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To Be Answered By Dr. Prof. Kunai Saha, Dr. Saha,
Question: To be answered by Dr. Prof. Kunai Saha,
Dr. Saha,
This is Rosemarie Raia. I have not talked to you for a while but I am still having problems.
I still have numbness in feet due to bulging disc pressing on the spinal cord. I have an appointment with orthopedic doctor on October 5 to talk about an epidural.
i am also having a problem with anxiety. I have been taking lorezepam .5 - 2x a day since October of last year. I am now taking Prozac 10mg. - 1 x a day and recently put on Gabapentin 100 mg. at bedtime. I tremble, sometimes the whole day. I am having involuntary movements of the feet and legs and sometimes other body parts. My doctor does not seem to know what to do. Please answer asap.
Dr. Saha,
This is Rosemarie Raia. I have not talked to you for a while but I am still having problems.
I still have numbness in feet due to bulging disc pressing on the spinal cord. I have an appointment with orthopedic doctor on October 5 to talk about an epidural.
i am also having a problem with anxiety. I have been taking lorezepam .5 - 2x a day since October of last year. I am now taking Prozac 10mg. - 1 x a day and recently put on Gabapentin 100 mg. at bedtime. I tremble, sometimes the whole day. I am having involuntary movements of the feet and legs and sometimes other body parts. My doctor does not seem to know what to do. Please answer asap.
Brief Answer:
Try relaxation exercises
Detailed Answer:
Thanks for choosing to ask me once again.
You have been having anxiety for quite some time and that indeed is a cause for concern. It could perhaps explain your tremor of hands and feet (I assume that this is the type of involuntary movement that you are talking about). Your doctor might try atenolol and see if it helps with the tremors. Prozac is a good medicine and should help with your anxiety. If you have pain, Gabapentin can help.
If the involuntary movement is different from tremors, I would insist you to ask some family member to record a video and to show it to your treating doctor. That will help him to choose the correct treatment.
It is good to know that you soon have the appointment with your orthopedician. If you (and he) plan for surgery, it can help in dealing with your numbness. Epidural medication will help with the pain but that is unlikely to relieve your numbness.
Regards
Try relaxation exercises
Detailed Answer:
Thanks for choosing to ask me once again.
You have been having anxiety for quite some time and that indeed is a cause for concern. It could perhaps explain your tremor of hands and feet (I assume that this is the type of involuntary movement that you are talking about). Your doctor might try atenolol and see if it helps with the tremors. Prozac is a good medicine and should help with your anxiety. If you have pain, Gabapentin can help.
If the involuntary movement is different from tremors, I would insist you to ask some family member to record a video and to show it to your treating doctor. That will help him to choose the correct treatment.
It is good to know that you soon have the appointment with your orthopedician. If you (and he) plan for surgery, it can help in dealing with your numbness. Epidural medication will help with the pain but that is unlikely to relieve your numbness.
Regards
Above answer was peer-reviewed by :
Dr. Prasad
Doctor, the involuntary movements are not tremors they are actual movement of the foot or other part of the body.
I also have another problem now. I may have a torn Achilles tendon in my foot. I had ankle pain and went to an urgent care. They x rayed it and said no fracture. I was in pain so I wnt to my podiatrist. He gave me a needle in my foot because of the pain. on Sundday I heard something crack in my ankle and had great pain and could not walk on it. Monday went back to the podiatrist. He said it may be a torn or ruptured tendon. He is sending me for an MSK ultrasound but I cannot get it until next Wednesday. I am in pain and having trouble getting around. I had to canced my orthopedic appointment. Do you have any suggesstions?
I also have another problem now. I may have a torn Achilles tendon in my foot. I had ankle pain and went to an urgent care. They x rayed it and said no fracture. I was in pain so I wnt to my podiatrist. He gave me a needle in my foot because of the pain. on Sundday I heard something crack in my ankle and had great pain and could not walk on it. Monday went back to the podiatrist. He said it may be a torn or ruptured tendon. He is sending me for an MSK ultrasound but I cannot get it until next Wednesday. I am in pain and having trouble getting around. I had to canced my orthopedic appointment. Do you have any suggesstions?
I already am taking atenolol for the heart.
Brief Answer:
Neurological referral suggested
Detailed Answer:
Pardon me for the delay in responding. If the involuntary movements are not tremors, a neurological evaluation would be needed and I would insist you to get an appointment with a neurologist. I would also insist you to ask a family member to video record those movements on a XXXXXXX phone and to show them to the neurologist when you visit him/
It is sad to hear about the torn Achilles tendon. I did not get the reason for canceling the appointment with the orthopedician. Rather, it would make sense if you could arrange for it once again. I am not certain that a podiatrist would be able to handle it. The musculoskeletal ultrasound should help. You can apply ice topically but I think that interventions cannot be arranged for prior to the msk usg followed by orthopedic review.
Regards
Neurological referral suggested
Detailed Answer:
Pardon me for the delay in responding. If the involuntary movements are not tremors, a neurological evaluation would be needed and I would insist you to get an appointment with a neurologist. I would also insist you to ask a family member to video record those movements on a XXXXXXX phone and to show them to the neurologist when you visit him/
It is sad to hear about the torn Achilles tendon. I did not get the reason for canceling the appointment with the orthopedician. Rather, it would make sense if you could arrange for it once again. I am not certain that a podiatrist would be able to handle it. The musculoskeletal ultrasound should help. You can apply ice topically but I think that interventions cannot be arranged for prior to the msk usg followed by orthopedic review.
Regards
Above answer was peer-reviewed by :
Dr. Yogesh D
Dr. Saha,
Can Gabapentin help with the numbness. At the present time, I do not know if I can sustain an operation. I am going to try to get an epidural but do not know if that would help with the numbness in my feet. I also have tears in the tibialis , tendonosis,of my foot both of which are making it difficult to walk. This is all making me very anxious. Is there any help you can give me?
Can you e mail me back?
Can Gabapentin help with the numbness. At the present time, I do not know if I can sustain an operation. I am going to try to get an epidural but do not know if that would help with the numbness in my feet. I also have tears in the tibialis , tendonosis,of my foot both of which are making it difficult to walk. This is all making me very anxious. Is there any help you can give me?
Can you e mail me back?
Brief Answer:
Things are tough. Choose whatever option seems best.
Detailed Answer:
Gabapentin can help with the numbness, but its scope is rather limited. Epidural will help with the pain but not necessarily with the numbness. I understand about the other co-morbidities. Actually age makes things difficult and it is very hard to resolve many of these problems. Surgery would have been helpful but the advanced age complicates the matters and it might be a good idea to avoid surgery, but then, you would need to bear the paucity of the benefits that you could have obtained by surgery. I would insist you to try and relax. Choose whichever treatment modality you think best. It is not really a big deal. Each has its merits and demerits. We would have to accept that. So, accept that you would need to accept some disadvantages whichever way you go.
Regards
Things are tough. Choose whatever option seems best.
Detailed Answer:
Gabapentin can help with the numbness, but its scope is rather limited. Epidural will help with the pain but not necessarily with the numbness. I understand about the other co-morbidities. Actually age makes things difficult and it is very hard to resolve many of these problems. Surgery would have been helpful but the advanced age complicates the matters and it might be a good idea to avoid surgery, but then, you would need to bear the paucity of the benefits that you could have obtained by surgery. I would insist you to try and relax. Choose whichever treatment modality you think best. It is not really a big deal. Each has its merits and demerits. We would have to accept that. So, accept that you would need to accept some disadvantages whichever way you go.
Regards
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Above answer was peer-reviewed by :
Dr. Nagamani Ng
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