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Doctor insights on: Are There Acl Injuries That Are So Severe That You Cannot Repair Them

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Are there ACL injuries that are so severe that you cannot repair them?

Are there ACL injuries that are so severe that you cannot repair them?

Yes: Most acl tears cannot be repaired and must be reconstructed to restore the anatomy. Reconstruction means taking another ligament and putting it in the place of the old acl. Repair refers to the sewing together of torn pieces of the acl. The results of repairs of tears are simply not as good as reconstruction so it really is not an option for tears. ...Read more

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Dr. Jeffrey Bassman
1 doctor shared a insight

Injuries (Definition)

An injury, of any severity, is a condition in which a person has damage to any part of his body. Examples of major injuries include gunshot wounds, knife wounds, large burns, severed ...Read more


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What are some things that could make PCL reconstruction dangerous?

What are some things that could make PCL reconstruction dangerous?

Nerves and vessels: The PCL rests outside of the knee joint and right next to the nerves and blood vessels that supply much of your leg, ankle, and foot. Any PCL reconstruction done poorly puts your blood vessels and nerves at risk. It is better to have experts perform PCL reconstructions because they will tend to do more of them. In general, PCL tears are associated with bigger injuries, which carries higher risks. ...Read more

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Are there any factors that makes someone more prone to having meniscus injuries?

Are there any factors that makes someone more prone to having meniscus injuries?

Meniscus tears: Tight knee joints tear the meniscus cartilage more than loose ones except if the ACL or PCL is torn then the meniscus will usually tear eventually. ...Read more

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Do you know if there are other dental treatments that do the job of a porcelain overlay but are less expensive?

Do you know if there are other dental treatments that do the job of a porcelain overlay but are less expensive?

Not really: Composite veneers do not "do the job" of a laboratory fabricated restoration, which is stronger, more esthetic, does not stain, and lasts longer. Yes, chairside sculpted restorations are less expensive but they are not the same. You get what you pay for. ...Read more

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Are there ligaments in your hand that you can sprain doing push-ups?

Are there ligaments in your hand that you can sprain doing push-ups?

Yes: Tfcc triangular fibrocarilage radiocapitate the wrist is not designed to be a weight bearing joint try t perfect pushup rotating handles. ...Read more

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Is there anything in particular that can make pneumonia worse? Are there things that should/should not be done?

Is there anything in particular that can make pneumonia worse? Are there things that should/should not be done?

Pneumonia gets worse: Smoking, inadequate rest, improper diagnosis, inadequate or inappropriate antibiotics, failure to check a follow-up chest x -ray to ensure complete resolution of pneumonic infiltrate allow your doctor to help you manage and treat the pneumonia to resolution. ...Read more

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I've got minor injuries from this new job and that wounds are not healing. What do you recommend?

I've got minor injuries from this new job and that wounds are not healing. What do you recommend?

Clean and cover: Localized small abrasions can be rinsed with sterile saline or warm water and soap and dressed with a topical antibiotic ointment and covered with a sterile dressing. Consult with your physician if you do not have improvement or develop signs of infection. ...Read more

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Are there any types of massages you should not get if you have a repaired retina tear?

Are there any types of massages you should not get if you have a repaired retina tear?

Usually no: it is hard to imagine a type of massage that would cause problems with a recently repaired retinal tear. To be safe, make sure the treating retina specialist is OK with the activity, s/he knows best about the details of the tear and treatment. In general, adequate healing of a tear treated with laser or cryo should occur within 10-14 days. ...Read more

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Why are some hernias described as being complex? How challenging are they to repair?

Why are some hernias described as being complex?  How challenging are they to repair?

Due to associated: Problems , obesity , multiple systemic diseases , draining fistulas due to intestines eroding through grafts , lacking tissue planes for to free the bowel , lack of fascia to repair , lack of suitable material in presence of infection.And on challenging but gratifying if succeeds with out getting additional implications ...Read more

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Is it common to protect and be paranoid of there spouse about bad things they done to them they are doing or have done to borderline personality dis?

Is it common to protect and be paranoid of there spouse about bad things they done to them they are doing or have done to borderline personality dis?

Yes: The woman with ptsd and borderline personality disorder will likely be protective of her husband. She may shield the outside world from what is going on within the household. This is very similar to the stockholm syndrome. Please read about that on www.Wikipedia.Org. It sounds like you are a victim of abuse and your husband is the perpetrator if I am reading your question correctly. Please work on that in therapy. You do not have to put up with bullying behavior within a marriage.One book that i often recommend to women in your situation which may or may not apply is "the sociopath next door".Another book is called a dance with the devil. Please discuss these options with your therapist before purchasing them however. Best wishes. ...Read more

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Are there really people who can contact the dead? If so what would make them to have the ability? Something different with their brain?

Are there really people who can contact the dead? If so what would make them to have the ability? Something different with their brain?

Mediums?: Surprised at your question, as the great magician harry houdini, yrs ago, exposed people who claimed this ability to be abject frauds. The ouija board became popular as a device to communicate with the dead, and this too has been debunked. In other words, no living human being has ever been documented as possessing such paranormal skills. Do not believe all you read on the internet! ...Read more

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What could be the reasons of frequently broken nails? They always brake from the extremity (notign that they are not long)

What could be the reasons of frequently broken nails? They always brake from the extremity (notign that they are not long)

Weak nails: When nails break frequently, it usually indicates that the nail is weak. The cause of this could be genetics (family trait), frequent exposure to drying chemicals (harsh soaps, detergents) and/or water. Nutritional deficiencies can also be the culprit. ...Read more

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Are there any long term meds that can manage the pain of a pars defect? Dont want to be addicted to opiods but wondering about other types.

Are there any long term meds that can manage the pain of a pars defect? Dont want to be addicted to opiods but wondering about other types.

Avoid narcotics: You're right. Narcotics for chronic non-cancer pain should be avoided. They cause more problems than they solve. Alternatives for chronic pain include tricyclic antidepressants like nortriptyline, anticonvulsants like gabapentin, and antiinflammatories like meloxicam. More important than meds are massage, relaxation, and other adaptive techniques. Learning to adapt is key. Good luck! ...Read more

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What causes recurrent hernias that mesh does not stay in place. Are there any ithers ways to repair hernias instead of mesh?

What causes recurrent hernias that mesh does not stay in place. Are there any ithers ways to repair hernias instead of mesh?

Recurrent hernias: The incidence of hernia recurrence is dependent on the size and type of hernia, patient factors such as obesity, and the method of repair. The use of mesh has significantly reduced the rate of recurrence, but it is not perfect. When a hernia does recur it is not due to the mesh moving as much as persistence of the same factors which caused the hernia, leading to a "blow-out" ...Read more

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What is the advantages and disadvantages of spinal surgery? Are there any other solutions? What are they? Specifically lumber spinal. What are some of the precautions you have to watch out? What type of job will do in future to prevent it again.

What is the advantages and disadvantages of spinal surgery?
Are there any other  solutions?  What are they? Specifically lumber spinal. What are some of the precautions you have to watch out?  What type of  job will 
do in future to prevent it again.

Complex: The advantages and disadvantages of spine surgery are specific to each condition and the symptoms you are experiencing. The answer is not a simple one and can only be explained based upon your symptoms. Conservative care is the hallmark of the initial treatment and includes medications, pt and exercise and can achieve a 85% success rate in most spinal conditions. If not then surgery. ...Read more

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