Hospital recommendation: Neurology

[In the jungle]

I am seeking a recommendation for a hospital in Bangkok or the greater Bangkok area that has a good reputation for the diagnosis and treatment of neurological conditions.

Since January of this year I have been suffering from a condition that affects my right leg.  I believe this condition to be neurological in nature.

In January I was in rude health.  I could walk long distances and I swam typically three kilometres a week.  Since then I have developed a condition that affects control and power of the muscles in my upper right leg.  I walk with a walking stick and walking much beyond 50 metres is a challenge.  I cannot drive as I cannot control the accelerator and brake with precision.  I cannot ride a motorcycle as my right leg lacks the strength to keep the bike upright.  I have had a number of falls with one resulting in two broken bones in my right foot.  I have constant pain which radiates down the inside of my right leg.  The pain seems to be worst at night and it is rare that I sleep more than two hours at a time.

I sought diagnosis and treatment from a local private hospital here in the south of Thailand but, despite considerable expense and the use of just about every diagnostic tool they have including MRI, I have not had a clear diagnosis.  At best I have had opinions from the four doctors I saw.  At times these opinions were contradictory and in one case the passage of time proved the opinion wrong.   I think I have reached the limit of their knowledge and experience.

I am therefore seeking a recommendation for a hospital in Bangkok or the greater Bangkok area that has a good reputation for the diagnosis and treatment of neurological conditions.  I will be staying in the Rangsit area.  Any assistance you can give will be appreciated.

[Sheryl]

Before seeing a neurologist you should get an MRI of the lumbar spine and consultant an orthopedic spinal specialist as this sounds much more like a spinal issue to me than neurological. (There is a neurological aspect in the spinal problem can cause nerve compression and nerve damage, but source is spinal).

 

I also sounds rather urgent since there is already loss of motor function.

 

You can get MRI at much loss cost than hospital here   https://mrithailand.com/en/contact-us-2/

You need lumbar spine, without contrast. No doctor order required and be sure they give you the scan on DVD.

 

Then I recommend you consult  https://www.bnhhospital.com/search-doctor/entry/4093/

Who is the best spinal specialist in the country

[herfiehandbag]

8 minutes ago, Sheryl said:

Before seeing a neurologist you should get an MRI of the lumbar spine and consultant an orthopedic spinal specialist as this sounds much more like a spinal issue to me than neurological. (There is a neurological aspect in the spinal problem can cause nerve compression and nerve damage, but source is spinal).

 

I also sounds rather urgent since there is already loss of motor function.

 

You can get MRI at much loss cost than hospital here   https://mrithailand.com/en/contact-us-2/

You need lumbar spine, without contrast. No doctor order required and be sure they give you the scan on DVD.

 

Then I recommend you consult  https://www.bnhhospital.com/search-doctor/entry/4093/

Who is the best spinal specialist in the country

You always offer sound advice. I copy many of your posts and keep them in a file in "notes". They have, from time to time, been helpful.

[In the jungle]

7 minutes ago, Sheryl said:

Before seeing a neurologist you should get an MRI of the lumbar spine and consultant an orthopedic spinal specialist as this sounds much more like a spinal issue to me than neurological. (There is a neurological aspect in the spinal problem can cause nerve compression and nerve damage, but source is spinal).

 

I also sounds rather urgent since there is already loss of motor function.

 

You can get MRI at much loss cost than hospital here   https://mrithailand.com/en/contact-us-2/

You need lumbar spine, without contrast. No doctor order required and be sure they give you the scan on DVD.

 

Then I recommend you consult  https://www.bnhhospital.com/search-doctor/entry/4093/

Who is the best spinal specialist in the country

 

The hospital in the south did an MRI specifically of the lumbar sacral region of my back and both hip joints.  The radiologist who assessed the MRI noted no abnormalities.  I have the MRI scan on DVD.

 

I should perhaps have mentioned in my original post I am 64 years old and male.

