your mastoids or the neck? Do you have pain in the neck or does... Read Full »
I have been experiencing burning foot pain. Please help.
Query: Hi doctor, I have had a problem with my feet now for four years. About four years ago, I had some burning pain in feet. I cannot stand for more than 15 minutes or the pain gets very bad. Four years ago, I also had really bad pain in my legs after standing all day. That has diminished and now I stil... Read Full »
Dr. J. Mariano Anto Bruno Mascarenhas
Answer: Hi, Welcome to icliniq.com. I am sorry that you have had this pain for the past four years. From what you have written, I find that you have problem with feet for four years, burning pain on the bottom of feet and you cannot stand for more than 15 minutes. Your MRI report (attachment removed to pro... Read Full »
How to move a person with cervical spine stenosis from a bed to a wheelchair?
Query: Hi doctor, My mother, who is 79 years old has a neurologist appointment in five days. She was recently diagnosed at the emergency room (ER) with spinal stenosis in the neck. However, I am very concerned that me moving her from the bed to the wheelchair is contributing to her daily decline and relate... Read Full »
Answer: Hello, Welcome to icliniq.com. Severe cervical spinal stenosis causing spinal cord compression is known to cause all the symptoms that you have described. However, if the worsening from being able to walk to not at all has happened after your emergency room (ER) visit, I suggest you go to the ER ag... Read Full »
Can you please interpret my mother's MRI findings?
Query: Hi doctor,My mother has been suffering from acute back pain and leg pain for the past year. She is unable to stand or walk for a long time. She is 73 years old. Also, she has type 2 diabetes and high BP. Her MRI revealed a diffuse bulge of L4 to L5 disc with ligamentum flavum hypertrophy causing sev... Read Full »
Answer: Hello, Welcome to icliniq.com. The following is a radiological report (MRI) of her intervertebral disc status. The above statement means that the disc has herniated from its normal confined limits and is pressing on the nerves leading to pain in the area of distribution of nerves, which in this ca... Read Full »
Why are my legs getting thinner?
Query: Hello doctor, I have a question regarding atrophy in my thigh. I have some herniated disks at L3/4, L4/5, and S1 and also spinal stenosis on those disks. The EMG only found problems on my left calf, but not on my thigh. Do you have any idea where this atrophy can result from? My left leg always has... Read Full »
Answer: Hello, Welcome to icliniq.com. I would like to know some details about your symptoms: 1. Since when your symptoms started? Please tell sequentially. 2. Symptoms started with back pain? Or you noticed thinning of the left leg first? 3. Do you have any weakness in the left leg? If yes, what activ... Read Full »
Does my CT scan show spinal stenosis?
Query: Hi doctor, I feel like there is an ice pick in my back at my T4 and T5 region. I had cervical disc replacement three months back for the C5 and C6 area. Do you see any canal stenosis in this CT scan? Is there a difference in the thickening of the ligamentum flavum and calcification of the ligamentu... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for writing to us. I hope you are not in much discomfort. Images (attachment removed to protect patient identity) shared are of the CT (computed tomography) cervical and upper thoracic spine from C1 to T4 vertebral levels. Answers to your questions are following.... Read Full »