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Doctor insights on: Tohatsu Repair Manual

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I've had a shoulder ligaments repaired with keyhole surgery after a motorbike accident. What's the best physiotherapy clinic in san francisco 95123?

I've had a shoulder ligaments repaired with keyhole surgery after a motorbike accident. What's the best physiotherapy clinic in san francisco 95123?

Shoulder ligaments: Good rehabilitation of this surgery is critical to the outcome. One undergoes graded increase in motion and strength while the repair heals. The tricky part is to progress wth both without damaging the repair. Thus one needs to be in the hands of an experienced shoulder physiotherapist. Ask your surgeon to make the referral ...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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How do surgeons repair a torn paraspinal and trap muscle? Is it safe?

How do surgeons repair a torn paraspinal and trap muscle? Is it safe?

Not usually: Paraspinal muscles and trapezius muscles are almost never torn. There are very select cases of extreme trauma that can tear those muscles and even then, they are usually left alone to heal on their own. Most pain and dysfunction of the paraspinal and trapezius muscles come from problems in the neck and back. Most are addressed by taking care of the nerves and supporting structures. ...Read more

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Does arthroscopic surgery fix a torn acl? What does tommy john surgery fix?

Does arthroscopic surgery fix a torn acl? What does tommy john surgery fix?

Acl: Yes arthroscopic surgery is used to reconstruct and place a new acl in the knee. Tommy john surgery refers to a ligament reconstruction which places a new graft in the elbow. ...Read more

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How effective is shoulder stabilization surgery? I'm a yoga instructor. Multiple dislocations & inherent ligament laxity. What are my odds?

Let me explain: You said yourself (inherent ligaments laxity) so this the tissue we have to work with so the result are variable and some time we have to go for bone block, if the reconstruction failed. ...Read more

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One year after rotator cuff surgery it seems an anchor has dislodged is repair and recovery as bad as original surgery? Work is very phys. Demanding

One year after rotator cuff surgery it seems an anchor has dislodged  is repair and recovery as bad as original surgery? Work is very phys. Demanding

Hard to predict: If the anchor is just being retrieved, the pain will be minimal compared to your previous surgery. Most of the time, however, the rotator cuff will need to be re-repaired, which should be similar to the recovery from your first surgery. ...Read more

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I'm a 58 year old. Had open inguinal hernia mesh repair surgery. Job requires lifting 75-150 lbs. How long is recovery before going back to this job?

I'm a 58 year old. Had open inguinal hernia mesh repair surgery. Job requires lifting 75-150 lbs. How long is recovery before going back to this job?

If you want after 4w: Healing will be near complete after collagen tissue i is formed i that will take place 3 Wks , most of the people will go back to work in 4 to 6 wks. obvious other factors , your motivation , general health , non healing etc will limit early return to work . When you go back obvious you will not going to lift 150 lbs on first day , has to be progressive. ...Read more

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Upcoming op for recurrent sport hernia. Prev. op was open suture without mesh. New surgeon will use open anterior w/mesh. Risk of testicular damage?

Upcoming op for recurrent sport hernia. Prev. op was open suture without mesh. New surgeon will use open anterior w/mesh. Risk of testicular damage?

Caution: Not a simple problem. If you have had a previous open repair, and you're still having pain, I would strongly recommend a laparoscopic repair IF you need one. Only about 20% of inguinal repairs are done this way, so you'll have to find a surgeon w/ enough training/experience. Try the Americas Hernia Society website to find one near you. Hope this helps! ...Read more

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Do surgeons use the pythagorean therom while doing a surgery?

Do surgeons use the pythagorean therom while doing a surgery?

Very interesting: My experience is that proper alignment of body parts, implants, & devices requires use of the golden ratio (http://goo.Gl/rszu) mixed with occasional use of the fibonacci series (http://goo.Gl/gkkf) in addition to an understanding of the gamler's fallacy (http://goo.Gl/ygcgz). The pythagorean theorem (http://goo.Gl/ucw3) not so much. Ok, i'm joking but the pythagorean theorem is important to know. ...Read more

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Meniscus repair 12/3/15 & 2/18/16,no pain,meds after surgeries.Going to gym what machine is best?Startedhaving bad pain after1stxbowling?Cause please.

Low impact: I stress to my patients to do low impact exercises - anything in a swimming pool, any machine you sit on and any machine that your foot does not leave the pedal. That means no treadmills, jogging, aerobics, or even walking programs. At 58yo, there is a high likelihood of early degenerative changes and the joint needs protection. ...Read more

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Can I train abs 7months after hernia repair (abodminal, no mesh).

Can I train abs 7months after hernia repair (abodminal, no mesh).

Yes: 7 months after abdominal hernia repair you should be able to return normal activities, including ab exercises unless otherwise directed by your surgeon. The tissues have healed, and while it will never be as strong as the original, there is typically no prescribed restriction on activities any longer as it won't change your outcomes. ...Read more

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Mesh repair ing hernia 18m ago. At times discomfort in area. Surgeon says repair OK, rec. stretching, but gave no stretches. Any stretch suggestions?

Mesh repair ing hernia 18m ago. At times discomfort in area. Surgeon says repair OK, rec. stretching, but gave no stretches. Any stretch suggestions?

Stretching: I am enthusiastic about water exercises in general. Water aerobics in a pool, just swimming laps, etc. Also some of the more gentle yoga classes would help (Talk with the instructor first). Bad DOC, BAD go to your corner;) ...Read more

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I'm a 21-year-old with lumbar disc prolapse (l4-l5). How can I strengthen my back?

I'm a 21-year-old with lumbar disc prolapse (l4-l5). How can I strengthen my back?

Depend on symptoms: If you are having fairly severe leg pain, gentle, low impact aerobic activity (e.g. Walking, pool exercise) is a good place to start. As the leg pain subsides, increase the aerobic exercise to at least 30 minutes nonstop three days a week. As tolerated, work on core muscle strengthening exercise (exercise to strengthen tummy and back muscles). ...Read more

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Tore both rotator cuffs in seperate accidents a month apart. Vicodin not really cutting pain. Wife needs surgery first....Suggestions?

Physical therapy: A physical therapist can show you what exercises and motions to do and not to in order to limit your pain and strengthen the remaining intact muscles. This can often help alleviate the pain in the meantime. Additionally, there are other topical anti-inflammatory medications that can also improve and treat pain, such as patches or creams. Ask your physician for these and referral to physical therap. ...Read more

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How do I deal with an inguinal hernia repair and recovery

How do I deal with an inguinal hernia repair and recovery

General surgeon: See a general surgeon for a consult. Most inguinal hernia repairs are performed through a groin incision an use mesh. With enough training an experience, many surgeons perform the repairs laparoscopically. Th laparoscopic technique has less pain and recovery time than the open technique, but only when done by a surgeon with enough experience. Both don't require postop activity restrictions. ...Read more

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Can I return to doing activities lkke crunches after recovery from inginiul hernia repair?

Can I return to doing activities lkke crunches after recovery from inginiul hernia repair?

Yes: Full activity, unless specifically restricted by your own surgeon, is expected as soon as the patient is capable of performing these exercises and cleared by the surgeon to do so. Typically, stomach crunches are allowed 4-6 weeks postop. Some more conservative surgeons prefer to wait 2-3 months, but typically, the healing process permits for strenuous activity as soon as 2 weeks. ...Read more

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