#neuroma

[cbphysiotherapy]

[physical-therapy-now-blog]

If you are having foot pain you will need to know this...

    🦶🏻 Chronic foot and ankle problems can result from some of the most painful conditions. Here are three tips to resolving foot and ankle pain. ➡️ 70% of all foot pain is due to poor shoe wear. Switch out your shoes every 500 walking miles. ➡️ Ankle sprains do not just "go away". It is a myth that an ankle does not have to properly rehabilitate. ➡️ Orthotics can assist from the "ground up" supplying the proper biomechanics of the foot which leads to the proper ankle, knee, hip and lower back biomechanics. 🏃🏻Whether your goal is to walk without pain and movement dysfunction or run a marathon your success will be determined by how well your lower body performs individually as well as together. If you have ankle/foot pain and want to consider if orthotics or something else will help you we will show you the way. Call us a one of our offices in Fox Chapel and Pittsburgh. 📞 Call(412) 794-8352 or physicaltherapynow.net Read the full article

[jcrmhscasereports]

In Hindsight, A Deafening Diagnosis by Ecler Jaqua in Journal of Clinical Case Reports Medical Images and Health Sciences

ABSTRACT

Dizziness is a common presentation to the outpatient, primary care physician. Its persistence, associated with hearing changes, should prompt further evaluation for more rare diagnoses such as an acoustic neuroma. Although not malignant, timely management of an acoustic neuroma is essential to prevent chronic facial paresthesia, pain, or taste disturbance, and more rarely death.

CASE PRESENTATION

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A 34-year-old female presents to the primary care physician with a 2-week history of fatigue, generalized headache, intermittent right-sided tinnitus, and dizziness that started abruptly after a dental procedure. Tinnitus is high-pitched and most often noted in the morning. The dizziness occurs mainly when changing from a supine to seated position. She has no pertinent medical history, engages in regular cardiovascular exercise but is plagued with an addiction to coffee, approximately 3 cups a day. She denies taking any medications or over-the-counter supplements.

Physical exam, including vital signs and orthostatic blood pressure measurement, is unremarkable. Differential diagnoses included benign positional vertigo and caffeine-induced headache. Plan was to obtain an audiogram, keep a headache diary, decrease caffeine consumption, and improve hydration on days of exercise.

While awaiting the audiogram, the patient presented again to her primary care physician for worsening fatigue and self-diagnosed anxiety, in addition to her stable dizziness, tinnitus, and headache. Physical exam was, once again, unremarkable. Differential diagnoses were expanded to include anemia, thyroid disorder, and vestibular migraine. Plan was to trial sumatriptan and begin laboratory evaluation for her fatigue and hair loss. Labs were unremarkable for anemia, electrolyte or vitamin imbalance, and thyroid disorder.

Almost one year later, the patient returns with persistent symptoms of fatigue, anxiety, tinnitus, dizziness, and intermittent headaches. She reports that her symptoms were overwhelming and affected all aspects of her life, not relieved with the sumatriptan. Physical exam, once again, was unremarkable. Differential diagnoses were again expanded to include Meniere’s disease, intracranial mass, and somatization disorder. Plan was to obtain the previously ordered audiogram, non-urgent magnetic resonance imaging (MRI) of her brain, and consultations with Psychology for coping techniques and Otolaryngology for her tinnitus and dizziness.

Figure 1: Audiogram depicting unilateral, sensorineural hearing loss at 4000 Hz of the right ear.

Figure 2: MRI Brain with and without contrast shows a 5mm intracanalicular, enhancing lesion on the right most consistent with a vestibular schwannoma

THE DIAGNOSIS

The audiogram was notable for asymmetric hearing loss (Fig 1) and subsequent imaging with MRI Brain confirmed the diagnoses of a 5mm intracanalicular tumor, suggestive of acoustic neuroma (Fig 2). The patient was offered proton therapy but elected for definitive, surgical intervention with Neurosurgery. She underwent translabyrinthine resection of the intracanalicular acoustic neuroma. Her postoperative course was complicated by facial weakness but resolved after one year. Follow-up imaging confirmed complete tumor resection and she continues to do well two years after surgery, without recurrence of the acoustic neuroma.

THE DISCUSSION

Headaches, dizziness, and tinnitus are challenging concerns because the differential diagnoses are quite broad. In this case, since the patient presents often, the symptoms were more likely to be acute and the more common diagnoses of benign paroxysmal positional vertigo, vestibular migraine, and caffeine-induced headache were considered. As the symptoms became more persistent, the clinician correctly broadened the differential diagnoses list and requested the appropriate imaging and specialty follow-up.

This patient’s diagnosis, a right-sided acoustic neuroma, was delayed by poor follow-up and procrastination in obtaining the audiogram.  Fortunately, the acoustic neuroma is a slow-growing, benign tumor that develops from schwannoma cells along the branches of cranial nerve VIII, the vestibulocochlear nerve.1 Acoustic neuroma is also known as vestibular neuroma or schwannoma, most commonly affecting individuals between 65 and 74 years old with a prevalence of 1 in 100,000.2,3,4 The most common risk factor is having a history of neurofibromatosis type 2 or exposure to high-dose radiation.5 Increased prevalence, over the last several years, has been attributed to advanced imaging technology.3 Although it is a slow-growing tumor, its growth can compresses the facial and trigeminal nerves causing facial paresthesia, pain, and taste disturbance.6 Rarely, the tumor can compress the brainstem and cause death.6,7 It can be monitored for growth or treated with radiation and/or surgery.

