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Doctor insights on: Reverse Shoulder Implant

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C4-c5, c5-c6 disc replacement surgery. Interbody cage fusion cause adjacent discs to degenerate but using mobi-c will not. True?

C4-c5, c5-c6 disc replacement surgery. Interbody cage fusion cause adjacent discs to degenerate but using mobi-c will not. True?

Maybe: A theoretical advantage of artificial disk replacement is reduction in risk of other disks degenerating. Fusion is associated with this problem, but it is only one factor. Disk replacements in the neck do well, but may not always prevent disk problems at other levels. Ongoing research looking at long term outcomes are needed to answer this question. Early results are promising. ...Read more

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Dr. Dariush Saghafi
5 doctors shared insights

Implant (Definition)

An implant is a medical device manufactured to replace a missing biological structure, support a damaged biological structure, or enhance an existing biological structure. Medical implants are man-made devices, in contrast to a transplant, which is ...Read more


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Complete full-thickness retear of infraspinatus 1.5cm retract @15wks post-op revision rotator cuff repair. Can use bioinductive implant in re-repair?

Complete full-thickness retear of infraspinatus 1.5cm retract @15wks post-op revision rotator cuff repair. Can use bioinductive implant in re-repair?

Rotator cuff tear: Yes if you are going to have another surgery, an augmentation patch should be available and also check in the operative report or with the surgeon if a single row or double row repair was done the first time ...Read more

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Right knee replacement got scare tissue muscles tendon. Knee will not go flat ?

Right knee replacement got scare tissue muscles tendon. Knee will not go flat
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Walk backwards: Walking backwards helps to extend the knee I have used this technique for many years and it has helped many but you must keep after it in the final analysis there are some pts who do not achieve full extension which makes for a less acceptable outcome. ...Read more

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Extreme pain at rotator cuff, can't lift all the way up, sharp pain, hard to lift things, decreased ROM, how to tell tendonitis vs torn rotator cuff?

Extreme pain at rotator cuff, can't lift all the way up, sharp pain, hard to lift things, decreased ROM, how to tell tendonitis vs torn rotator cuff?

Examination: Question as to how to differentiate rotator cuff tear from tendinitis. Rotator cuff injury is a diagnosis made by MRI. Tendinitis Is suggested by point palpation arousing tenderness; associated with arousal of pain by applying passive resistance to vector of function of the tendon. ...Read more

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Bodybuilder:tore the AC/dislocated collar bone left shoulder now can't focus my bicep curls completely on my bicep, the full contraction isn't there. ?

Bodybuilder:tore the AC/dislocated collar bone left shoulder now can't focus my bicep curls completely on my bicep, the full contraction isn't there. ?

Consult OrthOpedics: If you tore up your ACL, dislocated collar bone, my advice would be on getting these fixed urgently and resume your regular workout as advised by the orthopedist. Feel better. ...Read more

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1yr ago removed implant for distal humerus elbow fracture. Arm partial stiff & triceps atrophy, no progress. Continue physio, try surgery, or no hope?

1yr ago removed implant for distal humerus elbow fracture. Arm partial stiff & triceps atrophy, no progress. Continue physio, try surgery, or no hope?

Get 2nd opinion: Elbow fractures that require orif( open reduction and internal fixation) are prone to elbow stiffness. If p.T./ bracing( dyna splint to improve extension) is not improving your motion consider seeing an ors who is proficient @ elbow arthroscopy. Arthroscopic release can improve elbow motion dramatically in some pts. It can be technically demanding so speak w/ your ors and see if this is an option. ...Read more

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Side effects of metal shaving left in shoulder from rotator cuff surgery?

Side effects of metal shaving left in shoulder from rotator cuff surgery?

It depends: The shoulder has many moving parts. If the metal is contained in the bone or is sequestered in fibrotic scar tissue, then it shouldn't be a problem. If its in the joint or a tendon sheath, it could be a source of pain and irritation. ...Read more

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Exercises to eliminate limp after hip replacement surgery?

Exercises to eliminate limp after hip replacement surgery?

Physical therapy: A good physical therapist is as good as gold after this type of surgery. Ask you surgeon for a referral. ...Read more

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Surgery to reconstruct pec major after tendon tear 5 CM 6 wks post op tingling and numbness in hand pain in pec shoulder arm forearm elbow point ?

Surgery to reconstruct pec major after tendon tear 5 CM 6 wks post op tingling and numbness in hand pain in pec shoulder arm forearm elbow point  ?

Nerve irritation: Postoperative parasthesias( numbness, tingling, etc.) are not uncommon after your type of surgery. Nerves that provide sensation/ pain temperature and help to move muscles in your forearm and hand are fairly close by. Once the swelling from the surgery subsides these symptoms should diminish... If they don't consult w/ your orthopedic surgeon. Good Luck! ...Read more

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After an arthroscopic shoulder surgery will there be permanent scars on the shoulder skin?

After an arthroscopic shoulder surgery will there be permanent scars on the shoulder skin?

