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Doctor insights on: Freeride Snowboarding

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Intense ankle pain (front & lateral) prohibits climbing stairs, pivoting, running. No injury, full ROM w/o weight on it. What did/should I do? Thanks!

Intense ankle pain (front & lateral) prohibits climbing stairs, pivoting, running. No injury, full ROM w/o weight on it. What did/should I do? Thanks!

Ortho Eval needed: Seek evaluation by your orthopaedic surgeon. Along with a thorough examination of your ankle, X-rays would likely be obtained to assess for a potential loose body of osteophyte that may make stair climbing painful. Instability or ankle looseness would also be assessed as the anterior and lateral aspect of the ankle is where the main stabilizing ligaments are located. ...Read more

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Delivery job entails lifting 75-150 lbs, walk 6-8 miles, in and out of truck 200 times.Had menisectomy, hernia surgery. Now TKR.Can I still do my job?

Delivery job entails lifting 75-150 lbs, walk 6-8 miles, in and out of truck 200 times.Had menisectomy, hernia surgery. Now TKR.Can I still do my job?

Other options: If it is your job that has caused a hernia, a meniscal tear, and the subsequently a need for a knee teplacement, you might want to consider a less rigorous job. ...Read more

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Ihave hemophilia. Cani work as truck driver?

Ihave hemophilia. Cani work as truck driver?

Yes, you can: As you know, risk of bleeding is different depending on the severity of hemophilia. But even if you have severe hemophilia, i think you can drive a truck. But whether you can carry, load and unload heavy cargos is a different story, and you need to ask the question to your hematologist. Many severe hemophilia patients already have joint problems, and judging from your question, i guess you don't. ...Read more

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Love trekking nd rock climbing. Which graft (patellar or hamstring) would fit me best?

Love trekking nd rock climbing. Which graft (patellar or hamstring) would fit me best?

Both work well: Both grafts in addition to a cadavre grafts can work well. More importantly, the way the procedure is performed and the postop rehab are more important than the actual graft used. You would probably require at least six months of rehab postop before returning to rock climbing. ...Read more

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Can anyone give me a list of don't do's after chiari 1 decomposition surgery 6 mon ago or does it depend on surgeon?As heavy lifting, riding breaking horses, motorcycle riding, flying, high altitudes, jet skiing snow skiing, mountain climbing or do you ju

Can anyone give me a list of don't do's after chiari 1 decomposition surgery 6 mon ago or does it depend on surgeon?As heavy lifting, riding breaking horses, motorcycle riding, flying, high altitudes, jet skiing snow skiing, mountain climbing or do you ju

Talk to Your Surgeon: I wouldn't take it lightly because the consequences can be serious. In general, it depends on how successful the procedure was, how you've healed, etc. Only your surgeon can tell you after examining you. ...Read more

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Triathlete in training accident. Concussion. Broken bone in face. Should I plan on doing any more cycling?

Triathlete in training accident. Concussion. Broken bone in face. Should I plan on doing any more cycling?

Individual: Bicycling is a lot more dangerous than it seems, but it is overall an extremely gratifying and rewarding sport. If you can get yourself back on the bicycle, by all means try. The risk is there, but so is the reward! ...Read more

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6weeks ACL hamstring graft, extension lag 30 deg, able to flex till 100, difficult to climb up stairs, pt says vmo is weak ,using brace. kindly advise?

6weeks ACL hamstring graft, extension lag 30 deg, able to flex till 100, difficult to climb up stairs, pt says vmo is weak ,using brace. kindly advise?

Continue. PT: Continue with consistent physical therapy concentrating on gaining extension. Discontinue brace if you have adequate quadriceps strength to do a strong straight leg raise. Check in with your surgeon on a regular basis to alter this plan at necessary ...Read more

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17 yo .female soccer player , hs senior . Higrade mil tear on MRI , yet has stable knee, will use brace ,pt, and rehab . ? Let rtn to play or reconstr

17 yo .female soccer player , hs senior . Higrade mil tear on MRI , yet has stable knee, will use brace ,pt, and rehab . ? Let rtn to play or reconstr

High grade MCL tear: Assuming high grade MCL tear on MRI with stable knee. If she has good performance on sprinting, can make cuts on the knee, can perform one-legged jumping, trampoline, wobble board, and has close to 100% strength and minimal pain on wobble test. If she wants to play in college may be best to reconstruct so rehab can begin prior to college. ...Read more

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Im doing a tough mudder race on october, (10-12miles with 25 military obstacles designed by british military forces) should I take any multivitamin?

