Dr. Karen Johnston-Jones

Surgery - Hand Surgery 35 years experience

Depends: Without seeing an x-ray or knowing what is "broken off" it is impossible to know what is wrong with your hand/wrist ; therefore how to treat it. X-ra... Read More

4.4k viewsReviewed >2 years ago

Dr. Tariq Niazi agrees1 doctor agrees

1 comment

A 30-year-old female asked:

My skin at the back upper leg and thighs are extremely sensitive for touch. had it for couple of hours now. took anti-inflammatory tablet but not help?

Surgery - Hand Surgery 35 years experience

Wait ; see: The duration of your symptoms has not been long enough (assuming no trauma) to indicate anything dire. It could be from sitting in a certain position... Read More

4.4k viewsAnswered >2 years ago

A 28-year-old female asked:

I have had a history of frozen.shoulder after a decompression chiari surgery. it still boths me after 2 1/2 years. i have rom now but very painful?

Surgery - Hand Surgery 35 years experience

Orthopaedic Surgeon: Make an appointment with a board certified orthopaedic surgeon, preferably one who specializes in shoulders. If you have and are not satisfied, get a... Read More

4.9k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

A 22-year-old male asked:

How can the radiologist tell if you have mild facet joint arthropathy on a ct scan?

Surgery - Hand Surgery 35 years experience

CT scan is best: Ct scanning is the best way to delineate bony pathology/anatomy anywhere in the body at this time. It allows a radiologist the ability to look at the... Read More

4.4k viewsReviewed >2 years ago

Dr. Kenny Chuu and another doctor agree2 doctors agree

A 23-year-old female asked:

How many calories should i take daily to lose my weight? im 64kg and stands 5'1 in ht..

Surgery - Hand Surgery 35 years experience

It depends: In addition to your age, height and weight, you need to consider your activity level and how much you want to lose a week. There are many calculators... Read More

4.4k viewsAnswered >2 years ago

A 36-year-old female asked:

I went to dr to see about my boat feeling symptoms, she said my inner ear looked fine. she only used an octoscope?

Surgery - Hand Surgery 35 years experience

Boat feeling?: Assume you mean that you feel unsteady, have balance problems. The inner ear can't be examined with an otoscope. Conditions like endolymphatic hydro... Read More

4.3k viewsReviewed >2 years ago

Dr. Creighton Wright agrees1 doctor agrees

A 37-year-old male asked:

Please provide some do's and don'ts on dealing with ganglion cysts.

Surgery - Hand Surgery 35 years experience

Ignore: Do not attempt to drain a ganglion cyst on your own. Joint or deep infection can result from this.

4k viewsAnswered >2 years ago

A 27-year-old male asked:

Reconstructed acl: hyperintensity seen in the proximal part with anterior tibial subluxation. can someone explain that to me?

Surgery - Hand Surgery 35 years experience

Reinjury?: The acl tethers the tibia to the femur preventing it from sliding forward in certain positions of knee bending. Hyperintensity seen in the proximal p... Read More

4.4k viewsAnswered >2 years ago

A 24-year-old female asked:

Lisfranc. injury 1 wk ago 2nd injury last night. today unable to walk/stand, extreme pain when flexing ankle l&r. could this require alt treatment?

Surgery - Hand Surgery 35 years experience

Yes: Get back in to see your orthopedic surgeon/foot and ankle doc asap. If you had a Lisfranc injury & surgery, you should be in a cast, so unclear h... Read More

3.9k viewsReviewed >2 years ago

Dr. Holly Maes and 3 doctors agree4 doctors agree

A 45-year-old female asked:

I am taking 4 oxycodone a day and also am prescribed fentanyl. i have hepatitis c should i b worried?

Surgery - Hand Surgery 35 years experience

Yes, probably.: You are taking a lot of highly addictive narcotic medication. Due to recent FDA regulation, the amount of Tylenol (acetaminophen) you are taking is p... Read More

3.9k viewsReviewed >2 years ago

A 58-year-old male asked:

M58, what will differentially diagnose multiple multiple myeloma and rheumatoid arthritis, simple economical blood work. ?

Surgery - Hand Surgery 35 years experience

Not so easy: Ra is a disease diagnosed bya qualified based on blood work and clinical symptoms and signs. It can be made by your pcp but your best bet would be to... Read More

4.3k viewsAnswered >2 years ago

A 53-year-old male asked:

How can i prevent knee arthritus?

