Dr. Alexios Apazidis

Orthopedic Reconstructive Surgery 19 years experience

Pyomyositis: Short answer but yes it can recur

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1.7k viewsAnswered >2 years ago

A 39-year-old female asked:

So i went to get an mri done but the doc hasn't called to tell me the results he thinks its an meniscus tear or bone tumor the pain is so bad?

Orthopedic Reconstructive Surgery 19 years experience

these are painful: Obviously you bear weight across your knee and it bends with every step do either of these conditions are going to be painful. Certainly they call for... Read More

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1.9k viewsReviewed >2 years ago

Dr. Rick Pospisil agrees1 doctor agrees

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A 39-year-old male asked:

Calves tight, now forearms. very active, 6 workouts a week, 3 full body circuits/3 cardio. no pain during; only after, super tight. no other tightness?

Orthopedic Reconstructive Surgery 19 years experience

Dehydration: Obvious first concern is for effects of dehydration. Are you hydrating appropriately? Otherwise could be overuse condition. Make sure you warm up and... Read More

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1.7k viewsReviewed >2 years ago

1 comment

A 17-year-old female asked:

I have a sharp constant pain in the center of my ribs. any idea why?

Orthopedic Reconstructive Surgery 19 years experience

Concerning pain: Paint such as this in your age group is concerning. A 17-year-old should not have constant pain. You need to see a doctor, get an x-ray, perhaps a CT ... Read More

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1.4k viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A 43-year-old female asked:

Hi what are the possible causes of a lump in the spine that itches which goes in an hr or so but comes randomly again anytime. thanks.

Orthopedic Reconstructive Surgery 19 years experience

Lumps and bumps: Orthopedic surgeons have a standard work up for all lumps and bumps. Most likely it is a lipoma which is harmless however you should see your family d... Read More

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1.3k viewsAnswered >2 years ago

A 21-year-old male asked:

How long before i can walk on a fractured femur i have full mobility of the leg with no pain its been four weeks since a rod was put in?

Orthopedic Reconstructive Surgery 19 years experience

Fracture healing: It depends! Was your fracture a simple or complex type and how was it fixed? Simple fractures fixed with a rod construct can bear weight immediately ... Read More

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2k viewsAnswered >2 years ago

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A 39-year-old female asked:

Been taking hydrocodon 10-500 and ibuprofen 800mg for spinal stenosis and i'm still having pain in my leg. what else can i take?

Orthopedic Reconstructive Surgery 19 years experience

Nothing: Leg pain cannot be treated with the connex or anti-inflammatory. Most likely you would require an evaluation by an orthopedic spine surgeon and be con... Read More

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4.8k viewsAnswered >2 years ago

A 31-year-old member asked:

For how long is a sprained ankle swollen?

Orthopedic Reconstructive Surgery 19 years experience

Long time: Months to a year.

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4.8k viewsReviewed >2 years agoMerged

Dr. Kenny Chuu agrees1 doctor agrees

A 42-year-old member asked:

What does an inflamed sciatica feel like?

Orthopedic Reconstructive Surgery 19 years experience

Leg pain : It feels like shooting numbness, tingling, pain going down the back of your butt inside into the soul of your foot and possibly extending to the toes.

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4.8k viewsAnswered >2 years ago

A 52-year-old member asked:

What to do if i have a partial tear in my labrum (slap tear) from pitching in baseball. is it ok to continue to play through it if i strengthen my?

Orthopedic Reconstructive Surgery 19 years experience

Act your age: At this age you are not going to be earning a living playing baseball but you may need that shoulder for your actual line of work and family activitie... Read More

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1.7k viewsAnswered >2 years ago

A 41-year-old member asked:

You sprained your ankle and are told to take ibuprofen to reduce the inflammation. what is the mechanism of action for this drug?

