Question 1

I'm having some pretty intense pain in the lower side tips of my toe joints, and it's really strange because there's no swelling at all. It seems to flare up every time I start walking after resting, especially first thing in the morning. What could be causing this? Do you have any insights or suggestions on what I should do?

Accepted Answer

This type of pain in the feet fingers and joints, especially when starting to walk after rest, could be due to a condition called plantar fasciitis. To help relieve the pain, you can try taking over-the-counter pain relievers such as ibuprofen (e.g., Advil) or naproxen (e.g., Aleve) to reduce inflammation and pain. Additionally, you can also try stretching exercises for the feet and calves, wearing supportive shoes with cushioned insoles, and using orthotic inserts to provide better arch support. If the pain persists, it is advisable to consult a healthcare professional for further evaluation and management.

Question 2

I'm really worried about my mom's health. About a month ago, her ESR level was really high, around 120, when we took her to the doctor because she kept having back pain. They also told us she had low hemoglobin, and they gave her some meds to bring the ESR down. I just checked today, and it's now at 20, which seems better, but I'm still concerned. What are the chances she might have something serious like blood cancer or arthritis?

Accepted Answer

Coccydynia (Tailbone Pain)_

1. _Causes_: Coccydynia can be caused by a fall, direct blow, or repetitive strain on the tailbone.
2. _Symptoms_: Pain when sitting, standing, or changing positions, which matches your experience.

_Possible Reasons for Persistent Pain_

1. _Poor posture_: Slouching or slumping can put pressure on the tailbone.
2. _Muscle imbalances_: Weak or tight muscles in the pelvic floor, glutes, or lower back can contribute to tailbone pain.
3. _Referred pain_: Pain from the lower back, hips, or pelvis can radiate to the tailbone.

_Next Steps_

1. _Consult a specialist_: Schedule an appointment with a pain management specialist or a physiatrist to evaluate and treat the underlying cause.
2. _Physical therapy_: A physical therapist can help you with exercises to strengthen the surrounding muscles, improve posture, and reduce pain.
3. _Pain management options_: Your healthcare professional may recommend pain relief medications, injections, or other interventions to manage the pain.

_Dietary and Lifestyle Changes_

1. _Maintain good posture_: Make a conscious effort to sit and stand with proper posture.
2. _Exercise regularly_: Engage in gentle exercises, such as yoga or Pilates, to strengthen the core and surrounding muscles.
3. _Manage weight_: Maintaining a healthy weight can reduce pressure on the tailbone.

Question 3

I'm really concerned about my mom's ESR test results. It came back at 85, and I know that's above the normal range of 020. Even though we had a CECT done on her chest and abdomen, which came back clear, I'm worried about what might be causing her high ESR. She's dealing with mild arthritis and osteoporosis too. Could you help explain what might be going on, and suggest if we need to do any other tests?

Accepted Answer

A high ESR value can indicate inflammation in the body. Given your mother's history of mild arthritis and osteoporosis, the high ESR value could be related to these conditions. However, other possible reasons for a high ESR value include infections, certain autoimmune diseases, and some types of cancer. In this case, considering her symptoms and medical history, it would be advisable to consult with a Rheumatologist for further evaluation.

you can not expect result in 5 days needs prolong tretament takes usually 3 months to see the results follow your doctors advice and also consume calcium rich foods for better results

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