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Doctor insights on: Pigmented Villonodular Synovitis Treatment

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Dr. Michael Kleerekoper
76 doctors shared insights

Synovitis (Definition)

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


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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 more

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Friend had hip repl & diag of pigmented villonodular synovitis. Chances of reoccur/prevention or known causes? Is synovectomy usually perf at op?

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 more

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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?

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 more

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What is the best treatment for synovitis?

What is the best treatment for synovitis?

Anti inflammatories : Usually anti inflammatories like high dose Ibuprofen and Naproxen often work but if really severe may require cortisone. ...Read more

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A 3 year girl has synovitis on her hip joint. Is it common? Whats appropriate treatment? Will it have any impact on her future hip or general health?

A 3 year girl has synovitis on her hip joint. Is it common? Whats appropriate treatment? Will it have any impact on her future hip or general health?

Unlikely: Not common but usually not a long term issue. She likely has transient synovitis of the hip. Often no treatment is needed. Tylenol (acetaminophen) or advil can be used as needed under the guidance of the child's doctor. ...Read more

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A 3y girl has synovitis on her hip joint. Is it common? Her doc said no treatment and just wait for its recovery by herself. Any treatment is helpful?

See details: She probably has a condition known as transient synovitis of the hip. It will resolve spontaneously but one can use tylenol (acetaminophen) or children's advil under the guidance of her doctor. ...Read more

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Treatment for radial & longitudinal tears of the posterior horn medial meniscus, severe knee osteoarthrits moderate joint effusion, diffuse synovitis?

Treatment for radial & longitudinal tears of the posterior horn medial meniscus, severe knee osteoarthrits moderate joint effusion, diffuse synovitis?

Numerous : The most definitive option is a knee replacement. Knee arthroscopy is not likely to be helpful at this point. Various injections such as cortisone, hyaluronic acid/joint fluid or platelet-rich plasma are reasonable options. Meds, braces and PT are considerations. If I can help, then join my care team and virtual practice at www.healthtap.com/dr-clarkeholmes ...Read more

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Any curable treatments for hip synovitis?

Any curable treatments for hip synovitis?

Anti-inflammatories: Start with oral antiinflammatory medications, such as aleve (naproxen) or advil. A steroid taper would be the next step, or an injection into the hip with a steroid medication could be performed. ...Read more

Pigment (Definition)

Any chemical which has a color (minerals also) can be said to have a pigment. Such chemicals are responsible for the colors of the skin, the hair, the eyes and things we don't ordinary see such as the brown ...Read more