FAQ - Paresthesia
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ANA test - How high is "positive"?

Many sources (reliable and not so) say "positive ANA occur in about 5% of healthy people". I've found references in peer reviewed published research to criteria for "positive" in research as anything from 1:40 to up to 1:80. My ANA is 1:160 and I have fatigue, weight loss, fevers, bad headaches, rashes (face and arms/legs), sometimes disabling joint pain, paresthesia + a family hx of autoimmune disease (mixed connective tissue). But when I ask about my ANA level which is reported "positive" by the labs who run the bloodwork, I've had two doctors dismiss it and quote the old "5% of the healthy population" line. I'm looking for a reliable, more concrete reference what that healthy 5% have as ANA levels (I mean does that 5% include folks at 1:40 and 1:80?) Even some reference to what is used conventionally in a clinical diagnostic (not screening, diagnostic) setting would be helpful. Thanks.
ANA = antinuclear antibodies
They are antibodies to parts of your own cells.


ANA is like a temperature it is non specific. It can be seen in a lot of autoimmune diseases such as MS,Rheumatoid, Lupus, Thyroid disease. 1:160 is elevated but usually not of concern. If it reaches 1:320 then doctors may start looking for an autoimmune disease. The ANA has to be followed for months or years before a diagnosis may be made. It can be elevated after a viral illness. Basically it is an immune response to some trigger. Do not lose sleep over this ANA or look for other things at this time  (+ info)

Does a herniated disc necessarily need medical treatment?

A few years ago I had severe sciatica and MRIs showed that I had bulges or tears in a couple of lumbar discs. A couple of days ago, I was doing a forward stretch in yoga and since then I've had some pain, but only when I get up from a seated position and at certain movements. The pain is very mild and I have not felt the need for medication or have not curtailed my activities, except for not doing all the exercises I usually do. But I am getting pins and needles (paresthesia) on the bottom of one foot, which probably indicates sciatic nerve involvement.

However, when I had sciatica in the past, I had severe pains in my leg. I have no pain there now.

I am not insured right now and want to know if I can just rest and the herniated disc will heal or if I must have medical care if the symptoms do not worsen. (I do understand that cauda equina syndrome symptoms are a medcal emergency.)

Can I get away with not seein a doctor? Should I stop exercising and stretching?

Most people have some degree of bulging disks in their spine and many don't have symptoms from them. The fact that you only have experienced this pain for a couple of days says to me that you probably don't need medical treatment for it right now. But rest is not actually what you should be doing to treat it -- you need to keep moving (gently!), not lie in bed or do a lot of vegging out on the couch. Try to walk around as much as you can and do some gentle stretches a couple of times a day (nothing that seems to make the pain worse, however). Once the pain is better, you might consider adding a regular routine of Pilates to help strengthen your core muscles, which in turn will protect your back and spine from future injury.

If the pain worsens, or if it doesn't improve after a few weeks of gentle movement and TLC, then you might want to consider seeing a doctor for a referral to physical therapy.

In the interim, you might also try applying hot and cold packs to your back where the pain is (alternate the two), and if you can tolerate it, try some ibuprofen for the inflammation and pain.

Good luck!  (+ info)

What is truly wrong with me?

My docs say I have bipolar disorder because of my mood problems, but what they don't know is all of the physical stuff. I have hand paresthesia (mostly burning) and pain in my hands. I have eye pain and headaches. I have a lot of bruises all the time. What could this all mean??
yes considering I have been experiencing this for over 3 years im totally positive I will die this month!

Paraesthesia, panic attacks, and hyperventilatory anxiety symptoms are not uncommon in bipolar disorder patients. The disease itself is not well understood and so there are an abundance of symptoms due to neuronal and neurochemical dysregulation found to stem from the disease that cannot be completely explained. There is always the possibility that it a symptom of a vascular, musculoskeletal, or peripheral nervous condition. However, there is no way for any of us to know as this is something that would have to be examined and tested for in order to be determined.

If you truly want to pursue finding out about these symptoms from another physician then go ahead and visit a neurologist specialising in prefrontal lobe disorders. You could ask the doctor to run neuroimmunological/immunological panels(e.g. adrenal antibodies, thyroid antibodies, CBC, ESR, rheumatoid factor, HLA B27 typing, LE test, CRP panels) and radiology studies(e.g. MRI, MRA, MRS, EEG, EMG, ENG, PET, SPECT, ultrasound(transcranial doppler)/neurosonography) if the bruising and headaches worsen. I doubt he will perform all of them, however you could email me a more defined description of your symptoms and I may be able to guide you towards where you need to go.  (+ info)

I think ive broken my big toe and the one next to it.?

VERY painful swollen and bruised. Should i just tape them to the one next to it, or seek medical advice. They cant do much else for toes can they? It doesnt look too deformed. Just bloody hurts. Ive taken pain killers that help a bit. I cant put any weight on it. Cant dorsiflex at all. Have some paresthesia and numbness. I hate to think i would waste the hospitals time if i can sort it myself.

seek medical help
you might heal wrong if you do it yourself
they have to make sure the bone is set
they have to make sure there isn't nerve or blood vessel constriction
they won't think its a waste of time  (+ info)

Numbness after Wisdom Teeth extraction, 2 months ago. Nerve Damaged?

