[31F] With worsening headache, vision changes, and difficulty walking
Patient Description
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Arora's Assessment
What might be happening
It sounds like you are experiencing a complex set of symptoms that may be related to multiple underlying issues. Here are some possible explanations:
Difficulty Walking, Instability, and Balance Problems
- Herniated Discs: Given your history of two herniated discs, these could be compressing nerves that affect your legs, leading to weakness, numbness, and difficulty walking. This can also cause instability and balance problems.
- Cervicogenic Headache: The pressure headache at the back of your head above your neck could be related to your herniated discs, especially if the discs are in the cervical spine. This type of headache can worsen with neck movements like looking up or down.
Headache, Vision Changes, and Eye Pain
- Cervicogenic Headache: As mentioned, this type of headache can cause pain that radiates from the neck to the head and can be associated with vision changes and eye pain.
- Migraine: Migraines can cause severe headaches, vision changes, and eye pain. They can also lead to muscle tightness and balance issues in some cases.
Muscle Tightness and Clumsiness
- Nerve Compression: The herniated discs could be causing nerve compression, leading to muscle tightness and clumsiness.
- Neurological Issues: Other neurological conditions could also be contributing to these symptoms, but further evaluation would be needed to determine this.
What you can do
Difficulty Walking, Instability, and Balance Problems
- See a Doctor: Given the severity of your symptoms, it's important to consult a healthcare provider as soon as possible. They may recommend imaging studies like an MRI to assess the condition of your herniated discs and any nerve compression.
- Physical Therapy: A physical therapist can help you with exercises to strengthen your muscles and improve your balance.
- Avoid Strain: Try to avoid activities that worsen your symptoms, such as prolonged walking or squatting.
Headache, Vision Changes, and Eye Pain
- Consult a Neurologist: A neurologist can help determine if your headaches are cervicogenic or migraine-related and recommend appropriate treatments.
- Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen may help alleviate some of the pain, but consult your doctor before taking any medication.
- Neck Support: Using a neck brace or practicing good posture can help reduce the strain on your neck and alleviate headaches.
Muscle Tightness and Clumsiness
- Stretching Exercises: Gentle stretching exercises can help relieve muscle tightness. A physical therapist can guide you on the best exercises for your condition.
- Heat Therapy: Applying a warm compress to tight muscles can help relax them.
What you should look out for
Given the complexity and severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:
- Severe or worsening weakness or numbness in your legs
- Loss of bladder or bowel control
- Severe headache that doesn't improve with medication
- Sudden vision loss or severe eye pain
Remember, while I can provide some guidance, it's crucial to consult a healthcare professional for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your provider.
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2 mo ago