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I am loosing my balance, my ability to complete simple

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Posted on Tue, 5 Feb 2019
Question: I am loosing my balance, my ability to complete simple tasks, nutritional and hygiene. I have constant back pain, except when I am in bed resting. I am concerned with my future care needs and need to see a specialist, but I am not certain what specialty to look at.
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Answered by Dr. Michelle Gibson James (36 minutes later)
Brief Answer:
more than one specialist would be needed

Detailed Answer:
HI, thanks for using healthcare magic

I am sorry that you having these difficulties.

More than one specialist may be needed.

A psychiatrist would be able to assess activities of daily living but so would an occupational therapist, but the psychiatrist would have the added benefit of determining if mental impact of the changes or influence of any cognitive or emotional issues on your ability to function. He or she would also be able to look at assessing you for the PTSD mentioned.

In addition to a psychiatrist or occupational therapist, a neurologist would also be needed to assess balance and may also be able to assess the back pain and the effect of the changes of the back on the nerves in that area.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Michelle Gibson James (6 minutes later)
Is it possible that the back pain and disability could cause the mental impairment?
Thank you Dr. XXXXXXX
doctor
Answered by Dr. Michelle Gibson James (30 minutes later)
Brief Answer:
not directly but can have an indirect effect

Detailed Answer:
HI

Back pain/disability or any severe pain would not affect the ability to think and reason directly but it can affect mood, causing or worsening depressed mood or anxiety which may then affect cognition and reasoning
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16811 Questions

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I am loosing my balance, my ability to complete simple

Brief Answer: more than one specialist would be needed Detailed Answer: HI, thanks for using healthcare magic I am sorry that you having these difficulties. More than one specialist may be needed. A psychiatrist would be able to assess activities of daily living but so would an occupational therapist, but the psychiatrist would have the added benefit of determining if mental impact of the changes or influence of any cognitive or emotional issues on your ability to function. He or she would also be able to look at assessing you for the PTSD mentioned. In addition to a psychiatrist or occupational therapist, a neurologist would also be needed to assess balance and may also be able to assess the back pain and the effect of the changes of the back on the nerves in that area. I hope this helps, feel free to ask any other questions