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Re: Dr. Whitworth, reflex loss plus...

Re: Dr. Whitworth, reflex loss plus...

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Posted by MLWhitworth, MD on April 20, 2000 at 20:44:16:

In Reply to: Dr. Whitworth, reflex loss plus... posted by ila on April 20, 2000 at 12:36:55:

: Dear Dr. Whitworth,

: First off, my apologies for misspelling your name. I meant no disrespect. Don't know why I started that, brain just flies away sometimes!

: First off, hope this post finds you in good health, body and soul.

: Also, I hope you don't mind but I've a few more questions than normal. I hope you don't mind, but it saves me posting 3 - 4 times.

: First off, my situation is, and has been for quite some time, loss of lower limbs reflex. All Dr's/Specialists who try to get a response have to hit my knee's or ankles really hard to get minimal response.

: My left side gives no response at all while the right gives minimal amount if hit hard enough.

: My question - if I attend a pain clinic where response to meds, therapy etc. is positive, will I regain all reflex actions??? If not, why?

Chances are pain meds/therapy will not restore reflexes. Some people are just hyporeflexic to begin with while with others metabolic diseases may be responsible (calcium and magnesium abnormalities, hypothyroidism, etc.). For others it represents an interruption at some point in the reflex arc. In order for the arc to work, metabolic conditions must be right and you must have intact tendon receptors, A-gamma fibers to the spinal cord, an intact intraspinal arc to the motor neurons, and activation of myelinated nerves to the muscles. The neuromuscular junction must also be functional and the motor function itself must be unimpaired. So there are many places where breakdowns can occur.

: Also, why does one lose reflex's in these areas.

: Also, is there a marked difference in the response to oxycontin and kapanol?? I'm considering taking kapanol as I'm told it is cheaper to purchase over here. However, I don't want to change if there is a reason for the lesser cost.

I do not know what kapanol is....
: Another question - is it possible to go from chronic pain to chronic fatique??
Chronic pain causes severe fatigue in many but not to the extent of developing a chronic fatigue syndrome.

: I don't know if you remember but I said some time ago that I have Ross River Fever, which is a viral infection transmitted by mosquitoes. I don't know if it is a problem over there

: Anyway, Ross River, in some people, lasts for years. Unfortunately, I seem to be in that category. Can this and chronic pain combine to give added stress or are the two totally different problems that can't combine??

We have no Ross Rivers here...must be known as something else here.
: Appreciate and thank you for your time.

: regards, ila




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