Doctor insights on:
Ultrasound Guided Arthrocentesis Minor Joint Or Bursa
I had ultrasound guided cortisone for frozen shouder today. Radiologist saw fluid signal suggesting partial infraspinatus tear or tendinopathy.Advice?
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
Mild tricompart mental osteoarthric changes
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Which knee capsular tightness that cannot be cured knee fluid injection and need surgical intervention?
Not much: Local anesthesia, and removal of fluid may make you more comfortable. ...Read more
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 moreSee 1 more doctor answer
My wrist has torn tendons, torn ligaments, subluxing ECU tendon w tear & ganglion cyst. As well as tenosynovitis + tendinosis . What can be done
MRI of hips show osteoarthritis, joint effusion, gluteal tendonipathy (all bi-lateral) and free pelvic fluid. Is there treatment for this?
Multiple findings: These multiple findings would be best explained and treated by an orthopedic surgeon. ...Read more
TMJ MRI showed bilateral adhesed disks with no evidence of disk displacement. TMJ specialist recommended arthroscopy and PT, is it worth the risk?
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
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
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
Best diagnostic imaging (x-ray, ct, mri, etc.) for snapping scapula syndrome or inflammation of the scapulothoracic region?
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 moreSee 1 more doctor answer
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
What treatment for a MRI scan with the following conclusion:posterior third medial meniscal tear with chronic MCL sprain with mild prepatellar bursiti?
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
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
I had an ultrasound guided SI joint injection w/ Kenalog (triamcinolone). How long will the med stay in my system b/c it's in a joint & how long will the relief last?
Anteriolateral disc w/o reduction both TMJ joints. Tried meds, arthrocentesis. Splint on order. How long to try splint for before surgery?
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 moreSee 4 more doctor answers
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
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
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
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 moreSee 1 more doctor answer
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?
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 moreSee 1 more doctor answer
I'm having a ultrasound guided pubic symphysis injection with cortazone, do I need to shave my pubic area?
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
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
I am having an ultrasound guided injection for my painful trochanteric bursitis. What does this procedure involve? Will i be laid up?
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
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?
Having ultrasound guided pubic symphysis injection with cortazone for a sports injury, do I need to shave my pubic area? Radiologist doing injection
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
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