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Doctor insights on: End Plate Sclerosis

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How serious is a superior end plate compression fracture at t12 in the spine?

How serious is a superior end plate compression fracture at t12 in the spine?

Can be: Most spine fractures will heal within 3 months with bracing, limiting strenuous activity and close follow-up with a spine specialist. Some fractures require surgical stabilization and kyphoplasty is an option for elderly patients with compression fractures. Check out spine-health.Com. ...Read more

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Dr. Patricia Foster
3 doctors shared insights

Sclerosis (Definition)

We neurologists employ the term to describe localized damage involving the central nervous system, and sclerosis means scarring. If in many areas, might be multiple sclerosis. If affecting the motor nerve cell, ...Read more


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Non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx what is non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx and what will happen woith treatment

Non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx what is non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx and what will happen woith treatment

There : There are three bones in the little ("pinky") toe (some folks only have two), and they are called phalanges (the pleural of "phalanx"). The one closest to the foot is the proximal phalanx, the one closest to the end of the toe is the distal phalanx, and the one in the middle is called.... Well, it's the middle phalanx. The diaphysis of a long bone (these are all considered "long" bones even though they're not really all that long) is the middle section of the bone. Transverse means sideways, and fracture means break. So to translate med-speak to english (google should think of doing something like this), you have a sideways fracture in the bone closest to the foot in your pinky toe in the middle of the bone. Non-displaced means the pieces are lined-up nicely, and there is no need to "reduce" it (put the pieces back in alignment). So this is really good news for you.... You don't need to have the thing put back in place, and the fracture is in the middle of the bone, so it doesn't cross or involve a joint, which means you're not gonna get arthritis in the toe later on (at least not from this fracture). Bone takes 6-8 weeks to heal, and since the 5th toe has it's own motion during the gait cycle, you really can't tape a 5th toe to a 4th toe. And there is no need to put a cast on for a toe fracture. So just keep your walking to a minimum for the next 2 months or so. Now's not the best time to do your christmas shopping... In case you have that planned for this weekend like i do... And you'll probably be more comfortable in a shoe with a stiff sole, because bending the toe with every step is going to cause that little piggy to go wee-wee-wee all the way home. How'd i do? ...Read more

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What is superior end plate defect of L4 vertebral body?

What is superior end plate defect of L4 vertebral body?

It means that the : top part of the spine bone known as the vertebral body in the lower back or lumbar region labeled 1 thru 5 has a crack or depression into it due to degeneration, injury such as a fracture or related to a disc pushing into the bone. Sometimes in can be congenital or born with it when part of the growth ring does not fully join to the vertebra. ...Read more

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Xr lumbar spine there is some irregularity of the inferior end plate L5 increased sclerosis of the articular processes throughout the lumbar spine, ?

Xr lumbar spine there is some irregularity of the inferior end plate L5 increased sclerosis of the articular processes throughout the lumbar spine, ?

Fairly common: Description for imaging by age 30 relating more to age relatd degenerative changes particularly at the lower two disc spaces ascwell as involving the small joints or articular processes of the back with two facet joints found at each disc level. This can be further affcted if one smokes ;/or obese. Genetics also play a role while ther is mixed data as to other possible environmental causes. ...Read more

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"Xr lumbar spine there is some irregularity of the inferior end plate L5 increased sclerosis of the articular processes throughout the lumbar spine, ?"

"Xr lumbar spine there is some irregularity of the inferior end plate L5 increased sclerosis of the articular processes throughout the lumbar spine, ?"

Varies : Increased sclerosis on the articular processes throughout the spine is another way to say you have diffuse arthritic changes in you spine. The end plate irregularity is harder to say without seeing the film, it can also represent a change seen in arthritis, but can also represent a fracture or even be seen in an infection of the vertebrae. You should see your doctor to go through it with you. ...Read more

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Girl child ending 13 years soon ..Phalanges & metacarpels fused..But epephyses of lower end of radius and ulna not fused...Can she grow taller [4.10"]?

Girl child ending 13 years soon ..Phalanges & metacarpels fused..But epephyses of lower end of radius and ulna not fused...Can she grow taller [4.10"]?

