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Ask an Expert
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?
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?
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
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
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?
James D. Kelly, M.D.
Novato Community Hospital
I sit hunched up at a computer all day, and my shoulders and elbows are really starting to ache. Is there anything I can do, other than just taking a break, to help prevent this pain?
This type of pain is usually caused by repetitive use, so called repetitive stress. We don't have a physiologic explanation for it. The location of pain is usually normal on imaging studies. The pain is related... continue reading about I sit hunched up at a computer all day, and my shoulders and elbows are really starting to ache. Is there anything I can do, other than just taking a break, to help prevent this pain?
Nobl Barazangi, M.D., Ph.D.
Novato Community Hospital
My dad had a stroke about a year ago and is doing better now, but it made me wonder - is there any way to prevent another one from happening (like a better diet, exercise)?
There are several things that a patient can do to prevent another stroke or TIA. First and foremost, the patient should make sure that they are following up with their primary doctor or neurologist, to ensure t... continue reading about My dad had a stroke about a year ago and is doing better now, but it made me wonder - is there any way to prevent another one from happening (like a better diet, exercise)?
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?
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?
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