Doctor insights on:
Heel Cord Lengthening Risks
Peroneal tendons subluxing. Extensor retinaculum repair just failed. Cavus foot from CS. Can both retinacula (2) & cavus be fixed at once? Techniques?
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
Is cutting thru ankle extensor retinaculum standard procedure for extending leg fasciotomy for repeat compartment syndrome? What are consequences?
Result: swelling, tendon instability, some time weakness due to lose of pulley effect ...Read more
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
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
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
In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?
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
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
Mri:6mm intradural extramedullary lesion on the dorsal aspect of the conus at t1 level. Will treatment be surgery? Having bad leg tightness/spasticity
Recurring compartment syndrome, 7 leg fasciotomies + 1 foot. Fluid pockets from fasciotomies causing recurrence again, consider amputation?
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 moreSee 1 more doctor answer
During foot reconstruction for foot compartment syndrome damage, cut plantar fascia off my heel bone. Will it scar back to heel or remain floating?
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
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
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 moreSee 2 more doctor answers
Are there any orthopedic surgeons using synthetic ligaments to repair plantar plate & lateral collateral ligs in foot?
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