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Doctor insights on: Thyroid Cartilage Prolotherapy

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Thyroid cartilage increase?

Thyroid cartilage increase?

Likely normal: Since you are a 15 year male the enlargement in the thyroid cartilage (adam's apple) is likely a normal part of puberty. Suggest you see your family doctor to be sure it is the cartilage and not the thyroid gland. ...Read more

Cartilage (Definition)

Cartilage is a specialized type of tissue found in joints and areas that two bones come together. It is made up of specialized cells that live in the midst of proteins and sugars that absorb and release water similar to a sponge. Healthy cartilage helps decrease friction in joints, absorbs shock and protects the ends of the bone. Degradation of ...Read more


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Can you strengthen meniscal cartilage with stem cells?

Can you strengthen meniscal cartilage with stem cells?

Yes: Use of adult mesenchymal stem-stromal cells (mscs) are currently in clinical trial in us/internationally. Trend is toward use of fat derived mscs, havested by liposuction, isolated and concentrated in tissue culture. Early reports suggest significant improvement in neurological, autoimmune and organ functions. Many more mscs in fat than bone marrow making ad-msc the center of most research now. ...Read more

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Is prolotherapy effective for strained l5/s1 facet joint ligaments?

Is prolotherapy effective for strained l5/s1 facet joint ligaments?

Yes: Yes prolotherapy is well researched and offered treatment that has shown good success. The basic theory is to strengthen the ligaments around the facet joint and therefore reducing stress on the joint by tightening them up. Pretty cool stuff. ...Read more

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85 year old torn meniscus in right knee, pain/inflammation when walking. Recommend hyaluronic acid joint injection? Other non-surgical therapies?

85 year old  torn meniscus in right knee,  pain/inflammation when walking.  Recommend hyaluronic acid joint injection? Other non-surgical therapies?

If your joint is in-: -good condition, a menisectomy would be advised, even if borderline. This can slow down further degeneration & possibly avoid a replacement. Hyaluronic acid if the joint is bad & the only option is a replacement, if you are one of the people that get great results, you still may avoid a TKA. If successful they do need to be repeated over time. ...Read more

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MRI Grade 2/3 chrondromalacia glenohumeral joint w/ high grade cartilage loss, Bone marrow edema of the humeral head, mod. Glenohumeral effusion?

MRI Grade 2/3 chrondromalacia glenohumeral joint w/ high grade cartilage loss,  Bone marrow edema of the humeral head, mod. Glenohumeral effusion?

Degenerative changes: This constellation is typical of osteoarthritic degenerative changes. The cause is non-specific and can be related to prior shoulder trauma or just a life time of heavy use. ...Read more

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ORTHO/RHEUM ONLY Joint Hypermobile Syndrome will exercises 2 strenghten hip joints prevent dislocation 100% if they never dislocated?

ORTHO/RHEUM ONLY Joint Hypermobile Syndrome will exercises 2 strenghten hip joints prevent dislocation 100% if they never dislocated?

Mobile Joints: It will definitely help if done correctly. Although I am honestly to say that nothing can truly protect your hips from dislocation if you suffer from hypermobile joints. If you are 63 and not had a dislocation yet, then the odds are in your favor that you won't dislocate. Be wary of falls. ...Read more

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Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

Maybe: This decision is best made by your own orthopedist who has direct access to your x rays. A second opinion never hurts. In someone so young, if you can get away with something short of a total joint replacement, it is always preferable to do so. ...Read more

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Two fissures in articular cartilage (grade III chondromalacia patellae). No arthritis, softening, or degeneration. Could cartilage possibly heal?

Two fissures in articular cartilage (grade III chondromalacia patellae). No arthritis, softening, or degeneration. Could cartilage possibly heal?

Unlikely : Grade 3 chrondromalcia basically means early arthritis of your kneecap. Extremely common.You need to discuss w/ your ORS and not your radiologist.(2) fissures? How do u know...? In order to have any fissures chrondromalcia is present . At any rate, articuclar cartilage does not heal but I would not worry about it. See ORS for remedies to avoid progression. Best of Luck! ...Read more

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ACL-deficient knee does a hypermobile lax acl exist without rupture? Can a lax hypermobile knee cause damage to the articular cartilage?

