This is a condition resulting from motility disorders of the esophagus ranging from absent peristalsis to hyperperistalsis and spasm. Diffuse esophageal spasm typically causes substernal chest pain in association with difficulty in swallowing (dysphagia) of both liquids and solids. The pain may be severe and may awaken the patient from sleep. Liquids that are very hot or cold may aggravate the pain. With time, this disorder may evolve into achalasia (failure to relax smooth muscle fibers of the gastrointestinal tract). There may be reflux of recently swallowed food. Combinations of all of these with abnormal lower or upper esophageal sphincter function complete the clinical picture. Esophageal spasm may also produce a severe pain in the absence of dysphagia that is indistinguishable from angina pectoris . This pain is often described as a substernal squeezing pain and may occur in association with exercise. A specific cause is seldom found, but there may be associated reflux esophagitis (i...
I have migraines that cause my face to go numb, both my legs to go weak and get pins and needles and burning sensations. I can have altered sensation in both my feet and legs at the same time, this usually only lasts for short periods of time but happens on and off with twitching in the numb areas. Sometimes this can make it difficult to walk. I can also get a tingling tongue. I also sometimes get stabbing eye pain. I never feel sick or light sensitive but I have stabbing like pains in my head, like an electrical bolt. I have had repeat brain MRI on a T3 machine which have been normal. I never usually get severe headache just more weird sensations in my head.
Can migraine cause both legs to go numb at the same time? Or both arms at the same time? I was told migraine is only one sided? I have had spinal MRI and this is normal too.
Thank you for any info. Cheers, Eleanor.
Although the headache and many of the other sy...
This study continues the work already done investigating the use of botulinum type A toxin (Botox A) for relief of muscle pain. A specific Botox agent called Dysport ® was used in patients with upper back pain. Dysport® has a much higher biologically active dosage compared to Botox®. All patients had been diagnosed with a condition called myofascial pain syndrome (MPS). MPS is described as chronic muscle pain from shortened or contracted muscles. Trigger points (TrPs) are often part of the clinical picture. TrPs are areas of hyperirritable spots. When pressed or stimulated, TrPs cause a predictable pain pattern. Patients included were men and women between the ages of 18 and 70 years. All had MPS with at least 10 TrPs present in the neck or upper back. Symptoms had been reported for at least six months. Each patient was given a single injection of Dysport® into the 10 most painful TrPs. Pain level after five weeks was the main result measured. Change in pain intensity and number of pain-...
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