Loic Bullock

Answers to patient questions

• General topics
  Hello, some years ago i bumped inwards part of Knees together and it was ok after some weeks but now whenever i pull up my lower back i feel a sensation no pain necessarily but i don't understand what it is? Should i see physiotherapist?

  • I'm not a doctor, but I can try to provide some general information that may help you. The sensation you're experiencing in your lower back could have various potential causes, and it's always a good idea to consult a healthcare professional for a proper evaluation and diagnosis.
    
    Based on your description, it's possible that the previous incident where you bumped your knees together may have caused some strain or injury to your lower back. Over time, if the issue was not addressed or properly healed, it could lead to ongoing discomfort or sensations when you engage certain muscles or movements.
    
    A physiotherap...ist or a healthcare professional with expertise in musculoskeletal issues can help assess your condition. They can evaluate your symptoms, medical history, and perform a physical examination to determine the underlying cause of your discomfort. They may also recommend further tests, such as X-rays or MRI scans, if necessary.
    
    Once a diagnosis is made, a physiotherapist can develop a personalized treatment plan to help alleviate your symptoms and improve your condition. This might involve specific exercises, manual therapy techniques, posture correction, and lifestyle modifications.
    
    Remember, it's important to seek professional medical advice to get an accurate diagnosis and appropriate treatment recommendations based on your specific situation. Read more

    

    Loic Bullock

• General topics
  Who do I see about wrist/thumb pain? I have had pain in my thumb and wrist, mostly when picking things up (like a mug of tea). I was rock climbing regularly when it started to bother me, and after resting it for two months, it still is causing me pain. There was no specific moment that caused the injury.

  • For wrist and thumb pain, especially related to activities like rock climbing and exacerbated by gripping or lifting, you should see a hand specialist. Here are your options for specialists and steps to take:
    
    1. Orthopedic Hand Specialist
    
    • These are orthopedic doctors who focus on injuries and conditions of the hand, wrist, and forearm. They can evaluate structural issues like tendinitis, ligament damage, or early arthritis.
    
    2. Certified Hand Therapist (CHT)
    
    • Hand therapists specialize in rehabilitation of the hand and wrist. They can help with movement assessments, strengthening, and pain management. O...ften, they work in conjunction with orthopedic doctors.
    
    3. Physical Therapist (PT)
    
    • A physical therapist can help assess functional impairments and provide exercises to improve strength, mobility, and reduce pain.
    
    4. Sports Medicine Physician
    
    • Since this injury likely originated from your climbing, a sports medicine doctor can evaluate overuse injuries and work with specialists to develop a treatment plan.
    
    Possible Diagnoses
    
    Some conditions related to your symptoms and activities include:
    • De Quervain’s Tenosynovitis: Inflammation of the tendons on the thumb side of the wrist, common in repetitive gripping activities.
    • Tendinitis or Overuse Injury: General inflammation of the tendons from climbing.
    • Ligament Sprain or Tear: Minor or moderate ligament damage, which could still cause pain after two months.
    • Cartilage Damage: Rare but possible from repetitive stress or small undetected injuries.
    • Trigger Thumb: If your thumb feels stuck or clicks.
    
    Immediate Steps
    
    • Stop Climbing or Aggravating Activities: Ensure you’re fully resting the area.
    • Use a Thumb Spica Brace: These braces immobilize your wrist and thumb to allow healing.
    • Apply Ice or Heat: Ice for inflammation and heat for stiffness can provide relief.
    • Over-the-Counter NSAIDs: Medications like ibuprofen can reduce inflammation.
    • Seek Imaging if Advised: X-rays or MRIs can rule out structural damage.
    
    Since it hasn’t improved after two months of rest, it’s time to consult a professional to prevent chronic issues. Read more

    

    Loic Bullock

• General topics
  Who do i see if I hurt my back

  • If you hurt your back, the right person to see depends on the severity and type of pain you’re experiencing. Here’s a quick breakdown:
    
    1. Primary Care Physician (PCP)
    • Good for: Mild to moderate back pain, first-time issues, or if you’re not sure what’s wrong.
    • They can: Diagnose, prescribe meds, recommend rest or physical therapy, and refer you to a specialist if needed.
    
    2. Chiropractor
    • Good for: Muscular pain, misalignment, or stiffness (especially if you’ve had success with chiropractic care before).
    • Note: Make sure it’s not a serious injury like a fracture before going.
    
    3. Physical Ther...apist
    • Good for: Rehab from strain, sprain, or long-term back issues.
    • Usually requires: A referral from your doctor, depending on your insurance.
    
    4. Orthopedic Doctor
    • Good for: Suspected issues with bones, discs, or spine (e.g., herniated disc, sciatica, fractures).
    
    5. Neurologist or Pain Specialist
    • Good for: Nerve-related back pain (e.g., numbness, tingling, shooting pain down the leg).
    
    6. Emergency Room / Urgent Care
    • Go here if:
    • You have sudden severe pain after trauma.
    • You lose control of your bladder/bowels.
    • You feel weakness or numbness in your legs.
    • You can’t move easily or at all.
    
    If you’re unsure, starting with your primary care doctor is a safe move — they can help guide you. Want help figuring out which type of pain you’re dealing with? Read more

    

    Loic Bullock