FBN

Pins and needles certainly indicate pressure on a nerve but the region you describe is more mid rather than lower neck; perhaps C4,5 level.

MRI is definitely indicated to get a clear idea of treatment options. This may or may not include surgery, which should always be the last option.

A course of physiotherapy with perhaps intermittent traction may be an option.

This perhaps due to an old whiplash injury?

Once all the lesions are crusted over, you are no longer infectious.

Perhaps focus on non-weight bearing exercises such as cycling first and see how that goes before weight bearing.

This may be a very early indication of osteoarthrosis where the lubrication in the joint is reduced leading to pain after weight bearing exercise. Cycling helps to "lubricate" the joint better than weight bearing.

This is EXTREMELY dangerous!

These drugs suppress breathing and are completely contraindicated to use with alcohol.

Have your liver functions checked out if you get severe hangovers; better yet, cut down on the amount of alcohol you consume. You may lack adequate quantities of the enzyme that metabolises alcohol which will also make you prone to develop liver damage over time.

There was significant force involved here so damage to the shoulder joint or surrounding ligaments is very likely. The movement that brings on the pain may indicate an AC joint dislocation type injury.

These take extremely long to become painfree..

Diagnosis here is by an X-ray of the joint. Treatment options are limited apart from the usual NSAID treatment but will also depend on the degree of the dislocation; there are Grade 1 - 3 injuries. Type 3 being the least painful although most severe.

The long term risk here is the development of a "frozen shoulder" so it may be time for a re-visit and an X-ray to confirm and get specific treatment.

I have a similar problem...numbness in both hands, but only the section of hand covering the last 2 fingers on each hand. A lot worse at night and reduces a lot if I wiggle my fingers when it happens, but I also have a permanent feeling of numbness that doesn't go away.

Check whether you have any lumps growing on any tendons in your hands as mine seemed to come along when I developed a lump in each hand which appears to be growing on a tendon running up my hand to my fingers. I got it X-rayed and the doctor couldn't see anything even though he can physically feel the lumps.

So I've learnt to live with it..nearly 3 years now and the lumps haven't gotten any bigger.

Ring finger and little finger are supplied by the ulnar nerve; search Guyon's Canal Syndrome"

Breast enhancement can only be done surgically. Creams are a fallacy. Some "improvement" can occur after strengthening the chest muscles (pectorals) but this is due to better muscle tone in the muscle under the breast and not the breast tissue itself.

Look for the Chinese. Herb Shop on the Dark Side...Google this and never have a stroke or Heart attack, SERRAPEPTASE ENZYME. 45baht..

Sent from my LG-P880 using Thaivisa Connect Thailand mobile app

This enzyme is regarded as a dietary supplement and studies that were done showed only mild effects if any but none of these studies are regarded as scientifically controlled trials.

Isodine gargle is very effective..

Better to have an MRI to exclude a meniscal tear sooner rather than later; especially if it affects non weight bearing exercise such as swimming. Muscle wasting occurs very quickly with pain and/or the knee "locking up" as is diagnostic of a meniscal tear. Once the quads are weakened, rehab after perhaps a arthroscopic intervention will take longer.

Meniscal tears won't heal on their own.

Certainly Hep A, B

Japanese Encephalitis if you intend jungle and remote area travel.

Malaria prophylaxis depends on where you are traveling to; only prevalent in the border areas of Myanmar and Cambodia.

Rabies definitely recommended.

There are few conditions where so many alternate treatment options and "sworne by" cures are available than for gout..

Gout is a condition where there is a genetic shortage of a liver enzyme that binds to uric acid to make it water soluble and therefore able to be filtered out by the kidneys.

As with these conditions, the actual structure and/or levels and availability of this enzyme may differ in actual gout sufferers so for some, dietary changes will suffice or just an increase in water intake may help but for those with a significant enzyme deficiency additional treatment with a drug like allopurinol will be necessary. Dietary modification, increased fluid intake etc are all of benefit but please try and differentiate between quack therapies and useful treatment.

