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Doctor insights on: Excision Coccygeal Pressure Ulcer

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Could coccyx dislocation, fracture or coccydinia with pain & occasional numb feet cause bone erosion & tissue thickening on CT or something greater?

Could coccyx dislocation, fracture or coccydinia with pain & occasional numb feet cause bone erosion & tissue thickening on CT or something greater?

Tailbone pain: Tailbone pain is frequently caused by degenerated lumbar discs. Numbness in the feet can be cause by narrowing of the spinal canal from overgrown joints and ligaments. Generally, arthritis is not associated with bony erosion rather bony growth. ...Read more

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Bed Sore (Definition)

A bed sore is an injury to the skin, and tissues beneath the skin, caused by pressure. They can range from a stage one pressure sore (tender, red and does not blanch) to stage four (an open wound extending down to the bone). Early stage pressure sores can respond to off-loading, while deep ulcers require debridement, dressing ...Read more


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Left upper quad abdominal lump. Ultrasound diagnosed lipoma twice.no growth within year.very painful when coughing or pressure applied. Cancer?

Left upper quad abdominal lump.  Ultrasound diagnosed lipoma twice.no growth within year.very painful when coughing or pressure applied.  Cancer?

Be seen: A lipoma is a benign growth of fatty tissue and usually does not cause pain, nor is it usually tender. An ultrasound is not a sensative enough test to distinguish between a lipoma and other growths. So if you are having symptoms of pain, I would definitely get some further testing or even consider an excisional biopsy. ...Read more

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Can scar tissue from umbilical hernia surgery cause pelvic/groin pain from having gas? can too much beer (8-9) 2wks post op tear internal sutures?

Unlikely but -: this is unlikely - you may do well to consult your surgeon. 8-9 beer a day is way too much under any circumstance and not helpful to healing be careful- listen to your body and lay off ...Read more

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2015 I fell from a height & suffered a l4 burst compression fracture,had surgery for fixation rod & 4 Screws l4 l5,will pregnancy cause damage & pain?

No damage: Pregnancy will not cause damage .while many experience low backache in pregnancy many do not, if you do experience pain with pregnancy it is probably going to be tolerable Other info needed is if the shape of your low back(lordosis) was restored with surgery and your current outcome .a comfortable back with good alignment will probably perform well in pregnancy ...Read more

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Can a spinal cord tumor cause spine pain (pain in 1 or 2 vertebrae when pressing on area & laying down)? Would pain be the only symptom?

Not a spine tumor: You probably have more of a msucle, tendon or a bursitis problem. With a spien tumor I woud expect other findings. You need to discuss with your physician ...Read more

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How are fascial hernias differentiated from venous aneurysm below the knee?

How are fascial hernias differentiated from venous aneurysm below the knee?

Fascial hernias: A venous aneurysm refers to a weakening in the wall of a vein and a fascial hernia is a weakening of the fascia of the leg so that muscle can push through. ...Read more

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What are cures for chronic nerve pain caused by back surgery scar tissue pressing on the nerves.L4, l5, l5, s1?

What are cures for chronic nerve pain caused by back surgery scar tissue pressing on the nerves.L4, l5, l5, s1?

If all other causes : Have been ruled out then time and medication can help along with various pain management techniques ranging from injections to a spinal cord stimulator. ...Read more

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Colon:2x3cm non lifting flat lesion(malignant suspicion)couldnot be removed by polypectomy, needs segmental surgical resection.Surgery or laparoscopy?

Colon:2x3cm non lifting flat lesion(malignant  suspicion)couldnot be removed by polypectomy, needs segmental surgical resection.Surgery or laparoscopy?

Either way: Must be removed , laparoscopic surgery will have slightly quicker recovery, less pain , due to your cardiac surgery which ever takes shorter operation time time you should choose, increased intra abdominal pressure may not be good for you as in laparoscopy discuss with your surgeon and cardiologist ...Read more

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Lge disc ext at L5 compressing L5,S1&S2 n/roots&displacing thecal sac. Pain & numbness. Got to decide on surgery or injections, would like opinions. ?

Lge disc ext at L5 compressing L5,S1&S2 n/roots&displacing thecal sac. Pain & numbness. Got to decide on surgery or injections, would like opinions. ?

I suggest both star-: ting with Epidurals, to confirm which level disc issue provides best relief from your symptoms. Is it one or more levels. I am sure, your surgeon will be getting you to habe a series of these shots before the surgery that you certainly need. Good Luck. ...Read more

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MRI disc protrusion impingement of thecal sac L4/5&L5/S1, biopsy vulva-mild chronic inflam. nerve or skin? constant stinging vulva area. STDs negative

MRI disc protrusion impingement of thecal sac L4/5&L5/S1, biopsy vulva-mild chronic inflam. nerve or skin? constant stinging vulva area. STDs negative

Not enough info: While it may be difficult to say without looking at the images themselves it sounds like you have disc bulges, not an uncommon finding, but no herniation. The most common symptoms of a herniation would be stereotypical pain in the leg, not the vulva area. I am unclear how the vulva skin biopsy plays into this, was this recommended by your doctor? If not done yet I would recommend a gynecologist. ...Read more

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There's sclerosis & subchondral cyst formation in the femoral head & cyst & spurs in acetabulum. Constant pain. Should I have hip resurfacing surgery?

There's sclerosis & subchondral cyst formation in the femoral head & cyst & spurs in acetabulum. Constant pain. Should I have hip resurfacing surgery?

Hard to know: You desribe degenerative changes. When you shave the hip it might improve but you are losing bone and therefore these problems might re occur or get worse. Maybe you should get a second opinion and you can ask the second doctor. ...Read more

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2Tarlov cysts at S2 (racepinephrine) 17X15mm and 14X13mm causing scalloping of bone. Feel head and ear pressure. Need surgical removal? Any other treatment methods?

2Tarlov cysts at S2 (racepinephrine) 17X15mm and 14X13mm causing scalloping of bone. Feel head and ear pressure. Need surgical removal? Any other treatment methods?

Tarlov cysts: Hello, these are benign perineural cysts or cysts in between the coverings of the nerves, usually found co-incidentally at MRI of low back. Yours are 1.7cm and 1.5cm and are small by comparison. These should not be symptomatic, let alone need surgery, your head and ear pain probably unrelated. But see an expert ~ a neuro-surgeon to ask ! thanks ...Read more

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Over 2 years post low anterir colon resection. 10 inches removed. Osmosis is 5 cm to anal verge. still have urgency and problems evacuating. lifelong?

Over 2 years post low anterir colon resection. 10 inches removed. Osmosis is 5 cm to anal verge. still have urgency and problems evacuating. lifelong?

Probably: It's likely that after two years, the symptoms aren't going away. However, dietary modification has a huge impact on bowel function, so consider making some changes to your eating patterns, like adding more fiber by replacing some meats with beans, and see if that makes a difference in your bowel function. ...Read more

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Colonoscopy/Biopsy report: the lesion (0.5cm) is lymphangioma of the rectum, Solitary rectal ulcer syndrome, and mucosal prolapse syndrome. is it bad?

Colonoscopy/Biopsy report: the lesion (0.5cm) is lymphangioma of the rectum, Solitary rectal ulcer syndrome, and mucosal prolapse syndrome. is it bad?

No, nothing bad!: It is likely that your rectal mucosal prolapse caused the solitary rectal ulcerr syndrome and needs no treatment unless there is significant bleeding or discomfort which you did not mention having. The incidentially found 5mm lymphangioma is totally benign and should be of no concern. That lesion is exceedingly rare with very few cases reported and never a report of malignancy in them. ...Read more

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Dr. Craig Lum Dr. Lum
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Ft dr said L leg/ft pain is dorsal nerve. nerve root sleeve cyst s1 or 2. Gabapentin no help. also severe rectal pain when asleep and pelvic pain.

Dr. Craig Lum Dr. Lum
1 doctor agreed:

Leg/foot pain: If the meds are helping and you're having a hard time sleeping at night, you might consider talking to your PCP about referring you to a neurosurgeon for evaluation. ...Read more

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1cm painful lump over thoracolumbar fascia. Gp diag as knot. Massage ruled out knot. Area of compression injury 90 days ago. Lipoma or scar tissue?

1cm painful lump over thoracolumbar fascia. Gp diag as knot. Massage ruled out knot. Area of compression injury 90 days ago. Lipoma or scar tissue?

Go back to gp: You have a significant history of trauma with a compression injury. You have an area that is painful. Your gp thought it was a knot but message did not help. If you had a ct scan with your old injury ask your gp to have it re-read. Otherwise ask your gp to re-evaluate. Be well. ...Read more

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Ulceration (Definition)

Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more


Dr. Scott Bolhack
2,108 doctors shared insights

Ulcer (Definition)

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more