Doctor insights on:
Paralabral Cyst Hip Treatment
35 lady w/bilateral femoral hip impinge, rgt labral tear, osteoarthritis, 200 lbs 5'9'. PT, Ned's no help. Hip arthroscopic or total hip replacement?
A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more
Painful cyst in left knee adjacent to posterior horn of medial meniscus. No meniscus tear (confirmed via MRI & arthroscopy). Treatment options?
See below:: Most cysts in the back of the knee are due to knee joint causes, which improve as the causes is treated. So my recommendations would be: 1: do nothing except maybe pain meds, for 3 months; if no improvement, then; 2: aspiration (removing fluid) under ultrasonic guidance for fluid/needle biopsy; or; 3: removal of the cyst through the back of the knee, to get tissue for biopsy. ...Read moreSee 1 more doctor answer
I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis? Whats the treatment?Thanks
Chondromalacia: Chondromalacia is damage to the cartilage surfaces of joints. In the knee it's similar to the wearing away of tire treads. This can cause inflammation which can produce increased fluid in the knee (effusion). If you have minimal pain and no locking, strengthening your thigh and leg muscles is recommended. Icing and anti inflammatories and pt can be helpful. Arthroscopy is recommended with locking. ...Read moreSee 1 more doctor answer
Heterotopic: ossif can occur from muscle or joint periarticular swelling or inflammation. Speak to your surgeon about whether medications or radiation may be indicated to reduce or limit its effects. Much depends upon the extent, the depth and the regions involved i.e. which muscle planes are affected,how that influences motion, how far away or close to the joint. Gentle therapy and ROM can help ...Read more
I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis?
Several issues: Chondromalacia means you have abnormal cartilage in the inside part of your knee where the kneecap (patella) sits. Everything else means you have fluid and/or inflammation in various places around your knee. A bursa is a sac that usually only has a little bit of fluid in it but can get inflamed and be painful. Popliteal cyst = baker cyst, which is accumulation of fluid in the back of the knee. ...Read moreSee 1 more doctor answer
Exercises: Exercise therapy can be very helpful for knee pain, particularly runners knee. However, they must be performed in certain ways. Rest from strenuous activities and targeted therapy are key. Online resources are available on sites such as simpletherapy.Com. ...Read moreSee 1 more doctor answer
Depends: This can depend on the time out from surgery. There is some evidence that NSAIDs like advil (ibuprofen) and alive can help, and some believe early use of Ultrasound therapy can help. If it is preventing your movement and is one yr out from surgery you may want to consider consulting with the surgeon to see if surgery to remove some of the ossification is of use. ...Read more
Mri comes back with grade II to III chondromalacia patella , knee joint effusion with ganglion, longitudinal partial tear.Mcland lcl strain. ?
Conservative Rx: Depends upon your primary complaint and whether there was a mechanism of injury. Chondromalacia(i.e.Cartilage wear=arthritis) is common and can cause swelling and pain. Collateral ligament strains/partial tears (mcl+lcl) should be managed well conservatively. Recommend seeing a pt for motion, strengthening, edema control. Am a fan of a stationary bike as well (nonimpact knee motion+strengthening). ...Read moreSee 1 more doctor answer
Hip MRI shows "chondrolabral separation" what does that mean? One hip has a paralabral cyst also but says soft tissues are in tact
Dettachment: It means that the labrum(structure located around the rim of the socked)has separated from itparalabral cyst are usually very common and indicates early degenerative changes of the labrum. ...Read more
MRI of knee shows "Oblique tear posterior horn medial meniscus, lateral patellar plica and minimal synovial knee effusion" will I need surgery? or ?
Possibly: It depends on the degree of tear, how much it is effecting your daily activities and whether it responds to conservative treatment. If the plica does not get better with anti inflammatory meds you will most likely need arthroscopic surgery to remove it, although your orthopedic surgeon will be the best MD to determine that. ...Read moreSee 1 more doctor answer
Can assist: Certain fracture patterns of the femoral condyle can be assisted by using arthroscopy. It can judge whether out not the fracture is significantly displaced or if there is an associate cartilage damage. Some fractures can be percutaneusly resuced and screws place tohold the fragments in place and not require an open procedure. ...Read more
Identify cause first: A baker's cyst is a cyst on the back the knee, usually filled with fluid from the knee joint itself. The presence of a bakers cyst is typically an indication of pathology in the knee itself. To "treat" a baker's cyst therefore requires that the problem in the knee be treated- the cyst will then typically go away. See an orthopaedic surgeon for further advice. ...Read more
Mri, mild joint efusion seen, thickning lateral colateral legamnt sugest tendinosis, bone edema involve femora condyle n tibial plateu further treatment?
Covered by insurance: In most cases the procedure is covered by insurance. Codes exist for most of the main procedures that are performed. Some portions of the procedure are "unlisted" and patients sometimes need to pay this up front and then work with the insurance to pay this back to patient directly. ...Read moreSee 2 more doctor answers
Treatment for torn meniscus and partial torn lateral collateral ligament in left knee diagnosed by MRI scan?
Have small hip labral tear. Scs trial for back pain relieved all pain. See success of stim surgery on hip pain or pursue hip surgery right now?
A quite: Symptomatic labral tear at your age should be repair if p and time have not improved your condition. ...Read more
3 months p/o hip arthroscopy for labral repair. Hip locked up getting up from bed, painful. Resolved. Concern?
Probably not: If it just happened on one occasion and has not recurred, then I would not worry to much about it. If it becomes a recurrent problem, it may be a sign of a retort labrum. ...Read more
There's sclerosis & subchondral cyst formation in the femoral head & cyst & spurs in acetabulum. Constant pain. Should I have hip resurfacing surgery?
Hard to know: You desribe degenerative changes. When you shave the hip it might improve but you are losing bone and therefore these problems might re occur or get worse. Maybe you should get a second opinion and you can ask the second doctor. ...Read more
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