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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Neck Pain After Angioplasty Surgery?

Hi, my dad had neck pain that started suddenly after angioplasty. We thought its due to wrong posture during operation. But it persisted and kept on increasing. But within one week he had started feeling very weak and started losing consciousness. The doctors diagnosed him with hyponatremia and gave him sodium i.v. He bacame OK. But still the pain in the neck persisted. An MRI could not be taken due to stent in his heart. After suffering like this for a month, a MRI was taken and he was diagnosed with Spinal TB. Biopsy was not done saying he is not in a condition for that and based on his MRI and blood reports, spinal TB was diagnosed. He was started on antituberculosis medicines. TOday its 16th day of treatment. He is feeling much better but still has pain. And yesterday he climbed stairs thrice and so his pain increased. My queries are-1. Can the spinal TB be diagnosed by MRI and blood tests? 2. When should he actually start feeling better? 3. Can he resume his work from June?
Tue, 23 Jun 2015
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Cardiologist,  's  Response
Angioplasty and detection of spinal problem or tuberculosis is purely incidental and by no means angioplasty can cause that. Now moving toward the second question, MRI or blood test is not the sure shot way to detect Tuberculosis, however based on the clinical situation your describe and if the MRI picture is characteristic along with associated symptoms and Supporting blood investigation, and considering how common is TB in that area, one can start with fair chance of getting results the treatment for TB and as you describe He is already responding. Last each individual responds differently and it also depends on the baseline condition. However he should be good by 3-4 weeks of treatment. For pain, apart from drugs physiotherapy may be helpful. Sir as June is already on to end I think you may have got that answer. However I would prefer it to heal completely. Regards
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What Causes Severe Neck Pain After Angioplasty Surgery?

Angioplasty and detection of spinal problem or tuberculosis is purely incidental and by no means angioplasty can cause that. Now moving toward the second question, MRI or blood test is not the sure shot way to detect Tuberculosis, however based on the clinical situation your describe and if the MRI picture is characteristic along with associated symptoms and Supporting blood investigation, and considering how common is TB in that area, one can start with fair chance of getting results the treatment for TB and as you describe He is already responding. Last each individual responds differently and it also depends on the baseline condition. However he should be good by 3-4 weeks of treatment. For pain, apart from drugs physiotherapy may be helpful. Sir as June is already on to end I think you may have got that answer. However I would prefer it to heal completely. Regards