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Doctor insights on: Junvielle Arthis

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Knee dislocation 1mth ago recent MRI says lrg joint effusion-oedema in region of medial patellar retinaculum& patellofemoral ligament-meaning how2 fix?

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

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Arthritis, osteoarthritis, gout, what to do?

Arthritis, osteoarthritis, gout, what to do?

See a ............: Rheumatologist to sort both diseases and treatment options out! ...Read more

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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!

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

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would viscosupplementation be beneficiary for my knee osteoarthritis age 57 female, i can forward u digital copy my knees xray?


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 more

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Dr. Peter m. Ihle - clarifying earlier mess I do have patellofemoral syndrome & chondromalacia w/subluxable patella....Re pop. What procedures correct?

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

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Mri done on ankle; anterior talofibular is torn, ankle joint effusion, flexor hallucis longus tenosynovitis. Meaning? Doc handed me off. Help. No ins.

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 more

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Arthroscopic ac decompression/resection in Nov2015. 2ndMRI still shows severe arthrosis & impingement. Nothing torn. What are my next options?

Arthroscopic ac decompression/resection in Nov2015. 2ndMRI still shows severe arthrosis & impingement. Nothing torn. What are my next options?

PRP: Platelet rich plasma injections. The growth factors in your own blood platelets regenerate cartilage and heals. I have performed few of these procedures with very good results. You also need a comprehensive work up for essential mineral deficiency ...Read more

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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?

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?

MENISCUS tear: Depends on the condition. Some times steroid injection helps prior to arthroscopy repair. Same with bakers cyst, popliteal swelling sometimes causes less pain. Ask your Ortho opinion. ...Read more

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Had lateral release, severe arthritus abaidment, loss of 75% articular cartilage of kneecap/femur, noe supartz (hyaluronic acid) inj. Whats next 40 yrs old?

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 more

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Tractor went over knees & feet, both meniscus torn, possibly acl's, knee caps fractured. Nothing done surgically yet stating to much arthritis, ideas?

Tractor went over knees & feet, both meniscus torn, possibly acl's, knee caps fractured. Nothing done surgically yet stating to much arthritis, ideas?

Knee trouble: This should be a question for your orthopedic surgeon as soon as possible. Heis the individual who can schedule you appointments to minimize your post operative healing and minimize post operative complications. Call today or tomorrow. ...Read more

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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

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

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.5cm subchondral cyst in wrist, mild degen changes 1st carpalmetacarpal joint, treatment and questions for surgeon?

.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 more

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Aug '12 i tore my meniscus had surgery.My knee is now locking swelling etc. Advice?

Aug '12 i tore my meniscus had surgery.My knee is now locking swelling etc. Advice?

See your ORS: If u are still having problems w/ your knee more than a year after your arthroscopy see your ors.Recurrent meniscal tears or other causes of knee pain/'locking' could be present.A good thorough knee exam is indicated. ...Read more

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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?

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

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Knee pain, instability, and painful cracking. MRI notes meniscal degeneration, no tear and severe osteoarthritis. Am I looking at a knee replacement?

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

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Female, 69, knee pain, very active, good health, mri-complex medial meniscal tear with small medial femoral condylar marrow contusion.Surgery only? Thx!

Female, 69, knee pain, very active, good health, mri-complex medial meniscal tear with small medial femoral condylar marrow contusion.Surgery only? Thx!

Maybe: The good news is that the small marrow contusion should heal with conservative treatment without any complications. The bad news is that a complex medial meniscal tear usually will not heal, and surgery will probably be necessary at some point. ...Read more

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Ankle MRI report - ant tib tendon bowing, tendonitis in ant tib, tenosynovitis in posterior tib, mild tendonitis in Achilles'. Best treatment?

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 more

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