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Doctor insights on: Posterior Calcaneal Spur Surgery

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I have a calcaneal spur. We have tried several dextrose injections, a walking boot and a soft cast and I am still in pain. Should I have the surgery?

I have a calcaneal spur. We have tried several dextrose injections, a walking boot and a soft cast and I am still in pain. Should I have the surgery?

What is a dextrose: Injection supposed to do? If the condition is purely biomechanical, conservative treatment should work, unless there is something else wrong like perhaps a partial tear of the plantar fascia or stress reaction or fracture of the heel bone.
These latter diagnosis are made via MRI which is a good idea before contemplating a heel surgery. A nerve entrapment is another possibility. ...Read more

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I have a posterior Achilles heel spur. What do you recommend other than surgery?

I have a posterior Achilles heel spur. What do you recommend other than surgery?

Padding: You can pad the back of your shoes to keep the heel from rubbing too much. You may also try heel lifts to take pressure off the achilles tendon and keep it from rubbing the spur so much. Anti inflammatory medication would be helpful as well. ...Read more

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I fractured my calcaneus in 3 places (it was flattened) on AUG 23rd. Is it too late to have surgery on OCT 1st (when insurance goes live)? Thanks!

I fractured my calcaneus in 3 places (it was flattened) on AUG 23rd. Is it too late to have surgery on OCT 1st (when insurance goes live)? Thanks!

NOT TOO LATE BUT....: The type of surgery might change. Instead of a repair and attempt at a functional joint, an arthrodesis might be needed. Talk to your surgeon. ...Read more

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Will waiting two more weeks after the suggested surgery date to repair a fractured calcaneus bone not be an option? If not, why? Thank you!

Will waiting two more weeks after the suggested surgery date to repair a fractured calcaneus bone not be an option? If not, why? Thank you!

See below: The concern is that if the bone has already started to heal, particularly if it is healing in a bad position, it may be harder to fix and not have as good a result as if the timing was optimal. It might be ok to wait, but I would definitely discuss the pros and cons with your doctor. ...Read more

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Do calcaneal stress fractures ever require surgery? I think I have one but I'm scared I'll get told I need surgery as I just had surgery 4 months ago

Do calcaneal stress fractures ever require surgery? I think I have one but I'm scared I'll get told I need surgery as I just had surgery 4 months ago

Depends: Typically stress fractures of the calcaneus requires simple immobilization in a cast or a CAM walker with no weight placed on the foot. Your description of surgery 4 months prior is unclear. Was the surgery on the same heel? See your surgeon for re evaluation. ...Read more

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I have a large 4.8 x 3.0x 3. cm calcaneus lipoma. Minor pain, but worry about rupture. Lipoma growing slowly. Bone wall strength unknown. Surgery?

I have a large 4.8 x 3.0x 3. cm calcaneus lipoma. Minor pain, but worry about rupture. Lipoma growing slowly. Bone wall strength unknown. Surgery?

Research First.: The main reason for removing these types of lipomas is pain, however there is some consideration as to the ratio of the size of the lipoma to the size of the calcaneous. Lifestyle and activity level must also be considered. It would be wise to have several opinions as to technique, post operative protocols and most importantly, experience in performing this particular procedure. ...Read more

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In general, post cavus surgery (calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

In general, post cavus surgery (calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

Yes: If the surgery is successful, you will be much better than you were before and as such should be able to participate in amucj higher activity level than before surgery. I would discuss your specific case with your surgeon. ...Read more

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I'm told that I'm not allowed to smoke after having c5c6 revision posterior anterior surgery how long before I'm able to, smoke again?

I'm told that I'm not allowed to smoke after having c5c6 revision posterior anterior surgery how long before I'm able to, smoke again?

When ready 4 next OR: I guess when your ready to prepare for another spine surgery. Smoking inhibits a fusion from healibg. The overall success rate of spinal surgery is lower in a smoker. Smoking accelerates the natural aging process of the spine 4 times faster than normal and as a result the disc herniation rate is 2 times higher than in a nonsmoker. ...Read more

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Rotator cuff have bilateral full thickness tear 10mm anterior to posterior and 11 mm medial to lateral is this surgery painful does this mean 2 tears?

Rotator cuff have bilateral full thickness tear 10mm anterior to posterior and 11 mm medial to lateral is this surgery painful does this mean 2 tears?

They're fixable: We generally think in terms of centimeters - if both shoulders have similar size tears, then they are in the 'small' category, 1-2 cm in size.
As long as the tissue quality is good and the mris are recent, they should be repairable, likely arthroscopically.
However, the full recovery time is in the 3-6 month range regardless. As for pain, that depends more on the patient than the surgery. ...Read more

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I had a posterior repair surgery 7 weeks ago and the surgical area is healed. When having sexualintercourse I bled. What could be the cause for this?

I had a posterior repair surgery 7 weeks ago and the surgical area is healed. When having sexualintercourse I bled. What could be the cause for this?

Vaginal repair: Even after 7 weeks, the healing isn't 100% and could be irritated during sexual activity. If not painful, and not to dry, it probably won't cause a problem. If it continues, have the surgeon check for granulation tissue from an area not healing well or a fissure. Some extra treatment might help. ...Read more

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Could an injury to the posterior femoral cutaneous nerve due to surgery heal?

Could an injury to the posterior femoral cutaneous nerve due to surgery heal?

Takes Time: Will take a long time to heal. Nerves are one of the slowest tissues in your body to return back to normal. Many times it can be month, if not years if they do heal. ...Read more

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Will I need surgery for an anterior and posterior talofibular ligaments tear.?

Will I need surgery for an anterior and posterior talofibular ligaments tear.?

