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I am 22 years old. In past I had a migraine problem now I overcome that problem. Now I started a problem of cervical. From last month have a regular pain in my head. Behind the ears, neck everything pain is very bad please suggest me what to do and to whom I should concern.
I am 34 years old and suffering from severe headache for the last 5 yrs. I feel numbness in my head. Also I am facing hearing problems. So please give me your valuable advice ?
My dad is suffering from high blood pressure from past 12years. After his fast attack of bell's palsy. Ever since, he is dealing with high blood pressure. And from past few days, his pulse rate is going over 100. Can you tell us what could be the problem? His last ECG report was OK, which was done a month ago.
I am 28 years old and I am suffering from migraine .every year I checked from doctor and take medicine then I feel better but after 6-7 months it start again every year. What I do?
Cranial nerve palsy is one of the common culprits of causing double vision. This is all the more true for people above the age of 60. A person is more prone to cranial nerve palsy if he is suffering from high blood pressure and diabetes. This is the reason why this disease is more commonly known as diabetes palsy. Eventually, though they get better and the problem of double vision disappears.
One weak cranial nerve leads to the weakness of other cranial nerves as well. In case the eyes fail to move together, chances are that the patient will have double or blurred vision. In case the sixth nerve gets affected, side to side double vision is encountered. For the 3rd and 4th nerve disturbance, there could be a vertical double vision. The lack of blood flow causes pain to the eye.
Possible Causes of Cranial Nerve Palsy?
Cranial nerve palsy can result from traumatic or congenital factors. They can also result from vascular diseases such as strokes, hypertension, diabetes, and aneurysms. It can also arise out of infections, increased intracranial pressure, migraines, and tumours. A patient's age and clinical findings help a doctor decide the right course of treatment.
There are no particular treatments which can speed up the recovery of cranial nerve palsy. In a case of pupil pain, doctors may prescribe anti-inflammatory drugs such as Motrin and Advil. They key to natural recovery is to ensure that the blood sugar and the blood pressure is diligently controlled. By patching the eyes, the problem of double vision can be resolved. They are typically worn over both the eyes. They are however known to slow down the process of recovery and strain the eye. There is no known exercise to fix this condition. Botulinum injections are sometimes used by doctors to straighten the eyes but the result of such a treatment greatly varies from person to person. Doctors mostly rely on watchful waiting until the phase passes within 6-8 weeks. Pain medications are recommended on a case to case basis.
Managing cranial nerve palsy can be difficult for a working person. It involves many lifestyle changes till the condition fully cares. Some of the suggestions given by an ophthalmologist include resting the eye as long as one can. Reading or working on a computer should be eschewed since it puts great pressure on the eyes. The eye should not be contacted with forehands in case there is too much pain. Other basic hygiene issues include taking the medicine time to time, cleaning the eye with fresh water two to three times a day, putting the eye drops on time as prescribed by the doctor. If you wish to discuss about any specific problem, you can consult a ophthalmologist and ask a free question.
I am 43 year old I am working as clerk in jnv. Doctor, my right leg feeling senseless. Feeling like no leg and always some inside feeling with I am unable to express. Kindly help me.
Spinal stenosis is a narrowing of the spinal canal and foramen, which results in increase pressure on spinal cord and nerves which emerge out from spinal cord.
Causes of stenosis
degenerative ageing process of your spine.
the ligaments of your spine may hardened and calcify, and start to compromise the adjacent structures .
Increased bone stress causes bone spurs, which encroach in the spine?s space.
spinal discs, become dehydrated with age and lose their height. This disc narrowing can deteriorate quicker with injury eg disc bulges or degenerative disc disease.
Osteoarthritis of your spine is the most common form of arthritis and is more likely to occur in middle-aged and older people. It is a chronic, degenerative process. It is the result of everyday wear and tear of the spine joints, and is often accompanied by overgrowth of bone, formation of bone spurs, which can cause spinal stenosis.
Spinal stenosis is most common in men and women over 50 years of age and is related to degenerative changes in the spine. However, it may occur in younger people who are born with a narrowing of the spinal canal or who suffer an injury to the spine.
Symptoms of Spinal Stenosis?
numbness, muscle weakness, diminished reflexes , cramping or general pain in the arms or legs.
The most common stenosis regions of your spine are your lumbar spine (low back) and your cervical spine (neck), but any spinal region can suffer stenosis.
In lumbar spinal stenosis, the spinal nerve roots in the lower back are compressed and this can produce symptoms of pain, tingling, weakness or numbness that radiates from the low back and into the buttocks and legs, especially with activity.
Cervical stenosis may cause similar symptoms affecting your arms and potentially your legs too!
