ALIF: Anterior Lumbar Interbody Fusion

Health Q&A
B12 B9 deficiency - Neurological symptom

Hi My serum value B12 226 pg/ml, past 1 year ago had 162 pg/ ml so doctor prescribed 3 re-nerve plus injection. My current MMA - 481, active b12- 32, Homocysteine >50, folate - 1.19, ferritin serum 32.3. I have been facing floating sensation for past 2 years reduction in libido, pins and needles pain in palms and feet and some time severe pins and needle pain in penis after ejaculation Already visited many doctors don't know which doctor to visit. My symptoms are not getting improved come and goes not able to judge what is happening Kindly suggest first course of treatment should it be b12 injection or some other treatment like oral supplements and also which doctor I have to visit?

Restrictive movements

I had a accident, fall from motorcycle at around 30-40 km/ hr on 24 th May 2026 Had some cuts at knee and feeling of chest muscles tightness/heaviness Couldn’t walk for 2 weeks out of home Then Visited a orthopaedic He gave a medicine etodolac + thiocolchicoside Initial few days were good, but one day suddenly had a panic attack like wanting to throw kicks and hands in the air etc Stopped tooking those medication Now the pain in the muscles and knee has all gone , No problem in walking, etc Clear X rays of chest and knee But mind feels restrictive or hesitant while going out Like the actions I used to perform before bed rest feels very heavy or sluggish on the mind etc.

Inability to Achieve Cognitive Detachmen

Doctor, when I practice mindfulness, I am completely unable to achieve cognitive detachment or the witness state. My awareness gets immediately immersed in incoming thoughts. Could this be related to an altered stimulus filtering mechanism or something like a sensory gating deficit? What is your opinion on this, Doctor?

Disc bulge and nerve compression

For more than 1 year I have been suffering from back and left leg pain and numbness in my leg, I went to a spine surgeon and took an MRI and came to know that I have mild to moderate disc bulge along with nerve compression and prescribed a pain killer, muscle relaxant and supplements for a  month. Earlier the pain was more like intense tiredness like pain now the pain which I am having for the last 2 days is like shooting pain going from my buttock to my calf , I don't know if my symptoms are improving or not, I am still getting  pain and numbness and  I am worried that why the pain and numbness is not going. 15 days are left in my medicine to finish the course. Please help, thank you

Help to understand

Since morning I can feel sensation on half of my upper lip on right side. I can feel as if someone is pulling my lip and it's very intermittent. I don't understand what's happening. Can someone please help

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Doctors
Dr. Colleen M Opremcak - Neurologist
Dr. Colleen M Opremcak Neurologist (Chief Residency in Psychiatry, Class of 1982, Medical School, Residency - ID) 44 years experience Ohiohealth Behavioral Health
Columbus 43214, COLUMBUS
Dr. Michael Karl Racke - Neurologist
Dr. Michael Karl Racke Neurologist (Medical School, Class of 1985, Internship, Residency - ID, Fellowship 2, Medical degree, DO, Residency in Neurology, Fellowship in Neuroimmunology/Multiple Sclerosis, Internship-Internal Medicine) 41 years experience Hudson Regional Hospital
Columbus 43210, COLUMBUS
Dr. Daniel Jones - Neurologist
Dr. Daniel Jones Neurologist (Internship, Residency - ID, Neurology, Medical degree, DO, Fellowship 2, Class of 1989) 36 years experience Nationwide Children's Hospital
Canal Winchester, COLUMBUS
Dr. Punit Agrawal - Neurologist
Dr. Punit Agrawal Neurologist (Doctor of Osteopathic Medicine (DO), Medical School, Residency in Neurology, Internship-Internal Medicine, Medical Education, Class of 2020) 24 years experience Ohio State Outpatient Care New Albany
Westerville, COLUMBUS
Dr. Jason Lee Barfield - Neurologist
Dr. Jason Lee Barfield Neurologist (Medical degree, DO, Internship, Residency - ID, Fellowship 2, Residency in Neurology, Fellowship in Clinical Neurophysiology, Medical School) 24 years experience Ohiohealth Physician Group Neurology New Albany
Columbus 43230, COLUMBUS