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Doctor insights on: Injections Meniscus Bursa Condition

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I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis?

I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis?

Several issues: Chondromalacia means you have abnormal cartilage in the inside part of your knee where the kneecap (patella) sits. Everything else means you have fluid and/or inflammation in various places around your knee. A bursa is a sac that usually only has a little bit of fluid in it but can get inflamed and be painful. Popliteal cyst = baker cyst, which is accumulation of fluid in the back of the knee. ...Read more

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Bursa (Definition)

The bursa is a sac of fluid within a joint in ...Read more


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I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis? Whats the treatment?Thanks

I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis? Whats the treatment?Thanks

Chondromalacia: Chondromalacia is damage to the cartilage surfaces of joints. In the knee it's similar to the wearing away of tire treads. This can cause inflammation which can produce increased fluid in the knee (effusion). If you have minimal pain and no locking, strengthening your thigh and leg muscles is recommended. Icing and anti inflammatories and pt can be helpful. Arthroscopy is recommended with locking. ...Read more

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Any jumper's knee (patellar tendinitis) treatmenet?

Any jumper's knee (patellar tendinitis) treatmenet?

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 more

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How is subacromial subdeltoid bursitis treated?

How is subacromial subdeltoid bursitis treated?

Medication injection: Protection, rest, ice, compression, elevation, and medications such as Aspirin or Ibuprofen (advil) can be helpful to reduce inflammation and pain fro bursitis. If your bursitis is not infectious, the doctor may inject the bursa with a corticosteroid to reduce inflammation. Rarely will require surgery to remove it. Check with your doctor if you could use those medications. ...Read more

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Lateral epicondylitis, tendinopathy with multiple tendon ruptures along extensor tendon. Treatment options?

Lateral epicondylitis, tendinopathy with multiple tendon ruptures along extensor tendon. Treatment options?

That is a very com--: Plex problem that you have. Is it in the same arm or elbow area? Is this from an injury? Without being seen ; examined/investigated, its difficult to address all your issues in a meaningful way. You need to see an orthopod or a elbow/shoulder surgeon to get the best advice, as otherwise you'll get a pot pouri of suggestions, which may or may not help. Good luck. ...Read more

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My wrist has torn tendons, torn ligaments, subluxing ECU tendon w tear & ganglion cyst. As well as tenosynovitis + tendinosis . What can be done ?

My wrist has torn tendons, torn ligaments, subluxing ECU tendon w tear & ganglion cyst.   As well as tenosynovitis + tendinosis .  What can be done
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All can be treated: All your conditions can be treated by an orthopedic doctor.So I suggest you make an apt with an orthopedic doctor if not already done ...Read more

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Could a knee replacement surgery treat patellofemoral syndrome or chondromalacia patella?

Could a knee replacement surgery treat patellofemoral syndrome or chondromalacia patella?

Sometimes: Patellofemoral syndrome is often successfully treated with aggressive, committed physical therapy aimed at strengthening the inside portion of your quadricep muscle. Damage of the smooth articular cartilage on the undersurface of the knee cap is called chondromalacia patella. If this damage is severe enough, then either a partial or total knee replacement may be indicated. ...Read more

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Treatment for radial & longitudinal tears of the posterior horn medial meniscus, severe knee osteoarthrits moderate joint effusion, diffuse synovitis?

Treatment for radial & longitudinal tears of the posterior horn medial meniscus, severe knee osteoarthrits moderate joint effusion, diffuse synovitis?

Numerous : The most definitive option is a knee replacement. Knee arthroscopy is not likely to be helpful at this point. Various injections such as cortisone, hyaluronic acid/joint fluid or platelet-rich plasma are reasonable options. Meds, braces and PT are considerations. If I can help, then join my care team and virtual practice at www.healthtap.com/dr-clarkeholmes ...Read more

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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?

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

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Can a knee replacement surgery help treat patellofemoral syndrome or chondromalacia patella?

Can a knee replacement surgery help treat patellofemoral syndrome or chondromalacia patella?

