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QUESTION:
should i carry on taking ciprofloxacin 500mg as i have a tendon injury?
this is as a supplemental treatment for a serious ear infection - i am waiting to have surgery on a decayed ankle tendon. i also need to take daily iron and vitamin tablets which i read are not good with them
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QUESTION:
ankle injury, can someone plz help tell me what is the best choice of treatment?
well i injured my ankle about 4 months ago. however i still have pain in certain tendons/ligaments and they hurt when i perform certain activities/movements. for instance, if i try to squat while bending my ankles, then i feel a sharp pain radiating. it feels like in a line in the curve my foot creates between my shin. i have not been doing ankle strengthening exercises, could that be why it hurts so much? But still it hurts a lot. I'm going to see a doctor, I just wanted to get your guys opinion. And plz don't give me advice like "rest it" if thats your only advice. thanks!
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QUESTION:
Ankle sprain(?) treatment?
Seven weeks ago I suffered a nasty ankle sprain playing basketball. My foot was inverted (outside-in) when I went up for a layup, but instead of pushing off the floor I stepped on the defender's foot. I'm fairly certain I heard popping, but that could have just been my shoe. I went to a walk-in physical therapy clinic the next day and the nurse there told me to R.I.C.E. and gave me a walking boot in case anything was broken. After getting my foot x-rayed, it was discovered that I had no broken bones. The doctor told me I may have partial tearing, however. After resting, icing, compressing, and elevating for about three weeks there was significantly less swelling and the bruising had completely gone away. However, there is still some swelling (or possibly fluid build-up) right around the actual "ankle bone" on the inside and outside. Also, the inside part of my ankle and my achilles tendon are extremely tight. The tightness on the inside of my ankle is what concerns me the most, considering the type of sprain I had (inversion) would usually warrant the worst of the injury being on the outside of the ankle. I've tried to play basketball with no luck because my tendons seem to be tightened up so bad that I can't jump or run very hard. I've been doing some stretching exercises, and it seems to be helping slightly. I guess I have several questions for anyone who has good advice to give:
1) Should I still be icing my ankle daily?
2) Should I try some light running or other exercise requiring use of my foot?
3) Do I need to spend the money on a doctor visit or an MRI?
4) When I elevate my foot, the fluid seems to drain away from the ankle somewhat. However, when I start to walk around or sit with my foot down it usually swells to the same size again. What can I do about this?
5) Finally, the league I play basketball in starts on Jan 31. Is it likely that I will be able to play by then?
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ANSWER:
Ashton,
1. No, stop the ice. Recent studies have shown that the use of ice stops or slows down the rate of healing. Use warmth but not hot. Warm moist compresses work the best.
2. You are describing difficulty in playing ball due to the fact that the tendons are tight. Since that is the case running or jogging is going to stress them when they are not in their normal length. This would be opening you up for another injury. Better to wait until you get full mobility and strength in the leg.
3. If you are going to see a doctor about this see a podiatrist. They are the foot and ankle experts. If you are not having any other problems except for the tightness I would say no. If on the other hand you are still experiencing pain and other problems then you should go.
4. The leg is a cylinder and all of the laws of physics apply to it. Since you are walking on a cylinder with limited muscular work the normal pumping mechanism is not working as well as it should. The fluid is always going to drop down to the lowest point unless you have a strong pump to push it back up. If you were to take a measurement of the opposite ankle when you first got up and then again when you went to bed you would find that it also was larger. You have to use your calf muscles more to pump the fluid out. I will give you a simple exercise to do that after these answers.
5. This is a little over 3 weeks off. It might be possible but in all honesty I would say no. The reason for the no is that unless your leg and ankle have full mobility and strength you are asking for another injury. As soon as the leg is strong enough you can return.
6. Do this movement to gain mobility and help to pump some of the fluid out of the leg. Assume a long sitting position on the floor. Have the muscles of the feet pull them backwards towards the shins. The only movement that should be taking place is at the ankles. You will know that it is being done correctly as you will feel a pulling sensation in the calves. Hold that pull for 10 seconds and then relax for 5 seconds. Repeat this until you have done 10. You can do this as many times a day as you want. Once you learn the basic movement you can also do this standing and sitting. The best position is lying down.
7. There is an exercise called the 180. That number stands for the total number of reps that you have to do for this exercise. In the beginning you are not going to be able to do this number so just do what you can. Stand on a step with the balls of the feet on the edge. Raise both heels up as high as they go. Now take the injured foot off the step and hold it up not touching anything. Now slowly lower the heel of the foot you are standing on. At the bottom of that movement replace the injured foot on the edge of the step. Now using both feet raise the heels up to the highest that they can go. Again take the injured foot off the step and lower the other foot down as low as it can go. Do this until you have done 15 reps. Now reverse positions of the feet and you are going to work the injured foot. Attempt to do as many as you can always attempting to get the heel as low as it can go. Do this exactly as you did the other foot until you have either tired or done 15. Now switch back to the original position and do 15 on that foot. If you are able do some more on the injured foot. In this way you only do what the leg is capable of doing. Don't force the leg to do more than it is capable.
