Loic Bullock

Answers to patient questions

• Lumbalgy treatment
  What is the best doctor to go to for lower back pain? Also who is the best doctor to see for Ehlers Danlos Syndrome?

  • For lower back pain, the best type of doctor depends on the cause and severity of your pain:
    • Primary Care Physician (PCP) – A good starting point. They can evaluate your pain and refer you to a specialist if needed.
    • Orthopedic Doctor – Specializes in bones, joints, and muscles. Good for structural issues like herniated discs or degenerative disc disease.
    • Neurologist – Best for nerve-related pain, such as sciatica or spinal stenosis.
    • Pain Management Specialist – Often an anesthesiologist with expertise in treating chronic pain with injections, medications, or other treatments.
    • Physical Therapist (PT) – While ...not a doctor, PTs can help with rehabilitation and strengthening to relieve pain.
    • Chiropractor – Can help with spinal alignment and muscle tension but should be approached with caution if you have underlying conditions like Ehlers-Danlos Syndrome (EDS).
    
    For Ehlers-Danlos Syndrome (EDS), the best doctors to see are:
    • Geneticist – EDS is a genetic disorder, and a geneticist can provide a diagnosis and subtype classification.
    • Rheumatologist – Often manages EDS symptoms related to joint pain and hypermobility.
    • Cardiologist – Important if you have vascular EDS or symptoms like POTS (common in hypermobile EDS).
    • Physiatrist (Physical Medicine & Rehabilitation Doctor) – Helps with pain management and mobility issues.
    • Pain Management Specialist – Can provide treatments to help with chronic pain.
    • Physical Therapist (EDS-aware) – Helps with strengthening and stabilizing joints safely.
    
    If you’re looking for highly rated specialists in your area, I can help find some. Let me know your location! Read more

    

    Loic Bullock

• General topics
  Hello, my shoulder is about a few centimeters out of place since i landed on it strangely. My question is how serious this can be since I still have full range of motion although it does feel unstable in certain positions when I do sports and which doctor I need to see to put it back into place.

  • If your shoulder feels like it is out of place or unstable after a fall, it's important to have it evaluated by a healthcare professional. While I can't provide a definitive diagnosis, I can offer some general information that might be helpful.
    
    When the shoulder is out of place or feels unstable, it could be due to a dislocation or a subluxation. A dislocation occurs when the humerus (upper arm bone) completely comes out of the socket, while a subluxation refers to a partial displacement. Both can cause feelings of instability and may require medical attention.
    
    To address your concern, you should consider seeing a he...althcare professional, such as an orthopedic doctor or a sports medicine specialist, who has expertise in diagnosing and treating shoulder injuries. They will conduct a thorough examination, which may include assessing your range of motion, performing physical tests, and possibly ordering imaging studies like X-rays or an MRI.
    
    Based on the evaluation, the doctor will determine the appropriate course of treatment. In some cases, the shoulder may be manually maneuvered back into place, a procedure known as a closed reduction. Following that, you may be advised to wear a sling or brace to support the shoulder during the healing process. Rehabilitation exercises to strengthen the shoulder muscles and improve stability may also be recommended.
    
    It's essential to consult with a healthcare professional to assess the severity of your shoulder issue and receive the appropriate treatment. They will be able to provide you with specific guidance based on your condition and help prevent further injury or complications. Read more

    

    Loic Bullock

• General topics
  Hello, I have back pain problem and it is very disturbing me on my daily activities. Which doctor that I need to see first? GP or physiotherapist?

  • It's advisable to start by consulting a general practitioner (GP) first. They can assess your back pain, provide an initial diagnosis, and recommend a course of action. The GP may refer you to a physiotherapist if they believe it's appropriate for your condition. If needed, the physiotherapist can then work on specific exercises and treatments to address your back pain.

    

    Loic Bullock