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THE HERALD OUTLOOK Saturday November 1989 Page A massage can help relieve muscle spasms DEAR DR GOTT- Im a 68-year- old female with torticollis Its very painful for me because of arthritis of the neck and spine Im currently tak ing Darvocet Ativan and Atarax Re cently my doctor started me on Vol taren SO milligrams once a day Now he says he wont give me anything for pain because Im on too much medica tion already Id give it all up for one good muscle relaxant What would you recommend DEAR READER Torticollis is temporary painful spasm of the neck muscles It can occur in people of any age and Is not usually related to ar thritis In my experience pain medi cation such as and anti anxiety drugs such as Ativan are not particularly effective in relieving tor tlcollis Voltaren a drug used for ar thritis isnt a good choice either I think youre right about a muscle relaxant Ask your doctor to consider prescribing Robaxin or Forte each is a relaxant without sed ative properties Also you might try applying heat to your neck a tcr bottle or heating pad turned to a low setting may help Remember too that physical therapy and mas sage often relieve painful muscle spasms GOTT I read pur arti cle about tooth grinding Im a 36yearold female and had a progressive of tooth clenching A friend suggested the following 2000 milligrams vitamin B5 1000 milligrams vitamin C 1500 milli grams calcium and 100 milligrams B complex daily I shared the informa tion with my dentist and he now rec ommends it to his patients who suffer from the same problem Please pass this Information on DEAR READER Bruxism com monly reflects tension therefore pa tients who grind or clench their teeth are often helped by stress counseling Until I read your letter I was un aware that a vitamincalcium combi nation might aid bruxism Since you appear to have been helped by this therapy and the amounts of vitamins and calcium are not excessive Ill pass your experience on to other read ers Thank you for writing DEAR DR GOTT My 2yearold daughter has been diagnosed as a probable Idiopathic toe walker Is it common Is it painful Will she grow out of it Before and during my preg nancy I took Dilantin and phenobar- bltal for seizures and feel this could be the cause What will correct the problem DEAR READER Some children walk on the balls of their feet because of a congenital shortening of the Achilles tendons which attach the calf muscles to the heels These chil dren often need surgery to correct the problem so they can walk properly On the other band many children naturally walk on their toes Such a common habit Is not harmful or pain ful and youngsters usually outgrow it by the time they are or I recommend you follow your pedi atricians advice about whether to leave your daughters condition alone or seek further consultation with a specialist such as an orthopedic sur geon I dont believe your treatment for seizures played any role in her toe- walking Because you are worried about the effects of your medicine I am sending you a free copy of my Health Report Epilepsy The Falling Sickness DEAR DR GOTT Four years ago I had surgery for medullary cancer of the thyroid I now have a right para vocal cord from scar tissue and radiation therapy My voice is very weak and I cough constantly My doc tor has suggested Teflon injections Into the vocal cord Do you think this help DEAR READER I am not an specialist so I wont comment on whether a Teflon injec tion would be appropriate for you The purpose of the Teflon injection is to stabilize and stiffen a vocal cord that has been Injured Such an injury may follow neck surgery or Irradia tion if one of the laryngeal nerves which control movement of the vocal cords is severed or Impaired In patients who have had surgery for thyroid cancer doctors would nat urally worry that either the tumor had spread andor postoperative scar tissue might be the cause of hoarseness and cough In these in stances surgery to remove malignant cells and scar tissue would be more appropriate than Teflon injections If you feel uncomfortable about the advice given by your doctor I suggest you seek a second opinion from anoth er specialist To give you more information I am sending you a free copy of my Health Report Viruses and Cancer DEAR DR GOTT- Please tell me about the new drug for Parkinsons DEAR READER Selegiline pryl has recently been approved by the Food and Drug Administration for treatment of severe Parkinsons dis ease It is used in combination with the standard drug therapy Selegiline Inhibits an enzyme that In activates levodopa Formerly many patients taking developed a tolerance to the drug requiring larg er and larger doses resulting in se vere side effects such as nausea flushing confusion palpitations and involuntary body movements Now with selegiline less can be administered This permits Parkinsons patients to maintain a more satisfactory and lasting func tional independence DELREX SMOKE SHOP LTD St Clair Ice Cream Cones GEORGETOWN MARKET 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