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Doctor insights on: Ultrasound Guided Arthrocentesis Minor Joint Or Bursa

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Dr. Michael Gabor
2,282 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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Mild tricompart mental osteoarthric changes Torn PHMM Minimal joint effusion , with sizable backers cyst?

Mild tricompart mental osteoarthric changes 
Torn PHMM
Minimal joint effusion , with sizable backers cyst?

Physical therspy: The most important treatment for you is quad strengthening exercise. In addition to this there are medications, wedge insoles, injections, and surgeries to help relieve symptoms. There are many over the counter treatments such as moist heat, sports creams, Tylenol (acetaminophen) which you can use as well ...Read more

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I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis? Whats the treatment?Thanks

I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis? Whats the treatment?Thanks

Chondromalacia: Chondromalacia is damage to the cartilage surfaces of joints. In the knee it's similar to the wearing away of tire treads. This can cause inflammation which can produce increased fluid in the knee (effusion). If you have minimal pain and no locking, strengthening your thigh and leg muscles is recommended. Icing and anti inflammatories and pt can be helpful. Arthroscopy is recommended with locking. ...Read more

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I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis?

I had multiplanar mri&impresion:chondromalacia of medial trochlear cartilage.Moderate popliteal cyst with mild joint effusion.Pes anserine bursitis, prepatellar&intrapat bursitis?

Several issues: Chondromalacia means you have abnormal cartilage in the inside part of your knee where the kneecap (patella) sits. Everything else means you have fluid and/or inflammation in various places around your knee. A bursa is a sac that usually only has a little bit of fluid in it but can get inflamed and be painful. Popliteal cyst = baker cyst, which is accumulation of fluid in the back of the knee. ...Read more

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Which knee capsular tightness that cannot be cured knee fluid injection and need surgical intervention?

Which knee capsular tightness that cannot be cured knee fluid injection and need surgical intervention?

I am not sure: I really do not know about any fluid injection that could release contracture in the knee. Sorry please let me know were the idea published. Thank you. ...Read more

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Is knee joint aspiration too painful? For hematoma and effusion?

Is knee joint aspiration too painful? For hematoma and effusion?

Not much: Local anesthesia, and removal of fluid may make you more comfortable. ...Read more

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Painful cyst in left knee adjacent to posterior horn of medial meniscus. No meniscus tear (confirmed via MRI & arthroscopy). Treatment options?

Painful cyst in left knee adjacent to posterior horn of medial meniscus. No meniscus tear (confirmed via MRI & arthroscopy). Treatment options?

See below:: Most cysts in the back of the knee are due to knee joint causes, which improve as the causes is treated. So my recommendations would be: 1: do nothing except maybe pain meds, for 3 months; if no improvement, then; 2: aspiration (removing fluid) under ultrasonic guidance for fluid/needle biopsy; or; 3: removal of the cyst through the back of the knee, to get tissue for biopsy. ...Read more

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My wrist has torn tendons, torn ligaments, subluxing ECU tendon w tear & ganglion cyst. As well as tenosynovitis + tendinosis . What can be done ?

My wrist has torn tendons, torn ligaments, subluxing ECU tendon w tear & ganglion cyst.   As well as tenosynovitis + tendinosis .  What can be done
?

All can be treated: All your conditions can be treated by an orthopedic doctor.So I suggest you make an apt with an orthopedic doctor if not already done ...Read more

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Knee cartilage deterioration, moderate narrowing, small joint effusion, periarticular spur fluid; MRI clear yet terrible pain. what can be done now?

Knee pain: sounds like there is some arthritic changes--and I suspect MRI has ruled out meniscal tear. If not responding to high dose nsaids ie aleve (naproxen) or Ibuprofen and rest--to orthopedics and may need a procedure ...Read more

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TMJ MRI showed bilateral adhesed disks with no evidence of disk displacement. TMJ specialist recommended arthroscopy and PT, is it worth the risk?

TMJ MRI showed bilateral adhesed disks with no evidence of disk displacement. TMJ specialist recommended arthroscopy and PT, is it worth the risk?

Arthrocentesis: A more conservative and less expensive approach would be to start with an Arthrocentesis otherwise known as a lavage. If this is not helpful them arthroscopic surgery would be indicated. ...Read more

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S/P rotator cuff debride/AC joint decomp.: 7/14. Not improving w/wkly PT and cortisone inject. MRI arthrogram 2 Dec.= 8x6mm Supraspina tear. Surgery?

