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Dr Ellie Cannon: How can I relieve my sore ft after my physician recognized me with neuropathy?

For the previous few years I’ve suffered horrible ache in my ft. After I arise, it feels as if I’m standing barefoot on a pebble seaside. My physician recognized neuropathy which – I’m informed – stems from spinal canal stenosis, which squashes the nerves. The specialist mentioned nothing will be achieved. Is that true?

Neuropathy means there may be harm to the nerves within the physique. This may be brought on by sure drugs, chemotherapy and ailments akin to diabetes. The nerves also can get crushed or broken as a result of accidents.

Spinal canal stenosis develops when the house contained in the spine may be very small, which means the spinal nerves get squashed.

Nerves are liable for all of our sensations together with ache, contact and temperature. Injury to those nerves will trigger numbness, pins and needles, burning and a particular sort of ache known as neuropathic ache.

Right this moment’s reader is asking Dr Ellie if they will do something to assist the horrible ache of their ft after they had been recognized with neuropathy brought on by spinal canal stenosis (inventory photograph)

Issues will be recognized utilizing a nerve conduction research. These test if the nerves are working correctly.

When neuropathy develops due to a bodily drawback like spinal canal stenosis, it may be tough to deal with. One possibility could be to manage the ache utilizing particularly designated painkillers, akin to gabapentin, pregabalin and duloxetine.

Various types of ache aid, akin to acupuncture, might assist, too, and strolling, stretching or swimming might ease the stress on the nerves, lowering ache. Physiotherapists can suggest particular workout routines.

Relying on the severity of the situation, a specialist might suggest surgical procedure to decompress the backbone and ease stress on the nerves.

My 78-year-old husband began having issues with going to the bathroom earlier this yr. The GP did a PSA check, which got here again regular. However a second check confirmed a better PSA stage and a marketing consultant then recognized early prostate most cancers. Six months have handed and we have heard nothing. I’m anxious that the illness will unfold. Are my fears rational?

No affected person ought to be ready six months for follow-up most cancers care. In truth, most individuals recognized with most cancers will start remedy inside two months.

An in depth most cancers remedy plan ought to be outlined by oncologists and surgeons and despatched, in writing, to the affected person’s GP. It’s completely cheap to ask for an appointment with the GP to speak about most cancers remedy and perceive what’s going on.

For some prostate cancers the remedy is energetic surveillance. This implies avoiding remedy for a most cancers that does not want it – sparing sufferers pointless unwanted effects.

A reader is concerned after her 78-year-old husband was diagnosed with prostate cancer and has had to wait six months for a follow-up appointment (stock photo)

A reader is anxious after her 78-year-old husband was recognized with prostate most cancers and has needed to wait six months for a follow-up appointment (inventory photograph)

Prostate most cancers can develop very slowly and, for some males, will trigger no issues or signs. For this reason monitoring the illness utilizing scans, PSA checks and biopsies are generally the most effective choices.

If regarding check outcomes come up, surgical procedure or radiotherapy will be provided rapidly.

It can be crucial that huge gaps between appointments are defined correctly to the affected person so it could be value speaking by means of the letters you have had from the specialist workforce with the GP.

If the plan is unclear, you possibly can request to speak to the specialist and ask questions on your remedy. The Affected person Recommendation and Liaison Service (PALS) is accessible in all hospitals, and gives help for sufferers.

An alternative choice could be to contact the charity Prostate Most cancers UK on 0800 074 8383 – they’ve specialist nurses who provide recommendation.

I’ve currently begun to note that my fingers are very stiff. The primary finger on my proper hand is especially dangerous, it retains getting caught. Final yr I used to be recognized with osteopenia in my legs – may my new drawback be associated to this, or is it simply arthritis?

There are various totally different types of arthritis. The sort that individuals are likely to get in outdated age is osteoarthritis. It causes the joints to grow to be painful and stiff and occurs because of put on and tear over time.

Different varieties of arthritis embrace rheumatoid arthritis, gout and arthritis related to psoriasis.

Extra from Dr Ellie Cannon for The Mail on Sunday…

After all, some joint issues usually are not arthritis in any respect.

Osteopenia, which is when the bones get thinner however not sufficient to warrant a prognosis of osteoporosis, can generally be associated to arthritis.

It is not unusual for the 2 situations to develop on the identical time, in the identical individual.

If a finger feels prefer it’s getting ‘caught’, the trigger could also be a situation known as set off finger. That is actually an issue with the tendons, slightly than the joints.

It makes the finger tough to maneuver when a tendon will get swollen and causes ache, stiffness and clicking. Sufferers normally discover that their signs are worse within the morning.

Set off finger is extra frequent in older folks and appears to have an effect on ladies greater than males, in addition to these with diabetes, rheumatoid arthritis or gout.

GPs can spot each set off finger and indicators of arthritis throughout a easy examination.

It is likely to be value having an X-ray or one other scan of the joints, and investigating physiotherapy which will be helpful for each these issues.

Watch out for fear-mongering menopause, Linda Barker

The previous Altering Rooms presenter Linda Barker is the most recent celeb to launch a menopause consciousness marketing campaign and monetize it. This one’s known as Altering Wombs – very intelligent – sponsored by female hygiene model Essity.

There was an accompanying video by which Linda, 61, informed her 30-year-old daughter Jessica that the menopause hit her ‘like a freight prepare’, that she suffered sleeplessness and sizzling flushes for a decade and feared she would grow to be ‘invisible’ in mid-life.

Nicely, she definitely hasn’t – and I am sorry that she struggled. I hope she had help.

Former Changing Rooms presenter Linda Barker (left), 61, told her 30-year-old daughter Jessica (right) that the menopause hit her 'like a freight train'

Former Altering Rooms presenter Linda Barker (left), 61, informed her 30-year-old daughter Jessica (proper) that the menopause hit her ‘like a freight prepare’

The menopause is not something to cover or be ashamed of, and I welcome the brand new openness about it. However fear-mongering just isn’t the best way to garner consciousness.

The Royal Faculty of Obstetricians and Gynecologists says ladies’s expertise of the menopause can differ enormously.

Every girl can have her personal emotional and bodily response to the modifications.

Younger ladies additionally have to know that lots of them can have an uncomplicated menopause that they will barely discover, and so they’ll usually really feel liberated by not having to fret any longer about intervals, cramps and temper swings.

Movies to belief on Dr YouTube

I normally warn towards utilizing social media for well being recommendation. However I’ve found YouTube will be surprisingly helpful.

I used to be invited to a YouTube occasion just a few days in the past which showcased its well being content material, and I used to be shocked by what I noticed.

'I usually warn against using social media for health advice.  But I have discovered YouTube can be surprisingly useful,' writes Dr Ellie Cannon

‘I normally warn towards utilizing social media for well being recommendation. However I’ve found YouTube will be surprisingly helpful,’ writes Dr Ellie Cannon

It appears loads of dependable organizations are publishing credible info on the video-sharing web site – together with the NHS, GP practices and main specialist hospitals.

Even some high medical doctors are sharing useful stuff, and the movies are much more partaking than the leaflets you discover within the GP’s ready room.

However in the event you do dabble, preserve an eye fixed out for accounts given an enormous inexperienced tick by the web watchdog Affected person Info Discussion board (PIF).

The tick is its high quality mark for credible healthcare info, and you will discover a full record on its web site at pifonline.org.uk.

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