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Doctor insights on: Disarticulation At Knee

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Knee pain when stand/walk. Osteophytes at bilateral tibial spines. Patellofemoral joint spaces reduced. Early osteoarthritis. Need surgery to treat?

Knee pain when stand/walk. Osteophytes at bilateral tibial spines. Patellofemoral joint spaces reduced. Early osteoarthritis. Need surgery to treat?

Not necessarily: Medications, physical therapy, bracing, and even injection therapy are ways to treat early arthritis of the knee without surgery. Consider being seen to discuss which options might be best for you. ...Read more

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Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

Maybe: This decision is best made by your own orthopedist who has direct access to your x rays. A second opinion never hurts. In someone so young, if you can get away with something short of a total joint replacement, it is always preferable to do so. ...Read more

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Knee pain, instability and painful cracking. MRI shows degeneration of meniscus but no tear. Severe Osteoarthritis. Am I looking at knee replacement?

Knee pain, instability and painful cracking. MRI shows degeneration of meniscus but no tear. Severe Osteoarthritis. Am I looking at knee replacement?

Eventually: Yes, a knee replacement is almost certainly in your future. However, 55 is on the young side for this surgery. Knee sleeves, NSAIDs and injections such as Synvisc (hylan g-f 20) or Orthovisc may help and should be tried first. ...Read more

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Knee pain, instability, and painful cracking. MRI notes meniscal degeneration, no tear and severe osteoarthritis. Am I looking at a knee replacement?

Knee pain, instability, and painful cracking. MRI notes meniscal degeneration, no tear and severe osteoarthritis. Am I looking at a knee replacement?

Maybe: Although the MRI shows severe Osteoarthritis the decision about knee replacement is based on how you are functioning rather than the MRI image. Physical Therapy, medications, weight control and non drug interventions (such as Tai Chi) can help to reduce pain/improve function. You may want to discuss a comprehensive program with your health care provider as well as an Orthopedic doctor. ...Read more

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7 yrs bilateral ulnar pain at wrist/elbow. 3mm bulge@C4.NegativeEMG/NCV. Edema at ulna,fat atrophy at opponen digiti minimi.No mass.Shoulder/neck pain?

Myelogram: You may need another opinion and a myelogram. other considerations are some kind of musculoskeletal arthritis syndrome and a rheumatologist may also be of assistance ...Read more

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Right knee advanced loss of articular cartilage in medial compartment of tibio femoral and patella femoral joints. What are surgical options?

Right knee advanced loss of articular cartilage in medial compartment of tibio femoral and patella femoral joints. What are surgical options?

Best answered by Ur-: Treating ortho. There R a few options, but one needs 2 C Ur x-rays and do a hands on xam. The options R from a high tibial osteotomy, arthroscopic debredment,or TKA, tho Ur young 4 the TKA? There R also injections like synvisc (hylan g-f 20) or steroids. ...Read more

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Searing nerve pain in knee cap and at joint of leg from strain?

Searing nerve pain in knee cap and at joint of leg from strain?

See your doctor: Symptoms like these are best deterimed by a thorough evaluation by your physician. Based on his/her findings, a treatment plan can be developed to help you. ...Read more

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Knee MR found advanced loss of articular cartilage in medial compartment of tibio-femoral and patella-femoral joint. What are my options?

Knee MR found advanced loss of articular cartilage in medial compartment of tibio-femoral and patella-femoral joint. What are my options?

Depends: Medications / injections or surgery. Depends upon how much pain you have and what your response to prior interventions has been. Generally try the easy things first and advance to surgery when nothing else works. ...Read more

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Hurting at the knee and hip area?

Hurting at the knee and hip area?

Hip or knee: Could be a problem with your hip, your knee or both. A good physical exam and if indicated by exam, x-rays should be able to determine the cause of your pain. ...Read more

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Multiple kneecap dislocations. Two failed lateral release 8 months. Trochler groove pretty straight across. Arthritis . Tkr vs mpfl?

Multiple kneecap dislocations. Two failed lateral release 8 months. Trochler groove pretty straight across. Arthritis . Tkr vs mpfl?

Let me explain: It depends on how much arthritis you have in the knee, if the joint really have a lot of arthritis i would advise tkr. If the changes are not much you have the reconstruction for know and possibly the tkr if needed when are more older . Good luck. ...Read more

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For post patellar dislocation, can knee supports really support the knee from recurring patellar dislocation?

For post patellar dislocation, can knee supports really support the knee from recurring patellar dislocation?

Patellar dislocation: If you do your rehab and utilize your brace you have a chance for recovery without recurrence, but you are more at risk for redislocation than individual that has not had a dislocation. There are multiple structural factors which come into play. This is something for you to discuss with your orthopedist ...Read more

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27 year old female..Had lateral patellar dislocation in feb.My MRI shows bone bruise on lateral condyle of femur and minimal joint effusion.Treatment?

27 year old female..Had lateral patellar dislocation in feb.My MRI shows bone bruise on lateral condyle of femur and minimal joint effusion.Treatment?

Conservative : Treatment- nsaids, warms packs /ace wrap application, physical therapy, immobilization with a brace.The small fluid accumulation may resolve by itself otherwise it needs to be drained if it builds up. Follow up with ur orthopedic. Best wishes! http://reference.Medscape.Com/article/90068-treatment#showall. ...Read more

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Knee dislocation 1mth ago recent MRI says lrg joint effusion-oedema in region of medial patellar retinaculum& patellofemoral ligament-meaning how2 fix?

Knee dislocation 1mth ago recent MRI says lrg joint effusion-oedema in region of medial patellar retinaculum& patellofemoral ligament-meaning how2 fix?

? Patellar dislocate: Sounds more like a patellar dislocation. Rx varies with traumatic, 1st time, no trauma involved, also depends on ur alignment . Could b surg repair 2 realignment procedure , soft tissue or boney or both. A lot needs 2 b taken into evaluating the cause & then deciding on a rx. ...Read more

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Ankle pain, no injury. Start with heel pain on L, ankle, move to achilles, outer ankle bone, then L ankle can't bear weight. Then, R outer ankle bone?

Ankle pain, no injury. Start with heel pain on L, ankle,  move to achilles, outer ankle bone, then L ankle can't bear weight. Then, R outer ankle bone?

Pain: can be arthritis and compensating to other side causing pain. It is common issue with plantar fasciitis patient will favor the other side and then they get inflammation to the joint area ...Read more