what's wrong?

[nibash]

A fren of mine had a bike accident couple of years ago during he happen to bang his left knee in the wall. And now he compains of severe pain in the buttock and also there is clear atophy of the affected leg. Doc had advised him for physiotherapy, which he did but to no avail. Nerve conduction test showed not much of a problem in nerve conduction. Now there is atorphy of the entire left side of the body. Please suggest me how i could help my fren.

[RAAZ]

Dear Nibash, since your friend's problem seems to be complicated, we have forwarded your question to the site doctor and I am sure you will get some suggestion from him very soon. Keep in touch.

[Doctor]

Dear nibash,

I am sorry to hear about your friends.

Well, Immobilization is the main cause of muscle atrophy in patients after knee injury, physiothrapy had to be continued as directed by your physician.

At this point I would suggest you to consult the same doctor or seek for specialist consultation (Orthopaedic Surgeon) in your area.

If you want to discuss anything please feel free to ask.

All the best

[RAAZ]

Yeah Nibash, At such a serious condition, you shouldn't compromise and just stick to e-advice. You should better take your friend to a good orthopaedician.

[Walrus]

Hi Raaz and Nibash,

This ceratinly needs a complete medical evaluation but shall we also continue the discussion. I am sure Nibash is just looking from opinion from Xenomed but not relying on that only. It is clear from the fact that they have done even nerve conduction test so minimal physical checkups and imaging must have already been performed.

So, shall we ask medicos visiting this side discuss on this?

Nibash, can U please also include more details of the physical findings and imaging. Atrophy of the left leg can be explained by immobilisation but can it amount to severe pain in the buttocks? Is there any possibility of dislocation of hip?

(btw, U have written atrophy of entire left side of the body - does that mean just the left leg or the entire left side?)

[Pal]

Usullay there is ACL injury when there is knee injury, and early moblization of the knee is important.

ACL injury is related to muscle atrophy which result from the immobiliazation after ACL injury.

Inadequate physiotherapy must have lead this condition, he need to consult immediately.

There could be various other reasons as walrus has raised the question, if nibash can answer those we can have better idea about his condition.

[RAAZ]

Yeah ofcourse we can discuss. We are here to discuss. But the first priority comes to his friends health. Lets see what the consultant advises and then we can add up our advise. For now we can discuss on the problem but the first advise should be, consult an orthopaedician. Withour seeing the patient, giving advises in such serious cases can turn out the other way.
Nibash, as advised by the xenoMED doctor & Walrus, go for a good consultant immediately coz without examining your friend we can't be sure of anything and please inform us on what the doctor suggested so that we can also get some ideas on the case and further discuss on it.
Thank You!

[Sarensa]

This ceratinly needs a complete medical evaluation but shall we also continue the discussion. I am sure Nibash is just looking from opinion from Xenomed but not relying on that only.

Yeah Walrus, we should obviously discuss on the case and opinions can be very helpful. But I am sure the site doctor and Raaz were just warning him take the condition seriously so that he may not just stick to our opinions waste some time coz evertime an opinion is not right.
So friends, lets discuss on the case and the discussion would be more interesting if nibash would inform us about what the consultant suggested or did for the treatment.

[nibash]

hi,
there is no dislocation of hip as he often goes to play football. He said that his strength is gone in the left leg . Yes , he is wasting away in the entire left part, from the neck region to left hand to thigh and calf. I am worried for him. He is really in pain and troubled!
He feels miserable and says that he was talked to rudely by a senior doctor at Birhospital as the doctor said "if you want to waste money why don't you do the MRI". The doctors there refused to accept that he was wasting as they said it was minimal , and could have caused due to misuse. He used to go to the gym and had pretty muscular body, now he is losing them all and only in the left part. He complained of pain in the left clavicle region too. Even I am worried.
Moreover , he is fed up going to doctors.
How could one has atrophy in the entire left region?
Could you please suggest any good doctor for this .
He went to KMC too , there too the intern brothers were not convinced that he had atrophy ,their reasoning being, since it has been a long time , there does not seem any prominent atrophy!!
What about his pain, he was given some medicines to ease his pain and relax his nerves by the doctor.
In grave need to help and advice!

Originally Posted by Walrus

Hi Raaz and Nibash,

Is there any possibility of dislocation of hip?

(btw, U have written atrophy of entire left side of the body - does that mean just the left leg or the entire left side?)

[JNUS]

Don't be disappointed Nibash !
Ultimately he needs better evaluation, haina ta..
So , get an appointment of a Neurologist / Neurophysician in some private sector where u can talk to him as much as u want regarding his illness.
Atropy of left half of body, u should be consulting Neurologist rather Ortho guys.