Dr. Karen Johnston-Jones

Surgery - Hand Surgery 36 years experience

Not straightforward : I'm an orthopaedist. Not sure I am familiar with acquired hyper mobile joints. In any regard, joint laxity is generally due to the quality of the co... Read More

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4.3k viewsAnswered >2 years ago

A 17-year-old female asked:

Im 17 f having iliopsoas tendonitis for 1.5 yrs. tried nsaids, pt, and steroid shots. not keen on surgery. any suggestions? streching is too painful.

Surgery - Hand Surgery 36 years experience

Maybe.: Usually tendinitis in this area is self limited, but u need to stop doing any activity/exercise that aggravates the condition. Stretching is a must a... Read More

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4.2k viewsAnswered >2 years ago

A 28-year-old female asked:

Can ra hurt worse at night ? my joints hurt worse at night but more stiff in the morning. have pos ana and high esr but negative rf family history of ra

Surgery - Hand Surgery 36 years experience

Yes: Ra is typically more painful in the am, but patients have taught me they can hurt anytime, both with activity ; at rest. Although you have a family h... Read More

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4.4k viewsAnswered >2 years ago

A 55-year-old female asked:

Sever pain in central part of chest area on walking or strennous activity. on checkup angiography came normal, spine test and endoscopy also normal.

Surgery - Hand Surgery 36 years experience

Costochondritis?: As you have ruled out the major and most concerning causes, check yourself for costochondritis. This is a condition that produces pain where your ri... Read More

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4.4k viewsReviewed >2 years ago

Dr. Allen Anderson agrees1 doctor agrees

A female asked:

Is it appropriate for an orthopedist to treat outside their specialty? if they do, could it not present problems if the injury is problematic?

Surgery - Hand Surgery 36 years experience

Maybe: All ortho specialists 1st complete a general ortho residency, which qualifies that doc to treat essentially all musculoskeletal problems. Assuming th... Read More

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4.4k viewsReviewed >2 years ago

Dr. Mohammed Parvez agrees1 doctor agrees

A 21-year-old female asked:

My back hurts so much like someone is hitting me with a baseball bat, can it be my weight? what can i do to make it stop? i'm 309 and 21years old 64in

Surgery - Hand Surgery 36 years experience

Weight matters: Given your height and weight, your bmi indicates obesity. Obesity has been linked to low back pain and many other chronic conditions (like arthritis ... Read More

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4.5k viewsAnswered >2 years ago

A 32-year-old male asked:

Is arthrotec (diclofenac and misoprostol) better than meloxicam for arthritis and back pain?

Surgery - Hand Surgery 36 years experience

Not necessarily: Both are non steroidal anti-inflammatory drugs and one may work better than the other for different individuals. Try to get samples of both from your... Read More

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3.9k viewsReviewed >2 years ago

Dr. Holly Maes agrees1 doctor agrees

A 37-year-old male asked:

Please share a tip in the form of a haiku on dealing with ganglion cysts.

Surgery - Hand Surgery 36 years experience

Ganglions: Ganglions don't hurt your body...Filled with fluid from joints/tendon sheaths...Remove for pain/size.

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4k viewsAnswered >2 years ago

A 26-year-old female asked:

I work 12 hrs standing and my upper back is hurting my legs too what can i do?

Surgery - Hand Surgery 36 years experience

Think posture: It sounds like your posture challenging job consists of a combination of overuse and underuse of opposing muscle groups. The assistance of a certifie... Read More

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4.5k viewsAnswered >2 years ago

A 35-year-old male asked:

Left anterior dull shoulder pain, some pain going down arm. i'm 35 years old and male, i'm over weight. had similar pain before. heart or nerves?

Surgery - Hand Surgery 36 years experience

Could be either: You don't want to wait out a potentially life threatening heart attack. Get in to be seen asap.

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4.4k viewsAnswered >2 years ago

A 21-year-old male asked:

How can i cured fungi definetly from my body to not come back?

