Prof. Rafi Carasso Explains Urgent Symptoms Like Dropping Objects and High Blood Pressure

Prof. Rafi Carasso discusses critical symptoms that require prompt medical evaluation, including dropping objects from the hand and sudden spikes in blood pressure. He explains cervical dystonia, a condition involving uncontrolled neck muscle contractions, which can occur independently or as part of Parkinson's disease symptoms. Treatment typically involves precise botulinum toxin injections guided by ultrasound to relax affected muscles, often combined with systemic muscle relaxants and targeted physiotherapy to improve motor control and strengthen opposing muscles. In resistant cases, specialized movement disorder clinics may offer advanced options.

Carasso also addresses polyneuropathy, a peripheral nerve disorder affecting multiple nerves symmetrically, usually in both legs. Sensory nerve damage can cause discomfort, sensations of cold or burning, while motor involvement may impair muscle function, such as difficulty rising from a chair. Causes vary widely, including genetic factors, metabolic issues, and nutritional deficiencies. He recommends comprehensive blood tests to check vitamin B12 levels, as absorption problems can occur even with adequate dietary intake. Neuropathic pain medications are started at low doses and adjusted gradually to minimize fatigue, with alternatives available if needed. Physical activity and physiotherapy are crucial for maintaining muscle strength and balance, but patients should avoid exceeding pain thresholds, taking breaks during walking if burning sensations worsen.