Featured Articles
Sorting Out Knee Pain
When do you need help for your sudden or ongoing knee pain? Our expert sorts through the possible scenarios.
Help for Hip Pain
Pain in the hip is all too common. Learn about some common causes and how to prevent or treat it.
Simple Ways to Build Strong Bones
Osteoporosis can mean fractures and disability. Three steps you can take right now to strengthen your bones.
Ask an Expert
Nobl Barazangi, M.D., Ph.D.
Novato Community Hospital
What are the symptoms of a narrowing carotid artery in the neck?
Sometimes a carotid artery can narrow and be 'asymptomatic', meaning that the patient has no symptoms. Symptoms do vary from patient to patient. When symptoms do appear, they are usually the same symptoms as a ... continue reading about What are the symptoms of a narrowing carotid artery in the neck?
Nobl Barazangi, M.D., Ph.D.
Novato Community Hospital
What is a mini stroke? Are there any warning signs before it happens?
"Mini-stroke" is a term that commonly refers to the medical condition transient ischemic attack (TIA). TIA refers to loss of neurologic function that is transient (less than 24 hours). These occur due to blocka... continue reading about What is a mini stroke? Are there any warning signs before it happens?
Nobl Barazangi, M.D., Ph.D.
Novato Community Hospital
Two years ago I was diagnosed with a 4mm brain aneurism. My doctor told me that surgery is not performed until the aneurism is at least 7mm. I have an MRI every year and the size has not changed. Should I be concerned and doing something more?
In general, the risk of bleeding from a 4mm aneurysm is less than a larger (7mm) aneurysm; however the risk may vary depending on the location, morphology, and other characteristics of the aneurysm. Therefore, ... continue reading about Two years ago I was diagnosed with a 4mm brain aneurism. My doctor told me that surgery is not performed until the aneurism is at least 7mm. I have an MRI every year and the size has not changed. Should I be concerned and doing something more?
Noah Weiss, M.D.
Novato Community Hospital
My right elbow has been swollen for a few days, and it feels like it’s full of fluid. I don’t remember injuring it, and I don’t really feel any pain. I tried icing it, but the swelling did not go down. What could this be, and should I see my doctor?
The first thing I would like to know is the exact location of the swelling. Often, people will notice swelling on the back of the elbow. You can develop a soft, squishy collection of fluid that is called olecra... continue reading about My right elbow has been swollen for a few days, and it feels like it’s full of fluid. I don’t remember injuring it, and I don’t really feel any pain. I tried icing it, but the swelling did not go down. What could this be, and should I see my doctor?
James D. Kelly, M.D.
Novato Community Hospital
I’m having extreme pain in my shoulder near my shoulder blade down to my fingers, with tingling in my hand and fingers. What is causing this and what should I do?
Those symptoms are most commonly associated with a pinched nerve in the neck, a condition called a "cervical radiculopathy." The specific treatment you might need depends upon several factors such as how long y... continue reading about I’m having extreme pain in my shoulder near my shoulder blade down to my fingers, with tingling in my hand and fingers. What is causing this and what should I do?
James D. Kelly, M.D.
Novato Community Hospital
I dislocated my shoulder last year. I kept it in a sling for a few weeks, and then went through physical therapy. It has started to hurt again. I exercise regularly, but try to be careful of not reinjuring it. Anything I can do to prevent this pain?
A shoulder dislocation can create long term problems due to recurrent instability, either in the form of recurrent dislocations or recurrent subluxations. It sounds like your problem is more one of pain, howeve... continue reading about I dislocated my shoulder last year. I kept it in a sling for a few weeks, and then went through physical therapy. It has started to hurt again. I exercise regularly, but try to be careful of not reinjuring it. Anything I can do to prevent this pain?
Nobl Barazangi, M.D., Ph.D.
Novato Community Hospital
Migraine and stroke symptoms seem to overlap. How do I know I'm just having a migraine and not a stroke?
Some migraines can be associated with neurological symptoms such as weakness, numbness, tingling, vision and speech changes, and some strokes can be associated with headaches. Therefore, sometimes it is difficu... continue reading about Migraine and stroke symptoms seem to overlap. How do I know I'm just having a migraine and not a stroke?
Nobl Barazangi, M.D., Ph.D.
Novato Community Hospital
Is there anything I can do to lower my risk of having a stroke?
There are several things that a patient can do to prevent a stroke. First and foremost, make sure that you are following up with your primary doctor to ensure that all of your possible stroke risk factors are t... continue reading about Is there anything I can do to lower my risk of having a stroke?
Nobl Barazangi, M.D., Ph.D.
Novato Community Hospital
My mom had a stroke about seven months ago. Although she is slowly recovering from it, she seems depressed to me. Is this just part of the recovery, or should I talk to her about it so that she can get some sort of treatment?
Depression is a common occurrence after stroke, and can occur in approximately 20-60 percent of stroke patients, depending on which research study you look at. The depressive symptoms may be in addition to the ... continue reading about My mom had a stroke about seven months ago. Although she is slowly recovering from it, she seems depressed to me. Is this just part of the recovery, or should I talk to her about it so that she can get some sort of treatment?
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