Yes,but: Knee replacement should be reserved (in my non-orthopedic) opinion for severe knee disease-not the 2 conditions you mentioned. ...Read more

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85 year old torn meniscus in right knee, pain/inflammation when walking. Recommend hyaluronic acid joint injection? Other non-surgical therapies?

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

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2 failed lateral releases in 8 months/dislocations .& tears. Shallow trochler groove. Total knee or patellar realignment? Medial pain full thicartil

2 failed lateral releases in 8 months/dislocations  .& tears. Shallow trochler groove. Total knee or patellar realignment? Medial pain  full thicartil

Try realignment : 53 is still young 4 tka. Find a good knee specialist who can do xam x-rays & other imaging 2help u make an informed decision. ...Read more

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MRI of knee shows "Oblique tear posterior horn medial meniscus, lateral patellar plica and minimal synovial knee effusion" will I need surgery? or ?

MRI of knee shows "Oblique tear posterior horn medial meniscus, lateral patellar plica and minimal synovial knee effusion" will I need surgery? or ?

Possibly: It depends on the degree of tear, how much it is effecting your daily activities and whether it responds to conservative treatment. If the plica does not get better with anti inflammatory meds you will most likely need arthroscopic surgery to remove it, although your orthopedic surgeon will be the best MD to determine that. ...Read more

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Can Lupus cause Achiles Tendonitis or Retrocalcaneal Bursitis, Runner's or Jumper's knee, or Cubital Tunnel Sydrome?

Autoimmune diseases: Autoimmune diseases can sometimes be associated with inflammatory joints and result in laxity. This can can create instability and can create abnormal pull/strain in some muscles - particularly those that are responsible for balance. ...Read more

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Can someone explain this.. Moderate patellar chondromalacia w/ prominent cartilage fissuring in the lateral patellar facet?

Can someone explain this.. Moderate patellar chondromalacia w/ prominent cartilage fissuring in the lateral patellar facet?

Cartilage wear: Chrondromalacia means softening of the cartilage that covers the bone. It is a form of cartilage injury or degeneration. Moderate is a grade worse than "mild", but not as significant as "severe". The lateral patellar facet is the outside and back part of the patella. Fissuring means there is a groove-like defect in the cartilage. ...Read more

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Does interosseous ligament of knee tear treatable? Thanks

Does interosseous ligament of knee tear treatable? Thanks

Yes: Please consult an orthopedist who is more special used in sports injury. By arthroscopy it is treatable, will need extensive physical therapy. ...Read more

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Why pain after cortizone (hydrocortisone) injection. Mri says grade 2/3 sprain in both knee mcls, joint effusion, patella tilt &chrondomalica patella. Result of fall.

Why pain after cortizone (hydrocortisone) injection. Mri says grade 2/3 sprain in both knee mcls, joint effusion, patella tilt &chrondomalica patella. Result of fall.

Patella femoral : If your pain is in front/under your knee cap, then most likely chondromalacia patella. Best managed with exercise to strengthen your quads to improve tracking, and avoiding deep knee bending activities. Also oral or topical nsaids can be of benefit, as well as a brace. Injection of cortisone or hyaluronic acid also very popular. Mcl injuries can be braced & need time not cortisone injections. ...Read more

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Surgery? Degeneration posterior horn of meniscus, tendinosis/partial thickness tearing of patellar tendon at interpolar patella, subcutaneous edema

Surgery? Degeneration posterior horn of meniscus, tendinosis/partial thickness tearing of patellar tendon at interpolar patella,  subcutaneous edema

When nonop tx fails: Surgery is not usually the first line of treatment for chronic injuries such as you described: degenerative (chronic) PHMMT, and patellar tendinosis (vs partial inferio pole tear). Nonoperative management: physical therapy, stretching program, NSAIDs, rest, ice, may all help considerably. Arthroscopy to debride a degenerative meniscal tear due to persistent mechanical symptoms may be needed later. ...Read more