Suggest Treatment For Severe Pain After A Fall
Difficult to conclude but we can discuss.
Detailed Answer:
Dear Madam,
Thank you for posting your query on HCM.
Well looking into your problem I would like to tell you that your whole story has many loose ends and its very difficult to tie them without examining you but still I would try to help you out.
For the tingling and numbness in your hands both the factors are contributory . Since your diabetes is uncontrolled which results in neuropathy plus the injury you had led to tendon tear which would have increased the compartment pressure which could have resulted in the partial injury to the nerve .
For this taking Vitamin B12 supplement along with Pregabalin in combination would help out .
The arthritis of your thumb must be osteoarthritis of thumb as it is the most common ailment affecting the thumb at your age plus diabetics are more prone to have this.
Now coming to the shoulder thing since you had a tear it would have healed by now . Plus the cortisone injection would have accelerated the healing , its very effective in healing.
Other thing is you should stop taking ibuprofen and use it only when required . Let your test reports come and then I will guide about the further prospects.
Take care.
Dr. Shruti
Follows.
Detailed Answer:
Dear Madam,
Thank you for reverting back.
Yes i definitely agree with your treating doctor and strongly believe that sugar control is extremely essential to bring back quality of life. Diabetes is a systemic disease and uncontrolled one disturbs all the functions of the body and at this high level insulin happens to be the best choice.
Since your X rays are normal thats a good news , but you should take calcium and vitamin D supplements to make your bone stronger.
So I think you should go by what your doctor is saying.
Dr. Shruti
Follows.
Detailed Answer:
Dear Madam,
Thank you for reverting back.
when you suffer from other comorbidities specially like diabetes it complicates the healing process so thats the troubling issue . Please get your DEXA scan done to rule out osteoporosis as diabetic patients are more prone for it also and treatment needs to be started if you suffer from that.
Dr. Shruti
Follows.
Detailed Answer:
Dear Madam,
Thank you for reverting back.
I appreciate your spirit and my good wishes ae always with you. I also agree that diabetes control should be your priority this time .
If you have any other queries I will love to answer. It gives me immense pleasure to hear that I have been of any help to you.
Wish you a good health.
Dr. Shruti