8. You will be able to return to playing when you can run this drill. This is called a figure 8 drill. Make a large 8 somewhere like a basketball court. Walk the 8 as fast as you can. If you have no pain or restrictions then make the 8 a little bit smaller. Do the walk as fast as you can in that 8. No problems make the 8 smaller. Keep doing that until you have the smallest 8 you can. If you have no problems then go back to the largest 8 and jog it. No problems do the next smallest one and so forth until you are able to do the smallest one or you have a problem. Return to the large 8 and run it at 3/4 speed through all of the 8's. If you have no problems run it at full speed through all of the 8's. If you can run through the smallest 8 without any problems then you are ready to play.
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QUESTION:
My daughter had a serious ankle injury 5 weeks ago. When can she resume sports?
She hyper extended her ankle and the tendons/ligaments on the top of her foot were injured (it was xrayed, no breaks). It has improved, but she still has some pain when trying to run. Should she stay off of it until she is pain-free? or can she gradually resume activity with an ankle brace, but try not to over do it? She is being pressured by her soccer coach and PE teacher to resume participation, but I don't want to cause further damage so that it would take even longer to heal! She is also getting rehab treatment from the high school trainer...but she doesn't seem to be able to tell her whether she can play or not.
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ANSWER:
The major trama from soft tissue injuries usually heals in 3-7 days. The minor injuries; small tears, ossification, bruising, etc can take up to 18 months sometimes more to heal properly. If she's still having pain after 5 weeks she should see a doctor and a physiotherapist.
An Athletic Trainer is suppose to be a diagnositically trained professional. If there is one who can't identify the nature of an injury or treat it then they are suppose to refer the patient to a sports medicine doctor or another type of doctor if there is not a SMD in your area.
Is the athletic trainer at her high school professionally trained and accredited? If so and she's not sent your daughter off to a more highly trained professional by now I'd say she's not doing her job.
Also if the swelling was severe it is possible that they were unable to find a small fracture in an x-ray.
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QUESTION:
Faking an ankle injury?
I'm very athletic and on a competitive dance team, we practice about 3 hours a day and condition and compete on weekends. About 5 weeks ago I was diagnosed with two stress fractures in my metatarsals. I was on crutches for 3 weeks and am now starting my 3rd and last week in the walking boot alone. So that's 6 weeks of treatment for 2 cracked bones. My friend who's in no sports what so ever tore a tendon in her foot in June from falling down some stairs. She wore a walking boot the whole month of July and August. A few weeks go by before I get injured, then right away she starts complaining her foot is bothering her again. A week after I've been on crutches she comes to school with crutches too complaining she also has a stress fracture. I asked her if she had an x-ray and she said no. She went to the same orthopedist and they told her it was a sprain. I told her she should really ask for an x-ray if she suspected a cracked bone. So she went back in a few days later to the same doctor for an x-ray and it wasn't a stress fracture, just a severe sprain. So she's starting her 5th week on crutches now and still complains about her ankle hurting so much. But I think she feels like a pansy because she keeps telling everyone it's a stress fracture even though it's not! I'm a little concerned about her though...do you think she's faking it? Or do you think there could be something else wrong with her foot?! I'm feeling bad for her...
groundingpoint, I understand your point...but if she had a fracture it would have showed up on her x-ray and MRI. And I'm pretty sure 2 visits to the orthopedist would have exposed any bone problems...I'm just a little baffled...maybe it's a torn muscle? 
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QUESTION:
Really weird injury, and treatment?
Allright I have somehow managed to half way tear the tendon away from my bone on my ankle by walking. (this has been two weeks ago total)
I went to the doctor a little over a week ago and he gave me a brace, and then I have to go to therapy (foot ultrasound??)
yeah so I don't know why I'm not on crutches, because my cousin who is a doctor (orthopedic surgeon) says that I should be after his aunt (my mom) told him what happened.
why am I not, and what is a foot ultrasound, is it just like an ultrasound that they do when you are pregnant?
I'm 15 by the way so bear with me.
okay my mom and dad don't know either, my step dad is a plastic surgeon, not a pt or an orthopedic surgeon, and my mom just doesn't know.
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ANSWER:
Well if you're wearing a brace there isn't much more you can do until the details of the ultrasound come back. The brace keeps the tendon from pulling further away from the bone, and I'm sure the doctor told you that walking would be annoying for a while.
The ultrasound is similar to the pregnancy one. They are looking at the ligaments, tendons, and bones is your foot. It isn't going to hurt, and it's nothing to be worried about.
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QUESTION:
Treatment for partially torn ligament/tendon?
I have a partially torn ligament and tendon in my ankle. My doctor has me on celebrex, non weight bearing this week and starting PT next week. He wants to try 6 weeks of PT, anti-inflamitories, ice and rest, before thinking about surgical options. (since the tendon and ligament are only partially torn/ruptured) Is this a common thing to do? Try PT first? And how is celebrex? Does it really help with inflamation and pain? Iburprophen 800 and 600 and Naproxen, all of which made me very sick. He said celebrex is much more gentle. Wondering what happened with other people who had this happen.
My initial injury was on May 11th where an xray showed a small crack in my fibula. I was given a walking boot. Follow up xrays have show the fracture is healing, but pain is still just as bad. Finally went for an MRI which showed the remains of the crack (much smaller than it was initially) Partial tear of peroneal tendon and Partial tear on Anterior talofibular ligament.