Orthopedic Reconstructive Surgery 19 years experience

Complex: Ibuprofen like all nonsteroidal anti-inflammatory medications inhibits the cyclooxygenase pathway in the formation of arachidonate acid and other pain... Read More

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4.8k viewsAnswered >2 years agoMerged

A 43-year-old member asked:

How long does it take the welling on an ankle sprain to go away?

Orthopedic Reconstructive Surgery 19 years experience

Long time: Ankle fractures or ankle sprains can take several months and even up to a year to resolve all of the swelling. They need several weeks of immobilizati... Read More

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4.8k viewsReviewed >2 years ago

Dr. Payam Rafat agrees1 doctor agrees

A 34-year-old female asked:

X-ray revealed moderate upper lumbar scoliosis and osteophytes in lumbar vertebrae. possible cause of severe low back and hip pain? treatment options?

Orthopedic Reconstructive Surgery 19 years experience

Early arthritis: Not sure why a 34yo has these problems. Your description of X-ray sounds like back spasm causing some local splinting and curvature,not classic scolio... Read More

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1.9k viewsReviewed >2 years ago

A 58-year-old male asked:

Disc bulge, c6-c7, protrusion measures 11 x 3 mm. thoughts?

Orthopedic Reconstructive Surgery 19 years experience

Many options: Don't be confused by the size of the herniation. What are your symptoms? We don't treat MRI findings we treat people and their symptoms. If you are... Read More

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2k viewsAnswered >2 years ago

A 18-year-old female asked:

I had a t6 compression fracture a year ago, it healed but now im getting really bad lower back pain as well as pain where it broke, are these related?

Orthopedic Reconstructive Surgery 19 years experience

Expected: these fractures tend to heal in a collapsed or kyphotic position. studies have shown advantages to kyphoplasty procedure to restore the posture and po... Read More

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1.9k viewsReviewed >2 years ago

Dr. Herman Hammerstead and another doctor agree2 doctors agree

A 18-year-old female asked:

Will you need a sling for a shoulder sprain and if so how long will you need a sling for?

Orthopedic Reconstructive Surgery 19 years experience

Shoulder: It depends on severity of sprain and what was injured. Usually you stop using sling when there's no pain but should be combined with PT to preserve ra... Read More

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1.2k viewsReviewed >2 years ago

Dr. Al Hegab and 2 doctors agree3 doctors agree

A 23-year-old male asked:

Went to er last night for stomach pains. they did tests&came back normal.they gave me norco 5mg. im nauseated. i have zofran (ondansetron) can i take it with norco.

Orthopedic Reconstructive Surgery 19 years experience

Side effects: Patients frequently have to take medications like Zofran (ondansetron) due to the side effects of the pain medication. You certainly can do this as we... Read More

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1.3k viewsAnswered >2 years ago

A 29-year-old female asked:

I sprained my ankle 1 month ago. my ortho put me in a walking boot for a little while. it felt better for a short time but now it's badly swollen and?

Orthopedic Reconstructive Surgery 19 years experience

Tendinitis : Immobilization for a month should resolve lie grade ankle sprains. You may have more serious ligamentous disruption that requires longer immobilizatio... Read More

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1.7k viewsReviewed >2 years ago

A member asked:

Orthopedic Reconstructive Surgery 19 years experience

Ankle sprain: Where are you are referring to is the attachment. For the anterior and posterior tibial or fibular ligament's. They are most commonly injured and spra... Read More

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962 viewsAnswered >2 years ago

A 20-year-old female asked:

In general how can you tell the difference between a fracture and a bruise of the metatarsal?

Orthopedic Reconstructive Surgery 19 years experience

Fracture: X-rays and possibly CT scan can differentiate. Bruising is painful and may need splinting and protected weight bearing just like a fracture

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1.5k viewsReviewed >2 years ago

Dr. Scott Keith agrees1 doctor agrees

A male asked:

4 days ago, whilst playing rugby, i fell onto the ground. now i had a sharp pain when i sneeze in the back right of my head. what should i do?