Final adult height: What is important also to know if she has a good potential to grow taller is to know how sexually she is mature and what is her bone age. ...Read more

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Will the numbness ever end with multiple sclerosis?

Will the numbness ever end with multiple sclerosis?

Let's assess: I have no information about your course, location of symptoms, additional problems, or even if you take medications or even have a doctor. Generically, if you do have ms, take vitamin d supplements, use a potent medication such as gilenya, tysabri, (natalizumab) or tecfidera, as these could reverse prior problems. Make sure you do not possess a neuropathy secondary to b-12 deficiency. ...Read more

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What is the treatment for subacute superior endplate compression fracture of L1; already have a spinal fusion from T10-L2 with Wilson Plates in 1980?

What is the treatment for subacute superior endplate compression fracture of L1; already have  a spinal fusion from T10-L2  with Wilson Plates in 1980?

You should: evaluate the status of KYPHOPLASTY which was introduced a number of years ago to treat compression fractures! Hope this helps and BTW Physical Therapy may be a good start! Dr Z ...Read more

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Subchondral linear focus of hypointense signal at proximal aspect of navicular, which may be subchondral fracture or avascular necrosis. Explain?

Subchondral linear focus of hypointense signal at proximal aspect of navicular, which may be subchondral fracture or avascular necrosis. Explain?

Is this an MRI?: It sounds like you are reading an MRI report, what they are describing is abnormal signal on the MRI in your Navicular ( one of the bones in your foot) It sounds like there could be a fracture - maybe you had an injury, or if there was no injury but you have had pain and there is an area just below the surface of the joint that the bone has died (Avascular necrosis- AVN) hope that helps ...Read more

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From a lumbar MRI what does increased discogenic marrow edema & end plate degenerative changes at L4 & 5 mean and treatment?

From a lumbar MRI what does increased discogenic marrow edema & end plate degenerative changes at L4 & 5 mean and treatment?

Arthritis....: It means that the level of L4 and L5 that there is almost bone on bone causing changes at the endplate (spine body borders) and increased swelling in the underlying bone. Treatment varies, est to discuss with your doctor. ...Read more

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How bad is a tiny avulsion fracture at the base of the proximal phalanx laterally 1x2 mm .?

How bad is a tiny avulsion fracture at the base of the proximal phalanx laterally 1x2 mm .?

Which side?: If on the palm side of the finger, it is a volar plate avulsion. These are treated like sprains with early motion - just need to avoid hyper extension. If on the top side, it may represent a tendon rupture - these require splinting and sometimes surgery. ...Read more

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There is a osteophytosis with disc space narrowing, end plate irregularity and disc desiccation at L1-2 and L5-S1.

There is a osteophytosis with disc space narrowing, end plate irregularity and disc desiccation at L1-2 and L5-S1.

Degenerative disc : Not universally symptomatic may be an asymptomatic incidental finding take care assuming the these findings cause any symptoms/ pain ...Read more

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Should I do surgery of subtle volar fracture through proximal base of proximal phalanx of thumb with volary distraction of avulsed fracture fragment?

Should I do surgery of subtle volar fracture through proximal base of proximal phalanx of thumb with volary distraction of avulsed fracture fragment?

See a hand surgeon: Fractures through joint surfaces are generally more problematic than those outside of joints. Depending on a number of factors, they may predispose to the onset of early arthritis in the joint if the surface is not reconstructed accurately. I would see a hand surgeon to evaluate the particulars of your case. Good luck. ...Read more

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Complete overriding fracture are noted in the distal thirds of right radius and ulna possible of healing even without metal plates?

Complete overriding fracture are noted in the distal thirds of right radius and ulna possible of healing even without metal plates?

See an orthopaedist: Adults do not usually do better with reduction of the injury you describe. It might heal, but you would probably lose function (muscle strength, mobility to position your hand). See an orthopaedic surgeon that cares for upper extremity (arm) trauma. ...Read more

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Whats the long term prognosis of lateral tibial plateau fracture following orif/ 2 screw placement?