ACL-deficient knee does a hypermobile lax acl exist without rupture? Can a lax hypermobile knee cause damage to the articular cartilage?

Loose joints: Hyperlaxity of the patella can lead to Patellofemoral joint damage of the knee. This usually occurs after repetitive patella dislocations or subluxations. ACL insufficiency usually does not occur in people w hyperlaxity. Albeit they may be more prone to a ACL rupture. I hope this info helps. ...Read more

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S/P rotator cuff debride/AC joint decomp.: 7/14. Not improving w/wkly PT and cortisone inject. MRI arthrogram 2 Dec.= 8x6mm Supraspina tear. Surgery?

S/P rotator cuff debride/AC joint decomp.: 7/14. Not improving w/wkly PT and cortisone inject. MRI arthrogram 2 Dec.= 8x6mm Supraspina tear. Surgery?

Usually if >50%: If the tear measures over 50% of the width of the tendon your Dr. will most likely recommend surgery. You can try PT but pain can limit the effectiveness. ...Read more

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2 knee surgeries L knee, meniscus removal,tendon release,13 and 7yrs ago.Feels like bone on bone,severe arthritis,floating kneecap.Treatment options?

2 knee surgeries L knee, meniscus removal,tendon release,13 and 7yrs ago.Feels like bone on bone,severe arthritis,floating kneecap.Treatment options?

Need xrays/MRI: If there is full thickness cartilage loss allograft resurfacing is my first choice with an osteotomy as needed to unload the medial compartment Eventually some form of prosthetic knee replacement will be required but should be avoided as long as possible ...Read more

Dr. Amir Khan Dr. Khan
4 doctors agreed:
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Soccer player -- chondromalacia patella, MRI says: grade 3 chondral fissuring + cyst. Will physical therapy fix it? What supplements should be taken?

Dr. Amir Khan Dr. Khan
4 doctors agreed:
Soccer player -- chondromalacia patella, MRI says: grade 3 chondral fissuring  + cyst. Will physical therapy fix it? What supplements should be taken?

Possibly see ortho: Difficult problem. Especially if your symptoms correlate with your MRI findings. If your pain is behind the knee cap then there is good correlation. Initially nonoperative intervention such as therapy, use of anti inflammatories and patellar brace may be helpful. The possibility of arthroscopic evaluation if all fails may be necessary but still a difficult problem to fix. Supplements controversial. ...Read more

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Does platelet rich plasma injections to ligaments cause scar tissue or new connective tissue?

Does platelet rich plasma injections to ligaments cause scar tissue or new connective tissue?

Both: Injecting platelet rich plasma is supposed to amplify the response of the repair cells by supplying growth factors to the area of injection. It's a good theory, but evidence of other than short term changes is lacking. ...Read more

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Female, 69, knee pain, very active, good health, mri-complex medial meniscal tear with small medial femoral condylar marrow contusion.Surgery only? Thx!

Female, 69, knee pain, very active, good health, mri-complex medial meniscal tear with small medial femoral condylar marrow contusion.Surgery only? Thx!

Maybe: The good news is that the small marrow contusion should heal with conservative treatment without any complications. The bad news is that a complex medial meniscal tear usually will not heal, and surgery will probably be necessary at some point. ...Read more

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I have scoliosis, disk compression, and minor back & knee pain. MRI shows cartilage wear, osteopinia. What about stem cell therapy?

I have scoliosis, disk compression,  and minor back & knee pain. MRI shows cartilage wear, osteopinia. What about stem cell therapy?

Probably not: It does not sound like you are really having enough problems ("minor back and knee pain") to really pursue that. Even procedures that sound neat can have complications associated with them and you would hate to have problems worse than your original condition. ...Read more

Dr. Steven Griggs
13 doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more