S/P rotator cuff debride/AC joint decomp.: 7/14. Not improving w/wkly PT and cortisone inject. MRI arthrogram 2 Dec.= 8x6mm Supraspina tear. Surgery?

Usually if >50%: If the tear measures over 50% of the width of the tendon your Dr. will most likely recommend surgery. You can try PT but pain can limit the effectiveness. ...Read more

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Is peroneal subluxation surgery worth it? Ultrasounds shows subluxation of peroneus tertius with associated reactive edema (anechoic areas).

Is peroneal subluxation surgery worth it? Ultrasounds shows subluxation of peroneus tertius with associated reactive edema (anechoic areas).

PERONEUS TERTIUS?: A subluxing tertius? The tertius is beneath the extensor retinaculum in the same canal as the EDL tendons. I don't understand how that muscle/tendon is subluxing, and the EDL's are ok. ...Read more

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What rehabilitative exercises can be done with an acromioclavicular joint separation?

What rehabilitative exercises can be done with an acromioclavicular joint separation?

Shldr muscle rehab: Acromioclavicular joint separations can be acutely painful. Motion and strengthening of the shoulder girdle muscles can advance as tolerated, usually under the guidance of a physical therapist. ...Read more

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Mri result: 1-2mm cartilage injury or degeneration in weight bearing medial femoral condyle possibly involving free edge of meniscus. What next?

Mri result: 1-2mm cartilage injury or degeneration in weight bearing medial femoral condyle possibly involving free edge of meniscus. What next?

Medial Knee Pain: As a podiatrist, i would team up with an orthopod and physical therapist to help you. I would design wedges for your shoes to off weight the sore area, while you work on strength, flexibility, knee bracing, activity modification, and anti-inflammatory measures. Dr rich blake. ...Read more

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MRI of knee shows "Oblique tear posterior horn medial meniscus, lateral patellar plica and minimal synovial knee effusion" will I need surgery? or ?

MRI of knee shows "Oblique tear posterior horn medial meniscus, lateral patellar plica and minimal synovial knee effusion" will I need surgery? or ?

Possibly: It depends on the degree of tear, how much it is effecting your daily activities and whether it responds to conservative treatment. If the plica does not get better with anti inflammatory meds you will most likely need arthroscopic surgery to remove it, although your orthopedic surgeon will be the best MD to determine that. ...Read more

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Moderate joint diffusion. minor chondromalacia and medial femoral condyle. some pericruciate synovitis about the ACL but no signs of a tear?

Moderate joint diffusion. minor chondromalacia and medial femoral condyle. some pericruciate synovitis about the ACL but no signs of a tear?

Joint fluid analysis: One thing that would be helpful here is to know the joint fluid analysis. The data suggest this is mechanical, but the joint fluid can help decide if it is mechanical or inflammatory. At your age we have to keep the differential diagnosis open you need to see a rheumatologist to see if there's any other evidence of a systemic arthropathy. You can discuss this with your physician ...Read more

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What treatment for a MRI scan with the following conclusion:posterior third medial meniscal tear with chronic MCL sprain with mild prepatellar bursiti?

What treatment for a MRI scan with the following conclusion:posterior third medial meniscal tear with chronic MCL sprain with mild prepatellar bursiti?

Surgery?: A torn medial meniscus usually does not heal, the ligament sprain will heal on its own. If you are having pain, locking or instability, then you may need arthroscopic surgery to treat the meniscus tear. ...Read more

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Hip bursitis caused by a tear in gluteus medius tendon MRI showed tear of 23mm ap and 30 mm retraction fluid distension and tears of acetabular lab

Hip bursitis caused by a tear in gluteus medius tendon MRI showed  tear of 23mm ap  and 30 mm retraction fluid distension and tears of acetabular  lab

Review mri : You need to have your MRI reviewed and get a good exam of the affected area you will likely improve with rest, nsaids and physical therapy surgical treatment is unlikely unless you are very young and athletic which sometimes requires a hip arthroscopic surgery. ...Read more

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I had an Ultrasound guided SI joint INJ. The numbing med wore off. I was given Hydrocode 10mg/325mg. I hate takin narcotics. Is there anything else?

