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Doctor insights on: Joint Atrophy

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Joint hypermobility cause of tendonitis?

Joint hypermobility cause of tendonitis?

Sometimes: One of the potential causes of tendonitis is overuse by the muscle/tendon unit trying to stabilize a hypermobile joint. This is certainly the case with the posterior tibial tendon in individuals with flexible flatfoot. However, not all tendinitis is related to joint hypermobility, so you would need to consult with your doctor to determine the cause of your tendinitis. ...Read more

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Atrophy (Definition)

Atrophy usually refers to the skin-as you get older or if you have had alot of sun in the past-the dermis (that is the layer below the top layer which is called the epidermis) gets thinner and the skin looks more wrinked. Muscles and fat can also get thinner -this is another form of atrophy. Even the top layer gets thinner ...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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Is exophoria, sacroiliac joint dysfunction/ pain, swelling possibly related to Multiple Sclerosis?

Is exophoria, sacroiliac joint dysfunction/ pain, swelling possibly related to Multiple Sclerosis?

Not really: What you describe can be caused partly by rheumatological condition, and the eye issues could be congenital. Nothing you describe is classical of MS. See your doctor and uncover your problems, as treatments can be very reassuring. ...Read more

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Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

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

Dr. Gary Pess Dr. Pess
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Why is muscle atrophy permanent in carpal tunnel?

Dr. Gary Pess Dr. Pess
2 doctors agreed:
Why is muscle atrophy permanent in carpal tunnel?

Not true: Muscle atrophy is only permanent in severe long standing cases. The nerve may not regenerate and restimulate the muscle in these cases. ...Read more

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What is moderate joint effusion, joint space narrowing "lateral" of the patellofemoral joint and bones slightly osteopenic and signif. Vascular calcif?

What is moderate joint effusion, joint space narrowing "lateral" of the patellofemoral joint and bones slightly osteopenic and signif. Vascular calcif?

Osteoarthritis: Your description suggests that you have moderate osteoarthritic damage to the knee. The effusion is the joint fluid which has been produced by the arthritic inflammation. The vascular calcification is arteriosclerotic changes in arteries. Ask your doctor to review the films with you. ...Read more

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Small suprapatellar joint effusion mild right lateral joint space narrowing and spurring of the articular surfaces?

Small suprapatellar joint effusion

mild right lateral joint space narrowing and spurring of the articular surfaces?

Osteoarthritis: It sounds like you are reading the x-ray report of someone with knee osteoarthritis. Joint space narrowing = cartilage loss. Spurring = bone spurs. Suprapatellar joint effusion = typical small amount of extra joint fluid seen in osteoarthritis. Sounds like a mild to moderate case. ...Read more

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Can si joint inflammation cause calf nerve pain?

Can si joint inflammation cause calf nerve pain?

Depends: If you already have sciatica and it involves your si joint too, this nerve goes all the way down to the foot, and can affect any part of the nerve that shoots off from it. To double check, you need to see a PCP/Dr. to get this checked out and see for sure. A sports medicine, or osteopathic (DO) physician are well trained to see this, as are neurologist or orthopedist. Start with your PCP first! ...Read more

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Can inflammation around the si joint cause sciatica pain? Or muscle spasms of piriformis muscle?

Can inflammation around the si  joint cause sciatica pain? Or muscle spasms of piriformis muscle?

Yes/No: Rare that the SI joint can cause true sciatica, however it can cause a referred pattern of pain that is known to radiate down the back of the leg up to about the calf. Traditionally SI Joint pain most often causes tenderness and pain in the buttock area. Piriformis muscle may cause sciatica, but that is also not common. Suggest seeing a spine specialist to determine which is occurring. ...Read more

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Hip flexor muscle problem?

Hip flexor muscle problem?

Rest: Rest, ice, anti-inflammatories can be helpful. If the pain persists, be evaluated by a specialist to make sure you do not have a more serious problem. ...Read more

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MY MRI of lumbar spine.Mild right sacroilitis with subchondral sclerosis with fatty bone marrow. NO significant joint effusioneffusion .means ?

MY MRI of lumbar spine.Mild right sacroilitis with subchondral sclerosis with fatty bone marrow. NO significant joint effusioneffusion .means ?

See below: Sacroiliitis is inflammation of your sacroiliac joints (where the sacrum meets the pelvis). Subchondral sclerosis means there are chronic changes along the margins of those bones as well. Fatty bone marrow is a normal finding. The findings listed above are commonly seen and can be seen in patients with and without back pain. Lack of joint effusion usually means that the inflammation is limited. ...Read more

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Horizontal Tear of the Posterior Horn of the Medial Menistic &Suprapatellar joint Effusion ,Articular Cartilage Loss & 3MM Medial Popliteal Cyst means

Horizontal Tear of the Posterior Horn of the Medial Menistic &Suprapatellar joint Effusion ,Articular Cartilage Loss & 3MM Medial Popliteal Cyst means

Arthritis and tear: The cartilage loss is similar to saying you have degenerative arthritis setting up in your knee. The meniscus is a cartilage cushion present in your knee, there is one present medically and one lateral, and you have a tear in one as well. I would go through your MRI with an orthopedic surgeon to discuss options. ...Read more

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Patient with excellent result of prior (x3) spinal fusion. Severe paraspinous muscle spasm with MRI showing paraspinous muscle atrophy edema. Rx?

Patient with excellent result of prior (x3) spinal fusion. Severe paraspinous muscle spasm with MRI showing paraspinous muscle atrophy edema. Rx?

Physical Therapy: I will probable have him/her continue with pt/hep focused in strengthening the paraspinal musculatures. Tens units can be tried to see if it can also help. ...Read more

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Xray recently shows severe joint space narrowing involve the patellofemoral compartment with underlying subchondral sclerosis & osteophyte formation?

Xray recently shows severe joint space narrowing involve the patellofemoral compartment with underlying subchondral sclerosis & osteophyte formation?

Osteoarthritis: These are classical findings of osteoarthritis being spelled out by the radiologist. Osteoarthritis develops as we lose the cartilage that is not seen on X-ray and usually leaves a "joint space" on films. During this degenerative cascade, sclerosis happens to the bone under cartilage and bone tries to increase its surface area when weakened by forming spurs called osteophytes. Good luck. ...Read more

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Can sacroiliac joint sclerosis cause pinching of the L4-L5, S1-S2 nerves?

Can sacroiliac joint sclerosis cause pinching of the L4-L5, S1-S2 nerves?

Not usually: But do you have Piriformis Syndrome, which could result in peripheral sciatica? Visit an osteopathic specialist, and get this both diagnosed and treated. ...Read more

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Is sternoclavicular joint total anterior dislocation curable?

Is sternoclavicular joint total anterior dislocation curable?

Sure: Young people tend to heal very well, but realize that sometimes a cure will involve surgery. See an orthopedic surgeon. ...Read more

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MRI Grade 2/3 chrondromalacia glenohumeral joint w/ high grade cartilage loss, Bone marrow edema of the humeral head, mod. Glenohumeral effusion?

MRI Grade 2/3 chrondromalacia glenohumeral joint w/ high grade cartilage loss,  Bone marrow edema of the humeral head, mod. Glenohumeral effusion?

Degenerative changes: This constellation is typical of osteoarthritic degenerative changes. The cause is non-specific and can be related to prior shoulder trauma or just a life time of heavy use. ...Read more

Dr. Stratos Christianakis
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Joints (Definition)

Joints are parts of the body, formed by the cartilage-covered ends of bones plus the strong, flexible ligaments that attach the bones to one another. Movements at the joints in the body allow the different parts of the body to move in ...Read more