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Dr. Guy Fogel

Orthopedic Surgery
San Antonio, TX
46 years experience male

Locations

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

103 Answers
0 Agrees
The number of answers this doctor has agreed with.
A 45-year-old member asked:
Dr. Guy Fogel
46 years experience
Referred from neck: Usually pain along the medial border of the scapula is referred from facet joints of the neck.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Guy Fogel
46 years experience
Referred from neck: Usually pain along the medial border of the scapula is referred from facet joints of the neck.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Guy Fogel
46 years experience
Benign: Probably not a sign of any spinal disorder.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Guy Fogel
46 years experience
Variable: Patella so important for squat. Minimal three weeks and may be much longer. Go slowly and make sure you are comfortable without weight first.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Guy Fogel
46 years experience
Referred from neck: Usually pain along the medial border of the scapula is referred from facet joints of the neck. I do not think the shoulder blade pain is related to la... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Guy Fogel
46 years experience
Cartilage or bone: You should have this evaluated with x-ray and bone scan to help determine if an excisional biopsy is indicated.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Guy Fogel
46 years experience
Arthritis: Arthritis of either end of the clavicle joint with manubrium or with acromion could be tender. A lymph node above the clavicel could be a soft tissue ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Guy Fogel
46 years experience
A few days: Prednisone is our strongest ant-inflammatory and back pain is inflammatory if you are not better after a few days of treatment you may need to consid... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old male asked:
Dr. Guy Fogel
46 years experience
Treat gout: I think i would treat you for gout symptoms even though your uric acid level is high normal range. There are a lot of conditions and even dietary issu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Guy Fogel
46 years experience
Cortisone shot: For the pain of synovitis or arthritis of the joint, i recommend an intra-articular cortisone shot to relieve the pain.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Guy Fogel
46 years experience
Yes: Yes, neck sprains with discl and facet injury can cause headaches arising in the back of the head and radiating into the temple. Also there are sympto... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. Guy Fogel
46 years experience
Not a clot: Usually the knee pain is more likely related to the popliteal cyst and not a clot clot usually hurts over the veins below the knee on the posterior su... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. Guy Fogel
46 years experience
Bursitis: This is probably a trochanteric bursitis. A shot of cortisone into the bursa often cures this.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Guy Fogel
46 years experience
Sometimes: Once an acl is torn it is gone. You can rehab and strengthen the muscles and restore the motion of the knee. Then you can decide if the knee is unstab... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Guy Fogel
46 years experience
It is not uncommon: 30% of the time after laminectomy discectomy, the back continues to hurt. You may require more treatment. I think you should give it a few more months... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Guy Fogel
46 years experience
No not fibromyalgia: You are definitely ill. I recommend evaluation for endocrine and autoimmune diseases. There may be a pituitary problem.
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Guy Fogel
46 years experience
Maybe stenosis: Your back may have a compression of the nerves called stenosis that can make your thighs gramp with exertion and even at rest. You should have that ev... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Guy Fogel
46 years experience
Edema: Fluid gives a bright signal on the t2 weighted images. So the inflammatory fluid associated with a tendon rupture gives the bright signal implying inc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old female asked:
Dr. Guy Fogel
46 years experience
Not much wo thigh pa: If you have anterior thigh pain it may mean a L3 nerve root radiculopathy with such a far lateral disc herniation. A nerve root block at l3-4 would tr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Guy Fogel
46 years experience
Costochondral joints: The connections of the ribs to the sternum and manubrium are called costochondral joints. They may be inflamed and cause chest wall pain off of the mi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Guy Fogel
46 years experience
Probably OK: Those meds are herbalistic treatments and are not as effective as medications such as Motrin or naprosyn(advil or aleve (naproxen) over the counter v... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Guy Fogel
46 years experience
Not radiculopathy: Doesn't sound like nerve from the neck. May be related to stomach or esophageal inflammation.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Guy Fogel
46 years experience
Compartment syndrome: Maybe increased pressure in the posterior compartments such as the hamstrings.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Guy Fogel
46 years experience
Brace and mag stim: A lumbar corset and perhaps a magnetic bone stimulator for three months may work. If non-surgical treatment fails and pain is a problem then a pars re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Guy Fogel
46 years experience
Nerve root block: The MRI shows the nerve roots and where they are compressed by the curve. A nerve root block can be aimed at the sore nerve root and can help the leg ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Guy Fogel
46 years experience
Dysraphism?rickets?: I am unsure what condition you are suffering from. Is it a spinal dysraphism where the spinal canal is not fully closed or is it a disease of vitamin ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old male asked:
Dr. Guy Fogel
46 years experience
arthralgias: You should be evaluated for a generalized arthritis or other underlying autoimmune disease.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Guy Fogel
46 years experience
Avoid BLT: If is is back pain and controllable pain with anti-inflammatories and heat or ice, you should avoid BLT bending lifting and twisting and don't just go... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Guy Fogel
46 years experience
Not really: I think you have a chance to heal but not a sure thing. Also your pars defect may has been there awhile and may have been aggravated by your accident ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Guy Fogel
46 years experience
Could be months: Of course depends on the job and on the level of the fracture, but usually able to walk without a cast or crutch by 6 weeks for minor fractures and it... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Guy Fogel
46 years experience
It may help: The bone stimulator may help to heal the pars fracture.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Guy Fogel
46 years experience
Finally: Yes you need a splint or cast to support the muscles and bone while it heals.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Guy Fogel
46 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
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Guy Fogel
46 years experience
Yes: Sure if a bone spur presses on a nerve it can be shaved away to release the nerve.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Guy Fogel
46 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.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Guy Fogel
46 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
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Guy Fogel
46 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
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Guy Fogel
46 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.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Guy Fogel
46 years experience
Yes: I would recommend the brace and a magnetic stimulator for three months.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. Guy Fogel
46 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.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Guy Fogel
46 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
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Guy Fogel
46 years experience
Pelvic obliqity: You most likely have a pelvic obliquity related to the scoliosis that affects the leg lengths.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Guy Fogel
46 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.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Guy Fogel
46 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
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Guy Fogel
46 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.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Guy Fogel
46 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.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Guy Fogel
46 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
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Guy Fogel
46 years experience
Displaced: When it is displaced or blocks the airway for breathing.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Guy Fogel
46 years experience
Radiculopathy: There is pressure on a nerve root near the bottom of the lumbar spine causing the buttock and leg pain.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Guy Fogel
46 years experience
No: Usually not. The joints are cartilage and do not show on x-ray.
Created for people with ongoing healthcare needs but benefits everyone.

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

2
Recommendations
76
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
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