Professor Rafi Karasu Addresses Urgent Medical Questions on Radio

Professor Rafi Karasu discussed pressing medical concerns with listeners on his 103FM radio program on October 14, 2026. He advised against physiotherapy or massage on the site of pain or a broken rib, stating it is strictly forbidden.

Addressing spinal issues, Karasu clarified that while doctors sometimes use the term "cartilage wear" for spinal processes, painful cartilage wear typically affects the knees or hips. Severe spinal pain is usually caused by a herniated disc, a nerve-compressing disc bulge, or spinal stenosis. He noted that a single epidural injection that doesn't help is not final, as subsequent injections, radiofrequency nerve ablation, or even spinal surgery, which is now relatively safe and allows for quick recovery, can be considered. He recommended imaging tests like MRI or CT to pinpoint the exact source of nerve compression.

Regarding visual disturbances, Karasu explained that symptoms like temporary blood vessel constriction or dilation in the retina or optic nerve, known as "aura migraine" or migraine without headache, are common, usually last 20-40 minutes, and resolve on their own. However, he advised a routine eye exam to rule out local issues. If such an episode occurs while driving, he recommended stopping immediately, resting, and drinking two glasses of water to speed up recovery.

On the topic of Creutzfeldt-Jakob disease (CJD), Karasu confirmed that while slightly more common among individuals of Tripolitanian descent, it is a severe and irreversible illness. He stated that a positive genetic test does not guarantee developing the disease but can cause significant anxiety without an effective preventive treatment. He suggested that individuals who receive a positive result might prefer to live without the constant worry, but it is crucial to seek medical attention for any physical symptoms like weakness or walking difficulties that require investigation.