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O/T: HEALTH Pains ? Health struggles ? Ask a Surgeon anything

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Timmy C

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Sorry for this blunt approach, but to me, and to a lot of orthopaedic surgeons I guess, Hoff'as impingement syndrome isn't a proper diagnosis. It is just a symptom but not a cause. So you have to know what is the root to this. It kinda sounds like a patellar instability but it's really hard to tell without being able to test your knee IRL.
My advice would to go see a very competent knee surgeon in your area but these are not easy to find. Try to know where your local professional sport team gets medical care. There are great surgeons in Australia. Be wary of anyone trying to sell you a meniscectomy, it's forbidden at your age (I guess you're born 1990) except in very particular cases.
If you have any tight muscles, you may, whatever is your pathology, benefit greatly from stretching seriously everyday.


Yeh i know the cause, i was doing brazilian jiu jitsu, and a training partner who was new to the sport, drilled a technique on me.

Incorrectly and smashed his shoulder directly into my knee cap.
 
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Thomas Chauvet

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Okay... Then it's not an impingement stricto sensu since it is a chronic cause, and you seem to say it happened next to a trauma. But sometimes a trauma can decompensate and reveal a chronic problem that wasn't painful before.
Direct choc on bones can cause bone oedema resulting in pain for a very long time (up to 2 years) without any visible fracture, but it's not too bad since it will resolve spontaneously. It is an elimination diagnosis still. Did you get some xrays or MRI ?

edit : thanks for the rep dude !
 

Timmy C

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Okay... Then it's not an impingement stricto sensu since it is a chronic cause, and you seem to say it happened next to a trauma. But sometimes a trauma can decompensate and reveal a chronic problem that wasn't painful before.
Direct choc on bones can cause bone oedema resulting in pain for a very long time (up to 2 years) without any visible fracture, but it's not too bad since it will resolve spontaneously. It is an elimination diagnosis still. Did you get some xrays or MRI ?

edit : thanks for the rep dude !

I got an MRI done to rule out a torn meniscus, and he determined it was the fat pad. Apparently my abductors are sore because my knee is weak and my abductors and hamstrings are working harder, hence the pain there as well.
 

Thomas Chauvet

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Okay... Well, to me, it just means there's some inflammation in your fat pad, but I don't think it's the root cause. It could be only the trauma. That would be my advice, try to avoid any exercise that's painful for a 6 weeks - 2 months peroid, put your knee to a relative rest, if you didn't before, get some NSAIDs (ketoprofene, ...) for 7 days to break the inflammation cycle, ice, and see how it goes from there.
 

LoveLife

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Hello Thomas,

Thanks for your help.

I'm not far from you :).

Last week, during karate I don't know how but I little bit hurt one of my knee. It's a little bit painful only if I force to stretch my leg. So yes not a big deal. It also feels like it is a little bit "congest" (?).

I'm not sure it's related but during my dance lessons when I spin on this leg I lose my balance, which is not practical since I will have a little show next week.

So I don't know if there is something I can do and if it's related or not?

If it's not clear and developped enough for you to be able to say something about it it's ok.
 

Thomas Chauvet

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It is probably related, yes. I can't give you any quick fix for your dance show. You should get an x-ray and an MRI to check the ACL and collateral ligaments.
 

moneytree3006

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Hello everyone,

I decided to start this thread because I keep lurking in here and I'm tired of getting this much value without contributing. I try to, but I have to say since I've done poorly in this field of fastlaning, I don't feel confident enough to give solid pieces of advice about business.

However, in my experience, people ask themselves a lot of questions about health in general. Everytime I'm in a conversation with muggles (yeah, sometimes that's how we call people who doesn't work in the healthcare industry ^^), I get asked a lot of questions that I love to answer.

c475b7c0-d36c-4c73-be33-a34030b6ca82

I am an MD in Surgery in France, I am in the near end of my training in Orthopaedic and Trauma Surgery (anything related to locomotive appartus : joints, muscles, bones, tendons, ...). I had a great training with some of world's best surgeons in the field of shoulder surgery and pathology, especially. I can also help you with anything related to Sports medicine and strenght training, and general medical stuff.
Skeletal-muscles-of-the-torso-and-arm20161111-16395-19whlxj.jpg


I don't know if you guys will have any questions for me but I think it's the only and best way I can provide real value here right now (hopefully it will change in the near future).

