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Dr. Guy Fogel

Orthopedic Surgery
San Antonio, TX
44 years experience male

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Office

About

Bio

Dr Guy Fogel, orthopedic spine surgeon San Antonio Texas. I am a Mayo Clinic trained orthopedic surgeon and Baylor Medical School Houston Spine fellowship trained surgeon. I do Minimally invasive spinal surgery and treat most patients with non-operative means such as physical therapy and injections.

Specialties
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.

Orthopedic Surgery

Languages spoken

English

Doctor Q&A

137 Answers
0 Agrees
The number of answers this doctor has agreed with.
A 23-year-old female asked:
Dr. Guy Fogel
undefined 44 years experience
Finally: Yes you need a splint or cast to support the muscles and bone while it heals.
A 28-year-old female asked:
Dr. Guy Fogel
undefined 44 years experience
Yes related: Enthesopathy or tendinitis is part of the rheumatoid arthritis. You should tell the rhwumatologist and may need referral to orthopedist too.
A 38-year-old male asked:
Dr. Guy Fogel
undefined 44 years experience
Conserv care 1st: Only one in ten disc herniations requires surgery, i certainly would try physical therapy and maybe a cortisone epidural before considering surgery.
A 39-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Yes: Scoliosis causes tilting and rotation of vertebrae that can narrow the foramen and pinch an exiting nerve root.
A 38-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
C6 radiculopathy: May be acute or chronic to be told by EMG of the neck and arms. If acute there should be some compression of the nerve root usually a disc or bone sp... Read More
A 39-year-old female asked:
Dr. Guy Fogel
undefined 44 years experience
Radiculopathy: This sounds like dysthetic pain of radiculopathy. A nerve root in your neck may be compressed causing the severe arm symptoms. A physical exam and a c... Read More
A 28-year-old male asked:
Dr. Guy Fogel
undefined 44 years experience
Weakness of ankle: In clinical state that is hard to separate the sensory from motor. Motor effects of the L5 and s1 roots are generally weakness of the ankle and foot.
A 45-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
No: Hemangioma is just a pooling of blood within the vertebral body. Multiple sclerosis is a neurologic disease with plaques on the brain and spinal cord.
A 32-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Displaced: When it is displaced or blocks the airway for breathing.
A 45-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
OK: Put a pill in a glass of water and see how long it takes to dissolve. The absorption of calcium is complex requiring transport mechanisms controlled b... Read More
A 46-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Referred neck pain: The neck can refer pain along the medial border of the scapula and the C8 nerve root in the neck can make your anterior chest hurt.
A 44-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Nerve, muscle,bone: Thigh pain could be a nerve compression in the lumbar spine, or a local problem with muscle such as a calcified hematoma or the bone such as a stress ... Read More
A 22-year-old male asked:
Dr. Guy Fogel
undefined 44 years experience
Yes: If there is neck stiffness and headaches then yes dizziness and vomiting may be related to the car accident. I think an evaluation of a spinal special... Read More
A 46-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Evaluation: As a spinal evaluator i would do a careful physical exam and then would do xrays with flexion-extension views and MRI imaging to evaluate the discs an... Read More
A 16-year-old female asked:
Dr. Guy Fogel
undefined 44 years experience
MRI neck and referra: That sounds like a disc herniation with nerve compression in the neck. I would recommend a MRI of the neck and followup by a spine surgeon either neur... Read More
A 22-year-old male asked:
Dr. Guy Fogel
undefined 44 years experience
Magnetic stimulator: The best stimulator is a magnetic stimulator used for thirty minutes a day. You need a lumbar corset or brace too.
A female asked:
Dr. Guy Fogel
undefined 44 years experience
Yes: Patellofemoral pain most common injury with athletic endeavors. Also as one goes through menses there are changes in angulation across the patellofemo... Read More
A 35-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Biceps tendinitis: You may have injured the biceps tendon at the elbow. Avoid lifting and forceful rotation at the forearm and if pain persists have an orthopedic surgeo... Read More
A 40-year-old female asked:
Dr. Guy Fogel
undefined 44 years experience
Scoliosis: This sounds like scoliosis spinal curvature has twisted the ribcage around to make a knot on one side of the back and dropped the shoulder plane with ... Read More
A 22-year-old male asked:
Dr. Guy Fogel
undefined 44 years experience
Yes: Sure if a bone spur presses on a nerve it can be shaved away to release the nerve.
A female asked:
Dr. Guy Fogel
undefined 44 years experience
Yes you can: This is a degenerative condition of the growth plate of the patellar ligament attachment to the tibia. If it is a chronic problem, you may need a smal... Read More
A 22-year-old male asked:
Dr. Guy Fogel
undefined 44 years experience
It may help: The bone stimulator may help to heal the pars fracture.
A 34-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Facet cyst: Cysts usually are related to the facet joint and may cause pressure on a nerve. If they do not pressure the nerve then they can be ignored.
