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Dr. Mark Mudano

Orthopedist

Dr. Mark Mudano is a top Orthopedist in Dade City, . With a passion for the field and an unwavering commitment to their specialty, Dr. Mark Mudano is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Mark Mudano is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Mark Mudano is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Dade City, Fl, Dr. Mark Mudano is a true asset to their field and dedicated to the profession of medicine.
Dr. Mark Mudano
  • Riverdale, Georgia
  • Medical College of Georgia
  • Accepting new patients

Should I see an orthopedist or podiatrist for ankle pain?

Since I am an orthopaedic surgeon, I would recommend you see an orthopaedic physician first and foremost; there are large groups still out there, and oftentimes one in the group READ MORE
Since I am an orthopaedic surgeon, I would recommend you see an orthopaedic physician first and foremost; there are large groups still out there, and oftentimes one in the group may have fellowship training in foot and ankle , which makes him a subspecialist. I have no argument with seeing a podiatrist especially if you already have a relationship. A podiatrist's training is only in foot and ankle conditions. All orthopaedic surgeons have a minimum of 5 yrs residency training (after completing 4 years of medical school ); so it is obvious the musculoskeletal training is so much greater than a podiatrist.

Risks of corticosteroids?

It’s time to get a new primary care doctor; no one in the orthopedic world would treat any sort of arthritis seen on X-rays and, as you say, clearly asymptomatic. Every physician READ MORE
It’s time to get a new primary care doctor; no one in the orthopedic world would treat any sort of arthritis seen on X-rays and, as you say, clearly asymptomatic. Every physician knows chronic treatment with systemic corticosteroids has long term side effects and avascular necrosis (especially in the hip) is a potential problem. Normally, steroid injections, if given properly and with a proper interval between shots, should be extremely safe. Go to an orthopedic surgeon if you are concerned about your spine and you want a good musculoskeletal evaluation. There are many simple things that can be done if you wish to remain free of pain and active.

Exterior knee pain and less than 140 degree flexation?

Need way more information; when did the pain start? What seemed to bring it on? Is it assoiated. with walking, stair-climbing, running? Or any new exercise routine? ITB syndrome READ MORE
Need way more information; when did the pain start? What seemed to bring it on? Is it assoiated. with walking, stair-climbing, running? Or any new exercise routine? ITB syndrome is also called "runners' knee" and is a simple inflammation of the iliotibial band where it attaches on lateral (outer side) aspect of knee. Have you tried ice, steroid ointments, Arnica gel? Most people over the age of 30 do not have 140 degs of flexion unless they are ballet dancers or pro athletes/competitive runners. Have you considered "RICE": Rest; Ice, Compression (wrap), Elevation (rest).

Mark l. Mudano, M.D.

Knee pain?

It would be nice to know what you were doing when the event occurred, when you had the pop? If there is no significant swelling, meaning if no visible increased fluid in your knee, READ MORE
It would be nice to know what you were doing when the event occurred, when you had the pop? If there is no significant swelling, meaning if no visible increased fluid in your knee, just pain behind the knee joint, you probably have nothing to worry about. There are bursae behind the knee that help with the large hamstring tendons and these can "pop" and cause pain, and we call it "knee bursitis" or hamstring bursitis. It will resolve on its own. Continue to apply ice packs 2-3x per day for minimum 30 mins each. If you have no reflux symptoms, you may try Aleve, 2 tabs twice daily for 3-5 days (always after eating), and continue to apply soft compression like a neoprene knee sleeve or an Ace wrap for extended walking.
Good luck.

Worry of wrist fracture?

Without any history of trauma or overuse, the risk of there being a true fracture is extremely low, almost zero. I would let some time pass by, and use ice and a short course of READ MORE
Without any history of trauma or overuse, the risk of there being a true fracture is extremely low, almost zero. I would let some time pass by, and use ice and a short course of anti-inflammatory medication if the pain is distracting you. (Aleve 2 tabs 2x daily with food for 5 days.)

Dr. Mudano

Swelling in ankles and feet?

New onset swelling in both lower extremities is more than likely a vascular issue or lymphatic blockage; most common if there is no localized pain, would be venous insufficiency, READ MORE
New onset swelling in both lower extremities is more than likely a vascular issue or lymphatic blockage; most common if there is no localized pain, would be venous insufficiency, followed by lymphatic blockage, and finally congestive heart disease.

How can you tell the difference between a fracture and a dislocation?