Im doing a tough mudder race on october, (10-12miles with 25 military obstacles designed by british military forces) should I take any multivitamin?

Probably: Vitamins are important for you to get through your diet. If you feel you do not get the necessary daily requirements through a balanced high content of plant based diet, its best to take a multivitamin each day regardless of tough mudder race or not. In general, use a high quality multi vitamin tablet such as new chapter brand as insurance to ensure you get your daily vitamins and minerals. ...Read more

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My job entails jumping in and out of delivery truck 150 times , walking 6-8 miles carry pkgs weighing 75-150 lbs. Can I do this after TKR surgery?

My job entails jumping in and out of delivery truck 150 times ,  walking 6-8 miles carry pkgs weighing 75-150 lbs. Can I do this after TKR surgery?

Heavy work: You don't have to jump , you can get out with out jumping ,if are able to do with bad knee , with new replaced knee joint it will be easy . Now question you want to go on limited or full disability probably you are entitled , your problem is real , you are not faking and discuss with your surgeon.You have a worthy reason to get it. ...Read more

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5yrold boy,16kg wt.having both knee jnts,elbow jts,wrist joints,cervical,metatarsal jt aches.he plays footballand does cycling smtimes.plays lego.wat?

5yrold boy,16kg wt.having both knee jnts,elbow jts,wrist joints,cervical,metatarsal jt aches.he plays footballand does cycling smtimes.plays lego.wat?

Joint pains : Your son is suffering from multiple joint pains. He needs to be evaluated by his pediatrician or a rheumatologist for proper diagnosis, work up & treatment. It is good he is active but be careful, may be he is overdoing it with all these activities, that might aggravate his joint pains, do it in moderation. I hope he feels better soon. ...Read more

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Accidently more weight put on my ACL reconstructed knee..Lost balance..Din fall bt felt terrible..No pain..Took painkiller prior to dat.Nothing wrong?

Accidently more weight put on my ACL reconstructed knee..Lost balance..Din fall bt felt terrible..No pain..Took painkiller prior to dat.Nothing wrong?

Probably Okay: I allow my acl reconstructions to bear full weight afterwards (except if a meniscal repair or other ligaments were repaired) so it is unlikely that you sustained an injury by putting too much weight on your leg. If the leg swelled up or is causing pain, that would be a bad sign. If you have that , you should see your surgeon for evaluation. ...Read more

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Suggestions for losing weight being an over the road truck driver?

Suggestions for losing weight being an over the road truck driver?

Losing weight: is hard. Really tough when you have an erratic schedule and may not have access to healthier choices. 1. Small frequent meals 2. Healthier snacks (fruit and nuts) to help with cravings 3. Get rid of empty calories (foods that provide calories but no nutrition, e.g., sodas) 4. Avoid "diet" drinks 5. Try to get some exercise at least 30 minutes/3 times a week 6. Keep a food journal Good luck! ...Read more

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Unintentional 30lb loss in 3mos, now 151.Stress/anxiety, active:bike, college/work.Mirena (levonorgestrel) IUD 2yr.Thyroid norm.Dizzy, tired, forgetful.

Unintentional 30lb loss in 3mos, now 151.Stress/anxiety, active:bike, college/work.Mirena (levonorgestrel) IUD 2yr.Thyroid norm.Dizzy, tired, forgetful.

Abnormal at age 19: Unintended weight loss of that magnitude need to be evaluated and could be sign of depression as you mention anxiety and stress associated with tiredness and forgetfulness. Now if you cannot stop exercise as you want to and if you are restricting food intake it could be eating disorder problem too. Please get evaluated. ...Read more

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Height stop growing..he is into roller skating 2hr daily.does skating the reason?coach planing to put him on ankle weight during practice.safe or not?

Height stop growing..he is into roller skating 2hr daily.does skating the reason?coach planing to put him on ankle weight during practice.safe or not?

Skating has: no effect on height growth. Ankle weights safe under proper supervision, however would discuss the necessity with the coach. ...Read more