Doctor insights on:
Traumatic Spur Psoriasis Spell
Yes: There are no good research studies that prove a relationship between stress and psoriasis flares. However both patients and psoriasis experts have noted that there is likely a connection. Many of my patients have noticed psoriasis flares with increasing stress. The flares only serve to add to their stress. Stress reduction is always a good thing so in many ways it is a moot question. ...Read moreSee 2 more doctor answers
Can't figure out these symptoms Non-exertional chest pain, cold hands, unilateral swollen interphalangeal thumb joint w/o trauma, dyspnea on awakening?
Think rheumatic dz: Definitely confusing! Nontraumatic IP joint swelling, especially in the thumb, brings to mind rheumatoid arthritis (RA). A common complication of RA is costochondritis which affects the rib joints (chest pain) & a variant called Caplan's Syndrome leads to lung nodules. Other autoimmune diseases may mimic RA (lupus?) but testing by a Rheumatologist may sort things out for u. Good Luck! Thanx 4 ur Q ...Read more
Seen in er- inflammation/red rash of (l)foot. Dx: inflammation was related back issue- (herniated l3/4/5) ankylosing spondylis. Is this plausible?
No/yes: Herniated discs would not be related be related to inflammation of the foot nor ankylosing spondylitis. On the other hand, if you had a spine disease called ankylosing spondylitis, that is associated with peripheral joint inflammation. Ankylosing spondylitis is a diagnosis that needs to be made by a rheumatologist only. ...Read moreSee 1 more doctor answer
Biopsy petechiae right arm: spongiotic psoriasiform dermatitis w/purpura. Drug eruption in a pt. W/underlying psoriasis or eruptive psoriasis exacerbated by a drug. What does this mean? Drug allergy?
See your doctor: This is what is called a "descriptive" path report. In these cases we construct a list of conditions that can produce this type of reaction pattern then try to narrow it down if possible. In these cases a good solid history needs to be taken to identify any possible cause (drug or other). I am afraid this can be a challenging process and sometimes we do not find the actual diagnosis. Good luck. ...Read moreSee 1 more doctor answer
Pincered t-spine at t-9 in 1988. Incessant buckling led to paraspinal swelling; cumulative trauma disorder. What treatment modalities are available?
multiple: The treatment of chronic thoracic pain can range from the conservative, to the much more aggressive. Conservative options, which presumably yo have done can include medications, activity restrictions, and non -invasive treatments such as therapy. More aggressive options usually fall under either interventional pain management or surgical approaches. Sitting down with a spine specialist can help. ...Read more
Depends: If post-traumatic arthritis results from a fracture, perhaps you would see sequela from the fracture. Otherwise, the 2 causes could look similar. In other words, the end result of arthritis usually looks the same. The other piece on info that makes one consider "post-traumatic" is a history of remote injury. ...Read moreSee 2 more doctor answers
Ulnar sided pain since june after injury. Mri -type 2 lunarte, effusion, and bony exotosis. Neither sounds acute, can something else mimic an exotosis
Pincered t-spine in 1988. Incessant buckling led to paraspinal swelling (cumulative trauma disorder). Did not show in 1.5-t mri. What about 3.0-t?
Probably not: Hi bruce - not sure but 3t isn't really that much better then 1.5t - there are other variable that are more important. A good quality 1.5t scan is definitely sufficient. Best regards - dr. G from metismd.Com. ...Read more
I had an old calcanea stress fracture with swelling. Can long-term foot instability, plantar fasciitis, sural neuropathy cause back problems?
Possible proximal Fibular shaft Frx, fall on hands/knees concrete stairs, chronic joint instability, could it be from a marching sport? (Bonescan next
Please help! I have duputryne's contracture in hands, cords, nodules, clubbed fingers, adhesive capsulitis. Autoimmune normal. I'm a"medical mystery."?
Shoulder MRI: What does this mean? Focal bony proliferation w/focal chondral labral separation suspected @ posterior labrum at the 8 o'clock position?
Labral tear: See an experienced shoulder arthroscopist to assess clinical correlation w/ this MRI report.Basically it means you MAY have a labral( cartilage) tear of your shoulder in the 'back' portion ( posterior)of your glenoid( shoulder socket).the possible 'bony proliferation' may be a response to a long- standing labral tear.Clinical Correlation needed! Best of Luck! ...Read more
Body reject hernia mesh with multiple neuroma/granuloma/pain. now have severe joint knee hand pain. can rejection trigger autoimmune issues..i read it?
Could 8mm anterior spur on navicular bone cause referred pain to forefoot or ankle? Mri also showed stress reaction to 3rd met.
Yes, it can be: Post traumatic stress disorder causes a huge amount of suffering and loss of function in children and adults. It can lead to severe anxiety, insomnia, depression, and suicide. It can stem from an almost infinite variety of frightening experiences. Yet, it can be treated. ...Read moreSee 1 more doctor answer
Psoriasis: There is no cure for psoriasis only control. There are prescription topical steroids. There are intralesional steroid injections. The biologics like Humira, Enbrel, Remicade, (infliximab) and Otezla are very effective at treating psoriatic arthritis and also the skin lesions of psoriasis. Patients with psoriasis are also prone to cardiovascular disease but the biologics help reduce this. ...Read moreSee 3 more doctor answers
Can morton's neuroma (absence of tight fitting shoes history) develop as result of a trimaleolar ankle fracture? What criteria relates it to injury
Morton's neuroma: Unlikely, but a trimalleolar fracture can cause a change in one's gait and since a neuroma is an inflammatory problem of the nerve due to irriation (could be b/c of shoes, or an altered gait pattern) there may be a link, again it's very unlikely. ...Read moreSee 1 more doctor answer
Yes: Psychotic symptoms can manifest after a traumatic event. Read more: http://focus.Psychiatryonline.Org/data/journals/focus/4332/foc00311000278.Pdf. ...Read more