Doctor insights on:
Sclerosis Of The Hip
What to do if I have been told I have sclerosis of the hips and ostecytes also does any one know if this is like ms?
Hello; I have mulitple sclerosis. i am experiencing a pain in my right lower back above my hip. Should i be concerned?
Wear and tear: Sclerosis is the term used to describe where there has been wear & tear to a bone, and the body has attempted to make the bony area stronger by depositing new bone & calcium into the area. In your case, it is seen in the roof of the acetabulum is a concave surface of the pelvis. The head of the femur meets with the pelvis at the acetabulum, forming the hip joint. ...Read moreSee 1 more doctor answer
What does increased femoral head fragment sclerosis avn likely given fx timing broke her hip in early august?
I don't understand--: The question fully, but the gist of it is, as i can make of it: ms rabbit79828 had a fx of the hip about 3 months ago ; the head part has gone on to develop avn. Probably the fx was too high ; was fixed. This is a well known complication of such fxs. Depending upon your symptoms, further treatments may be needed. Are you having pain at rest or with weight bearing on that side? See your orthopod. ...Read more
There's sclerosis & subchondral cyst formation in the femoral head & cyst & spurs in acetabulum. Constant pain. Should I have hip resurfacing surgery?
Hard to know: You desribe degenerative changes. When you shave the hip it might improve but you are losing bone and therefore these problems might re occur or get worse. Maybe you should get a second opinion and you can ask the second doctor. ...Read more
Subcortical foci of increased signal are present suggestive of some sclerosis and marrow reactive changes in the left hip joint. There is a subcortical cyst in the acetabulum on the right hip measuring 5 mm - what does this mean?
X ray cause of pain: X-ray finding may or may not be cause of pain. Need good history and physical exam to better decide. ...Read more
What do "sclerosis at the mid left sacroiliac joint with interval change" and "minimal sclerosis of the acetabular lip is present" both mean?
See details: They indicate minor degenerative changes that likely do not cause any clinical symptoms. ...Read more
My CT scan of the abdomen and pelvis showed sclerosis on both sides of the SI joints, indicating sacroiltis. Is this indicative of multiple sclerosis?
Of course not: "Sclerosis" is a general term that refers to pathological hardening of tissue due especially to calcification or overgrowth of fibrous tissue. In the CNS, where there is no fibrous tissue, it refers to an analogous process of tissue degeneration. Multiple sclerosis by definition occurs only in the CNS, not in joints. This sort of information is readily obtainable from a quick web search. ...Read more
ABNORMAL THICKENING: Of the mitral valve with associated mitral valve prolapse. It's calcium buildup in the valve, stated simply. It might have been triggered by rheumatic fever or any other condition that would make the valve structurally abnormal. This condition is usually progressive and surgery may be necessary down the road. Close follow up is also important. ...Read more
Maybe significant: Several common presentations can include unilateral loss of vision, progressive weakness of legs, loss of coordination or balance, a band of tightness around the waist, double vision. More insidious issues include, bladder problems, cognitive challenges, fatigue, peculiar sensation losses. ...Read moreSee 1 more doctor answer
Not usually: Ms is a chronic neurological condition, characterized by episodes of neurological disability of variable severity and recovery. A minority of inidividuals can have a very aggressive course, and become so disabled that they are at risk of secondary medical complications which may be fatal. There are subtypes of MS which are so aggressive that a fatal outcome can happen. Fortunately these are rare. ...Read moreSee 2 more doctor answers
Genetic mutations: These people have a genetic mutation at one of two loci TSC1 or TSC2 (hamartin and tuberin). A second mutation in a particular cell results in creation of a tumor. No two TS patients are alike and the severity of the illness varies tremendously. It's not curable, but it's often manageable. Best wishes. ...Read moreSee 2 more doctor answers
No: Population studies have suggest that mononucleosis in adolescence, smoking, and possibly childhood obesity are risks for developing ms. However ms is a complex variable disease requiring genetic predisposition along with some environmental trigger(s), possibly influenced by hormones, immune system priming from certain infectious agents. ...Read moreSee 3 more doctor answers
Characteristic: Demyelination refers to damage to the coverings of the nerves in the brain and spinal cord, and is very characteristic of the inflammatory process that occurs in ms. This can also occur in children with hereditary leukodystrophies, and can be associated with acquired neurological disorders. The disease modifying drugs in MS are designed to control demyelination and many work well. ...Read moreSee 1 more doctor answer
Hopeful: Until we better understand the disease process, we will lack a cure. Control and treatment are available, and we do have newer medications which may even improve pts. We are tending to look at drugs such as tysabri (natalizumab) and gilenya, as maybe the best approaches, and with advent of bg-12, and lemtrada, we will have more tools. Vitamin d supplements seem quite valuable. ...Read moreSee 1 more doctor answer
Genetic mutations: Tuberous sclerosis complex is caused by mutations in the ts1 gene on chromosome 16 and the ts2 gene on chrosome 9.Only one of these has to be affected to have symptoms. Symptoms and their severity vary, even within a family. If a parent has tsc, each of his childen has a 50% chance of having it. Spontaneous mutations also occur. See http://www.Tsalliance.Org for comprehensive information. ...Read moreSee 1 more doctor answer
Much research,but: D-penicillamine might work, and there a number of studies suggesting this, but no long term double blind studies exist. A recent report suugest that a drug CellCept (mycophenolate mofetil) might be of value, and there are those that use mtx or tetracyclines.The major advances are ability to control BP and treat pulmonary hypertension. We can deal with esophgeal spasm and reflux. Nothing great at present for underlying dx. ...Read more
Biopsy, blood: In advanced stages, no test is required. It if the diagnosis is suspected early, a skin biopsy will usually prove the diagnosis. In the blood, the scl-70 and the anti-centromere antibody tests are the most helpful. Other tests may be positive. The above two blood tests often help differentiate the disease from other conditions. Other tests are used to evaluate but not diagnose the condition. ...Read more
Yes, it may.: Smoking has been associated with 1.5 times the risk of developing ms (association does not equal causation, but it is a risk factor). Studies dating back to 1960s have linked smoking with ms progression. Patients with a clinically isolated syndrome my convert to ms faster if they smoke, and smokers with established ms may convert to secondary progressive ms faster. ...Read moreSee 1 more doctor answer
Depends on severity: It is more appropriately known as tuberous sclerosis complex because it is highly varied in presentations..From simple skin lesions to complex neurological (brain/spinal cord), hearing/vision involvements causing severe disabilties. Complicated cases will require multispecialties care ...Very complicated.. ...Read moreSee 1 more doctor answer
Prog.disease: There is a variant form of MS that is very aggressive that can lead to coma or death. However most of the other forms do not have such a grave prognosis. If left untreated >30 % of patients will develop significant disability within 20->25 years after onset. Life expectancy is shortened only slightly, death usually results from secondary complications. ...Read moreSee 1 more doctor answer
Unlikely: Weakness can have many causes including diseases of muscle, peripheral nerves, low thyroid function, diabetes, chronic fatigue syndromes, depression, iron deficiency anemia, to name a few. A primary care physician can do some blood test screening and guide you to the correct diagnosis. Although MS can present with fatigue and true weakness, further testing will be needed here also. ...Read moreSee 1 more doctor answer
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