Surgery - Hand Surgery 35 years experience

Very few ways...: Whether one does or does not develop arthritis is likely primarily genetic, but, wear and tear from trauma, overuse and being overweight also contribu... Read More

4.9k viewsReviewed >2 years ago

Dr. Alan Ali agrees1 doctor agrees

A female asked:

What is cost and treatments available for 8cm forehead scar happened three weeks back due to car accident and stitches? any best scar creams ?

Surgery - Hand Surgery 35 years experience

Wait.: At 3 wks ur lac has healed ; maturing. Use sunblock/keep out of sun. Massage area with aloe vera/vit e to prevent adhesion. Scar revision may not b n... Read More

4.2k viewsAnswered >2 years ago

A 22-year-old male asked:

Is the mckenzie method bad if you have facet joint injuries?

Surgery - Hand Surgery 35 years experience

No: Unless you have an injury that has resulted in instability warranting surgery, the mckenzie method is an excellent program for most all with back or n... Read More

4.2k viewsAnswered >2 years ago

A 37-year-old male asked:

Please provide some do's and don'ts on recovering from a broken bone.

Surgery - Hand Surgery 35 years experience

Ignore: Do increase your normal calcium intake to 1500 mg/day to help fx healing.

4k viewsAnswered >2 years ago

A 37-year-old male asked:

Please provide a tip on how to ask your doctor about recovering from a broken bone.

Surgery - Hand Surgery 35 years experience

Ignore: Ask about how much you CAN do during healing to avoid stiffness/problems in adjacent joints.

4k viewsAnswered >2 years ago

A 18-year-old female asked:

Mri says i have a tiny buldge in disc& when i sit there is severe pain in my tailbone and it started happening only after my injury. are they related?

Surgery - Hand Surgery 35 years experience

What injury?: It would help to know what your injury was, however, if you broke your coccyx (tailbone), it would be expected to have pain in the tailbone when you t... Read More

4.4k viewsAnswered >2 years ago

A 22-year-old male asked:

Ct reads that bone spur of l5/s1 facet joint is just in contact with s1 nerve root sleeve. could that cause pain?

Surgery - Hand Surgery 35 years experience

Yes: Compression of the s1 nerve root can commonly cause nerve pain that radiates along the outside/back of the thigh all the way down to the outside of th... Read More

4.4k viewsReviewed >2 years ago

A 31-year-old male asked:

Tfcc tear and bone contusion. will all the hand surgeon perform a good tfcc surgery? or should i ask them for experience?

Surgery - Hand Surgery 35 years experience

Experience is key: I addition to tfcc repair, ask your hand/wrist surgeon about the need to shorten the ulna (small bone on the outside of the wrist). Wrists with lengt... Read More

4.2k viewsAnswered >2 years ago

A 43-year-old member asked:

I have a bruised vertebrae with swelling, what to do?

Surgery - Hand Surgery 35 years experience

RICE: Rest, ice, compression (binder) and elevation. NSAIDS can also help. Limit strenuous activities for work and play (including weight bearing exercise... Read More

3.9k viewsReviewed >2 years ago

Dr. Keshab Paudel agrees1 doctor agrees

A 40-year-old female asked:

Diagnosed arthritis of spine, causing hip pain also partial empty sella syndrome & swollen optic disc by neurologist, could they be connected?

Surgery - Hand Surgery 35 years experience

Yes ; No: All can be progressive degenerative diseases, however, while empty sella syndrome ; swollen optic disc can both be a result of intracranial hypertensi... Read More

4.2k viewsAnswered >2 years ago

A 26-year-old female asked:

Quarter sized hard lump under skin right shoulder blade area with a small bruise above it has been there for sure 2 1/2 years what is?

Surgery - Hand Surgery 35 years experience

Many possibilities: If there is no pain, no increase in size, unlikely to be cancerous. If increasing in size, or painful, you need to see a general or ortho surgeon for... Read More

4.2k viewsAnswered >2 years ago

18 thanks

A 31-year-old member asked:

What to do if i feel my left hand is numb/red and heavy and abit tingly?

Surgery - Hand Surgery 35 years experience

See a Hand surgeon: Diagnosis may include carpal tunnel syndrome, however, the redness can suggest some type of infectious process, especially if there is a lot of associ... Read More

3.9k viewsAnswered >2 years ago

A 36-year-old member asked:

Please suggest what foods are good to eat for someone who is working out and gaining muscle?