My doctor didn't seem too concerned, is this a common injury? I am assuming it isn't TOO serious. He said that if the were fully ruptured/torn it would be much more serious. Any info would be great, just want to hear from people who have had similar injuries.
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ANSWER:
Amanda, this injury is very common. A sprain, tear of a ligament, or strain, tear of a tendon, are graded upon the degree of the tear. A grade I is less than 25% and will respond to very conservative treatment, RICE. A grade II is a tear of greater than 25% but less than 50%. This is going to require some immobilization and physical therapy. A grade III is a tear greater than 50% and it is going to require surgical intervention to stabilize. From what you have stated it appears to be a grade II and it should heal by following the doctors orders. The use of the medication is to reduce pain and inflammation.
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QUESTION:
Considering chiropractic treatment for a Lisfranc's Fracture that occurred almost a year ago.?
On July 27, 2008 I missed a step while walking into our basement. I thought I could just "walk it off," but after a few weeks, I realized that I needed to get some treatment. Treatment was delayed until December because we adopted a baby boy and I didn't have time to think about my foot. In mid-Dec. I got a boot. I wore the boot for three months. In the middle of that time, I had an MRI that suggested the Lisfranc's Fracture was still present and there was damage to the tendon that is below my ankle. The doctor said no surgery was needed. I wore the boot for six more weeks. Then the doctor put me in a fiberglass cast for six weeks. The cast came off and I did 4 weeks of physical therapy. There has been no change in pain level (it still hurts when I walk on it and even as I'm sleeping) and my ankle is continually swollen. The doctor now says surgery is the only other option. I'd like to consider chiropractic treatment for this injury instead of going the route of surgery. Has anyone had success with chiropractic treatment for Lisfranc's Fracture?
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ANSWER:
The best thing you can do is see a competent osteopath who is trained in manipulation therapy (I know one in the bay area, and depending on where you live, I might be able to find someone in your area). Surgery is completely uncessary for your condition, however very few allopathic doctors are familiar with adjustment treatments.
While I advocate seeing an osteopath, I'm really not sure if a chiropractor would be able to fix this type of problem or if they'd make it worse. It's not within their standard treatment system and I've never talked to someone that saw a chiropractor for this.
Alternatively, while it won't fix the problem completely, if you buy some DMSO and apply it to the area it will get rid of the inflammation, pain and heal some of the tissue damage. If you couple that with not walking on it for a while it may fix itself on it's own.
If you actually want to go the DMSO route, message me and I'll tell you the big things you need to watch for with that.
Hope that helps!
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QUESTION:
After 5 years of pain ive just discovered i have a tear in the tendon that runs round the outside of the ankle?
I have had physio/hydro therapy and nothing has helped. I am now off to see a surgeon. Does anyone know whether the length of time i have had the injury will stop any operation being successful. Also are there any non surgical treatments. I am also quite over weight (100lbs less heavy than I was after having a gastric bypass), will the surgeon still carry out the operation? Other than my weight I am fit and active and exercise by walking most days from 30-60 mins when my ankle pain allows.
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ANSWER:
He/She will, they might tell you to lose weight or try to, my friend had this same tendon tear and could not run or anything of the sort for 5 months. It was two to three months in a cast and on crutches or a wheelchair and then the rest of the time in a walking boot and the last month she could walk without the walking boot. She is also over weight, unless your blood sugar is high or other things wrong you should be fine. I hope everything goes well and if you get sick easy tell the doctor so you can get something for it before surgery, I wish I did when I had surgery.
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QUESTION:
Translate my ankle MRI terminology!! please?
I had a MRI done on my right ankle for pain around the achilles tendon and pain around my ankle (on the top of the ankle and between the ankle and achilles tendon). The results were as follows:
SMALL CORTICAL LESION WITHIN THE POSTERIOR TIBIAL PLAFOND WITHOUT DEFINITE CHONFRAL LESION. THERE IS MILD LARROW EDEMA WITHOUR MRI EVIDENCE OF UNSTABLE LESION. THE TALAR DOME IS INTACT.
PERONEUS BREVIS TENDINOPATHY/PARTIAL TEAR AND SUGGESTION OF TENOSYNOVITIS. SUGGESTION OF TENYOSYNOVITIS OF THE TIBIALIS POSTERIOE AND FLEXOR DIGITORUM LONGUS TENDONS. NO EVIDENCE OF ACHILLED TENDONITIS. RETROCALCANEAL AND TENDO-ACHILLES BURSITIS.
Can anyone translate this for me and give me their opinion on what the treatment for this is? Any opinion is greatly appreciated. I have had no recent injury to the area. I had a severe sprain that was left untreated as a young child. I am now 29 and I am a female (if that makes a difference).
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QUESTION:
Self treatment of a torn ligament...do I have a torn ligament?
I injured my ankle very severely 8 weeks ago yesterday. I had just finished 2 hours on the treadmill and without getting into a long explanation, I fell about 2 feet and bent my ankle so far that I was looking at the bottom of my foot. I estimate it rotated 110+ degrees to the inside. The pain was immense and I was positive I had just broken it, but after about a minute I remembered that broken bones rarely hurt this bad as the break allows the energy from the impact to be released rather than stored withing your body.
