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  • Category: Neurology

    Please solve that problem of the patient


    Wondering what could be the cause of nerve related pain brought up even by the light touch of the bed sheet or by little exposure to cold? Searching for a proper treatment for such related concerns and the cause of such pains? Check here to find answers given by experts in related field on IndiaStudyChannel.

    55-year-old patient was admitted in the hospital with the complaint of loss of sensation on the left side of the body. A few days later, the patient appeared to be improving and there was an evidence of return of sensation to the left side of his body, but he suddenly started to complain of agonizing pain in his left arm and leg. The pain would start spontaneously or be initiated even by the light touch of the bed sheet or by little exposure to cold. The pain failed to respond even to powerful analgesic drugs.
  • #143366
    As per the the query first let us know to which hospital he is admitted the medicines that is prescribed to him. Should check whether the patient has undergone the required test and then prescribed medicine's. As per this query I feel the patient must have done lot of manual hand work. So its better to consult neurosurgeon or orthopedics. It must be related to nerves or bone problem. Analgesic drugs is not the permanent solution it is just temporary. So its better to consult and have through check up and take right medicine at the initial stage. More medicines cannot be mentioned in sites without the detail report of the patient.

  • #143373
    sir ,if it is a bone disorder it doesn't respond to analgesic drugs immediately ,i think that was a neurological disorder.

  • #143377
    I will try to answer your query by presenting the question over here:

    55-year-old patient was admitted in the hospital with the complaint of loss of sensation on the left side of the body. A few days later, the patient appeared to be improving and there was an evidence of return of sensation to the left side of his body,
    This first improvement of health is because of the first medicines, intravenous/injectable/oral and thus the cells of the body start to function better. But if there is any further underlying cause, then this development lasts for a short time. This is evident in your next sentence:

    but he suddenly started to complain of agonizing pain in his left arm and leg.
    This implies the treatment that was started by the doctor is good. It has helped to understand the depth of the concern. If you might ask, "Was that all necessary?", I would say Yes. It was very much necessary otherwise further treatment would not had been in the correct direction.
    The concern seems to be more with triggering of the nerves by the impulses sent by the brain and is leading to what you said further:
    The pain would start spontaneously or be initiated even by the light touch of the bed sheet or by little exposure to cold.
    This happens many times when the disease is not yet addressed in the treatment. The disease can be either from the nerve function which may indicate paresis/paralysis or seizure related concerns in the near future.

    The pain failed to respond even to powerful analgesic drugs.
    The pain failed to respond because even the most powerful analgesic if would not be the correct medicine, would never help in his pains.
    The best way is to continue on the treatment with more focus on the nerves, to sooth on their triggering and hyper-responding to stimulus.

    The options that you have now are:
    1. Speak with your doctor and see if any different line of treatment may be involved.
    2. Your doctor might not be thinking of further different treatments because of high cost involved in the same. Discuss about the same.
    3. Your doctor might be having limited knowledge. Think of having a second opinion with a more experienced specialist.
    4. Is the person being treated at a General Practitioner's hospital? Try and check at a specialty hospital. Government hospitals having specialist sections are often the best hospitals to check at.

    You might want to check out for natural treatments like Acupuncture, Reflexology and Herbal medicines including Ayurveda and Homeopathy.

  • #143383
    The problem appears to be of neurological nature and after the necessary tests doctors will be able to prescribe the drugs.
    There are many drugs which control the activity of nerves in the brain so that the stimuli coming from nerve movement from the brain to the body are stabilized or moderated to reduce the feeling of heaviness and pain on the peripherals.
    In place of analgesics these medicines which control the activity level of nerves may be more beneficial.

    Anyway correct diagnosis can only be made after the requisite tests. However the experienced specialist neurologist doctors who have already seen many such cases can start medication immediately only to conform later with tests.

    Knowledge is power.

  • #143386
    Recently I have visited a Doctor who is practicing sujok therapy . There are some similarities with acupuncture but not exactly the same. A very responsive method. My wife got completely cured. No medicines. Only some physical treatment they will do and you can get immediate relief. This is very useful for nerve pains. I know 3 or 4 people who got their pains of nerves completely cured by this method, sujok therapy. They have website also. www.sujoktherapy.com can be referred for further details
    drrao
    always confident

  • #143439
    The answer message #143377 gives a detailed analysis and logical explanation and suggestion.I would only add a few points of commonsense and prudence.

    1. Is the treating doctor confident of having diagnosed the problem and sure that he is doing the right treatment, patient is responding and he feels that patient will be cured soon in a matter of time? If he is an experienced and qualified doctor and very confident and explains it convincingly with facts, please trust him and co-operate with his treatment.
    2. If you have any doubts and lack of confidence please discuss with him and if still you are not convince, go fo a second opinion with some other doctor.
    3.Usually when a patient is admitted, doctors give treatment to make the patient comfortable and give symptomatic treatments. If the patient is having pain, they give pain relievers, if the patient is restless they give sedation, if the patient has high fever, they give anti-dotes to bring down the temperature. Detailed examinations and tests are possible only when the patient is made comfortable. In your case also the same method would have been followed. The doctor may be monitoring and needing something more to confirm the problem and do the most apt treatment.
    4. If the patient feels that situation has worsened then it is better not to waste time but have a second opinion by consulting a better hospital where there are more facilities and has a god reputation.

  • #143456
    TThis response is marked as DELETED by the admin.

    This patient is suffering from what is called thalamic syndrome. It occurs as the patient is recovering from infarction of the thalamus secondary to thrombosis of thalamogeniculate branch of the right posterior cerebral artery. It is characterized by thalamic overreaction particularly to tactile stimuli.

    Thalamic syndrome:

    It usually occurs subsequent to a vascular lesion of the thalamus (viz. thrombosis of thalamogenicu late artery). when the patient is recovering from a thalamic infarct.

    Characteristic features:

    The threshold for pain, touch and temperature

    is decreased on the opposite side of the body

    (thalamic overreaction) but, when the threshold is reached, the sensations are exaggerated, perverted and dis agreeble..

  • #143617
    TThis response is marked as DELETED by the admin.

    sorry

  • #143618
    TThis response is marked as DELETED by the admin.

    sorry


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