Appearance
question:Hiya just wanted to enquire that if a person had polio in his childhood but has recovered and is now in his normal activities, Limps a little bit when walking but not at all obvious and his affected leg is very slightly slimmer than the other, he is now 31. what are the chances in his case to develop post polio syndrome? is there any prevention??
answer:Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The limping and the slimmer leg could be from post polio syndrome. He would need to undergo blood test and neurological testing to confirm. In order to prevent further deformity if its post polio syndrome he would need specialized bracing and physical therapy and occupation therapy to prevent muscle wasting.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Samuel Parmar
question:I am having swelling in my feet and ankle saw a doc he says I have lymphedema I have had no cancer or surgery. then saw a surgeon he said it was Leaky varicose vein and need surgery. I have not had a physical done yet to see if my kidney, liver and heart is ok. what do u suggest me to do.
answer:Lymphedema and varicose veins have similar symptoms such as lower extremity swelling. Varicose veins will cause dermatitis and usually manifest on inside of your ankle joint. If your in pain and the swelling is out of control I would agree with your vascular doctor but if your not in pain and the swelling is mild I would recommend over the count compression stockings as long as you don't have any heart or liver problems. Regarding getting a physical exam once every year is not a bad idea so if you havent had a physical exam yet, that would not be a bad place to start.
question:Hello. I am a 33 year old female with vericose veins in both legs around the knees. I have also suffered injuries to both knees including the ripping of tendons and hyperextension. I am 5 6 and weigh 130-135 lbs. Besides the chronic knee pain, I have recently suffered from a bulging vein, beside my left knee, that has left a large bruise. Part of the bruise is healing while the other part is still a deep red. There was no trauma to the vein prior to the bulging, but it did become very itchy during the hour or so that I dealt with this. Given my knee history (along with osteoarthritis in my hips) are the problems I have related? Should I be concerned about the bruising left behind? It has been 2 weeks since this happened. Thanks!
answer:Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Varicose veins and osteoarthritis are two separate diagnoses and the literature I have read does not show any relation between those two. Bruising behind your left knee should resolve, but if its itching then you should moisturize it daily and also apply benadryl cream to prevent it from itching. Constant itching can cause ulceration which could expose you to a bigger issues. I would not be concerned about the bruising as long its resolving and you don't get infection because of constant itching and exposing to bacteria from your fingernails.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Samuel Parmar
question:Iam having left knee pain, even after I taken aleve - It feels like shooting pain when I stand or not bend my knee for a long time, and it pops. a tendon over the knee cap, there is no inflammation, no swelling, but This is been happening since, 2 weeks... I dont know if I laid it on wrong, weight gain, or I twisted some wrong way.. CAn you help with the answer maybe.
answer:Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There are multiple possibilities for knee popping. You should try and recall any unusual knee trauma. Tear in meniscus can cause popping so can patellar tendonitis. Resting, ice, and compression can help but eventually you should get advanced imaging if conservative therapy does not help.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Samuel Parmar
question:Hi there, i am a brazilian medical doctor and suffer from cerebral palsy.While recovering from a fibular reconstruction at the contra lateral foot(the normal one), i had a lateral talo navicular luxation(the talus in the medial position compared to the mid foot.MRI:no neurovascular demage,neither condral injury.Only some calcaneus,navicular areas of bone edema at paretic foot(.Because i am not recovered from the first surgery, i have to wait some months to go to that surgery.Considering that lateral luxation is very difficult to achieve a non open reduction,probably i ll have to submit myself an artrodesis. I don´t know with it will be a triple one,or a talonavicular,maybe associated with subtalar. I have no signal of osteoarthits.i would like to know how much time i ll need weight bering and the final prognosis(moviments that will not be able to do) . I don,t practice sports ,i just need to return to work with no or mild pain.Iam a psychiatrist.Because of the first surgery i couldn´t discuss that with my ankle specialist.Sincerely yours,leonardo
answer:Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Based on your questions it seems that you have decided not to seek any medical help till your fibular reconstruction has improved. If you do seek help right away it might be possible to reduce the Talonavicular joint with pinning and since your non weight bearing currently it won't affect your lifestyle much anyways. If you choose to wait and get TN reduced later there is a chance you might ulcerate due to intrinsic pressure on soft tissue that is being created by navicular, not only you are increasing your chance to get a fusion which might over several years cause arthritis in other joints. Locking TN joint right away will reduce motion in subtalar joint significantly. Regarding if you choose to be under TN fusion I would not recommend getting STJ fusion with it because it will limit your motion significantly. In my opinion you should under Talonavicular reduction with temporary fixation right away before you end up compromising your soft tissue.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Samuel Parmar
question:i had boil in armpit last december 19 2013 and it burst after taking amoxicillin trihydrate 500mg on the fourth day. and i didnt continue my medication then. i have another boil now in the same armpit for a week and i started taking the same medicine but twice a day only which started two days ago and seems the boil is increasing in size, i dont even see a head or yellowish opening yet. should i increase the dosage to 3 times a day?
answer:Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I don't recommend increasing the dose without asking your physician cause Amoxicillin may have some serious side effects when increasing doses than required. Side effects include nausea, vomiting, tiredness, hypersensitivity reactions, blisters, and rarely may cause liver damage so I would be more careful. Hope the above information helps you. Let me know if I can assist you further.Regards, Dr. Ahmed Aly Hassan