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Cause of neck pain, wekaness - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3387 Questions
Doctor :   Hi
User :   hi
Doctor :   How can I help you?
Doctor :   Dr. XXXXXXXX here.
User :   I'm having a problem of not able to sit for long time
Doctor :   ok
User :   i'm getting neck weakness
User :   and sometimes...leg weakness
Doctor :   ok
User :   you always have feeling that you are not normal.. due to some heady feeling
Doctor :   please provide your age, gender, location, occupation, height , weight, details of past medical illness and treatment if any
User :   37, male , bangalore, IT, 173 cm, 83
User :   I underwent Nephrotomy nov 2009
Doctor :   ok.
Doctor :   please describe your symptoms in detail
Doctor :   for what reason/symptoms was nephrotomy done?
User :   i'm also chronic HBsAg B carrier
Doctor :   are you on any treatment for being a chronic HBsAg B carrier?
User :   no
User :   due uritric stricture
User :   and kidney was obstructed for long duration
Doctor :   ok
User :   i had neck pain and then it radiated to the shoulder
Doctor :   so was it a nephrotomy done (surgery on kidney) or a pyelolectomy/pyeloplasty (on the ureter) was done for ureteric stricture correction?
User :   did physio
User :   i was PCN for some to check the function of kidney but it didn't
Doctor :   and how long after the surgery did you start having neck pain and weakness?
User :   so the left kidney was removed
User :   my neck is just 6 weeks old
User :   i mean neck pain
Doctor :   please explain PCN.
User :   they will put an external tube to the kidney to check the urine production of left kidney
User :   dialy urine collection of left kindney was less than 50 ml
Doctor :   do you mean to say they plan to do a 'Per Cutaneous Nephroplasty'?
Doctor :   ureteric stricture can cause backlog of urine and dilation with pressure effect on the kidney damaging the normal functioning.
User :   yes... thats what happened in my case
Doctor :   your present symptoms relate to neck, and in my opinion should not be confused with kidney status, unless your blood parameters are elevated
User :   i'm checking the creatine level every 3 to 4 months... its.. 1.1 to 1.2
Doctor :   that is to say that the elevated levels of Blood urea nitrogen and Serum Creatinine will cause feeling of weakness and to some extent a dizzy feeling
Doctor :   now coming to your neck pain.
User :   yeah
Doctor :   please describe it in detail. is it a dull aching pain or sharp shooting pain?
Doctor :   does it radiate up towards head?
User :   dull aching pain and not able to move neck to left side
User :   it radiates to head as well
Doctor :   when is the neck pain more? does it seem to be precipitated by long hours of sitting?
Doctor :   does it increase on prolonged sitting?
User :   yes... while working and driving
Doctor :   please give the following work related details to me for better analysis of the problem
Doctor :   does your chair support your entire back and contoured to support neck and low back?
User :   i'm software professional... sit for long hours
Doctor :   what is the distance between the computer monitor and your eyes?
User :   the chair support till below the neck
Doctor :   do you sit upright while at work? or slouch?
User :   and distance is 20 ft
User :   i learn towards the screen to read properlyu
User :   sorry... 2 feet not 20 feet
Doctor :   do your legs rest flat on floor while working?
User :   not always.. some i strech my leg and sit
Doctor :   ok
Doctor :   i will suggest these following steps to be followed.
User :   ok
Doctor :   1) for the acute pain relief try with hot water fomentation and Relaxyl spray 2 times a day
User :   ok
Doctor :   2) once pain in under control, start with neck mobility exercises
User :   ok
Doctor :   3) take regular breaks while at work for stretching all muscle groups and do neck exercises
User :   ok
Doctor :   4) if still these measures do not help you, then get a orthopedic examination done along with x-ray or MRI neck to rule out spondylitis chances
Doctor :   have you followed what I have said?
User :   doctor.. i did X-ray
User :   of my neck
User :   i found mild bone spur
Doctor :   ok, what treatment was prescribed for the spur
User :   was under medication for 15 days... but that was over 2 weeks
User :   ago
Doctor :   if it is the reason for your symptoms not getting improved, then it should be excised.
User :   any tests ???
Doctor :   the x-ray showing the bone spur itself is proof
User :   ok..
Doctor :   and it may be the reason why the medication and physiotherapy is not helping you
User :   ok
User :   what is the next step
Doctor :   so discuss with your treating orthopedician about getting it surgically removed.
Doctor :   which will help in controlling the symptoms with physiotherapy and medications
Doctor :   is there anything else I can help you with?
User :   will there be any other cause do you suspect for my leg weakness and some times sprain
User :   i feel like falling
Doctor :   please describe the symptoms in detail in relation to your leg.
Doctor :   where is the weakness? is it in hip, knee or ankle?
Doctor :   is the pain in muscles or joints?
User :   after i sit and then i start walking i feel like falling
Doctor :   ok, where do you feel the weakness?
User :   i get pain in the joint
Doctor :   do feel your knee is giving way?
User :   yes... i feel tottaly tired and sense of imbalance....
Doctor :   ok. then a careful knee examination has to be done to look for ligament stability
User :   not the knee... entire body...not able to hold up
Doctor :   if the ligaments are weak, this can happen
User :   ok
Doctor :   have you got your blood pressure checked?
User :   yes... it's normal... yesterday also i checked
Doctor :   is there dizzy feeling when you get up from sitting position?
User :   yes...
Doctor :   have you had past history of ear infections?
User :   not able to think also properly...
User :   no... but left year i get some small sound
User :   bee sound
User :   i mean left ear
Doctor :   ok. when is it present more?
User :   yes...i can sense it when there is silence
Doctor :   the dizzyness and lack of balance feel can come due to inner ear problem as evidenced by th sound in ear
Doctor :   you should get an ENT examination done for the ear and the lack of balance symptoms
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