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Doctor insights on: Heel Cord Lengthening Risks

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Peroneal tendons subluxing. Extensor retinaculum repair just failed. Cavus foot from CS. Can both retinacula (2) & cavus be fixed at once? Techniques?

Peroneal tendons subluxing. Extensor retinaculum repair just failed. Cavus foot from CS. Can both retinacula (2) & cavus be fixed at once? Techniques?

Yes: the cavus is the bone position typically as in your condition at the heel. A bone cut can be made to align the heel. The retinacular repair can be done at the same time. ...Read more

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What are the pros/cons of a 3 level cervical laminectomy w/o fusion vs a keyhole endoscopic decompression for stenosis(disc &spurs compressing nerves?

What are the pros/cons of a 3 level cervical laminectomy w/o fusion vs a keyhole endoscopic decompression for stenosis(disc &spurs compressing nerves?

Complex: It is a little complex to fully discuss in such a forum; but a for amounting would be appropriate if you are just having symptoms of foraminal stenosis causing pain in the arm, where a laminectomy may be needed if you have problems related to central cord compression. Definitely would need to discuss face to face with your surgeon. ...Read more

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Is severe nerve root with paralysis of the inner left leg, and big toe paraylis surgicaly repairable. L4 L5 lumbar spine?

Is severe nerve root with paralysis of the inner left leg, and big toe paraylis surgicaly repairable. L4 L5 lumbar spine?

Radiculopathy: You don't mention what surgical procedure you've had previously, but an l4-5 entrapment would effect the lower extremity and not the thigh. That level would be l2-3. Assuming you've had the MRI you need of the lumbar spine, i'm surprised you haven't had an implanted stimulator to address the pain. Paralysis of muscle groups can become permanent if the entrapment persists long enough. ...Read more

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What are the best treatments for spinal cord stimulator brachial plexus avulsions?

What are the best treatments for spinal cord stimulator brachial plexus avulsions?

Not understanding: My assumption is you are asking what spinal cord stimulators (scs) are best at treating? Typically scs is good at treating neuropathic pain disorders, whether related as a brachial plexus avulsion or a chronic radiculopathy post spine surgery. Also patients with complex regional pain syndromes have been helped with scs. Scs is currently being used for vascular pain being done in europe. ...Read more

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What are potential complications of spinal cord trauma?

What are potential complications of spinal cord trauma?

Many: In the acute period: further loss of cord function, pneumonia, blood clots, pressure sores, urinary tract infections, acute depression. Later on: urinary tract infection, pressure sores, autonomic dysreflexia (severe high blood pressure), fractures and deformity of the paralyzed limbs, osteoporosis, depression. ...Read more

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In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

Yes: If the surgery is successful, you will be much better than you were before and as such should be able to participate in amucj higher activity level than before surgery. I would discuss your specific case with your surgeon. ...Read more

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What are wheelchair transfers after a spinal cord injury?

What are wheelchair transfers after a spinal cord injury?

See answer below: Wheelchair transfers refer to transfers that a person with a spinal cord injury who is using a wheelchair must perform when going from the wheelchair to a bed, to a couch, to a car, to a shower bench, and back into the wheelchair. Sliding boards are initially used to make the transfers easier. ...Read more

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Knee injury. MRI report "PCL Avulsion fracture of tibia (6-7mm displacement) with adjacent tibial bone edema. fibers are intact." is surgery needed?

Knee injury. MRI report  "PCL Avulsion fracture of tibia (6-7mm displacement) with adjacent tibial bone edema. fibers are intact." is surgery needed?

Yes, it should if-: -U expect 2 have a functioning knee 4 the rest of Ur life. It can only separate more, & a simple reduction & fixation will do what U want it 2 do, reunite the fragment 2 the tibia. The image is a tear & requires a major reconstruction if not fixed. U risk the fragment becoming a nonunion. ...Read more

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Recurring compartment syndrome, 7 leg fasciotomies + 1 foot. Fluid pockets from fasciotomies causing recurrence again, consider amputation?

