Doctor insights on:
Not that I know of.: All artificial sweeteners had to go through clinical testing for approval, testing never required for sugars. However this testing was months, not decades. The larger problem with artificial sweeteners; even though no sugar, the sweet taste itself (brain controls body) seems to inhibit body fat loss & promote wt gain, probably via Insulin release. Look up dietdoctor test of pepsimax on ketones. ...Read more
Good idea.: This may be possible in the future. I do not know of any technology such as this that we have access to currently. Artificial discs are being used in the spine, but so far, no replacement for the actual facet joints. ...Read more
Ehlers-Danlos Syndro: Ehlers-danlos syndrome with l-loose joints is due an inherited disorder related to an abnormal gene from either mother or father. The disorder result in loose joints, elastic skin, easy bruising, and even heart valve problems, depending on which area the tissues are affected. The diagnosis is made by clinical examination. Skin biopsy and gene studies are also used. ...Read more
Yes: Most knee replacements are made of cobalt alloys because they are harder. The titanium is generally too soft to work as a knee surface. There is, however, one total knee replacement made of titanium where they have hardened the end of the titanium (making it a ceramic compound). ...Read moreSee 1 more doctor answer
Pain: Most commonly SI joint dysfunction results in pain on the side if the problem. ...Read more
Hypermobility: Excessive motion and loose ligaments can cause this problem. A rheumatologist should be able to assess. ...Read more
Treatment for radial & longitudinal tears of the posterior horn medial meniscus, severe knee osteoarthrits moderate joint effusion, diffuse synovitis?
Numerous : 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 ...Read more
No rejection: In principle replacement of joints with a deceased donor source is logical. However, the larger the tissue, the more difficult to create adequate blood supply, and foreign tissue (not from an identical twin) is subject to the rejection response requiring anti-rejection drugs. Smaller grafts, bone, cartilage, cornea don't require a significant blood supply and are at less risk for rejection. ...Read more
Typo in last question. My injury diagnosis is chronic whiplash syndrome with srernomanuibral joint malfun tion. Rehab soon and wondering how long?
Sternum=3 parts: Upper is the manubrium, joined 2 the body of the sternum by a joint, then the main body of the sternum. @ the lower end is the zyphoid process. The upper joint is not very movable, but can b injured like any joint. Usually ice nsaids, ; it will get better. Usually from a direct blow 2 the chest. I never saw anyone who needed treatment. Good luck. ...Read more
With difficulty: This is a diagnosis doctors disagree about. Mri and ct may show degeneration (aging, arthritis) of the small joints behind the disk and nerve channel. In some people this is painless. In some folks they may be a source of pain. Injection of medication (anesthetic or cortisone like) into the joint or around the small nerve supplying the joint is viewed by some as evidence of facet joint syndrome. ...Read moreSee 2 more doctor answers
Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?
Maybe: This decision is best made by your own orthopedist who has direct access to your x rays. A second opinion never hurts. In someone so young, if you can get away with something short of a total joint replacement, it is always preferable to do so. ...Read more
Can help reduce pain: Supartz (hyaluronic acid) is a form of viscosupplementation. There are many chemicals used :synvisc, orthovisc, Hyalgan and others. These are chemical substances that are similar to the cartilage of the knee. Some are totally synthetic and one is from the comb of a rooster. They are used as a single or series of injections into the knee to relieve pain and improve function. They are inert and have no side effects. ...Read more
Pain relief: Joints are typically replaced when they become arthritic and painful. Artificial joints do not function as well as normal joints, but do perform better than painful/arthritic joints. Range of motion and strenght are typically improved with joint replacement surgery, which leads to better function. Artificial joints will all eventually wear out and there are some limitations with there use. ...Read more
Pain Management: How long can the positive effects of a cervical facet joint nerve block diagnostic test last before retreatment (been 1 month now)?
No consensus: Many tests have been evaluated to see which has the best sensitivity and specificity for si joint pain. The faber is useful, as is ganselons and the gillet test. Tenderness right over the joint is also suggestive. Really, the big picture of the tests mentioned above plus the exclusion of other problems helps to solidify the diagnosis. ...Read moreSee 1 more doctor answer