Best regards,

Thomas, a fellow member of this awesome community.

PS : If you have any question you don't feel like posting in public, please send a PM, I'll do my best to help you.
Oh wow! What an interesting post! Can't wait to read this.

I do have a question. Are there any groundbreaking new/unheard of treatments for fibro myalgia in Europe that you know of? Other than the common ones such as medications like lyrics, PRP, massage therapy, anesthetic injections, burning of sections of nerves in the spine etc
 

Thomas Chauvet

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Oh wow! What an interesting post! Can't wait to read this.

I do have a question. Are there any groundbreaking new/unheard of treatments for fibro myalgia in Europe that you know of? Other than the common ones such as medications like lyrics, PRP, massage therapy, anesthetic injections, burning of sections of nerves in the spine etc
Hey ! Thank you for your interest in this thread. It can only lives thanks to contributors.

Honestly, I don't. We sometimes deal with fibromyalgia patients in my specialty but we are not trained at all for it and there seem to be no effective surgical treatment. I wouldn't do any burning of the spines nerves, I don't think it's very effective but that's only my opinion.

Do you suffer from it ?

It is right a very unknown disease. Some says it's psychological, and it's usually what some says when we don't understand something but I don't agree with it. However today there is not magic trick to treat it, it is a complex entity. I would also avoid taking painkillers for long periods since there are not effective either but comes with a lot of issues.

Sorry about not being able to help you more with this.
 

LoveLife

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Hello Thomas,

How are you doing?

Are you still available to answer some questions around health ? It's still about my knee.
 

Thomas Chauvet

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Hello Thomas,

How are you doing?

Are you still available to answer some questions around health ? It's still about my knee.
Hey dude ! I'm fine thanks. Of course I'm still available, please feel free to ask anything.
 
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LoveLife

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Thanks Thomas !

It's funny to be called Dude :happy:. Probably the 1st time and a nice synchronicity with the last episode of Modern family.

So I have hurt my knee I don't know exactly how but it was at a martial art course. It was in May I think. I waited, done nothing. Asked you a question about it, you answered (thanks). Then eventually in July I made an appointment with a sport doctor who happens to be also a surgeon. He looked at it (nothing I guess to be seen), he asked me multiple questions. We didn't do any x rays or stuffs like that.
Tbh I don't remember what he told me, but it must have been something along the lines of: wait and see if it gets better, probably be careful on some exercises during sport...

So I have continued to go to my martial art courses. I have been a little bit careful. It got better, meaning I felt the thing which told me that there was a problem in my knee less. But last week after a lesson I started to feel it again a little bit more.

Basically it's not painful. Just a little mini pain (une petite douleur "aigue" comme si ça pique ou pince, au coin intérieur de mon genou droit). I have decided to do a break with my martial art lessons (for also other reasons).

I have called the same sport doctor who told me that he doesn't know that I might do y rays or stuffs like that. I called my doctor and the secretary told me that by the phone she can't tell me anything.

Basically I would like to avoid going to the doctor just for the sake of going. Many times I have been and the result was there was nothing, I could have waited. If I can avoid to pay an added bill I would be glad. But at the same time I don't know if things like that left without more examinations can lead to long term problems for my knee. I love my knee :smile2:. And I need it for all my sports.

What would you do in this situation ?

Thanks again for your help here. It's inspiring.
 

Olov

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Hi Tomas,

Great thread!

I have had Sternoclavicular Joint Subluxation (point outwards) for several years now. It often causes pain in my shoulder when I work out or stand straight up for a long time. The sternoclavicular is not dislocated, but it's always "half out". When I pull my arm up, it pops back into the correct position. When I take my arm down again it pops out once more.

