Doctor insights on:
Traumatic Fat Necrosis Treatment
I have fat necrosis. I need any information about treatment. I have had it since bef2006. It staarted in rt thigh. Now everywher.
Interesting question: You may be having a recurrence of a previous infection and this requires immediate care. Please see your family physician or the previous specialist who treated you for this problem, now. ...Read more
No: A single patch of breast fat necrosis will leave a lump and a bit of deformity, which may be diagnosed on biopsy and/or removed surgically. It is unlikely to be due to any systemic disease, but dr. Singh is very wise to ask about injury. ...Read more
No specific level:
Fat necrosis can occur when blood lipase is high due to pancreatisis. The the lesion may be intra-abdominal and occasionally in the fat elsewhere in the body. Fat necrosis can occur with normal lipase levels due to trauma to fat tissue. In diabetics, fat necrosis can occur without trauma and without elevated lipase.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more
Is fat necrosis more likely if the harvested fat is just allowed to settle in the syringes before injection, rather than washing or filtering the fat?
How bad is a focal area suggestiv of central fibrosis within liver. Mild centrilobular cholestasis and attached fibroadiposed tissue with fat necrosis?
Depends: It is impossible to evaluate these findings without knowing the clinical setting and the results of other tests of liver function. Certainly this does not make me suspect liver cancer. If you have questions about this ultrasound finding, I would ask your doctor or your gastroenterologist. Good luck. ...Read more
Until taken out: Fat necrosis is a common occurrence wherever there are deposits of fat. There may be prior injury. The damaged tissue provokes an inflammatory response with scarring. The appearance can mimic breast cancer but is not a cause of cancer. Small lesions may resolve but most require removal if troublesome. ...Read more
Not at all: Fat necrosis is a result of trauma to the breast, sometimes so minor that you may not even remember the event. Lump develops but usually there is a history of black and blue bruising for a short period of time. Generally, the lump decreases in size over a period of time and disappears entirely, though this may take several weeks or months. There is no risk of cancer. ...Read more
No: Fat necrosis in the breast is usually the result of tramatic injury. This is also self limited. Surgery to the breast (enhancement, reduction, lumpectomy, biopsy, etc) can result in tissue damage that can manifest as fat necrosis - that is usually self limited. In 20 years, I have seen one patient with fat necrosis in the hip/buttock - that was due to impact trauma. I've not seen it in the breast. ...Read more
Variable: Fat necrosis will often improve with time but particularly if it is a larger area it may never completely resolve. A lot of the diagnosis of fat necrosis involved the clinical scenario and impression. Imaging can often be helpful. A biopsy is the most definitive. Make certain your surgeon is sure it's fat necrosis. If there is any question about a lump see a breast surgeon for an opinion. ...Read more
How long does fat necrosis take to heal after tummy tuck and what is best for wound care, packing and cleaning?
Does fat necrosis in the breast from a fall increase my chance of breast cancer? Biopsy proven fat necrosis
AVN - navicular: AVN or avascular necrosis implies that the bone dies. The talus and navicular are the more common in the foot/ ankle as their blood supply is very limited when injured. Treatment is very long and time consuming. Can take 3-4 months. Bone stimulators are helpful, staying off your foot- non weight bearing, physical therapy - ultra sound techniques help. Avoid NSAIDS ...Read more
Palpable lumpin breast. Mammo-benign calcification biradsiii. Fnac-inflammatory lesion possibility of fat necrosis. Lump reduced. Taking antibiotics. Next?
Dead bone: All depend of the joint involved with avn, if the area of dead bone is small some time bone graft can be done, some time plain drilling of the bone may suffice or some times vascularized pedicule bone graft is the answer and some times a total joint replacement is the best procedure. All depend of the particular circumstances of the joint involved. Dr seni. ...Read more
Orthopedic evaluate: You need to be worked up for the cause! Lack of sufficient blood flow for the affected bone/ joint. ...Read more
Excision: Removal of the bone is an option, although not ideal. Casting the foot for 1-2 months and limiting your weight-bearing is another option. Some insurances may pay for use of a bone stimulator, but if not, some bone stim companies can get one to you through a financial assistance program as they tend to be very expensive. A very unproven option would be to have a regenerative injection into the area ...Read more
No: No it has no effect for this diagnosi. ...Read more
I have avascular necrosis and just found out from an X-ray that I have a fractured ankle what is treatment?
