Doctor insights on:
Infrapatellar Fat Pad Syndrome
Mostly a bruise: http://www.sw.org/misc/health/Hoffa%27s%20Disease%20%28Infrapatellar%20Fat%20Pad%20Syndrome%29%20with%20Rehab-SportsMed.html This varies a lot, but often it is like a localized bruise that doesn't last long and goes away with rest on its own. Mostly, it just occurs but can be after trauma ...Read more
I have patella tendinopathy, bursitis, hoffa fat pad oedema I've been treating with glycerine trinitrate, essentric exercises pain is worse after 3 week?
Injection: A steroid injection into the prepatellar bursa and/or fat pad could calm your symptoms and allow rehab to be more effective. I never inject the tendon itself with a steroid, due to the risk of tendon rupture. Platelet-rich plasma injections may be effective for subacute or chronic patellar tenon problems. ...Read more
An injury caused a large joint effusion w/ elevation of the anterior & posterior fat pads on elbow. Will the fat pads heal and return to its place?
Kind of: The fat pads are normal structures and so they don't really heal. In a x-ray of a normal elbow, they are usually not seen as they are within the joint. When the elbow joint has extra fluid in it, they float out of the joint and are visible. So when you see fat pads on an x-ray, that is a sign of a significant elbow injury even if a fracture is not seen, as in an occult radial head fracture. ...Read more
Calf tightness w/ swelling Achilles (and paratendon) + distended unilateral tributary over achilles. Compartment syndrome? Venous? No known injury.
Recurring compartment syndrome, 7 leg fasciotomies + 1 foot. Fluid pockets from fasciotomies causing recurrence again, consider amputation?
Many fasciotomies CS returns. Hypertrophic muscles, scar tissue & fluid pockets in leg. Could fusing ankle atrophy muscles to reduce volume, & end CS?
Ankle Fusion: Ankle fusion (arthrodesis) absolutely will atrophy certain muscles in the foot and leg, as there is no further motion in the ankle joint. This limits the amount of contracture and use of the muscle, which leads to muscle wasting and atrophy. Also, you will not return the blood to your heart as effectively, as you rely on skeletal muscle to push the blood back to the heart (Venous insufficiency) ...Read more
Yes: Compartment syndrome is an uncommon complication of running. However, it does happen in runners due to stress is placed on the muscles of the leg. If you develop pain that does not get better, or you start to experience the nerve changes (numbness, tingling, or weakness) see a doctor immediately. ...Read more
Multiple leg fasciotomies. Fascia scars shut & compartment syndrome returns. All closed imm. Stryker test high, muscle damage & cavus foot. Any ideas?
Pain under heel for a year when walking. MRI negative for bursitis, tendonitis, plantar fasciitis, thin fat pad, pinched nerve. What else could it be?
Shoulder/arm pain for months with ultrasound that found. Partial thickness bursal surface tear of mid/posterior fibres of supraspinatus 4×2×2mm & involving 75% of fibre thickness with associated subacromial bursitis & impingement. Will i need surgery?
^ chronic pn @HS. bi-lat, anterior ankle/ant foot. pn>mvt. slp with feet elev under heating pad weighed dn by heavy pillow. x6mo+. ?ankle brace?
Go to specialist: Bilateral pain in the anterior ankle for 6 months is not normal. This needs to be examined. The anterior ankle may be the result of an injured in the bones of the ankle joint, the tendons that pass over it or an impingement of nerves and vessels. Need more history but a thorough exam is necessary - may need diagnostic testing like X-ray and/or MRI depending on findings. ...Read more
Hx of compartment syndrome, scar tissue & fluid pockets from fasciotomies. Trying compression. How close pockets to stop fluid & the scar tissue & cs?
Take time and see...: All what doctor can do is provide a best possible inside and outside environments to help your body undergo optimal self-healing for optimal functional recovery. With all being done, now is the time for healing, but with highly variable pace. For detail, ask and work with doctor. Of course, always keep up practicing healthy lifestyle without overindulgence and obsession. Best wish... ...Read more
How bad is a focal area suggestiv of central fibrosis within liver. Mild centrilobular cholestasis and attached fibroadiposed tissue with fat necrosis?
Depends: It is impossible to evaluate these findings without knowing the clinical setting and the results of other tests of liver function. Certainly this does not make me suspect liver cancer. If you have questions about this ultrasound finding, I would ask your doctor or your gastroenterologist. Good luck. ...Read more
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