[51F] Experiencing progressive muscle weakness and pelvic-floor dysfunction

What might be happening

Based on the information you've provided, possible diagnoses include:

• Cervical Radiculopathy: This condition occurs when a nerve root in the cervical spine becomes inflamed or damaged, resulting in a change in neurological function. Symptoms can include pain, weakness, or numbness in the areas served by the affected nerve, such as the arm and hand. The pain can be sharp and worsen with certain movements or positions.

  • Diagnostic tests may include X-rays, CT scans, or MRI scans. Treatment can involve physical therapy, medications, or possibly surgery.

• Peripheral Neuropathy: This condition results from damage to the peripheral nerves, which carry signals between the brain and spinal cord and the rest of the body. Symptoms can include pain, weakness, numbness, or tingling in the affected areas. It can be caused by a variety of factors, including certain medications.

  • Diagnosis typically involves a physical exam, nerve function tests, and possibly a nerve biopsy. Treatment focuses on managing symptoms and addressing the underlying cause.

• Pelvic Floor Dysfunction: This condition occurs when the muscles of the pelvic floor do not work properly. It can cause a variety of symptoms, including constipation, difficulty with bowel movements, and pain. It can be caused by traumatic injuries, childbirth, surgery, or chronic diseases that affect the nerves and muscles.

  • Diagnosis typically involves a physical exam and possibly imaging tests. Treatment can involve physical therapy, medications, biofeedback, or possibly surgery.

Please note that these are possible diagnoses based on the information you've provided, and it's important to consult with a healthcare provider for a formal diagnosis and treatment.

What you can do

1. Consult with a healthcare provider: They can provide a formal assessment and order relevant tests if necessary.
2. Physical therapy: If you haven't already, consider seeing a physical therapist. They can provide exercises and treatments to help manage your symptoms.
3. Monitor your symptoms: Keep track of any changes in your symptoms, and note any activities or factors that seem to make them worse. This information can be helpful for your healthcare provider.

What you should look out for

Reasons to see a healthcare provider more urgently:

• If your symptoms worsen or spread to other areas
• If you develop new symptoms, such as difficulty walking, loss of balance, or problems with coordination
• If you experience severe pain or discomfort that is not relieved by over-the-counter pain medication.

Remember, it's important to consult with a healthcare provider for a formal diagnosis and treatment.