Doctor insights on:
Bladder Replacement Options
Knee replacement 2 yrs ago walk with shuffle now slowly worse, female 70, s. I have lost movement in legs, bladder and bowels leg spasm in 1week. Had pain like pluersy for mths. Now In spine ward Hospital MRI ok small abnomalies on spine....Infection?
Good: It is good that you are being looked after on a spine ward as symptoms point to something damaging or putting pressure on the spinal cord or the nerves exiting the spinal cord. A chronic infection could be the cause but it could also be a disc problem, bony overgrowth in the spinal canal, etc. The most important thing is that you are in the right place and a proper work-up has begun. ...Read more
The bladder is a muscular organ in the pelvis that accepts urine from the kidneys, stores the urine at low pressure, & expels the urine during voluntary voiding. Though seemingly a simple reservoir, the bladder is a complex organ intricately connected with the brain and spinal cord with sensory, motor, and autonomic circuits. The muscular layer that contracts during voids ...Read more
Will treatment with BCG for bladder cancer cause possible complications to a recent aortic tissue valve replacement?
Not likely: This is a reasonable concern, but this would be an unusual complication. A 2010 study in journal of urology found that this complication is no more likely in patients with valves and other prostheses than in the general population, and that having a valve should not prevent you from receiving this treatment. ...Read more
Depends: It depends on the age of the patient, how many levels are involved, if instability is present, and how much degeneration is present in the spine. It would be best to have a spine surgeon fully evaluate you with imaging studies and a physical exam. There are people that would not qualify for disc replacements and a fusion would be a better option. ...Read more
Dental evaluation: For a temporary or permanent prosthetic tooth. ...Read more
Am I option less if I want a disc replacement to return to sport but no dr will approve it due to my age (23)?
No but cOnsider this: Get new doctors you might ask yourself why trained professionals don't think you are a good candidate for this controversial surgery this no, may be in your best interest. Risks may outwiegh benefits chance of sucess may be deemed low in your case for a variety of reasons risks of anterior approach to spine include retrograde ejaculation leaves you sterile a problem at your age friendly warning. ...Read more
What hip replacement materials exist? What are the different material options for hip replacement and their pros and cons?
Hip Materials: Engineers are always trying new materials in hope of making hips last longer. Sadly most of the new materials have not worked as well for the majority of patients. Ceramics break and squeak, metal on metal has caused some problems for patients with metal reactions, leaving metal on plastic (the old fashioned way) as the best answer for most patients. The plastics are newer and may last longer. ...Read more
Hi, I am looking for a replacement drug for exforge and that is covered under classic saver option. Would I need to visit my GP to have the change done?
Can you tell me if the testosterone replacement theraphy is the only option to go for increasing the testosterone?
What are the best options for types of hip replacement. Metal on metal, metalon plastic, porcelan cap, etc. Which one last the longest. I?
Many options: There are many choices when it comes to the materials used for hip replacement surgery. The most thorough study of implants materials to date comes from the Australian Joint Replacement Registry- an extremely large collection of data from thousands of surgeries. The best material at this time seems to be Oxidized Zirconium (known as Oxinium) with highly cross-linked polyethylene. ...Read more
Is hip resurfacing better than hip replacement? I am looking into my options when it comes to hip replacement. Is hip resurfacing better? .
No: In general, hip resurfacing in women has a higher failure rate than total hip replacement. It is more dependent on the size of the components, but most data shows women with higher failure rates after hip resurfacing. Hip resurfacing is metal-on-metal and generates metal ions whihc can be toxic in high doses. Most surgeons have abandoned hip resurfacing bc of the complications. ...Read more
Simple stuff first: There are very few downsides to trying prolotherapy. You can try prolotherapy and if it does not work then consider other options for arthritis such as knee replacement. Knee replacement is the last option and should be considered after several other arthritis treatment options have been exhausted. There is no going back to prolotherapy after tkr. ...Read more
Are there any options down the pike for significant mitral valve leak instead of replacement. She had rheumatic fev & te test:valve can't be fixed?
