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Doctor insights on: Villonodular Synovitis Lower Leg

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Dr. Milroy Samuel
76 doctors shared insights

Synovitis (Definition)

The synovial membrane is the lining of a joint and synovitis is inflammation of that lining. It can cause joint pain, swelling, and stiffness. When inflamed, the lining will create excessive joint fluid, causing swelling and increased joint pressure. The lining can also become thickened and cause apparent joint enlargement. Commonly associated with ...Read more


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My husband has pigmented villonodular synovitis in his left ankle he has had two surgeries but is still in constant pain. Any suggestions?

Recurrence?: Pvns can cause serious damage to the cartilage of joints, and can have a high rate of recurrence even with surgical excision (removal) of the lesions. He may eventually need to consider either ankle replacement or fusion in order to be pain free. Some of the pain may be associated with having 2 surgeries, including neuritis and scar tissue. ...Read more

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Friend had hip repl & diag of pigmented villonodular synovitis. Chances of reoccur/prevention or known causes? Is synovectomy usually perf at op?

Friend had hip repl & diag of pigmented villonodular synovitis. Chances of reoccur/prevention or known causes? Is synovectomy usually perf at op?

Possible: If the diagnosis was known at the time of joint replacement, then the surgeon would likely have performed as complete a synovectomy as possible. However, it is not possible to remove all of the synovium, even when a hip replacement is done, and therefore many orthopaedic oncologists recommend adjuvant radiation therapy, which could adversely affect the hip replacement. An expert is necessary! ...Read more

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Pigmented villonodular synovitis in knee size of a finger. Surgeon said to cut 20cm and then remove, as keyhole will be too small. Any other methods?

Pigmented villonodular synovitis in knee size of a finger. Surgeon said to cut 20cm and then remove, as keyhole will be too small. Any other methods?

PVNS: Pvns is described as "focal" or "diffuse." if focal or diffuse an arthroscopic approach to the knee is probably the best approach. Pvns can involve other joints as well including the shoulder and hip. A skilled surgeon should be able to remove pvns from "behind" the knee through designated posteromedial and posterolateral portals. Unfortunately, there is a significant recurrence rate. ...Read more

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What would make my lower leg turn black?

What would make my lower leg turn black?

SEE YOUR MD: Loss of circulation. What other symptoms do you have? Any blood sugar issues? Please see your md. ...Read more

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What's a good way to alleviate the pain in my lower-leg?

First find out why: Then see your doctor to make sure all is ok but you shouldn't have pain all the time try and see when it starts what triggers it etc. ...Read more

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How can lower leg edema be treated?

How can lower leg edema be treated?

Swelling: Or edema, has several very different causes and because of that- different treatments. Water retention due to cardiac issues needs to be treated medically, vein problems can be addressed by compression hose and elevation, lymphatic swelling needs compression via stockings and lympedema pumps. ...Read more

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Why leg hurts and numbness in my lower leg?

Why leg hurts and numbness in my lower leg?

Neuropathy: Neuropathy can present with numbness and pain. There are number of conditions that can cause, please consult with a physician to find the cause. ...Read more