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Doctor insights on: Chemo Cap Knitting Pattern

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Loud painful peroneal subluxation started w/ ROM exercises after ankle surgery. Now snaps stairs & walking. Egg shaped swelling over bone. Treatment?

Loud painful peroneal subluxation started w/ ROM exercises after ankle surgery. Now snaps stairs & walking. Egg shaped swelling over bone. Treatment?

A subluxing or disl-: locating peroneal tendons need surgical correction. there are many different ways to do this. I always did a fibular osteotomy, cut the tibia partially thru to make a sliding bone fragment that can be slid posterior to make a barrier that prevents the anterior movement of the peroneal tendons. ...Read more

Dr. Devon Webster
972 doctors shared insights

Chemotherapy (Definition)

The term chemotherapy typically is used to describe using chemicals to treat ...Read more


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20 yr old son, college baseball player, ulnar wrist pain, mri-intraocceous ganglion within lunate with marrow edema. treatment? Worsen if plays?

20 yr old son, college baseball player,  ulnar wrist pain, mri-intraocceous ganglion within lunate with marrow edema. treatment? Worsen if plays?

Surgery: Would want to discuss directly with hand specialist, but would likely need surgery, although could potentially be done in off season. The combination of the ganglion inside the lunate weakening the bone and your sons sporting activity are causing edema in the bone, which is somewhat like having a stress fracture in the bone. If he has future hopes in baseball, will Likely need to be fixed. ...Read more

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11.9 female with current bone age of 14 years. She is 4'11''. Xr bone age impression "near complete fusion of growth plates. Partially open plates of distal radius and ulna. Mom is 5'7' dad 6'1. Help?

11.9 female with current bone age of 14 years.  She is 4'11''. Xr bone age impression "near complete fusion of growth plates. Partially open plates of distal radius and ulna. Mom is 5'7' dad 6'1. Help?

Peds endocrinologist: This is really specialized care that you want to see a pediatric endocrinologist. She is right at the borderline of being appropriate for growth hormone treatment. Growth hormone treatment is very expensive. But using it now might be able to have her gain a couple more inches in height. ...Read more

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2 previous wrist surgeries for carpel tunnel/thumb fusion. Chronic pain+lump inside wrist. Now pulling tree roots & wrist popped with immed wrist pain?

2 previous wrist surgeries for carpel tunnel/thumb fusion. Chronic pain+lump inside wrist. Now pulling tree roots & wrist popped with immed wrist pain?

You would think an-: -adult who had all these procedures you might think twice about pulling tree roots. Get back to your hand surgeon and confess, & see what you did. ...Read more

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Age 22 male suffering from ocd. 2.8 CM lesion at mfc fixed internally using 3 screws. Right now using elbow stick how much recovery time i can expect?

Age 22 male suffering from ocd. 2.8 CM lesion at mfc fixed internally using 3 screws. Right now using elbow stick
how much recovery time i can expect?

Recovery time varies: Recover time will vary depending on many factors including age, general health of the patient, infection control, smoker or not, blood sugar control, the exact type of procedure, and post-operative and follow up care. Discuss it with your surgeon and get their opinion as to what they feel is a reasonable recovery time for you. ...Read more

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Missing myelin. Right ring & pinky sluggish. Myelin won't grow back, but, taking piano lessons. Will diligent practice improve function, i.E. Pt ?

Depends: Depends on the reason for the loss of myelin. Myelin can "grow" back but it depends on many factors that are disease specific. Practice usually helps especially if you have some strength left. ...Read more

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Injured patella 5 mos ago diagnosis of bone marrow adema - a mos ago resumed normal activities - now sharp lateral pain upon squatting - and numbness to foot?

Injured patella 5 mos ago diagnosis of bone marrow adema - a mos ago resumed normal activities - now sharp lateral pain upon squatting - and numbness to foot?

See an orthopedist: You need to see an orthopedist. There may have been an injury to a meniscus or to the bursa under the patella that needs to be treated ...Read more

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Siderotic synovitis unknown origin, subtotal synovectomy 8/2013, rt knee, good rom but always stiff, often sore down stairs, no arthritis, normal??

Siderotic synovitis unknown origin, subtotal synovectomy 8/2013, rt knee, good rom but always stiff, often sore down stairs, no arthritis, normal??

This is due to bleed: Since not all of the synovium was removed there may be persistent synovitis. The question also is do you still have bleeding into the joint. Have you had a post operative MRI to see if synovitis persists? You of course also need persistent exercise to make certain the surrounding musculature is good and stays strong to support the knee. You need to discuss with your doctor. ...Read more

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38 aa female. Confirmed for hla b27 and anksoling spondyl.. Unveitis since age 20, cataract at 24, ocular prosthetic at 36. Humira (adalimumab) & mtx, what's next?

38 aa female. Confirmed for hla b27 and anksoling spondyl.. Unveitis since age 20, cataract at 24, ocular prosthetic at 36. Humira (adalimumab) & mtx, what's next?

