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Doctor Q&A for Dr. Robert Coats II

A 29-year-old male asked:
Dr. Robert Coats II
Orthopedic Surgery 23 years experience
Orthopaedic surgeon: An orthopaedic surgeon deals with problems of the bones, joints, muscles, ligaments, tendons and nerves. A frozen shoulder occurs when the joint capsule becomes thickened and tight, preventing shoulder movement. This is a common in diabetic patients. Injections and therapy can help speed up recovery, but sometimes manipulation or arthroscopic surgery is needed.
A 56-year-old female asked:
Dr. Robert Coats II
Orthopedic Surgery 23 years experience
Yes, neurologist: An orthopaedic surgeon can diagnose carpal tunnel syndrome(cts). Those patients with numbness/tingling in the thumb, index, long and 1/2 of the ring fingers and night pain don't usually need a conduction study. However, if there is any question about the diagnosis, an emg/ncv study can be performed by a neurologist of physiatrist. A board certified orthopaedic hand surgeon can provide treatment.
A 54-year-old female asked:
Dr. Robert Coats II
Orthopedic Surgery 23 years experience
Arthroscopic eval: A high-grade tear of the rotator cuff acts like a full-thickness tear, although there are still some intact fibers. Injections and therapy may provide temporary relief of pain at night and with activities. The most effective may to achieve long-term pain relief and improved function is with shoulder arthroscopy. See a board certified orthopaedic surgeon for evaluation and treatment.
A 37-year-old member asked:
Dr. Robert Coats II
Orthopedic Surgery 23 years experience
Fracture at bone end: Long bones are divided into three areas. The shaft is called the diaphysis. The end is called the epiphysis and the transitional zone between these two is called the metaphysis. The epiphysis is where the growth plate is located in kids and is a common place for fractures. In adults, an epiphyseal fracture involves the joint surface. These fractures usually require treatment.
A 30-year-old member asked:
Dr. Robert Coats II
Orthopedic Surgery 23 years experience
Usually 6 weeks: Fractures usually take about six weeks to heal, but will remodel over the next 12-18 months. This process is faster in kids and slower in the elderly. Certain fractures heal faster than others. Non-displaced fractures heal faster.
A 28-year-old male asked:
Dr. Robert Coats II
Orthopedic Surgery 23 years experience
Adhesive capsulitis: Frozen shoulder or adhesive capsulitis is a disorder of the shoulder causing pain, stiffness and loss of motion. Injury, inflammation and/or medical disorders, especially diabetes, causes the shoulder joint capsule to contract. This contraction of the joint capsule is initially painful and results in loss of motion. Sometimes injections and therapy can resolve the symptoms, others require surgery.
A 29-year-old member asked:
Dr. Robert Coats II
Orthopedic Surgery 23 years experience
It can be: When the pain, numbness and tingling of carpal tunnel syndrome (cts) can not be relieved with oral/injectable steroids, therapy and/or night splints, surgery is the only option. Open, mini-open and endoscopic techniques are available for treatment. See a board certified orthopaedic hand surgeon for treatment.
A 38-year-old member asked:
Dr. Robert Coats II
Orthopedic Surgery 23 years experience
Yes, sometimes: The symptoms of pain, numbness and tingling caused by carpal tunnel syndrome (cts) can be relieved without surgery, when the symptoms are intermittent, less than 6 months duration, and there is no permanent nerve damage. In this case oral/injectable steroids, therapy and night splints can be very effective. If not, surgery will be be necessary. See a board certified orthopaedic hand surgeon.
A 28-year-old male asked:
Dr. Robert Coats II
Orthopedic Surgery 23 years experience
Ligament release: Carpal tunnel syndrome (cts) is treated by releasing the transverse carpal ligament (tcl), surgically with an open, mini-open or endoscopic technique. Tcl relieves the pressure on the median nerve. Open surgery requires complete exposure of the tcl and carpal tunnel (ct). Mini-open surgery only partially exposes these structures. Endoscopic surgery uses a camera and a small incision to release tcl.
A 28-year-old male asked:
Dr. Robert Coats II
Orthopedic Surgery 23 years experience
Joint+water+camera: Arthroscopic surgery involves looking inside of a joint with a very small camera. The joint is filled with water and the camera is placed into the joint, using small incisions. Most orthopaedic surgeons utilize arthroscopic surgery to treat a variety of conditions, including: meniscal and rotator cuff years, joint infections and inflammation, removal of loose bodies and ligament reconstructions.
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