Anyway, I could not walk at all for 2 weeks. After 2 weeks I started trying to walk without assistance to the bathroom. Week three I made my first attempt to use the stairs. I had to go down like a 3 year old, both hands on the railing and side stepping very slowly. It was extremely painful going down and up. I was going crazy not being able to work, walk, run or anything else. I made a goal of being back on the treadmill within 2 weeks originally, then 3, then 5 as it wasn't getting better much.
The swelling went down significantly after about 10 days and my ankle looked fairly normal after 2 to 3 weeks. But the pain persists. Oddly enough, after 5 weeks I was up and walking around on flat flooring with very little pain, but I still had to use the stairs like a little child.
I also noticed that while it was almost painless to walk on flat ground, it was extremely painful to do everything except walking. Lying down hurts like hell, doing nothing hurts, but walking helps. After 5 weeks I decided to walk on the treadmill but not run, just to see if I could do it. I walked for an hour without incident and the pain I felt was mild and tolerable to me. I have walked quite a few times over the last 3 weeks, but not like I used to.
My ankle does not appear to be getting better. I am still in significant pain every day and the only relief I get is from standing or walking on it. Doing nothing is painful and the most painful thing is stretching it. I started doing range of motion exercises after 3 weeks to see if that would help, but it doesn't seem to be and they are very painful to do.
I have a few other injuries from an off-roading accident 355 days ago that have not healed either and it seems to me that all these lingering injuries must be muscle, tendon, or ligament injuries. So I need to know how to treat them. I have no insurance, so a visit to the doctor or surgery is out of the question.
8 weeks is a long time for something to heal. I have found a few articles talking about torn ligaments and they all say they should heal in a week or two, even fairly severe injuries. Trying to rotate my ankle in the direction of the original twist is the most painful thing to do. Pointing my toes in either direction is still uncomfortable but much less painful then a month ago. I have had it massaged several times (not hard or deep as even a light massage hurts).
Will this ever heal on its own? Should I keep stretching it and trying to improve the range of motion? Should I keep my weight off of it completely until the pain is gone, or keep walking on it? Will a tear every heal or is this going to haunt me forever?
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ANSWER:
First, be sure it is a torn ligament. A doctor will need to examine it to be sure it is not a cracked or broken bone, or a bad sprain - all three of these things feel equally painful (actually I had a bad sprain once that hurt worse than the time I broke a bone in my ankle).
If it is torn, you will probably have a strap-on cast to wear that will hold the ligament in place while it heals - this will take anywhere from six weeks to six months. Ligaments are hard to heal because there is not a good blood supply to a ligament. You should prepare to have some arthritis in the area after middle age if it is torn, because it will always be weak and the scar tissue never gets quite as flexible as the area once was, so it gets damaged more easily. You should stay off that foot as much as possible while it is healing, and do whatever physical therapy exercises the doctor gives you (usually stretching exercises). Ice packs (hold them on the area for 15 minutes, then remove to prevent frostbite and leave off for 15 minutes) and elevation (put the foot on a pillow or footstool) are also good. Ibuprofen (2-3 over-the-counter tablets every eight hours with food) will help with pain and swelling.
I have just torn my ligament and I am on crutches. It is so painful and the nurse told me to keep it elevated. The second paragraph is rubbish. Do not believe it!
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QUESTION:
I sprained my ankle years ago, but the doctor did not treat me properly. I still have pain, can I still sue?
As I was stepping off a public bus, my ankle rolled off the edge of uneven concrete. My body weight coming down on that ankle made the sprain even worse. I heard pop pop and then severe pain and I knew I did something very bad. I was taken to the emergency room and when I finally got to be seen by a doctor she was very short with me, rude, impatient and not very informative at all. I had a temporary splint that was put on from the ambulance driver which she basically YANKED off. She never examined my ankle. She just told me the x-ray showed I didn't break my ankle and I can just go home. I tried to get any kind of a explanation from her but she just kept acting like she just wanted to get rid of me. I asked for crutches but she treated me like I was crying over a small scrape. She made me get off the examination table, with no assistance from anyone, and try to stand on it, which I couldn't because of the pain and I couldn't straighted my foot out. So she finally begrudgingly let me have the crutches, I went home and waited for my ankle to heal. 2 weeks later my sister convinced me to go to a small family practice nearby. Upon removing the bandage the doctor and his nurse were both shocked at how swollen, bruised and slightly crooked my ankle still was. The doctor was actually shocked that I got that kind of treatment from someone at the other hospital. He suggested a free hospital since I lost both my part time and full time jobs because of the injury and didn't have any insurance. When I got there I was examined by doctors who were very caring and empathetic to me. They said I should have never been trying to walk on it, and told me about R.I.C.E. (Rest, Ice, Compression, Elevation) I was never told that from the other ER doctor. I was told I suffered a 3rd degree sprain with possible ligament, tendon damage and a small broken bone. It took months of recovery with compression bandages, casts, constant pain and my ankle is not as flexible as it used to be. These days it's difficult for me to stand on my ankle for longer than 2 hours. I wind up limping around all day afterwords with a constant dull achy pain radiating from inside the ankle outward. Is it still possible years later to sue that hospital because I feel like I was being denied proper medical treatment which may have also cause further damage to my ankle since it was swollen for 2 additional weeks?
