Question 1

Friend had hip repl & diag of pigmented villonodular synovitis. chances of reoccur/prevention or known causes? is synovectomy usually perf at op?

Accepted Answer

In a total hip replacement, both sides of the hip are replaced, essentially removing the entire joint including the synovium.  As such, it would be very unlikey it would recur after a total hip replacement.  Thank you for your question.

Question 2

My husband has pigmented villonodular  synovitis in his left ankle he has had two surgeries but is still in constant pain. any suggestions?

Accepted Answer

Pvns can cause serious damage to the cartilage of joints, and can have a high rate of recurrence even with surgical excision (removal) of the lesions.  He may eventually need to consider either ankle replacement or fusion in order to be pain free.  Some of the pain may be associated with having 2 surgeries, including neuritis and scar tissue.

Question 3

Pigmented villonodular synovitis in knee size of a finger. surgeon said to cut 20cm and then remove, as keyhole will be too small. any other methods?

Accepted Answer

Arthroscopic removal can often be performed therough several small holes, in addition it allows examination of the whole joint and should be performed by an orthopedic specialist. Open surgery is rarely necessary but on occasion is performed and the time of arthroscopy for "technical" reasons.

Radition therapy has also been used either with a beam or injection of radioactive chemicals.

Question 4

What is the best treatment for synovitis?

Accepted Answer

Usually anti inflammatories like high dose Ibuprofen and Naproxen often work but if really severe may require cortisone.

Question 5

Treatment for radial & longitudinal tears of the posterior horn medial meniscus, severe knee osteoarthrits moderate joint effusion, diffuse synovitis?

Accepted Answer

The most definitive option is a knee replacement. Knee arthroscopy is not likely to be helpful at this point. Various injections such as cortisone, hyaluronic acid/joint fluid or platelet-rich plasma are reasonable options. Meds, braces and PT are considerations. If I can help, then join my care team and virtual practice at www.healthtap.com/dr-clarkeholmes

Question 6

What alternative treatments can i get to cure my sinusitis ?

Accepted Answer

Early sinusitis is treated with decongestants.  Increasing pain, fever and excessive discharge could indicate a bacterial infection requiring antibiotics.  Go to your doctor for a proper examination and treatment.  Chronic sinsusitis can cause problems, such as a sinus abcess and rarely a bacterial infection with serious health consequences.

Question 7

Are there any alternative treatments to alleviate the symptoms of lou gehrig's disease?

Accepted Answer

Products, lots of massage and physical therapy.

Question 8

Are there alternative treatments to diabetes type 1 or 2?

Accepted Answer

If you are talking about type2 diabetes then weight loss, healthy eating and exercise may get you to the point where u no longer need medicine (and u'll be healthier overall)  some people however are beyond that and require Insulin to prevent the complications of diabetes.  Don't believe any "alternative" med works unless you or your doctor note your sugars are well controlled.  Many fake cures.

Question 9

Are there any good alternative treatments for multiple sclerosis?

Accepted Answer

However, improve your outcomes, by using potent disease modifying agents, such as the newer orals, aubagio, gilenya, (fingolimod) tecfidera.  Some otc approaches include, no smoking, vitamin d supplementation, aerobic exercise, low fat, low salt diets, stress management.

Question 10

Do hepatic hemangioma have alternative treatments?

Accepted Answer

Do you mean "complementary and alternative", "holistic" rx?
None has shown evidence of effectiveness.

Alternative treatments for pigmented villonodular synovitis

Friend had hip repl & diag of pigmented villonodular synovitis. chances of reoccur/prevention or known causes? is synovectomy usually perf at op?

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My husband has pigmented villonodular synovitis in his left ankle he has had two surgeries but is still in constant pain. any suggestions?

Pigmented villonodular synovitis in knee size of a finger. surgeon said to cut 20cm and then remove, as keyhole will be too small. any other methods?

What is the best treatment for synovitis?

Treatment for radial & longitudinal tears of the posterior horn medial meniscus, severe knee osteoarthrits moderate joint effusion, diffuse synovitis?

What alternative treatments can i get to cure my sinusitis ?

Are there any alternative treatments to alleviate the symptoms of lou gehrig's disease?

Are there alternative treatments to diabetes type 1 or 2?

Are there any good alternative treatments for multiple sclerosis?

Do hepatic hemangioma have alternative treatments?

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