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Doctor Q&A for Dr. Charles Ruotolo

A female asked:
Dr. Charles Ruotolo
Orthopedic Surgery 26 years experience
Hamstring strain: this could just be hamstring tightness but it also could be something more serious such as a stress fracture. You should be evaluated by a sports medicine or orthopedic physician If it is just hamstring tightness a simple stretching program could significantly improve your symptoms
A 47-year-old female asked:
Dr. Charles Ruotolo
Orthopedic Surgery 26 years experience
Shoulder problem: the most likely cause for this pain is a tendon problem, specifically of your rotator cuff tendons. These can be of three different levels of injury tendinosis (micro tears of the tendon), partial tendon tears, or full thickness tears. Injury to the subscapularis tendon typically causes pain with this maneuver. Injury to the labrum or cartilage of the shoulder joint can also cause this pain
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A 17-year-old female asked:
Dr. Charles Ruotolo
Orthopedic Surgery 26 years experience
Low back pain: low back pain is usually muscular in origin. This is usually treated with back and hamstring stretching and core strengthening. 90% of patients with acute low back pain will have resolution of their pain within the first 6 weeks. Persistent pain should be evaluated by a physician.
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A 36-year-old member asked:
Dr. Charles Ruotolo
Orthopedic Surgery 26 years experience
Scoliosis : For curves greater than 40-50 degrees scoliosis can progress 1 degree/year. This makes these larger curves operative as progression to excessively large curves can cause heart and lung problems.
A 46-year-old member asked:
Dr. Charles Ruotolo
Orthopedic Surgery 26 years experience
Gallbladder pain: Typically gallbladder pain is in the upper right quadrant of your abdomen but when referred to the shoulder this may be felt in the shoulder blade.
A 18-year-old male asked:
Dr. Charles Ruotolo
Orthopedic Surgery 26 years experience
Arthritis: A chronic acl tear and meniscal tear can lead to arthritic changes of your knee joint at an early age. Hamstring acl reconstruction has a lower rate of arthritis than some of the other popular grafts.
A 48-year-old female asked:
Dr. Charles Ruotolo
Orthopedic Surgery 26 years experience
Yes: It is very common to be tender to the touch where the bone was removed. By 5 months you should be relatively pain free with overhead activity and arm motion.
A 41-year-old member asked:
Dr. Charles Ruotolo
Orthopedic Surgery 26 years experience
Arm pain: This can be from your heart and referred to your arm or it can be a primary problem with your shoulder or arm. Start with discussing it with your cardiologist and if they say its not your heart i would recommend seeing an orthopedist.
A 44-year-old female asked:
Dr. Charles Ruotolo
Orthopedic Surgery 26 years experience
Conservative : At your young age this can be treated with injections including viscosupplementation as well as an unloaded brace if you have a thin leg. Other options are low impact exercise, physical therapy, weight loss, nsaids and tylenol (acetaminophen).
A 39-year-old male asked:
Dr. Charles Ruotolo
Orthopedic Surgery 26 years experience
Yes: Prolonged carpal tunnel syndrome can lead to atrophy ( shrinking) of the muscles of your thumb with subsequent hand weakness. This can be permanent. You should be evaluated by a hand surgeon.
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