It depends!: A tear in a ligament can be mild, moderate or severe. The treatment is determined by the amount of damage, other injuries, and if the joint is now unstable. Your doc will discuss your treatment options with you. Make sure you understand all your choices. Take notes, too. Sometimes, taking a trusted person with you to act as a second pair of ears is a good idea, too. Have your questions ready. ...Read more

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Does a grade two signal within the posterior horns of the laterial and medial menisci need surgery?

Does a grade two signal within the posterior horns of the laterial and medial menisci need surgery?

Well...: Your MRI signals certainly don't need the surgery, but if you have clinical signs and symptoms of a medial meniscal tear that doesn't respond to conservative therapy and causes continual pain, disability preventing you from participating in your normal activities then you might need arthroscopy and menisectomy. All the best! ...Read more

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Why would posterior pillars be removed during tonsil surgery? Have had problems for years since op and just found this out.

Why would posterior pillars be removed during tonsil surgery? Have had problems for years since op and just found this out.

Tonsillectomy: Greetings. As far as extent of surgical resection of the tonsillar pillars (muscle tissue), it usually depends on your particular case. Was surgery performed for obstructive regions? If so, the surgeon may have had good reason to be more aggressive with the excision. The tonsils at times are scarred to these muscles and an extended surgical plane may be needed. Each case is unique. Discuss & see. ...Read more

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Hi. I am 42 year old having a posterior wall fibroid of 8 mm. Do I need to leave it or take some medicines for pain or should go for the surgery?

Hi. I am 42 year old having a posterior wall fibroid of 8 mm. Do I need to leave it or take some medicines for pain or should go for the surgery?

It depends.: If your doctor is reasonably sure that the fibroid is causing this pain, then surgical intervention might be appropriate. The fibroid won't go away on its own and being on long-term pain medications has problems of it own. This is a decision that you & your doctor need to make together very carefully. ...Read more

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Has anyone done a posterior lumbar interbody fusion surgery?

Has anyone done a posterior lumbar interbody fusion surgery?

Sure: This is a very good operation for the right patient. It provides both decompression and stabilization and has good results for the great majority of patients. ...Read more

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What is posterior spinal fusion with instrumentation surgery?

A type of spine: Surgery where implants which are usually several screws that attach to the bones of the spine and are then interconnected over one or more levels with usually a pair of metal rods -this is the instrumentation. A fusion is a healing together of two or more spine bones or vertebra with the use of bone material or synthetic substitutes. ...Read more

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Is surgery the best option for a torn posterior cruciate ligament?

Is surgery the best option for a torn posterior cruciate ligament?

It depends: This depends on the degree of the tear, associated injuries, and the type of activity that you desire to return to. Generally, partial and low-grade isolated PCL injuries can be rehabbed and braced. High-grade or complete PCL injuries or lower-grade injuries which result in persistent instability may be better treated with surgical reconstruction. Talk to your orthopedist regarding your situation. ...Read more

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Can you tell me about the surgery for posterior tibial tendon dysfunction?

Can you tell me about the surgery for posterior tibial tendon dysfunction?

Several options: The procedure depends on the deformity. It could be as simple as re-aligning the tendon or may require, fusion of joint with tendon re-posiioning
need to speak to a podiatrist about this after an exam. ...Read more

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Is fibroid curable with medicine. Or need surgery? I have 64mm posterior wall fibroid. Which is better for me?

Is fibroid curable with medicine. Or need surgery? I have 64mm posterior wall fibroid. Which is better for me?

Does it bother you?: At 6cm, the question is, does the fibroid bother you? Cause you pain? Affect your menstrual cycle? If it's not bothering you, then you don't need surgery at all. If it's bothering you, then likely yes. If it encroaches on inside of lining, then hysteroscopy is best, otherwise, consider laparoscopic myomectomy. Medicines help, but only for awhile, typically grows back. Hope that helps! ...Read more

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Can barely walk on left ft posterior neuritis and something else. Help, what will fix it, I walked at fair yesterday twisted 3xs. Surgery/shots?

Can barely walk on left ft posterior neuritis and something else. Help, what will fix it, I walked at fair yesterday twisted 3xs. Surgery/shots?

See PMR pain doc: bracing and injections may offer relief, but I am not certain of your diagnosis. An EMG can diagnose the cause correctly, then treatment can be more successful. Topical a can also help desensitize the area and adjuvant meds can also stabilize the nerve discharges ...Read more

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Can braces alone lend some improvement to a posterior crossbite (skeletal), without surgery?

Can braces alone lend some improvement to a posterior crossbite (skeletal), without surgery?

Possible: While Dr. Malerman's statements are typically true, we have had surprisingly good results IN SOME CASES using palatal expanders with patients well into their 20's. You shuld discuss with an orthodontist. We tell patients it may not work as their bones may have already fused, but typically if its the trade off of trying vs surgery, they want to try and we have had success over 50% of the time ...Read more

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Does a extruded medial meniscus towards the posterior root need surgery? Is this a tear? Please help

Does a extruded medial meniscus towards the posterior root need surgery? Is this a tear? Please help

Yes: Yes, you will likely need arthroscopic surgery. The meniscus is torn and displaced. It will likely cause problems if you don't take care of it. Thankfully the surgery is fairly minor. ...Read more

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Does the bone heal after posterior cervical disectomy, how long does it take the bone to grow back from this surgery.

Does the bone heal after posterior cervical disectomy, how long does it take the bone to grow back from this surgery.

The only bone remo-: -ved is enough 2 allow access 2 the disk & nerve root, & allows removal of the disk. That bone that is removed does not make the spine unstable, & it does not regrow. In years later is still will B able 2 B Cn on x-rays. ...Read more