Doctor insights on:
Hyaluronic Injections Meniscal Injuries
No help for meniscus: Hyaluronic acid (ha) is currently only indicated in the knee for the treatment of certain degrees of osteoarthritis (oa). Viscosupplementation has become increasingly popular over the past two decades. The indications will continue to evolve as more clinical studies are completed. ...Read moreSee 1 more doctor answer
Can help reduce pain: Supartz (hyaluronic acid) is a form of viscosupplementation. There are many chemicals used :synvisc, orthovisc, Hyalgan and others. These are chemical substances that are similar to the cartilage of the knee. Some are totally synthetic and one is from the comb of a rooster. They are used as a single or series of injections into the knee to relieve pain and improve function. They are inert and have no side effects. ...Read more
85 year old torn meniscus in right knee, pain/inflammation when walking. Recommend hyaluronic acid joint injection? Other non-surgical therapies?
If your joint is in-: -good condition, a menisectomy would be advised, even if borderline. This can slow down further degeneration & possibly avoid a replacement. Hyaluronic acid if the joint is bad & the only option is a replacement, if you are one of the people that get great results, you still may avoid a TKA. If successful they do need to be repeated over time. ...Read more
For tendonitis: Yes. If you receive occasional steroid injections for tendonitis or arthitis related to the knee, they are safe. If someone is discussing injecting steroids directly into the tendon, do not do this as it can lead to tendon rupture. However, injection into the intra-articular/joint space is very safe. With a history of reconstruction, make sure the person doing the injection is experienced. ...Read moreSee 1 more doctor answer
Platelet Rich Plasma: PRP or platelet rich plasma injection is very effective for a number of indications. These include facial rejuvenation, hair regrowth, sexual rejuvenation, healing musculoskeletal injuries and arthritis, and more. PRP is excellent for achilles tendinosis! I see you are fairly local and I can provide this service if you like. Contact me if interested. Best, Dr. Lebowitz ...Read moreSee 2 more doctor answers
Knee Braces: Knee immobilization is commonly used after micro fracture technique done on the knee. There should have been a very specific rehabilitation protocol given to you prior to and reinforce after surgery. The first 6 weeks would involve protected weight bearing, initial immobilization, followed by gentle range of motion. Braces may be involved. ...Read moreSee 1 more doctor answer
S/P rotator cuff debride/AC joint decomp.: 7/14. Not improving w/wkly PT and cortisone inject. MRI arthrogram 2 Dec.= 8x6mm Supraspina tear. Surgery?
Usually if >50%: If the tear measures over 50% of the width of the tendon your Dr. will most likely recommend surgery. You can try PT but pain can limit the effectiveness. ...Read more
Acl/pcl healing: If an acl and PCL tear these ligaments do not typically heal; this is due in part to the synovial environment in which these ligaments reside as well as the demand that is exacted on these ligaments. Whether one is symptomatic with these injuries is in large part measured by the degree of activity in which a patient participates in and the number of hours one is actively engaged. ...Read moreSee 2 more doctor answers
My wrist has torn tendons, torn ligaments, subluxing ECU tendon w tear & ganglion cyst. As well as tenosynovitis + tendinosis . What can be done
Inflammed tendon: Chronic inflammation of the patella tendon, commonly known as "jumper's knee"/ typical treatment options consist of rice, antiinflammatories, physical therapy, counterbrace supports, massage, injections... For more info http://drmarkgalland.Com/platelet-rich-plasma-may-have-edge-in-jumpers-knee/ rarely requires surgery. ...Read moreSee 1 more doctor answer
Multiple kneecap dislocations. Two failed lateral release 8 months. Trochler groove pretty straight across. Arthritis . Tkr vs mpfl?
Let me explain: It depends on how much arthritis you have in the knee, if the joint really have a lot of arthritis i would advise tkr. If the changes are not much you have the reconstruction for know and possibly the tkr if needed when are more older . Good luck. ...Read moreSee 1 more doctor answer
Have value: Used on a limited basis have value at alleviating pain reducing inflammation, particularly for inflammatory arthritis (rheumatoid, gout, etc). Should be used with caution if at all in younger pt with no evidence of cartilage breakdown or inflammatory arthritis. In this situation underlying cause of pain must be identified/addressed as apposed to repeated injections. ...Read more
Certainly: Vitamin supplements are an excellent source to balance our diet and prevent inadvertent deficiencies. However, it is not generally needed to help an acl heal. An acl generally cannot heal on its own, so no amount of supplementation will change that. After ran acl reconstruction, we are often deconditioned, so supplements can help. ...Read moreSee 1 more doctor answer
2 failed lateral releases in 8 months/dislocations .& tears. Shallow trochler groove. Total knee or patellar realignment? Medial pain full thicartil
Any new procedures for medial knee pain, without a total arthroplasty or the supartz (hyaluronic acid) injections? I have taken all injections.
MAKOplasty: I have performed over 560 makoplasty procedures and it is very very safe . It is superior to all other techniques for precise installation of partial knee replacements. When performed by an experienced makoplasty surgeon, it allows us to balance the tension of your ligaments within a millimeter and make the implants track centrally so they last decades. Mine all go home the same day, little pain. ...Read moreSee 2 more doctor answers
Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?
Maybe: This decision is best made by your own orthopedist who has direct access to your x rays. A second opinion never hurts. In someone so young, if you can get away with something short of a total joint replacement, it is always preferable to do so. ...Read more
Had lateral release, severe arthritus abaidment, loss of 75% articular cartilage of kneecap/femur, noe supartz (hyaluronic acid) inj. Whats next 40 yrs old?
Evaluation: It appears you may have isolated patellofemoral arthitis. A complete diagnosis is key. Are the medial and lateral knee compartments normal? Did you have patellar instability in the past? What is the shape of the trochlear groove, the height of the patella, etc? The treatment may range from rehabilitation to tuberosity transfer to cartilage restoration to arthroplasty--so, see a pf expert asap. ...Read moreSee 1 more doctor answer
Not familiar: I am not familiar with mud therapy so i really could not tell you about that. Hyaluronic acid injections are helpful for people with moderate osteoarthritis and give up to 6 months of relief in sucessfull cases. They do not work well in people with severe osteoarthritis. ...Read moreSee 2 more doctor answers
For post patellar dislocation, can knee supports really support the knee from recurring patellar dislocation?
Patellar dislocation: If you do your rehab and utilize your brace you have a chance for recovery without recurrence, but you are more at risk for redislocation than individual that has not had a dislocation. There are multiple structural factors which come into play. This is something for you to discuss with your orthopedist ...Read more
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