How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Dan B. Your Own Question

Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3163
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
36528250
Type Your Eye Question Here...
Dr. Dan B. is online now
A new question is answered every 9 seconds

Temporal Arteritis relapse or concussion? Diagnosed with PMR

Resolved Question:

Temporal Arteritis relapse or concussion?
Diagnosed with PMR and TA February 2013. Prednisone was magic in resolving symptoms. Very gradual taper (now at 15mg). I sustained a concussion 6 weeks ago. Unfortunately, hit temple exactly where the temporal arteritis pain had been situated. Over the first few weeks post concussion the headaches and other symptoms improved. Then, suddenly, 5 days ago the temple pain went nuts. Really really painful and even prednisone doesn't help. Vision symptoms (like I had in first weeks of concussion) in one eye only (looking at type right now it is vibrating and gives a shadow/double effect). And (brand new symptom) when I move my jaw-- talking, eating, laughing, I get horrible temple pain (same place as the headache, same pain). Rest doesn't help the headache (tried two days of full mental and physical rest, like for concussion, with no real improvement). Not talking or chewing does help the jaw pain but doesn't make it go away

Had a normal CT two weeks ago. Cognitive and balance related concussion symptoms are much improved.

Phoned GP today and she things, to be safe, we should increase my prednisone to 30 and even 35 or 40 if no improvement after a few days. Rheumatologist appt not available for months. I don't want to increase my dose (not because the high dose was a problem, few side effects, but the taper was horrid).

The questions: Could this 'just' be the concussion? Can I increase the dose of prednisone for a week trial and then go right down to the lower level if it does nothing? Are relapses of TA likely and what is the prognosis? f I don't increase my dose, is 15 mg enough to keep me from serious TA impact?
Submitted: 10 months ago.
Category: Eye
Expert:  Dr. Dan B. replied 10 months ago.

Dr. Dan B. : Hello and thanks for your question. Are you available to chat?
Dr. Dan B. : First of all, well technically this could be related to the concussion, I strongly suspect that it is not but instead is related to the temporal arteritis. And given how severe the consequences can be, you have to assume it is from temporal arteritis and not from the concussion.
Dr. Dan B. : I agree with your GP. However I don't agree that it is safe to just increase it for a week and then taper back down. Yes, relapses are certainly possible especially during a tapering of the prednisone. And since you are only six months out from the initial onset, relapses are still very likely.
Dr. Dan B. : If you can keep the inflammatory markers in your blood at a low level through the prednisone use, temporal arteritis usually will burn itself out after 1 to 2 years and the prognosis is usually good as long as it is controlled through the duration. But no, 15 mg is quite unlikely to prevent serious sequela from temporal arteritis. Does this make sense? Do you have any other questions about this?
Dr. Dan B. : It appears as though you are not in the chat room currently. I am happy to be able to help you today. I will also be happy to answer any other questions until you have the information you need. If you would like to ask further questions or clarification regarding anything I've said, please let me know and I will be happy to address your concerns when I return to see if you've responded. If your concerns have been resolved...Your feedback is important to me and will help me improve my encounter with future customers. Please rate your encounter with me by providing positive feedback (by pressing the smiley face); any bonus you may feel prompted to provide would be welcomed and is appreciated. If you feel like your concerns are not resolved or you have a problem or issue with anything I have said or haven’t said, please don’t issue a negative feedback rating—My goal is your satisfaction and I would rather work together to solve your concerns, until you are satisfied, than have you leave our encounter unhappy and unsatisfied. My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor. Thanks for your inquiry!
Customer:

I am available now.

Customer:

I am available now

Customer:

I am available now.

Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3163
Experience: Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
Dr. Dan B. and other Eye Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology
 
 
 

Related Eye Questions