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Doctor insights on: Subacute Combined Degeneration

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What is diffuse degenerative endplate changes wth extensive multi level disc osteophyte disease /implication ?

What is diffuse degenerative endplate changes wth extensive multi level disc osteophyte disease /implication ?

You have arthritis: In the spine effecting multiple vertebras, that could lead to pinch nerve in the back or the neck area. ...Read more

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Doctor, For Mucoid Degeneration in Posterior Horn of Medial and Lateral Meniscus, any other treatment except Surgery such as medication, exercises?

Doctor, For Mucoid Degeneration in Posterior Horn of Medial and Lateral Meniscus, any other treatment except Surgery such as medication, exercises?

Avoid future....: ...stress, such as deep squats, no twisting in a squat position such as a fast pitch softball league or baseball. B careful in twisting sport as tennis,. Many times a nonfunctional brace like a neoprene sleeve will help . It does so by sending 2 Ur brain subconscious proprioception signals & in turn U subconsciously protect U knee by being more careful with no thinking. ...Read more

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Is macular degeneration the same as retinal degeneration? My eye reports says Bilateral: Defect is consistent with retinal degeneration. I'm 33.

Is macular degeneration the same as retinal degeneration?  My eye reports says Bilateral: Defect is consistent with retinal degeneration.  I'm 33.

Not really: Macular degeneration is a type of retinal degeneration found in the senior population that affects only the center of vision. Many other types of retinal degeneration exist from congenital, to acquired, from hereditary to environmental and from severe to minimal. I would be happy to interpret the report if you send me more details. ...Read more

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Is chronic diffuse sensorimotor peripheral neuropathy with predominant external & secondary demyelinative changes a long-term disability?

Is chronic diffuse sensorimotor peripheral neuropathy with predominant external & secondary demyelinative changes a long-term disability?

It can be: Sensorimotor peripheral neuropathies have many types and various causes. Some of them can be disabling, even long term in some cases. A thorough search will have to include blood tests and urine tests. In some cases spinal tab (lumbar puncture) can be necessary. In delineating the diagnosis. ...Read more

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Can photodynamic therapy cure age-related macular degeneration?

Can photodynamic therapy cure age-related macular degeneration?

No: Photodynamic therapy treats the areas of leakage in the retina in the hope of improving vision. It does not cure, only treats the manifestations of the disease. ...Read more

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Which is mild generative disc disease associated with sciatica?

Which is mild generative disc disease associated with sciatica?

Generally this would: Not be associated with any sciatica unless there was an annular tear creating an acute inflammation causing irritation of a nerve root that contributes to the sciatic nerve leading to pain over its distribution into the leg with most resolving but can occasionally lead to a true disc herniation which 90% of the time improve without surgery. Regular exercise, keeping trim ; not smoking are key. ...Read more

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Vitreous degeneration vs pvd--different symptoms?

Vitreous degeneration vs pvd--different symptoms?

Same: Posterior vitreous detachment (PVD) occurs when the vitreous gel becomes more like a liquid. The solid component of the gel floats in the liquid component of the gel. This liquefaction process is basically vitreous "degeneration." the symptoms are floaters (black spots, cobwebs, bugs) and sometimes flashes of light. ...Read more

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MRI - tear of posterior horn/medial meniscus (infer/sup surfaces) + mild cartilage thinning + ant osteophyte formation + subchondral h/intensity signa?

MRI - tear of posterior horn/medial meniscus (infer/sup surfaces) + mild cartilage thinning + ant osteophyte formation + subchondral h/intensity signa?

Torn menscuc: The meniscus is a cartilage cushion that sits between the femur and the tibia and acts as somewhat of a shock absorber. Each knee has a medial and lateral meniscus; and when they tear they can cause pain, swelling, and catching. They can be fixed arthroscopically by repair or shaving with good results. ...Read more

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Does chronic alcoholism cause macular degeneration in children?

Does chronic alcoholism cause macular degeneration in children?

Macular degeneration: The usual risk factors are positive family history, cigarette smoking, far sightedness, light iris color, high blood pressure, high cholesterol, female gender, heart disease , and of course aging. To my knowledge alcoholism in a parent doesn't cause macular degeneration in their children, unless the above risk factors apply to the children. ...Read more

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What is degenerative joint disease with moderate osteophyte formation?

What is degenerative joint disease with moderate osteophyte formation?

DJD w osteophytes: Degenerative joint disease (DJD) is the normal "wear and tear" kind of arthritis that we are all going to get as we get older in our most used joints. Part of the process of chronic arthritis is a remodeling of the calcium structure of the bone at the joint surfaces, which leads to accumulation of calcium away from the point of pressure. Ibuprofen will help discomfort from this normal process. ...Read more

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Is lumbar medial branch radiofrequency ablation safe in patients with multiple sclerosis?

Is lumbar medial branch radiofrequency ablation safe in patients with multiple sclerosis?

Yes: There is absolutely NO clinical evidence that any type of surgery, anesthesia, or standard clinical injections can affect the trajectory of MS, and radio frequency ablation should be relatively safe. ...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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"grade II signal within posterior horn of the medial meniscus, which may represent mucinous degeneration or meniscal bruise" is surgery needed?! help!

"grade II signal within posterior horn of the medial meniscus, which may represent mucinous degeneration or meniscal bruise" is surgery needed?! help!

No: This finding on an MRI ( read by a radiologist) is fairly common .Grade 2 " signal change " does not mean u have a meniscus tear. Your history and phy. Exam should be fairly obvious for a meniscus tear @ your age.'mucinous degeneration' @ age 16 is ext. Rare. Meniscal 'bruises' is not an orthopedic dx.See( w/ your parent(s)) an experienced ors who is adept w/ knee problems.Best of luck! ...Read more

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Patient with excellent result of prior (x3) spinal fusion. Severe paraspinous muscle spasm with MRI showing paraspinous muscle atrophy edema. Rx?

Patient with excellent result of prior (x3) spinal fusion. Severe paraspinous muscle spasm with MRI showing paraspinous muscle atrophy edema. Rx?

Physical Therapy: I will probable have him/her continue with pt/hep focused in strengthening the paraspinal musculatures. Tens units can be tried to see if it can also help. ...Read more

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Is physical therapy possible with degenerative disc disease and sciatica injury?

Is physical therapy possible with degenerative disc disease and sciatica injury?

Yes It is possible: Injections will give you pain relief early, but PT can be just as helpful but will take time to get relief. There is new research coming out that when you are in a lot of pain, you're body actually stops you from performing exercises so that you may not benefit from PT initially. So we believe that if you at least improve your pain first, you can then proceed with the exercise therapy programs. ...Read more

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