Questions March 7 2010

Article ID: 9535

Title: Sti query
Name: Sean Ca
Section: Topics A-Z
Category: Sex
Question: Hi, About 4 weeks ago , i a! protecte! "agina# intercourse wit a sex worker
$Howe"er, i a#so spent a %ew secon!s !oing ora# on er- wic i now rea#ise was stupi!$ i
a! b#oo! tests !one an! got resu#ts to!ay wit negati"e resu#t$ To!ay i %ee# s#igt sore
troat an! i& anxious about tis as i& aware its a sy&to& o% ear#y i"$ '#ease a!"ise &e
wat to !o
Age: ()-35 years
Gener: *a#e
Current *e!ication, +nown A##ergies an! *e!ica# History were #e%t b#ank$
!I": Am I ha#ing early sym$toms%
*any peop#e !o not !e"e#op sy&pto&s a%ter tey %irst get in%ecte! wit H,-$ .ters a"e
a %#u-#ike i##ness witin se"era# !ays to weeks a%ter te exposure to te "irus$ Tey can
co&p#ain o% %e"er, ea!ace, tire!ness, an! en#arge! #y&p no!es in te neck$ Tese
sy&pto&s usua##y !isappear witin a %ew weeks$ A%ter tat, te person %ee#s nor&a# an!
as no sy&pto&s$ Tis asy&pto&atic pase o%ten #asts %or years$ Te progression o%
!isease is !i%%erent a&ong in!i"i!ua#s$ Tis state &ay #ast %ro& a %ew &onts to &ore
tan /0 years$ 1"en toug te person as no sy&pto&s, e or se is contagious an!
can pass H,- to oters$
,t is not #ike#y tat te sy&pto&s tat you !escribe! cou#! be !ue to H,- in%ection, you
got teste! an! your resu#t was negati"e, but i% you are sti## in !oubt, because you were
engage! in ig risk bea"iors in te past, you can get a &ore speci%ic test ca##e!2
3estern b#ot, wic is !one to con%ir& te resu#ts$
Article ID: 9544
Title: Hip 'ain %ro& 5unning
Name: Tessa So&eting
Section: 6iet 7 8itness
Category: Sports ,n9uries
Question: ,:& a %i%teen year o#! gir# wo runs track an! cross country$ Tis year was &y
%irst year o% igscoo# sports an! it was a #ot &ore !i%%icu#t$ 6oing a track workout
towar!s te en! o% &y %irst ig scoo# cross country season , %e#t an irritation in &y rigt
ip rigt abo"e te bone$ 3e were !oing 3,000 &eters on te track, so it wasn:t &uc o%
a sprint$ , ignore! it %or a %ew !ays but te pain !i!n:t go away so , stoppe! running an!
went to te !octor a%ter about a week a%ter te pain starte!$ *y pe!iatrician to#! &e ,
&ost #ike#y straine! &y ip %#exor an! to ta; ke two weeks o%% %ro& running$ , was a#so
suppose! to take ibupropen o%ten to e#p te swe##ing, an! ice it wen , start running$
A%ter two weeks , began running again, but &uc s&a##er !istances tan , was use! to,
an! te pain ca&e back "ery quick#y$ Te pain ten esca#a!e! an! , 9ust en!e! up not
running %or te rest o% te season$ , ten starte! in!oor track about a &ont a%ter &y
season en!e!, in opes tat &y ip wou#! a"e ea#e! by ten$ About a week be%ore
track starte! , began taking ibupropen again, an! went on#ine an! %oun! so&e great
stretces %or &y ip %#exor to use be%ore an! a%ter practice$ Tis e#pe! %or a #itt#e bit, but
te pain ca&e back again$ , ignore! it %or awi#e, but ten &y #e%t ip starte! urting in
te sa&e %asion, but twice as ba!$ , went to a !i%%erent !octor at our urgent care, an!
e to#! &e te sa&e ting as &y pe!iatrician$ <etting %rustrate!, , !eci!e! to try to run
troug it, wic was a terrib#e i!ea$ ,t got so ba! &y #e; %t knee starte! urting an! tere
were ti&es were it urt to ; wa#k so &uc , was craw#ing up stairs$ , quit track wen it
got to tis point an! &y parents starte! to notice ow ba! it was getting$ , stoppe!
running %or two &onts an! out!oor track was going to start in a &ont, so , !eci!e! to
s#ow#y get &y &i#eage back up to a reasonab#e a&ount in opes , cou#! run %or out!oor$ ,
!eci!e! a goo! way to !o tis was wit &y %rien!, wo a! ne"er run be%ore$ 3e wou#!
