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Doctor insights on: Rib Hump Post Surgery

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Why didn't my scoliosis rib hump resolve after surgery?

Why didn't my scoliosis rib hump resolve after surgery?

Derotation hard: We are bettter at at straightening curve s rotating the spine with the tools we currently have is limit correcting the rotational deformity of scoliosis which cause the rib hump is technically difficult to accomplish the ribs not enough leverage, ribs themselves can have ther own deformity that can't be corrected by correcting the spine deformity s. ...Read more

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Is post op pain (lasting for months) common after surgery for thoracic outlet syndrome?

Is post op pain (lasting for months) common after surgery for thoracic outlet syndrome?

No: the thoracic outlet syndrome itself can cause that pain, bu the point of surgery is to relieve it. Persistent pain needs to be further evaluated. ...Read more

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Does excessive internal post-surgery scar tissue/adhesions reflect on surgeon's abilities? After a scalenectomy and rib resection for thoracic outlet.

Does excessive internal post-surgery scar tissue/adhesions reflect on surgeon's abilities? After a scalenectomy and rib resection for thoracic outlet.

Not typically.: Scar tissue/adhesions is a natural process that occurs as a result of any operation, no matter how skilled or novice a surgeon. It is a particular issue following surgery for thoracic outlet syndrome and can sometimes cause issues as bad or worse than the original reasons for having the surgery in the first place. Discuss with your surgeon on what steps can be taken to relieve your symptoms. ...Read more

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32 days post op revision rhinoplasty can I smoke pot ?

32 days post op revision rhinoplasty can I smoke pot ?

It's illegal: As it is illegal to smoke per federal law, a conscientious doctor can't recommend marijuana use, especially in a forum like this. Smoking anything is never good for healing. Discuss with your surgeon. ...Read more

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Can I snowboard 3 months post-shoulder surgery operation?

Can I snowboard 3 months post-shoulder surgery operation?

Talk to your surgeon: If all has healed correctly and you have not pain, you should be fine. But it will also depend on what surgery was done. ...Read more

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Scalenectomy was suggested after a failed first rib resection for thoracic outlet syndrome. Any advice?

Scalenectomy was suggested after a failed first rib resection for thoracic outlet syndrome. Any advice?

An option : For TOS, many of "experts" have gone to scalenectomy instead of 1st rib resection. Also it depends on the type of TOS you have, true TOS, vs neurogenic, vs presumed. My advice is to get 2-3 opinions from surgeons who do a lot of these which means usually a large academic center. Many years ago a mentor told me, "Nothing is so bad that it can't be made worse with surgery." ...Read more

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Can weighted leg curls be done 4 weeks post op knee microfracture surgey?

Can weighted leg curls be done 4 weeks post op knee microfracture surgey?

Microfracture: Depends on what part of your knee that was microfractured...But most likely yes. Talk with your surgeon to find out for sure. ...Read more

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Does excessive post-surgery scar tissue reflect at all on the surgeon's abilities? After a scalenectomy and rib resection for thoracic outlet syndrome

Does excessive post-surgery scar tissue reflect at all on the surgeon's abilities? After a scalenectomy and rib resection for thoracic outlet syndrome

No: There is no correlation between post op excessive scar tissue and the surgeons ability. First excessive is a relative term. Excessive may be appropriate for some situations. It is a relative term. What is normal amount of scar tissue? Other issues can affect the outcome like was an infection present? Is there a history of keloids? Are there are any medications or medical issues? ...Read more

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12 rib bearing thoracic vertebrae w vestigial bilateral twelth ribs. Mild scoliosis convex left t2-3. Minim t7 vertebral ant wedging? Meaning?

12 rib bearing thoracic vertebrae w vestigial bilateral twelth ribs. Mild scoliosis convex left t2-3. Minim t7 vertebral ant wedging? Meaning?

