On my first breakout, I was scared to death. I thought it was bed bug bites... until I saw a doctor, but I googled and read a lot and realized the painful part is the blisters. For anyone who got the herpes virus, the best thing to do is contact #Doctorojie and live healthy. let your immune system do the fighting ....
There are few (2-3 in number) T2 hyperintense and T1 hypointense well defined cystic foci seen in subcortical location in the medial talar dome with conglomerated size of the cystic foci measuring 5.5 mm x 6.4 mm x 5.5 mm with mild surrounding marrow edema. The overlying subchondral bone plate shows thinning with very subtle flattening. Overlying cartilage shows mild surface irregularity. However, no definite full thickness cartilage defect is seen overlying this focus. Findings are suggestive of stage 2 osteochondral lesion of the talus. 8 months ago ATFL injury. I am 26 years old. Should I go for surgery? This will help please
Thanks for a great presentation! I think Direct care is the way of the future - better care for patients, better work/life balance for physicians, and the most cost-effective way to provide health care. Keep us the great work AMSSM with these lectures!
So disappointing to hear such great info presented about safe guidelines for exercise during pregnancy but with no mention of pelvic health physical therapy for management of pretty much all the barriers to exercise that were mentioned both pre and postpartum. I’m happy she mentioned it in Q&A (albeit briefly), but why would you not refer to qualified pelvic health PT’s for management of musculoskeletal conditions when that is their whole specialization? Hopefully these recommendations have been updated in the last 2 year since this was posted, because if you’re looking for help in developing protocols for return to exercise postpartum or safe initiation of exercise during pregnancy, physical therapists are the best clinicians to call.
Very good presentation that I think needs to be presented to every single Doctor. The reason I say this is because of my nightmare i’m a 41 year old male who has experienced 7 surgeries and 10 plus CT scans 5 plus MRIs and after seeing 10 plus surgeons and 3 operating on me thinking it was a gastrointestinal issue and living with this problem 3 plus years having to be sent to pain management taking numerous narcotics ( made it worse) (risks of addiction) (suicide) because of dealing with pain and anxiety ( never had previously ) losing weight because my pain didn’t let me eat not able to stand for a longer period of 5 minutes before in bad pain not being able to work because the pain wouldn’t let me for the last 3 plus years and no one had any answers no doctor or surgeon said after you looked into acnes? I’m currently in deep debt because of this problem that a doctor/surgeon could have helped me much much sooner and avoided all my pain and suffering and cost it has really screwed my life up and I’m not at the end just yet I still need the surgery done but I really feel the medical community needs to address this condition better immediately.
How is it medical Dr's and sports med. people keep trying the wrong path with the same old tired wrong info? This has been figured out in detail Kinesiologically by Dr. Mike Marshall who you people never mention or study. I started using his info 25 years ago with all results on youth thru adults proving to be true. You come out after applying his pedagogy joint healthy, more velo and being able to train much more vigorously. If you are studying pathomechanical joint articulations and expecting a different result, you are just treading water. It isn't pitch count- this is an orthos conclusion that has great weight, why? It isn't increased performance by staying with the pathomechanics. It isn't balance, that's a guess! Mitigate the pathomechanics by mitigating them, then maybe you will get somewhere.
@AMSSM, is the 2023 top 10 list publicly available now that the conference is over? I would love to have access to it. Congrats for the amazing work of ranking all of these articles.
I had the interscaline block with anesthetic spillover in right laryngeal nerve (breathing, voice, swallowing) and phrenic nerve (right lung, diaphragm). It was traumatic and after the first one went well I never knew it was a possible to have this happen so the second time around I was thankful I didn’t get the Botox. I am hypermobile, had two shoulder tightening surgeries teen & early 20s, head injuries, whiplash - I am trying PT and for years I tried posture correcting and a lot of work but my right side (ribs on up) is extremely “compressed”?! I believe it also triggers vasovagal because I black out and have major migraines after any overhead use. I do not want more surgery but I am miserable and unable to function. I was once a travel athlete. The misdiagnosis and the pro athletes you hear of that have taken their lives, it is scary and I understand. I had an ultrasound but not many other imaging that helped in the v/n TOS Diagnosis but just not a lot of specialists in my area. Thank you for the info I might have to send my pt here and pm dr here.
Not dissing the blocks, it was amazing the first time - I had an unprepared and “heavy handed” PM doc that I had major spill over on an SI injection and couldn’t walk. So looking back I would have walked away. I thought I was going to die with this for 8 hours. Couldn’t breathe correctly for days and still feel where it failed. That being said I am moving on with blocks further down in rib spaces to work my way up and hope to get back to PT being beneficial. I am a .ooooo1% and have no desire to play with fire with Botox.
Salutations from Montreal. Honestly the best presentation on adhesive capsulitis i have seen in my 25 years of practice, Great images and explanations. Great and precise procedure descriptions. Now my comment on PRP is the following. Historically I had been taught a protocole of a monthly GH joint injection of CSI x3. Potential atrogenic toxicity aside, more than 90% of patients had more than 90 % improvement on day 90. Now what would be the purpose of PRP - FOR THE PATIENT- if they are pretty much back to normal by the time PRP starts kicking in? Maybe recover from CSI iatrogenic effects on tissues? Again, great lecture!
As someone who has a history of sickle cell trait, I have always believed that my extreme sickness to the point of feeling like I’m going to die…in high altitude/ motion sickness, such as bus rides, planes, traveling high up in mountains is from sickle cell trait. I found out that I had this trait when I was about 10 -12 years of age & I remember when I was about 5 or 6 I went on a plane to Disney World & when the flight was over, I had a black eye. I also believe this was do to the trait & being up in a high altitude. When I was a senior in high school I did a paper on sickle cell trait/disease & there wasn’t a lot of info that I received from the Sickle Center Detriot, mi. So, I am glad to finally see the progress. Also. My youngest son who’s 21 years old now..as a baby & young child:teen he suffered from collapses that he only experienced when playing sports or in heat. We were told he was suffering from holding breath seizures. I now believe it was the trait that caused these fainting episodes.
I suffer from Nerve damage due to reconstruction tkr. Its horrible diblitating. Burning pain on outside of my knee, I have no releif. 6 Yrs now. There is two Dr.s one is in Las Vegas, The orher in Maryland both take no insurance. 😢 I have no life no. Is there any info you can send me or direct me to top surgeons who do this type of Decompression surgery? Anyone who can help??
As a person suffering with this injury, I wish the author would state if patients should find a doctor who can use ultrasound to help with the problem. It is my understanding this did not lead to the patient healing through further treatment.
Thank you for the presentation guys, nice thorough explanation of the anatomy & images, other techniques such as the use of a thin standoff gel pad & dynamic cine loops are sometimes helpful :)