run a &i#e a !ay in %ourts$ So we wou#! stop %or a &inute break e"ery %ourt o% a &i#e$
A%ter te tir! !ay in a row &y ips starte! irritating &e once again, so , took a !ay o%%
an! ice! it an! stretce! it$ , ran te next !ay an! &y pain got worse$ So , !eci!e! to
gi"e up$ =ow , a"e gy& an! ,:& a"ing a ar! ti&e running te require! a&ount$ ,t:s
e&barassing tat o"erweigt peop#e can run &ore tat , can, wen , use! to run up to
%i"e &i#es$ , want to know i% tere is anyting ,:& !oing wrong tat , sou#!n:t be !oing, or
i% te !octors , went to were wrong an! tere is so&eting tota##y !i%%erent going on$ Te
pain is rigt abo"e te ip bone, but not on te si!e, it goes !own, %o##owing te bone, %or
about %our inces$ ,t !oesn:t go into &y back o%ten, but it as be%ore$ ,t %ee#s #ike a
nagging pain, tat:s a sarp stabbing pain wen it is at it:s worse$ Spinning or using
bycic#es !oesn:t urt &y ips, but trea!&i##s an! running !o$ 3en , run, , !on:t %ee# te
pain un#ess ,:& going "ery s#ow$ ,t:s wen , stop %or a &inute tat te pain co&es back$
A%ter stoppe!, te &ost pain is to start back up running again$ *y ips !o cause &e to
s#ow !own in &y running$ , tink , !on:t a"e &uc strengt as , use! to, since , !ont %ee#
te pain wen , run, but , sti## a& going "ery s#ow, an! not i&pro"ing on &y running
abi#ities$ 3en , sit !own or #ie !own, te pain goes away$ 3en ,:& stan!ing, , a"e to
be care%u# to not put a## &y weigt on one #eg since it wi## urt$ Tank you 2>
Age: /3-/? years
Gener: 8e&a#e
Current *e!ication, +nown A##ergies an! *e!ica# History were #e%t b#ank$
!i$ &ain in a 1' years ol (unner
."eruse in9uries or repetiti"e &otion in9uries &ake up o"er 50@ o% a## at#etic-re#ate!
in9uries seen by !octors$ Si&p#e e"ery!ay actions, suc as trowing a ba##, scrubbing a
%#oor, running or 9ogging, can #ea! to tis con!ition$ Te &ost co&&on types o% repetiti"e
&otion in9uries are ten!onitis an! bursitis$ Tese ( !isor!ers are !i%%icu#t to !i%%erentiate
an! &any ti&es &ay coexist$ ,n your case, &ost #ike#y cou#! be a bursitis o% te ip !ue
to a repetiti"e trau&a, wic can a"e "arious causes, %or exa&p#e2 ina!equate
%ootwear, ina!equate tecnique %or running an!Aor %or training, ina!equate training
sur%aces$ Bursae are s&a## pouces or sacs tat are %oun! o"er areas were %riction &ay
!e"e#op an! ser"e to cusion or #ubricate te area between ten!on an! boneC co&&on
areas were bursitis can occur inc#u!e te e#bow, knee an! ip$ Trau&atic bursitis is te
type in"o#"e! wit repetiti"e &otion in9uries$ Trau&atic bursitis is &ost co&&on in peop#e
younger tan 35 years$ ,ce in te a%%ecte! area can be use! %or re#ie% o% pain an!
swe##ing$ Te conser"ati"e treat&ent as %o##ows2 i&&obi#iDation an! ice !uring te ear#y
pase an! &oist eat !uring te #ong-ter& pase$ Ese o% anti in%#a&&atory &e!ication
=SA,6s FGa#e"eH, G&otrinHI can e#p to ease pain an! swe##ing$ ,% your ten!initis or
bursitis is not e#pe! by =SA,6s, your !octor &ay coose to in9ect steroi!s into te
surroun!ing area o% in%#a&&ation$ Jou sou#! begin gra!uate! range-o%-&otion exercise
once your sy&pto&s begin to i&pro"e$ As a ru#e, you sou#! not a"e &ore tan 3
in9ections into te sa&e area witin a /(-&ont perio!$ A#ternati"e treat&ents inc#u!e
pain-ki##ing crea&s, capsaicin crea& Fan o"er-te-counter pain re#ie% crea& &a!e %ro&
an ingre!ient o% cayenne pepperI, an! steroi! &e!ications i% you are ab#e to take te&$
5egar!ing pre"ention &easures %or bursitis2 6o a!equate war&-up an! coo#-!own
&aneu"ers Fcrucia# to proper ten!on an! bursae ea#tI$ A"oi! acti"ity tat &akes your
in9ury %#are up$ Tis wi## spee! ea#ing o% bot ten!initis an! bursitis$ A great &a9ority o%
bursitis cases ea# we##$ Kust a"e to be patient an! consistent wit te treat&ent$
Article ID: 9))3
Title: 1xcercising 'ains
Name: Courtney 8rost
Section: 6iet 7 8itness
Category: 1xercise
Question: , recent#y worke! out &y biceps an! triceps te oter !ay an! now si!e
opposite &y e#bow is sore$ , was won!ering i% tis was nor&a#L
Age: /3-/? years
Gener: 8e&a#e
Current *e!ication, +nown A##ergies an! *e!ica# History were #e%t b#ank$
)*ercising &ains
,% you are not use! to exercise regu#ar#y, an! a## te su!!en you begin wit a strong
routine, &ost #ike#y you are going to experience pain in te &usc#es in"o#"e!$ So, to
a"oi! tis, it is strong#y reco&&en!e!, begin wit a #igt routine, tat gi"es you ti&e to
get use! to exercising, an! ten increase progressi"e#y te &usc#e e%%ort$ Jou can take
anti in%#a&&atory &e!ication te %irst !ays wi#e you get use! to te exerciseMs
!e&an!s$ An! re&e&ber to !o an a!equate war&-up e"ery ti&e you exercise to
!ecrease te cance o% &usc#e in9uries$
Article ID: 94/(
Title: Back an! #eg pain
Name: Susan 1astwoo!
