Doctor insights on:
Please translate: comminuted left intertrochanteric hip fracture-avulsion of greater&lesser trochanters. Fracture lines evident. No callus formation?
Not healing yet: This sounds like a complicated fracture. Callus is what we look for to show signs of healing. It varies in time before it becomes visible on an X-ray . Depending on when this happened would help explain the findings. As always talk to your orthopedist. Good luck ...Read moreSee 3 more doctor answers
Mother has osteoporosis and in wheelchair got.numerous vertebre compressionn fractutes.im39 with SCS for l5d1pain.Is osteoporosis hereditary?
PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req?
Yes, it should if-: -U expect 2 have a functioning knee 4 the rest of Ur life. It can only separate more, & a simple reduction & fixation will do what U want it 2 do, reunite the fragment 2 the tibia. The image is a tear & requires a major reconstruction if not fixed. U risk the fragment becoming a nonunion. ...Read more
All my spine Xrays show severe disc dessication/deg., loss of height, spurs, endplate irreg, osteopenia, scoliosis/kyphosis & spine MRI doesn't, why?
If you statement is-: -true, it should be obvious on an MR. In this case I would check 2 be sure that there was not a mixup in identification of whose images are whose. Be sure that they are your images. ...Read more
48yr kneemri osteonecrosis 5.1mm osteochondral defect & chondromalacic ulcer apex patella 7.8mm tranvers diam. Grade4 chandro erosion. Replace or fix?
I have constant pain/pressure around the L4/L5-L5/S1 disc area, diagnosed MRI report says: Disc bulging with posterior vertebral body endplate osteoph?
Pain may not be-: -from the oeteophyte, because you don't say what level that finding is at or how many levels are involved. The back pain i would assume front your age could very well be from degenerative disk disease of the lumbar spine. A bulging disk is another sign of degenerative disease. There are many treatments available so see your PCP for eval & referrals if needed. ...Read moreSee 1 more doctor answer
How to protect collapse of talus dome. Diagnosed with avn 6 month post injury. Undisplaced verticle talus body fracture. No joint involved. Ptb brace?
Spondylolisthesis with flexion. Extension level 3.55 mm of anterolisthesis.flexion is 5.99, neutral 3.77 mm, mod central stenosis. l4-5 anterolisthes?
Spondylolisthesis: This is an MRI report of the low back which shows moderate narrowing of the spinal canal at the lumbar 4/5 level. In addition, there is a small slip with instability at the lumbar 4/5 level. This is arthritis which often causes pain in the low back with bending and stooping. The pain may radiate into the calf, ankle or big toe. There may be numbness too. See a neurosurgeon for treatment. ...Read more
Bone density test shows osteoporosis of the spine & hip, hip:-3.03, spine:-3.58 what is the recommended treatment?
Osteoporosis: Sir you have osteoporosis and it may be a bad case. You should discuss this with your doctor at once and obtain medical treatment. Exercise, calcium, and vitamin d are going to be insufficient. You will likely need a bisphosphonate like alendronate, pamidronate, or zoledronic acid. ...Read more
Whats the long term prognosis of lateral tibial plateau fracture following orif/ 2 screw placement?
MRI=C3-4 disc herniation stenosis ap 0.7cm c4-5 c5-6 bulging disc w impression on anterior thecal sac?Loss normal lordotic curvature? What are risks?
What are symptoms: What the risks are of not treating those anatomical findings depends and what your symptoms are. The spinal stenosis is of more concern as it may lead to a more severe neurological deficient and the potential for permanent damage a concern. If there are no symptoms, the risks may be less. In any event, best talk to you Doctor. ...Read more
Regarding ankle fracture, where on the ankle is the "posteromedial fracture fragment" (1 screw) and "posterolateral fracture fragment" (2 screws)?
Medial/ lateral: Medial is the inner side of the ankle, lateral the outer side. Posterior is towards the back. Hope it helps . ...Read more
Ddd in l&cspine. 2 l discs are torn, one herniated. 4 herniated cervical & bone spurs, stenosis, facet arthritis.No accidents or trauma. Only ddd?
So? Forget the MRIs: Your only 27, we don't treat mris, we treat people. It doesn't matter what the studies show because we have to treat you. Certain spinal conditions have a genetic predisposition, but what are your symptoms? What are you doing about it? Find a doctor who wants to make you feel better. ...Read more
Positive, intense uptake on bone scan, lose spinal hardware, bone marrow edema , family history, paternal taking Forteo to strengthen bones. ??ideas?
For one: You probably should remove the hardware. Increased uptake is informing you there is bone activity. You don't state on what phase. This could indicate a fracture or infection.... The doctor should have a clinical suspicion of what he is looking for. If removing the hardware a bone biopsy can be performed if suspecting infection. ...Read more
Pain! how to treat, chiro? X-ray shows spina bifida occulta@l5, grade1 anterolisthesis of L5 w/spondylosis, mild disc space height loss@l4-5&l5-s1
Too little info: As dr. Hines says, a neurosurgeon can help differentiate all of the above and provide you with the best treatment options for your condtion. There are many factors to consider- your age, how much spondylosis, pain location, duration, relief, exacerbation, general health, etc. See a neurosurgeon for some good answers. Best of luck to you. ...Read moreSee 1 more doctor answer
ORIF 6/15 for lisfranc & nutcracker injuries. Diffuse osteopenia in midfoot now. Advise hardware removal or would it pose risk of re-fracture? Age 44
The osteopenia: May be from not using the foot during the rehab period as I'm sure you were in a cast or splint. I would advise checking your bit d levels and pending their result take vit d supplementation based on blood work and also supplement with vitamin k2 and hopefully as you are walking more and more the bone will build up. ...Read more
Maybe nothing: Those are fairly common findings, especially for weekend warriors. For patients with symptoms a collar can be effective in the short run. If persistent symptoms or disabilities may require surgery. ...Read more
4 years after lumbar spine fused, a recent MRI shows 6 mm anterolisthesis. Can a fusion fracture?