Whats the long term prognosis of lateral tibial plateau fracture following orif/ 2 screw placement?

Tibial Fracture: If the joint surface is exactly restored it is unlikely that arthritis will develop. All should go well after the healing period and pt. ...Read more

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Got my bone scan. Multifocal uptake seen in mid to distal radius and ulna? Subtle uptake in distal aspects of both bones but no bony lesions? Meaning?

Got my bone scan. Multifocal uptake seen in mid to distal radius and ulna? Subtle uptake in distal aspects of both bones but no bony lesions? Meaning?

Confused: We cannot answer this question without knowing the reason for the bone scan. Also, what type of scan was it? Without any background there are many reasons for uptake: trauma, fracture healing, tumors, cancer, arthritis...etc. what are your symptoms? Do you have pain? ...Read more

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Grade 1 anterolisthesis of L5 over s1 with fatty marrow conversion at left L5 pars inter articular with bowing indicative of a healed fracture, 22yo/m?

Grade 1 anterolisthesis of L5 over s1 with fatty marrow conversion at left L5 pars inter articular with bowing indicative of a healed fracture, 22yo/m?

Spondylolisthesis L5: You have described what is probably a congenital condition with a defect in the pars interarticularis. The symptoms may have become apparent after some trauma. 90% of the time people of this condition can be treated conservatively with a lumbosacral brace and analgesics. If symptoms worsen, further imaging may include MRI or ct with intrathecal contrast. Decompression and fusion may become neces. ...Read more

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Xr lumbar spine there is some irregularity of the inferior end plate L5 increased sclerosis of the articular processes throughout the lumbar spine, ?

Fairly common: Description for imaging by age 30 relating more to age relatd degenerative changes particularly at the lower two disc spaces ascwell as involving the small joints or articular processes of the back with two facet joints found at each disc level. This can be further affcted if one smokes ;/or obese. Genetics also play a role while ther is mixed data as to other possible environmental causes. ...Read more

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"Xr lumbar spine there is some irregularity of the inferior end plate L5 increased sclerosis of the articular processes throughout the lumbar spine, ?"

Varies : Increased sclerosis on the articular processes throughout the spine is another way to say you have diffuse arthritic changes in you spine. The end plate irregularity is harder to say without seeing the film, it can also represent a change seen in arthritis, but can also represent a fracture or even be seen in an infection of the vertebrae. You should see your doctor to go through it with you. ...Read more

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What medications can help with nerve pain caused by my multiple sclerosis? I have tried gabapentin and oxcabazapine and both have stopped working. 

What medications can help with nerve pain caused by my multiple sclerosis? I have tried gabapentin and oxcabazapine and both have stopped working. 

Change dose: You might have built up tolerance and need dose escalation. Titrate Gabapentin to 1200 mg 3xday or 900 4xday. If alreadymat 3600 mg per day consider switching to lyrica (pregabalin). ...Read more

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Why are "family doctors" answering multiple sclerosis questions?! I have spotted inaccurate info being given. Only a neuro answer? 's

Part of a team: Your family doctor is usually the doc who makes the referrals and is often the one who helps treat complications, such as urinary tract infections, fatigue, associated injuries, medication reactions, and he/she keeps open the communication lines between different specialties. Coordination of medical care is critcal these days. ...Read more

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Treatment of multiple sclerosis is for life or temporary taking s.c injection of betaferon?

Treatment of multiple sclerosis is for life or temporary taking s.c injection of betaferon?

Need chronically: Some advice, there are pills available, but where you live, might be tough to get. Nonetheless, do not miss your injections, and add Vitamin D-3 about 5000-10000 units per day. We do not have a clear idea when to stop the MS meds, and in those older patients who I have stopped, a few have had relapses. Stay tuned, drugs to be used differently are on the horizon. (even Lemtrada) ...Read more

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What is the definition or description of: sclerosis?

What is the definition or description of: sclerosis?

Scarring: We neurologists employ the term to describe localized damage involving the central nervous system, and sclerosis means scarring. If in many areas, might be multiple sclerosis. If affecting the motor nerve cell, perhaps amyotrophic lateral sclerosis. ...Read more

Dr. Linda Tao Dr. Tao
4 doctors agreed:
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What is multiple sclerosis?