Section: Topics A-Z
Category: Back 'ain
Question: , a"e #ower back pain but a"e %u## &obi#ity, i a& getting constant pain an!
a#so sooting pains !own &y bot &y #egs especia##y in te &usc#es at te %ront
Age: ()-35 years
Gener: 8e&a#e
Current Meication: coco!a&o#, !ec#a%#anic
+nown A##ergies an! *e!ica# History were #e%t b#ank$
+ac, &ain an -eg &ain
3en te #ow back pain is associate! wit a tra"e#ing pain or nu&bness to te #egs,
knees or %eet, a spina# ner"e co&pression as to be ru#e out$ Te back pain associate!
to a ner"e co&pression can pro!uce an in%#a&&atory process tat a%%ects ner"e roots
FneuritisI, an! it &ani%ests as tra"e#ing pain to te #ower #i&bs an! oter sy&pto&s
as nu&bness$
Te treat&ent strategy wou#! be as %o##ows2

try to keep a proper posture, a"oi!ing
repetiti"e cer"ica# an! #u&bosacra# stress Fexa&p#e weigt #i%tingI, a!ering to a
ea#ty #i%esty#e an! proper nutrition, pysica# acti"ity, #osing excess o% weigt,
s&oking cessation, seeking &e!ica# a!"ice in a ti&e#y &anner wen in!icate!$
6uring te pain crisis a pysica# terapy progra& sou#! be %o##owe! an! ai&e! to
re!uce pain an! in%#a&&ation$ 8or patients tat sow poor response to tese
&easures te surgica# option &ay be consi!ere!$
Article ID: 9)(/
Title: 8oot an! Ca#% Cra&ps$
Name: A!e#ine *anga
Section: Topics A-Z
Category: 'ain
Question: Hi 6octor, &y na&e is A!e#ine an! i& /3 an! ,:"e been getting %oot cra&ps
since i was about ? or 9 an! tey #ast %or about /5-(0 &inutes$ Te cra&ps #i&it &e %ro&
!oing &y %a"ourite sports an! ,:"e a#rea!y gi"en up on ice skating, basketba##,
ro##erb#a!ing$ An! now ,:"e a#so been getting cra&ps in &y ca#% at nigt an! it urts #ike
C5AZJ;; ,:"e a#rea!y been taking so&e pysioterapist appoint&ents but a## , want to
know is ow can , stop cra&ps wen ,:& tat situation again an! wat causes %oot
cra&ps$
Age: /3-/? years
Gener: 8e&a#e
Current *e!ication, +now; n A##ergies an! *e!ica# History were #e%t b#ank$
.oot an Cal/ Cram$s
A &usc#e cra&p is a su!!en an! in"o#untary contraction o% one or &ore o% your &usc#es$
*usc#e cra&ps can resu#t in intense pain an! #ea"e you te&porari#y unab#e to use te
a%%ecte! &usc#es$ Co&&on causes o% &usc#e cra&ps inc#u!e o"eruse an! !ey!ration
!uring pysica# acti"ity in war& weater$ ."eruse o% a &usc#e, !ey!ration, &usc#e
strain or si&p#y o#!ing a position %or a pro#onge! perio! o% ti&e &ay resu#t in a &usc#e
cra&p$ At#etes wo beco&e %atigue! an! !ey!rate! wi#e participating in war&-
weater sports %requent#y !e"e#op &usc#e cra&ps$ ,n &any cases, owe"er, te exact
cause o% a &usc#e cra&p isn:t i!enti%ie!$
So&e &e!ications an! certain &e!ica# con!itions a#so &ay cause &usc#e cra&ps$ Jou
can usua##y treat &usc#e cra&ps at o&e wit se#%-care &easures as %o##ows2 stretcing
exercises tat can e#p you re!uce your cances o% getting &usc#e cra&ps$ *aking sure
you stay we## y!rate! a#so can e#p$ 8or recurrent cra&ps tat !isturb your s#eep, your
!octor &ay prescribe a &e!ication to re#ax your &usc#es$ *usc#e cra&ps usua##y
!isappear on teir own, an! are rare#y serious enoug to require &e!ica# care$ Howe"er,
i% you experience %requent an! se"ere &usc#e cra&ps or i% your cra&ps !isturb your
s#eep, see your !octor$