Doctor insights on:
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
Genes, hormones: Bone density is determined initially by inherited genes, If a parent has low bone density there is a 50% chance each child may also. In women estrogen deficiency causes bone loss. In men testosterone deficiency causes bone loss. Vitamin D deficiency results in poor absorption of calcium and causes bone loss and/or poorly mineralized bone. Steroids, excess alcohol and cigarettes also. ...Read more
Can you please explain acetabular rim subchondral bone marrow oedema with anterosuperior notching in the bone cortex
See an orthopedist: This too complex to explain in 400 characters. See a good orthopedic surgeon and have them start from scratch. ...Read more
Arthritis or fractur: Sesamoiditis is painful inflammation of the sesamoid apparatus, which is located in the forefoot most patients will describe a deep achy and sharp pain in the ball of the foot behind the big toe with every step taken. It will be difficult to perform many weight bearing activities. Most patients do not have pain when at rest. Could be treated by consevatie means. Or surgical means. ...Read moreSee 1 more doctor answer
Chest xray what does small bone island 3rd left post rib, osseous density adjacent left 1st ant rib, low dens areas in clavicles scalpula humeri mean?
Follow up...: It is difficult to know the significance of the report you describe without more history. A bone island is a small benign sclerotic focus in the bone, but you also mention low density areas in the clavicles, scapula and humeri. Be sure to follow up with your referring physician about the significance of these findings. I hope this helps. ...Read more
Inside bone/tendons.: Bone cysts r contained inside the bone, any where from simple benign @ malignant and need watching. Spurs r at the edges of the bone as in arthritis, or in response 2 tendinitis where a tendon attaches. As patellar tendinitis or where ligaments attach as in heel spurs ( planter fasciitis). Treatments r different 4 each & multiple 4 each. B followed & rx'd by an orthopedic surgeon. ...Read more
One in the same: They are the same entity. Be sure to rest and ice the area to decrease your symptoms. ...Read more
3 yrs lytic bone lesions through axial skeleton -skull. Extramedullary hematopoiesis. New MRI spots on brain-bone marrow expansion. Can this be fatal?
Depends: Bone marrow expansion throughout the skeleton typically signals either that the marrow is i appropriately expanding into these compartment such as in a myeloproliferative disorder or the present regions of marrow production are insufficient to keep up with current body needs. Regardless of the cause this is best answered by hands on evaluation, testing and management by an hematologist. ...Read more
One process is: Greater. In osteoporosis, bone resorption is more prevalent then bone formation. As a result, a negative bone balance occurs and bone loss will occur and over time osteopenia or osteoporosis will occur. Medications such as Fosamax and Boniva (ibandronate) slow down bone resorption. ...Read more
MRI: Extensive bone marrow edema of navicular with subtle subchondral linear focus of hypointense signal at proximal articular surface. Doc said AVN?
Avn: Yes that's what it appears. Follow up with the orthopedic surgeon or podiatrist ...Read more
Regeneration?: Bone grafting mostly produce a regeneration effect, which meant eestablish a loss bone height (hard to achieve in horizontal defect) or bone width (easily achieved). Your jaw bone growth can only achieved with bmps (bone morphogenetic proteins) and patient should be at young age. ...Read moreSee 1 more doctor answer
Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?
MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?
Talar Dome Lesion: Kolleen, you have a large lesion off soft bone inside your ankle. Surgery can be an option, but attempting to create a pain free environment (from boot to just activity restrictions), contrast bathing nightly to increase circulation, Exogen bone stimulator for 9 months, repeat MRI in 6 months to see if improvement is being made, and other treatments available may avoid surgery. Dr Blake ...Read moreSee 1 more doctor answer
Spine & hips mostly: With osteoporosis, most any bone might be affected, but mostly fractures tend to occur in the spine and upper leg bones (hips). If you are a woman 65 years or older, or have other risk factors like being thin, check with your primary health provider to see about being screened for osteoporosis. A good source for proven prevention tips is an iphone app called my health checklist 2012. ...Read more
Unclear question: Bone marrow edema is not a clinical entity. If you have swelling in the foot or ankle, that could be due to many reasons, e.g., local injury, or abnormal veins; if both sides are affected, then it may be due heart failure, low blood protein, and side effect of some medications. ...Read more
Sorry to hear: This. A scapula is a very odd bone for a primary tumor, and also odd for something traveled to that bone, but it does no get bone spurs. A "mass" needs to be biopsied. However, it is more likely to be from some other place: lung, breast (w), prostate (m)...My last scapular met came from a kidney primary. ...Read more
F age 60
got paralyzed from right side
multi axial 5mm thru temporal bone & 10mm CT cuts of head
hypodense shadow left parietal regen
Stroke vs. Tumor: You need to get an MRI now. You could either have a stroke or a mass. You don't have a bleed (cause the ct scan is better at showing bleeds...They are very bright)....But you may have a stroke or a mass in the region of the brain. That is why you are weak/paralyzed on the right side...The lesion is on the left parietal side (controls the right arm/leg). ...Read more