53yrs female diabetic, hypertensive. All general blood parameters found within range after routine check up.
Diagnosed with cervical radiculopathy at C6C7 pain radiating from neck to shoulder then to bicep region.
Visited multiple neurologist and performed NCV, Xray , MRI like tests many times.
But every time every neurologist suggest pregabalin/Gabapentin and some pain killers.
Please suggest some treatment for it , preferably non surgical. Patient is suffering since a long time but no doctor is able to provide relief.
Whenever I wake up in the morning I feel brain fogging. Constant heaveyness.
Sometimes mood swings.
And most commonly dizziness
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?
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?
Osteophytes and mild disc dessication.
Perineural cysts in proximal sacral spinal canal at the level of $2 vertebra.
Mild facet joint arthropathy at l5-$1 level.
Subtle posterocentral disc protrusion at L4-L5 and L5-$1 levels causing mild anterior thecal sac indentation however there is no obvious impingement of nerve roots.
AP spinal canal (thecal sac) diameter:
L1-L2- 13.4mm L2-L3-11.8mm
L3-L4 -11.5mm L4-L5-10.5mm L5-S1-10mm
Spondylotic degenerative changes in form of loss of cervical lordosis, multilevel small marginal endplate osteophytes and disc dessication.
Posterior disc osteophytic complexes from C3-C4 to C6-C7 levels causing mild anterior thecal sac indentation and mild narrowing of spinal canal.
Few small perineural cysts are seen in bilateral neural foramina at multiple levels.
At C4-C5 & C5-C6 levels, there is mild narrowing of right neural foramen with possible mild impingement of exiting nerve root.
