Dr. Marc Tressler

A 28-year-old female asked:

Lv3-lv4 and lv4-lv5 intervertebral disc levels causing narrowing of both lateral recesses along with compression of exiting of nerve roots.

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

See spine specialist: I would get an evaluation from a spine surgeon, either orthopaedic or neurosurgeon. They can evaluate you properly and treat you with either therapy,... Read More

4.3k viewsReviewed >2 years ago

Dr. Frederick Nahm agrees1 doctor agrees

5 thanks

A 50-year-old member asked:

What to do if i broke my big toe and was referred to an orthopedic surgeon at children's hospital. the toe is broken expect since i can barely walk to get crutches?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Get Evaluated: This injury could be into the joint. If so, it may need to have surgery to prevent long-term problems. My suspicion is that the on call doctor was a... Read More

4.4k viewsAnswered >2 years agoMerged

A 27-year-old male asked:

I have gd iii mcl tear lt knee and fracture lateral tibial condyle since 2 weeks. can i move my leg or should i wear the knee immob 24 hours. ?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Follow directions: This injury can be unstable and proper immobilization will potentially avoid otherwise unnecessary surgery. My opinion is that your orthopedic surgeon... Read More

4.4k viewsAnswered >2 years ago

A 36-year-old female asked:

What is the difference between a torn rotator cuff and a tear in the cartilage holding the rotator cuff? which is worse?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Semantics: I've treated lots of rotator cuffs over the years and never used that description, but i would assume this is someone trying to describe the location ... Read More

4.4k viewsAnswered >2 years ago

A 56-year-old female asked:

What exercise can you do to stop a muscle spasm in the lower back and hip area when acute onset occurs.

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Stretch: Sounds like piriformis syndrome. Hard to describe the stretches. Go on-line and search stretching or physical therapy for piriformis tightness or sy... Read More

4.4k viewsReviewed >2 years ago

Dr. Jared Adams agrees1 doctor agrees

A 37-year-old male asked:

Please share an interesting fact about living with osteoporosis.

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Ignore: Most people with osteoporosis are smokers, have inadequate vitamin D3 intake, or both.

4.3k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 39-year-old female asked:

I am 39 and 5.5 mth preg. my baby has no fibula and i am considering termination. worried i won't get pregnant again. no pblms before but given i turn 40 this summer i am scared. fertility advice?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Why?: You are describing fibular hemimelia or congenitally absent fibulae. This is not a life threatening condition, just a limb growth problem. Why would... Read More

4.4k viewsReviewed >2 years ago

Dr. Pamela Pappas and 2 doctors agree3 doctors agree

A 41-year-old member asked:

My feet and hands have been really hurting badly what is this?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Circulatory or neuro: This could be problem with terminal circulation (most distant from heart on limbs). Two causes that come to mind are smokers with underlying disease ... Read More

4.4k viewsAnswered >2 years ago

A 71-year-old female asked:

I feel a screw protruding slightly from the bottom of a plate inserted to repair a trimalleolar fracture. is it possible to have that one screw removed or must all the hardware come out?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Yes: Most likely you can have one screw removed without jeopardizing the stability of the plate or the repair.

4.4k viewsAnswered >2 years ago

A 36-year-old member asked:

What to do if i have severs disease in my ankle. i've tried everything! what should i do?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Seek Orthopod : Depending on your particular form of pathology, bracing, injection of corticosteroid, ankle debridement, ankle fusion, or ankle replacement are option... Read More

4.4k viewsReviewed >2 years ago

Dr. Marsha Davis agrees1 doctor agrees

A 26-year-old female asked:

I pulled the back of my upper leg 6 yrs ago. i didn't go to therapy. now when i workout it gets extra tense and i'm not as flexible. is it hopeless?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Have hope: You need to stretch hamstrings and calves multiple times per day. I recommend 3-5 times stretching each day. You don't need to get crazy about how m... Read More

4.4k viewsReviewed >2 years ago

Dr. Alan Ali and 6 doctors agree7 doctors agree

5 thanks

A 64-year-old female asked:

Numbness on toes after chemo treatments will it go away?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Wait ; See: Many chemotherapy treatments can cause peripheral neuropathy. This is the name given to your condition. It may or may not resolve. Nerve problems a... Read More

4.4k viewsAnswered >2 years ago

A 32-year-old member asked:

Please explain if it is proven that loose shoes cause clawed toes?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Not physiologic: No direct relation between claw toes and loose shoes. Claw toes are caused by chronic overuse of the toe extensors to aid in ankle dorsiflexion. Thi... Read More

