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Doctor insights on: Trekking Poles

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Love trekking nd rock climbing. Which graft (patellar or hamstring) would fit me best?

Love trekking nd rock climbing. Which graft (patellar or hamstring) would fit me best?

Both work well: Both grafts in addition to a cadavre grafts can work well. More importantly, the way the procedure is performed and the postop rehab are more important than the actual graft used. You would probably require at least six months of rehab postop before returning to rock climbing. ...Read more

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Hip injuries from falling down on indoor-outdoor carpet?

Hip injuries from falling down on indoor-outdoor carpet?

Several: You could have a bruise or contusion, a fracture, or bursitis to name a few. ...Read more

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Stair climbing can slim leg?

Stair climbing can slim leg?

Yes: It depends on your body type to start with. If you have legs with fat, then you can get a slimming effect with stair climbing, however, you may get an appearance of getting larger first as the underlying muscles increase in size as the fat burns of slower. Stair climbing has tons of benefits either way and can increase your cardiac health. Climb on and the legs will sort themselves out. ...Read more

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Left knee MRI shows I have trochlear groove arthritis. What aerobic exercises can I do? Cycling? Running? Stair climber?

Left knee MRI shows I have trochlear groove arthritis. What aerobic exercises can I do? Cycling? Running? Stair climber?

Non impact ideally: Your patellofemoral joint (where the knee cap meets the trochlear groove on the femur) sees 3-6 times your body weight and this is even more with running and other high impact exercises. Ideally you should stick with non impact activities like cycling, swimming and using the elliptical. The stair climber will likely be very tough because the amount of stress it puts on the pf joint is very high. ...Read more

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Are 60 squats , situps , bicep curls enough a day?

Are 60 squats , situps , bicep curls enough a day?

Squats depends on-: -how deep you squat & how fast they are done. Situps also depends on whether you are flat or inclined & are you holding a weight while you do them & how heavy. Bicep curls also depend on how much weight you are using & technique. Are you doing a series of three, ,do you rest a lot between sets. If doing sets of 3 you should not be able 2 finish the 3rd, then you are stressing your muscles. ...Read more

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Running into doors etc. Stumbling and falling over. ?

Running into doors etc. Stumbling and falling over. ?

Further exam: Falling and running into doors can cause further damage. Why? Is it your vision? Other symptoms. Your doctor needs to see you as a stroke can cause these too. Being clumsy is a waste basket diagnosis, that is, only after all proper diagnostic procedures are done. You are also on meds needing monitoring and can affect your nervous functions so have a good exam. Good luck. ...Read more

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Knees are paining and have difficulties in climbing down staircases?

Knees are paining and have difficulties in climbing down staircases?

Chondromalacia: Patellar chondromalacia refers to an irregular or rough cartilage surface of the undersurface of the patella or kneecap. Pain that is most noticeable with climbing stairs (down or up) is usually related to chondromalacia patella. Physical therapy to help strengthen your quadricep muscles can be very helpful for this condition. ...Read more

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I was gorge walking Thursday (walking in rivers climbing rocks and jumping from heights) and I hit my knee on a rock and pulled two muscles should I get crutches?

I was gorge walking Thursday (walking in rivers climbing rocks and jumping from heights) and I hit my knee on a rock and pulled two muscles should I get crutches?

How bad is pain?: Crutches are used when you have an unstable injury (broken bone/ligament injury) and to help pain. Without an exam it's hard to say what you need; but without fracture or internal derangement of knee ligaments I tell patients who use crutches to do "toe touch weight bearing". In other words put as much weight on hurt leg as you comfortably can while walking on crutches to speed healing. ...Read more

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Fell 2 months ago landed on tile floor, hip and back pain getting worse, loosing weight body hurts all over, bottom of heels burn legs throbbing. Help?

Fell 2 months ago landed on tile floor, hip and back pain getting worse, loosing weight body hurts all over, bottom of heels burn legs throbbing. Help?

Sciatica: Pain in the distribution as you suggested describes the pattern of the nerve that travels in the leg called the sciatic nerve. The sciatic nerve is not the cause of the pain source, it is the result of an irritated nerve typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease requiring further evaluation by a spine specialist. ...Read more

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With unknown shoulder injury, can I still do cardio pilates/yoga/aerobic walking and roller derby? Esp roller derby

With unknown shoulder injury, can I still do cardio pilates/yoga/aerobic walking and roller derby? Esp roller derby

Limit activities: Without knowing what your shoulder injury is, it is probably safe to say of all activities listed aerobic walking should be fine until diagnosis is made. Roller derby is an intense contact sport and could definitely aggravate your shoulder if it is injured. See your doctor if you have shoulder pain, difficulty with range of motion for further work up, possible xray for a clearer diagnosis. ...Read more

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Grade 2 hamstring tear 2 days ago, heard pop, no bruise. Mobility low, but improving. Steep ski slope 3-mile mud run coming in 7 weeks. Advisable?

Grade 2 hamstring tear 2 days ago, heard pop, no bruise. Mobility low, but improving. Steep ski slope 3-mile mud run coming in 7 weeks. Advisable?

Cutting it close: A true grade 2 tear of a hamstring involves actual separation of muscle tissue and bleeding and subsequent inflammatory response locally. This can often be a 6 to 8 week injury to heal. This precludes the training required for the event and coming back too soon can lead to recurrent and actually a worse injury. A good course of physical therapy with a pt that understands the injury is beneficial. ...Read more

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Fell off 2 1/2 foot height, xray show no broke bone yet I have 2 swollen, painful knees, decr. Range of motion, problems stading up, walking & sitting?

Fell off 2 1/2 foot height, xray show no broke bone yet I have 2 swollen, painful knees, decr. Range of motion, problems stading up, walking & sitting?

See an Orthopedist: Most likely this is sprained ligaments of the knee, maybe even combined with meniscal injury, that are responsible for your symptoms. Initial treatment includes nsaids, crutches, cold compresses, splint(s) and resting them. Generally the bruising gets better, but if no improvement over 10-14 days time, then see an orthopedist for further care. ...Read more

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Fell of JetSki. Thigh hurts walking , standing sitting. Can't press down on bike pedal. Going up and downstairs hurts. And a pickle feeling sitting .

Fell of JetSki. Thigh hurts walking , standing sitting. Can't press down on bike pedal. Going up and downstairs hurts. And a pickle feeling sitting .

Charlie horse: Sounds like a contusion of the quadrates muscles of the anterior thigh, commonly known as a charlie horse. Rest , anti-inflammatories, stretching and ice should help. If not seek further care. ...Read more

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Jumped off 15ft rock into ocean, hit ocean floor on one leg and crumbled. pain behind the knee somewhat on the medial side. no significant swelling?

Jumped off 15ft rock into ocean, hit ocean floor on one leg and crumbled. pain behind the knee somewhat on the medial side. no significant swelling?

Varies: If you can bear weight on it, you may have just "sprained" it and should get better quickly. If either it is painful to put weight on it, or if if does not get better I would be seen. Somewhat concerning for sustaining a tear in the posterior horn if the medial meniscus which is fairly common and sometimes requires arthroscopic surgery. ...Read more

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Suffering tightness in calf when climbing several flights of stairs, or running up hills. Tightness goes after rest, or walking or running on level?

Suffering tightness in calf when climbing several flights of stairs,  or running up hills. Tightness goes after rest, or walking  or running on level?

Clarification?: This sounds like intermittent claudication or leriche syndrome in which there is not enough blood or (circulation) to the legs during activity. I recommend seeing a doctor and checking the arterial circulation in the aorta and the lower extremities. ...Read more

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