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Ask an Expert
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?
Nobl Barazangi, M.D., Ph.D.
Novato Community Hospital
My dad had a stroke two months ago. He is still having some trouble with walking and speaking. Can you tell me if a stroke victim can ever return to "normal"?
Every stroke patient is different, and each patient's recovery varies depending on several factors. We do know that intensive physical, occupational, and speech therapy can significanly impact and improve a pat... continue reading about My dad had a stroke two months ago. He is still having some trouble with walking and speaking. Can you tell me if a stroke victim can ever return to "normal"?
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?
Noah Weiss, M.D.
Novato Community Hospital
My left arm at the shoulder hurts all the time (including lifting things and even when I'm sleeping and turn on that side). I don't recall hurting it in any way. It started hurting several months ago. What could it be and how can I make it stop?
Often injuries to the rotator cuff muscles in the shoulder will refer pain to the upper arm, or even down the arm. If your shoulder and upper arm pain is aggravated by lifting, reaching overhead, and sleeping, ... continue reading about My left arm at the shoulder hurts all the time (including lifting things and even when I'm sleeping and turn on that side). I don't recall hurting it in any way. It started hurting several months ago. What could it be and how can I make it stop?
Nobl Barazangi, M.D., Ph.D.
Novato Community Hospital
I'm a frequent sufferer of migraines. Does this mean that I'm at a higher risk of stroke?
There is some evidence showing an increased risk of stroke associated with migraine with aura. Specifically, women who have migraines with auras are at an increased risk for stroke.Smoking, oral contraceptive u... continue reading about I'm a frequent sufferer of migraines. Does this mean that I'm at a higher risk of stroke?
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?
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?
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've been diagnosed with impingement in both of my shoulders. I don't want surgery, but I need a workout routine that does not rely on shoulders/pushups, as I can't support my body weight that way without having significant pain. Any suggestions?
I suggest you get treatment for your impingement. Impingement is a fairly simple thing to treat, and most patients recover well and are able to resume activities like push-ups. If you have had treatment but did... continue reading about I've been diagnosed with impingement in both of my shoulders. I don't want surgery, but I need a workout routine that does not rely on shoulders/pushups, as I can't support my body weight that way without having significant pain. Any suggestions?
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