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 DrThomasMd Your Own Question

DrThomasMd
DrThomasMd, Board Certified MD
Category: Health
Satisfied Customers: 55804
Experience:  Training in all aspects of health care, complementary and alternative medicine, prevention, health.
Type Your Health Question Here...
DrThomasMd is online now
A new question is answered every 9 seconds

My wife, Carol has constant muscle pain in her left thigh from

Resolved Question:

My wife, Carol has constant muscle pain in her left thigh from the knee to the upper quad. A year ago she had a successful left hip replacement and ten years ago suffered a traumatic c6-c7 incomplete neck injury that left her completely paralyzed.
Since then she has been constantly recovering and is walking with the aid of canes. Since the injury she continues to periodically recover more nerve sensations – like thawing out from frost bite – nerves heal so very, very slowly.
The thigh pain occurred before the hip replacement but became worse as the deterioration of the hip occurred. Thus far no one has been able to diagnose or explain it and thus offer any relief.
Your thoughts or questions please?
Submitted: 2 years ago.
Category: Health
Expert:  DrThomasMd replied 2 years ago.
Hello
Who has been in charge of ordering physical therapy?
What type of doctor
Customer: replied 2 years ago.
Her orthopedic physician
Expert:  DrThomasMd replied 2 years ago.
OK
Usually this type of situation is from structural strains and patterns that get fixated even more after a surgery.
The correct PT often does not get done.
The doctor she needs to see is a physical medicine and rehabilitation doctor for assessment which unfortunately does not happen enough...it is a separate specialty and she does not need a referral. These MDs are also called physiatrists.

A physiatrist is an MD or DO doctor of physical medicine and rehabilitation, who will tailor a physical therapy to you and your tests, and can do the tests, and who will also use novel electronic and traction therapies, and can handle pain control or work with your pain control doctor and your other doctors.
The reason physical therapy often does not help is because it is not individualized.
This doctor will do that as well.
These doctors...physiatrists are oriented to improving the situation to the point that you don't need surgery or medications.

Let me know if you have further questions, details or need clarification, just use reply.......

Please Click Accept to give answer credit so I am compensated for time and expertise. Come back if needed. Bonuses and positive feedback most helpful. Answers for informational purposes only, not to replace your physician advice or visit.

Future questions? Ask for DrThomas in the question title or see my profile to request me. Save my profile to your browser favorites.

Customer: replied 2 years ago.

Thank you. This is a good direction. As you know physiatrist have different specialties. 8- 10 years ago, our physiatrist was a spinal cord specialist. The most recent one is a pain specialist. It would now appear that the physiatrist, physical medicine & rehab Carol needs is one that is more muscle and nerve oriented.

Do you think for this condition a Neuromusculoskeletal Medicine, Physical Medicine & Rehabilitation, Sports Medicine physician is the one to go with?

Expert:  DrThomasMd replied 2 years ago.
Yes that would be excellent
They can seven do an EMG/NS study in the office to see if there is nerve damage.

Please Click Accept to give answer credit so I am compensated for time and expertise. Come back if needed. Bonuses and positive feedback most helpful. Answers for informational purposes only, not to replace your physician advice or visit.
Future questions? Ask for DrThomas in the question title or see my profile to request me. Save my profile to your browser favorites.

DrThomasMd, Board Certified MD
Category: Health
Satisfied Customers: 55804
Experience: Training in all aspects of health care, complementary and alternative medicine, prevention, health.
DrThomasMd and 3 other Health 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 can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery