Doctor insights on:
Non Surgical Treatment
Is surgery still an option in suspected cubital tunnel syndrome if non surgical treatment & corticosteroids have failed but NCS came back normal?
No good one.: Appendicitis was 99% fatal before antibiotics. Today with prompt surgical treatment it is rarely fatal. If you have appendicitis, get treatment now. Removal before rupture has a quick recovery, while ruptured appendicitis is associated with a prolonged recovery and more long term complications. ...Read more
Shouldn't matter: Exercise shouldn't be a factor, however common sense and logic would suggest to limit your activities as tolerated. In other words, if it hurts, back off the activity for a while. ...Read more
Only surgical: A partial styloidectomy is the treatment. If you are going to live with the neck pain, sore throat -type pain, etc. And do everything to avoid surgery, please make sure that you do not have the vascular form because impingement on your carotid can have serious and deadly consequences. ...Read more
None: Really, the treatment for this congenital esophagus outpouching is surgical. There's no medication or lifestyle change which can make it go away. Good luck. ...Read more
Spot fat loss does: Not occur naturally. By losing weight in general a some will probably be hip fat. However, we don't get to chose what area of the body the fat is lost from. Eat healthfully ; be physically active. Calories burned must > calories consumed. Try toning with plie, dumbell squats, squat w kick-back, single leg front raises, toe taps, clock lunge, step ups w knee raise, lunge jumps ; squat jumps. ...Read more
Many possible causes: Narrowing or contracture of the bladder neck is usually a side effect of surgery or radiation for conditions such as prostate cancer. Primary bladder neck obstruction is not well understood, but may be caused by fibrotic scarring or neurologic dysfunction leading to altered muscle tone. Medications called alpha-blockers are the primary treatment, & several studies have shown symptom improvement. ...Read more
Facial Skin: New fractional laser resurfacing laser skin tightening techniques are a great improvement. By fractionating or breaking up the laser into many small beams, untreated areas are left to speed healing and complications are less common. The new fractional resurfacing techniques also can go deeper into the dermis to firm up the deeper collagen and elastin layers. ...Read more
Meds, activity mod: Hard to say exactly without knowing how extensive a meniscus injury but likely you may have some underlying degenerative changes (arthritis) and the meniscus tear may be one component of that. Options: oral joint health supplement, oral NSAID (motrin/naprosyn etc), minimize high impact exercise (running), and possible injections (cortisone or viscosupplementation). ...Read more
Various: There are various treatments for facial wrinkles, including topical treatment such as retinol and tretinoin, moisturizers, botox, chemical peels, microdermabrasion, fillers, radio frequency treatments, and various types of lasers. Consult a dermatologist or plastic surgeon, as which treatments might be best will vary depending the where the wrinkles are, your skin type, and other considerations. ...Read more
Prevention important: Most important is prevention of wrinkles from occurring; clean, moisturize, limit sun exposure over a lifetime, particular during youth (loss of elastic tissue). Smoking? Can c wrinkles across room. Various retinols. A whole bunch of products promise a lot, deliver a little. Botox, yes, but must redo repeatedly. Dermatologist will pitch their products, but go anyway to learn approach for life. ...Read more
Limited: It is a form of traction using a machine to pull on the spine, somewhat like pulling on two ends of a rope. It can give temporary relief of neck, back, arm, or leg pain. For mild cases, it might be effective. The problem of proving effectiveness is the variability of spinal problems among sufferers, and the tendency for some to get better with time (regardless or in spite of treatment). ...Read more
Jammed finger and now it's crooked and it's been 4 weeks. Is it too late for a non-surgical treatment?
See below: You describe symptoms that can only be honestly assessed by your doctor in his or her office. Only after a thorough evauation will he/she be able to come up with what's wrong and what to do to get you better. ...Read more
What is a non-surgical treatment of planar warts in shaving area aside from freezing? Iis zyclara effective? Any other cream / organic treatment?
Veregen (sinecatechins): I assume you mean genital. Yes zyclara is somewhat effective but there are othe prescription options such as veregen, (sinecatechins) which I prefer over zyclara of the topicals for this. ...Read more
Bowel obstruction: Surgical treatment for bowel obstruction related to abdominal adhesions is called exploratory laparotomy with lysis of adhesions. It can be performed open or laprascopically. Without bowel obstruction, adhesions are not treated surgically. Some docs will make a preliminary diagnosis of adhesions when patient presents with abdominal pain. The surgeon makes the diagnosis of bowel obstruction. ...Read more
Units please.: There is a big difference in management if the cyst is 7mm versus 7 cm. A 7mm cyst wouldn't require any treatment. With a 7 cm cyst, treatment options would depend partly on the description of the cyst (for example simple versus complex). But a cyst larger than about 4 cm is at risk of ovarian torsion (twisting on it's stalk) which may cause loss of the ovary and a surgical emergency. ...Read more
Is there any treatment for a calcaneus-cuboid luxation/chronic instability that is better then other? Is there any specific non-surgical treatment?
I've a bulge in L5 and as a result I sometime feels acute pain in my left leg while walking. What is the best non surgical treatment for this problem?
Seeking non-surgical treatment options for adolescent bilateral grade 3 spondylolysis (pars defects) with herniated l5-s1 disc?
Options: Congenital variety genetic origin occuring in 6% us population in particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen to name a few. Most treated non operatively including associated with herniated disc with bracing, physical therapy & medication and activity modification. Epidural steroid injections can also be considered with 90% treated nonop. ...Read more
Perioscopy is a fast, non-surgical treatment for periodontal disease. Why is it very difficult to find a dental office that has this endoscope?
Dental scope: I have never hear of perioscopy in dentistry. Maybe it is periodontal surgery done under a microscope. This is not needed, periodontal surgery can be accomplished with dental loupes like most dentists have. This is probably a higher fee for no better treatment. If you are talking about a root canal then a microscope can help for difficult cases. Every endodontist Has a endoscope for root canals ...Read more
I have uncomplicated Xanthelasma on both lower eye lids. Looking for non surgical treatment in NJ preferably using TCA. Anyone know of any NJ doctors?
Are you sure?: In my experience, xanthelasma are uncommon on the lower lids. Have you seen an ophthalmologist for evaluation? You should. ...Read more
My friend was diagnosed ampullary cancer. He is 78 and refused surgery. Any non-surgical treatment? PET/CT shows: head of pancreas-SUVmax 8.1 Pancreatetomy- SUVmax 4.3 Tumor in right kidney <1.9cm peritoneum-SUVmax 1.8. Hepatic duct dilated with gas
Refused surgery: Not a smart idea at all. At your friend's age overall health should be improved as much as possible. Please don't let him avoid treatments when possible. ...Read more