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Doctor insights on: Torisel

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Describe hammer toe surgery?

Describe hammer toe surgery?

Different types.: If you catch hammertoes in the early stages, a small, in-office procedure to release one of the tendons will often allow the toe to lie straight again. If the toe deformity has become rigid, the surgery is more involved. It's an outpatient procedure in an operating room, and can involve bone cuts, pins, screws, or other implants. Without surgery, your best bet is padding to reduce your discomfort. ...Read more

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Has anyone had any experience in a cancer treatment called torisel (temsirolimus) for renal cell carcinoma, and how were the results?

Has anyone had any experience in a cancer treatment called torisel (temsirolimus) for renal cell carcinoma, and how were the results?

Yes: It is a drug that targets a defect in kidney cancer cells. It is give iv. The goal of this drug is to slow down the growth of cancer cells and to shink the tumor and extend life and function. I have used it in some patients with good results and reasonable side effects. It is not a cure. ...Read more

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What is elmslie-trillat knee re-alignment surgery?

What is elmslie-trillat knee re-alignment surgery?

Elmslie-trillat: This procedure is usually used for patients that have patella dislocations. The patella tendon insertion on the tibia bone is shifted in a medial direction to better align the patella tracking. ...Read more

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Is stereotactic surgery same as gamma knife surgery?

Is stereotactic surgery same as gamma knife surgery?

No: Stereotactic surgery is usually a minimally invasive procedure using x-ray and computers to locate a spot or lesion to perform a needle biopsy through a very small incision. Gamma knife is a non-invasive procedure to deliver very carefully a high dose of radiation therapy with specialized equipment to treat a lesion or tumor with no incision. ...Read more

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Heel pain/plantar fasciitis/collapsed arch, what to do?

Heel pain/plantar fasciitis/collapsed arch, what to do?

Orthotic: I would advise a good custom molded functional foot orthotic. We have them made all the time and patient's with your symptoms do very well. ...Read more

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What is cyberknife radiosurgery used for?

What is cyberknife radiosurgery used for?

Precise Radiotherapy: Cyberknife is approved for the treatment of both cancerous and non-cancerous tumors anywhere in the body, including the prostate, lung, brain, spine, liver, pancreas and kidney. See more at: http://www.Cyberknife.Com/. ...Read more

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Is there any type of injection prescription 2 treat inverted nipples? Surgery? Thanks. Peter m ihle md, facs, orthopedics.

Is there any type of injection prescription 2 treat inverted nipples? Surgery?         Thanks. Peter m ihle md, facs, orthopedics.

Yes: Inverted nipples can be treated surgically, as long as there is an actual nipple which is inverted. Nipples that are small and flat and are not inverted cannot be fixed in this manner. If you can stimulate the nipple to come out, surgery can help. In severe cases of inversion it can be difficult to tell how much nipple is there. The biggest problem with inverted nipple repair is recurrence. ...Read more

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What is shoulder capsulorrhaphy surgery?

What is shoulder capsulorrhaphy surgery?

Its the repair of :-: shoulder capsule. Generally done for a shoulder from recurrent dislocations where the capsule gets stretched/longer. ...Read more

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Bone flap reattachment after brain surgery, wires vs plates, differences?

Bone flap reattachment after brain surgery, wires vs plates, differences?

I am not sure: I am not sure. Lets see if someone else with expertise in neurosurgery will answer your question. ...Read more

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Do surgeons use a gamma knife to treat benign schwannoma?

Do surgeons use a gamma knife to treat benign schwannoma?

Neurosurgeons: Together with radiation oncologists treat many benign central nervous system conditions, including schwannoma with stereotactic radiotherapy, and gamma knife is one means of doing this, . ...Read more

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What is the?Best?Treatment for?A superior inplate compression fracture at t-6?

What is the?Best?Treatment for?A superior inplate compression fracture at t-6?

Depends: It depends on the type and location of the fracture and the age of the patient. Often times, wearing a brace and avoiding strenuous activities will allow a compression fracture to heal in younger patients. In the elderly, if these measures fail, a kyphoplasty may be an option. Check out spine-health.Com. ...Read more

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Dr. Paul Velt Dr. Velt
2 doctors agreed:
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Please translate: comminuted left intertrochanteric hip fracture-avulsion of greater&lesser trochanters. Fracture lines evident. No callus formation?

Dr. Paul Velt Dr. Velt
2 doctors agreed:
Please translate: comminuted left intertrochanteric hip fracture-avulsion of greater&lesser trochanters. Fracture lines evident. No callus formation?

Not healing yet: This sounds like a complicated fracture. Callus is what we look for to show signs of healing. It varies in time before it becomes visible on an X-ray . Depending on when this happened would help explain the findings. As always talk to your orthopedist. Good luck ...Read more

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Do partial rotator cuff tears heal on there own?or surgery is needed? What is mini-open spectral tendenosis?

Do partial rotator cuff tears heal on there own?or surgery is needed? What is mini-open spectral tendenosis?

Healing can occur: Healing of partial thickness rotator cuff tears can occur. Your symptoms will correlate with healing or stagnation of tear versus tear progression/worsening. Repeat evaluations during a standard course of therapy over the next several months will help decipher your pathway. Subpectoral biceps tenodesis refers to an operation to secure injured biceps below the pectoralis major muscle to the humerus ...Read more

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What is cyberknife® stereotactic radiosurgery?

What is cyberknife® stereotactic radiosurgery?

Targeted radiation: Cyberknife® is an entirely new approach to stereotactic radiosurgery because it can deliver targeted radiation to anywhere in the body, while minimizing exposure to surrounding normal tissue. It offers all of the advantages of radiosurgery, but without the need for a metal head frame. With sub-millimeter accuracy, cyberknife® can be used to treat tumors, cancers, vascular abnormalities and more. ...Read more

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PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req?

PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req?

Yes, it should if-: -U expect 2 have a functioning knee 4 the rest of Ur life. It can only separate more, & a simple reduction & fixation will do what U want it 2 do, reunite the fragment 2 the tibia. The image is a tear & requires a major reconstruction if not fixed. U risk the fragment becoming a nonunion. ...Read more

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In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

Yes: If the surgery is successful, you will be much better than you were before and as such should be able to participate in amucj higher activity level than before surgery. I would discuss your specific case with your surgeon. ...Read more

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Are bone spurs at the base of big toe (bottom) related to turf toe? Feel like spur needs soft cushion, but turf toe calls for hard extension. Confused

Are bone spurs at the base of big toe (bottom) related to turf toe? Feel like spur needs soft cushion, but turf toe calls for hard extension. Confused

Turf toe is more of : A sprain of the ligaments around that joint. Spurring around the joint is something that develops gradually over time and reduce the available range of motion of the joint. At some point in time, spurs need to be removed surgically before more damage is done to the interior of the joint. Turf toe is an acute injury that takes time and protection to heal. ...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