Surgery - Hand Surgery 36 years experience

Jock Itch?: Eliminate trapped sweat or moisture in the area by loose clothing, boxers not briefs, removing wet clothing asap, not itching, using anti fungal powde... Read More

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4.3k viewsReviewed >2 years ago

Dr. John Munshower and 8 doctors agree9 doctors agree

A female asked:

Switching from soma (carisoprodol) muscle relaxer to what? haven't found any, so far, that works like it in my past. what's the closest alternative(s)?

Surgery - Hand Surgery 36 years experience

Hard to know: It is difficult to answer your question without knowing why you are taking the drug, how long you have been taking it, your dose and the reason for ch... Read More

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3.8k viewsAnswered >2 years ago

A 27-year-old male asked:

What is the best thing to help costochondritus?

Surgery - Hand Surgery 36 years experience

RICE: Rest, (anti)inflammatories, cold compresses, exercise that doesn't aggravate your symptoms; and stretching.

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4.9k viewsReviewed >2 years ago

A 49-year-old member asked:

Why is it that even though my ribcage has been put out of place but there is no pain?

Surgery - Hand Surgery 36 years experience

Symptoms are?: It is hard to make any guess at a diagnosis without knowing a detailed history or doing a visual and hands on physical exam. It would be best to cons... Read More

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4.9k viewsReviewed >2 years ago

A 26-year-old female asked:

I get tired very soon and often have leg pain.. what can i do to cure it?

Surgery - Hand Surgery 36 years experience

That depends....: There are many causes of such symptoms and any treatment would be determined by first getting a diagnosis. This would begin by making an appointment ... Read More

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4.9k viewsReviewed >2 years ago

A 42-year-old female asked:

What is that small red veins showing in the inner thigh, and at the back of knee cap of my daughter?

Surgery - Hand Surgery 36 years experience

A picture is worth..: Small veins under the skin located on the inside of the knee are commonly referred to as spider veins, however, less common vascular problems can aris... Read More

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4.5k viewsAnswered >2 years ago

A 16-year-old female asked:

If you can walk after an injury to the ankle. could it still be broken?

Surgery - Hand Surgery 36 years experience

Possibly: Depending on pain tolerance and the extent of injury, some people can walk/put weight on an ankle that has an avulsion fracture (where a ligament is s... Read More

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4.5k viewsAnswered >2 years ago

A 45-year-old member asked:

I am experiencing phantom pains after finger tip amputation, when will this go away?

Surgery - Hand Surgery 36 years experience

Desensitize: Fingertip hypersensitivity is much more common after tip amp. Than true phantom pain. This can be self treated by rubbing the tip on progressively rou... Read More

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4.3k viewsReviewed >2 years ago

Dr. Steven Brown agrees1 doctor agrees

A 54-year-old female asked:

Right big toe numb for weeks. small bunion. never wear tight shoes or heels.

Surgery - Hand Surgery 36 years experience

L4 nerve pinched?: The great toe is innervated by the L4 nerve root. Compression of the nerve anywhere from your lumbar spine out thru an area in the ankle called the t... Read More

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4.4k viewsReviewed >2 years ago

Dr. Payam Rafat agrees1 doctor agrees

A 20-year-old female asked:

My problem is that i don't like to eat , i can skip up to 9 hours or more without eating or drinking , what shall i do to eat , aged 20 (im very slim)?

Surgery - Hand Surgery 36 years experience

Eat anyway: Eventhough you can "go" for many hours without food/nutrition, your brain and vital organs need a certain number of calories from protein, carbs and f... Read More

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4.4k viewsReviewed >2 years ago

Dr. Donald Alves agrees1 doctor agrees

A 40-year-old female asked:

I have oblique distal fracture of the fibula; week 11 and still not healed. my dr bone stimulator at 90 day mark because insurance won't cover before.

Surgery - Hand Surgery 36 years experience

Surgery discussed?: Unless there is something else significant in your history or you are wanting to avoid surgery at all cost, surgical treatment would be a reliable ne... Read More

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4.5k viewsReviewed >2 years ago

Dr. John Munshower agrees1 doctor agrees

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3 thanks

A 37-year-old male asked:

Please share an interesting fact about dealing with ganglion cysts.

