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Doctor insights on: Playgirl Musculature Bone Lupus

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Positive, intense uptake on bone scan, lose spinal hardware, bone marrow edema , family history, paternal taking Forteo to strengthen bones. ??ideas?

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

Dr. Krishna Kumar
29 doctors shared insights

Bone (Definition)

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


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38y female seroneg ra. Plaquenil (hydroxychloroquine) not work. Bone scan show si joints & feet. Start 10mg mtx. Doc said may not be RA since si joints?4 relative w/ra. ?

Talk to your doctor: There are other forms of inflammatory arthritis, which include the seronegative spondyloarthropathies. It might be something like ankylosing spondylitis. Additional testing might be necessary, and a rheumatology referral may be necessary. Also keep in mind being seronegative does not mean you absolutely don't have rheumatoid arthritis. ...Read more

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Hypermobile, poor healing, broken bones from cycle accidents. Need tests for brittle bone disease?

Hypermobile, poor healing, broken bones from cycle accidents. Need tests for brittle bone disease?

Collagen issue: Sounds more like a collagen issue. Unfortunately there not a treatment for poor collagen like there is for osteo-porosis. Still worth getting bone density, electrolytes, and hormones checked. (thyroid, para thyroid). ...Read more

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35 yo man with Rt foot pain. Concerned his accessory navicular bone, Type 2 is FX'ed after trauma. X-ray neg. Utility of 3 Phase Bone Scan?

Similar treatment.: In the initial stages of the trauma, it would be better to attend to the things that matter first. Start with the RICE protocol. Rest, Ice, Compression and Elevation. Forget the bone scan and start the immobilization of the foot first. Depending on the severity, either non-weight bearing or crutch assist. I prefer a pneumatic cam walker. If improvement after a few weeks, all's fine. If not MR it. ...Read more

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Hyperflexible joints, but no dislocations; thin, elastic skin w/ atrophic scars, but bruising regular; poor circulation; GI issues; ehlers danlos?

Hyperflexible joints, but no dislocations; thin, elastic skin w/ atrophic scars, but bruising regular; poor circulation; GI issues; ehlers danlos?

Could be: There are multiple types of ehlers danlos that vary in symptoms and severity. It is am inherited disorder so you should see a family history of similar symptoms. ...Read more

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Appt in mo. For rheumatologist as pos ANA 3 mos ago, muscles weaker, drop things, very strng knee reflx, maybe mixed connective tissue disease, ra, sjogren memory bad, bro w ms. Nero? E.R.? 6 kids, xmas

Appt in mo. For rheumatologist as pos ANA 3 mos ago, muscles weaker, drop things, very strng knee reflx, maybe mixed connective tissue disease, ra, sjogren memory bad, bro w ms. Nero? E.R.? 6 kids, xmas

Need a diagnosis: Lupus and sjogren's can mimic neurological effects of ms, and muscle weakness could be consistent with a myopathy, and perhaps you do have "mixed connective tissue" process. But vigorous leg reflexes, memory issues, and brother's history raises concern about ms. Would definitely start with the rheumatologist, and maybe get MRI of brain if needed. If lesions, then work with neurology. ...Read more

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Does low bone density causes joint pain all joints Rh ANA factor thyroid are normal?

Does low bone density causes joint pain all joints Rh ANA factor thyroid are normal?

Not bone density: Low bone density does not cause any symptoms unless you have a fracture due to osteoporosis, then there is pain. Pain in joints can be from osteoarthritis or other forms of arthritis. See your doctor or a rheumatologist for diagnosis and treatment of joint pain. ...Read more

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Male friends xray very early oa change fullness of suprapatellar space consisten with small joint effusion? Plays soccer w:76kg h: 174cm mostly muscel

Male friends xray very early oa change fullness of suprapatellar space consisten with small joint effusion? Plays soccer w:76kg h: 174cm mostly muscel

Somewhat vague: You do not mention an injury occurring, but knee injuries are frequently encountered in soccer. The early oa changes likely indicate that there is some evidence of cartilage loss on the xray. This is not uncommon. The joint effusion may indicate that there is some internal derangement in the knee (e.g., a ligamentous injury). If he had injury and has pain, consider sports med consult and mri. ...Read more

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Had light leg tibial bone fracture on lefside in Lift crash accident 2 year back, ACL ligament is lax leading to mal aligned knee,my age(34), suggest?