I am suffering from Paresthesia (abnormal sensation of numbness) on part of my lip, and 3 teeth. The dentist says that since I am experiencing a little bit of tingling, the nerve has not been damaged. Should I be looking for a second opinion? And if nerve is damaged, can I have it repaired? I can't eat, smile or talk the same as before and it it becoming very annoying.

Since you are experiencing a little bit of tingling this is a good thing.
That means there is a very high chance that the nerve will repair itself. Your dentist is quite right. This happens at least once to all dentist doing complicated extractions. The first time it happens it can be quite unsettling for the Dr. and the Patient, but eventually the feeling does return. What is happening is the nerve endings in the nerve sheeth need to grow back down the little channel and recconect. It is very a very slow process, as long as some tingling is there there is a path to follow. The amount of time it can take for the tingly sensation to go away can be quite long.

Hang in there this is a predictable but infrequent complication. It happens all the time.  (+ info)

Scared to death of the dentist....have to have 8 teeth pulled....have questions....?

I am going to have 8 of my teeth pulled under sedation on december 11th, I have been reading up on risks and compications and Now am sooooooooo scared. How common is it that someone would get paresthesia? dry socket? I can have root canals on 5 of them but can't due to cost. Has anyone ever experienced complications like these? Just wondering what to do and how often it happens.

Having sedation dentistry will be great for you. You will not feel or remember anything. Paresthesia only occurs in about 2% of the cases and will almost always return to normal, although it can take a while. Dry sockets occur about 5- 7% of the time and are treated with medicated packing. Also 100% of both of these complications occur on the lower teeth and not on the upper. So try not to worry and you will find out that the anticipation was much worse than the actual procedure. I wish you good luck.  (+ info)

Compression of what structure was responsible for the observed symptoms? Describe its distribution.?

A 55 yr old dentist began to expericene dufficulties w/ his right hand. he noticed a progressive lack of coordination and strength in the thumb and also a reduction in the ability to perform movements of the index and midde fingers. He observed as well a tingling sensation (paresthesia) & reduced tactile sensation (hypoesthesia) in the first 2-&1half fingers (primarily on the palmar surfaces). As the condition progressed, he began to perceive pain from the palmar aspect of the lateral half of the hand. within a few mths of the onset of symotoms, it had become obvious to him that he could no longer practice dentistry under these conditions. An orthopedic surgeon concluded that there was fibrosis of flexor retinaculum of his right wrist & surgery was the only treatment. Surgery was performed & within several weeks the dentist was back @ work w/ no detectable loss of manual dexterity. Name of condition? what other structures occupy the same general area as they enter the hand?

true (girl above me) good spot, carpal tunnel syndrome.
also possibly RSI (repetitive strain injury)

but...check your textbook anyway.  (+ info)

Can Aleve help cure paraesthesia?

Can the medicine Aleve help cure or at least prevent paresthesia? Like num hands?

  (+ info)

question about wisdom tooth extraction?

For anyone who has experienced paresthesia after wisdom tooth extraction, which tooth or teeth did you have extracted (upper, lower, or both) what part of the mouth or face was affected, and how long did it last? Did it require any kind of intervention?

I never had wisdom teeth, but I have had plenty of experience with the removal process and aftercare. Parethesia is a not uncommon complication to have happen, and it's more common to see the more complicated the removal process was. It's more common to see with older patients, who have had the teeth in place for some time. A fully developed, rooted wisdom tooth, or one which is badly impacted increases the chance that nerve tissue will be damaged in the removal process. In most cases it resolves on it's own within a few days or weeks. In severe cases it may take months, and in the worst case scenarios- rare, thankfully, the loss of sensation can be permanent. Fortunately the problem is strictly a sensory problem, rather than a motor one. That means you notice a loss of feeling for touch, pain or temperature, but don't have a problem with speech, chewing, tongue movement or any kind of facial distortion. Unfortunately, there really isn't any sort of intervention you can do for it either. The problem is one the body must heal itself, and nerves grow slowly and at their own pace. It can take up to a year for a nerve to completely regenerate, if it is going to. Fortunately that really only applies when a nerve is really badly damaged- not the usual scenario with a wisdom tooth extraction. The complication really doesn't matter where the tooth is located, top or bottom, left or right- but rather the condition of the particular tooth in the jaw. It's something the dentist tries to avoid, but given that the tooth must come out, it's really a no win situation sometimes. If you are having the problem, just continue to see your dentist and give it time. The majority of the time, the feeling does come back.  (+ info)

An improperly delivered glutel injection could result in?

a) neurofibromatosis
b) postpoliomyelitis muscular atrophy
c) paresthesia
d) sciatica

d) sciatica
The sciatic nerve can be punctured if the needle is improperly inserted.  (+ info)

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