FROM OUR EXPERTS
Muscle pain happens to most people. After a rigorous workout, muscles can be sore for days. That’s normal muscle pain. Abnormal muscle pain is a persistent pain that does not go away with rest. The pain is deep and often unbearable. Further investigation is needed for abnormal muscle pain.
The first investigation step is laboratory tests. Pain does not accompany all muscle diseases, but an elevated creatine phosphokinase (CPK) usually does. The CPK enzyme is found in the skeletal muscles as well as the heart and brain. Non-painful causes of an elevated CPK include muscular dystrophy, dementia and motor neuron diseases. Painful conditions associated with an elevated CPK include sickle cell disease and polymyositis . Besides pain, other symptoms might provide diagnostic clues like muscle weakness which typical in polymyositis. If anemia is present, then sickle cell disease is more likely. Both polymyositis and sickle cell disease can lead to the most severe form of muscle di...
Dear Dr. Motola,
Four years ago I had surgery for a left inguinal
hernia, which unfortunately resulted in uncorrected internal post-op bleeding
causing ischemia and subsequent atrophy to the left testicle. Until
recently, I've never had my testosterone level checked against the reference
range. I am 83 years old and in very good health. I am told the normal
reference range is 200 to 900, hence my question ... is 259 good or bad
and is it dependent upon both testes functioning? My PSA level averages
3.5 and DRE tests are always normal. I have BPH . I am sexually active but not
as frequently as in the past.
start to fall after age 40. Symptoms
associated with decreased levels include memory loss, mood changes, depression ,
increased fat mass, loss of muscle mass, and a decrease in sexual function. These
symptoms are also associated with the aging process. Many times patients may
experience some of these symptoms, h...
You want to control your diabetes as much as possible. You wouldn't be reading this if you didn't. So you regularly check your A1C level. This is the best measurement of our blood glucose control that we have now. It tells us what percentage of our hemoglobin -- the protein in our red blood cells that carry oxygen -- has glucose sticking to it. The less glucose that remains in our bloodstream rather than going to work in the cells that need it the better we feel now and the better our health will continue to be. As we are able to control our diabetes better and better, the reasonable goal is to bring our A1C levels down to normal -- the A1C level that people who don't have diabetes have. But before we can even set that goal, we have to know what the target is. The trouble with setting that target is that different experts tell us that quite different A1C levels are "normal." They tell us that different levels are normal -- but I have never heard of actual studies of normal A1C leve...
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