Sugery, usually: There are some medical conditions which may predispose you to avn. Also, it may be related to medication. Oa is developmental and probably independent from avn. Medication may give symptomatic relief, but at some point you may be facing surgery since both problems are progressive. Get a medical checkup assess your current health status and guide you through the process. ...Read more
For patients with multiple large neuroendocrine liver metases with unknown primary and no treatment, what does it mean when the hepatic masses are starting to display necrosis (cystic changes)?
Liver mets: They are breaking down in the interior of the masses probably due to insufficient blood supply ...Read more
AVN of the Hip: If you have true avn of the hip then you need to see an orthopedic surgeon. There are various stages of avn. In the early stages there is a remote chance of salvage of the hip. If the avascularity is too far advanced then you need to discuss treatment options with your orthopedist. As you are only 40 years old, if you need a hip arthroplasty it is going to have to last quite some time. ...Read more
Limit weight bearing: As a general pediatrician, I have had several patients respond well to crutches and limited activity, although in some situations, short term casting may be recommended. A good reference is: http://www. Mayoclinic. Org/diseases-conditions/legg-calve-perthes-disease/basics/definition/con-20035572. Depending on the severity of your child's condition, your doctor may have other recommendations. ...Read more
I am a lupus sufferer and I have recently been diagnosed with avascular necrosis of my right hip after performing a MRI scan. Treatment options?
Orthopedic Eval: I would strongly recommend that you go have an orthopedic evaluation, preferably with an adult hip specialist. Treatment for this can range from observation, medication, to surgery. Treatment for avascular necrosis once the hip has collapsed requires a total hip replacement. Sometimes surgeries can be done before the hip collapses to help preserve your native hip. Get it evaluated. ...Read more
PTSD treatment: Post-traumatic stress disorder (ptsd) can be very complex, and may need multiple types of treatment. A thorough psychiatric evaluation is the best way to start, to understand some of the precipitating events and ongoing triggers. Psychotherapy with emdr (eye movement desensitization and reprocessing) can help move through and release painful emotion. Medications are sometimes needed, not always. ...Read more
Therapy and meds: The primary optimal treatment for ptsd is psychotherapy (talk-therapy), often trauma focused psychotherapy, and/or emdr (eye movement desensitization and reprocessing). Medications may also be helpful in reducing overall anxiety, panic attacks, flashbacks, co-occurring depression, and for normalizing sleep patterns. Co-occurring substance abuse is common and requires its own treatment, if present. ...Read more
That depends on.....: In some severe cases, I would stabilize the patient on psychotropic medications before going near any form of therapy. In a patient who has marked hyperarousal or who is agitated - touching on triggers at all can throw them into crisis. In some of these cases, we may take weeks regulating meds before we start talking therapy. Psychoeducation & cognitive processing therapy are very important. ...Read more
SCENAR: Good nutritional support (omega 3 supplement high in dha), and scenar treatment are two good starts. Scenar is a microcurrent biofeedback device that needs to be used by a certified and experienced practitioner, but can be particularly helpful. It's similar to a tens unit, but much more effective. ...Read more
What is the best treatment to improve the executive function of the brain, to effectively articulate thoughts; after a traumatic brain injury?
NUMBER OF CHOICES: Pharmacological approaches include ritalin, nuvigil, adderall, modafanil, to enhance alertness and attention, but other approaches include rehab programs of speech therapy, cognitive-behavioural therapies, and even biofeedback. Although there is little benefit for the memory enhancing agents used in alzheimer's, and occasional pt may be helped by galantamine (galantamine hydrobromide). ...Read more
Treatment of Traumatic shoulder dislocation if it occurs 4 or 5 times? When shoulder unstable and muscle is so weak vit D is right?
I got mild traumatic brain injury 8months ago. I got ptsd 5months ago. I have emotional numbness. Will it go away without treatment? I'm 19yr old
Polytrauma: Strongly recommend evaluation by polytrauma team. For TBI and PTSD, treatment should be symptom focused and evidenced based. Some of the same treatments that work well for PTSD can be used in individuals with mild TBI, and treatment should be individually tailored. Treatment is more complex and requires coordination and collaboration among various specialties. Please start the process! Take care. ...Read more
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