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Limited-Time: Ask CrashVector your bike-related medical questions

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Old 10-01-06, 03:48 PM
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Dude.. I was just joking.. but now you're all paranoid aren't you. Hipaa is serious shlt, but I think youre fine doing this. Hipaa is mostly concerned with privacy of medical records.. as long as everyone on here knows that this forum is public, youre ok.
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Old 10-01-06, 04:07 PM
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Speaking as someone who does medical liability defense for a living, I roll my eyes at the suggestion that providing anonymous clinical advice via the Internet is a violation of HIPAA. More to the point, however, is the fact that without an appropriate history, examination and necessary testing, any healthcare provider can provide only the most general advice in this sort of setting and cannot render a diagnosis or prescribe treatment. If you need a diagnosis, treatment or second opinion specific to your situation, make an appointment with the healthcare provider of your choice.
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Old 10-01-06, 04:09 PM
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Originally Posted by mcoine
Dude.. I was just joking.. but now you're all paranoid aren't you. Hipaa is serious shlt, but I think youre fine doing this. Hipaa is mostly concerned with privacy of medical records.. as long as everyone on here knows that this forum is public, youre ok.

My appologies then, but HIPAA is serious sh1t. Nobody in the medical profession even jokes about stuff like this because I personally know ppl that have had their licenses revoked over petty bullcrap.
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Old 10-01-06, 04:11 PM
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Originally Posted by MillCreek
Speaking as someone who does medical liability defense for a living, I roll my eyes at the suggestion that providing anonymous clinical advice via the Internet is a violation of HIPAA. More to the point, however, is the fact that without an appropriate history, examination and necessary testing, any healthcare provider can provide only the most general advice in this sort of setting and cannot render a diagnosis or prescribe treatment. If you need a diagnosis, treatment or second opinion specific to your situation, make an appointment with the healthcare provider of your choice.

that is exactly what I repeated over and over again...if you see my replies.

I was just offering to provide generalized advice to prevent someone from getting potentially bad or harmful advice.....

Maybe I took mccoine's post a little too literally, but like I said, it is something that is ingrained into us from the time we start school.....do NOT joke around with HIPPA stuff...we don't even joke amongst ourselves about things because of it.
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Old 10-01-06, 04:16 PM
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I've got a question. When i ride for a while, my ring and pinky finger start hurting very badly, i just put new grips on, and get the exact same problem. They start aching badly. If you could help me out that would be great.
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Old 10-01-06, 04:23 PM
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Originally Posted by Roxter
I've got a question. When i ride for a while, my ring and pinky finger start hurting very badly, i just put new grips on, and get the exact same problem. They start aching badly. If you could help me out that would be great.

you are probably just putting unequal pressure on the outside edge of your hands. This isnt a medical issue as much as it is a technique thing I don't think.
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Old 10-01-06, 04:30 PM
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I have warts all over my A$$ and genitalia and they hurt something aweful. ( in best jerky boys voice )
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Old 10-01-06, 04:32 PM
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Originally Posted by Minesbroken
I have warts all over my A$$ and genitalia and they hurt something aweful. ( in best jerky boys voice )

oh MAN I used to LOVE that tape!!!!!!!

the way he kept moaning would always KILL me..LMAO!!!


"oooooooOOOOOOooooo!!! please, please HURRY...this really HUUUURTS OOOOOOHHHH!!!"

ROTFLMAO!
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Old 10-01-06, 04:33 PM
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Originally Posted by Roxter
I've got a question. When i ride for a while, my ring and pinky finger start hurting very badly, i just put new grips on, and get the exact same problem. They start aching badly. If you could help me out that would be great.
Google the term 'ulnar neuropathy' or 'bicyclists palsy' and you will learn a great deal.
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Old 10-01-06, 04:37 PM
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Originally Posted by MillCreek
Google the term 'ulnar neuropathy' or 'bicyclists palsy' and you will learn a great deal.
yep, you've got some ulnar nerve impingement going on there.. I have that too.
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Old 10-01-06, 05:55 PM
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Old 10-01-06, 07:36 PM
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Originally Posted by mcoine
yep, you've got some ulnar nerve impingement going on there.. I have that too.
what exactly do you do to cure it ?
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Old 10-01-06, 07:45 PM
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Originally Posted by Roxter
what exactly do you do to cure it ?
Depends how bad it is. You describe it as an "ache" but usually its a tingling, numbness sensation. Acupuncture works for some people.. it did somewhat for myself. Talk to a physical therapist. For a really bad case, surgery is an option, but not fun from what I was told.
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Old 10-01-06, 08:06 PM
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Mine, is very painful, usually its just a tingling, like when your hand goes numb, but yesterday it was terrible. After my last lap it was hurting so bad that any time i tried moving my hand i almost cried out.
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Old 10-01-06, 09:00 PM
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Again, if you do the search as suggested, you will find a number of useful ideas, such as using padded gloves, checking your handlebar height to ensure that you aren't putting too much weight on your hands, and varying your hand position. If you customarily ride with a 'death grip' on the bars in one position, that could be a cause.
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Old 10-01-06, 09:28 PM
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crashvector, i have one for you. Midsummer I took a hard fall when my wheel slid out through a turn...as a result I hit the ground with my hands out before I could even react. Ever since then I've had some symptoms in my right wrist: limited ability to rotate it, lifting any kind of weight over ~20lbs causes moderately intense pain, and when I first hop on the bike I feel some discomfort in it. No outward symptoms anymore, as it has been several months, but the day of it swelled up fairly badly but never bruised, and went down overnight. any ideas?
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Old 10-01-06, 10:17 PM
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To the above poster, I would go to a physician immediately and get a wrist x-ray. This sounds like a classic presentation of a Colles fracture, and you may have a non-union or mis-aligned fracture site, among other things. I would have the films reviewed by a radiologist and an orthopedist.
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Old 10-01-06, 10:20 PM
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Old 10-02-06, 04:47 AM
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Originally Posted by mtnbiker66
If I do "this" is it bad for me?
Dunno, but there is a good chance you will go blind if you continue to do it as often as you have been.
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Old 10-02-06, 08:33 AM
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Originally Posted by CrashVector
Okay....first of all, sorry to hear you're having repeated problems.

