Doctor insights on:
What Are The Uses Of Coxcomb Injections For A Meniscus Bursa Condition
Synvisc (hylan g-f 20): Synvisc (hylan g-f 20) is derived from compound found in the comb of roosters. It's chief component is hyaluronic acid, which attracts water and at least theoretically promotes new cartilage to develop, thereby increasing "cushioning" in the joint. ...Read moreSee 1 more doctor answer
Is there any research supporting the use of cortisone injections to thin the patella as treatment of patellafemoral pain syndrome.
What are the benefits of the ifuse surgery for the si joint vs the old procedure to help repair an si joint. And who does that procedure?
Do not have it done!: Outcome rates are not as good as touted! what are you having for? Did you avulse you sij-inwhich case it would have my qualified "yes, " you did not identify your problem! ...Read more
Elbow soft tissue atrophy after cortisone injections. What kind of more damage can be made for hand because of this and what is the treatment?
Steroid injections: Too many steroid injections can weaken the tissues and once this occurs, the damage is done. Tendons have been known to rupture after too many cortisone shots. The main treatment is to avoid any future steroid shots or placing of undue stress on the elbow. An orthopedic specialist can advise you further. ...Read more
What is the treatment for septic joint of the ankle? What is recovery time like? Is your ankle placed in a plaster or other bracing? The symptoms?
Septic joint: Symptoms are pain and swelling, maybe fever. Septic arthritis is a serious condition. Diagnosis is made by aspirating joint fluid, then checking it for wbc, bacteria and doing a culture. Prolonged antibiotics are required. Splinting the joint is desirable. ...Read moreSee 2 more doctor answers
Is an MRI of the knees required before Orthovisc? Is this type of injection unbearably painful? Can anaesthetics be used?
No: Viscosupplementation( orthovisc, synvisc, (hylan g-f 20) etc.)may require approval from your insurance carrier(usually documentation that other treatments such as NSAIDs,PT haven't helped) but generally not an MRI.Most injections are done in the office w/local anesthetics( lidocaine) and/ or ' cold spray' and are easily tolerated.best of luck! ...Read more
Usually surgery: If a meniscus is known to be torn and causing pain and problems it is probably best to have your knee scoped and the cartilage either repaired or trimmed off. There are reports of injections such as prp being used for meniscus tears but there is not any good evidence that it will help. ...Read more
Is a medial menicus root displacement considered a tear of the meniscus? What are the symptoms of this? I am looking for a orthopedic opinion?
Yes meniscus tear: Meniscus root tears are a type of meniscus tear where the attachment to the bone is torn. This is a usually not a great type of tear to have as it effectively takes away all function of the meniscus (which is important to prevent arthritis etc). If patient is less than 45 with no arthritis, a meniscus root repair should be done. Otherwise meniscal resection is recommended. Meniscal root repairs are technically demanding, and are usually done by orthopedic surgeons with fellowship training in the sub specialty of sports medicine. ...Read moreSee 2 more doctor answers
There are a few: The most common injection for joints is a corticosteroid type injection (the contents of which are physician preference). There are other joint injections that are used for knees that are sometimes used in the ankle "off label" and you would need to discuss this and your condition with your specialist to determine what is the best treatment for you. ...Read moreSee 1 more doctor answer
Hard to Say: You may want to consider stem cell therapy for your labral tear. So far the only practice that has significant research and patient base regarding stem cell therapy are the Regenexx Physicians Network. They have over 6500 patients in their registry with pretty good results. Check out Regenexx.Com. ...Read moreSee 3 more doctor answers
Let me help: Treatment of minor injury of those in general is by splinting or casting. Major injury in general need surgical treatment. ...Read more
How many steroid injections for arthritis in the knee can a person have within a year before consideration of a knee replacement?
Varies: The recommendations vary, but in general i tell my patients that 3 injections in a 6 month period is the limit. If you think about it, you really would not want to keep getting them unless they were lasting longer anyway. There are other types of injections that can be done as well that may last longer such as synvisc (hylan g-f 20) as well. Thank you for your question. ...Read more
What are the symptoms of a displaced meniscus? Is a displacement the same as a medial extrusion? Please explain
Meniscal tears: A displaced meniscus tear can cause clicking, catching, and locking. A displaced tear may be displaced into the center of the joint which will be more symptomatic. An extruded meniscus is displaced out of the joint and itself does not cause pain but the joint space narrowing can cause pain. Removal or meniscectomy of an extruded meniscus usually does not relieve pain. ...Read more
I had a cortisone shot in the knee as a diagnostic tool. If the shot works does not does that mean there is internal damage in the knee. meniscus?
What are the contraindications for meniscus repair rather than removal? Will osteoarthritis progress as a result of either alternative?
Therapy: Physical therapy to reduce pain and enable function the meniscus ths the cushion your knee bears weight and bends. If abnormal it may resolve deppending on the severity biut also will degenerate over timew causing some change in gait and may effst the chances of degenerative arthritis earlier than normal. ...Read more
It depends: When the cartilage surface is the injured part it is called an osteochondral injury. However, patients will also describe meniscal injuries as "cartilage tears" which is incorrect but a very common description by patients. The menisci are the soft tissue shock absorbers in the knee between the bones and are frequently what "tears" inside the knee. ...Read moreSee 1 more doctor answer
What is the preffered first line of treatment for a toe with arthritis, limited mobility, and no cartilage in the joint: a cheilectomy or a MTP fusio?
Great toe: Treatment depends upon amount of damage to the articular surface .. Fusion of mtp is a bigger surgery , and is necessary if the joint Has a lot of wear . It is very effective towards resolving the pain you have . A cheilectomy which removes bone spurs is unlikely to help in the face of significant joint wear ...Read more
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