Orthopedic Reconstructive Surgery 19 years experience

Cervical disc diseas: You might have a ruptured cervical disc. Is there any tingling or numbness going down your arm? As a former rugby player, I can attest to the damage ... Read More

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2k viewsAnswered >2 years ago

A 19-year-old female asked:

I have a pain on my lower left back side. it comes and go. it can be mild but sometimes my left leg goes limp and i fall. when i fall it hurts to move?

Orthopedic Reconstructive Surgery 19 years experience

Radiculopathy: It sounds like you have a lumbar disc herniation with nerve root impingement. Although it is not in emergency, I would consult with a spine surgeon, g... Read More

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1.3k viewsAnswered >2 years ago

A 49-year-old male asked:

I have lots of pain in my spine i have tryed lots of painkillers but it won't take the pain away the doctor says they can't do anything for me?

Orthopedic Reconstructive Surgery 19 years experience

Always an option: Spine surgery has become very versatile. I think that there are many options for even the most refractory and challenging cases. I would need to evalu... Read More

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4.8k viewsAnswered >2 years ago

A 39-year-old member asked:

Will painkillers help with pain on elbow and in knuckle?

Orthopedic Reconstructive Surgery 19 years experience

Yes and no: The answer really depends on the type of pain you are having. There's a difference between arthritic pain, tendinitis, muscle soreness, and ligamentou... Read More

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4.8k viewsAnswered >2 years ago

A 28-year-old male asked:

My left shoulder is painful when i apply certain weight to it. if i do bench press exercises, i get a sharp pain and feel a bit weak in it. ?

Orthopedic Reconstructive Surgery 19 years experience

Difficult diagnosis : Difficult to answer without exam because of multitude of pain sources. Could be pectoral us tendon year given location and pain trigger. Could be acro... Read More

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1.9k viewsReviewed >2 years ago

Dr. M. Hytham Beck agrees1 doctor agrees

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A 31-year-old male asked:

After full exam doctor diagnosed mild case of shingles on lower back. i'm still paranoid it was misdiagnosed and is herpes simplex - should i be?

Orthopedic Reconstructive Surgery 19 years experience

Shingles: Shingles is part of herpes family of viruses so you don't need to be paranoid. You actually do have herpes. Herpes Zoster, specifically. The term Symp... Read More

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1.3k viewsAnswered >2 years ago

A 30-year-old female asked:

My liver counts are off, had to stop pain pill. is there straight percocet without tylenol (acetaminophen)? will that be safe for my liver? i'm dying in pain.

Orthopedic Reconstructive Surgery 19 years experience

Pain medication: There is oxycodone which has no Tylenol (acetaminophen). There should be zero effect on the liver in the absence of Tylenol (acetaminophen). A more im... Read More

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1.3k viewsAnswered >2 years ago

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A 42-year-old female asked:

I am a runner, 4 weeks ago my hip hurt after my run. it resolved so i resumed running then it hurt to even walk.now walking is ok but still can't run?

Orthopedic Reconstructive Surgery 19 years experience

Hip pain: vague to say hip. Is pain in the butt area, the groin, or the outside of the hip? There are different sources for pain in each of these. If the outsid... Read More

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1.3k viewsReviewed >2 years ago

Dr. Ed Friedlander and 4 doctors agree5 doctors agree

A 20-year-old male asked:

I have gerd and a hemorrhoid. i want to join a gym. which exercises should i do and which ones i shouldn't?

Orthopedic Reconstructive Surgery 19 years experience

Intra abdominal pres: Any exercise increases bearing down or increasing intra abdominal pressure which would increase reflux and engorge hemorrhoids. Avoid squats, use benc... Read More

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1.7k viewsAnswered >2 years ago

A 20-year-old female asked:

My father had a knee replacement 6 days ago. he now has a fever of 102. is this normal? he's taking multiple medications including blood thinner & asp

Orthopedic Reconstructive Surgery 19 years experience

Fever = Infection: Although fever after surgery is common, that is a very high temperature. What does the knee look like? Is it red and swollen? It would be appropriate ... Read More

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1.3k viewsAnswered >2 years ago

A 54-year-old female asked:

Can a pinched nerve in your neck cause pain in your back?