Some posts have been edited to keep it civil..

colchine .6 mg one pill every day and you can drink daily and eat what you want. Been on it for 4 years with no side effects and only one very very minor one day only inflammation during that time. I go the the government hospital once every 6 months, pay the 500 bt doctor fee and 180 pills (6 month supply) cost about $6. I drink beer 6 days a week, I dont overeat but I am a chef and often eat rich foods high in purines. Happy days!

Colchicine is indicated in an acute attack only not for long term treatment; there is a risk of kidney stones forming.

Allopurinol is the indicated drug of long term prophylactic treatment.

Dr. Nyom at the Bumrungrad dermatology clinic is familiar with skin conditions affecting Westerners as conditions such as actinic keratosis is extremely rare under the local population and most local dermatologists are not really familiar with the treatment.

Efudex, according to MIMS Thailand, does not seem to be available but other forms of fluorouracil may be available from hospital pharmacies.

Other alternatives are Diclofenac (Voltaren Gel) which are freely available but cryotherapy may be the only solution for persistent lesions. Other treatment options at: http://www.skincancer.org/skin-cancer-information/actinic-keratosis/actinic-keratosis-treatment-options

Perhaps useful to get a nasal swab done and determine if you are a staph carrier and get separate and specific treatment for that. You may be re-infecting yourself so all of the precautions in the posts above are important but also very good hand washing practices.

Rabies vaccination should not be regarded as 100% protective as much depends on the viral load of the animal as well as the site of the bite (closer to the brain, the more serious) the type of exposure (licks, broken skin or a full bite) and the time since previous vaccination.

The WHO recommendations are, for your case, wound cleaning (not just rinse off) in an emergency room setting with proper technique and antiseptics and also booster vaccine on day 0 and day 3. No Immune globulin.

To keep the integrity of information shared so far, it has been suggested that we lock this thread.

If Ibuprofen works, just stick to it and use the lowest dose that gives relief. Aspirin will have little or no effect at doses which are normally prescribed for cardiac conditions etc.

Paracetamol has minimal anti-inflammatory effect and will have more side effects if taken on a daily basis.

Closest clinic to there which many tourists and local expats use is in Soi 11; just called "Soi 11 Clinic" . It is in a side soi (to the left) off 11 about 200m up from Sukhumvit. There is a doctor in attendance who speaks English and some nursing staff; they will also draw blood for a variety of tests which is sent to BRIA labs.

The "unnamed" pills should follow the Amoxicillin.

Illegal to dispense medication without proper labelling.

Find another, properly qualified, doctor.

Testosterone is a prescription only medication. You will probably not be able to buy needles and/or syringes at a pharmacy as well.

Once you have the medication prescribed, any small clinic with a nurse in attendance would be willing to oblige with giving the injection.

Not at all advised to have a "mate" do it based on a youtube training course.

The specific problem with circulation in the legs must be diagnosed for specific treatment.

Prasugrel seems to be contraindicated in case of stroke (http://www.rxlist.com/effient-drug.htm) so please check again with your doctor.

You will probably need an MRI and perhaps some "flexion/extension" X-rays of the neck to rule out any instability at C7 level. MRI will show and soft tissue or disc lesions.

Omeprazole will be adequate; Boots make a generic form which is quite cheap and effective. Taking it for 5 years continuously is not appropriate. The routine is 6 weeks only. If symptoms recur after this period, tests to exclude a helicobacter pylori infection should be done. If positive, a regime of specific antibiotic treatment is usually prescribed with the proton pump inhibitor.

This seeming "rebound" effect of acid secretion and heartburn is experienced by a number of people having taken a proton pump inhibitor; theory is that the effect of the medication is to almost stop all acid secretion, the acid producing cells in the stomach lining either proliferate or become more effective or aggressive in producing acid. There is a basic negative feedback loop in play; acid in the stomach prevents more acid from being produced.

As we discussed before in your previous thread, a visit to a cardiologist remains a good idea but include a test for H. Pylori.

This is not a condition that should be taken lightly; you may be dealing with an abscess forming which will require definite diagnosis and appropriate antibiotic treatment, perhaps IV.

No facility on Koh Tao that can either diagnose or manage this.  I am afraid that a trip to at least Samui to one of the main health care facilities is needed.

Pending diagnosis, and if surgery becomes part of the required treatment, I would suggest to have this seen to at one of the major hospitals in Bangkok.