Thanks for the advice all. To answer a couple of you, the 1st ER doc just told me it was a mild sprain and never explained how to take care of it. I really couldn't do anything on my ankle anyway so I stayed off of it. She never even looked at it and if she did she would have seen it was the size of a large apple and already turning colors.
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ANSWER:
no, unless you can gather copies of all the reports and records from the time its going to be difficult to prove anything.
The er doctor can and simply will say that at the time she saw you there was no evidence of further or extreme injury. And that you must have either injured it further after the fact or failed to follow the recommendation to follow up with your own doctor if there was no progress within a set amount of time. Thats standard for most ER release directions.
If you had wanted to sue you should have pursued it at the time and when the latter doctors said there had been an issue in your treatment.
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QUESTION:
Teenage sports injuries...football, ankle.?
my 15 year old plays is in HS football. He has been having pains around his shins and akelies tendons. what is the best treatment. He has to stop playing for a few days. please help me.. also is there an exsercise to prevent this in the future?? He is taking it easy right now but in alot of pain. Thank you....
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ANSWER:
The best person to ask is his coach. His coach should know exactly how to help train his leg to prevent further injuries....plus you should stress your concern that it is the COACH that should be helping! Actually, your coach SHOULD already be telling your son on what to do and what not to do. Coaches should be trained to do this stuff and if the coach is not, it is your job as a parent to express you concern to the coach or the school officials. A doctor would be the next best help.
So far, it doesn't sound too bad to me. Sounds like it's a typical injury due to inexperience--meaning with more time in training on the field, his strength will build naturally. The main exercise to help this would probably be calf raises.
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QUESTION:
Tore achilles tendon?
I was at wrestling practice today and i kind of rolled my ankle to the outside and i hear a loud pop or crack. immedietely i was in extreme pain and couldnt put any weight on that foot. the trainer came and looked at it and gave me crutches and i went to see a friend thats a doctor and she said that i may have partially or fully tore my achilles tendon or sprained something very bad. Has anybody had any experience with this type of injury? like how long will it take until its healed because im a very active person and will it require surgery? another thing is there any kind of treatment i can do until i go to see the doctor?
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QUESTION:
What do you think of this injury?
I have a 10 y/o QH mare that is not ridden. She is turned out 24/7. Upon coming in for supper the other night she was limping. I moved her to a smaller pen to be away from the other horses, expecting improvement. I moved her to stall last night as her limping had worsened. Upon inspection I have noticed slight swelling along with slight heat along the ligaments of the canon bone, mostly at the posterior side and near the ankle. I am going to bute her 1 X daily at 2g, apply ice treatments, and wrap both front legs. Does this sound like an injury to the superficial digital flexor tendon? I am thinking my hmore aggressive horse might have been after her and she slipped in the mud. We have had inches upong i nches of rain in the last 2 weeks.
Last year I rehabilitated a 27 y/o TB that injured her suspensory ligament.
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ANSWER:
You need a vet to diagnose the injury. Whether or not to medicate with bute is a call to be made by the vet based on the degree of inflammation and the need for pain management versus the risk that masking pain will increase likelihood of overusing the limb and furthering the injury. There is no way to know the extent of this injury from your description. Even the vet sometimes uses diagnostic technology in order to confirm a diagnosis. Treatments such as bandaging, stall rest and icing of injuries are not always indicated. I would call the vet asap.
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QUESTION:
what is best treatment for Achilles tendonitis?
I am a 64 year old "runner" - 6 since 2003 and likely will do no more. I have had left Achilles tendonitis for 3 months now and I am told cold treatment is only good for reducing swelling and pain and should only be used for first couple of days. Because it restricts the healing effect of what small blood supply there is to the tendon. I am now 3 months with this condition and my left (back) ankle is twice as thick as my right side and I am right handed/footed. I now have orthotics for to help prevent future injuries (I have very high arches). I have gotten mixed advice re cold treatment and about excercise and stretching. I have seen my Dr., physio, chiro and orthotics. Most treatement has been laser and manipulation to help break down adhesions. It is no better now than 3 months ago. Is there any professional or patient with specific experience with Achilles tendonitis, precise treatment and length of recovery?
I am taking oral and topical anti-inflammatories. But can topical (voltarene gel) reach the tendon given the layers or skin it has to be absorbed through before reaching the Achilles tendon?
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QUESTION:
Treatment for flat feet causing long term knee pain?
I've had knee pain for 4 years and about 7 months after it started I saw a consultant who moved my leg around a bit and said I had chondromalacia, just told me to rest and that was it. It didn't get better so last year I went to my doctor about it and they referred me for physiotherapy, again my leg was moved around a bit and my knee cap was taped, which did relieve the pain for the first day or two.
I then discharged myself from this because I was offered physiotherapy at a musculoskeletal centre. I went for a consultation in December and it was quite thorough, I said about my previous diagnosis of chondromalacia but she said it would not be that now as I am 20. After this meeting I received a letter which said I had anterior knee pain, medial knee pain, maltracking of patella on both knees, patella irritation of the patella femoral joint, pronated feet, valgus calcaneal tendon and lumbosacral pain.