Had light leg tibial bone fracture on lefside in Lift crash accident 2 year back, ACL ligament is lax leading to mal aligned knee,my age(34), suggest?

See a specialist: Without more details, it's impossible to know the best course of action. See a knee specialist, get imaging and testing, and the doctor will help you to determine a course of action to take. Good luck! ...Read more

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Generalised OA (x-Ray hands feet knees hip clavicle, MRI spine) dry eyes/mouth, history hypermobility, lumbar/cervical stenosis radiculopathy TMJD diverticulitis prolapses FUO - but seronegative and comprehensive blood tests always normal. Any ideas?

Generalised OA (x-Ray hands feet knees hip clavicle, MRI spine) dry eyes/mouth, history hypermobility, lumbar/cervical stenosis radiculopathy TMJD diverticulitis prolapses FUO - but seronegative and comprehensive blood tests always normal. Any ideas?

Explanation: My suggestion that you generalized OA mostly degenerative disease, not the inflammation. And blood work so far remains normal. History of hyper mobility could be reason of early degenerative changes in multiple joins. ...Read more

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Malar rash on face, migrating athralgia, fatigue, muscle pain, cognitive disfunction but ANA & ENA neg as well as normal FBC and ESR of 2. confused?

Malar rash on face, migrating athralgia, fatigue, muscle pain, cognitive disfunction but ANA & ENA neg as well as normal FBC and ESR of 2. confused?

Arthralgia, rash: Sometimes autoimmune diseases can be seronegative. There are also many overlap syndromes. I suggest you see a Rheumatologist. Of course, must consider other possibilities, such as Lyme Disease. See a rheumatologist to start a workup. ...Read more

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Any conditions where "muscle"/cartilage/ligament pain is localized in mult spots thru body- ribs, back, shldr blades, hips, leg? Neg 4 RA/osteo/fibro.

Any conditions where "muscle"/cartilage/ligament pain is localized in mult spots thru body- ribs, back, shldr blades, hips, leg? Neg 4 RA/osteo/fibro.

See rheumatologist: Have you seen a board certified rheumatologist? There are sero-negative arthropathies (conditions that test negative in lab test. Do you live around deer-lynes disease is another condition -if worked up by above and a negative, reccomed staying as physically active as possible and if persists 3-4 months seek a second opinion ...Read more

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Only 4 rheumatologist orthopedic have acquired hypermobility in ankles/knee joints from past- dance or gymnastics, can hypermobility spread 2 spine?

Only 4 rheumatologist orthopedic have acquired hypermobility in ankles/knee joints from past- dance or gymnastics, can hypermobility spread 2 spine?

No: Hyper mobility is a result of ligamentous laxity which is a result of ur genetic makeup. It therefore can potentially be present at any joint, even if the symptoms/sequelae do not present all at the same time. Therefore, the laxity is a condition inherent to each joint ; does not "spread" like an infection or cancer. ...Read more

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Siderotic synovitis unknown origin, subtotal synovectomy 8/2013, rt knee, good rom but always stiff, often sore down stairs, no arthritis, normal??

Siderotic synovitis unknown origin, subtotal synovectomy 8/2013, rt knee, good rom but always stiff, often sore down stairs, no arthritis, normal??

This is due to bleed: Since not all of the synovium was removed there may be persistent synovitis. The question also is do you still have bleeding into the joint. Have you had a post operative MRI to see if synovitis persists? You of course also need persistent exercise to make certain the surrounding musculature is good and stays strong to support the knee. You need to discuss with your doctor. ...Read more

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What would you do to decide if you have lupus or bone cancer?

What would you do to decide if you have lupus or bone cancer?

Ask your doc: Let a doctor tell you. It should not be difficult to differentiate the two. ...Read more

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Can lupus cause supraclavicular nodes along the collar bone?

Can lupus cause supraclavicular nodes along the collar bone?

Not common: There was a report of supraclavicular nodes in a 28 years old patient in 2010, but to my knowledge there are no more reported cases. ...Read more

Bone (Definition)

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