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Doctor insights on: Causes Of Enthesopathy

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What can cause enthesopathy in a young child with pain in feet &knees & 1:160 speckled ana.Rhuemo not sure what's wrong cause no joint swelling?

What can cause enthesopathy in a young child with pain in feet &knees & 1:160 speckled ana.Rhuemo not sure what's wrong cause no joint swelling?

Apophysitis: Or growing pains. Very common in that age bracket. Most common is knee or osgood-schlatters and heel or sever's. ...Read more

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What is gluteus Maximus enthesopathy? What causes it? What is periostitis along the gluteal tuberosity caused by? Please help

What is gluteus Maximus enthesopathy? What causes it? What is periostitis along the gluteal tuberosity caused by? Please help

Tendonitis and......: enthesopathy-fancy term for tendonitis. Specifically inflammation of the tendon at the bone attachment or the origin of the muscle in question. Origin is where muscle originates from or anchors to, so when it contacts it can move the joint (in this case the hip). Periostitis is inflammation of the periosteum, the outer fibrous covering of bone. Contains many nerves and vessels. Painful condition. ...Read more

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What is enthesopathy of hip region?

What is enthesopathy of  hip region?

It is : It occurs where a tendon inserts on a bone and it can get irritated and inflamed. ...Read more

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6yo diagnosed with enthesopathy but had MRI yet. Can it be diagnosed w/o mri? Does it always show up on mri? Please explain what is enthesopathy

6yo diagnosed with enthesopathy but had MRI yet. Can it be diagnosed w/o mri? Does it always show up on mri? Please explain what is enthesopathy

Insertion into bone: Enthesopathy is a disorder at the site of the insertion of ligaments, tendons, fascia, or articular capsule into bone (enthesis) and is the result of an inflammatory rheumatic or non-rheumatic disease process. The affected enthesis is found most commonly in peripheral joints such as foot joints, elbow and shoulder joints, or hip joints. Mri can show it, but not always. Blood work also helpful. ...Read more

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Can you have enthesopathy and have a normal mri? Have arthritis and normal mri?What kind of arthritis don't show up on mri?

Can you have enthesopathy and have a normal mri? Have arthritis and normal mri?What kind of arthritis don't show up on mri?

Yes: Mri is sensitive to edematous (swelling) and inflammatory changes in joints and tendons but is dependent upon the severity of the disease and the type of MRI done. Ideally, fat suppression t2 images or stir images need to be performed by the MRI center to see these changes if the disease is early or not severe. At 27 Y.O., it may be to early to see MRI changes although symptoms may be present. ...Read more

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Can enthesopathy (on bone scan) at the achilles' tendon insertion; indicate both an old allusion injury and "new" rejury in the same spot.

Can enthesopathy (on bone scan) at  the achilles' tendon insertion; indicate both an old allusion injury and "new" rejury in the same spot.

Yes and no: Bone scintigraphy is a very sensitive way to detect this type of enthesopathy. However, the lesion can be seen for several months and sometimes many years after the initial inflammation. It depends on several factors such as repeated trauma or overuse of the lower limbs. The intensity of radiotracer uptake may also vary. If it is mild, it is likely to be an "old" injury. Good luck. ...Read more

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6yo pain in knees and top of feet speckeled ANA high ESR has enthesopathy legs r "tired" in am but rheumo says nothing wrong. Whst should I do now?

6yo pain in knees and top of feet  speckeled ANA high ESR has enthesopathy legs r "tired" in am but rheumo says nothing wrong.  Whst should I do now?

Get another opinion: I am not sure the ANA has any clinical significance for the symptoms you describe but another opinion is always a reasonable option. ...Read more

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