Surgery - Hand Surgery 35 years experience

Protein, Carbs +: To build muscle with exercise, you need to supply your body with enough protein and fuel to support your body's daily needs (to keep your brain thinki... Read More

4.9k viewsReviewed >2 years ago

Dr. Alan Ali agrees1 doctor agrees

A 34-year-old member asked:

Should i be concerned about a high alkaline phosphatase level?

Surgery - Hand Surgery 35 years experience

Yes: Alkaline phosphatase is primarily used to screen for problems with the liver-gallbladder and bone. A high level can indicate problems with either are... Read More

4.9k viewsReviewed >2 years ago

Dr. Ed Friedlander and another doctor agree2 doctors agree

1 comment

4 thanks

A 22-year-old male asked:

Was getting these flashes of pain in my 5th metatarsal for a wk. now i have a constant pain in 4th meta. no injury, swelling but tender.what is this?

Surgery - Hand Surgery 35 years experience

Time to get help: With your symptoms, I would recommend that you see an orthopaedic surgeon for exam and xrays. There are a multitude of different diagnoses that could... Read More

3.8k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 37-year-old male asked:

Please provide a tip on how to ask your doctor about ganglion cysts.

Surgery - Hand Surgery 35 years experience

Ignore: Ask where it comes from & if there is an underlying problem that needs treating.

4k viewsAnswered >2 years ago

A 19-year-old female asked:

Whats the cause of muscle twitching very often during the day for the last 4 days in my left upper arm?

Surgery - Hand Surgery 35 years experience

It depends: Involuntary muscle twitching can be caused by electrolyte imbalances (low potassium, for example); overuse (fatigue), some neurological conditions (wr... Read More

4.4k viewsReviewed >2 years ago

Dr. Mandakini Patel agrees1 doctor agrees

7 thanks

A 52-year-old male asked:

How can you tell if your lumbar spine is overlapped ?

Surgery - Hand Surgery 35 years experience

Overlapped ??: An "overlapping" lumbar spine is not a recognized diagnosis. Whomever suggested this is likely not a physician. If you have a symptomatic problem wi... Read More

4.4k viewsAnswered >2 years ago

A 23-year-old female asked:

I am tingling sensation in my feet and legs. i have been walking around the mall all day in flat shoes and i am usually very inactive culls this be y?

Surgery - Hand Surgery 35 years experience

Maybe: Someone your age, even with the described activity should not be getting numbness and tingling in legs and feet. If a one time occurrence, do nothing... Read More

3.9k viewsReviewed >2 years ago

3 thanks

A 28-year-old female asked:

Dr.martin raff, so i don't need any treatment for qft positive now, right? my tsh 4.69, medicine for decreasing tsh to pregnant wil make tb reactive?

Surgery - Hand Surgery 35 years experience

Confusing: Given info provided it is not clear what problem you are seeking help with. That said, medication to treat hypothyroidism does not effect whether you... Read More

4.3k viewsAnswered >2 years ago

A 17-year-old female asked:

Im fair but i had acne n it made me a little dark, what should i use to brighten up to ma colour?

Surgery - Hand Surgery 35 years experience

Many options: Your best option is to see a dermatologist for an exam and to discuss the various options for treatment available today for your specific needs. Hydr... Read More

4.3k viewsReviewed >2 years ago

Dr. Ryan Phasouk agrees1 doctor agrees

3 thanks

A 23-year-old female asked:

Baby teeth- how important are baby teeth? can rotten baby teeth affect babies? when should i take baby to the doctor?

Surgery - Hand Surgery 35 years experience

Yes. Peds dentist: Rotten baby teeth can reflect more than poor hygiene, and can sometimes be a sign of a nutritional or systemic disorder. Although they will be replac... Read More

4.3k viewsReviewed >2 years ago

Dr. Ivelisse Rivera-Godreau and 3 doctors agree4 doctors agree

A 43-year-old male asked:

Can cdnh be cured i've had several surgeries now and keeps coming back ?

Surgery - Hand Surgery 35 years experience

Maybe: The DX is an acquired problem due to a combination of pressure in the area (from sleeping, headphones, occasionally scratching, helmets, etc.) ; poor ... Read More

4.2k viewsAnswered >2 years ago

A 34-year-old female asked:

I had a burn while using face bleach 10 yrs ago, & i still have a dark, hyperpigmented skin on my upper lip. what treatment is best for my indian skin?