I had an Ultrasound guided SI joint INJ. The numbing med wore off. I was given Hydrocode 10mg/325mg. I hate takin narcotics. Is there anything else?

Ultram: is a rather unique analgesic drug that is indicated for moderate to moderately severe pain. Although it binds to mu receptors, tramadol is not technically classified as an opioid analgesic. Instead, it is classified as a centrally acting synthetic analgesic compound and therefore is not a scheduled narcotic drug. ...Read more

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Anteriolateral disc w/o reduction both TMJ joints. Tried meds, arthrocentesis. Splint on order. How long to try splint for before surgery?

Anteriolateral disc w/o reduction both TMJ joints. Tried meds, arthrocentesis. Splint on order. How long to try splint for before surgery?

Few weeks: A few weeks should be enough. If no better, will not likely improve with more time. If you are somewhat better after a few weeks, wait til you stop improving and then assess your status. Make sure your TMJ surgoen is VERY experienced. ...Read more

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I was hit by an airbag 10yrs ago resulting in tmj. I have tried everything from splints to arthrocentesis. The MRI shows both joints are damaged & displaced & the lower jaw bone is now flat. Surgery is scheduled. Is this my best option?

I was hit by an airbag 10yrs ago resulting in tmj. I have tried everything from splints to arthrocentesis. The MRI shows both joints are damaged & displaced & the lower jaw bone is now flat. Surgery is scheduled. Is this my best option?

Depends: Probably. Depends on the surgeon, and the surgery. Open surgery or artlhroscopic. Your surgeon should have vast experience with TMJ surgery Arthroscopic surgery much less invasive. Can be indicated even in a case like yours. Are you also being managed by a TMJ non-surgical specialist? You should be. Good luck. ...Read more

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What is the definition or description of: ultrasound-guided paracentesis?

What is the definition or description of: ultrasound-guided paracentesis?

Drainage of fluid: An ultrasound is used to locate the fluid within the abdomen. Then, under guidance from the ultrasound, a needle is placed into the abdomen in order to remove the fluid. ...Read more

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What is the definition or description of: ultrasound-guided amniocentesis?

What is the definition or description of: ultrasound-guided amniocentesis?

Amniotic sample: Needle puncture of pregnant uterus, under ultrasound guidance, to obtain an amniotic fluid sample. Diagnostic or therapeutic. Diagnostic for fetal chromosome defects such as down syndrome or ? Neural tube defect like myelomeningocele. Rare therapeutic cases to decrease volume of amniotic fluid for xs fluid (polydramnios) or increase amniotic volume for too little fluid (oligohydramnios). ...Read more

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What is the definition or description of: ultrasound-guided amnioinfusion?

What is the definition or description of: ultrasound-guided amnioinfusion?

Fluid into Uterus: Ultrasound guides needle into amniotic cavity around baby. Fluid can then be instilled into uterus. Used for definitive diagnosis of membrane rupture by instillation of Indigo Carmine dye and then observation of vaginal fluid for blue color. Also used on occasion for therapy of oligohydramnios (low amniotic fluid). ...Read more

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What is the definition or description of: ultrasound-guided pericardiocentesis?

What is the definition or description of: ultrasound-guided pericardiocentesis?

Pericardial effusion: Pericardial effusion is a collection of fluid around heart within a structure that surrounds the heart called the pericardium. Fluid may collect in this space for many reasons. Ultrasound allows you to put needle in the space and perfor diagnostic tap of fluid to make diagnosis via pathology. Additionally may be therepeutic to reduce pressure. Although more common to do pericardial window to drain. ...Read more

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What to do if I had a mammo ultrasound fine needle aperation now they want me to have a ultrasound guided biopsy I'm scre?

What to do if I had a mammo ultrasound fine needle aperation now they want me to have a ultrasound guided biopsy I'm scre?

Biopsy: The fine needle aspiration may have been indeterminate. The core biopsy will provide a better specimen for the pathologist to examine. If the fine needle showed a cancer, you would be going for surgical excision. ...Read more

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What is the definition or description of: ultrasound-guided abscess drainage?

