Doctor insights on:
Healing Narcissistic Injury
A pervasive sense of grandiosity in fantasy or behavior, lack of empathy, need for admiration, fantasies o unlimited success, sense of entitlement, envious of others, often arrogant, exploitive of others as well as other characteristics. Person would definitely benefit by therapy but often by nature of the condition the person doesn't believe that there is ...Read more
Yes, like everyone: Else. A lot depends on a number of factors: like which specific ligament, or the severity of the injury, any past injury to the specific ligament which has been reinjured, general health condition, the timing of the diagnosis and treatment start, any associated injuries, etc. Are you interested in specific ligament's injury? ...Read more
Weight bear as tol.: Since you can not put the sacrum in a cast (it's above the tailbone) only time can heal a sacral fracture. Weight bearing as tolerated is the best treatment. Of concern is there a diagnosis of osteoporosis due to menopause, low testosterone or high blood calcium (parathyroid adenoma) ? A work-up may be needed. ...Read more
How to protect collapse of talus dome. Diagnosed with avn 6 month post injury. Undisplaced verticle talus body fracture. No joint involved. Ptb brace?
Varies: It varies quite a bit, depending in part on the severity of the injury to the TFCC. Some people may have a very mild injury and do fine without even immobilization, while others can have injuries severe enough they need surgery. Initial immobilization is appropriate for many TFCC injuries to see if they will heal. May want to discuss specifics if your injury with your MD. ...Read more
Thoughts with regard to applying darwinian medicine (e.G., no nsaids) to minor injuries (sprains, contusions, and broken fings./toes)?
Nondisp webr b fx with soft tissue injury in jnt caps+partly torn aftl delt no union orif+bone graft how in terms of severity would this be described?
Depends: It depends if the bone is in good alignment and position so that the ends are together. ...Read more
Depends on a lot: This is often the debate which engages forensic neuropsychologists (see http://forensicneuropsychology.Com) and forensic neurologists. Results can vary greatly even with similar ct or MRI findings. Generally severity, presence of intracranial bleeding, elevated icp, early or especially post-traumatic seizures, locaiton of injury, shearing, and pre-injury factors ie. Age, prior injury, health etc. ...Read moreSee 2 more doctor answers
Tendon: Tendons have clear indications for immediate reconstruction and care. Ligament injuries are not visualized on x-ray, and are usually not treated in cases of fracture. If you have persistent myofascial pain or instability from injury seek a physician who has learned prolotherapy techniques for rehabilitation. Also, anti-inflamatory medicines taken for injury block ligaments from "self healing". ...Read more
Acl/pcl healing: If an acl and PCL tear these ligaments do not typically heal; this is due in part to the synovial environment in which these ligaments reside as well as the demand that is exacted on these ligaments. Whether one is symptomatic with these injuries is in large part measured by the degree of activity in which a patient participates in and the number of hours one is actively engaged. ...Read moreSee 2 more doctor answers
Cell Growth: Cartilage cells, especially the articular cartilage type, are very slow growing cells so they are also very easily damaged and with enough damage these cells die and are replaced with a type of scar tissue that is not a perfect replacement. Bone on the other hand continues to remodel and can ultimately be fully restored. ...Read more
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