I got this when I was doing push-ups a few years ago, I think. My whole neck and shoulder was swollen.

I've tried getting help for this but the answers have been... strange. Some doctor said he had no idea what this was, a shoulder specialist told me the swollen lump between my neck and shoulder is my trap muscle. Obviously it's not.

So I went to another doctor in another country, which I am living in now, and he said the sublux was caused by my PE (Pectus Excavatum). So I had the Nuss procedure a few months ago, which was hell. Unfortunately my collarbone is still subluxed. The doctor told me that I should never lift weights again when I have this problem.

Impossible for you to say anything if you havent seen me. But I wonder what's your experience is with this sort of stuff. I know that there are some serious things underneath this area, so doctor avoid surgery there.

Could the doctor be correct that I should avoide lifting weights ever again? Is there a possibility of the injury getting worse and finally pop out 100%?

I apologize for the long post. But I have been to over 7 doctors with this issue, and their explanations are more absurd than the other. One shoulder specialist shrugged his shoulders and told me he had no idea what this is and that "it's just the way you are shaped".

After intensive Googling I could at least find out that it's Sternoclavicular Joint Subluxation, which my current doctor confirmed.

Thanks!
 

Kevin88660

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Hi,

I am not sure if this is your field but I am thankful that you are offering help.

Recently I had done a haircut. The hairdresser mentioned thatI had dandruff issue and sensitive scalp, and slight balding at forehead. I am 31.

I knew I had these issue but itnever bothered me enough to see a dermatologist. Basically sometimes my scalp feels itchy and I have more dandruff than an average dude. Hair loss has an inherited component tied to my father’s side.

Basically he recommended a package of premium natural shampoo, and additional creams to put on my hair after washing To remedy the above mentioned problem. It costed me around 500. I trusted him because they had a good online review and strong presence in the area I live in.

But I was thinking when should someone see a dermatologist versus an “experienced hairdresser”. The line is very blur.
 

Bigguns50

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First, thank you for this thread @Thomas Chauvet !
Do you have a general opinion on Stem Cell Therapy ?

I have my MRI results on my shoulder I can post if you want or need.'

Thanks !
 

GenYJourney

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Hey @Thomas Chauvet ,

I've been dealing with patella tendonosis for a year and a half and I'm currently doing physical therapy but the progress has been less than stellar. I know this is a fairly common wear and tear injury and wanted to know if you had any input as far as treatment goes surgery wise and things to be cautious of.

Thanks in advance!
 

Dobarduff

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I like your local joke about Muggles. Probably, every profession has its own Muggles. It's funny. Thank you for sharing. And now about the serious. I have problems with my jaw. Sometimes I get stuck with it. When I eat, I hear a crunch near my ear. I found your post and wanted to ask you directly before I go to Indiana orthopaedic hospital. I was signed up there for November. I've already been to dentists and dental surgeons. They said it was because of my deep bite and gave me a mouthguard. But it seems to me that my problem is more complicated than it looks. The mouthguard helps me, but not much. What can you tell me about this? You are welcome.
 
Last edited:

Thomas Chauvet

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I like your local joke about Muggles. Probably, every profession has its own Muggles. It's funny. Thank you for sharing. And now about the serious. I have problems with my jaw. Sometimes I get stuck with it. When I eat, I hear a crunch near my ear. I found your post and wanted to ask you directly before I go to Indiana orthopaedic hospital. I was signed up there for November. I've already been to dentists and dental surgeons. They said it was because of my deep bite and gave me a mouthguard. But it seems to me that my problem is more complicated than it looks. The mouthguard helps me, but not much. What can you tell me about this? You are welcome.
Hi Dobarduff,

First thanks for your message because thanks to you I just realised a bunch of people posted some questions ; for some reason I never got the notifications and couldn't answer them. What a shame. Will adress this in a few minutes.

