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Doctor insights on: Alternative Treatments For Pigmented Villonodular Synovitis

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Dr. Jan Lei Iwata
88 Doctors shared insights

Synovitis (Definition)

The synovial membrane is the lining of a joint and synovitis is inflammation of that lining. It can cause joint pain, swelling, and stiffness. When inflamed, the lining will create excessive joint fluid, causing swelling and increased joint pressure. The lining can also become thickened and cause apparent joint enlargement. Commonly associated with ...Read more


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

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

Possible: If the diagnosis was known at the time of joint replacement, then the surgeon would likely have performed as complete a synovectomy as possible. However, it is not possible to remove all of the synovium, even when a hip replacement is done, and therefore many orthopaedic oncologists recommend adjuvant radiation therapy, which could adversely affect the hip replacement. An expert is necessary! ...Read more

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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?

Recurrence?: 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. ...Read more

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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?

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?

PVNS: Pvns is described as "focal" or "diffuse." if focal or diffuse an arthroscopic approach to the knee is probably the best approach. Pvns can involve other joints as well including the shoulder and hip. A skilled surgeon should be able to remove pvns from "behind" the knee through designated posteromedial and posterolateral portals. Unfortunately, there is a significant recurrence rate. ...Read more

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Any curable treatments for hip synovitis?

Any curable treatments for hip synovitis?

Anti-inflammatories: Start with oral antiinflammatory medications, such as aleve (naproxen) or advil. A steroid taper would be the next step, or an injection into the hip with a steroid medication could be performed. ...Read more

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She's suffering from iliopsoas snapping and synovitis. She has tried many treatments but they did'nt work. Please give her a suggestion.

Eval with ultrasound: Not sure what treatments haven't worked but the best way to really determine what is snapping is with musculoskeletal ultrasound. This can evaluate the tendon during whatever movement creates the snapping. Should also use ultrasound to guide injections into the bursa or to perform tenotomy. ...Read more

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A 3 year girl has synovitis on her hip joint. Is it common? What's appropriate treatment? Will it have any impact on her future hip or general health?

A 3 year girl has synovitis on her hip joint. Is it common? What's appropriate treatment? Will it have any impact on her future hip or general health?

Unlikely: Not common but usually not a long term issue. She likely has transient synovitis of the hip. Often no treatment is needed. Tylenol (acetaminophen) or advil can be used as needed under the guidance of the child's doctor. ...Read more

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A 3y girl has synovitis on her hip joint. Is it common? Her doc said no treatment and just wait for its recovery by herself. Any treatment is helpful?

See details: She probably has a condition known as transient synovitis of the hip. It will resolve spontaneously but one can use tylenol (acetaminophen) or children's advil under the guidance of her doctor. ...Read more

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What is the best treatment for synovitis?

What is the best treatment for synovitis?

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

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

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

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My mother was diagnosed with reactive synovitis of ankle and under steroid therapy. Physiotherapy will play any role in treating this condition thanx!

My mother was diagnosed with reactive synovitis of ankle and under steroid therapy. Physiotherapy will play any role in treating this condition thanx!

Synovitis limited 2-: -a single joint as describe should be treated by local joint injections. My theory was no oral steroids. This exposes the entire body to the side effects of steroids, including avascular necrosis of the hip &/or shoulders, as well as osteoporosis. This is common in long term use as well as high dose bursts, but burst treatment is much safer. ...Read more

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What alternative treatments can I get to cure my sinusitis?

What alternative treatments can I get to cure my sinusitis?

Netti Pot: Nasal saline washes using a Netti pot is a drug free way to clear up those sinus passages. Follow the instructions carefully and you should experience relief after 1-2 uses. ...Read more

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

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

No, none!: Would be nice to find such approaches in this devastating condition, but does NOT exist. Even our approved medication, Riluzole does very little. ...Read more

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What are alternative treatments for sick sinus syndrome?

What are alternative treatments for sick sinus syndrome?

None: There are no dependable alternative treatmens to my knowledge for sick sinus syndrome. However, everyone can benefit from good organic whole food vitamin/mineral supplementation, acid free; toxin free diet; check out my website for details: www. Medacpc. Com. ...Read more

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Are there alternative treatments to diabetes type 1 or 2?

Are there alternative treatments to diabetes type 1 or 2?

Depends: 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. ...Read more

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Are there any good alternative treatments for multiple sclerosis?