I've had 2 physio sessions since then, during these I have been given 3 different types of exercises to strengthen the muscles in my thigh. When I went back for the second appointment in January the physio said there was no improvement and to continue with them for another month. I have my third appointment next week and there is still no improvement. I don't see how strengthening my thigh muscles is going to treat the other issues of valgus calcaneal tendon and pronated feet, and I also think the exercises I have been given are going to take a long time to see if they work.
Is there anything I can do in the short term? I have read that the knee pain can be caused by the problems I have with my feet, so even if I get better control over my leg muscles I'm still going to have the issues of feet and ankles that are sending my kneecap off track.
It's been going on for too long and I guess I do want a quick fix, but as there has been no injury to my knees and I do have these underlying issues with my feet surely I should be given treatment for this and not just exercises?
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ANSWER:
Hello. Your flat feet misalign your lower extremities, knees included. Problems are execrated if you over-pronate. As your foot rolls in, so do bones on your legs. This causes friction between the bones and your knees causing pain and, subsequently, damage. You will likely need physical therapy to repair the damage to your knees, so keep following up on that. Now, I'd like to extend to you the opportunity to correct your flat feet. Doing so will not permit your problems from progressing and, possibly, developing the myriad others those afflicted with your condition face. I've successfully helped many individuals correct their feet by having them consistently perform several exercises to strengthen the ligaments, tendons and muscle which sustain the arches. If you wish to learn more, email me, k.sordo@gmail.com. There is no fee involved.
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QUESTION:
Would you qualify this as a malpractice on behave of our vet services?
We have had our Doberman pup since September 16th '10. We noticed she would limp and favor her left rear leg, after taking her to the vet for xrays [which I knew she needed, and specifically booked the appt as xrays], they only xrays the ankle, not the entire length of her leg from hip-foot, only the ankle and foot. They discovered she had a shifted Tarsus bone [in her ankle]. After treatment with a splint for 1.5mths, the bone healed, pushed back into place, and properly fused. However, she then noticed that she had swelling on her knee, and has come to the conclusion that she has now a Crucial Tear in her tendon within her knee. However, she has never been in any traumatic situation other than what caused her original Tarsus injury. So when confronted on why this injury was not discovered 2-3mths ago, along with the original injury, with a full leg xray, they vet retorted 'There was no sign of trauma to any other section of the leg other than the ankle, and the xray paper is expensive.' However when we took her into the vet to xray her knee, she was fully capable of taking a full leg xray. So now, our pup has been using the leg, and causing unknown amounts of unnecessary, irreversible damage to her knee and tendon, that should have and could have been prevented. Had have the vet taken the welfare of our pup into the greater scheme, instead she got double payment, because we had to have 2 different sessions of xrays [0.00X2], 2 different vet check-ups [$.00X2], as well as now she requires a ,000 surgery. So because the vet was more concerned about dollar signs, and taking us to the wringers, our pup has so much more damage to her leg than she would have, if the vet had have put her welfare first.
So we are wondering if this is a form of malpractice in regards to ignoring, and neglecting t to offer proper services and options to an owner [so either a full leg xray in the initial appt, or even an xray when she notices joint fluid leaking into her knee]. We are fully prepared and stable enough to go ahead with the surgery, however it is disappointing for us to know that our pup now requires such a serious solution, when in the beginning the vet could have caught the ligament issue and we could have been on a treatment regiment for the last 2-3mths.
To Resapoo;
We did take our concerns directly to the practice owner, and instead of being mature about the situation, and listening to our concerns, worries and disappointment in our dogs treatment. They retaliated by stating 'how many clients and how much they deal with money everyday' as well as removing us as clients. Which further pushes my emotion that these people are simply seeing dollar signs, as they are willing to stop treatment on a pup when confronted with valid concerns.
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QUESTION:
i missed my doctors appointment what do i do?
ive been having late nights because of anxiety and racing thoughts , going to sleep at 7 am in the morning , my appointment was 8:25am this morning, i slept through without warning them, now im fearful of their reaction now.
in general ive had a hard life, missed out on a lot of things, employment, qualifications , forming close relationships etc. have a criminal record going back 7 years ago, a psychiatric record, spent time in a psychiatric hospital..
ive had a really misfortunate life, suffered bullying, physical attacks, head injuries , mental abuse.
im now nearlly 31 i live in a small apartment on disability , i own pretty much nothing except a computer..
i have bad aggraphobia to, struggle with ptsd symptoms, struggle with aggression and impulsivity with it at times, low self worth, paranoia, high panic and anxiety problems.
i was diagnosed with borderline personality disorder sometime last year, my doctor wont perscribe medication because he said most that work are ' addictive ' , and only last a short time , and you have to keep taking them for benefit.
i was told theres no 1 on 1 psychotherapy in my area through lack of resources and funding, which is the type of therapy im wanting.
instead they offered a drop in centre where they run activities for people with problems to help me integrate better with people.
my last doctors practice was a nightmare, they were dismissive , condescending , unwelcoming, i made a formal complaint, i got exasperated with 1 doctor about their treatment of me - they turned it around on me and filed i had an aggressive out burst..
i finished up leaving there of my own accord because i felt unfriendly vibes everytime i went.
ive been with the recent practive over 6 months, at the moment i have referals for a skin condition that need chasing up, for a 3rd opinion.....i have torn ankle tendons due to a sprain a year back, ( im doing physio excercises at my home ) i may need an operation on it..
i have another physical symptom i worrying about, pulling pains in my pubic area , i was told it could be due to frequent ( male stimulation )- but i was wanting that symptom investigated...
i was also going to ask about psychotherapy services , even though they might refer me back to my mental health team who told me there is none..
bottom line is i need the health services alot right now for these few problems , i feel bad i slept through..
now im scared of their reaction and whats it going to be, will they threaten to strike me from their books ? will they be unfriendly and dismissive like my last doctors ?
my present gp is sometimes has an aloof air about him, im scared theres stigma because of my mental health past that is no doubt documented in their computer..
what do i do ? , because im frightend of what their response could be , and dismissive authority figures from my last doctors experience.