About your issue, I wouldn't see an orthopaedic surgeon ; well in France the people that take care of this joint (temporomandibular joint) are called "maxillo facial". Looks like in the US this specialty is called Oral and maxillofacial surgery. You should try to see someone in this field. I have almost no knowledge about this so I wouldn't give any advice regarding this. However, if you don't feel any pain, despite the crunches, I don't think you should loose your sleep over it. It happens a lot of time that joints are doing cnoises, but as one of my masters taught me "the more it cracks the less it's bad".
 

Thomas Chauvet

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Thanks Thomas !

It's funny to be called Dude :happy:. Probably the 1st time and a nice synchronicity with the last episode of Modern family.

So I have hurt my knee I don't know exactly how but it was at a martial art course. It was in May I think. I waited, done nothing. Asked you a question about it, you answered (thanks). Then eventually in July I made an appointment with a sport doctor who happens to be also a surgeon. He looked at it (nothing I guess to be seen), he asked me multiple questions. We didn't do any x rays or stuffs like that.
Tbh I don't remember what he told me, but it must have been something along the lines of: wait and see if it gets better, probably be careful on some exercises during sport...

So I have continued to go to my martial art courses. I have been a little bit careful. It got better, meaning I felt the thing which told me that there was a problem in my knee less. But last week after a lesson I started to feel it again a little bit more.

Basically it's not painful. Just a little mini pain (une petite douleur "aigue" comme si ça pique ou pince, au coin intérieur de mon genou droit). I have decided to do a break with my martial art lessons (for also other reasons).

I have called the same sport doctor who told me that he doesn't know that I might do y rays or stuffs like that. I called my doctor and the secretary told me that by the phone she can't tell me anything.

Basically I would like to avoid going to the doctor just for the sake of going. Many times I have been and the result was there was nothing, I could have waited. If I can avoid to pay an added bill I would be glad. But at the same time I don't know if things like that left without more examinations can lead to long term problems for my knee. I love my knee :smile2:. And I need it for all my sports.

What would you do in this situation ?

Thanks again for your help here. It's inspiring.
First I am really sorry for not answering your message. I didn't get any notification, I'm really sorry.

For your question, I don't know what to say. I guess the situation evolved a little bit since.

It's been 5 months between your first injury and your post, if you still feel something odd, for instance pain when crouching, or some sensations of instability, it could be worth doing first x rays and then an MRI just to check the meniscus and the anterior cruciate ligament.However if the clinical exam is reassuring regarding these, I wouldn't do it. That only a qualified professional can tell you (a sports doctor, orthopaedic surgeon, or a very good physiotherapist). Many times people feel a little pain and we can't find why, but when it's the case, it's usually nothing too bad.
 

Thomas Chauvet

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Hi Tomas,

Great thread!

I have had Sternoclavicular Joint Subluxation (point outwards) for several years now. It often causes pain in my shoulder when I work out or stand straight up for a long time. The sternoclavicular is not dislocated, but it's always "half out". When I pull my arm up, it pops back into the correct position. When I take my arm down again it pops out once more.

I got this when I was doing push-ups a few years ago, I think. My whole neck and shoulder was swollen.

I've tried getting help for this but the answers have been... strange. Some doctor said he had no idea what this was, a shoulder specialist told me the swollen lump between my neck and shoulder is my trap muscle. Obviously it's not.

So I went to another doctor in another country, which I am living in now, and he said the sublux was caused by my PE (Pectus Excavatum). So I had the Nuss procedure a few months ago, which was hell. Unfortunately my collarbone is still subluxed. The doctor told me that I should never lift weights again when I have this problem.

Impossible for you to say anything if you havent seen me. But I wonder what's your experience is with this sort of stuff. I know that there are some serious things underneath this area, so doctor avoid surgery there.

Could the doctor be correct that I should avoide lifting weights ever again? Is there a possibility of the injury getting worse and finally pop out 100%?

I apologize for the long post. But I have been to over 7 doctors with this issue, and their explanations are more absurd than the other. One shoulder specialist shrugged his shoulders and told me he had no idea what this is and that "it's just the way you are shaped".

