Question 1

I've had grade I carpal tunnel syndrome in my right hand for two years, and the pain keeps getting worse. Some doctors are recommending surgery, but I'm worried is the procedure safe? Will my hand lose strength after the operation? What are the possible risks or side effects? And where's the best place to get it done?

Accepted Answer

ortho opinion is advised.

Question 2

I've been noticing this strange warm sensation in my lower leg lately. It pops up for about a minute then just disappears on its own. There's no pain or swelling, just feels like heat is leaving that area. Occasionally, I'll feel it in my back or shoulder too, but it's pretty rare. Could this be linked to having had Covid a couple of months ago? I had my d-dimer checked back then and it was normal. What might be going on with these sensations?

Accepted Answer

The intermittent, brief, and painless warm sensations in your lower leg, back, or shoulder could be due to various benign causes, such as vasospasm (temporary blood vessel constriction), nerve sensitivity, or muscle relaxation, and while it's reassuring that your D-dimer levels were normal after COVID-19, it's still possible that you may be experiencing post-COVID-19 symptoms, such as autonomic nervous system dysfunction or peripheral neuropathy, so consulting a doctor to rule out any underlying conditions and determine the best course of action is recommended.

Question 3

I'm experiencing these weird full-body muscle vibrations, almost like internal waves, whenever I move. It's been going on for about 2.5 years now, and it happens in my neck, shoulders, arms, legspretty much everywhere. Whenever I bend down, I feel this wave-like sensation in my back, too. Along with that, I've been having neck and back pain. Can you help me figure out what's going on? I'm really curious and a bit worried about these symptoms.

Accepted Answer

Gout arthritis management:
 
 _Current situation:_
 
 1. High uric acid levels
 2. Recurring gout attacks (right knee, now left knee)
 3. Febuxostat (Febustat) 40mg daily provides relief
 
 _Concerns:_
 
 1. Dependence on medication for pain management
 2. Intermittent dosing (2 timesday) may not be optimal
 3. Potential kidney stone risk with high uric acid
 
 _Recommended adjustments:_
 
 1. Consult rheumatologist or primary care physician.
 2. Consider:
 - Increasing Febuxostat to 80mg daily (if tolerated).
 - Allopurinol (alternative uric acid reducer).
 - Probenecid (uricosuric agent).
 3. Lifestyle modifications:
 - Hydrate adequately (2-3 litersday).
 - Low-purine diet (limit organ meats, seafood).
 - Maintain healthy weight.
 - Exercise regularly.
 - Limit alcohol intake.
 
 _Additional considerations:_
 
 1. Colchicine for acute gout attacks.
 2. Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain.
 3. Corticosteroids (oral or injected) for severe inflammation.
 
 _Monitoring:_
 
 1. Regular uric acid level checks.
 2. Kidney function tests.
 3. Liver function tests.

Ive been experiencing this weird sensation where it feels like my head and body are moving even when Im lying down. Sometimes I feel out of balance when Im walking, too. What could be causing this? It's starting to worry me a bit.

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