It does NOT: Appear to be indicating there is too much to worry about. The first sentence in your question is a normal finding. Mild scoliosis, is nothing to worry about, given there is less chance of it progressing since you are done growing. T7 wedging may represent a normal finding -- possibly a congenital osteodystrophy, which lead to the vertebra not appearing like a cube. See a spine specialist. ...Read more

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Had Laminectomy at L-3 in May 2016, post surgery numbness of right leg from waist to toes, surgeon knicked dura during surgery with CSF leakage.

Had Laminectomy at L-3 in May 2016, post surgery numbness of right leg from waist to toes, surgeon knicked dura during surgery with CSF leakage.

See a neurologist: This is more than just a nicked dura. This is nerve root damage. You need a careful neurologic exam and possible reimaging & electrodiagnostic testing. Do not rely on Doctor Google for an answer. ...Read more

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Will a non Union rib fracture heal after surgery to cure cushing's disease?

Will a non Union rib fracture heal after surgery to cure cushing's disease?

Not if it is an est-: -ablished non union. It will help in the future but may need surgery this time. Get evaluation by a thoracic surgeon. ...Read more

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What is square shaped burning sensation post hernia surgery on skin post surgery?

What is square shaped burning sensation post hernia surgery on skin post surgery?

Hernia pain: Where? What kind of hernia (you can have them all over your body)? Sometime pain like that can come from a stitch that is pinching or pulling on a cutaneous nerve. Sometimes it's just from the healing process. If not better in a few weeks, see your surgeon. ...Read more

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Post op sciatic pain 3 weeks after surgery. What can be done?

Post op sciatic pain 3 weeks after surgery. What can be done?

It's still early: In the post operative period to make changes to your current regimen. Continue pain medications and level of activity suggested by your spine surgeon. ...Read more

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Can I lift weights after having a first rib resection surgery?

Can I lift weights after having a first rib resection surgery?

Brachial plexopathy: Should ask the surgeon since he has seen how free the plexusl is. I assume you did this to relieve the symptoms with overhead activities. So, I would lift to chest level cautiously and, if symptom-free GRADUALLY proceed toward overhead lifts-- even when supine. If this was resection for a tumor, proceed when healed. ...Read more

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Post cavus surgery-3 mo after surgery arch dropped. Big toe stuck-bones jammed on xray. Surgeon "never be as good as pre surgery & orthotics" Can fix?

Post cavus surgery-3 mo after surgery arch dropped. Big toe stuck-bones jammed on xray. Surgeon "never be as good as pre surgery & orthotics" Can fix?

Post- operative: healing and rehab takes one full year with any reconstruction. After that point, if patients that are still having pain, return of deformity or non-optimal results I would discuss possible surgical intervention. If you would like a 2nd opinion for a review of post-surgical xrays and possible treatment options currently and/or future treatments, please consult me! ...Read more

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If scapular instability is the cause of thoracic outlet syndrome, would rib resection/scalenectomy resolve neck & scapula pain?

If scapular instability is the cause of thoracic outlet syndrome, would rib resection/scalenectomy resolve neck & scapula pain?

More complex: Thoracic outlet syndrome surgery includes, often, first rib resection and/or scalenectomy, but there are different surgical approaches and also, pectoralis minor decompressions. Scapular instability may or may not be present, and this may represent problems in the upper brachial plexus. Since this is so individualized and particular in most cases, best to discuss with experienced vascular surg. ...Read more

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Post op care of decompression surgery of lateral femoral cutaneous nerve. I have this surgery wednesday, can you tell me the post op care please?

Post op care of decompression surgery of lateral femoral cutaneous nerve. I have this surgery wednesday, can you tell me the post op care please?

Call your surgeon: Call your surgeon today if you have a question. Even if its not during normal work hours, someone will be covering. In general, wounds should be kept dry until they are not oozing fluid, then it is ok to shower - usually 24-48 hours. Activity as tolerated. Obviously it depends on the incision location regarding any special instructions. Hope this helps. ...Read more