EXPERT
Jose M. Fernandez
Neurologist
Jose M. Fernandez, MD, PhD, is a neurologist currently working at the Hospital Quirón A Coruña in Coruna, Spain. He holds over 20 years of experience with extensive expertise in clinical neurophysiology, EMG and clinical electrophysiology. Jose obtained his education from the Universitat Autònoma de Barcelona and went on to complete post graduate training at the Hospital de Barcelona. He has many publications, is board certified in neurology and neurophysiology and in order to stay current in his field, Jose remains a professional member of the Col·legi Oficial de Metges de Barcelona. When not in practice, he attends worldwide conferences and congressional meetings.
Jose M. Fernandez
- Ponte Piedra, Spain
- Universitat Autònoma de Barcelona
- Accepting new patients
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Spinal cord injury
It depends upon the origin, Was the origin traumatic?. Or non-tramatic but acute. or subacute. Is the paralysis complete or partial? Only motor or with sensory symptoms and signs READ MORE
It depends upon the origin, Was the origin traumatic?. Or non-tramatic but acute. or subacute. Is the paralysis complete or partial? Only motor or with sensory symptoms and signs too?
Left side face numbness/ tingling
If I had to give an unswer in 1 minute i´ll first ask you 1) Have you been loosing hearing in your left ear since your symptoms begun?. 2) Anyway I strongly advised you to rush READ MORE
If I had to give an unswer in 1 minute i´ll first ask you 1) Have you been loosing hearing in your left ear since your symptoms begun?. 2) Anyway I strongly advised you to rush to your ENT Neuroligist or Neurosurgeon (all three are good at this) to order a RMN focused on your pontocerebellar angle to confirm or exclude an acoustic neurioma: In any case a space occuping lesion. !!
I've had a right hand shake for 20 years plus?
Briefly, you describe a dominant inherted condition with all the classical features of the so called Benign Esential Tremor. Don´t worry!
What’s the issue going on with my arm?
Do you lift heavy moderate/weights with your left arm (at job or in the gym)?. Do your symptoms increase when aleep or the left side but your are pain free when wresting on READ MORE
Do you lift heavy moderate/weights with your left arm (at job or in the gym)?. Do your symptoms increase when aleep or the left side but your are pain free when wresting on the right (normal). side?. If so, the most likely Dx is a supraspinous tedinopathy (tendinitis anf/or tendinosis). An echographic study would help to establish a definite diagnosis
I have pain in the right and left shoulder and neck?
At first glance the most likely explanation I'd think that it could be tendinitis-tendinosis of the supraspinatous tendon. This is further supported by the absence of sensory READ MORE
At first glance the most likely explanation I'd think that it could be tendinitis-tendinosis of the supraspinatous tendon. This is further supported by the absence of sensory motorr complaints.
Sometimes the neuralgy amyotrophy presents in this recurrent way
Sometimes the neuralgy amyotrophy presents in this recurrent way
Can a chiropractor help with feet numbness?
Yes! One of the most common foot pain is seen in people rather obese (Morton´s neuroma). They usuallly complaint of burning pain after standind or walking for some time . Clinically READ MORE
Yes! One of the most common foot pain is seen in people rather obese (Morton´s neuroma). They usuallly complaint of burning pain after standind or walking for some time . Clinically is typical a pain evoked by even slight pression between the digits III and IV. and hyposthesia in this interdigital space. Tarsal Tunnel syndrome, polyneuropathy or trauma may also cause plantar foot hyposthesia.
How do you know you have a pinched nerve?
Although the presentation is rather unclear. If it is in supine position the most common es compression of the ulnar nerve . In this was the position the symptoms disappear in READ MORE
Although the presentation is rather unclear. If it is in supine position the most common es compression of the ulnar nerve . In this was the position the symptoms disappear in a few minutes
Muscle pain lingering after severe leg cramp?
First of all, if the complaint is a real cramp (in the technical sense), in my opinion, the most likely cause in this case is a lumbosacral radiculopathy (usually L5 or S1) by READ MORE
First of all, if the complaint is a real cramp (in the technical sense), in my opinion, the most likely cause in this case is a lumbosacral radiculopathy (usually L5 or S1) by disk protrusion or osteoarthritis of the intervertebral disks (L4-L5 or L5-S1). I think that a careful clinical neurological examination is mandatory. Should it be positive, Electromyography (EMG) and Neuroimaging (MRI) would the next steps to document the origin of these symptoms.
Sincerely,
Jose M. Fernandez, MD, PhD
Sincerely,
Jose M. Fernandez, MD, PhD
Shingles?
Because it follows the dermatomal distribution of one cervical root. The most frequently involved are C6 and C7 roots.
Is the blinking of eyes a reflex action?
Blinking is a spontanous action with a frequency that can usually increase with bright light, iiritant agents in the air or eye disorders, i.e., conjuntivitis. Stress my be also READ MORE
Blinking is a spontanous action with a frequency that can usually increase with bright light, iiritant agents in the air or eye disorders, i.e., conjuntivitis.
Stress my be also a cause. In, addition, a Blink Reflex can be evoked mechanically by taping around in the forehead or with a short (0.2 or 0.3) elecrical stimulus applied to the supraorbital nerve and recording the response in the Orbiculares Oculi muscles. This procedure is performed using Electromyogaph and provides information of the reflex pathway: Trigeminal nerve (V1) , Brainstem and Facial nerve.
Stress my be also a cause. In, addition, a Blink Reflex can be evoked mechanically by taping around in the forehead or with a short (0.2 or 0.3) elecrical stimulus applied to the supraorbital nerve and recording the response in the Orbiculares Oculi muscles. This procedure is performed using Electromyogaph and provides information of the reflex pathway: Trigeminal nerve (V1) , Brainstem and Facial nerve.
My mother has internal pain in her legs. Is it diabetic neuropathy?
An extensive Electroneurography and, maybe, an EMG of some muscles must be performed.
Can laser treatment help spinal stenosis?
To the best of my knowledge, laser treatment has not been tested in well designed trials in patients with Spinal Stenosis. Therefore, I don't think it's a first line method of READ MORE
To the best of my knowledge, laser treatment has not been tested in well designed trials in patients with Spinal Stenosis. Therefore, I don't think it's a first line method of this condition.
I am having severe neck pain. Could this be from my spine?
Sure it can. Cervical disk herniation, particularly at the C5-C6 and C6-C7 intervertebral disk, can cause a mechanical compression and biochemical inflammation of the the cervical READ MORE
Sure it can. Cervical disk herniation, particularly at the C5-C6 and C6-C7 intervertebral disk, can cause a mechanical compression and biochemical inflammation of the the cervical roots C6 and C7 respectively.
