Doctor insights on:
How To Fix Hip Bursitis
Hip bursitis: The cure is to find out what caused it: a limp, weak hip muscles, inflammatory condition, gout, medicine side effect (especially statins for cholesterol). An ingrown toenail causing a limp can do it. Herniated disc causing pain or weak hip abductors will do it. Quick fix is ice constantly for 48 hrs, nsaids, and if no better, steroid (shot or pak). If persistent, get checked. ...Read moreSee 1 more doctor answer
Muscles, not bursea: Travell, MD the matriarch of pain therapy noted pain pathology is in muscles not joints. She stated that any joint area stiffness, aching and tension was due to muscles not the joint proper. So her myofascial therapy protocols are designed to treat all types of "joint pain." begin a self-care self/pro massage, chiropractor, heat, epsom soaking, stretching. I use acupuncture! ...Read moreSee 1 more doctor answer
Orthopedic Emergency: A knee joint dislocation (tibiofemoral joint) is an orthopaedic emergency. Neurovascular injury needs to be evaluated and managed acutely. Immediate reduction is paramount to the longterm viability of limb presence and function. Once reduction is obtained and maintained (usually via bracing), consideration for surgical repair/reconstruction is undertaken. ...Read more
Prolotherapy/fusion: Sacroiliac joint (SIJ) instability causes 13-30% of chronic low back pain & is a joint hypermobility disorder; due to damaged & weakened ligaments. SIJ belts, yoga, cannabis & massage might provide intermittent relief. Prolotherapy is best natural non-toxic long-term solution to reestablishing pelvic girdle stability. Failing Prolotherapy, SIJ fusion provides a low risk definitive solution. ...Read moreSee 2 more doctor answers
Exercise: Most of hip pains are due to osteoarthritis. Over-weightiness and inactivity make hip-pain worse. Back-strengthening exercises and losing weight are helpful. Taking pain-killer should be the last resort. However, when the pain is severe and/or interferes with the lifestyle, it is wise to consider hip replacement surgery. If pain persists please consult a physician. ...Read moreSee 1 more doctor answer
Evaluation Is Key: After reduction and conservative measures to control pain and swelling, the key is to identify associated injuries. If there is a cartilage or osteochondral injury per mri, that problem is managed. If the injury is isolated to the medial patellofemoral ligament, then rehabilitation is the treatment for first time patellar dislocations. Recurrent dislocations are treated differently. ...Read moreSee 1 more doctor answer
Rest and rehab: See an orthopedic surgeon if your primary care md is uncomfortable with diagnosing and managing the injury. Usually a sprained knee ligament is managed for 2-6 weeks with bracing, physical therapy modalities, ice and anti-inflammatories, followed by gradual return to activity. More extensive tears result in chronic pain and instability and might require surgery. ...Read more
Reduce it: Obviously the initial treatment for any patella dislocation is to replace the patella into proper position. The leg should then be immobilized to allow healing and to allow swelling to subside. Then one must evaluate the knee and determine if this is a onetime traumatic event or a recurrent problem which might require either physical therapy or a surgical procedure. ...Read moreSee 1 more doctor answer
Rehabilitation: Every labral tear does not need surgery. In fact many people have labral tears and may not even know it. Typically if i see a patient with a labral tear i try rehab first in attempt to decrease symptoms. The tear may still be present, but if it does not cause symptoms then surgery is not indicated. We must treat the patient not necessarily the mri. www.kevinkaplanmd.com. ...Read moreSee 2 more doctor answers
You can't.: The bursa in the shoulder is a potential space between the acromion (bone on top of the shoulder) and the rotator cuff. If you have a bursitis, you can treat it with an occasional steroid injection. If the pain persists you may need to have a surgery to take out the bursa. Get an evaluation with a shoulder specialist. ...Read more
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