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Left Hand Weakness - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 654 Questions
Doctor :   hi
Doctor :   how can I help you?
User :   hello
User :   my mother got a minor paralysis attack on her left hand below wrist.
User :   what should i do?
User :   doctors of jamshedpur advised to do CT scan test but CT scan report is normal. her Hemoglobin % age in 7.2 right now.
Doctor :   plz provide her age, occupation
User :   she is also affected from thyroide problem
User :   her age around 52 years
User :   housewife
Doctor :   is she not able to move her hand?
Doctor :   below wrist?
Doctor :   i mean fingers
User :   she can move her hand but there is no sense in fingers
Doctor :   ok
Doctor :   she can move her fingers also
User :   fingers and palm
User :   she can close her palm but strength is zero
Doctor :   ok
User :   doctor give her a neck coller.
Doctor :   can she move her fingers properly? can she grasp some thing from that hand? can she lift something from that hand?
User :   according to the doctor there is compresson in servical spine? but in CT scan nothing is found
User :   yaah she can move fingers but not so easily and she can grasp something in her hand but always there is a fear to lost that thing.
Doctor :   ok

Doctor :   is there any pain in the neck?
Doctor :   while moving?
User :   no
Doctor :   is she able to move her neck properly?
User :   but from last 3 to 4 days swelling in the left hand fingers
User :   yaah she can move her neck properly?
Doctor :   ok
Doctor :   do you have CT scan report with you?
User :   yaah
Doctor :   plz type the report
Doctor :   is it CT brain and neck?
User :   CT BRAIN
Doctor :   ok
Doctor :   any X ray performed
User :   X-RAY DONE OF NECK
Doctor :   ok
Doctor :   do you have both reports?
User :   YES I HAVE BOTH THE REPORT

Doctor :   plz type x ray report first
User :   wait sir i m typing the report
Doctor :   ok
User :   minor oslwphyp in servical spine
User :   vertical body are in height and alingment
User :   i cant read the hand written report of x- ray
Doctor :   ok
Doctor :   type the CT report now
User :   THIN AXIAL SECTION OF BRAIN WERE TAKEN BEFORE AND AFTER iV CONTRAST ON MULTISLIDE CT SCAN
User :   INFRATENTORIUM - CEREBELLAR HEMESPARE NORMAL IN OUTLINE AND ATTENUATION
User :   BRAIN STEM NORMAL
User :   NO FOCAL LASION SEEN
User :   FOURTH VENTRICAL IS NORMAL
User :   IN OUTLINE AND IN MIDLINE
User :   SUPER TENTORIUM - CEREBRAL PARENCHWMA NORMAL IN OUTLINE AND ATTENATION PATTERN
User :   NO ABNORMAL FOCAL/DIFFUSE INHANSMENT
User :   SEEN
User :   THIRD AND BOTH LATTERAL VENTRICALS ARE NORMAL IN CALIBER
User :   NO MIDLINE SHIFT SEEN
User :   BASAL CISTERNS, SYLVIAN FISSURE AND CEREBRAL SULCI ARE NORMAL
User :   IMMERSSON - NORMAL STUDY
Doctor :   ok
Doctor :   CT scan is absolutely normal
Doctor :   is she taking any medications?
User :   WHAT SHOULD I DO?
Doctor :   is she taking any medications?
User :   YES
Doctor :   plz provide the details
User :   WAIT SIR...
Doctor :   details of the medicaions
Doctor :   *medications
User :   ATAN - 50, CHERRY, BICOBAL PLUS, PREGAB 75 MG, THYROX, RAZO 20MG, FOLVITE,
Doctor :   ok
Doctor :   i understood the whole case
Doctor :   she has a minor osteophyte which is visible on the X-ray in neck
User :   WHAT IS OSTEOPHYTE?
Doctor :   this osteophyte is pressing some nerve
Doctor :   osteophyte is a bony spur
User :   HOW IT IS CURE?
Doctor :   a small structure which may form in this age
Doctor :   due to the pressure caused she is having all the symptoms
User :   MY MOTHER IS FEARING WHY THERE IS SWEELING IN FINGERS
Doctor :   the perfect cure is only by operation , but looking at her age and also she has minor symptoms only it is not advisable to go for the operation
Doctor :   therefore the cervical collar is advised to her
Doctor :   swelling is due to reduced movement
User :   I M NOT INTERESTED IN OPERATION AS WELL AS MY MOTHER IS ALSO DONT WANT TO BE OPERATED.
Doctor :   at present there is no need of operation
User :   SHE ALREADY USING COLLER IN HER NECK
Doctor :   i know
Doctor :   that is good for her
User :   SHE HAVE A SMALL BALL IN HER HAND AND PRESS THAT BALL ALL THE TIME
Doctor :   that is best exercise
Doctor :   ask her to do that as many time as she can
User :   IS THERE ANY MEDICINE TO BE PRESCRIBED FOR HER
Doctor :   it will only help her to recover faster
Doctor :   she is already taking BICOBAL PLUS, PREGAB 75 MG,
User :   IS THIS ANY KIND OF PARALYSIS ATTACK
Doctor :   these are the medications which are prescribed
Doctor :   let me make you understand
User :   YES SHE IS TAKING ALL THE MEDICINE WHICH I HAVE WRITTEN EARLIER
Doctor :   good
Doctor :   all our movements are controlled by the nerves
User :   OK
Doctor :   due to osteophyte formed in her neck one of the nerve is compressing
Doctor :   due to which she has lost the power of particular nerve, which controls the hand
User :   WHAT IS MEANT BY OSTEOPHYTE IN GENERAL TERM WHICH WE USE.
User :   OK
Doctor :   it is a medical term only

