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Doctor Q&A for Dr. Stephen Quinnan

A 33-year-old member asked:
Dr. Stephen Quinnan
Orthopedic Surgery 19 years experience
NSAIDs : Assuming the arthritis being asked about is osteoarthritis.....The most common first line medicine is a non-steroidal anti-inflammatory drug (nsaid). Many fall in this category including naprosyn, (naproxen) ibuprofen, diclfenac, etc. If these medications and physical therapy fail, then injections with local anesthetics and corticosteroids are often recommended.
A 32-year-old member asked:
Dr. Stephen Quinnan
Orthopedic Surgery 19 years experience
No association: There is no direct link between high cholesterol or triglycerides and joint pain. However, having extra weight and obesity can certainly put strain on the joints. Obesity is often associated with high cholesterol and triglycerides, so this could be the connection.
A 42-year-old member asked:
Dr. Stephen Quinnan
Orthopedic Surgery 19 years experience
Very unusual: It is much more likely that you have a primary cause in your mid-back than having the pain come from an asymptomatic cervical disk.
A 38-year-old member asked:
Dr. Stephen Quinnan
Orthopedic Surgery 19 years experience
Back middle of knee: Posterior horn is in the back of the knee. The medial side of the knee is toward the inside of your knee (near the other knee). Feel the inside of your knee and slip your fingers toward the back. Your fingers will slide over a tough band, which is the semimembranosis tendon. The posterior horn of the medial meniscus is deep inside just past that tendon.
A 45-year-old member asked:
Dr. Stephen Quinnan
Orthopedic Surgery 19 years experience
Very little: Glucosamine exists as a chemical pair with an oppositely charged molecule. Sulfate or an acetyl group can fill this roll. Nutritionally, the glucosamine is what matters so there is really little difference.
2 thanks
A 42-year-old member asked:
Dr. Stephen Quinnan
Orthopedic Surgery 19 years experience
Depends on injury: Typically, shortness of breath is not the result of back injury. However, nerve damage that affects nerves of respiration could cause this, but that would be rare usually associated with a high energy injury. If there are associated posterior rib injuries or pneumothorax that could definitely feeling of shortness of breath.
A 42-year-old member asked:
Dr. Stephen Quinnan
Orthopedic Surgery 19 years experience
Yes...but: Weight training that is part of an aerobic exercise program will certainly be beneficial for your heart. Lifting heavy weights for mass without aerobic activity will have only marginal heart benefits.
A 21-year-old male asked:
Dr. Stephen Quinnan
Orthopedic Surgery 19 years experience
Depends: Generally, no. Closed foot phalanx fractures heal in a relatively predictable manner. There are no proven medications or other measures that will speed this up. However, there are some especially severe fractures and open fractures that will heal faster with surgery. There are also a very small number that will go on to nonunion. Nonunions need investigation and tailored treatment.
A 35-year-old member asked:
Dr. Stephen Quinnan
Orthopedic Surgery 19 years experience
Yes: There are orthopaedic surgeons that for various reasons do not perform operations. These orthopaedists are called surgeons, but are really are nonoperative (orthopaedic diagnosticians and care providers). In addition, there are some er and family medicine docs that get boards in sports medicine. These are not surgeons and also perform ortho diagnosis in some areas.
A 38-year-old male asked:
Dr. Stephen Quinnan
Orthopedic Surgery 19 years experience
CS not likely : Compartment syndrome (cs) is either traumatic or exercise induced. There is no described cs that involves the position of your leg when seated. It is possible to have vascular or neurologic changes that explain the symptoms described. However, compartment syndrome seems very unlikely.
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