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Full Question: I have had migraines for as long as I can remember. About 4 years ago I started getting muscle spasms only on the left side of my head, with or without the pain. at first the spasm lasted only a short while, then a little longer and longer, now the spasm never goes away. It effects my vision, speech, balance, muscle weakness on the left side. My neuro had my on Topamax, it was a God send for about 5 mos. then it quit working, then he tried large doses of Zoloft no effect, the last thing he tried was Zonegran no effect what so ever. My neuro calls them Hemiplegic migraines. I need relief so I can function, the spasms NEVER go away. Can you please help? Susan. Answer: Dear Susan; You ask a number of very good questions relating to your headaches. Is your neurologist a headache specialist?? Your symptoms do not sound like like hemiplegic anything. Zoloft has had a dismal effect on migraines per se and the Topamax might have been increased slightly to...
If I have right knee osteoarthritis, do I have to work out my left side as well?
I was recently asked by a patient why he had to work out both sides of his body in physical therapy if only his right knee hurt. I can understand some of the confusion. After all, if your right shoulder were painful and inflamed and required an injection, the medication would only be put at the site of inflammation -- in your right shoulder. You would not be a candidate for a right and a left shoulder injection! However, physical therapy, for the most part, is much different. I'll explain.
There are two basic components to physical therapy -- passive and active. In the passive component, the therapist may apply ice, heat, ultrasound, electrical stimulation, and other modalities to the painful area. For the most part, these modalities are only placed at the site of injury (there are a few exceptions that are beyond the scope of this blog). So, in this sense, physical therapy is functioning si...
Abdominal rigidity is stiffness of the muscles in the belly area, which can be felt when touched or pressed.
Rigidity of the abdomen
When there is a sore area inside the belly or abdomen, the pain will get worse when a hand presses against muscles of the abdomen.
Your fear or nervousness about being touched (palpated) may cause this symptom, but there should be no pain.
If you have pain when you are touched and you tighten the muscles to "guard" against more pain, it is more likely caused by a physical condition inside your body. The condition may affect one or both sides of your body.
Abdominal rigidity may occur along with:
Abscess inside the abdomen
caused by gallstones
You should know
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