I had undergone Embolization, after that I faced numbness in the left part of the body. Later, I am facing left knee pain along with knee burning sensation for a year now. Please suggest, doc. - #9462

I'm sorry you're dealing with these persistent symptoms. It sounds like you've been following a treatment plan, but there are still ongoing issues with **numbness**, **knee pain**, **burning sensation**, **migraines**, and other chronic conditions. It’s good that you've been active with exercise, which can help with circulation and overall health. However, since your symptoms are not fully resolving, let's look at a few possibilities and steps you can take. ### 1. **Post-Embolization Numbness and Knee Pain** - **Post-Embolization Syndrome**: Sometimes, after embolization (a procedure that blocks blood flow to certain parts of the body), there can be **nerve damage** or changes in circulation that might lead to numbness, pain, or even a burning sensation. The **numbness in the left side of your body** could have been related to nerve injury or disruption caused by the procedure. It’s important to continue monitoring this with your doctor, as they may suggest nerve conduction tests or MRIs to assess the situation further. - **Knee Pain and Burning Sensation**: This might be a result of nerve irritation, inflammation, or even circulation issues in the area. Since you're experiencing both pain and a burning sensation, it's worth checking if there’s an underlying condition like **peripheral neuropathy** or **joint inflammation**. If the knee is inflamed, things like **physical therapy** and **anti-inflammatory medications** may help manage the symptoms. If the burning is neurological, a neurologist might offer a more targeted treatment. ### 2. **Migraine and Chronic Headaches** - **Migraines** are often complex and can be triggered by various factors, including stress, certain foods, hormonal changes, or even environmental triggers. Given your **hypothyroidism**, this can also be contributing to the frequency and severity of your migraines. - **Temple and Eye Pain**: Migraines often manifest with pain around the temples and behind the eyes. If you're also experiencing burning sensations in these areas, it could be related to **sinus issues**, **eye strain**, or even **trigeminal neuralgia**, which can cause sharp, burning pain in the face. The medications you're taking may help manage some of the symptoms, but you may need to **fine-tune your migraine treatment** with your doctor or a **neurologist**. ### 3. **Hypothyroidism and Other Chronic Conditions** - **Hypothyroidism** (underactive thyroid) can contribute to symptoms like fatigue, muscle pain, joint pain, and even **neuropathy**. If your thyroid levels are not well controlled, it can cause or worsen symptoms like migraines, knee pain, and muscle burning. It’s important to monitor thyroid function regularly with your doctor. - **Skin and Cold Allergies** can also complicate things by affecting your immune system, leading to chronic inflammation that could exacerbate other health conditions like asthma, joint pain, and migraines. - **Hair Fall** is another sign that could point to thyroid or hormonal imbalance. Ensuring that your thyroid medication (like **levothyroxine**) is at the right dosage is important in managing this symptom. ### 4. **Medications and Side Effects** - The medications you're currently on, such as **DFax 50**, **PEG NT**, **Vivax 10**, and **Migravas P**, may be helping to control certain symptoms, but some of them can also contribute to side effects like **fatigue**, **muscle aches**, or **neuropathy**. If the knee burning or migraines persist despite these medications, it might be worth discussing with your doctor whether an alternative medication or dosage is necessary. Some medications can also have cumulative side effects that may need to be adjusted. ### 5. **Further Steps You Can Take** - **Physical Therapy**: Since you've been exercising regularly, it might be helpful to focus on **targeted physical therapy** for your knee and overall body. A physical therapist can assess your posture, gait, and alignment to ensure that your body is moving optimally. They may also help with strengthening exercises to reduce knee pain and burning. - **Neurology Consultation**: Since you’ve had a history of numbness and burning sensations, a **neurologist** may be able to help you determine if there is nerve involvement and offer treatments like **nerve pain medications** (e.g., gabapentin or pregabalin) or further tests like an **EMG** (electromyography). - **Migraine Management**: For chronic migraines, a **headache specialist** or **neurologist** could help you develop a more individualized treatment plan. This could include **preventative medications** (like topiramate or amitriptyline) and **abortive treatments** (like triptans or NSAIDs) for acute attacks. - **Thyroid Management**: Have your thyroid levels rechecked, especially TSH, T3, and T4. If your medication needs adjustment, this could help alleviate some of your symptoms, including fatigue, hair loss, and muscle/joint pain. - **Anti-Inflammatory Diet**: Consider incorporating anti-inflammatory foods into your diet to help manage chronic pain and inflammation. Foods rich in omega-3 fatty acids (like salmon, walnuts, and flaxseeds), antioxidants (like berries, spinach, and turmeric), and avoiding processed foods and sugar could help reduce overall inflammation. - **Allergy Management**: If your cold and skin allergies are contributing to some of your symptoms, managing them with antihistamines or allergy treatments may help reduce the inflammation in your body and ease related symptoms. ### 6. **Regular Monitoring** - Keep a **symptom diary** to track your pain, migraines, and other health issues. This can help you identify triggers and patterns that you can discuss with your doctor. - Regular follow-ups with your healthcare provider are essential to ensure all of your chronic conditions are being managed optimally. ### In Summary: - **Consult a neurologist** for a full evaluation of your nerve symptoms (numbness, knee burning, etc.). - **Reassess your thyroid function** with your healthcare provider to ensure your hypothyroidism is well-controlled. - Consider seeing a **pain management specialist** or **physical therapist** for your knee pain and burning sensation. - Adjust your **migraine management** plan with the help of a neurologist or headache specialist. - Regular **monitoring** of your medications and their side effects will be important in managing your overall health. It seems you’ve been actively following medical advice, but a more personalized and possibly adjusted approach may be necessary. Best of luck with your continued treatment and recovery!