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Suggest Treatment For Neck And Shoulders Pain With Dizziness
Question: Yesterday it was very cold. I started shaking uncontrollably. Nothing would help. I had the same problems a few years ago. My Doctor told me that it was a virus. It soon went away.
Fast forward to last night. I was at a Elks Lodge. I urinated (no problem) Upon arriving at home, I ran to the bathroom and lost total control. During this trip, I was not dizzy but I lost my balance. I have pain in my back, shoulders mostly from a prior injury. I had a hard time standing up at the meeting, I was weak.
I have had blood clots on both lungs (I am on warfarin for life. I had a kidney stone a few months back.
I do not have a fever. I am weak while trying to get up. I do not feel bad My blood pressure is 130 / 70.
I haven't had the flu or serious col since 1988.
Fast forward to last night. I was at a Elks Lodge. I urinated (no problem) Upon arriving at home, I ran to the bathroom and lost total control. During this trip, I was not dizzy but I lost my balance. I have pain in my back, shoulders mostly from a prior injury. I had a hard time standing up at the meeting, I was weak.
I have had blood clots on both lungs (I am on warfarin for life. I had a kidney stone a few months back.
I do not have a fever. I am weak while trying to get up. I do not feel bad My blood pressure is 130 / 70.
I haven't had the flu or serious col since 1988.
Brief Answer:
cervical spondylosis
Detailed Answer:
Hi XXXX,
Firstly thanks for selecting health care magic to ask your query.
I have noted all your details, you gave a history of pain in neck and shoulders due to a prior injury,the first differential which hits my mind is Cervical spondylosis or Cervical myelopathy.
Altered walking ability perceived as poor balance, weakness,dizziness ,sudden loss of balance with heaviness and pain in upper back and shoulders is the most common presenting symptom of cervical spondylosis.
secondly you said that you are on warfarin.
Dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position can be a side effect of warfarin also.
As your blood pressure is perfectly normal ,i would like to ask you a few questions to rule out the possibility of Orthostatic hypotension or inner ear involvement.
Do you feel lightheadedness while urination?
Did you ever felt that this loss of balance or passing ot feeling is ever associated with sudden change in posture?
Do you ever feel any noise or tinnitus in your ear?
Any history of heaviness or decreased hearing in ears?
ARE you taking any medicine except warfarin?
How long does the feeling of passing out or off balance lasted?
Whats your age?
Till the time you answer the questions i would suggest you to go for a MRI spine to rule out possibilities of spondylosis ,as your history and symptoms points toward a pathology of cervical origin.
Take your time and answer the questions in detail,let me know if you need more clarifications,I would be happy to help you.
Thank you
Dr Rishu Saxena
Physician and Cardiologist
cervical spondylosis
Detailed Answer:
Hi XXXX,
Firstly thanks for selecting health care magic to ask your query.
I have noted all your details, you gave a history of pain in neck and shoulders due to a prior injury,the first differential which hits my mind is Cervical spondylosis or Cervical myelopathy.
Altered walking ability perceived as poor balance, weakness,dizziness ,sudden loss of balance with heaviness and pain in upper back and shoulders is the most common presenting symptom of cervical spondylosis.
secondly you said that you are on warfarin.
Dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position can be a side effect of warfarin also.
As your blood pressure is perfectly normal ,i would like to ask you a few questions to rule out the possibility of Orthostatic hypotension or inner ear involvement.
Do you feel lightheadedness while urination?
Did you ever felt that this loss of balance or passing ot feeling is ever associated with sudden change in posture?
Do you ever feel any noise or tinnitus in your ear?
Any history of heaviness or decreased hearing in ears?
ARE you taking any medicine except warfarin?
How long does the feeling of passing out or off balance lasted?
Whats your age?
Till the time you answer the questions i would suggest you to go for a MRI spine to rule out possibilities of spondylosis ,as your history and symptoms points toward a pathology of cervical origin.
Take your time and answer the questions in detail,let me know if you need more clarifications,I would be happy to help you.
Thank you
Dr Rishu Saxena
Physician and Cardiologist
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Above answer was peer-reviewed by :
Dr. Remy Koshy
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