Recurring compartment syndrome, 7 leg fasciotomies + 1 foot. Fluid pockets from fasciotomies causing recurrence again, consider amputation?

I would tend : To want to avoid an amputation if possible. You need to get an answer as to why the problem reoccurs if fasciiotomies were already performed. Is this the same surgeon? Or is it being done by different surgeons? ...Read more

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Bone spur "side of heel", treatment?

Need more info: In order to answer this question more information is needed. Some bone spurs are dealt with conservatively and some are surgical issues. I would recommend you see a podiatrist for evaluation and treatment options. ...Read more

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I have bulging disks at l-4-l-5, l5-s-1, compression of nerve bundle, stenosis, aethrotic spurs.3recs.Diskectomy, lamenectomy, fusion. What is best route?

I have bulging disks at l-4-l-5, l5-s-1, compression of nerve bundle, stenosis, aethrotic spurs.3recs.Diskectomy, lamenectomy, fusion. What is best route?

Decompression: When someone has symptoms from nerve compression due to stenosis and the spine is stable, decompressive procedures such as discectomy (laminotomy) or laminectomy are usually best. If the spine is unstable or if decompressing the spine would make it unstable, the decompressive procedures are best combined with fusion. ...Read more

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During foot reconstruction for foot compartment syndrome damage, cut plantar fascia off my heel bone. Will it scar back to heel or remain floating?

During foot reconstruction for foot compartment syndrome damage, cut plantar fascia off my heel bone. Will it scar back to heel or remain floating?

It Will Scar down: The ligament will grow and attach in an elongated status. Massage frequently during the first 8 weeks to minimize scar fibrosis, scaring and use an arch support or orthotic to decrease stress on this plantar fascial ligament. ...Read more

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Calcific tendonitis measuring 4x1 mm involving the olecranon insertional fibers of tricep tendons. Will this heal? Risks? Advice? Treatment? Thanks

Calcific tendonitis measuring 4x1 mm involving the olecranon insertional fibers of tricep tendons.  Will this heal? Risks? Advice? Treatment? Thanks

Varies: When a tendon has chronic or multiple of episodes of inflammation and/or injury, calcifications can develop. At 4x1 mm they are extremely small. They don't really heal. One way to look it is they are really just a symptom of of chronically irritated tendon. Treatment involves addressing the cause of the tendinitis. ...Read more

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Surgery needed for compression of anterior thecal sac?

Surgery needed for compression of anterior thecal sac?

Neurosurgery : Only surgeon who evaluated you have access to your health profile and he is the best suited to make this call or get 2 nd opinion. ...Read more

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Can spinal fusion surgery cause bilateral peroneal neuropothy?

Can spinal fusion surgery cause bilateral peroneal neuropothy?

Neuropathy : Bilateral peroneal mononeuropathies are commonly seen in patients with mononeuritis multiplex secondary to diabetes, polyarthritis nodosa, nutritional deficiencies, and critical illness polyneuropathy. Bilateral and symmetrical presentation rises the possibility of lumbar radiculopathies or lumbar stenosis. Neuroimaging like MRI and electrophysiological studies like EMG and nerve conduction study could help in sorting this out. ...Read more

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Spinal cord insult, on high dose gabapentin post compressions, laminectomies?

Spinal cord insult, on high dose gabapentin post compressions, laminectomies?

Pain management: Gabapentin can help reduce pain from neurologic injuries. It does not fix anything, however. Your question is lacking a point. Has your spinal cord injury been helped by the decompression? ...Read more

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Are there any orthopedic surgeons using synthetic ligaments to repair plantar plate & lateral collateral ligs in foot?

Are there any orthopedic surgeons using synthetic ligaments to repair plantar plate & lateral collateral ligs in foot?

There is a new: Technique being performed to repair plantar plate from a dorsal or top approach with strong suture material. The device is a mini scorpion device and put out by arthrex. They refer to the procedure as CPR complete plantar plate repair. ...Read more

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