Dr. Linda Tao Dr. Tao
4 doctors agreed:

Autoimmune condition: It is a condition where your own immune system attacks the sheaths (myelin) which covers your nerve fibers. Common symptoms include weakness in muscles due to slow/ damaged nerve conduction. Lowering Inflammation in your body via diet, stress reduction, anti-inflammatory supplements may delay, stabilize and improve the condition. ...Read more

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Can I die from mesial sclerosis?

No: Mesial temporal sclerosis is NOT a disease, but rather an anatomical asymmetry in the brain due to focal scarring and injury to one temporal lobe. This may promote a variety of epilepsies, which could be difficult to control, but if treated, this should not shorten your life. If untreated, there is risk of nocturnal SUDEP, which could be deadly, but that is indirect, not primary. ...Read more

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What are signs of multiple sclerosis?

What are signs of multiple sclerosis?

Many: Ms can present with a host of physical findings including optic neuritis, unilateral weakness and numbness, a band-like sensation around your chest or abdomen, hearing loss, gait ataxia, slurred speech, urinary incontinence, bilateral upper extremity/lower extremity weakness. Typically the initial presentation in the young may be a single symptom (optic neuritis), however hemiparesis is seen. ...Read more

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I'm scared I have multiple sclerosis?

I'm scared I have multiple sclerosis?

Need to know more: Will really need to know more about what your symptoms are. Initially, you should discuss your concerns with your primary care physician. Then an appropriate a referral to a neurologist will allow a more definitive diagnosis for you.Multiple sclerosis is treatable at the present time with multiple medications and ensure an excellany quality of life. ...Read more

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What are the causes of multiple sclerosis?

Hard to Say: The exact causes of multiple sclerosis (MS) are unknown. It's believed to be an autoimmune disease where the body's immune system attacks its own tissues. In MS, this process destroys myelin, the fatty substance that coats and protects nerve fibers in the brain and spinal cord. ...Read more

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What are the symptoms of muscular sclerosis?

Do you mean multiple: Presume question involves ms, and symptoms vary, but could include loss of vision, double vision, loss of balance, loss of leg strength, fatique, issues with focus memory and concentration, numbness, bladder control problems. Sometimes, initial symptoms are confusing, and docs may have a hard time diagnosing. ...Read more

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What are the first signs of multiple sclerosis?

Multiple sclerosis : The first manifestation of multiple sclerosis varies from patient to patient. The most common first manifestations are: optic neuritis, unilateral weakness or numbness diplopia, incoordination and partial transverse myelitis with numbness or weakness from waist down. Facial pain or trigeminal neuralgia may be another presentation. ...Read more

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Are there any new cures for muscular sclerosis?

?multiple sclerosis?: Not a new cure, but new medicines arriving rapidly, and disease control is at hand. The newest oral agent Aubagio has similar relapse potency to interferons, and may do better with disability. Bg-12 should be released any day soon, and lemtrada, a very potent agent may arrive in the fall. All suggests that we will focus on the newer agents in the future, making drugs such as Avonex (interferon beta 1a) obsolete. ...Read more

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Sclerosis of the appendix. New to me--what is it?

Sclerosis of the appendix. New to me--what is it?

When it is artophic: Normal appendix will have smooth muscle with identifiable lumen, when they disappear becomes atrophic ( some times happens ) then it is described as sclerotic appendix. ...Read more

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What is multiple sclerosis? What is multiple sclerosis?

What is multiple sclerosis? What is multiple sclerosis?

What is MS: Multiple sclerosis is an autoimmune disease that affects the brain, spinal cord, and / or optic nerves. It may cause attacks of symptoms or follow a progressive course. It may affect different areas of the these body parts at different times over many years. It may be either aggressive or benign. ...Read more

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What is multiple sclerosis? What is multiple sclerosis?

Multiple Sclerosis: http://www.ncbi.nlm.nih.gov/pubmedhealth/pmh0001747/.

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