After intensive Googling I could at least find out that it's Sternoclavicular Joint Subluxation, which my current doctor confirmed.

Thanks!
First I am really sorry for not answering your message. I didn't get any notification, I'm really sorry.

I get that you had problems for getting good information about this problem because it's quite rare.
First thing is to identify the direction of the instability. You say that your collarbone is pointing outwards, we say anteriorly, so you seem to say it's an anterior instability. It's the best one because behind, posteriorly there is big and important things (trachea, aorta...).

If it is confirmed that it is an anterior instability, I wouldn't say that you can't lift weight or do push up. The risk is that your collarbone dislocates anteriorly, which is already the case If I understood you well. So if you can tolerate the pain when it does, don't worry too much.

However in some patients, the pain or discomfort can become important especially in physical activities involving the shoulder. In that case, my advice would be to see a shoulder expert (perhaps in the capital of your country?). Seek for people who publish scientific works (pubmed), or participate in teachings/courses, and have a good reputation. They are more likely to know about this. Then, they may suggest a surgery of stabilization. I have to admit I did it only once and we were two surgeons. Of course like every surgery it's risky, but not too much, if you take adequate care to avoid the important stuff behind.

Summary ; confirm the dislocation is anterior (and less dangerous). If that's the case, don't bother too much, try to live a normal life. That's how you're going to see if it's discomfortable or not. If you feel pain or discomfort too much, then seek for highly specialized shoulder surgery advice.
 

Thomas Chauvet

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Hi,

I am not sure if this is your field but I am thankful that you are offering help.

Recently I had done a haircut. The hairdresser mentioned thatI had dandruff issue and sensitive scalp, and slight balding at forehead. I am 31.

I knew I had these issue but itnever bothered me enough to see a dermatologist. Basically sometimes my scalp feels itchy and I have more dandruff than an average dude. Hair loss has an inherited component tied to my father’s side.

Basically he recommended a package of premium natural shampoo, and additional creams to put on my hair after washing To remedy the above mentioned problem. It costed me around 500. I trusted him because they had a good online review and strong presence in the area I live in.

But I was thinking when should someone see a dermatologist versus an “experienced hairdresser”. The line is very blur.
First I am really sorry for not answering your message. I didn't get any notification, sorry!

You're right. But remember that the hairdresser sells you a product ; when the doctor doesn't get anything when he prescribes you any drug (at least, that's how it works where I leave). His advice will probably be more objective. So if you worry about it, nothing wrong about getting a medical advice. It is true that for minor problems however the outcome may not be as satisfactory as with a top notch commercial service. It is a very personal point of view but to me all the beauty industry is 95% marketing and 5% or less real product value.
 
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Thomas Chauvet

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Hey @Thomas Chauvet ,

I've been dealing with patella tendonosis for a year and a half and I'm currently doing physical therapy but the progress has been less than stellar. I know this is a fairly common wear and tear injury and wanted to know if you had any input as far as treatment goes surgery wise and things to be cautious of.

Thanks in advance!
First I am really sorry for not answering your message. I didn't get any notification, I'm really sorry.

That really can be a pain in the *ss.

Honestly the surgical treatment has no place in this kind of problems, except in acute cases with blunt and frank tears. Physiotherapy is the way to go, and time.

For some people change in eating habits has shown dramatic evolution. That does makes sense from a medical point of view, because acidosis tend to favor inflammation in the body. You can try to eat more vegetables, or take a basifying complement (alkaline formula or stuff like this), or both. You can't loose too much by trying, so why not see if it helps ?
 

thechosen1

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After brain surgery how is the top of the head put back together? Staples? Hot glue gun?
I can answer this one first hand.

The bone flap is put back in place with some sort of plate and screws; the skin is sutured (stitched), and they do use temporary staples sometimes (with NO pain relief! Stapler to the dome - ouch!)

@Thomas Chauvet the real question is what to do about lower back pain from sitting at a computer all day :)

Oops - you already answered that one!! Great value provided, thank you!
 

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