Pus Removal!: The abscess (pus pocket) is localized with ultrasound scanning (us). The area over the abscess is cleansed and local anesthesia placed. A needle or sometimes a catheter is inserted into the abscess while watching with the us. Pus is sent for culture studies. The needle is removed. A catheter may be left in place for days or longer and allowed to drain. Less invasive than surgical drainage. ...Read more

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What is the definition or description of: ultrasound-guided fine needle aspiration?

What is the definition or description of: ultrasound-guided fine needle aspiration?

Gets tissue sample: This technique uses a non invasive ultrasound machine to see where the needle is traveling in the body in order to obtain a sample of tissue. Aspiration usually refers to obtaining fluid from a joint or a mass (cyst) in the body. ...Read more

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What is the definition or description of: ultrasound-guided chorionic villus sampling?

What is the definition or description of: ultrasound-guided chorionic villus sampling?

Looks at chomosomes: Chorionic villus sampling enables a doctor to remove a small sample of the tissue that surrounds the early sac of pregnancy. This, then, allows the study of the chomosomes - for early diagnosis of conditions such as down syndrome (an extra chromosome #21). It is done with ultrasound guidance at roughly 11 weeks of pregnancy. Amniocentesis is a procedure done later in pregnancy for the same reason. ...Read more

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How strong is enteric coated full strength. I had an ultrasound guided SI today and it's super sore ?

How strong is enteric coated full strength. I had an ultrasound guided SI today and it's super sore

 ?

Consider ice instead: Enteric coated aspirin are 325 mg.The coating helps prevent the pill from disolving in the stomach- instead dissolving in the bowels.NSAID treatment for pain can be IBUPROFEN 400 to 800 mg (2 to 4 otc pills) every 8 hr, NAPROSYN (naproxen) 220 to 440 mg (1 to 2 aleve) every 12 hr,or ASPIRIN 325 mg(1 to 2 every 6 hrs). All should be taken with food and can be hard on your stomach,kidneys, and blood pressure. ...Read more

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I am having an ultrasound guided injection for my painful trochanteric bursitis. What does this procedure involve? Will i be laid up?

I am having an ultrasound guided injection for my painful trochanteric bursitis. What does this procedure involve? Will i be laid up?

Minor and no: It is a simple injection of a numbing agent (lidocaine) and a non-water soluble (e.g., not dexamethasone) injection into the inflamed sacs causing you pain. If done properly, pain relief should be immediate. ...Read more

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I got a ultrasound guided injection on my plexus brachial area. after the injection I have more pain now & its on the left side too. is this normal?

NO!!: It is very difficult procedure do and the person did who did it on you obviously did not succeed! I know a great anesthesiologist in NYC but that doesn't help you. The migration of the pain to the other side may be another process - possibly a slipped disc in the neck? Either go back the same anesthesiologist or find another one probably at UCLA or UCSF. ...Read more

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Suspicious area on u/s came back 'benign lactational changes', so i'm worried the dr biopsied the wrong area(it was ultrasound guided). What do I do?

Ask the radiologist: It's very likely that the radiographic area was adequately biopsied. This siri i may be a focus of lactation hyperplasia. If you have a few are radiologist review the film and biopsy report he will be able to confirm that. ...Read more

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Having ultrasound guided pubic symphysis injection with cortazone for a sports injury, do I need to shave my pubic area? Radiologist doing injection


Having ultrasound guided pubic symphysis injection with cortazone for a sports injury, do I need to shave my pubic area? Radiologist doing injection

Yes: This is usually a very effective treatment for pubic symphysis pain. A close shave in this area will make it easier to get adequate imaging using the ultrasound ...Read more

Dr. Katharine Cox
55 doctors shared insights

Arthrocentesis (Definition)

Arthrocentesis usually involves inserting a needle into the joint to remove fluid. This may be done to remove a hematoma or to investigate the fluid to see if it is infected or contains chemical markers that may be indicative of joint diseases (like rheumatoid arthritis). It's not uncommon for medicine, like corticosteroid (the proverbial "cortisone shot") to be ...Read more


Dr. Stratos Christianakis
1,189 doctors shared insights

Joints (Definition)

Joints are parts of the body, formed by the cartilage-covered ends of bones plus the strong, flexible ligaments that attach the bones to one another. Movements at the joints in the body allow the different parts of the body to move in ...Read more