Second: you need to go see a specialist about your knees. Your primary care physician probably cannot figure out what is going on, and it taking stabs in the dark to try and resolve the issue.

Find a doctor in your area that specializes in orthopedics, and go see him instead.

I think the injections you are referring to are probably some kind of steroid, not ibuprofen. Most of the time, in cases like yours that the doctor cannot figure out, they start just injecting people with steroids hoping they can fix whatever is wrong. The steroids contain a small amount of an analgesic like lidocaine or benzocaine that stops the pain for a few hours.

I do not specialize in orthotics, so I cannot say for sure what is going on, other than it sounds like you are having an issuse possibly with your patellar tendon being too short, or your quads being too tight (not flexible enough). I would recommend rigorous stretching, ice, compression bandage to control abnormal movement of your patella (kneecap) and that you go see a specialist if it doesnt stop.
First off thanks a bunch for the informative reply! I first went to the hospital's "urgency" section (not sure what the correct term is in English) where they treat everything ranging from some nasty illness to having sawed off your leg. Anyway, the guy diagnosed something which wasn't right since in 2 week's time I should have been OK and 5 weeks passed I still wasn't well.
Went to see a doc who specializes in orthopedics, he said it's probably due to weak quads although he sent me off to an MRI to be sure. MRI results = clean, I'm sent off to a physiotherapist to work out what exercises to do, etc. I've been stretching/exercising my quads each day for 40 minutes for the past 4 months and it didn't seem to help.
The doc said the injection is non steroid (as far as I can recall), and from the information I gathered from friends it's very likely Ibuprofen or some other time of antiimflammatory.
For now I'm taking the tendon & cartiladge strengthening and rebuilding pills and if by December I don't feel better then we'll start the injections.

Sorry to ramble on so long and thanks again for the help
-DC
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Old 10-02-06, 11:11 AM
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No problem...glad I could shed a little light on your problem.
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Old 10-02-06, 12:42 PM
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Originally Posted by CrashVector
No problem...glad I could shed a little light on your problem.
I'll keep you posted.
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Old 10-02-06, 01:17 PM
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Dear Dr. CV,

My friend keeps bragging about the times he rides so "blindingly fast." Is this medicaly possible? I keep watching him and his riding has not - even momentarily - blinded me. Maybe it's supposed to mean it momentarily blinds him? If so, I want to be there when it happens. Then I can see the crash.
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Old 10-02-06, 01:34 PM
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I'd say you should catch it on film for all of us to see it....but if he's indeed going blindingly fast, that might break the lense on the camera no?

Better not chance it, use someone elses camcorder.
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Old 10-02-06, 02:08 PM
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Originally Posted by dminor
Dear Dr. CV,

My friend keeps bragging about the times he rides so "blindingly fast." Is this medicaly possible? I keep watching him and his riding has not - even momentarily - blinded me. Maybe it's supposed to mean it momentarily blinds him? If so, I want to be there when it happens. Then I can see the crash.

maybe he is spiderman. There is a kind of spider (forget what kind) that moves so quickly that its brain cannot keep up with the information, so it temporarily goes blind. It has to move in spurts.

It runs really fast...then stops for a second...then runs really fast, then stops, etc etc

The problem is that its movements are SO quick that it moves faster than its neurons can fire, resulting in a momentary blackout of its sense of sight.

Maybe this is what is happening to your friend?
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