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QUESTION:
Filling out my Medical Forms but have various doubts?!?
Ok, so I am filling out my medical pre-screening forms and there are three questions that have got me stumped. They are:
1.) "Kidney, urinary tract, or bladder problems, surgery, stones, or other unrinary tract problems?". -I have had urine infections, but they are gone as all I needed were antibiotics for them. My recruiter said it was no big deal.
2.) "Any injury or illness including broken bones, which required treatment?"-Well about three years ago I sprained my ankle due to stepping in a hole (the ligaments and tendons) so I had it placed in a cast. The bone never broke though. 7 years earlier I had sprained the same ankle, again no fractures. The thing is that since this happened a long time ago, I don't even remember who the hell these doctors who casted my foot were, so I don't know where to get my recors if I need them!
3.) Hepatitis-Since I was preparing to enlist in the USAF, I began doing all tests possible, and among them, I had some blood work done. Under the Hepatitis B column it said "Hepatitis B Surface Antibody. Indicates clinical recovery and subsequent immunity to Hepatitis B Virus. My doctor asked me if I had had the Hep. B Vaccine, and I said yes. He said it's most likely that (since you are injected with the virus in the vaccine). He said that even if it wasn't the vaccine, my body is recovered from the virus and therefore imune. He said I could even donate blood because there is no way I could spread the virus. (I have donated blood just fine).
So, for any military medics like Above All, your opinion is greatly valued.
Thanks for answering so quick Above All! I sent you some emails last week. Have you received them? I would like to ask you some other things, because I too would love to have a medical AFSC, and I see we are alike in a lot of ways:)
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ANSWER:
Haven't seen you around in a while! 
1) List it, but there's an area to explain any "yes" responses. Simply state, "I had ## of urinary tract infections, which were on DATE1, DATE2, DATE3, and are fully cleared up. I took xyz antibiotic."
2) Doesn't matter. I used to run "wrong," and I sprained my ankle 6-7 times in freshman year of High School but didn't need to list that. I usually put it in a brace or aircast.
3) Yup, almost everyone shows that kind of pseudo-false positive. If you've had the vaccine it usually shows up like that. If you've donated blood (more than 2-3 weeks ago) and the American Red Cross hasn't called you, you're clean. They screen for that kind of thing and call you if you show up positive, because if you do you're ineligible to donate blood. They also have a moral obligation to inform you.
-------EDIT------
Oops. Sorry lol. Haven't been checking my Yahoo! e-mail - will get on that ASAP.
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QUESTION:
Orthopedic physicians/surgeons/nurses, please help!! (MRI result interpretation)?
Hi there,
I just got my ankle MRI result back, and the following paragraphs wwere the written result. Could you tell me as to how serious my injury is, and what kind of medical treatments would be necessary?
I know this is long, but I am really concerned as my generalist doctor referred me to an ankle specialist, saying that "surgery may be necessary."
Thank you so much. I really appreciate it.
There is marrow edema the medial talar dome with depression of the overlying cartilage/subchondral plate which measures 0.7cm in AP dimension, compatible with osteochondral injury. Additionally, there is a similar smaller lesion of marrow edema with overlying cartilage fissure of the lateral talar dome. There is minimal marrow edema of the anterior lateral distal tibia with a small associated osteophytes. There is small talocrural join effusion. There is mild thickening of anteroinferior tibiofibular ligament.
The posteroinferior tibiofibular ligament is intact. There is thckening and tearing of the anterior talofibular ligament. A small fragment is noted just posterior to the torn ligament, likely represent an avulsed fragment. The posterior talofibular and calcaneofibular ligaments are intact. There is mild thickening of the superficial deltoid ligament of tibiocalcaneal and tibionavicular ligaments, sequela from prior ankle sprain. The deep deltoid ligaments are intact.
There is a split tear of the peroneal brevis tendon in the retro-fibular and sub fibular locations and which reconstitutes distally.There is mild thickening of the peroneal longus tendon in the sub-fibular portion, compatible with tendinosis. The tendons of the anterior, and posterior compartments are intact. The Achilles tendon is intact. The plantar fascia is intact. The subtalar joint, talonavicular joint, and calcaneocuboid joints are maintained. The sinus tarsi fat is preserved.
Thank you once again, I know this is a handful but I would really appreciate your help.
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ANSWER:
Roughly speaking, it means you've broken the end of your tibia, that's the big shin bone, where it meets the foot. There is fluid building up locally, ie. swelling. You've also strained one of the ligaments that join the shin bone to the fibula (thin bone lying alongside it) in the same location. The ligament has torn away a piece of bone (it tends to be stronger than bone). You've also strained the tendon of one of the muscles on the outside of the ankle, but it is still attached.
