Doctor insights on:
When Could An Artificial Disc Replacement Be Used
In essence the adjoining surfaces of a vertebra are cut off to expose good healthy bleeding bone. A metallic implant flat on the bone side and concave and rimmed on the disc side are imlpanted with a metal ball bearing trapped my the concavity and rim complete the implants. As one moves the ball bearing is allowed to move within the precisely machined nd matched plates, ...Read more
It Depends: There are many candidates for total knee arthroplasty. The simple answer is that a candidate needs to have severe arthritis - either due to degenerative arthritis, inflammatory arthritis, or post-traumatic arthritis. Any decision needs to be discussed with your orthopedist. ...Read moreSee 1 more doctor answer
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
C3-4, c4-5 posterior disc bulgingmust it always be treated by an operation or can any other therapy help too?
An X-Stop is : Indicated for treatment of lumbar spinal stenosis at one or two levels but not usually at l5-s1 as there is usually not proper available anatomy to secure its placement there. Artificial disc is indicated for treatment of back pain without presence of severe degeneration or spinal stenosis or any instability at that spinal segment. They are used for different diagnoses so not interchangeable. ...Read more
How can a TMJ disc displaced anteriourly, be repositioned and put into place? Is an open surgery is needed for that or can it succeed by a TMJ arthroscopy?
Caution: There are ways to reposition an anteriorly displaced TMJ disc ranging from oral occlusal orthotics (mouth guards) to surgical correction. Any treatment undertaken is done with the goal of improving function and reducing pain (rather than to reposition the disc). Most treatments tend to be less aggressive and still can be very effective; i would caution against jumping on the surgical option. ...Read moreSee 4 more doctor answers
Which are the surgical methods of TMJ disc repositioning? Do you need an open surgery or it can be done by arthroscopy?Thank you very much.
Depends: The specific problem and findings will dictate the treatment. Sometimes the disc is not repairable and needs to be removed and replaced. If the disc is ok, it first needs to be freed up and moved into its correct orientation. It is then secured there either by suturing, lasering, excising posterior tissue, cautery, etc. Some are done arthroscopically, some have to be done open. Key: lasts? ...Read moreSee 5 more doctor answers
What can plaster casts be used for? Could they be used for stopping knee meniscus tears instead of a knee brace? If the knee brace is an immobiliser.
How dangerous could be if one person contract bacterial pneumonia after a surgery ( total knee replacement) could this put in danger the prosthesis?
My shoulder is not resting in socket where it should be can this be fixed by physo or is sugery a possibilty?
Depends on why: It depends on why. If you have injured repeatedly, physical therapy can help most of the time and should be tried before surgery. If you were born with some severe malformation, surgery might be required. Even if you get surgery, some physical training to strengthen the muscles will lead to a faster and more successful recovery. ...Read more
What type of surgery would be used to treat a hypermobile joint with a hypermobile, lax ACL as knee is constantly collapsing? failed pivot shift test.
Torn ACL repair: The anterior cruciate ligament prevents both anterior translation of the tibia with respect to your femur and also external rotation of the femur with respect to the tibia. If you fail the pivot shift and anterior drawer, and you have instability, you should consult an orthopaedic surgeon to evaluate your injury. Reconstruction of the ACL will improve stability of your knee. ...Read more
What are some exercises or things that can be done after rotator cuff surgery if you fell like the shoulder is freezing?
Can patients whose artificial knee is comprised of oxinium safely undergo an MRI scan or is there an alternative?
Yes : The worry about mris and metal implants has to do with magnetic metals (ferromagnetic). Total and partial knee implants are made of cobalt chrome, titanium, oxinium ( oxidized zirconium), and polyethylene plastic. These are not iron containing magnetically charged implants so they are all safe in an mri. Pacemakers and defribulators, aneurysm clips can not go in mris. ...Read moreSee 2 more doctor answers
.????: Omega 3 has been shown to be effective in many things for the human body but...I don't think I have ever heard about a connection with the tmj. Talk to the oral surgeon that did the arthroscope or is going to do it and see what they advise to keep the joint healthy following surgery. ...Read moreSee 3 more doctor answers
Is artificial cartilage going to be an option for patellofemoral syndrome & otherjoint problems soon? I am in pt for my grinding knees but am curious
Cartilage transplant: Has been studies to a small degree. Most of the procedures end up developing fibrocartilage as opposed to hyaline cartilage which is a better tissue type. There may be some promise with stem cell studies, but there are risks associated with this as well. Maybe another physician on the site is performing research that has more information. ...Read more
In TMJ anterior disc displacemt&retrodiscal tear also perforated disc is given only antinflmatory,wht happens in time if is no surgical approach?
Surgery last resort: Ask the question - why is the disc displaced anteriorly? It could be over-closure. There may not be enough space for it to rest where it should be. A bite appliance called an orthosis could separate the teeth, allow the jaw to rest more forward, and make room within the joint itself for the disc to be reduced. Until the pressure on the disc is relieved, it cannot heal. You may not need surgery ...Read moreSee 1 more doctor answer
Ankle surgery: At your age, if indicated (arthritis, etc) it is usually an ankle fusion that takes place unless you have been told you have juvenile ra. Both procedures are commonly done by foot and ankle surgeons who have been trained properly. The recovery time is roughly the same, but at your age, if indicated by medical history and physician evaluation, usually a fusion is done. Hope that helps! ...Read moreSee 4 more doctor answers
Is an MRI of the knees required before Orthovisc? Is this type of injection unbearably painful? Can anaesthetics be used?
No: Viscosupplementation( orthovisc, synvisc, (hylan g-f 20) etc.)may require approval from your insurance carrier(usually documentation that other treatments such as NSAIDs,PT haven't helped) but generally not an MRI.Most injections are done in the office w/local anesthetics( lidocaine) and/ or ' cold spray' and are easily tolerated.best of luck! ...Read more
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