Doctor insights on:
Tendon Disease In Children
What sort of imaging is good to detect tendon injuries, thickness, disease, or degeneration? Is ultrasound useful?
What other diseases/infections am I at risk for when getting a cadaver tendon graft? (I know the chances are very low, I would still like to know)
Hepatitis: There's talk of both B and C having been transmitted. Nobody knows whether West Nile, prion disease, or HTLV-I or HTLV-2 can be transmitted. ...Read more
How far does the Achilles tendon ascend in the leg? What is a common diagnostic tool to diagnose injury/disease of the tendon that isn't ruptured?
Resection of the disease and FHL reconstruction of Achilles' tendon. Is this a out patient procedure? Concerned as have seizures with pain meds.
Yes: Yes, this could potentially be done as outpatient and also as a block, so you could potentially avoid general anesthesia as well. ...Read more
First IVF cycle in June. Pre-tests revealed high prolactin, normal TSH (2.1). Symptoms: thinning hair, sore tendons, dry skin, thyroid disease in family. Suggest thyroid tests before starting IVF?
Yes: Most definitely get a full thyroid profile. ...Read more
Below is a good answer and stretching can help. I would like to add that often if there is a real equinus (tight achilles) surgery is required.
Physical therapy for short achilles tendons can be beneficial but typically dynamic splinting can also allow for a prolonged low load stretch. Therapy and splinting may be needed for as long as 6 months depending on the severity of the contracture. ...Read more
Ankle ortho does not know how to treat tendinitis. Referred to another ankle ortho that treats tendon disorders. Should I see ortho or podiatrist?
Rheumatologist: You should see a rheumatologist which is trained in musculoskeletal ultrasound for precise diagnosis and treatment ...Read more
I am experiencing heel pain. I have haglunds disorder my podistrist is sending me to a orthopeedic dr he wants them to remove the lump or shave it and snim and reline the tendon what type of surgery is involved and what is the down time?
The type of surgery that is involved all depends upon the extent of the posterior calcaneal bony protrusion.:
Depending on the size and location of the prominence, a surgeon maybe able to get a way with removing as much of the prominence as he can without detaching the tendon. The recovery time on this would be fairly less involved 4-6 weeks with rehab. If fairly large, one would need to detach and reattach the tendon to remove the protrusion which will increase recovery, taking 3-4 months with PT ...Read more
Can topical steroid ointments for eczema have any affect whatsoever on tendon disorders? Recovering from levaquin-induced bilateral Achilles damage.
Will reiters syndrome always show up on x-ray? What about the arthritis in the tendons and other diseases that effect the tendons?
No: Reiter's syndrome is an old term not used clinically anymore to describe a type of reactive arthritis that is an inflammatory arthritis that is self-limited and triggered by certain types of infections (specific diarrheal infections, chlamydia, mycoplasma). It often affects tendons and the entheses (attachment sites of tendons to bone), so they generally cannot be seen on regular x-ray films. ...Read more
Depends on a lot: This depends greatly on which tendon, degree of tear, and functional goals of the patient. At best, some tears can be managed with pain control and rest, similar to a muscle strain; complete tears or tears in muscles bearing high loads may require surgery. Often physical therapy will be a component of the plan, as will antiinflammatories and rest. ...Read more
Let me explain:
Levaquin and Cipro (are two of the more popular drugs in this class of antibiotics, but others which could also be associated with the risk of tendon damage include tequin Penetrex Factive (gemifloxacin) Maxaquin Avelox Noroxin, Floxin and trovan.
The treatment fot that it depend on the amount of damage from casting and surgical repair. ...Read more
A HAND tendon may: Require surgery, splinting or observation depending upon the location, the percentage of injury and the preconditions prior to the injury. However a prompt assesment by a hand surgeon or a comparably trained health care provider is needed to determine the proper course of action. Hand surgeons are well versed in these decisions ...Read more
Few theories: Calcific tendonitis most commonly involves shoulder. Three main theories: reactive calcification; endochondral ossification with tendon cells converting to cartilage cells to form bone; ectopic bone formation with change of mesenchymal stem cells into osteogenic cells (bone forming cells). Tendintis usually deposits of hydroxyapatite (a crystalline calcium phosphate) in any tendon of the body. ...Read more
If it is not a vest-: -igeal tendon such as Palmaris longus, poplitious in the hand & lower leg, they R usually functional and need repair acutely, or if long standing tendon transfers & grafts can B done. ...Read more
Tendon/ligament tear: Ligaments stabilize and typically run along the sides if joints. Tendons attach muscle to bone. Ligaments are torn when a joint is dislocated or strained. Tendons are torn when the muscle pulling on the bone pulls with more force than the tensile strength of the tendon will allow. ...Read more
Depends upon: Where it is but pain, loss of motions, decreased power, swelling, balck and blue are all suspect for an acute tear. A chronic tear may feel different and just show up as swollen tissue followed by a change in motion that may not be noted right away, if one suspects a tron or ruptured tendon it is importnat to seek treatment as acute repair may be indicated and it may not be even a few week s later ...Read more
Most need surgery:
Most tendon injuries require surgery to repair or reattach them to bone. Some will heal on their own, but in most cases there will be some loss of function (weakness, decreased movement).
Also, in many cases the repair needs to be done within a week or two. Waiting longer results in scarring which makes the repair more difficult and less likely to work as well. ...Read more
It can be: This observation is often due to normal anatomy. The platysma muscles run vertically in the neck and are strand-like enabling fine gradations of movement in turning the head. In some people you can see a prominent anterior edge. This is more likely in thin people with less fat/subcutaenous tissue bordering the muscles. Best to accept/embrace rather than consider plastic surgery. ...Read more