Repair (Sometimes): In some cases the valve can be repaired by a surgeon, and these repairs tend to last a while. However, the surgeon might not know for sure until the patient is in the operating room and they actually see the condition of the valve. The echocardiogram gives the docs a good idea of what the valve looks like, but understand that it is not a perfect test. Be sure to see a cardiologist regularly. ...Read more
Need to have upper left first molar extracted, what are my replacement options? I know that one of them is an implant, but I don't think I would be able to afford that. Another option I was looking into was a bridge. I know there are 2 types of bridges. O
Affordable Dentistry: Implant dentistry has the best results when done properly, for a single tooth replacement. Major studiesof bridges versus implants showed that after 17 years of use 35% of bridges had failed. 3-5% of implants. You are lucky to live in hartford as there is the uconn health ctr in farmington where you can get discounted care from post-doc dental residents. ...Read more
What are injection options for knees that won't further deteriorate the joint? Trying to prolong total knee replacement but am in immense pain
Yes: Joint replacement surgery is not an easy affair. Talking to an orthopedic surgeon about strategies to avoid it is a smart option. Surgery is the last place to start. ...Read more
Depends?: If your husband has developed an infection then the best option is to be evaluated by an orthopaedic surgeon who is specially trained in joint replacement surgery to give you options. ...Read more
Ask the surgeon: After just about any orthopedic surgery, the exact rehab protocol is directed by the surgeon. There are many factors that influence what should be done and when as well as what should not be done. The best person who can consider all those factors is the surgeon. This could be not more applicable to shoulder replacements. ...Read more
Am I at the mercy of my doctor when it comes to brand and type of pacemaker replacement I get? Do I have any input? How can I research my options?
Speak with him: Speaking with your MD regarding this concern is key. He is performing a procedure on you so it is important your are comfortable with what is going on. From experience, no significant difference comes from different brands. This is your body and having your questions answered before proceeding is completely valid. ...Read more
I'm 27 years old and have osteoarthritis in both hips....And need a full replacement of the left....Is cortisone injections a good option?
Yes options: There are several types of total knee designs. Most major companies make good products today. If you are young, ask your doc the survival rates of the design they use. There are several designs now with >20 year survivorship. Most important variable is a great installation with precision alignment and ligament balancing by your surgeon. If only one side is worn look into makoplasty partial knees. ...Read more
Other options: The root of the black cohosh plant is an herb which may be beneficial for hot flashes, but which should be avoided if there is liver illness. It is suggested that the lignans in flaxseed and flaxseed oil may help night sweats/ to obtain the most benefit from flaxseed oil, it should be cold grinded. The plant Estrogens in red clover may be helpful with mild menopausal symptoms but may be >>. ...Read more
None: You have covered them all. See a prosthodontist to determine the options and optimal treatment for you. Good luck. ...Read more
Does knee replacement treat arthritis? Is knee replacement a good option for treating arthritis? .
Arthritis: Arthritis by definition is the loss or wearing away of the articular cartilage within the knee joint. In a total knee replacement, the cartilage is replaced with the prosthetic components, thereby getting rid of the arthritis permanently. For severe, end-stage arthritis, knee replacement is the best option. ...Read more
What are the best/safest options of testosterone replacement therapy? Pellets/injections/patches/gels?
Pellet: My patients seem to get better and more consistent levels with testosterone pellets. In addition to better levels, the convenience factor puts it at the top of the list. Generally, an insertion for males will last 4-5 months, females, 3-4 months. For those who don't want pellets, my suggestion would be to use injections next and patches last. ...Read more
I've had 2 surgeries in 3 yrs for my still extremely painful ankle and have severe arthritis, is a replacement my only option?
No: There are two conventional options and an emerging third option for patients with ankle oa. Which option is best is highly dependent on age, medical condition, and whether there are other problems in the foot and ankle. The conventional options are: fusion of the ankle joint, or replacement. A third option being tried is allograft replacement where we use the ankle joint from a cadaver. ...Read more
I'm 30, with 21 degrees off alignment knee, what are my options other than osteotomy and full knee replacement, surgery is ok what options are there?
That's all: That is a very large deformity. Total knee and osteotomy are the only surgical options to correct your deformity. ...Read more
Is there an option to repairing a knee that has worn out cartilage, other than total knee replacement?
MAKOplasty: I have performed over 560 makoplasty procedures and it is very very safe. It is superior to all other techniques for precise installation of partial knee replacements. When performed by an experienced makoplasty surgeon, it allows us to balance the tension of your ligaments within a millimeter and make the implants track centrally so they last decades. Mine all go home the same day, little pain. ...Read more