Genetic factors: At age 31 genetic factors and estrogen deficiency would be the most likely causes. Less commonly cortisone or other steroids, anorexia, immobilization, and a variety of drugs such as blockers of stomach acid secretion and antidepressive agents may cause bone loss. Long term vitamin d deficiency may also be a factor. ...Read moreSee 3 more doctor answers
YES!: Yes, men can get osteoporosis. Men at increased risk are those who have been treated with certain medicines including steroids (prednisone) or medicines to treat prostate problems or cancer. Thin men or men with a family history are also at risk. Men can have the same testing as women to determine if they have osteoporosis, it is a simple xray test called a bone density or dexa scan. Get tested! ...Read moreSee 1 more doctor answer
Yes anyone can, but-: Everyone will start losing bone density usually after their 20's. However, not everyone will get osteoporosis (bone loss to the point of being at higher risk for hip or back factures.) how quickly you lose it will depend on gender, family history, race, medications taken (especially corticosteroids), weight bearing exercises performed in the past and performing now, etc. ...Read moreSee 1 more doctor answer
Osteoporosis treat: Osteoporosis can be treated. At your age it would be unusual to go right to a prescription unless it was severe, you already had fractures, or other medical conditions you might have. For most people your age, a good diet and exercise will go a long way towards good bone health. ...Read moreSee 2 more doctor answers
Exercise,diet &supps: Exercise has been shown to improve bone density. A healthy diet is essential- avoid sweets, sodas, lots of meat, coffee- these acidify your body & leach calcium from your bones! many supps proven to help- vit d & k most important, also calcium, magnesium, boron, strontium.The drugs don't work well & have side effects! see http://www.Drdach.Com/wst_page6.Html & http://doctorklaper.Com/answers05.Html. ...Read moreSee 1 more doctor answer
Osteoporosis.: For osteoporosis, it's weight bearing exercise, calcium and vitamin D3 supplementation, keep your weight down. Medications when necessary would include Fosamax, Actonel or Boniva (ibandronate). You'd need bone density tests every two to three years after you reach the menopause and treat more aggressively with medications dependent on the results. ...Read moreSee 1 more doctor answer
Yes, but why?: Osteoporosis in men can occur from several reasons. Each needs to be\excluded: 1.Low testosterone. 3. Inadequate vit d intake. 4. Inadequate calcium intake.5. Taking certain drugs, like corticosteroids. 6. Sedentary life-style. 7. Renal tubular acidosis. 8. Chronic inadequate human growth hormone secretion. There are others, but you need to find out why, as well as treat! ...Read moreSee 1 more doctor answer
Bone density testing: The best test is a bone density test (known as a dxa scan). This painless test measures the density of your bones. Your doctor uses this test to predict the risk of bone fracture in the future. Sometimes a spine or hip xray can show fractures of your spine/vertebra which can indicate undiagnosed osteoporosis but usually the first test is the dxa scan. ...Read moreSee 2 more doctor answers
Dexa scan: There are a mber of ways to check for osteoporosis. A simple x-ray alone is not adequate because it can be over it under penetrated to make the bone appear more or less dense than it is. A deca scan is by far the most common test for osteoporosis. In this test, the bone density of you spine, hip, and wrist is compared to normal bone and an age matched control. ...Read more
Disease: Osteoporosis is a disease where the affected person has low bone mass and deterioration of the bones. This results in fragile bones and and increase in susceptibility to fractures and broken bones. Risk factors: gender (female) and age (post-menopausal). Excercise and calcium supplementation... In children (fortified milk) and young ladies are important, life-long preventive measures. ...Read moreSee 2 more doctor answers
Several: Several factors increase your risk for osteoporosis and subsequent fracture at an early age: premature menopause, certain medications (pronged steroids, excessive thyroid supplementation, aromatase inhibitors), certain medical conditions (hyperparathyroidism, celiac sprue, rheumatoid arthritis), excessive alcohol use, smoking, eating disorders, and physical inactivity. ...Read moreSee 1 more doctor answer
Osteoporosis.: Osteoporosis is demineralization (loss of calcium) of the bone. It comes in two types, osteopenia which is the condition of weakening bone which precedes osteoporosis. Risk factors include menopause, immobility, chronic steroid use, hyperparathyroidism, etc. ...Read moreSee 1 more doctor answer
Osteoporosis: If you are asking about yourself, unless you have underlying medical issues you are unlikely to have osteoporosis issues at age 34 unless there is a strong family history of early osteoporosis. If it turns out you do have osteoporosis there are a number of very helpful medications to lower the likelihood of bone loss and may increase your bone mass. ...Read more
Osteoporosis: The list of therapies for osteoporosis is ling. You can find the list on the web. If your doctor has ordered a bone density study and used the result to prescribe a specific medication. If you have not had a bone density test you should not take any osteoporosis drug until you have had your bone density study. ...Read more