Doctor insights on:
Knee dislocation 1mth ago recent MRI says lrg joint effusion-oedema in region of medial patellar retinaculum& patellofemoral ligament-meaning how2 fix?
? Patellar dislocate: Sounds more like a patellar dislocation. Rx varies with traumatic, 1st time, no trauma involved, also depends on ur alignment . Could b surg repair 2 realignment procedure , soft tissue or boney or both. A lot needs 2 b taken into evaluating the cause & then deciding on a rx. ...Read more
On Xeralto since 9/18/15, MRI shows 95% osteoarthritis so Ortho recommend knee replacement.also meniscus partial tear.Do I have surgery?Painw/shots!
This is judgement: You can always get a 2nd opinion. You will need to work with your cardiologist regarding the anticoagulations. We actually need to know a lot more to answer your inquiry. You can discuss the advice with your physician. A Rheumatologist could also be a good second opinion. ...Read more
would viscosupplementation be beneficiary for my knee osteoarthritis age 57 female, i can forward u digital copy my knees xray?
Pain = Muscles first: There is a huge error in medical logic and reasoning. The most common location for pain is in the muscle system. Stressed and strained muscle will begin to contract choking other and secondarily leading to tendinitis, bursitis, nerve pain, vessels, degeneration of joint structures. Tx cause w stretching hands-on PT, acupuncture, wet/dry IM needling will restore the muscles and no secondary issues. ...Read moreSee 1 more doctor answer
Dr. Peter m. Ihle - clarifying earlier mess I do have patellofemoral syndrome & chondromalacia w/subluxable patella....Re pop. What procedures correct?
Try Exercise First: I'm not sure if this is a question that had already been answered or not, but you should address any foot issues ( over pronation, flat arches , etc) then use exercises to stretch lateral knee structures and strengthen the vastus medialis muscle in the quads. Physical therapy may help as well. Don't jump to surgery unless you try conservative treatments for a few months first. ...Read more
Mri done on ankle; anterior talofibular is torn, ankle joint effusion, flexor hallucis longus tenosynovitis. Meaning? Doc handed me off. Help. No ins.
Immobilize >therapy: You can order a cast boot online for very little money. $35-$65. These are all removable casts. You need it tall like a real short leg cast. Keep your weight off it. Get crutches or a walker at drug store or good will. You need to immobilize it to allow the atfl ligament to heal. This will take 6 to 8 weeks to knit itself together. After it heals you really need to get therapy to rehab the ankle. ...Read moreSee 3 more doctor answers
Arthroscopic ac decompression/resection in Nov2015. 2ndMRI still shows severe arthrosis & impingement. Nothing torn. What are my next options?
Follow up to dr harvey; had mri, shows grade 2&3 tears, joint effusion & chrondomalacia patella & patella tilt. Both knees snapped in when i fell ?
Surgery: Your condition sounds pretty bad. Orthopedic consultation should be considered. ...Read more
Osteo arth 3 meniscus repairs, one nerve release an synvisc (hylan g-f 20) inject plus baker cyst on both knees only 46yrs old they say too young for replacment what?
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
Tractor went over knees & feet, both meniscus torn, possibly acl's, knee caps fractured. Nothing done surgically yet stating to much arthritis, ideas?
Advice 39 women, MRI on left knee osteochondritis dissecans, 2 bakers, cartiligious defect4.0 mm?O.S., did p/t, cortizone, (hydrocortisone) he sending me to neurlogist?Why
Not Sure: Unless you are having nerve type symptoms or numbness in your leg which may prompt an EMG or nerve conduction study, I am not certain why you would be referred to a neuorologist without furhter info. Your knee may require a scope to evaluate the chondral/cartilage defect better. It sounds small so may be amenable to debridement and microfracture. Probably next step. ...Read more
.5cm subchondral cyst in wrist, mild degen changes 1st carpalmetacarpal joint, treatment and questions for surgeon?
Wrist pathology: A 0.5 cm cyst by itself has no particular significance. Likewise for the mild degenerative changes. What needs to be evaluated is the clinical context for these findings i.E what are the symptoms? That would be the basis for evaluating treatment options. ...Read moreSee 1 more doctor answer
Hip pain/clicking 4 a few years. Dr said maybe PsoriaticArthritis but Humira (adalimumab) didnt work.Xrays/mri was normal.Could be femoral acetabular impingement?
Maybe: it you think the pain is coming from the hip which is usually pain in the groin, front of the thigh, buttock - especially if you have worse pain with moving the hip then it could be impingement or other problem in the joint itself. best bet is to see an orthopedic surgeon for appropriate exam and workup ...Read more
Knee pain, instability, and painful cracking. MRI notes meniscal degeneration, no tear and severe osteoarthritis. Am I looking at a knee replacement?
Maybe: Although the MRI shows severe Osteoarthritis the decision about knee replacement is based on how you are functioning rather than the MRI image. Physical Therapy, medications, weight control and non drug interventions (such as Tai Chi) can help to reduce pain/improve function. You may want to discuss a comprehensive program with your health care provider as well as an Orthopedic doctor. ...Read more
Female, 69, knee pain, very active, good health, mri-complex medial meniscal tear with small medial femoral condylar marrow contusion.Surgery only? Thx!
July xray Ankle-no bone change. Nov. xray -slight osteoarthritic changes w/ osteophyte formation & sclerosis. After surgery for cavus will OA reverse?
No: unfortunately those radiographic changes are there to stay But that doesn't mean your symptoms won't get better ...Read more
Ankle MRI report - ant tib tendon bowing, tendonitis in ant tib, tenosynovitis in posterior tib, mild tendonitis in Achilles'. Best treatment?
Cold compresses help: I have found that tendinitis frequently responds to application of cold compresses, particularly gel devices kept in a freezer which when applied to tendinitis will cut the inflammation down and provide comfort without the potential side effects of listed medications (which help as well but can cause considerable side effects). Such gel devices can be found in drug stores (OTC). ...Read moreSee 1 more doctor answer