THE TAKEAWAY

Unfortunately, the etiology of patients’ concerns cannot always be determined. But, it should be the responsibility of the primary care physician to evaluate potentially life-threatening conditions for persistent symptoms. This case demonstrates balancing the common with the uncommon differential diagnoses and illustrates the patient’s role in adherence to the treatment plan. Although headaches, dizziness, and tinnitus are non-specific symptoms, the persistence of them should warrant further investigation with more advanced imaging and specialty consultation.

For more information: https://jmedcasereportsimages.org/about-us/

For more submission : https://jmedcasereportsimages.org/

[ego-slaughter]

Best Dressed

Chapters: 1/1

Fandom: Fallen Hero Series - Malin Rydén

Rating: Teen

Warnings: No Archive Warnings Apply

Relationship: Ortega/Sidestep

Characters: Sidestep, Ricardo Ortega

Additional Tags: Gender-Neutral Sidestep, post-crash, innocent ending, fluff and angst, sorta hurt/comfort, Sidestep mopes, Ortega tries to cheer them up, Ortega is an absolute menace

Summary: "...what the hell are you wearing?"

As always if you're in a country that blocks Ao3 just dm me for a pdf.

[cupc4ke88]

July 26th marks 3 years since I had brain surgery on my non cancerous brain tumor that I still have and get yearly MRI's on.. they removed 1cm out of 2.4cm

[chronal-anomaly]

Yeah that checks out...

[wetslug]

made a bet w the medical residents on what the diagnosis on a weird lookin tumor is going to be. if i get it right i get a free icecream sanmmich

[camelcasebestcase]

Callback to a few weeks back when I was at the hairdresser and we were talking and I was mentioning something ‘after my surgery’ and she leans over my shoulder and looks me in the eye in the mirror and whispers ‘forreal, have you had The Surgery????’ just exuding being super hyped for me And I hate to burst her bubble but I tap the scar on the back of my head: ‘I mean the BRAIN SURGERY. Where they took out my BRAIN TUMOR’

[er-cryptid]

Acoustic Neuroma Symptoms

ko-fi

[adribosch-fan]

Qué es el neuroma de Morton, el problema que sufre la Reina Letizia 

Su imagen sentada en el habitual besamanos a los monarcas no ha pasado desapercibida LAURA MORO Foto: Europa Press Los Reyes se encuentran de visita en los Países Bajos y esta pasada noche acudieron a la cena de Gala ofrecida por los Reyes de los Países Bajos. Como rige el protocolo, antes de la cena, tiene lugar el habitual besamanos a los monarcas, que esperan de pie a que todos sus invitados…

[birdwoodaustralia]

Struggle with Neuromas no longer! Birdwood Podiatry in Springwood offers advanced solutions and compassionate care for Neuromas, ensuring your feet are in the best hands. Experience relief and improved foot health with our expert team today!

[munaeem]

what are the side effects of radiation therapy for acoustic neuroma?

Radiation therapy for acoustic neuroma, also known as vestibular schwannoma, may have several side effects. These can vary depending on the specific treatment technique and the individual’s response to radiation. Some common side effects include: Fatigue: Many patients experience tiredness and lack of energy during and after radiation therapy. Hair loss: Radiation to the head may cause…

[ankleandfootcentersofamerica]

Surgical Solutions for Morton's Neuroma at Ankle & Foot Centers

Considering surgical options for Morton's neuroma? Ankle & Foot Centers offers advanced surgical treatments for Morton's neuroma, providing lasting relief from persistent pain and discomfort. Our skilled surgeons employ minimally invasive techniques to ensure a swift recovery and improved quality of life. Consult with our specialists to explore Morton’s Neuroma Surgery options and regain your foot comfort.

[painmanagementindelhi]

Morton’s neuroma is painful swelling, irritation or damage of the nerves leading to the toes. Irritation of the nerves generates sharp burning pain in the ball of foot and a sensation as if one is standing on a pebble or a fold in the sock. Most commonly the nerve running between the third and fourth toe (third interdigital nerve) is involved. In as many as 28% of cases adjacent nerves may also be involved (commonly the second interdigital nerve and rarely the first and fourth interdigital nerves).

[shoevillas]

Tight shoes are such a common cause of Morton’s neuroma that they put pressure on the nerve, which irritates and inflames it. This inflammation then leads to the formation of a benign tumor, which puts even more pressure on the nerve and can cause severe pain.

Read on: 12 Common Effects of Wearing Tight Shoes

[chhayasmarketplace]

Targeted muscle reinnervation to avoid neuroma or nerve injury

Major limb amputations produce a deficit of form and function but also cause post-amputation pain that can manifest itself for weeks, months or even years to come. This pain often affects quality of life, impacts the daily routine, affects interpersonal relationships, and may eventually increases the risks of depression. Targeted muscle reinnervation (TMR) is a procedure to treat or prevent chronic neuropathic pain in amputees