Doctor insights on:
Full Thickness Meaning
What is meaning of full thickness chondral loss to medial patella and what is heterogeneity of lateral patellar?
I seem to have this chronic almost-headache...Meaning, I don't have a full blown headache, but when I shake my head, it's painful. What could it be?
I had a full 7 day period but literally no blood it was brown (i use tampons) at the top and that's it except for one day blood showed up meaning?
How long does it take for 20mg of Prozac (fluoxetine) to reach it's full affect...Meaning how long should a patient/doctor wait to decide whether to adjust dosage?
Depends: There are different strategies for this. In some cases it may be best to push the dose up as high as can be tolerated without significant side effects to maximize the chance of a good response. Once a dose is reached, it usually takes at least a month for most of the effect to take hold (and improvement can continue for 12 weeks or more). ...Read more
I have been on anti-depressants for 15yrs. N all diff. Ones too, but was also a binge drinker. Can alcohol interfer w/antidepressants meaning that they won't work to there full potential?
Binge drinking: If you continue binge drinking, there's a continued toll on your body, mind, and emotions. Antidepressants may help you tread water, but adding alcohol into the mix throws everything off. I hope you're involved in aa, have a sponsor, and are working your steps. Recovery is always possible for those who want it. Good luck to you. ...Read more
Large exophytic R renal cyst 12.9x9.8x10.7 kidney 11.5 vert. Span. Note says mild fullness R renal pelvis, no true hydronephrosis? Meaning??
See below: Simple cysts are of no consequence unless there is pain involved. Your cyst is larger than usual, but if you do not have pain I would not worry. Mild fulness of R renal pelvis is just a radiographic finding, I would not worry as it has no real significance as long as there is no hydronephrosis. ...Read more
Depends: So depends on wear tear is. Is it just a laceration or cut on the hand or skin? If it is superficial or small then it does not require any stitches/sutures. If deeper it may benefit from some stitches. But usually not surgery. This can be assessed in a local urgent care or emergency room or even by your doctor. At this point, keep it clean with antibiotic ointment and occlusive dressing/bandaid. ...Read more
U can: I'm assuming u have bilateral rotator cuff tears. Iif their are no contraindications you should have these fixed arthroscopically. In the mean time u can strengthen your shoulders by doing isometric rc strengthening exercises. I wouldn't do " shoulder" and " chest" workouts in the gym. This could aggravate your rc pain and possibly increase the size of the tears! ...Read more
Rotator Cuff Tear: If you are 31 and have a full thickness tear of your suprspinatous tendon, you have a problem. The supraspinatous is one of the 4 muscles that make up your rotator cuff. Tears at your age are unusual, often due to trauma and should generally be repaired with surgery. See an orthopaedist to get it checked out. ...Read more
Doubtful: The tfcc has two components. The central component is cartilage with poor blood supply that is not capable of healing on its own if torn. The peripheral component is both ligamentous and cartilaginous, has better blood supply and is capable of healing if torn. However the majority of peripheral tears require arthroscopic repair, a trial of immobilization may result in the tear healing sometimes. ...Read more
Tear: A full thickness tear would need to be repaired. Consult an orthodetic surgeon. ...Read more
Bilateral torn rotator cuffs full thickness small tears 10 CM by 11 CM what is recovery time after surgery?
Depends: 10-11cm tears.? Prob. U meant 10-11mm or~ 1 cm tears? If the tears are small and symptomatic arthroscopic rot. Cuff repair may be indicated in your age. If they are really big (3-4 inch) tears involving more than one rc tendon than your arthroscopic repair may take longer to heal and rehabilitate (4-6 months).Seek an ors surgeon skilled in shoulder surgery. Good luck! ...Read more
I had a full thickness 2 inch rotator cuff repair october 12th. My pt now thinks I have a impinged rotator cuff. How is that repaired?
Unlikely: You had a pretty large tear. I presume if was 2 inches that most of your supraspinatus was torn. Would be more helpful to know how retracted it was. "impingement" is a debatable subject amongst shoulder surgeons. I would be more inclined to ask what your therapist means. The cuff may still be weak since surgery. If still weak at this point I would be more interested in knowing if repair took. ...Read more
Is surgery required when diagnosis says full-thickness tear of supraspinatus tendon is seen? Been 4 mos. What's consequence when surgery is not done?
