expert type icon EXPERT

Dr. Jose R. Foradada III, MD

Neurologist

Dr. Jose Foradada III practices Pediatric Neurology and Adult Neurology in Tampa, FL. Dr. Foradada III studies, evaluates, diagnoses, and treats conditions that affect the nervous system. Neurologists  are trained to fully understand and treat such conditions affecting the brain, spinal cord, neuromuscular disorders and neuropsychiatric disorders. Dr. Foradada specializes in children and young adults but will continue to see patients that their childhood disorders carries over into adulthood; Thus providing continuation of care.
42 years Experience
Dr. Jose R. Foradada III, MD
  • Tampa, FL
  • Universidad Central del Este (UCE) Facultad de Medicina
  • Accepting new patients

What’s the issue going on with my arm?

You may be putting pressure or stretching some of the nerves that come out of your cervical spine and go through your shoulder and down the arm. Try not to lie too much on that READ MORE
You may be putting pressure or stretching some of the nerves that come out of your cervical spine and go through your shoulder and down the arm. Try not to lie too much on that side, and if the issue continues, then see your primary or Neurologist to get a more detailed history, examination ,and testing.

Dr. F.

Tongue movements?

Hello, It is hard to say without more information. Do you have Parkinson's and take medications or mood disorder and take meds? This could be some of the related causes. If READ MORE
Hello,

It is hard to say without more information. Do you have Parkinson's and take medications or mood disorder and take meds? This could be some of the related causes. If not, sometimes stress and anxiety can do this, particularly if it affects JUST the tongue and not the mouth, lips, or other parts of your face and body. If you don't have any of the above problems or take Neuroleptic medications, then talk to your doctor and have him/her consider a Neurological evaluation to determine the cause and treatment.

Dr. F.

Can sinus infections cause facial twitching?

It is highly unlikely. Yet anything holds a remote possibility to it. Treat the sinus infection and, once cleared and off the antibiotics for about a week, if not better, then READ MORE
It is highly unlikely. Yet anything holds a remote possibility to it. Treat the sinus infection and, once cleared and off the antibiotics for about a week, if not better, then see your doctor for further evaluation. 

Dr F.

Covid-19?

In your case, you might want to weigh the risks vs. the benefits seriously. Bell's palsy is one of the side effects of the vaccine. Look on the CDC.org website under the VAERS READ MORE
In your case, you might want to weigh the risks vs. the benefits seriously. Bell's palsy is one of the side effects of the vaccine. Look on the CDC.org website under the VAERS (Vaccine Adverse Events Reports). While the long-term effects of the vaccines have not been established, there is mounting evidence of many potential side effects. Yet you have other medical conditions that have been shown to predispose you to more serious morbidity and mortality should you get COVID-19. So, given those factors, you would need to make an informed decision to get vaccinated or not.

Dr. F.

Shunt tube moved out of place?

Call your Neurosurgeon and have him/her evaluate it. If the pain and swelling continue, don't let it get worse. Go to the Emergency room. 

Personal?

You need to see your primary immediately and be referred to a Neurologist and Ophthalmologist. You may have Pseudotumor Cerebrii (a condition in which the pressure of the  fluid READ MORE
You need to see your primary immediately and be referred to a Neurologist and Ophthalmologist. You may have Pseudotumor Cerebrii (a condition in which the pressure of the  fluid in your brain and spinal cord is elevated). This can lead to loss of vision and eventually blindness. DO NOT WASTE TIME SEEKING ATTENTION TO THIS.

Dr. F. 

Pulling feeling?

It's hard to determine exactly what may be going on. I suggest making an appointment with a Neurologist to get a full detailed history and examination. Also testing along with READ MORE
It's hard to determine exactly what may be going on. I suggest making an appointment with a Neurologist to get a full detailed history and examination. Also testing along with referrals to other specialists to help determine what exactly is going on and how to best approach it. 

What does it mean when I have these muscle spasms?

I am at a loss as to what may be going on exactly. While spasms are common, most are associated with a degree of discomfort and more commonly occurring in the extremities. Without READ MORE
I am at a loss as to what may be going on exactly. While spasms are common, most are associated with a degree of discomfort and more commonly occurring in the extremities. Without a full detailed history and examination, it's quite difficult to determine what may be going on exactly. I suggest making an appointment with your primary or a Neurologist to evaluate such.

How can doctors tell the difference between ALS and MMN?

While both conditions early on may mimic each other, the main differentiating feature is the fact that patients with ALS have upper and lower motor neuron signs in the exam (including READ MORE
While both conditions early on may mimic each other, the main differentiating feature is the fact that patients with ALS have upper and lower motor neuron signs in the exam (including from the brain stem to the lumbosacral spine) Neurological exam and EMG/Nerve Conduction studies help differentiate one from the other. You can always have genetic testing for ALS. The four genes tested are. (SOD1, C9orf72, TARDBP, and FUS. Ask your Neurologist how he/she was able to determine one from the other and concluded it was ALS. Do not be afraid to ask. If your Neurologist is experienced in diagnosing and differentiating ALS from MMN, it should not be a problem to explain to you. 

Dr. F

Why do my legs feel so heavy after a truck hit me while walking?

