Doctor insights on:
Pigmented Villonodular Synovitis
The synovial membrane is the lining of a joint and synovitis is inflammation of that lining. It can cause joint pain, swelling, and stiffness. When inflamed, the lining will create excessive joint fluid, causing swelling and increased joint pressure. The lining can also become thickened and cause apparent joint enlargement. Commonly associated with ...Read more
My husband has pigmented villonodular synovitis in his left ankle he has had two surgeries but is still in constant pain. Any suggestions?
Recurrence?: Pvns can cause serious damage to the cartilage of joints, and can have a high rate of recurrence even with surgical excision (removal) of the lesions. He may eventually need to consider either ankle replacement or fusion in order to be pain free. Some of the pain may be associated with having 2 surgeries, including neuritis and scar tissue. ...Read moreSee 1 more doctor answer
Friend had hip repl & diag of pigmented villonodular synovitis. Chances of reoccur/prevention or known causes? Is synovectomy usually perf at op?
Possible: If the diagnosis was known at the time of joint replacement, then the surgeon would likely have performed as complete a synovectomy as possible. However, it is not possible to remove all of the synovium, even when a hip replacement is done, and therefore many orthopaedic oncologists recommend adjuvant radiation therapy, which could adversely affect the hip replacement. An expert is necessary! ...Read moreSee 1 more doctor answer
Pigmented villonodular synovitis in knee size of a finger. Surgeon said to cut 20cm and then remove, as keyhole will be too small. Any other methods?
PVNS: Pvns is described as "focal" or "diffuse." if focal or diffuse an arthroscopic approach to the knee is probably the best approach. Pvns can involve other joints as well including the shoulder and hip. A skilled surgeon should be able to remove pvns from "behind" the knee through designated posteromedial and posterolateral portals. Unfortunately, there is a significant recurrence rate. ...Read moreSee 1 more doctor answer
Not always.: Still's disease or acute febrile jra may have little or no joint symptoms. It is still a form of jia. ...Read more
Trauma, arthritis: Either inflammatory or infectious, recent or prior injury, cartilage or ligament injury, bone conditions, new or old fracture, synovitis is a nonspecific term for inflammation of the tissue that line the wrist, the synovium. Thus there are many many causes. History, exam, xrays, and at times more advanced imaging and lab tests are all relevant in making a diagnosis. ...Read moreSee 1 more doctor answer
Rest, meds, PT, u/s: Tendinitis/bursistis of hip often results of over use/trauma and the first thing to do is take it easy/rest a bit. Antiinflammatory meds such as aleve/motrin may help. Physical therapy/gentle stretching/rom exercises. Iontophoresis ultrasounds therapy, topical meds etc...May help quite a bit as well. So, if doing on your own not enough, consult doc for possible injection. Good luck. ...Read more
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