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 Brainmaster Your Own Question

Brainmaster
Brainmaster, Board Certified MD
Category: Neurology
Satisfied Customers: 58
Experience:  ABPN certified. 6 years of outpatient general neurology practice experience. No malpractice cases
41544929
Type Your Neurology Question Here...
Brainmaster is online now
A new question is answered every 9 seconds

i am falling spontaneously...always falling to the left and

Resolved Question:

i am falling spontaneously...always falling to the left and hurting my left knee, hip, and elbow. this has happened to me 3 times in the past month or so. what could be the cause of these falls? i am 57 years old
Submitted: 4 years ago.
Category: Neurology
Expert:  Brainmaster replied 4 years ago.

hi

from the info you provided - falling always to one side points to several possibilities:

1. weakness on the side to which you are falling - something along the lines of "my knee buckles and i fall"

2. problem with balance center peripheral (ex. inner ear) - responsible for balance

3. (most likely( problem with cerebellum - center of the brain which is responsible for maintaining balance and coordination (ex. stroke, acoustic neuroma)

 

the first thing you need to do is to see a neurologist - he/she can differentiate between above possibilities (may require MRI of the brain and ENG - dizziness/balance test)

medications side effects is also a big possibility - need to review your meds and see if anyone of them can cause this.

 

regards

Brainmaster

Customer: replied 4 years ago.
my meds are metprolol 25mg in am, atacand 16mg also am, fish oil, mvi, (have been taking these meds for years with no reaction) lorazapam 1 mg take 1/2 tab in am.(taking for at least 1 yr with no side effects)
Expert:  Brainmaster replied 4 years ago.

2 blood pressure meds may predispose you to "orthostatic hypotension" - rapid drop of BP and increase in heart rate with rapid changes in position - 20 points drop after getting up fast is enough to pass out or fall.

your doc may do BP measurements lying down and standing, but tilt table test would be more specific.

the fact that you were taking same meds without adjustment for a while now makes it less likely, but still possible.

Customer: replied 4 years ago.
aware of orthostatic hypotension and do not believe that is the prob.had mri of brain 2 yrs ago and dx. was white matter disease somewhat more prominent for my age..MS was offered as possible dx. would these episodes of falling be a sign of MS?
Expert:  Brainmaster replied 4 years ago.

I was not suggesting that it was orthostatic, but with info you initially provided it could have been a possibility.

I often see mri reports with similar interpretations - white matter disease could be this or that or whatever - most often it is neither........ these are signs of chronic ischemic changes likely blood pressure related....... very unlikely MS.

going back to your initial question- you started having symptoms 3 months ago, mri was done 2 years ago........ if any of these "white matter ischemic changes" occur in your cerebellum - it would give you the reasons for falling. I would suggest to repeat MRI.

 

 

Brainmaster, Board Certified MD
Category: Neurology
Satisfied Customers: 58
Experience: ABPN certified. 6 years of outpatient general neurology practice experience. No malpractice cases
Brainmaster and other Neurology Specialists are ready to help you
Customer: replied 4 years ago.
thank you..nice talking to 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. Mark

    Neurologist (MD)

    Satisfied Customers:

    1985
    Neurosurgeon - Brain, spine, and peripheral nerve surgery
< Last | Next >
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Neurologist (MD)

    Satisfied Customers:

    1985
    Neurosurgeon - Brain, spine, and peripheral nerve surgery
  • http://ww2.justanswer.com/uploads/NE/neuromd2012/2012-6-6_171449_frank.64x64.jpg Dr. Frank's Avatar

    Dr. Frank

    Board Certified Physician

    Satisfied Customers:

    6629
    Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
  • http://ww2.justanswer.com/uploads/jesbrain2015/2010-5-21_162329_jack.jpg Jack Scariano Jr's Avatar

    Jack Scariano Jr

    Neurologist (MD)

    Satisfied Customers:

    1056
    Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine
  • http://ww2.justanswer.com/uploads/PR/pradocs/2012-7-23_23649_201272323220JApicture105x113.64x64.jpg Dr. Bob's Avatar

    Dr. Bob

    Neurologist (MD)

    Satisfied Customers:

    2846
    Neurology & Int Medicine (US Trained): 20 yrs experience
  • http://ww2.justanswer.com/uploads/HE/healthydoc/2011-7-22_193154_LevGrinman2.64x64.jpg healthydoc's Avatar

    healthydoc

    Board Certified Physician

    Satisfied Customers:

    1848
    Board Certified U.S. Neurologist
  • http://ww2.justanswer.com/uploads/BrainLifeDoc/2010-10-04_004701_AMF_2008_2_pix.jpg Dr. F's Avatar

    Dr. F

    Board Certified MD

    Satisfied Customers:

    266
    Neurosurgeon with more than 20 years experience in practice and teaching.
  • http://ww2.justanswer.com/uploads/Phytube/2010-9-7_192331_PicVB1a_164by64.jpg Phytube.com's Avatar

    Phytube.com

    Neurologist (MD)

    Satisfied Customers:

    86
    Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications