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Doctor insights on: Ultrasound Guided Arthrocentesis Of Minor Joint

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TMJ MRI showed bilateral adhesed disks with no evidence of disk displacement. TMJ specialist recommended arthroscopy and PT, is it worth the risk?

TMJ MRI showed bilateral adhesed disks with no evidence of disk displacement. TMJ specialist recommended arthroscopy and PT, is it worth the risk?

Arthrocentesis: A more conservative and less expensive approach would be to start with an Arthrocentesis otherwise known as a lavage. If this is not helpful them arthroscopic surgery would be indicated. ...Read more

Dr. Michael Gabor
2,286 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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Mild tricompart mental osteoarthric changes Torn PHMM Minimal joint effusion , with sizable backers cyst?

Mild tricompart mental osteoarthric changes 
Torn PHMM
Minimal joint effusion , with sizable backers cyst?

Physical therspy: The most important treatment for you is quad strengthening exercise. In addition to this there are medications, wedge insoles, injections, and surgeries to help relieve symptoms. There are many over the counter treatments such as moist heat, sports creams, Tylenol (acetaminophen) which you can use as well ...Read more

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Moderate joint diffusion. minor chondromalacia and medial femoral condyle. some pericruciate synovitis about the ACL but no signs of a tear?

Moderate joint diffusion. minor chondromalacia and medial femoral condyle. some pericruciate synovitis about the ACL but no signs of a tear?

Joint fluid analysis: One thing that would be helpful here is to know the joint fluid analysis. The data suggest this is mechanical, but the joint fluid can help decide if it is mechanical or inflammatory. At your age we have to keep the differential diagnosis open you need to see a rheumatologist to see if there's any other evidence of a systemic arthropathy. You can discuss this with your physician ...Read more

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Is MR arthrography of the hip joint a fancy way of saying MRI of the hip with contrast media (Gadalinium)?

Is MR arthrography of the hip joint a fancy way of saying MRI of the hip with contrast media (Gadalinium)?

Yes and no.: A standard MRI with contrast usually implies an intravenous injection of gadolinium. An MRI arthrogram means that the contrast is injected directly into the joint space, usually with fluoroscopic guidance of the needle. ...Read more

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Partial fusion of C7 and t1 vertebral bodies with rudimentary intervening disk and bony fusion of right facet joint. is this serious? implications?

Partial fusion of C7 and t1 vertebral bodies with rudimentary intervening disk and bony fusion of right facet joint. is this serious? implications?

See a Neurosurgeon -: who will examine you and take it from there. Without knowing how all this is affecting you, it'll be difficult for anyone to answer your questions. You were born with these and it might be causing some stiffness in your neck motion(maybe!!), otherwise I don't think it'll be causing anything else. Good Luck. ...Read more

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Tendinopathy near the insertion site of the supraspinatus tendon with mild ac joint hypertrophy. The ac joint generates mild impression on rotatorcuff?

Tendinopathy near the insertion site of the supraspinatus tendon with mild ac joint hypertrophy. The ac joint generates mild impression on rotatorcuff?

That is a statement : not a question. Just putting a ? mark does not let us kno what Ur question is. This is just stating an MRI reading of findings. Let us know if U had an injury or an insidious onset. Also what R Ur activities , overhead sports ( swimming , volleyball ,tennis, weight lifting R some). Please try again with these suggestions in Ur question . ...Read more

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What is the difference between facet joint injection and paravertebral injection and epidural injection? Any website with picutres explaining such?

What is the difference between facet joint injection and paravertebral injection and epidural injection? Any website with picutres explaining such?

Location: The facet joints are the joints between the vertebra. An epidural injection goes into the epidural space (the space just outside the sac that covers the spinal cord. Depending on approach epidurals can be translaminar or transforaminal. Paracertebralinjections are in the space immediately to the side of the area where the spinal nerves come out of the spine. The location is the main difference. ...Read more

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Mri of shoulder mild partial intrasubstance tearing of supra, infras and subsc tendon insertions". Tendinopathy of the intra-articular bicep tendon ?

Mri of shoulder mild partial intrasubstance tearing of supra, infras and subsc tendon insertions".  Tendinopathy of the intra-articular bicep tendon ?

Diagnosis?: Don't make the mistake of determining your treatment based on an MRI reading. If you don't already have a diagnosis that makes sense to you on an anatomic basis prior to the mri, consider a second opinion. For instance, the number of changes you describe may be because of chronic untreated instability. Learn more: http://theshouldercenter.Com/shoulder-pain.Htm. ...Read more

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What should be done in case of minor cmc joint dislocation?

What should be done in case of minor cmc joint dislocation?

See a specialist: If the joint is not exactly lined up, you could have long term problems. The joint should be perfectly aligned. You should see a hand specialist. ...Read more

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Which knee capsular tightness that cannot be cured knee fluid injection and need surgical intervention?

Which knee capsular tightness that cannot be cured knee fluid injection and need surgical intervention?

I am not sure: I really do not know about any fluid injection that could release contracture in the knee. Sorry please let me know were the idea published. Thank you. ...Read more

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Mri result: 1-2mm cartilage injury or degeneration in weight bearing medial femoral condyle possibly involving free edge of meniscus. What next?

Mri result: 1-2mm cartilage injury or degeneration in weight bearing medial femoral condyle possibly involving free edge of meniscus. What next?

Medial Knee Pain: As a podiatrist, i would team up with an orthopod and physical therapist to help you. I would design wedges for your shoes to off weight the sore area, while you work on strength, flexibility, knee bracing, activity modification, and anti-inflammatory measures. Dr rich blake. ...Read more

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Dx with subluxation of peroneal tendons. Ordered MRI and said no indication of surgery. Have pain along length of tendons. Snapping tendon when walk.

Dx with subluxation of peroneal tendons. Ordered MRI and said no indication of surgery. Have pain along length of tendons. Snapping tendon when walk.

Peroneal tendon: MRI is a static diagnostic exam so will not show active action of your peroneal tendons. Because you were laying down and stationary, the MRI may not pick up the clinical picture like your doctor would. You may need bracing, rehab or surgery of symptoms don't resolve. Good luck! ...Read more

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What are common complications of a facet joint injection?

What are common complications of a facet joint injection?

Pain, numbness: Facet joint injections are often done in the lumbar & cervical spine, often under fluoroscopy (live x-ray), bathing this joint with an anesthetic (lidocaine, etc.) and steroid/cortisone. Common side effects include pain (during and for the first 48 hours), numbness (often temporary) and bleeding (usually minimal). Rare & serious side effects include infection, nerve injury and spinal fluid leak. ...Read more

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Knee cartilage deterioration, moderate narrowing, small joint effusion, periarticular spur fluid; MRI clear yet terrible pain. what can be done now?

Knee cartilage deterioration, moderate narrowing, small joint effusion, periarticular spur fluid; MRI clear yet terrible pain. what can be done now?

Knee pain: sounds like there is some arthritic changes--and I suspect MRI has ruled out meniscal tear. If not responding to high dose nsaids ie aleve (naproxen) or Ibuprofen and rest--to orthopedics and may need a procedure ...Read more

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Is neuromuscular dentistry effective for TMJ? MRI shows bone spurs, disc fragments and flattening of the Condyle

Is neuromuscular dentistry effective for TMJ?  MRI shows bone spurs, disc fragments and flattening of the Condyle

Recommendation: Suggest you get referral to Oral Surgeon, as your description raises concerns about extensive degeneration of the joint, and you may require a repair procedure. You may even want two opinions on how to manage. ...Read more

Dr. Lynne Weixel
55 doctors shared insights

Arthrocentesis (Definition)

Arthrocentesis usually involves inserting a needle into the joint to remove fluid. This may be done to remove a hematoma or to investigate the fluid to see if it is infected or contains chemical markers that may be indicative of joint diseases (like rheumatoid arthritis). It's not uncommon for medicine, like corticosteroid (the proverbial "cortisone shot") to be ...Read more


Dr. Stratos Christianakis
1,189 doctors shared insights

Joints (Definition)

Joints are parts of the body, formed by the cartilage-covered ends of bones plus the strong, flexible ligaments that attach the bones to one another. Movements at the joints in the body allow the different parts of the body to move in ...Read more