4.3k viewsReviewed >2 years ago

Dr. Payam Rafat agrees1 doctor agrees

A 39-year-old male asked:

My ultrasound shows there's a partial thickness articular surface tear of the supraspinatus tendon messing 4x3x9mm. what's the best way to heal it?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Take it easy: Healing rotator cuff tears without surgery can be difficult. The tenets of conservative care are a structured physical therapy program, antiinflammat... Read More

4.3k viewsReviewed >2 years ago

Dr. Ryan Phasouk agrees1 doctor agrees

A 58-year-old female asked:

2 weeks ago onset of gradual swelling under patella, stiff feeling. thinking it was bursitis, took advil, (ibuprofen) swelling relieved, now feels like something is moving under patella getting caught/pinched

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Likely bursa: Think you nailed the diagnosis. The infrapatellar bursa can get irritated and swell with increased squatting, kneeling, or crawling. Bursal tissue is... Read More

4.3k viewsAnswered >2 years ago

A 45-year-old male asked:

An initial fracture is extra articular but in later ct shows it extending into the joint why would this be?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Propagation: Fractures can propagate from extra articular to intra articular during the post-traumatic period if they are subjected to untoward stresses. The bone... Read More

4.3k viewsReviewed >2 years ago

Dr. Jared Adams agrees1 doctor agrees

A 21-year-old female asked:

I went swimming today and went in a hot tub. my joints are killing me! i didn't do any more activity than normal. what would cause this?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Inflammation: The exercise may have irritated the joints because of the repetitive motion, then going into the hot tub increases the swelling even further.

4.4k viewsAnswered >2 years ago

A 19-year-old female asked:

I have recover from hepatits a for about one month and enezyme return to normal can i exercise or not?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Resume: Once your liver function tests normalize you should be free of exercise restrictions. Resume exercise.

4.4k viewsReviewed >2 years ago

Dr. James Ferguson and 2 doctors agree3 doctors agree

A 20-year-old female asked:

Having shoulder pain in right shoulder only, burning sensation in right breast(inner part), and i have a swollen lymph node under right armpit. help!

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Evaluation needed: Any time there are swollen lymph nodes one should have concern. Could be mastitis, and needs treatment. You need further evaluation by a doctor.

4.4k viewsReviewed >2 years ago

Dr. Walter Husar agrees1 doctor agrees

5 thanks

A 25-year-old male asked:

Left leg pain moves from ankle to chalf and back of thigh hurts when sitting down and hurts to walk some when walk more pain goes away i think i twisted it why its hurting no swelling no redness ?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Flexibility Issue: There are 2 reasonably unique muscles in the lower body- the hamstrings and calves (gastrocnemius). What makes them unique is that these two muscles ... Read More

4.4k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

A 29-year-old male asked:

29yrs old having pain just above my left hip. feels bloated. like i don't wanna lean in that direction. also in the crease between my pelvis and left?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Bursitis, Arthritis: If i understand correctly, you have lateral hip pain and groin pain both. Lateral hip pain can be trochanteric bursitis. Groin pain is most classica... Read More

4.4k viewsReviewed >2 years ago

Dr. Qamar Khan agrees1 doctor agrees

A 33-year-old member asked:

Help please! i'm having knee pain and high white blood cells for 3years?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Possibilities many: There are so many possibilities, but the top three would be leukemia, osteoarthritis, and chronic effects from injury. See your primary care physicia... Read More

4.3k viewsReviewed >2 years ago

Dr. Agos Luca agrees1 doctor agrees

A 27-year-old male asked:

I play handball. i have a bruise on my finger that is in the form of scattered black dots. i think it might be internal bleeding. how can i fix this?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Time: This just represents form of a bruise created by injury to small vessels (capillaries). The hemorrhage products will be broken down and reabsorbed by... Read More

4.3k viewsAnswered >2 years ago

6 thanks

A 41-year-old member asked:

I'm able to out lift big muscular men, how much does actual muscle mass contribute to strength?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Some relation: Muscle mass has to do with hypertrophy of muscle fibers. Muscle fiber hypertrophy has more to do with the consistency of training routine, not single... Read More

4.3k viewsReviewed >2 years ago

Dr. Ryan Phasouk agrees1 doctor agrees

3 thanks

A 28-year-old female asked:

Would aspirin help or worsen deep vein thrombosis? worried about possible blood clot from pain in leg and going to dr tomorrow.

