Question 1

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.

Question 2

I've been on pregabalin, methylcobalamin, Nucoxia MR, multivitamins, and calcium tablets for around 20 days and doing physiotherapy for the past 6 days, but the pain in my left leg isn't getting better. I really want to avoid surgery can you help me understand my MRI report and suggest other options?

Accepted Answer

This treatment is being suggested on bases of the information provided. However I would like to examine & investigate you in detail. -Control Hypertension, Diabetes or metabolic disorder, if there is any. --. Sleep on a hard bed with soft bedding. --. Keep no pillow under the head. --. Avoid painful acts & activities. --. Fomentation with warm water. Let the part not be exposed to cold. -- .Do mild exercises for back and lower limbs.

Question 3

I've been feeling really weak and lethargic lately, along with this weird heaviness in my head and vibrations throughout my body. On top of that, there's this occasional loss of coordination when I move. What could be causing these symptoms?

Accepted Answer

I would recommend seeking medical attention for a proper evaluation and diagnosis. In the meantime, you can take Paracetamol 500mg for relief from any associated headaches or body aches.

What causes headaches in back of head?

Poor posture and Tension headache ( most common type of headache. It happens when the muscles in your scalp and neck tighten. This causes pain on the sides and back of your head.)

More Neurology Health Queries

I've been feeling really weak and lethargic lately, along with this weird heaviness in my head and vibrations throughout my body. On top of that, there's this occasional loss of coordination when I move. What could be causing these symptoms?

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