Yes: They will likely be small and relatively inconspicuous when healed, especially if kept out of the sun or tanning bed while pink (6-12 months). But the scope has to be inserted into the shoulder somehow, and that is via small incisions that leave permanent scars. ...Read more

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Had anterior labral focal depression of shoulder bone &got repaired through binocular surgery,now when I do shoulder exercise spring like sound comes?

Had anterior labral focal depression of shoulder bone &got repaired through binocular surgery,now when I do shoulder exercise spring like sound comes?

Focal scarring: I believe the labrum probably has some scar tissue associated with the original injury, and there is bound to be some scarring from the surgery itself. If there is no pain or limitation of range of motion, the noise should not be a concern, only a side effect of injury and surgery. If there is pain or a limitation to your use of the shoulder, see an ortho and get an MRI to investigate ...Read more

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Strengthening muscles after total knee replacement revision, what to do?

Strengthening muscles after total knee replacement revision, what to do?

Your PT should be --: Able to help you, as he/she'll be able to determine which (or all )muscles need to be strengthened in your thigh (both quads ; hamstrings). They'll be gauging your response to the pt and giving you a home exercise program, all in an effort to rehabilitate you, to attain the best function you can achieve after rev surgery. Do them religiously ; you'll enjoy the results of the surgery. Good luck. ...Read more

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What degree of post-op pain can I expect from bone grafting for future dental implant? Like bone/gum grafting of 3 front lower teeth due to recession?

What degree of post-op pain can I expect from bone grafting for future dental implant? Like bone/gum grafting of 3 front lower teeth due to recession?

Same as any surgery: after surgery pain and swelling will vary from one person to another, nevertheless,you should be able to control the pain with pain killers and anti inflammatory medication that your surgeon will be prescribing. The pain if any should taper off after the first 24 hours. You should just avoid the area from food and brushing for a couple of weeks and you will do very well. Go for it. ...Read more

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Can intraocular lens replacement surgery ever be reversed?

Can intraocular lens replacement surgery ever be reversed?

For cataract surgery: When we perform cataract surgery we remove the lens of the eye. In order for the patient to see the lens needs to be replaced. This lens implant is permanent and should not need to be replaced in the future. The implant lens can be removed if necessary however removal of the implant lens may be difficult. It is not usually done unless the patient is having significant difficulty. ...Read more

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Revision rotator cuff surgery failed w/complete full-thickness infra tear w/1.5cm retraction.All 3 other tendon intact. Can get cuff tear arthropathy?

Revision rotator cuff surgery failed w/complete full-thickness infra tear w/1.5cm retraction.All 3 other tendon intact. Can get cuff tear arthropathy?

Frozen Shoulder: You are at high risk of developing a frozen shoulder if the revision of a full thickness tear of the conjoint tendon of the rotator cuff failed. I hope you are in physical therapy and have a set of low cost safe resistance bands at home to reduce impingement. By the way, the three main muscles of the rotator cuff are supraspinatus, infraspinatus and Teres minor. They insert via a common tendo ...Read more

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My molar had no mobility. Extracted due to failed flap surgery. Gum abscess. How common to loose this tooth's bony buccal wall via extraction trauma?

My molar had no mobility. Extracted due to failed flap surgery. Gum abscess. How common to loose this tooth's bony buccal wall via extraction trauma?

Can happen: Some of the buccal bone can break during an extraction. There are even times that the roots of the tooth are not even in bone on the buccal surface. ...Read more

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3 week since rt tkr. Not bending well --52 degree. 2 patella dislocation and lateral releases failed 10 month prior. When will manipulation be done?

3 week since rt tkr. Not bending well --52 degree. 2 patella dislocation and lateral releases failed 10 month prior. When will manipulation be done?

??: If manipulation is done it must be followed by an aggressive post manipulation program of therapy stressing both extension and flexion i agree that manipulation is best done ~ 6 wks post op but it is not an easy fix. ...Read more

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Shoulder rotator cuff injury 9 months ago. Tendonitis. Lump at tip of R shoulder blade size of quail egg. What is that?

Shoulder rotator cuff injury 9 months ago. Tendonitis. Lump at tip of R shoulder blade size of quail egg. What is that?

AC joint.: The rotator cuff injury would not give you that lump. It may be an arthritic, or inflammed, acromioclavicular joint. See an orthopedic sport medicine surgeon, who specializes in shoulders. ...Read more

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Cervical fusion 3/4 disc respl 5/6 over yr ago, pain down left arm to pinky/ring finger. aching shoulder blades. had cervical epidurals. not helping. ?

Cervical fusion 3/4 disc respl 5/6 over yr ago, pain down left arm to pinky/ring finger. aching shoulder blades. had cervical epidurals. not helping. ?

Need 2nd opinion: Always check with your PCP first for best referrals for pain specialists.Can also see an osteopathic physician, who's a DO trained in neuromusculoskeletal medicine (NMM) who can evaluate you musculoskeletally, treat you and help decompress your neck, spine, low back, sacrum and offer more options and solutions to get you out of pain quickly! Check Am.Acad.Osteopathy or Cranial Academy directories. ...Read more

Dr. Charles Toman
94 doctors shared insights

Shoulder Replacement (Definition)

Shoulder replacement mean replacing the ball and socket or the humeral head and ...Read more