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Help: Aspirin is a form of an anticoagulant that lessens the chance of a blood clot. However, the most important thing you can do is make sure that you don... Read More

4.3k viewsReviewed >2 years ago

Dr. Ryan Phasouk and another doctor agree2 doctors agree

4 thanks

A 21-year-old male asked:

Is there any possible way to correct/straighten the postural kyphosis by exercises after the age of 20 ?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Depends on cause: If it is pure postural kyphosis with no wedging of any of the spinal (vertebrae) segments, then core strengthening an postural retraining should corre... Read More

4.3k viewsReviewed >2 years ago

Dr. Scott Ferry agrees1 doctor agrees

A 30-year-old male asked:

Can you freeze a whey protein shake and drink it later? plan to mix it with fruits and so on. wondering if freezing the whey will do anything to it.

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Yes: Whey protein is stable if frozen for 24-48 hours. After 48 hours, there can be detrimental effects on quality. Prepare shakes night before use and y... Read More

4.3k viewsAnswered >2 years ago

A 34-year-old member asked:

Can you tell me is popping your back, neck, and knuckles/fingers bad?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Yes and no: Most people incorrectly believe that popping or cracking knuckles causes arthritis. This is not true. However, popping joints can cause soft tissue ... Read More

4.3k viewsAnswered >2 years ago

A 41-year-old member asked:

Can you tell me are knees that naturally hyperextend more prone to injury (acl tears, mensical tears, patellar dislocations)?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Yes: Knee hyper extension is usually due contractures of the hamstring muscles, the calf muscles, or both. When these muscle groups are tight the knee hyp... Read More

4.3k viewsAnswered >2 years ago

A 37-year-old male asked:

Please share an interesting fact about living with degenerative arthritis.

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Ignore: Stay active. Low impact regular exercise prevents stiffness associated with arthritic joints.

4.3k viewsReviewed >2 years ago

Dr. Heidi Fowler and 2 doctors agree3 doctors agree

A 18-year-old female asked:

Hi. i'll be running my third marathon this sunday, and i got my period. i was wondering whether there is a natural way to increase blood flow? thanks.

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Supplement: You may try Nitric Oxide supplements typically available at most health and fitness stores.

4.4k viewsAnswered >2 years ago

A 41-year-old female asked:

3/6/14loss of vision dizzy urge to pass out funny feeling in head/ears. still crawly feeling across back of head feel out of it nausea dizzy & emotional chiro/gp say migraine eye dr not convinced ?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Get another opinion: There is always the chance that another specialty provider, such as a neurologist or an ent, would come up with another diagnosis and treatment plan.

4.3k viewsReviewed >2 years ago

Dr. Clifford Gevirtz and another doctor agree2 doctors agree

A 17-year-old female asked:

What should i expect for a corticosteroid shot for iliopsoas snapping since 1.5 yrs. i'm 17 yrs f?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Expect some relief : Typically, one corticosteroid injection will provide some relief. The relief is usually between 50-100% and lasts 2 weeks-several months. I usually ... Read More

4.4k viewsReviewed >2 years ago

Dr. Mohammed Parvez agrees1 doctor agrees

A 44-year-old member asked:

What to do if i have been taking hydrochlorothiazide and my feet and ankle are swollen?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Reevaluation: There are many reasons for peripheral edema. There are also several types of diuretics. You should be reevaluated by your doctor to see if other med... Read More

4.4k viewsReviewed >2 years ago

Dr. Quang Nguyen and 3 doctors agree4 doctors agree

A female asked:

How much does the procedure for correction of bow legs cost roughly? (lower part of the legs)

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Which country ?: In the us, bilateral high tibial osteotomies will cost $20k per leg before insurance. If the femoral osteotomies are also needed, add an additional $... Read More

4.3k viewsReviewed >2 years ago

Dr. Heidi Fowler agrees1 doctor agrees

A 28-year-old male asked:

Doc told me i have achilles tendonitis. last couple of weeks my heels has been painful and burning need some help on what to do?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Stretch: Typically achilles pain is from lack of flexibility combined with some life or lifestyle change. The problem with both the hamstring and calf muscles... Read More

4.3k viewsAnswered >2 years ago

A 21-year-old male asked:

It's week 4. i feel stiffness on my leg after arthroscopic surgery. what's the cause and solution? i can barely bend 60 degree.

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Postop swelling: It is common to recover quickly from a "simple" knee scope. However, if more extensive work was done, the recover can take up to 12 weeks. The stiff... Read More

4.3k viewsReviewed >2 years ago

Dr. Evan Altman and 2 doctors agree3 doctors agree

A 24-year-old male asked:

I sprained my ankle 2 years ago. since then, i get horrible pain every time i put a lot of pressure on it. did they miss internal damage? it hurts!

