Doctor insights on:
Enthesopathy Of Knee
Many options: There are many treatments for arthritis of the knee including physical therapy, tylenol (acetaminophen) and nsaid's , (advil or alleve) cortisone and viscosupplementation(gel shots) as well as low impact exercise. For severe arthritis where all else has failed a joint replacement may be indicated. An orthopedist can review your x-rays exam and complaints and make the appropriate recommendations. ...Read more
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
Right knee advanced loss of articular cartilage in medial compartment of tibio femoral and patella femoral joints. What are surgical options?
My xray says: tricompartmental osteoarthrosis with prominent narrowing involving the medial knee joint. Also spurs at the femoral condyle and patellar?
Surgery? Degeneration posterior horn of meniscus, tendinosis/partial thickness tearing of patellar tendon at interpolar patella, subcutaneous edema
When nonop tx fails: Surgery is not usually the first line of treatment for chronic injuries such as you described: degenerative (chronic) PHMMT, and patellar tendinosis (vs partial inferio pole tear). Nonoperative management: physical therapy, stretching program, NSAIDs, rest, ice, may all help considerably. Arthroscopy to debride a degenerative meniscal tear due to persistent mechanical symptoms may be needed later. ...Read more
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
I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis? Whats the treatment?Thanks
Chondromalacia: Chondromalacia is damage to the cartilage surfaces of joints. In the knee it's similar to the wearing away of tire treads. This can cause inflammation which can produce increased fluid in the knee (effusion). If you have minimal pain and no locking, strengthening your thigh and leg muscles is recommended. Icing and anti inflammatories and pt can be helpful. Arthroscopy is recommended with locking. ...Read moreSee 1 more doctor answer
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
Horizontal Tear of the Posterior Horn of the Medial Menistic &Suprapatellar joint Effusion ,Articular Cartilage Loss & 3MM Medial Popliteal Cyst means
Arthritis and tear: The cartilage loss is similar to saying you have degenerative arthritis setting up in your knee. The meniscus is a cartilage cushion present in your knee, there is one present medically and one lateral, and you have a tear in one as well. I would go through your MRI with an orthopedic surgeon to discuss options. ...Read more
Chondromatosis: Synovial chondromatosis is a rare, benign condition of the thin tissue lining your joints (synovium). This tumor does not spread to other parts of the body, it can cause severe damage to the knee ankle or other joints and lead to osteoarthritis. Early treatment is important to relieve painful symptoms and prevent further damage. For more info: http://orthoinfo.aaos.org/topic.cfm?topic=A00602 ...Read more
I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis?
Several issues: Chondromalacia means you have abnormal cartilage in the inside part of your knee where the kneecap (patella) sits. Everything else means you have fluid and/or inflammation in various places around your knee. A bursa is a sac that usually only has a little bit of fluid in it but can get inflamed and be painful. Popliteal cyst = baker cyst, which is accumulation of fluid in the back of the knee. ...Read moreSee 1 more doctor answer
Age, degeneration, : Vertebral body may shift over another below it due to incompetence/laxity of facet joints at that level due to degeneratiion of joints which may become arthritic. This is seen with increasing age particularly in post menopausal girls & has a higher association in females than males & may be related to lower bone density developing in addition to degeneration. Also seen with rheumatoid arthritis. ...Read moreSee 1 more doctor answer
Chronic pain? Mri, scarring of the deep layer of the deltoid subcortical bony oedema at the fib attach of the pos talo ligament, synovitis ankle joint
Following is the MRI report of my right knee,
1.Partial tear of acl
2.Moderate joint effusion
3.Tear of popliteofibular ligament.
Natural cure ?
Not likely: Ligaments have poor vascular supply, so the likelihood of complete healing after an injury is low. The acl tear could scar somewhat, but injury to the latter represents damage to one of the posterolateral corner structures which is an important stabilizer to the knee and which could predispose to further knee damage. ...Read moreSee 1 more doctor answer
Moderate joint diffusion. minor chondromalacia and medial femoral condyle. some pericruciate synovitis about the ACL but no signs of a tear?
Joint fluid analysis: One thing that would be helpful here is to know the joint fluid analysis. The data suggest this is mechanical, but the joint fluid can help decide if it is mechanical or inflammatory. At your age we have to keep the differential diagnosis open you need to see a rheumatologist to see if there's any other evidence of a systemic arthropathy. You can discuss this with your physician ...Read more
What does medial facet of the patella were some chondral changes of the medial parapatellar region mean?
No: Knee clicking or "crepitus" can be caused by a torn cartilage, ganglion cyst, patella chondromalacia, synovitis, swelling (also known as an "effusionn"), or knee laxity. Some normal knees click. Clicking is a nonspecific finding that can be associated with both normal and abnormal knees. ...Read moreSee 1 more doctor answer
Tenosynovitis: Tenosynovitis means inflammation of the internal lining/membrane of a tendon. The Flexor Hallucis Longus or Flexor Digitorum longus tendons run along the medial ankle to the bottom of the foot to each respective toe. The FHL and FDL tendons, along with the Posterior Tibial Tendon and a Neurovascular bundle run in the tarsal canal, so, yes, inflammation of any of these tendons can affect Tarsal T ...Read more
Synovial fold: Medial plica is a thickening or fold in the synovial lining of the knee. (plica synovialis mediopatellaris = medial plica: extends from the infrapatellar fat pad to the medial capsule of the knee, in the coronal plane.) this is a common finding which generally causes no problems. Very rarely it can cause a painful plica syndrome. ...Read more
What can cause enthesopathy in a 6yr old with 1:160 speckled and and slightly high esr? She also has pain in knees feet & ankles. Rheumo not sure
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
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?
Inflammation: Knee swelling is an inflammatory response to some type of knee injury (fracture, ligament tear, etc.) , degenerative condition (osteoarthritis) or inflammatory condition (gout, rheumatoid arthritis, infection). The most common causes include osteoarthritis, meniscal tears and injury to the cartilage that covers the bone called chondromalacia. It is important to see a physician to uncover causes. ...Read moreSee 2 more doctor answers
Knee problem: it is important to define weather the knee problem is acute or chronic, and weather there is any history of trauma or overuse to the knee and what symptoms are you getting the knee is a strong joint that can allow for big range of motions so different parts of the joint can be affected starting from bones, cartilage, ligaments or bursa (cushions around the joint. Pain also is important finding ...Read moreSee 2 more doctor answers
Knees always hurt: It is not normal to have constant pain in your knees. There are several possibilities as to the cause. Discuss with your parents about seeing a doctor for a check up as to why you are having the pain. ...Read more
You mean patella?: It is unlikely your knee is dislocating, as that is a devastating trauma and an emergency. You may be dislocating your kneecap (patella). When this happens the patella displaces laterally. This injury initially requires enough force to tear ligaments but after that may happen from even minor maneuvers. An orthopedist can re-anchor the patella surgically. ...Read moreSee 1 more doctor answer
Likely Inflammation: There could be many reasons for 'heat' in the knee. Inection and inflammation are common reasons for heat. Both traumatic and non-traumatic causes such as sprains, strains, bursitis, tendinitis, early arthritis/wear/tear, ligament injury, meniscus tear, rheumatologic diseases can cause inflammation and 'heat'. See an orthopedic surgeon for clarity in diagnosis. ...Read more
A host of ways: There are lots of ways. Warm compresses help. Pain in the morning often goes away with activity. Pain medicines such as paracetamol and non-steroidals such as Advil (ibuprofen) can help. If logic and simple measures don't work, then you will need to see your physician to examine and evaluate the knee problem ...Read more
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