Complete full-thickness retear of infraspinatus 1.5 cm retracted after revision rotatr cuff repair. Other rotatr cuff tendons intact. Fixable and how?
Rotator cuff have bilateral full thickness tear 10mm anterior to posterior and 11 mm medial to lateral is this surgery painful does this mean 2 tears?
We generally think in terms of centimeters - if both shoulders have similar size tears, then they are in the 'small' category, 1-2 cm in size.
As long as the tissue quality is good and the mris are recent, they should be repairable, likely arthroscopically.
However, the full recovery time is in the 3-6 month range regardless. As for pain, that depends more on the patient than the surgery. ...Read more
Need specifics: Tear of what? Full-thickness tears may require surgical repair. ...Read more
Depends: Surgical treatment for full thickness rotator cuff tears (RCT) depends on age, activity level, pain level, weakness, and tear characteristics (size, location, amount of retraction, chronicity). Your orthopaedic surgeon will discuss these issues to help you decide if and when surgery is appropriate. 33 is very young to have a RCT and I usually recommend surgery for acute tears at this age. ...Read more
Hi, I have a full thickness bicep tear at the shoulder. Is there usually swelling, discoloration & visually disformaties?
Yes: There is frequently swelling and bruising if the long head of the biceps tendon tore at the shoulder recently. The biceps muscle tends to ball up closer to the elbow called a Popeye deformity. The swelling and bruising will go away but the Popeye deformity will remain unless it is surgically corrected which isn't necessary unless there are other injuries like a rotator cuff tear. ...Read more
What is the treatment for full thickness tear in the anterior distal supraspinatus tendon with 1.5 CM of tendon retraction?
Depends: Depends on if you are having symptoms or not, if it's dominant or nondominant side. Can be treated conservatively initially with strengthening of the rotator cuff, steroid injection if needed. If this fails, ultimately surgery would be required to reconstruct the tendon and put it back where it should be. ...Read more
Had noninvasive procedure done to repair a labrum and 80% full thickness tear in my right shoulder 6 months ago I completed PT but I'm still limited?
Ii fall at work, I had a MRI done the impression said, full-thickness to full Thickness tear of the distal Supraspinatus 8mm. Do this require surgery?
Depends: Are you sure they did not mean full thickness, full width or complete tear? Depending on how long ago or chronic the tear is, and whether or not there is fatty atrophy of the Supraspinatus muscle bulk, you might need surgery (especially yes if the tear is a recent full thickness, full width tear with retraction of the tendon, and there is no fatty atrophy of the Supraspinatus muscle) ...Read more
Small amount of fluid within the subacrominal subdeltoid bursa which may reflect in bursitis in the absence of visualized full thickness r-cuff tear?
Inflamed bursa: A bursa is a small sac that often cushions an area around a bony prominence and also often sits next to tendon. Subacromial bursitis often accompanies a significant rotator cuff tear and less commonly, can occur by itself as a result of inflammation. Treatment can include rest from aggravating activities, anti-inflammatory meds, physical therapy and corticosteroid injections. ...Read more
Does a full-thickness tear of the Achilles Tendon mean a complete rupture? Or does it mean that there is a tear going though the entire tendon depth?
Semantics.: To me both descriptions are one in the same. There can many ways to describe the same injury, often based on personal preference and what would most easily be understood by a patient. ...Read more
Full thickness tear on medial patellar retinacullum 2mon ago. Knee has stopped slipping during activities. I can still move it by flexing and bending.
How likely will you develop cuff arthropathy if you don't fix a complete full-thickness retear of infra with 1.5cm retraction to superior humeral head?
Difficult to answer: It can be unpredictable who develops significant arthritis years to decades after a full thickness rotator cuff tear. I would make my decision regarding another surgery based on your pain and function levels, including whether you have range of motion and strength deficits. Regenerative injections such as PRP could be a nonsurgical option if you hope to avoid surgery. ...Read more