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Post-traumatic : Many times asked an "innocent" ankle sprain other post-traumatic manifestations will occur. These include bone spur formation. These spurs cause ant... Read More

4.3k viewsReviewed >2 years ago

Dr. Heidi Fowler and 2 doctors agree3 doctors agree

A 34-year-old member asked:

What is a good workout plan for 14 yr old male?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Start slow: Cardiovascular training 3-4 times per week and light weight, high repetition weightlifting 3 times per week. You should train with someone knowledgab... Read More

4.3k viewsReviewed >2 years ago

Dr. Marsha Davis and 2 doctors agree3 doctors agree

A 23-year-old female asked:

Sprained ankle 2 weeks-stage 2. lately they've been a little cold, is this normal? causes? are there chances of permanent damage? will it fix itself?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Swelling: Typically people will have considerable swelling after an ankle sprain. This engorgement is often perceived as "warmth." after the swelling diminish... Read More

4.4k viewsAnswered >2 years ago

A 17-year-old female asked:

I've got pain on my color bone hip bone and rib cage... does it mean anything ?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Activity dependent: If all on the same side of the body, it is likely related to activity or posture. Body mechanics are important, and poor use results in obscure pain(... Read More

4.4k viewsReviewed >2 years ago

Dr. Deborah Sculco agrees1 doctor agrees

A 47-year-old female asked:

Woke up and my three fingers are numb on my right hand as the day goes on my hole hand is numb and fingers twich . and no i haven't hurt it in anyway?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Maybe carpal tunnel?: There are 5, so if the 3 fingers you are referring are the thumb, index, and long finger- my first consideration would be carpal tunnel syndrome or co... Read More

4.4k viewsAnswered >2 years ago

A 54-year-old male asked:

Is it possible for mrsa to gain entry via a cut between the webspace of your right toe and travel via the bloodstream lodging in your right thigh?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Yes: It is possible for MRSA to enter your bloodstream through a break in the skin and go almost anywhere in the body.

4.4k viewsReviewed >2 years ago

Dr. Marsha Davis agrees1 doctor agrees

A 19-year-old male asked:

How long does it takes a grade 2 sprain to heal? i had my sprain from january but am feeling pain wen i put my foot under heavy things and try to lift

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

No guarantees : A grade 2 ankle sprain does not necessarily ever heal. This is ligament tissue that usually heals in 12 weeks, assuming no reaggravation of the injur... Read More

4.3k viewsAnswered >2 years ago

A 23-year-old female asked:

Can a healed stress fracture be diagnosed as more serious fracture on x-ray when a healed fracture is found?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

They are same: A stress fracture is just a type fracture. Only difference is it occurs with chronic repetitive stress instead of a single episode of trauma. They b... Read More

4.4k viewsReviewed >2 years ago

Dr. Leon Shingledecker agrees1 doctor agrees

A 31-year-old male asked:

I did acl reconstruction surgery bk in 2010 until now i can't bend my knee full like before , i feel pain inside my knee , i hear sound when i bend it?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Degeneration: This is likely a progression of a post-traumatic condition. Causes such as arthritis, synovitis (inflammed joint lining), arthrofibrosis (scar tissue... Read More

4.4k viewsAnswered >2 years ago

A 24-year-old male asked:

After being diagnosed with avn, which is caused due to hip dislocation, blood tests shows crp value 0.94, rf is negative, ana not done. is it normal ?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Considering history: All labs presented would be expected in a case of avascular necrosis. The CRP is just an inflammatory marker and avn causes inflammation.

4.3k viewsReviewed >2 years ago

Dr. Heidi Fowler agrees1 doctor agrees

A 47-year-old member asked:

Can you tell me are sore as well(but i am not pregnant). no history of breast cancer in my family. could have something been overlooked?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Mastitis?: Inflammation of the breast tissue can cause pain. This is typically in lactating mothers, but not always. Nipple piercing and tight clothing have bee... Read More

4.3k viewsAnswered >2 years ago

A 23-year-old male asked:

M suffering frm osteomyelitis frm past 5 years in left femur bone n undergone 10 surgeries but still it is not cured .. cn it be cured by homeopathy?

Dr. Marc Tressleranswered

Specializes in Orthopedic Surgery

Scientific evidence?: Osteomyelitis is a very difficult problem to have and to treat. The key to success is complete removal of all non-viable tissue. A deep infection sh... Read More

4.3k viewsReviewed >2 years ago

Dr. Luis Villaplana agrees1 doctor agrees