Surgery - Hand Surgery 36 years experience

Ignore: Most ganglions occur over the wrist or smallest joint of the finger (area nearest the fingernail).

Created for people with ongoing healthcare needs but benefits everyone.

4k viewsAnswered >2 years ago

A 40-year-old member asked:

Please help docs! what is non dissociative carpal instability is in laymens terms?

Surgery - Hand Surgery 36 years experience

Laxity in the wrist: There are 8 small bones that make up the "wrist" in addition to the large long bones, the radius and ulna. these bones are arranged in 2 rows of 4 ea... Read More

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3.8k viewsAnswered >2 years ago

A female asked:

I have an indented scar from a popped pimple that's about a month old. is it possible to get a dermal filler while the healing process is taking place?

Surgery - Hand Surgery 36 years experience

Wait: Your body is more miraculous than any doctor or filler for restoring things to normal. If it has only been around a month since the popped pimple/inf... Read More

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4.3k viewsReviewed >2 years ago

Dr. Heidi Fowler and 5 doctors agree6 doctors agree

A 42-year-old female asked:

I had my tonsils removed march 4 of 2014. how do i get rid of my white tongue and why do i have it?

Surgery - Hand Surgery 36 years experience

Geographic?: If u have tried brushing the white area with a tooth brush and it persists, it may be due to a nutritional deficiency. In eastern medicine the tongue... Read More

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4.4k viewsReviewed >2 years ago

Dr. Jeffrey Bassman agrees1 doctor agrees

A 21-year-old male asked:

I have pain at the back of my heel,little above the arch. and i have pain in the morning.especially the first few steps.is it achilles tendonitis?

Surgery - Hand Surgery 36 years experience

Not clear: By ur description of Sx, pain in am and just behind the arch, it sounds more like a case of plantar fasciitis. It really depends on whether the pain ... Read More

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4k viewsAnswered >2 years ago

A 24-year-old female asked:

Does intercourse during ovulation mean a definite pregnancy?

Surgery - Hand Surgery 36 years experience

No: Your chances are highest at that time in your cycle, but many couples can attest to the fact that pregnancy is not guaranteed. Many other factors, bo... Read More

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4.3k viewsAnswered >2 years ago

A 53-year-old male asked:

I have severe neck arthritus, mainly stiffness. what can i do to improve mobility? thanks!

Surgery - Hand Surgery 36 years experience

Get checked first: If you know you have arthritis, it would be prudent to have your neck evaluated by an orthopaedist or spine specialist, possibly with neck x-rays to e... Read More

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4.3k viewsAnswered >2 years ago

A 21-year-old female asked:

Accident 1 mo ago, pinched ulnar nerve. chest pain when i lay on left or belly. related? had blood/ekg all normal. also gerd symps. neck shoulder pain

Surgery - Hand Surgery 36 years experience

Ulnar nerve Sx: It is most likely that ur gerd is giving you the chest pain rather than your ulnar nerve. Patients w/ulnar nerve compression can have pain, numbness,... Read More

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4.4k viewsAnswered >2 years ago

A 39-year-old female asked:

What causes the pubic symphysis to flare up? muscles that lay directly across the pubic bone has been sore for weeks what type of treatment do i need?

Surgery - Hand Surgery 36 years experience

Osteitis Pubis: Osteitis pubis is an inflammatory problem that can be related to overuse (kicking sports, figure skating) or can occur in people w/inflammatory arthri... Read More

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4.4k viewsReviewed >2 years ago

Dr. Qamar Khan agrees1 doctor agrees

A 43-year-old female asked:

How do you get rid of a pinched nerve and a buldging disk in your neck?