I'm guessing you landed very heavily onto your foot from a height, or had the foot wrenched backwards somehow?
What happens clinically with this I can't tell from here, but I guess you had worked out most of the above. You can google the anatomy and find pictures that might help understand it.
Good luck and mend well.
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QUESTION:
i feel jealous, bitter & angry when i see happy people, and dwell on my hard life scenario?
being 31 years of age, having endured a harsh life of struggle, trauma, adversity.
living in a one bedroom apartment owning very little material possessions, a dusty old custom computer ive had years, the basics that's it.
being a perfectionist and vain and being very physically imperfect, aged prematurely, physical disfigurements that cant be repaired : - a crooked, bent little finger on left hand - due to an injury years ago -
damaged nerves in my knuckle in my right hand through smashing a wall years ago, i can use the hand normally but it hurts if i were to hit a punch bag.
- 2 missing , lower , front teeth because i headbutted a object years ago, through a rage outburst - implants cost thousands.
- an ankle that has recently been operated on to repair torn tendons, cast has been off weeks , feels weak , waiting for a physio appointment to do exercises to build it up - hoping the ankle is fixed.......used to twist it easily and go over on it.
missed out on all the normal things in life so far like building any relationships - being employed - getting qualifications - having a normal life etc.
have a prison record 11 years back and was in a mental hospital 11 years ago to.
struggling with severe anxiety, racing obsessive worries , ptsd, bpd, gad , ocd , and not getting the right or efficient treatment from mental health services , so im fighting to get what im entitled to.
im not afraid to admit these sht life circumstances, i have survived it because of courage and honor and integrity - i didnt choose the hand i was dealt.
ive suffered a lot of misfortunes in life , and im extremely bitter and jealous, and angry at the '' happy people '' i see below that pass my apartment window.
the students , the university students, the couples hand in hand, the teenagers etc.
i fckng hate it and hate them.
the only things what keep me going is the hope of a better life : building meaningful relationships - living in a quiet coastal village in my own house - a job working from home, security , peace and quiet.
but how will i achieve that at this late stage with everything i have to battle through ?
at big disadvantages ?
i fckng hate the happy grins i see every single day from couples or students.
YA
thanks, the only answer i found helpful so far.
the rest were useless so i downflagged you.
Chantare...
you have a lot to say , why have you blocked your email ?
whats up ? scared i'll respond ?
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ANSWER:
It is hard to not be jealous of people who seem to have better lives than you. I know that I've had times like that. At the same time, I know that there's very little that I would gain by maintaining my focus on them. The important thing is for you to get your focus from them to yourself. You can just ignore them. Or you can say to yourself, "and that's why I must keep working hard to get myself to there."
One thing that I see that's positive here is that you have a vision of what you want: a coastal village house, etc. Focus on that instead. Focus on getting your life back together.
In addition, go to the public library and read up on anger management. Your prison record, mental health issues, and self-inflicted damage all tell a story of anger mismanagement to me. You may have had crappy parents, guardians, circumstances, and teachers, but don't let them screw you any more.
I know that you have a lot of ground to cover. But if you keep doing whatever you can to get better and better every day, then that's all you can ask of yourself. imho...
Good luck.
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QUESTION:
Treatment for flat feet causing long term knee pain?
I've had knee pain for 4 years and about 7 months after it started I saw a consultant who moved my leg around a bit and said I had chondromalacia, just told me to rest and that was it. It didn't get better so last year I went to my doctor about it and they referred me for physiotherapy, again my leg was moved around a bit and my knee cap was taped, which did relieve the pain for the first day or two.
I then discharged myself from this because I was offered physiotherapy at a musculoskeletal centre. I went for a consultation in December and it was quite thorough, I said about my previous diagnosis of chondromalacia but she said it would not be that now as I am 20. After this meeting I received a letter which said I had anterior knee pain, medial knee pain, maltracking of patella on both knees, patella irritation of the patella femoral joint, pronated feet, valgus calcaneal tendon and lumbosacral pain.
I've had 2 physio sessions since then, during these I have been given 3 different types of exercises to strengthen the muscles in my thigh. When I went back for the second appointment in January the physio said there was no improvement and to continue with them for another month. I have my third appointment next week and there is still no improvement. I don't see how strengthening my thigh muscles is going to treat the other issues of valgus calcaneal tendon and pronated feet, and I also think the exercises I have been given are going to take a long time to see if they work.
Is there anything I can do in the short term? I have read that the knee pain can be caused by the problems I have with my feet, so even if I get better control over my leg muscles I'm still going to have the issues of feet and ankles that are sending my kneecap off track.
It's been going on for too long and I guess I do want a quick fix, but as there has been no injury to my knees and I do have these underlying issues with my feet surely I should be given treatment for this and not just exercises?
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ANSWER:
While quad exercises are important to help with tracking of the patella, you are correct in thinking that the feet may need to be addressed as well. Orthotics to control the pronation may be of benefit. At this time, prefabricated and even some store bought orthotics may be just as effective as custom fit orthotics, according to recent studies. I would try a store bought orthotic that controls over pronation as a trial...you can always get custom orthoses later if needed. Although, I'm guessing you are in the UK, and I'm not quite sure how that works over there.
