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Suggest Treatment For Pain In Heels When Having Bifida Occucalta
Question: I am 32 yrs old.... Male from XXXXXXX
I have spina Bifid occucalta since birth.
I have had a completely normal life till now... With decent amount of sport activities like football, cricket, runni& lot of cycling in childhood.
But, Lately I get pain in my heels... Also heating sensation in feet at night while sleeping.
I also sometimes feel there is some uneasiness like spinal stretch at lower back.
Also did an Mri which clearly mentioned of a tethered cord.
I consulted 3 neurologists, and all three said I need not worry, as all this defect is from childhood... So I can live happily.
But I have read a lot on Google, and after reading lot of unfortunate cases of others, I feel damn scared and highly demotivated with life... I keep getting negative feelings like my legs are going to get paralysed one day and all other negative aspects.
Note... . I have healthy bowels and urination, and also have proper erection during masturbation. Just that slight tingling feeling and sometimes pain in heels and lower back.
Please tell me the chances of me leading a happy normal healthy life.
I have spina Bifid occucalta since birth.
I have had a completely normal life till now... With decent amount of sport activities like football, cricket, runni& lot of cycling in childhood.
But, Lately I get pain in my heels... Also heating sensation in feet at night while sleeping.
I also sometimes feel there is some uneasiness like spinal stretch at lower back.
Also did an Mri which clearly mentioned of a tethered cord.
I consulted 3 neurologists, and all three said I need not worry, as all this defect is from childhood... So I can live happily.
But I have read a lot on Google, and after reading lot of unfortunate cases of others, I feel damn scared and highly demotivated with life... I keep getting negative feelings like my legs are going to get paralysed one day and all other negative aspects.
Note... . I have healthy bowels and urination, and also have proper erection during masturbation. Just that slight tingling feeling and sometimes pain in heels and lower back.
Please tell me the chances of me leading a happy normal healthy life.
Brief Answer:
Don't worry too much
Detailed Answer:
Hi
thank you for trusting HCM
I read your query, saw the report of MR and understand your concern
Dear XXXX, there are a lot of diseases that exist, but they are not risky if they don't provoke symptoms
In my opinion you are perfectly normal
You can confirm my opinion by scheduling a ENG which will show that numbness and tingling aren't related to spine
I can assure you that if you avoid physical stress and try to avoid traumatizing spine, you will be always fine
Wish you all the best
Stay healthy
Don't hesitate to contact me for further questions or queries
Regards
Dr Eris Ranxha
Neurologist
Don't worry too much
Detailed Answer:
Hi
thank you for trusting HCM
I read your query, saw the report of MR and understand your concern
Dear XXXX, there are a lot of diseases that exist, but they are not risky if they don't provoke symptoms
In my opinion you are perfectly normal
You can confirm my opinion by scheduling a ENG which will show that numbness and tingling aren't related to spine
I can assure you that if you avoid physical stress and try to avoid traumatizing spine, you will be always fine
Wish you all the best
Stay healthy
Don't hesitate to contact me for further questions or queries
Regards
Dr Eris Ranxha
Neurologist
Above answer was peer-reviewed by :
Dr. Yogesh D
Dear Dr, Thanks for the valuable reply.
I have many concerns which I have drafted and put in attached image named 'letter 2'...as I had less space to type in the box due to interface limitations.
Would Eagerly await your reply.
I have many concerns which I have drafted and put in attached image named 'letter 2'...as I had less space to type in the box due to interface limitations.
Would Eagerly await your reply.
Brief Answer:
Important is clinical and electrophysological evaluation
Detailed Answer:
Dear
I understand that you are concerned
As I read about your symptoms, it is understandable that no surgery is needed now
The decision is made after electrophysological study (ENG) which will determine if nerve root are suffering due to tethered cord
In my opinion schedule ENG and please upload it to me
I will be happy to advice about further steps
Anyway you should not be worried
, surgery is a minor one and don't create deficits
The images you have provided aren't significant to determine the need of surgery
Wish you good health
Please close query if you are satisfied or feel free to ask for further doubts
Regards
Dr Eris
Important is clinical and electrophysological evaluation
Detailed Answer:
Dear
I understand that you are concerned
As I read about your symptoms, it is understandable that no surgery is needed now
The decision is made after electrophysological study (ENG) which will determine if nerve root are suffering due to tethered cord
In my opinion schedule ENG and please upload it to me
I will be happy to advice about further steps
Anyway you should not be worried
, surgery is a minor one and don't create deficits
The images you have provided aren't significant to determine the need of surgery
Wish you good health
Please close query if you are satisfied or feel free to ask for further doubts
Regards
Dr Eris
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
What's the best foolproof way to understand if I have plantar fasciitis or nerve detoriation due to tethering?
Brief Answer:
Electrophysiology
Detailed Answer:
Dear XXXX
as we talked earlier MR shows organic changes, instead ENG shows nervous system function ( peripheral nerve function)
It's result will help us (doctors) to understand if your symptoms are generated from tethered cord or other causes ( for example plantar fasciitis)
In my opinion it will be a rare exceptions ( in your case ) to be spina bifida the cause of your symptoms at this age
Anyway I told you earlier whatever the ENG says you don't have to be worried too much
It is a fully treatable even if surgery is needed
I don't think you will need it but it's ENG information which give the right orientation
Stay healthy
Regards
Electrophysiology
Detailed Answer:
Dear XXXX
as we talked earlier MR shows organic changes, instead ENG shows nervous system function ( peripheral nerve function)
It's result will help us (doctors) to understand if your symptoms are generated from tethered cord or other causes ( for example plantar fasciitis)
In my opinion it will be a rare exceptions ( in your case ) to be spina bifida the cause of your symptoms at this age
Anyway I told you earlier whatever the ENG says you don't have to be worried too much
It is a fully treatable even if surgery is needed
I don't think you will need it but it's ENG information which give the right orientation
Stay healthy
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for the helpful reply...
In my case, Would it be nerve conduction, or needle type?
Also, would these tests negatively effect or trigger my nerves more?
Would the electrodes or needles be pierced inside my backarea? Looks to be a painful test!
In my case, Would it be nerve conduction, or needle type?
Also, would these tests negatively effect or trigger my nerves more?
Would the electrodes or needles be pierced inside my backarea? Looks to be a painful test!
Brief Answer:
Nerve conduction is necessary
Detailed Answer:
Hi again
thank you for trusting us and being part with your questions
In your case nerve conduction is needed to understand if tethered cord is the cause of your symptoms
Needles will determine the muscle suffering and confirm other possible diagnoses
So better run them both, ENG and EMG
Anyway none of them is painful
The examiner will test peripheral nerves
You will not be touched at lumbar space
I can assure that the pain provoked is minimal, like a minimal bite
Don't worry about that, do it as soon as possible
Wish you all the best
Have a nice day
Regards
Nerve conduction is necessary
Detailed Answer:
Hi again
thank you for trusting us and being part with your questions
In your case nerve conduction is needed to understand if tethered cord is the cause of your symptoms
Needles will determine the muscle suffering and confirm other possible diagnoses
So better run them both, ENG and EMG
Anyway none of them is painful
The examiner will test peripheral nerves
You will not be touched at lumbar space
I can assure that the pain provoked is minimal, like a minimal bite
Don't worry about that, do it as soon as possible
Wish you all the best
Have a nice day
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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