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  • in reply to: Intense heel pain… have I got Plantar fasciitis? Solutions? #4561
    owen
    Participant

    Don’t panic just yet! Sometimes it’s easy to jump to the worst conclusions. It could be plantar fasciitis, as Scats said, but it could also be something else. You never know.

    in reply to: Got bad ACL knee pain? What can I do to ease my pain? #4400
    owen
    Participant

    ACL injuries are nasty so I sympathise big time with you!!! Typically, treatment for an ACL injury depends on the severity of the injury. For minor injuries, rest, ice, compression, and elevation (aka the RICE method) may be enough to help reduce swelling and pain. However, for more serious injuries, surgery may be required.

    After surgery, physical therapy will be an important part of your recovery. You may wanna work with a therapist to help rebuild strength, improve range of motion, and regain mobility. It’s also important to follow your doctor’s instructions and avoid doing anything that could potentially re-injure your knee.

    Remember, everyone’s injury is different, so it’s important to work closely with your medical team to determine the best course of treatment for you. And don’t forget to take care of yo’self, stay positive, get plenty of rest, and stay active as you can during your recovery. Good luck! 

    in reply to: Returning to work after a broken ankle #3654
    owen
    Participant

    Yes, HR or your manager via HR should refer you to Occupational Health. Your manager isn’t qualified to decide when you are fit to return to your job but someone who is medically qualified is able to make recommendations.

    in reply to: Returning to work after a broken ankle #3645
    owen
    Participant

    OP you need to ask your employer for guidance from Occupational Health, as to when you will be considered fit to return to work.

    in reply to: Returning to work after a broken ankle #3644
    owen
    Participant

    There could be all sorts of H&S/insurance considerations.

    Is the office on the ground floor, is there a lift, are the toilets accessible to someone on crutches (some are too small) etc,etc? There is also the question of painkillers, in some jobs your judgement would be considered to be impaired if you were taking codeine or similar strong painkillers, so you could be a liabliity to your employer.

    in reply to: Cataracts…what to do? #3552
    owen
    Participant

    I had one eye done last year after a cataract obscured the vision almost over night. The result was a definite improvement but not as good as I hoped and it took months to get used to the side-effects – flickering, some loss of peripheral vision. I would definitely not have a healthy eye treated.

    I was advised by the specialist (private) not to have the varifocal type of lens since the results could be a bit hit or miss.

    However, based purely on my experience, I wouldn’t leave it too late either – it is probably easier to get a precise measurement of the eye (laser scan) and a better fitting replacement lens if the vision is not too obscured.

    in reply to: Type 2 Diabetes advice, please! #3480
    owen
    Participant

    Would he respond to the suggestion that the disease is curable and the alternative is a lifetime of drugs, all of which have side effects. And that even then he could face losing his sight or his legs? The cigarette packet warning label approach. I know it won’t work for most people.

    in reply to: Type 2 Diabetes advice, please! #3477
    owen
    Participant

    From what I see of my aunt who has Diabetes type II, it is usually weight related. I think a fairly dramatic diet is the way forward, not too crazy, obviously. The studies show that the meds are often unnecessary if diet is carefully managed.

    in reply to: Type 2 Diabetes advice, please! #3473
    owen
    Participant

    Is it weight related? If it’s weight related, there is a growing body of evidence that a few weeks on an 800 calorie a day diet will bump a lot of people back to a situation where they don’t need meds. The easiest way to do it is meal replacement drinks, probably, and I read a few weeks ago that they have been approved by NICE, so if that’s true, maybe ask your doc if they can be prescribed?

    Here is a good link:

    https://www.england.nhs.uk/2018/11/very-low-calorie-diets-part-of-nhs-action-to-tackle-growing-obesity-and-type-2-diabetes-epidemic/

    in reply to: Extremely fed up. Spinal problems #3457
    owen
    Participant

    We see Chiari malformations on supine MRI brain scans but these are research not clinical. I have done no clinical MRI so do not know what is standard.

    in reply to: Extremely fed up. Spinal problems #3455
    owen
    Participant

    If you have Chiari malformation you need a base of skull MRI. We regularly see these as symptomless incidental findings they are noted only. I am somewhat surprised you have not been sent for MRI of that area already given your diagnosis however there really is a postcode lottery in NHS. As Pas says contact your consultant and request an urgent appointment. You can also record your consultation so you can re-listen to make sure you have not missed anything as it is very easy to forget parts of a conversation when one is stressed/worried/in pain.

    I had to pay for my own lumbar MRI and went to Cobalt in Cheltenham, I cannot even be referred to either a Neuro-surgeon or Othopaedic surgeon as local policy is that a person has to develop acute Cauda Equina syndrome BEFORE they can have a NHS MRI and that if necessary a decompression would then be done. The reason I have had the MRI is that if I get acute compression signs `I will attend A&E clutching the MRI on disc and the Radiologists report. I have already had 2 discs removed as an emergency from my cervical spine!!!

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