Doctor insights on:
Are Cortisone Shots Good For The Pain Of Degenerative Joint Disease
Can be: We do quite a few cortisone shots in multiple joints such as knees, shoulders, hips, and fingers to name a few. The shots can reduce pain and swelling for months. We limit the amount of injections we do into the same joints. Too many cortisone injections into the same joint can have side effects. Injections are helpful in moderation. ...Read moreSee 1 more doctor answer
What is the best medicine or injection for restoring joint function and relief pain of knee osteoarthritis?
Nutrition, supplem't: Start with good nutrition and try: glucosamine (500 mg 3x/ day), same (don't take if bipolar or with prostate cancer) 400 mg on empty stomach (may eventually take up to 800 mg 2x/ day) and must have b-complex with the same, and wait 2-3 months to see if these are helping. Both have good evidence for treating osteoarthritis and are safe. Physical therapy can help any misalignment in muscles. ...Read moreSee 2 more doctor answers
What are the current treatment options for chronic pain from osteoarthritis in cervical spine with decreased range of motion in neck ?
Many options: There are various topicals or compounded creams that help with pain and inflammation. There are many oral meds: tylenol, (acetaminophen) weak to strong nsaids, special nsaids like celebrex, steroids, opiate pain relievers, mood medicines like cymbalta. Some supplements might help: quercetin, turmeric, msm, glucosamine chondroitin. Also, injectable steroids or prolotherapy. Physical therapy can help too. ...Read moreSee 2 more doctor answers
What is degenerative joint disease in your back, sacroilitis, and SI joint? Will taking an joint injections help easy the pain?
Are there any dangers [ie tendon rupture/or further damage] of having steriod injection for chronic pain caused by degenerative changes in spine?
No: Intermittant steroid injections for a ruptured disc or epidural injection will not predispose you to tendon rupture in the spine or cause ill effect unless you are having them done repeatedly and at less than 3 month interval. Worst case scenario is that it doesn't work. ...Read moreSee 1 more doctor answer
What treatment options are available for psoriatic arthritis when the arthritis is only in the sternomanubrial joint?
Same as for PsA!: Psoriatic arthritis and ankylosing spondylitis ccan affect these joints, causing much discomfort. They can be directly injected with steroids ( I do this frequently), and the meds such as methotrexate, sulfasalazine, azothoiprine, and the tnf-alpha inhibitirs should work well for you. Good luck! ...Read more
Is there any research supporting the use of cortisone injections to thin the patella as treatment of patellafemoral pain syndrome.
What of any dangers are inherent in getting a guided cortisone shot for my mod. To severe arthritic neck?
C-spine steroids: There are many potential risks but they are typically rare in the hands of an experienced practitioner. ...Read more
Arthritis: As far as medication is concerned, nsaids (over the counter and prescription) and tylenol (acetaminophen) are commonly used. Talk to your doctor to make sure you can tolerate these medications. Low impact exercise such as swimming, biking, and elliptical use can be helpful as well. ...Read more
Polymyalgia rheumatica. What are recommended treatments long term after acute treatment with corticsteroids? Severe pain and weakness was sudden in upper body, but there is a history of migraines, excema, esp. Sun sensitity, and osteo arhritis with spinal
One : One of the ways to get correct information from a computer is to have the correct ( input) information in the computer. In medicine is the same , you need precise data to make the adecuate diagnosis . I don t mean to under estimate you impression of how you hands look or how they feel and i don t mean to under estimate your diagnosis of aquiles tendinitis or others, but in order to make the right diagnosis in rheumatology you need to have an appropiate history and physical exam, these two features give you a very very good hint of the diagnosis , that could then be confiorm by blood test or x rays etc.... Rheumatoid arthrtis is not always rheumatoid factor positive and there are 140 varieties of rheumatic diseases . I believe you need a rheumatologist to evaluate you and try to define what your ailments are to get the propper diagnosis and the propper therapy. ...Read more
What are treatment options for painful TMD? I have crepitus, pain and spasms. X-rays showed bone spurs and flattening in the joint.
Depends: If you've had imaging of the joint, I assume you've had a diagnosis? If so, the treatment depends on the diagnosis. It could range anywhere from physical therapy to surgery. This issue is so individualized it is actually counterproductive to get a list of options when many of them may not be appropriate to your situation. No harm in getting additional opinions from docs who actually see you, tho. ...Read moreSee 1 more doctor answer
RA: Local injections can be considered. Surgery is not recommended. ...Read more
Temporary: Arthritis causes inflammation in the affected joint. Steroids will decrease the inflammation within the joint and improve pain. Once the steroids wear off, the symptoms will reoccur. For knee arthritis, a better long-term non-operative option would be visco supplementation. Injections are given as a series, which may take from 1-5 weeks to complete. See a board certified orthopaedic surgeon. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Hypertrophic changes of iliac bones, hip osteoarthritis bilaterally. What's a good non nsaid anti inflammatory to use for pain and inflammation?
What is the difference between a pain management doctor and Neurosurgeon when dealing with SI Joint pain and other disorders of the spine such as OA.
Surgical vs nonsurg: The biggest difference is that a neurosurgeon can do surgery - such as fusion surgery for stabilization, or decompression surgery to unpinch nerves. Pain management doctors do not do surgery, but can treat patients with various medications as well as numerous types of spinal injection procedurese. ...Read more
Depends : Depends on age of diagnosis, severity of disease and medical treatment. See a rheumatologist and get treatment early to prevent the destruction of your joints. If you need a joint replacement, realize it is extremely successful at treating the arthritic joint but this is the last stage of treatment, prevention is key. ...Read moreSee 1 more doctor answer
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