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Ask an Expert
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?
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 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
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?
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
Are there symptoms of a brain tumor and, if so, what are they?
A brain tumor can present in many ways, depending on the size, location, and type of the brain tumor. Symptoms can include progressively worsening headaches or a new headache, nausea/vomiting, seizures, new neu... continue reading about Are there symptoms of a brain tumor and, if so, what are they?
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
What are the effects of hormone replacement therapy on a person who has a history of lacunar stroke?
Hormone replacement therapy (HRT) has been shown to increase the risk of ischemic stroke (lacunar stroke is a subtype of ischemic stroke). Although the absolute risk of complications such as stroke is relativel... continue reading about What are the effects of hormone replacement therapy on a person who has a history of lacunar stroke?
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