[Sheryl]

1 hour ago, In the jungle said:

 

The hospital in the south did an MRI specifically of the lumbar sacral region of my back and both hip joints.  The radiologist who assessed the MRI noted no abnormalities.  I have the MRI scan on DVD.

 

I should perhaps have mentioned in my original post I am 64 years old and male.

In Thailand radiologist reports of MRIs (especially of the spine) are not very reliable. The scan should still be read by a spinal specialist (who will also likely want an Xray as these can actually be better for spotting some things). So still suggest you see Prof. Wicharn.

 

If he also says origin of the problem is not spinal then indeed next stop should be a neuroligist in which case I suggest

 

https://www.bangkokinternationalhospital.com/doctors/dr-apichart-pisarnpong

 

 

[In the jungle]

1 minute ago, Sheryl said:

In Thailand radiologist reports of MRIs (especially of the spine) are not very reliable. The scan should still be read by a spinal specialist (who will also likely want an Xray as these can actually be better for spotting some things). So still suggest you see Prof. Wicharn.

 

If he also says origin of the problem is not spinal then indeed next stop should be a neuroligist in which case I suggest

 

https://www.bangkokinternationalhospital.com/doctors/dr-apichart-pisarnpong

 

 

 

Thank you.

 

I will follow your advice.

[thaisabai]

hello Sheryl

always very helpful information from you. much appreciated

 

question re Neurologist or an MRI specifically of the lumbar sacral region of my back 

 

any recommendation for Pattaya?

 

thanks and regards

 

thaisabai

[Sheryl]

8 hours ago, thaisabai said:

hello Sheryl

always very helpful information from you. much appreciated

 

question re Neurologist or an MRI specifically of the lumbar sacral region of my back 

 

any recommendation for Pattaya?

 

thanks and regards

 

thaisabai

For  problem in your lumbar spine you should see an ortho specializing in spine, not a neuro, and should come to Bangkok for that.

 

You can get MRI at several locations in Bangkok including Bang Na which is convenient if coming from Pattaya  https://mrithailand.com/en/contact-us-2/

 

However unless you are experiencing pain radiating to at lewast the thigh, or weakness in leg on that side, you might wait to see if doctor recommends MRI as might not be necessry.

[donmuang37]

On 3/21/2024 at 5:01 PM, Sheryl said:

Before seeing a neurologist you should get an MRI of the lumbar spine and consultant an orthopedic spinal specialist as this sounds much more like a spinal issue to me than neurological. (There is a neurological aspect in the spinal problem can cause nerve compression and nerve damage, but source is spinal).

 

I also sounds rather urgent since there is already loss of motor function.

 

You can get MRI at much loss cost than hospital here   https://mrithailand.com/en/contact-us-2/

You need lumbar spine, without contrast. No doctor order required and be sure they give you the scan on DVD.

 

Then I recommend you consult  https://www.bnhhospital.com/search-doctor/entry/4093/

Who is the best spinal specialist in the country

Agree that Sheryl is a real gem here.  Many thanks, Sheryl.

I would like to add that Thammasat University Hospital in Rangsit would be convenient for the OP.

I have been treated for many things there and am pleased with them.  I use Premium Care and am currently seeing a spine specialist due to age deterioration which is causing my spine to press on nerves which is weakening my legs.  Happy with the care I am receiving. .

Best of luck!! 

[In the jungle]

4 hours ago, donmuang37 said:

Agree that Sheryl is a real gem here.  Many thanks, Sheryl.

I would like to add that Thammasat University Hospital in Rangsit would be convenient for the OP.

I have been treated for many things there and am pleased with them.  I use Premium Care and am currently seeing a spine specialist due to age deterioration which is causing my spine to press on nerves which is weakening my legs.  Happy with the care I am receiving. .

Best of luck!! 

 

Thank you for mentioning that.  I will look into TU Hospital as it would certainly be convenient.