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SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Hand Surgery
Licenses
United States: Texas
Languages spoken
English
Doctor Q&A
54 Answers
7 Agrees
The number of answers this doctor has agreed with.
A 31-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Dependent edema: If it is not associated with pain or swollen joints, all you need to do is be more actve with your hands and elevate them. Medications for high blood ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Not all of them: At this time, there is research being done, evaluating home remedies and herbal treatments. You have to research each one, individually.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
No Evidence: Sphenopalatine block is indicated in the treatment of acute or chronic head or facial pain. Fibromyalgya is a generalized pain syndrome, with associat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Yes, if neglected: The infection needs to be treated, surgery to drain the pus, may be required. The infection can spread to the bone or the flexor tendons if left untre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
2 coll, palmar plate: 2 collateral ligaments, palmar plate and capsule. Every time there is an injury, you get permanent damage. It heals with scar.
Except bone, it heals ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Motion and elevation: If the cause has been treated and controlled, motion and elevation is all that is needed. But it mat still take a long time to clear up.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Treat the cause: The finger needs to be evaluated, nalgesics can be give safely at that point.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Aerobic conditioning: The first step towards fitness is aerobic conditioning, adequate sleep and balanced diet. Subsequently, you can add a program of gradual resistive exe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Cut back: Decrease the weight and repetitions, until symptoms dissapear or improve, but do not stop. Gradually increase reps. And weight over time. No more tha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Motion: If this is secondary to a trivial injury, continued motion and elevation should suffice. If symptoms persist, over 2-3 weeks, it will need to be evalu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Not an aging problem: Although we lose fiber density, as we age, a true peripheral neuropathy is abnormal at any age. Diabetes is the most common cause in the us today. Hea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years agoMerged
A 33-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Arms and legs mostly: They are fluid containing structures, with joint fluid and linning, they develop because of congenital or aquired weaknesses in the capsules of joints... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Diet and Fitness: Getting in shape is essential, balanced diet .Good restorative sleep is also very importantto allow muscle recovery,
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Not Related: A single IV dose of solumedrol (methylprednisolone) should not cause pain in the legs of a healthy individual. It may temporarily exacerbate, the pain... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Posture and Fitness: Getting in shape is essential, followed by good posture and breaks every two hours to allow muscles to recover.Good restorative sleep is also very imp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Yes: It can make your arm, shoulder or neck sore, the mechanism is explained in the study; the scalene reflex, by jose j monsivais et all. Jrms 1995.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Digital Neuropraxia: Neuropraxia of the digital nerve is a very likely cause, from the lack of blood to the nerve from pressure. It should resolve in about 2-3 weeks.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Treat the cause: The finger needs to be evaluated, nalgesics can be give safely at that point.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
May be very good: This is just another variable, if the tremor is mild, and dissapears when he performs volitonal activities, like surgery he has done for 5-10 years, t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Splinting first: Initially it is splinted, to allow healing of the injured stuctures, followed by motion, to prevent stiffness.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
It may be: Before you can conclude, that the neuropathy is getting worse, other associated causes, need to be excluded.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Pain : Pain and tingling in the hand and fingers, after a wrist "sprain", is suggestive of acute nerve compression and needs detailed physical exam, to inclu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
About 5% or less: This is a rare condition, about 200, 000 cases in the us. Based on my own experience and literature reports, my assesment is that it is around 5% , th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Yes, But: The injury described is suspicious of at least, a volar plate disruption with or without collateral ligament njury. Needs to be properly evaluated by ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Neuropathy ?: Neuropathy is a comon cause of tingling and numbness to the hands and feet, specially if diabetes is present .
Duration of symptoms is also very impo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Yes: It is now possible to do this nowdays, but there are risks involved and a strict patient selection because of it.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Related: They are both corticosteroids, Decadron is short acting and solumedrol (methylprednisolone) is long acting.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 29-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Infusion pump: The pump is placed in the abdominal wall and the catheter is placed intrathecally
in the spine. It delivers the drug according to the needs of the p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Scaphoid non-union: Needs to be evaluated by hand surgeon. surgery may be required.
Created for people with ongoing healthcare needs but benefits everyone.
2.6k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
No: The longer the joint is out of place, the less likely you are of having an acceptable result. With or without surgery.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 26-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
No: The nerves are outside the axial skeleton, and the spinal cord is contained in the bony structure.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years agoMerged
A 43-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Poly- neuropathy: Paresthesias in a glove like fashion are suggestive of polyneuropathy.The causes can be metabolic, like diabetes mellitus, medications or chronic alco... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
No: It depends on the side effect and your body's ability to cope with it.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
For Diagnosis: Depending on the location, the primary cause may need to be investigated, malignancies can be detected, metabolic or infectios diseases, parasitic inf... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
2 to 6 h: Depending on the medication used, Lidocaine 1 or 2%, bipuvacaine .5%
should resolve in that amount of time.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Trauma,Arthritis: Injuries, osteoarthritis, surgery, bleeding into the joint from coagulopathies or blood thiners, gout, other forms of arthritis.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Treat the cause: The finger needs to be evaluated, nalgesics can be give safely at that point.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Risky adventure: Depending on the type of cyst, you may trigger inflamatory response, infection, hemorrhage or disemination of tumor or disease. But of course you may ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 59-year-old female asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Common occurrence : It is a common occurrence , as we age. Neurological changes must be present to be of any significance . Surgery is more predictable when present.
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 16-year-old female asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Better over time: Symptoms improve as time goes by , provided it has been protected .
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Ulnar Neuropathy: The symptoms are suggestive of ulnar neuropathy or medial cord involvement.
Needs a full evaluation by a hand surgeon and a neurologist.
Physical ex... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsAnswered >2 years ago
A 29-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
BMI of 22 BF 12%: It depends on the standard that you want to use, beauty or health, they are not synonymous. The healtiest female body is not necessarily the most esth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Splinting first: Initially it is splinted, to allow healing of the injured stuctures, followed by motion, to prevent stiffness.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Clinical union 4-6 w: Ical union is achieved in 4 to 6 weeks, but the x rays may not show complete healing for months.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Not Abnormal: That is not the most common course of pos op carpal tunnel surgery, but it happens occassionally. You will need closer follow up and may need ot hand ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Needs Hand Surgeon: The treatment may be splinting and hand therapy, traction apparatus or surgery.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Don't Disturb it: Moving your fingers, as it becomes indicated, will help to decrease stiffness, but the healing process continues unabated in a healthy patient. It is ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Need Re-Examination : There is always a cause for pain to the wrist, if an examiner does not find anything, re-examination is the next step
if re-examination does not reve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Trigger Finger: A nodule at the flexor tendons, catches the a1 pulley in the palm. Most frequently.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Jose J Monsivaisanswered
Hand Surgery 52 years experience
Weight Loss: Diet and exercise, to the point of achieving your ideal weight goes far in improving microvascular disease, to some degree.
But it is most useful ear... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
153
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Monsivais is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Monsivais is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This saved my life. Thank You! I was wondering where the chronic facial pain comes from. Its bad.
HealthTap member
Thank you, your quick reply made me feel good! Thanks
HealthTap member
Thank you, your answer or tip was very helpful!
Education & Training
Medical/Graduate school
Autonomous University of Guadalajara Faculty of Medicine, Mexico
Graduated 1971MD
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