Are there any good alternative treatments for multiple sclerosis?

Really NONE: 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. ...Read more

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Do hepatic hemangioma have alternative treatments?

Do hepatic hemangioma have alternative treatments?

Alternative to what?: Do you mean "complementary and alternative", "holistic" rx?
None has shown evidence of effectiveness. ...Read more

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What are alternative treatments or remedies for dental fluorosis?

What are alternative treatments or remedies for dental fluorosis?

Options: Bleaching or veneers. I would try bleaching first. It takes time to see results depending on how bad the stain is however it is less expensive than veneers and easier to maintain. ...Read more

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Are there any alternative treatments to alleviate symptoms of bruxism?

Are there any alternative treatments to alleviate symptoms of bruxism?

Bruxism sympttoms: Motrin, advil (ibuprofen) are great to treat symptoms of bruxism but I would treat the bruxism and the symptoms should alleviate. Speak to your dentist about an appliance like a night guard or an nti appliance. ...Read more

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Are there any alternative treatments to a yeast infection?

Are there any alternative treatments to a yeast infection?

Certainly: There are many potential alternative treatments, but if you don't get relief I would check with your healt clinician. Gentian violet is a purple dye that can be applied topically. Boric acid suppositories can help adjust the ph of the vagina and decrease risk of yeast. Baking soda baths, sitz baths or douches can also effect ph and thus yeast. Ceylon cinnamon, manuka honey, apple cider vinegar. ...Read more

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Are there any alternative treatments for epigastric hernia?

Are there any alternative treatments for epigastric hernia?

Hernia or diastasis?: You need to differentiate an abdominal wall hernia from rectus diastasis. A hernia occurs when there is a defect in the abdominal wall that allows contents to protrude through the defect, most common are inguinal, umbilical and ventral (post-surgical) hernias. Rectus diastasis is a weakness of the midline tissues that normally connect the two rectus muscles. The weakness is not a true hernia. ...Read more

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Are there alternative treatments to beta-blockers for hypertension?

Are there alternative treatments to beta-blockers for hypertension?

Many: There are a wide variety of treatment options including diet (low sodium), weight loss, and exercise. There are also numerous pharmacological options available, besides beta blockers. Discuss with your doctor. ...Read more

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Can you tell me if there are alternative treatments for skin cancer?

Can you tell me if there are alternative treatments for skin cancer?

Skin Cancer: The primary treatment for most types of skin cancer is surgical removal by wide local excision. Moh's micrographic surgery may be used in certain circumstances for basal cell and squamous cell skin cancer. Melanoma may require very aggressive surgery. Non-surgical treatment of skin cancer has lower cure rates and is reserved for patients too elderly or unhealthy to undergo surgery. ...Read more

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With alternative treatments or behavior modification for weight loss?

With alternative treatments or behavior modification for weight loss?

Yes: Go to free weight loss, . Com for an excellent article. Eating for most of us is a list of habits developed over time that we need to break. Also put smaller portions on a bigger plate. Count the times you chew your food. Drink water after each bite. Don't buy bad choice foods. Try not to chew gum during the day as it stimulats the juices that signal your brain to make you want to eat! ...Read more

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What alternative treatments exist for patients with gallbladder cancer?

What alternative treatments exist for patients with gallbladder cancer?

None: Surgery is the only method of achieving cure for gallbladder cancer. When not discovered incidentally during routine gallbladder surgery, gallbladder cancer usually presents in advanced stages. Therefore even with surgery, chances of total cure are low. Chemotherapy and radiation therapy, though used, have not proven to be very successful in treating this disease. ...Read more

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Are there alternative treatments for HPV besides condylox (podofilox) gel?

Are there alternative treatments for HPV besides condylox (podofilox) gel?

Aldara (imiquimod): Aldara (imiquimod) is a prescription cream used 3x/wk x 12 weeks and is very effective treatment for condyloma. It is an immune modulator which amps up your immune system which in turn destroys the hpv virus. Also quit smoking as smoking acts as a cofactor in allowing the virus to thrive. Thus, the combination of Aldara (imiquimod) and smoking cessation should be very effective treatment for condyloma. ...Read more

Pigment (Definition)

Any chemical which has a color (minerals also) can be said to have a pigment. Such chemicals are responsible for the colors of the skin, the hair, the eyes and things we don't ordinary see such as the brown ...Read more


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