Surgery - Hand Surgery 36 years experience

Depends: If you have a pinched nerve from a disc buldge, it is not unusual for it to get better with time as the abnormal disc is resorbed by the body. Pt, tr... Read More

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4.4k viewsReviewed >2 years ago

Dr. Qamar Khan agrees1 doctor agrees

A 22-year-old female asked:

Wrist dorsal capsular sprain been 9 weeks was healing but pain got worse now kept it on splint for first 5 weeks but then took it off and used hand. help?

Surgery - Hand Surgery 36 years experience

Patience: It can take up to six months for dorsal wrist pain to resolve after a dorsal capsuloligamentous injury. If recurrent pain persists, or increases, see... Read More

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4.2k viewsReviewed >2 years ago

Dr. Qamar Khan agrees1 doctor agrees

A 45-year-old female asked:

Punctate metallic density or calcific density projects over right lateral anterior chest wall. xray results. what does this mean?

Surgery - Hand Surgery 36 years experience

Metal or calcium?: Typically metallic foreign bodies (there is no native metal in the human body) are distinctly different from calcifications on x-rays. Calcium obviou... Read More

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4.4k viewsAnswered >2 years ago

3 thanks

A 73-year-old female asked:

I had a blood test and urine test. everything was normal , but my urine test showed leukocyte esterase said small (1+) (negative )a . i took another one he said 99% it will be fine. i'm freaking out.

Surgery - Hand Surgery 36 years experience

Trust ur doctor: If u had a urine ; blood work that had only le 1+ with no wbcs or other indication of infection, then likely you do not have a clinically significant ... Read More

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4.3k viewsAnswered >2 years ago

4 thanks

A 18-year-old female asked:

Ate half of a high protein think thin bar unaware that it can cause digestive problems. should i be ok? what should i do to help my stomach?

Surgery - Hand Surgery 36 years experience

You should be OK: Half a bar is unlikely to cause any long term issue with your digestive tract. Fluids and healthy food is best. Reports of digestive problems with ... Read More

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3.9k viewsReviewed >2 years ago

Dr. Holly Maes and 2 doctors agree3 doctors agree

A 26-year-old female asked:

Carpal tunnel causing swelling, bruising, extreme pain, and causing me to be dizzy and have hot flashes and not feel good.

Surgery - Hand Surgery 36 years experience

Suspect other issue: I would suggest that you consult your PCP. Although CTS can cause pain and swelling, hot flashes, whole body sx and bruising are not typical. You ma... Read More

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3.8k viewsReviewed >2 years ago

Dr. Susan Rhoads and 2 doctors agree3 doctors agree

A 55-year-old female asked:

I have this long movable painful cyst on my tailbone but nothing shows up on my xray. whatever it is, it throbs making it hard to sit for long periods?

Surgery - Hand Surgery 36 years experience

Xray is not helpful: Cysts are usually comprised of soft tissue, not bone, and therefore do not show up on regular xray. MRI is imaging entity of choice for any cyst that... Read More

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3.8k viewsAnswered >2 years ago

A 31-year-old member asked:

Is tennis elbow permanent?

Surgery - Hand Surgery 36 years experience

No: It is an overuse syndrome due to using the wrist & finger extensor muscles (which attach at the outside of the elbow) to do heavy repetitive work (wha... Read More

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4.9k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 35-year-old female asked:

Just saw chiro and he said that i might have a bladder irritation/infection in the wall based on my x-ray. i have urinary frequency and urgency. i had kidney stone last year. cystocope was normal?

Surgery - Hand Surgery 36 years experience

UTI on X-ray ?: I don't think you can diagnose a UTI based on an x-ray. You can see a kidney stone sometimes. You need a urine test to look at the cells and a cultu... Read More

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4.3k viewsAnswered >2 years ago

A 34-year-old male asked:

Can pain from the levator scapula also cause arm pain ?

Surgery - Hand Surgery 36 years experience

Possibly related: Pain in the levator scapulae and arm can both be related to an overuse syndrome, postural issues (like carrying a heavy backpack or purse only on the ... Read More

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4.4k viewsAnswered >2 years ago

A 28-year-old female asked:

Why does my spine hurts when i touch it? the feeling is as if i had a giant bruise. it started in my lower back and now i have it on my upper back!

