Answered by Dr. Upendra Kumar Shah

Answered by Dr. Upendra Kumar Shah

What is the reason for numbness and tingling in nerves?

Hello doctor,

I have numbness, pressure following a nerve path, and tingling in the head while I concentrate more. It has been there for eight years and I have done two MRIs so far and that came back negative.

17 Apr 2024 - 1 min read

I have pain in my right thumb and index finger. Is this due to high hemoglobin?

Hello doctor,

I have pain in my left thumb and right index finger (only when using them) for about nine months. And I just started noticing an electric shock feeling in both wrists when I tap on the underside or twist them a certain way. I also had some widespread muscle twitching, but that got subsided. And I have been noticing something called post-micturition dribble. What could be going on?

29 Nov 2023 - 1 min read

My head is feeling heavy and I have dysarthria and ataxia. Please help.

Hi doctor,

My head remains heavy for the past three weeks and I have a feeling of having giddiness and dizziness. I have dysarthria and a decrease in the right-hand motor movement for the past two weeks. I have ataxia. I did an MRI with and without contrast MRA and CT. All my results came back normal. Currently, I am taking capsule Lanzap 30 mg and I have done spinal tap culture, chemistry, and viral PCR panel. Kindly help.

29 Nov 2023 - 1 min read

How can severe shoulder pain be treated?

Hello doctor,

Approximately 4 months ago, some mild pain started in my right shoulder joint but i have not taken it seriously. It started bothering me since end of February and it was slowly worsening. I daily travel by crowded trains, approximately 25 km to my workplace and back. By middle of March, while travelling (by standing) in train holding overhead handles my shoulder was hurting with every push from the crowds at various stations. During day time, there was not much pain I felt, but in the night, my sleep was disrupted frequently with pain (like pulling with a hook) on the shoulder. I applied "DYNAPAR QPS" (Diclofenac Diethylamine and absolute Alchohol Non-Aqueous Topical Solution). My mother was using it for joint pains and she asked me to try it but I got no relief with it. Then my cousin practicing Homeo medicine advised me some Homeo medicines and it provided only a slight relief.

In the 1st week of April, I consulted an Orthopedic (Joint pain/bone specialist) and had taken X-ray of my right hand in 2 different positions. He suggested it is due to frozen shoulder problem and advised rotation of hands, shoulders, neck, etc., along with some medicines (mainly pain killers and anti-acidity medicine). Even after taking it for 25 days, still I am having pain, mainly in the inside bend of the right-elbow. If I raise my hands straight, it hurts very little, but if I bend it to comb my hair or putting my hands through the sleeve of my shirt it hurts very badly. During day time, the pain is very minor but in the night after the sleep of an hour, it starts paining badly. What I assessed is, while the weight of the upper body rests on the shoulder or around the area (including back side) while lying down, the pain radiates from this region and it hurts mainly the shoulder joint, forearm muscles, elbow joint and the wrist. After trying various positions to rest the hand and shoulder with pillows/soft towels, the pain eases little and I fall asleep again. This repeats throughout the night.

I use Laptop extensively at work and at home also. Sometimes I feel a pulling pain in the wrist when I use the mouse more, but no problem with key board. Now I am working from home due to Covid19 lockdown, but afterwards, I may have to travel again by train and I am scared of the pain I will have to suffer.

11 Oct 2023 - 1 min read

I have twitching in my left arm with more prone while keeping straight. Is it motor neuron disease?

Hello doctor,

For about two weeks now, I have had a twitch in my left arm (triceps) that seems to be worse when I have my arm straight and down by the side of my body and less noticeable when I have my arm over my head and bent at the elbow. The twitch seems to be worse at times without any particular reason for it. This night I had difficulty sleeping because it was very annoying.

I used to do some resistance training before this (so it might be some type of nerve injury), but I have not experienced any pain or discomfort during exercising before the twitch began. Also, I have stopped training ever since discovering the twitch.

I am starting to worry that this might be some type of motor neuron disease, as it is not going away and it is not improving at all. I cannot visit a doctor earlier than Monday, so any advice or explanation of what this could be would be greatly appreciated.

05 Oct 2023 - 1 min read

Education

MBBS., MD GENERAL MEDICINE., DM NEUROLOGY

Specialties

Neurology

Specialized Treatments

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