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Doctor insights on: Chondral Damage

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How does articular cartilage damage affect recovery from partial meniscectomy?

How does articular cartilage damage affect recovery from partial meniscectomy?

Slows recovery: Meniscus tears resolve quickly after partial meniscectomy. The finding of cartilage damage puts a cloud over your recovery and ability to return to running. It will definitely slow it up to 6 weeks. The grade, location and size of the area of cartilage damage will ultimately come ino play. Articular damage often has no effect. Remain positive do physical therapy and listen to doc. ...Read more

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Can nerve damage repair itself?

Can nerve damage repair itself?

Sometimes: A broad question, because there are many ways a nerve can be damaged: compression (carpal tunnel), crush, cut, etc. A "bruised" nerve can heal itself; it grows back at about 1 inch/month. If the nerve is divided, it may occasionally heal, but more often needs surgical repair--and this doesn't always result in return of function. ...Read more

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Two fissures in articular cartilage (grade III chondromalacia patellae). No arthritis, softening, or degeneration. Could cartilage possibly heal?

Two fissures in articular cartilage (grade III chondromalacia patellae). No arthritis, softening, or degeneration. Could cartilage possibly heal?

Unlikely : Grade 3 chrondromalcia basically means early arthritis of your kneecap. Extremely common.You need to discuss w/ your ORS and not your radiologist.(2) fissures? How do u know...? In order to have any fissures chrondromalcia is present . At any rate, articuclar cartilage does not heal but I would not worry about it. See ORS for remedies to avoid progression. Best of Luck! ...Read more

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Can a torn ACL and partially torn meniscus cause long term knee damage?

Can a torn ACL  and partially torn meniscus cause long term knee damage?

Yes: Without surgical rx of both acl & meniscus. U r left with serious mechanical & instability issues in ur knee that will lead 2 wearing of the joint surfaces and arthritis early on. @ ur young age it needs to b fixed now. ...Read more

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Mri result: 1-2mm cartilage injury or degeneration in weight bearing medial femoral condyle possibly involving free edge of meniscus. What next?

Mri result: 1-2mm cartilage injury or degeneration in weight bearing medial femoral condyle possibly involving free edge of meniscus. What next?

Medial Knee Pain: As a podiatrist, i would team up with an orthopod and physical therapist to help you. I would design wedges for your shoes to off weight the sore area, while you work on strength, flexibility, knee bracing, activity modification, and anti-inflammatory measures. Dr rich blake. ...Read more

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MRI notes medial meniscus root tear, & moderate to large joint effusion?

MRI notes medial meniscus root tear, & moderate to large joint effusion?

Orthopedic: Please see an orthopedic surgeon, as you may require arthroscopic repair. Good luck. ...Read more

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Optic nerve damage reversible?

Optic nerve damage reversible?

Depends: On time, severity, etc. Specifically depends if the neurons have died (not recoverable at this time since an extension of the central nervous system) or are just in "distress" and could recover when the inflammation or inciting factor is resolved. Typically, not reversible to normal. ...Read more

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ACL-deficient knee does a hypermobile lax acl exist without rupture? Can a lax hypermobile knee cause damage to the articular cartilage?

ACL-deficient knee does a hypermobile lax acl exist without rupture? Can a lax hypermobile knee cause damage to the articular cartilage?

Loose joints: Hyperlaxity of the patella can lead to Patellofemoral joint damage of the knee. This usually occurs after repetitive patella dislocations or subluxations. ACL insufficiency usually does not occur in people w hyperlaxity. Albeit they may be more prone to a ACL rupture. I hope this info helps. ...Read more

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L1fracture and reproductive nerve damage possible?

L1fracture and reproductive nerve damage possible?

Pudendal Nerve: Root value is s2, (racepinephrine) s3, s4. If you have a L1 fracture, (pretty far: 5-6 inches from s2: l1, l2, l3, l4, l5, s1, s2, (racepinephrine) s3, s4, s5) in order to affect spinal cord and s2, (racepinephrine) 3, 4, a lot more things including strength in lower legs would be affected. If your strength in your legs fine, it would be difficult to imagine you affected the fibers coming out lower. http://www.pudendal.com. ...Read more

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Can nerve damage heal?

Yes: If the damage does not cause the nerve to be completely cut, then healing can occur. If a nerve has been cut, it will need to be reconnected in order to grow. Nerve grows about 1 mm/day, so depending on where the injury is, it may take over a year for recovery. It is difficult after a nerve is cut to get 100% recovery, but some return of sensation can be expected after repair. ...Read more

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Treatment for radial & longitudinal tears of the posterior horn medial meniscus, severe knee osteoarthrits moderate joint effusion, diffuse synovitis?

Treatment for radial & longitudinal tears of the posterior horn medial meniscus, severe knee osteoarthrits moderate joint effusion, diffuse synovitis?

Numerous : The most definitive option is a knee replacement. Knee arthroscopy is not likely to be helpful at this point. Various injections such as cortisone, hyaluronic acid/joint fluid or platelet-rich plasma are reasonable options. Meds, braces and PT are considerations. If I can help, then join my care team and virtual practice at www.healthtap.com/dr-clarkeholmes ...Read more

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MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?

MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?

Talar Dome Lesion: Kolleen, you have a large lesion off soft bone inside your ankle. Surgery can be an option, but attempting to create a pain free environment (from boot to just activity restrictions), contrast bathing nightly to increase circulation, Exogen bone stimulator for 9 months, repeat MRI in 6 months to see if improvement is being made, and other treatments available may avoid surgery. Dr Blake ...Read more

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MRI Grade 2/3 chrondromalacia glenohumeral joint w/ high grade cartilage loss, Bone marrow edema of the humeral head, mod. Glenohumeral effusion?

MRI Grade 2/3 chrondromalacia glenohumeral joint w/ high grade cartilage loss,  Bone marrow edema of the humeral head, mod. Glenohumeral effusion?

Degenerative changes: This constellation is typical of osteoarthritic degenerative changes. The cause is non-specific and can be related to prior shoulder trauma or just a life time of heavy use. ...Read more

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Can nerve injury mean the same as nerve damage or spinal cord damage?

Can nerve injury mean the same as nerve damage or spinal cord damage?

No : Nerve injury is different than spinal cord damage. Spinal cord damage is more severe than nerve injury. ...Read more

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Can nerve injury mean the same as nerve damage or spinal cord damage?

Can nerve injury mean the same as nerve damage or spinal cord damage?

No: The nerves are outside the axial skeleton, and the spinal cord is contained in the bony structure. ...Read more

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Is optic nerve damage reversible?

Is optic nerve damage reversible?

Sometimes: Some optic nerve damage is reversible. For example, optic neuritis frequently recovers completely, when the cause is found and can be treated. Optic neuropathy due to vascular disease sometimes recovers. Traumatic injuries of the optic nerve may or may not recover. ...Read more

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