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Hi Doc I Need Advice Here. My Mom Is 60

Posted on Fri, 7 Dec 2018

Question: Hi Doc

I need advice here. My mom is 60 yrs old she has high blood pressure problem and she is thalasemia minor beta thalasemia and she had fell down 2 yrs back in which both her shoulders got hurt and it was a suprasinatus tear it use to pain a lot for her but she did not wanted to go for surgery soo she kept on neglecting taking pain killers but the pain did not go she finally took some sterioud injection in one of the arm the pain got subsided but now recently her both shoulders neck and hands got severy struck and lot of pain she got the mri done for cervical and i am attaching the reoport for the same

Can u pls advice which doc should i take her to neurologist or ortho or physiotherapist or what? And what does the report show what shud be the line of treatment she has pain in tjhe neck radiating to ger left arm which gets frozen and stiff and pains a lot

She has cervical apondylisi soo need ur help in letting me know whoch doc to consult and what line of tremeny should be doelne as lper the report . Her pain is so high that she has become completely week and has lost lot of weight cant sleep in the night

Answered by Dr. Dr. Gopal (58 minutes later)

Brief Answer:
Orthopedic consultation is required.

Detailed Answer:
hi, I am Dr. Gopal Goel Orthopedic Surgeon.
I have read the details and seen the MRI Report.
In my opinion, her current symptoms are matching with MRI Report.
She should go for an orthopedic consultation since the problem is in the cervical spine.
I normally start painkillers, muscle relaxants, and physiotherapy for all my patients with this presentation. About shoulders again I would like to get MRI to see the involvement of specific muscle/tendon injury. Thalassemia minor is not a major problem if surgery is indicated and required. At this age, Supraspinatus surgery is rarely indicated.
I hope to have answered your question. Please feel free to ask any other question.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Gopal (29 minutes later)

Hi Doc

Will you be able to refer any good orthopoedic in bangalore?

Pls advice

Answered by Dr. Dr. Gopal (52 minutes later)

Brief Answer:
Hi

Detailed Answer:
hi,
Personally, I don't know anyone but being a cosmopolitan city there would be good no of good orthopedic surgeons. Go to any big hospital and the surgeons will be good.

Thanks

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Gopal (2 days later)

Hi Doc

We have done the cervical spine report again and here is the report attached can you please let me know if this needs a surgery? what is the line of treatment in this case as the pain is raditaing very very strongly in the left hand and the power in the left hand is minimal.

Answered by Dr. Dr. Gopal (16 minutes later)

Brief Answer:
No surgery indicted in cervical spine

Detailed Answer:
Hi
I have seen the reports of MRI both oct and current one.
It shows multiple disc bulges and degenerative changes in the spine .
I would suggest you start mild pain killers , Muscle relaxants , a combination of pregalin and methycobalamine and Physiotherapy. Cervical Collar can be used temporarily.
Mostly the results are satisfactory. Surgery is rarely indicated.
Thanks and again all the best for her recovery.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr. Gopal (8 minutes later)

Hi Doc

What kind of physiotherapy we shud give? Pls suggest and pregalin can be taken for how long?

Also the report says hemangioma which i read is a tumor ? Can you please explain the same.

Also pregalin tablet can be taken for how long as i read it is for sezzisures

Answered by Dr. Dr. Gopal (8 minutes later)

Brief Answer:
Pl see below

Detailed Answer:
Hi
Physiotherapy normally I advice is Interferential therapy and Traction - intermittent cervical and lumbar both for you mother.
Hemangioma is generally incidental finding only.
I have patients on pregalin for 4-5 yrs.
Thanks

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr. Gopal (1 hour later)

Hi doc

She has started taking nervijen capsule which has methylcobalamin as the main constituent and
Tab pbren nt which has pregabalin as main constituent

Pls suggest if this is fine

Also she started this from yesterday night and has been sleepy till now felling very week from inside and very tired and sleepy.

Pls suggest if this us safe to take

Also will u recommend tens therapy?

Answered by Dr. Dr. Gopal (5 minutes later)

Brief Answer:
It serves the same purpose

Detailed Answer:
Hi
These medicines serve the same purpose.
Drowsiness is a side effect of medicines and is likely to reduce overtime ,so I suggest you continue with medicines.
Thanx

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr. Gopal (1 hour later)

Thank you doc highly appreciate your quick responses. Thank you very much. Also can you help clarify last thing which you have already done but I am still worried as the pain is vwry very severe which radiates to the left arm soo... this hemangioma is any kind of tunor for which treatment is required?

Answered by Dr. Dr. Gopal (4 minutes later)

Brief Answer:
No treatment required for hemangioma

Detailed Answer:
Hi
Hemangioma is a benign tumor in vertebrae which is a very common finding. It is usually self limiting and does not cause any problem.
Only if it increases rapidly in size or cause pressure symptoms or causes collapse of vertebra - it needs treatment but it is very rare.
In your mothers case since there are other causes which correspond with symptoms- I would advice that you forget about hemangioma.
Thanks

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D