A 45-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Radiculopathy: There is pressure on a nerve root near the bottom of the lumbar spine causing the buttock and leg pain.
A 49-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Usually painful : Yes if joint is restored and there are no weak spots from fracture of the acetabulum. Just avoid the direction your hip dislocated in.
A 40-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Possibly: More likely without significant trauma that you have a tendinitis or enthesopathy of a ligament attachment.
A 33-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Usually 20s: Usually early 20s for peripheral growth plates and a little later for the spinal ones.
A 33-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
No: Bracing is only used when a scoliosis patient is not full grown. Once you are mature the scoliosis curve will stay the same but it can slowly progress... Read More
A 38-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Rhabdomyolysis: You may have lifted long enough and repetitively to get some rhabdomyolysis. This takes longer to recover from. One of the byproducts is myoglobin tha... Read More
A 37-year-old female asked:
Dr. Guy Fogel
undefined 44 years experience
Hamstring stretches: Sounds like pressure on a nerve root in your back probably L5 or s1. Stretching the hamstrings may help but i recommend you see a physician and have i... Read More
A 29-year-old female asked:
Dr. Guy Fogel
undefined 44 years experience
Labral tear: You should be evaluated for instability of the shoulder and probably an MRI will reveal a tear of the labrum of the shoulder joint.
A 54-year-old male asked:
Dr. Guy Fogel
undefined 44 years experience
Yes: A cadaveric meniscus can be sewn in place of your damaged one. This treatment has its own limitations and may not work.
A 47-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
That is odd: I would have your arm evaluated by an orthopedic surgeon and follow the advice. Hard to tell the problem without more localizing information.
A member asked:
Dr. Guy Fogel
undefined 44 years experience
Hard to predict: Very difficult situation caused by stress of infection on weaker organs such as heart and kidneys. I think you have to play this out carefully but tak... Read More
A 42-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
No: Usually not. The joints are cartilage and do not show on x-ray.
A 30-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Rheumatology: If you have diffuse inflammation of the spine, i highly recommend rheumatology consultation. They have strong drugs for inflammation that can often cu... Read More
A 38-year-old male asked:
Dr. Guy Fogel
undefined 44 years experience
Yes: Your situation with a radiculopathy and foot drop requires treatment. I recommend surgical decompression with minimally invasive means immediately. Yo... Read More
A 22-year-old male asked:
Dr. Guy Fogel
undefined 44 years experience
Yes: I would recommend the brace and a magnetic stimulator for three months.
A 43-year-old female asked:
Dr. Guy Fogel
undefined 44 years experience
Loss of size: Muscle atrophy is caused by loss of muscle or nerve injury and loss of neurologic input to the muscle.
A 22-year-old male asked:
Dr. Guy Fogel
undefined 44 years experience
Pressure on nerve: The facet has grown some additional bone that is compressing the nerve to your buttock and leg.
A 49-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
No not directly: Could be from position during labor. Also could be nerve pain from neck radiculopathy or local nerve pressure at elbow or wrist.
A 34-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Apex of lung: Those soft areas overly the top of the lungs. Should be perfectly normal.
A 42-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Cartilege or bone: This could be post traumatic like a broken rib or it could be a growth of cartilege or of the bone. I would have x-rays and bone scan to evaluate.
A 45-year-old female asked:
Dr. Guy Fogel
undefined 44 years experience
Joint cyst: Caused by a leak of joint fluid through a tear of a ligament of the knee. Should be evaluated by your joint surgeon.
A 20-year-old male asked:
Dr. Guy Fogel
undefined 44 years experience
Pelvic obliqity: You most likely have a pelvic obliquity related to the scoliosis that affects the leg lengths.
A 43-year-old member asked:
Dr. Guy Fogel
undefined 44 years experience
Warm red swollen: If your knee hurts and is warm to touch or swollen or reddened and if it is stiff to motion then it may be infected. Blood tests and an aspiration of ... Read More
A 25-year-old female asked:
Dr. Guy Fogel
undefined 44 years experience
Yes: Hi, you probably have damaged adjacent discs or it is possible the fracture did not heal. You should be carefully evaluated with new imaging and exami... Read More
A male asked:
Dr. Guy Fogel
undefined 44 years experience
Any pure proteins: Protein is inherently safe. It may be other ingredients that incur risk.
A 31-year-old female asked:
Dr. Guy Fogel
undefined 44 years experience
Sure: There should be no interference with diabetes and inverting yourself.

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
77
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Fogel is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Fogel is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Thank you. I need to see an Ortho pediatric ?
HealthTap member
Thank you, your answer was very helpful! No broken bones or mager injuries.
HealthTap member
Thank you, your answer was very helpful!

Awards

Top Orthopedic Surgeon, First Place, the San Antonio Region - Spring
2017
HealthTap Founding Doctor
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