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Can antibiotics help in treating legs pain caused by a stroke?

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Posted on Wed, 11 May 2016
Question: It has been confirmed my Dad has had a Stroke that has affected his legs causing him to fall. They have said Physio wont help him he has been assessed by Physio but say tablets can help him. Will he get use back in legs from taking tablets he is on 300mg of Aspirin and not sure what else. They think it is a blocked artery in neck from CT scan and are saying tablets can sort this problem out but I thought he would have to have some kind of an opening artery operation, is it true it can be sorted by tablets they say it is a minor stroke. I just want my Dad to get his mobility back and stop another stroke happening is this possible please?
doctor
Answered by Dr. Ajay Panwar (7 hours later)
Brief Answer:
Please provide some more details.

Detailed Answer:
Hi XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I understand your concern about your Dad.I would surely offer you my best help in this regard but beforehand I want to know some more details about his illness-
1)Did the stroke affect his both legs or on one side?Usually,stroke causes weakness in arm and leg on one side?Its rarely occurs that both the legs get affected without any involvement of arms.
2)How much time back did it occur?
3)Has he improved since then?What is his present disability status?Can he walk with support or not even with support?

Lastly,it is important for me to see his CT scan's report at that time.So,please click images of his CT report and other relevant documents and upload them here.If documents are not available,then atleast please write down here the summary mentioned on his discharge sheet,of the last hospital he attended.

I shall be glad to have you in follow-up so that I can answer this well.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar (16 minutes later)
It is dads left leg its actually pointing to his knee he has pain in knee but leg feels weak. This happened 3 weeks ago we went to Doctor was sent for an xray this is normal. We then went Diabetic Clinic and he sent Dad straight to a and e last Tuesday. They assessed and said it was a stroke. He was on Amitriptyline this stopped last Monday as I thought symptoms maybe a side effect of drug. I still think it is that and not a stroke.
He has stayed the same and can walk with a walking stick but leg gives way and he falls.
My dads left leg still keeps giving way and I am worried sick it will never recover. Dads discharge summary is as follows: bloods crp 28, hba1c 60, nil else remarkable
ECG: sinus tachycardia, US carotid doppler <50% stenosis b/l
Examination revealed Left LL 4/5 hip/knee extensions and the rest was not remarkable. A diagnosis of ischaemic stroke has been made.
CT brain report as above.

CT report: long standing areas of focal low attenuation at the posterior aspect of the right striatum and within the left lentiform nucleus. No acute intracranial hammorhage or infarction. No evidence of acute intracranial abnormality.



doctor
Answered by Dr. Ajay Panwar (15 hours later)
Brief Answer:
No acute stroke.Needs neurological examination.

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up and providing further details.

I have gone through the clinical details and CT report you have mentioned.

Ct report nowhere mentioned about any acute stroke.It just says about old changes with low attenuation.So,old stroke can't be the cause of new weakness.Further,his weakness is mainly restricted to left lower limb.Weakness in only one lower limb with no involvement anywhere else,is not the kind of pattern seen in stroke.

In the clinical setting of Diabetes,he must be examined for more likely causes like radiculopathy,plexopathy or muscle weakness.

I suggest you to take him to a neurologist in your region,for a formal examination so that investigations can be planned based on examination and actual cause of weakness gets revealed.

Hope that I have answered your query.If you have some further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar (3 hours later)
If it is anything you mention can this be reversed and can dad gain mobility back
doctor
Answered by Dr. Ajay Panwar (4 minutes later)
Brief Answer:
Prognosis depends on the diagnosis.

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.

Though,prognosis and recovery depends on the cause of the weakness.However,whatever it may be,physiotherapy is likely to help along with medicines.

I suggest you to find a neurologist in your region and take your dad to him for a physical examination.

If you have some further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Ajay Panwar

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Can antibiotics help in treating legs pain caused by a stroke?

Brief Answer: Please provide some more details. Detailed Answer: Hi XXXXXXX Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. I understand your concern about your Dad.I would surely offer you my best help in this regard but beforehand I want to know some more details about his illness- 1)Did the stroke affect his both legs or on one side?Usually,stroke causes weakness in arm and leg on one side?Its rarely occurs that both the legs get affected without any involvement of arms. 2)How much time back did it occur? 3)Has he improved since then?What is his present disability status?Can he walk with support or not even with support? Lastly,it is important for me to see his CT scan's report at that time.So,please click images of his CT report and other relevant documents and upload them here.If documents are not available,then atleast please write down here the summary mentioned on his discharge sheet,of the last hospital he attended. I shall be glad to have you in follow-up so that I can answer this well. Regards Dr.Ajay Panwar, MD,DM(Neurology)