If the narrowed space within the spine is pushing on a nerve root, you may feel pain radiating down the nerve eg sciatica. However, unlike patients who have sciatica due to slipped disc, this sciatica is relieved by sitting down in stenotic patients.
Classically, in stenosis patients, sitting or bending forward to flex the spine should relieve your symptoms. The flexed position ?opens up? the spinal column and therefore enlarges the spaces between the vertebrae. Because keeping the lower back ?flexed' (bent forward) relieves their symptoms, patients will often walk with a slight stoop forward or look downwards.
With this adaptive posture, the lower back is often stiff and tightness develops in the hip flexor muscles at the front of the hips.Standing, walking or bending backwards often makes stenosis-related symptoms worse because this position causes narrowing of the space surrounding the nerves.
Walking up a hill may be fine because leaning forwards opens up the space around the nerves.
The space in the spine may narrow without actually producing any symptoms of stenosis. It is only when the narrowing causes the compression of the spinal cord, nerves and nerve roots, that there may be an onset of stenosis symptoms.
Your neck or back may not even be painful. In severe spinal stenosis, you may experience with constant or worsening back pain; numbness or pins and needles in the genital region; weakness in both legs; and or disturbances in bladder or bowel function. If this is the case, you require urgent medical attention!
How is Spinal Stenosis Diagnosed?
Your physiotherapist or doctor may diagnose you with spinal stenosis based on your symptom behaviour alone. However, the extent of your stenosis is best determined via a CT-scan, MRI or myelography.
lower back pain
MRI Spinal Stenosis
Spinal Stenosis Treatment
PHASE I - Pain Relief & Protection
Managing your pain is usually the main reason that you seek treatment for stenosis. In truth, it was actually the final symptom that you developed and should be the first symptom to improve.
Managing your inflammation. Inflammation is the main short-term reason for why you have suddenly developed stenosis symptoms. It best reduced via ice therapy and techniques or exercises that de-load the inflammed structures.
Your physiotherapist will use an array of treatment tools to reduce your pain and inflammation. These include: ice, electrotherapy, acupuncture, deloading taping techniques, soft tissue massage and temporary use of a back brace.
Your doctor may recommend a course of non-steroidal anti-inflammatory drugs such as ibuprofen.
PHASE II - Restoring Normal ROM, Strength
As your pain and inflammation settles, your physiotherapist will turn their attention to restoring your normal joint alignment and range of motion, muscle length and resting tension, muscle strength and endurance.
Your physiotherapist will commence you on a lower abdominal and core stability program to facilitate your important muscles that dynamically control and stabilise your spine.
Researchers have discovered the importance of your back and abdominal core muscle recruitment patterns. A normal order of: deep, then intermediate and finally superficial muscle firing patterns is normally required for pain-free backs. Your physiotherapist will assess your muscle recruitment pattern and prescribe the best exercises for you specific to your needs.
Your physiotherapist may recommend a stretching program or a remedial massage to address your tight or shortened muscles.
Please ask your physio for their advice.
PHASE III - Restoring Full Function
As your back?s dynamic control improves, your physiotherapist will turn their attention to restoring your normal pelvic and spine alignment and its range of motion during more stressful body positions and postures. They?ll also work on your outer core and leg muscle power.
Depending on your chosen work, sport or activities of daily living, your physiotherapist will aim to restore your function to safely allow you to return to your desired activities.
Everyone has different demands for their body that will determine what specific treatment goals you need to achieve. For some it be simply to walk around the block. Others may wish to run a marathon.
Your physiotherapist will make your back rehabilitation to help you achieve your own functional goals.
PHASE IV - Preventing a Recurrence
Back pain does have a tendency to return. The main reason it is thought to recur is due to insufficient rehabilitation. In particular, poor compliance with deep abdominal and core muscle exercises. You should continue a version of these exercises routinely a few times
In addition to your muscle control, your physiotherapist will assess your spine and pelvis biomechanics and correct any defects. It may be as simple as providing you with adjacent muscle exercises or some foot orthotics to address any biomechanical faults in the legs or feet.
General exercise is an important component to successfully preventing a recurrence. Your physiotherapist may recommend pilates, yoga, swimming, walking, hydrotherapy or a gym program to assist you in the long-term.
Fine tuning and maintenance of your back stability and function is best achieved by addressing any deficits and learning self-management techniques. Your physiotherapist will guide you.
What is Your Prognosis for Spinal Stenosis?
The success of treatment for stenosis is reasonably good in the short-term due to the symptom onset mainly being related to recent inflammation.
With each repeat episode, it is more difficult to control your symptoms because your pathology has deteriorated