Doctor Q&A for Dr. Robert Purchase

A 42-year-old member asked:
Dr. Robert Purchase
Orthopedic Surgery 25 years experience
They are different: Rheumatoid arthritis is a systemic autoimmune disease that attacks the soft tissue and cartilage in the body's joints. It responds well to specialized... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Robert Purchase
Orthopedic Surgery 25 years experience
Big differences: Regular arthritis, osteoarthritis, is a mechanical problem involving the wearing away of the cartilage in a joint. It is not a systemic problem. Rheum... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Robert Purchase
Orthopedic Surgery 25 years experience
Carefully: Wear the sling as instructed. Use pain medicine as necessary. Try sleeping in a semi-recumbent position, like a lazy boy position. Either sleep in a r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Robert Purchase
Orthopedic Surgery 25 years experience
Not necessarily: It is unfortunate, but avascular necrosis (avn), as a complication of corticosteriod use, can start long after the corticosteroid use has stopped. If ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Robert Purchase
Orthopedic Surgery 25 years experience
Unfortunately not: Normal knee alignment spreads the forces of weightbearing evenly across both sides of the knee. Unfortunately, knock knees (aka valgus knees) and bowl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Robert Purchase
Orthopedic Surgery 25 years experience
Usually non-op: Most patients with an isolated PCL injury will not have symptomatic instability after completing rehab to focus on quad strengthening. If you do have ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Robert Purchase
Orthopedic Surgery 25 years experience
Time, ROM, strength: If this is your first dislocation, time (rest) followed by gentle attempts to regain range of motion followed by rotator cuff strengthening is the rec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Robert Purchase
Orthopedic Surgery 25 years experience
Not great options: Most people who want a brace for shoulder instability use it for sports. Those braces restrict shoulder motion to a safe zone where the shoulder won't... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Robert Purchase
Orthopedic Surgery 25 years experience
Try simple things: I would try tylenol (acetaminophen) and anti-inflammatory medications (eg ibuprofen, aleve, etc) as well as modalities (e.g. Ice and heat). I would tr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Robert Purchase
Orthopedic Surgery 25 years experience
See ortho doc: Frozen shoulder, aka adhesive capsulitis, is an inflammatory condition condition causing pain and shoulder stiffness. Treatment should be directed at ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
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