Uveitis!: Uveitis is one of the leading causes of blindness in the working age people. Having said that it is probably a statistic from 10+ years ago, when there were no biological infusions or intravitreal injections. The leaps and bound in the rheumatology and uveitis treatment have been eneromous. See an up to date rheumatologist and an ophthalmologist that will aggressively treat this! ...Read more

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Male friends xray very early oa change fullness of suprapatellar space consisten with small joint effusion? Plays soccer w:76kg h: 174cm mostly muscel

Male friends xray very early oa change fullness of suprapatellar space consisten with small joint effusion? Plays soccer w:76kg h: 174cm mostly muscel

Somewhat vague: You do not mention an injury occurring, but knee injuries are frequently encountered in soccer. The early oa changes likely indicate that there is some evidence of cartilage loss on the xray. This is not uncommon. The joint effusion may indicate that there is some internal derangement in the knee (e.g., a ligamentous injury). If he had injury and has pain, consider sports med consult and mri. ...Read more

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What is the recovery time for a 10 YO with a distal femur benign tug lesion/cortical desmoid? Are activities like volleyball that don't cause pain ok?

What is the recovery time for a 10 YO with a distal femur benign tug lesion/cortical desmoid? Are activities like volleyball that don't cause pain ok?

Brief recovery time: This is a benign and self limited lesion that requires no more than rest and pain relief with ibuprofen if needed. It is not serious and usually occurs in the presence of athletic activity. Sometimes it is found as an unrelated and insignificant finding on MRI done for other reasons. A few weeks at most of rest and use of ibuprofen if painful and activities that do not cause pain are ok ...Read more

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Age 22 male suffering from ocd. 2.8 CM lesion at mfc. What are the changes of healing using microfracture drilling. Internal fixation was unsuccessful?

Age 22 male suffering from ocd. 2.8 CM lesion at mfc. What are the changes of healing using microfracture drilling. Internal fixation was unsuccessful?

Pain relief possible: Microfracture can reduce symptoms and pain successfully 80% of the time. Unfortunately, the cartilage defect persists, and the results can deteriorate. Cartilage plug techniques exist that could fill the defect if microfracture does not work. ...Read more

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Vibration inside/under heel lasting 2 seconds. Stop 4-5. Repeat. No spur (per x-ray). Mild swelling posteriorly mid calf to achilles. Hair loss on leg?

Vibration inside/under heel lasting 2 seconds. Stop 4-5. Repeat. No spur (per x-ray). Mild swelling posteriorly mid calf to achilles. Hair loss on leg?

Vibration: more than likely the vibration is nerve pain. Some cases of plantar fasciitis involve the infracalcaneal nerve branch under the heel- it gets entrapped when there is a lot of inflammation. Antiinflammatories help, or ice. The mid calf pain could be posterior tibial tendinitis - the tendon that holds up your arch. This tendon and plantar fasciitis are related. Try an arch support ...Read more

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Shoulder MRI: What does this mean? Focal bony proliferation w/focal chondral labral separation suspected @ posterior labrum at the 8 o'clock position?

Shoulder MRI: What does this mean? Focal bony proliferation w/focal chondral labral separation suspected @ posterior labrum at the 8 o'clock position?

Labral tear: See an experienced shoulder arthroscopist to assess clinical correlation w/ this MRI report.Basically it means you MAY have a labral( cartilage) tear of your shoulder in the 'back' portion ( posterior)of your glenoid( shoulder socket).the possible 'bony proliferation' may be a response to a long- standing labral tear.Clinical Correlation needed! Best of Luck! ...Read more

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Hurt wrist/hand joint near bony protrusion on pinky side hitting heavy bag. MRI shows some fluid/bursitis. Pain same after 3 mos. Normal heal time?

Tenosynovitis: Can become intractable. If conventional treatment (NSAIDs, splinting, physical therapy,etc) hasn't worked steroid injection into the affected tendon sheath under ultrasound guidance can often provide quick relief. ...Read more

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Treated 6 yr old daughter for eczema across knuckles of hands bilaterally. Now rt thumb cuticle very receded, anterior nail exposed. Same condition?

Treated 6 yr old daughter for eczema across knuckles of hands bilaterally.  Now rt thumb cuticle very receded, anterior nail exposed. Same condition?

Most likely: Eczema, as well as its treatment with steroid creams can .cause skin changes. The goal should be to find a balance with concomitant use of emollients and other moisturizers to decrease the need for steroids ...Read more

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Kras ?Adenocarcinoma? Mutation? New trial drugs with Ins. & Tissue Eval.  What is the doctor really saying to 70 year  NSCLC pat.9 month ..meets w/new cell grow

Kras ?Adenocarcinoma? Mutation? New trial drugs with Ins. & Tissue Eval.  What is the doctor really saying to 70 year  NSCLC pat.9 month ..meets w/new cell grow

Describing the Tumor: So it sounds like the oncologist has really just given you a lot of descriptors to help describe the tumor. The idea is that if we know this information we can select therapies that are more likely to work. For example, whether a patient has a k-ras mutation helps predict whether a tumor may be resistant to a certain drug. ...Read more

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Fit 54 y, hip replacement, 12 weeks post: increased disability/pain; pain on change of position; abnormal painful walking. Prosthesis placement good?

Fit 54 y, hip replacement, 12 weeks post: increased disability/pain; pain on change of position; abnormal painful walking. Prosthesis placement good?

Don't Know: Worsening symptoms 3 months after a hip replacement can mean anything from simply overdoing it in rehab or having inadequate rehab to having an infection. You should be evaluated by your surgeon. ...Read more

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