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Doctor Q&A for Dr. Christopher Piller

A 27-year-old male asked:
Dr. Christopher Piller
Orthopedic Surgery 27 years experience
Get X-ray ASAP: See your surgeon asap and get an x-ray to rule out a fracture or dislocation of replaced joint. Get on crutches until then. Ice to hip. Modify your activities so the replaced hip will last as long as possible. Given your young age you might need revision surgery in 15-20 years if you continue high impact activity and 25-30 years if you are careful and stick to low impact aerobic exercise.
A 36-year-old female asked:
Dr. Christopher Piller
Orthopedic Surgery 27 years experience
Muscle or nerve: Could be spasm of the rhomboid muscles or irritation of the dorsal scapular nerve (c5-c6) or scapular bursitis.
A 41-year-old member asked:
Dr. Christopher Piller
Orthopedic Surgery 27 years experience
Variable: 4-6 weeks for minimally invasive or arthroscopic surgery to 6-8 months for major surgery such as fracture repair, ligament reconstruction or replacement.
A 33-year-old member asked:
Dr. Christopher Piller
Orthopedic Surgery 27 years experience
Protect then move it: Xray is a good idea to confirm that the dislocation is reduced fully and that there is not a fracture. If that looks ok, 7-10 days of immobilization in a splint with occasional removal for cleaning and gentle range of motion. Then more aggressive stretching and strengthening exercises with the finger taped to the one next to it above and below the affected joint ("buddy taping").
A 41-year-old member asked:
Dr. Christopher Piller
Orthopedic Surgery 27 years experience
Many options: Physical therapy for iontophoresis and phonophoresis, deep tissue modalities, stretching, and strengthening. Ice for 10-15 min 4 times a day, counterforce strap bracing, nsaids, and avoidance of the activity that aggravates. Occasionally a wrist brace is used and steroid injections can be considered for cases lasting months that don't respond. Surgery is rarely indicated.
A 34-year-old member asked:
Dr. Christopher Piller
Orthopedic Surgery 27 years experience
Many options: Physical therapy for iontophoresis and phonophoresis, deep tissue modalities, stretching, and strengthening. Ice for 10-15 min 4 times a day, counterforce strap bracing, nsaids, and avoidance of the activity that aggravates. Occasionally a wrist brace is used and steroid injections can be considered for cases lasting months that don't respond. Surgery is rarely indicated.
A 33-year-old member asked:
Dr. Christopher Piller
Orthopedic Surgery 27 years experience
Many: Physical therapy for iontophoresis and phonophoresis, deep tissue modalities, stretching, and strengthening. Ice for 10-15 min 4 times a day, counterforce strap bracing, nsaids, and avoidance of the activity that aggravates. Occasionally a wrist brace is used and steroid injections can be considered for cases lasting months that don't respond. Surgery is rarely indicated.
A 36-year-old female asked:
Dr. Christopher Piller
Orthopedic Surgery 27 years experience
No Heat: Capsule tightening with sutures or anchors is safe and can be titrated to how much laxity is present and the major directions of instability. Rf shrinkage is technically easier and faster, but has been implicated as a potential cause of delayed damage to capsule tissue and joint cartilage.
A 32-year-old female asked:
Dr. Christopher Piller
Orthopedic Surgery 27 years experience
Call Surgeon ASAP: There can be many explanations, but some are serious. If you had a nerve block, residual numbness can be normal. Try loosening the bandages. If the foot remains cold, it could represent an injury to the arteries and should be evaluated quickly.
A 46-year-old member asked:
Dr. Christopher Piller
Orthopedic Surgery 27 years experience
Replace torn ACL: Acl reconstruction surgery is recommended if you are having instability of the knee and a diagnosis of a tear is confirmed by an exam and mri. The surgeon will use an arthroscope camera to look inside the joint, remove the damaged ligament and replace it with a strong sterilized tissue graft from a cadaver(allograft). Typically an outpatient procedure, but takes 6-8 months for a full recovery.
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