Orthopedic Reconstructive Surgery 19 years experience

Cervical radiculopat: Cervical nerve impingement can cause symptoms from the head to below the scapulae (shoulder blades).

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1.5k viewsAnswered >2 years ago

A 26-year-old male asked:

Orthopedic Reconstructive Surgery 19 years experience

No miracles: Not sure it would do either, but fat loss or fat burning is a function of muscle workout exhausting blood sugar and preferentially accessing fat store... Read More

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1.7k viewsAnswered >2 years ago

A 22-year-old female asked:

I am 22 and have had chronic pain in my right hip, leg and (to less extent) knee for over a year now, it is often noticable when lying down. ?

Orthopedic Reconstructive Surgery 19 years experience

Radiculopathy?: Pain in a leg for a year!?! Have you had a lumbar spine MRI? Have you been diagnosed with bursitis? Have you had any steroid injections or taking any... Read More

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1.7k viewsAnswered >2 years ago

A 34-year-old male asked:

Is it safe to alternate ibuprofen,and acetaminophen, regularly for pain in oa, and spinal problems?

Orthopedic Reconstructive Surgery 19 years experience

Back pain: Yes alternating is very effective, if not arduous.

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1.2k viewsAnswered >2 years ago

A 26-year-old female asked:

Extreme quadricep pain, painful weight bearing & causing knee to buckle.no injury or bruising could i have torn it? hx of random sprains w/o injury

Orthopedic Reconstructive Surgery 19 years experience

Quad tendon tear: Spontaneous or low impact quad tendon tear is more common in middle aged men than young women, but should have an exam and MRI to be sure. Can you str... Read More

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1.5k viewsReviewed >2 years ago

Dr. Rifat Naghmi and another doctor agree2 doctors agree

A 58-year-old female asked:

My scalp hurts whenever i touch it around the head crown. i have a history of spondylisis and constant head ache. what can i do for it and what is it?

Orthopedic Reconstructive Surgery 19 years experience

Cervical spondylitis: Cervical disc herniations can give you headaches but would need a work up with more recent imaging and exactly characterize the nature of the pain

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1.5k viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A 18-year-old female asked:

I have a small bump all my shin and it aches at night. should i be worried?

Orthopedic Reconstructive Surgery 19 years experience

Lumps and bumps : You are an 18 year old female with a painful bump, please see your doctor. Unless there has been direct trauma to explain this I have a high suspicion... Read More

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1.7k viewsReviewed >2 years ago

A 28-year-old male asked:

Can i use hifenac p for sciatica ? pain radiating from right butt to the leg.

Orthopedic Reconstructive Surgery 19 years experience

Strong NSAID: That's an uncommon anti-inflammatory medication. We normally start off with ibuprofen and perhaps a muscle relaxer. I would not try to self diagnose t... Read More

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1.4k viewsAnswered >2 years ago

A 17-year-old female asked:

I have been diagnosed with crps recently. will my condition deteriorate? can i claim disability living allowance for this condition? education help?

Orthopedic Reconstructive Surgery 19 years experience

Chronic pain: Regional pain syndrome can be very debilitating and yes you can claim disability status. Approval would depend on the affected extremity and severity ... Read More

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1.9k viewsReviewed >2 years ago

A 29-year-old female asked:

Below my thumb is swollen on palm with just a little tightness feeling inside and itching. ?

Orthopedic Reconstructive Surgery 19 years experience

Tenosynovitis: How mobileis the finger? There is concerned about infection or tendinitis. Based on the mobility of the finger and if there's any deficits of motion, ... Read More

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1.7k viewsReviewed >2 years ago