Doctor :   which means a bony spur
User :   DOES IT MEANS PARALYSIS
Doctor :   it is not a complete paralysis
Doctor :   but it may lead to paralysis
Doctor :   did you follow?
User :   YES
Doctor :   therefor she is advised collar so that the movement of the neck is minimized and she can recover fastly
User :   WILL THE DIESES INCREASE AGAIN
Doctor :   exercise and medicines which she is taking will help her in recovery
User :   OK
User :   ONLY NECK COLLER IS OK OR ANY THING ELSE REQUIRE
Doctor :   see, the osteophyte is there, if at some point of time it again compresses the nerve then the disease may recur
Doctor :   neck collar, exercise with ball, the medicines which she is taking
Doctor :   are enough
Doctor :   but take one precaution that dont massage the hand
Doctor :   either with oil or anything else
User :   OK BUT DOCTOR OF PRESCRIBE HER A MASSAGE OIL
Doctor :   as it is not advised
Doctor :   which oil?

User :   SHE IS REGULARLY APLYING THAT OIL
Doctor :   which oil?
User :   PARALITOL
Doctor :   ok
Doctor :   it is good
Doctor :   massage it with light hand but not too long
User :   CAN SHE USE THAT OIL TO MASSAGE HER WHOLE HAND?
Doctor :   there is no use to massage her whole hand with that oil

User :   WHAT TYPE OF FOOD SHE SHOULD HAVE?
Doctor :   she can have anything which is made at home, no particular food from this respect
Doctor :   but as she is taking thyroid medications
User :   AS I TOLD U EARLIER HER HEMOGLOBING IS 7.2 WHAT SHOULD I DO TO INCRESE THE LEVEL WITHOUT BLOOD TRANSFUSION
Doctor :   she should avoid cabbage
Doctor :   her hemoglobin levels are very less

Doctor :   and invcrease without transfusion will take atleast one year
Doctor :   so it is advisable to go for transfusion
Doctor :   and then maintain the tablets of both iron and folic acid

Doctor :   along with good diet
User :   DOCTORS OF TATA TOLD THAT BLOOD WHICH IS IN BLOOD BANK IN TATA IS NOT ADVISIBLE TO TRANSFUSE. WHAT SHOULD I DO
Doctor :   why is not advisable?

User :   I DONT KNOW WHY HE TOLD LIKE THAT
Doctor :   ok
Doctor :   try at some other hospital
User :   OK
Doctor :   is there anything else that i can help you with?
User :   WHAT TIME IT WILL TAKE TO BE FULLY CURE
Doctor :   it will take atleast 3-6 months
User :   HOW MUCH TIME SHE REQUIRE TO HAVE SERVICAL COLLER
Doctor :   till she recovers fully then will repeat the x ray again and then decide on this matter
User :   AGAIN I ASK U SIR HOW THAT SWEELING IN THE FINGERS REMOVE
Doctor :   the swelling is due to the decreased activity of the fingers, ask her to exercise more frequently the swelling will reduce
User :   OK SIR.

User :   THANK U
User :   MAY I KNOW YOUR NAME PLEASE?
Doctor :   Please fill the feedback form
Doctor :   I am Dr AAAAAAA
Doctor :   Have you filled the feedback form?
User :   YES
Doctor :   ok
Doctor :   good to hear
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   THANKS DOCTOR
User :   BYE BYE
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