Surgery - Hand Surgery 35 years experience

Laser/topical/inject: See a dermatologist- to discuss the whole gamut of tx options including topical bleaching creams with various combinations of vitamen solutions/retino... Read More

4.2k viewsAnswered >2 years ago

A 27-year-old female asked:

Can a dislocated rib cause a burning sensation in the breast ?

Surgery - Hand Surgery 35 years experience

It could, but...: True rib dislocations are caused by high energy trauma, not bad posture, muscle spasm, or ctd. There are some health professionals that reportedly ma... Read More

4.3k viewsReviewed >2 years ago

Dr. Evan Altman and 2 doctors agree3 doctors agree

A 44-year-old female asked:

Been having joint and muscle pain for over 2 years. ana test came back positive, titer 1.8, pattern was positive. lupus?

Surgery - Hand Surgery 35 years experience

Could be: Lab work and your symptoms suggest an inflammatory disorder, however, without the expertise of a rheumatologist, a definitive diagnosis can't be made.... Read More

4.3k viewsReviewed >2 years ago

Dr. R Condon Hughes agrees1 doctor agrees

3 thanks

A 61-year-old female asked:

My achilles tendon is throbbing...off cipro (ciprofloxacin) for one week...can't afford another doctor visit...what can i do to stop the pain?

Surgery - Hand Surgery 35 years experience

Modalities: Heat and ice in alternation. Local massage, gentle stretching, tropicals like flexpower. Accupuncture is another consideration. Tendonopathy is usu... Read More

4.4k viewsReviewed >2 years ago

Dr. Jeffrey Kass and another doctor agree2 doctors agree

2 comments

A 37-year-old male asked:

Please share an interesting fact about recovering from a broken bone.

Surgery - Hand Surgery 35 years experience

Ignore: The arm/leg under a cast will look hairy when the cast is removed. Normal friction/bathing will fix.

4k viewsAnswered >2 years ago

A 42-year-old member asked:

Doctors, do you think i can die from clinodactyly?

Surgery - Hand Surgery 35 years experience

No: Clinodactaly is a benign condition of the finger(s) in which there is joint deviation (angulation). It is not life threatening and does not need spec... Read More

3.8k viewsAnswered >2 years ago

A 43-year-old member asked:

I'm growing extremely fast. can rapid growth attribute to fractures?

Surgery - Hand Surgery 35 years experience

No, but: Someone 43 years of age should not be "growing" or gaining in height as your growth plates have closed long ago. If you are referring to putting on m... Read More

3.9k viewsReviewed >2 years ago

A 34-year-old female asked:

I have small bumps under my skin, mostly on my forearm.they are cyst like and itchy. could itbe neurofibroma?

Surgery - Hand Surgery 35 years experience

Doubt it: If you had neurofibromatosis, you should have been diagnosed at a much younger age. Neurofibromas are characteristically firm, as they are solid nerv... Read More

4.4k viewsAnswered >2 years ago

A 29-year-old male asked:

Best diagnostic imaging (x-ray, ct, mri, etc.) for snapping scapula syndrome or inflammation of the scapulothoracic region?

Surgery - Hand Surgery 35 years experience

MRI: Mri delineates soft tissues far better than ct, and also delineates bone. If you have only one choice and plain x-rays are normal, go with the mr.

4.4k viewsAnswered >2 years ago

A 32-year-old male asked:

Continue pain in right shoulder blade what can be the cause?

Surgery - Hand Surgery 35 years experience

Depends: Pain in this area can have many causes, from a herniated disc in here neck to simple overuse or postural issues. A more thorough history of your symp... Read More

4.4k viewsReviewed >2 years ago

Dr. Mohammed Parvez agrees1 doctor agrees

5 thanks

A 22-year-old male asked:

Can a bone spur grow on a facet joint 1 month after an injury?

Surgery - Hand Surgery 35 years experience

Yes: The answer is yes. Injury to an area increases blood supply, brings inflammatory cells ; chemicals into the area, and for bone or ligament injuries, ... Read More

4.4k viewsAnswered >2 years ago

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 35 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

4.3k viewsAnswered >2 years ago

4 thanks

A 21-year-old male asked:

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

Surgery - Hand Surgery 35 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

4.3k viewsReviewed >2 years ago

Dr. John Munshower and 8 doctors agree9 doctors agree

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 35 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

4.2k viewsAnswered >2 years ago

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 35 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

3.8k 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 35 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

3.9k viewsReviewed >2 years ago

Dr. Holly Maes agrees1 doctor agrees