Surgery - Hand Surgery 36 years experience

?Skin?: Your symptoms are not typical of anything but local trauma. For instance, if you do a lot of sit-ups or other activities in the face up/supine positi... Read More

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4.4k viewsReviewed >2 years ago

Dr. Payam Rafat agrees1 doctor agrees

A 16-year-old male asked:

How can i relieve my stress induced neck stiffness and soreness. had it for a month. already been xrayed?

Surgery - Hand Surgery 36 years experience

X-ray normal?: I assume x-ray normal at ur age. Did the doc that ordered not rec. Treatment? Many times neck stiffness in young people is postural. It can be aggr... Read More

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4.3k viewsAnswered >2 years ago

A 21-year-old female asked:

I punched a tree and now my knuckle is swollen a hurts. and it wont straighten straight but leans towards the right.

Surgery - Hand Surgery 36 years experience

Boxer fracture?: Sounds like you may have a boxer's fracture. You need to get in to see a hand/upper extremity surgeon for x-rays and treatment, especially since the ... Read More

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4.3k viewsReviewed >2 years ago

Dr. Creighton Wright agrees1 doctor agrees

A 22-year-old female asked:

Wrist sprain been 4 weeks pain with wieght specialist took mri which suggested dorsal capsular sprain and 1-2mm perforation in tfcc. how long to recover?

Surgery - Hand Surgery 36 years experience

A long time.: Dorsal ligament injuries, classified as wrist sprains, can take longer to stop hurting than many fractures. In my experience this is usually 6 weeks ... Read More

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4.4k viewsAnswered >2 years ago

A 61-year-old female asked:

I was prescribed cipro (ciprofloxacin)...since i have been off taking it for one week, now my achilles tendon hurts, as well as my shoulder...is this normal?

Surgery - Hand Surgery 36 years experience

Maybe: Recently, fluoroquinolones (class of drug that includes ciprofloxacin) has been associated with tendinitis/tendonopathy. Best advice is to consult yo... Read More

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4.4k viewsReviewed >2 years ago

Dr. Christina Adberg agrees1 doctor agrees

A 29-year-old female asked:

I have moderate numbing pain in my shoulder constantly. what could be causing it?

Surgery - Hand Surgery 36 years experience

Your neck: Numbness in the shoulder area typically is caused by a cervical (neck) disc problem in someone your age. There are other less common causes. I would... Read More

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4.5k viewsAnswered >2 years ago

A 47-year-old member asked:

Help please! is eating vegetables from cans as effective for muscle building as fresh food?

Surgery - Hand Surgery 36 years experience

No: Canned vegetables and fruits contain chemical preservatives to allow them to be maintained as such in a can. These preservatives can leech beneficial... Read More

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4.9k viewsReviewed >2 years ago

3 thanks

A 26-year-old male asked:

Right forearm both complete fracture overlapping 3months already in cast xray no callus formation appreciated but my doctor allows me to move my arm?

Surgery - Hand Surgery 36 years experience

Get a second opinion: The standard of care for a both bone forearm fracture in an adult is anatomical restoration of length and relationship between the radius & ulna by su... Read More

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4.9k viewsReviewed >2 years ago

A 46-year-old female asked:

I have a spinal tumor at l4 and a recent abdominal x-ray shows an enhanced area at this location of spine surrounded by dark (unlike rest of spine). could this be my intradural, extramedullary tumor?

Surgery - Hand Surgery 36 years experience

Maybe: By your description, a purely intradural, extra medullary tumor of the spine, by definition would exclude a bone tumor. Exceptions would include a tu... Read More

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4.5k viewsAnswered >2 years ago

A 24-year-old male asked:

If ur in the hot weather. will that make ur temp between 99.6-99.8?

Surgery - Hand Surgery 36 years experience

It shouldn't : Your core temperature self regulates by sweating, however, heat stroke or extreme cases of exposure can cause core temperature elevation.

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4.4k viewsAnswered >2 years ago