It seems that the significant trauma experienced may have caused spasticity (heavy weight sensation, stiffness, difficulty moving or controlling). Condition often seen after insults READ MORE
It seems that the significant trauma experienced may have caused spasticity (heavy weight sensation, stiffness, difficulty moving or controlling). Condition often seen after insults to the brain and spinal cord. Given the fact that you only report this being in your legs; one would lean more towards the lower spine (Lumbosacral spinal cord). I did not read if you had spinal cord trauma (contusion), but from the description, it is quite possible. I did not read about any bowel or bladder problems (retention or incontinence); in this case, would indicate spinal cord. The name partial paraplegia means Incomplete paralysis or weakness of the two extremities. It is a descriptive term to spell out what you are experiencing. I would suggest participating in physical therapy to help you improve and regain better function and control of your legs.
I hope this offered some clearance and guidance. 

Dr. F

Not a heart attack?

It is a possibility. Also, look into gastritis, esophagitis and reflux. One last thing, but not least, anxiety.

Dr. F.

Pinched nerve?

If the nerve is pinched and causing severe problems, it's going to have to be released. Keloids are mostly limited to the skin and uncommon to deeper tissues. Probably not affecting READ MORE
If the nerve is pinched and causing severe problems, it's going to have to be released. Keloids are mostly limited to the skin and uncommon to deeper tissues. Probably not affecting the nerve or surrounding deep tissue, but can give you scar tissue over the site of the surgical wound. If the nerve gets severely injured, then you are looking at permanent sensory and motor dysfunction.

Dr. F

Blood vessels?

Probably both. It depends on whether you have underlying medical conditions and what they are. Some are more associated with vascular problems, others can be nerve. Without knowing, READ MORE
Probably both. It depends on whether you have underlying medical conditions and what they are. Some are more associated with vascular problems, others can be nerve. Without knowing, it is hard to say. A general rule is if you had lower back problems, probably more nerves. If you have vascular problems, then start there.

Dr. F.

Concern for husband?

It sounds like he might have Menieres, however, other middle ear or midbrain/brainstem problems can be going on. It seems the seizures are fairly well controlled. Talk to his Neurologist READ MORE
It sounds like he might have Menieres, however, other middle ear or midbrain/brainstem problems can be going on. It seems the seizures are fairly well controlled. Talk to his Neurologist and possibly, if he/she doesn't feel comfortable diagnosing or treating what he has, then refer you to a Neuro Otologist. I would contact the Neurologist or, if off for the weekend, whoever is covering for further advice. Also, you mentioned he is on a low dose of Carbamazepine. I would check levels to make sure he is not a bit high. Some of his symptoms are associated with such.

Aneurysms?

Aneurysms can be hereditary (run in families). It may be a good idea to discuss with your primary your concerns and possibly get a screening test(s).

Dr. F. 

What happened?

Dissociative Fugue. A rare event usually associated with severe stress and or psychological traumatic event.

Dr. F.

Seek medical attention?

YES. BETTER TO CHECK IT OUT AND IT BE NOTHING, THAN A CONTUSION. BESIDES, THE OPEN GASH MIGHT NEED ATTENTION TO MAKE SURE SHE DOESN'T DEVELOP  A SCAR. 

DR. F.

I have spontaneously gained the ability to move my ears?

First, thank you for your service. God bless you and heal you. Now to your question: A long time ago, I was in a conference with Dr. Edward Teller of the famous Manhattan Project READ MORE
First, thank you for your service. God bless you and heal you. Now to your question: A long time ago, I was in a conference with Dr. Edward Teller of the famous Manhattan Project (the atomic weapons program). The discussion was would we be able to reach the speed of light travel and this time travel. He would not commit to an answer either way. After pressing him, he looked at me sternly and replied, "Young man, I DON'T KNOW." Well, needless to say, I was disappointed. With time, I realized that even the most bright and enlightened minds don't know it all. By the same token, I don't have a simple answer for you. I can state that after brain insults certain people have developed extraordinary capabilities. Perhaps this is the case with you. If it's not troubling, then use it to your advantage. A speedy recovery to you.
Thank you for your service.

Head pain?

It probably is due to the hematoma exhorting pressure in the nerve rootlets on your scalp. Make sure it's not growing (hematoma = bump on your head). If it's getting larger, seek READ MORE
It probably is due to the hematoma exhorting pressure in the nerve rootlets on your scalp. Make sure it's not growing (hematoma = bump on your head). If it's getting larger, seek medical attention immediately. 

Is there any interaction between hip cortisone shots and ivermectin?

Not that I'm aware of. Cortisone is a steroid anti inflammatory. Although applied locally, it may exert systemic effects. Ivermectin is an anti parasitic drug with efficacy against READ MORE
Not that I'm aware of. Cortisone is a steroid anti inflammatory. Although applied locally, it may exert systemic effects. Ivermectin is an anti parasitic drug with efficacy against the Covid 19 virus. Often used as a preventative and treatment for infested symptomatic patients. The combination of Ivermectin 0.1mg/lb. Single dose initially repeated at 72 hours with Zithromax Z-pack and steroids (decadron, prednisone, solumedrol). Have been documented to reduce morbidity and mortality by greater than 50% in Covid cases. Ivermectin 20 mg once a month has been claimed to prevent Covid infection.