Dislocations are rather rare when compared to fractures; the pain and the deformity are also different; the pain is soft tissue pain which is not nearly as bad as fractured bone READ MORE
Dislocations are rather rare when compared to fractures; the pain and the deformity are also different; the pain is soft tissue pain which is not nearly as bad as fractured bone pain; With a dislocation one of the bones has moved away from the other articulating surface (joint) and has become stuck and cannot assume its normal position. Often times, just relaxing the patient and apply a gentle maneuver will reduce the dislocation and the deformity is gone and the pain is lowered.
Fractures are broken bones which cause considerable localized pain and significant bleeding at the fracture site . There can be a huge deformity if the bone fragments separate by a lerge degree or often the case there will be what we call a "non-displaced" fracture where there is no signif. displacement of the boney fragments and usually this signifies a lower level energy that created the injury. there are many other differences between the two but this is the basic stuff.

Is walking good for osteoporosis?

Walking is definitely very helpful in the prevention of osteoporosis. Any weight bearing exercise is good. Actual resistance training is even better, and more and more women are READ MORE
Walking is definitely very helpful in the prevention of osteoporosis. Any weight bearing exercise is good. Actual resistance training is even better, and more and more women are realizing that lifting weights in the gym with very little rest in between exercises not only protects bones, but builds muscle definition and burns way more calories than most forms of exercise.

Do broken bones always get a cast?

No, not all fractures get a cast. Many non-displaced fractures that are stable can be protected with a splint or even a removable prefabricated splint designed specifically for READ MORE
No, not all fractures get a cast. Many non-displaced fractures that are stable can be protected with a splint or even a removable prefabricated splint designed specifically for that part of the body; wrist and forearm splints are popular as well as leg and knee braces as well as walking fracture boots.

Why was my son sent home with fractured ribs?

It is never necessary to operate on “rib fractures.” It would be nice to know the age of this patient, but clearly there is hardly ever a reason to treat rib fractures with anything READ MORE
It is never necessary to operate on “rib fractures.” It would be nice to know the age of this patient, but clearly there is hardly ever a reason to treat rib fractures with anything other than benign neglect. They will always heal on their own. If underlying lungs are severely damaged (which is hardly ever the case) then very rarely would hospitalization be necessary. Rib fractures are not in and of itself considered a severe injury, however, there is no question they are quite painful, but heal in a matter of weeks. Opioid pain meds are usually prescribed during the first 3 weeks, if the pain is not controlled with Tylenol and Ibuprofen as a combo regimen.

What is the treatment for musculoskeletal pain?

The musculoskeletal system in our bodies is the spine and extremities with all the soft tissue attachments including cartilage, muscle and tendon, ligaments, and the peripheral READ MORE
The musculoskeletal system in our bodies is the spine and extremities with all the soft tissue attachments including cartilage, muscle and tendon, ligaments, and the peripheral nerves that supply the extremity. For starters, one can always try RICE treatment: Rest; Ice; Compression; Elevation.

Dr. Mudano

My mother is diagnosed with osteonecrosis. Is there a treatment for this condition?

Osteonecrosis (also called avascular necrosis) of what bone or joint? Because it means cell death, the structure that has this condition will lose its ability to bear weight or READ MORE
Osteonecrosis (also called avascular necrosis) of what bone or joint? Because it means cell death, the structure that has this condition will lose its ability to bear weight or function properly. When the hip is involved affecting the ball portion of the upper femur, the joint will deteriorate and because of the pain and disability, a hip replacement or resurfacing procedure is usually done.

Dr. Mudano

My 80 year old mother recently fell and fractured her ankle. How long should it take for her to recover?

If the fracture is not complicated, it should consolidate and be completely healed in 6 weeks; however, pain and especially swelling will persist for at least 4 more months. Now, READ MORE
If the fracture is not complicated, it should consolidate and be completely healed in 6 weeks; however, pain and especially swelling will persist for at least 4 more months. Now, while the fracture healing is definite, the soft tissue healing is totally up to the patient and how they respond to the ROM exercises and the overall physical reconditioning. If a patient is not very active, does not want to participate in her own recovery, has a poor appetite, is de-conditioned already, these are indicators of a poor outcome. If the pre-injury health is good and she has a good attitude, especially with regard to pain, she will do well.

Dr. Mudano

Will steroids help in treating my joint pain?

Steroids always help with joint pain, but as with a lot of medications, there are significant side effects from taking oral steroids, especially over a long period of time. What READ MORE
Steroids always help with joint pain, but as with a lot of medications, there are significant side effects from taking oral steroids, especially over a long period of time.
What is the diagnosis that is contributing to your pain? In other words, what is causing the pain, and why hasn’t your doctor explained this to you? There are other avenues that patients can take when it comes to certain joint pain issues.
Long-term steroid use is fraught with many undesirable side effects, some far worse than the condition which may be causing the pain.

Dr. Mudano

I have a strange tingling sensation and a little pain in my hips. What could this be?

It’s a bit unusual for this to be affecting BOTH hips, but if there is no pain, I am confident that this is benign. The most common cause of tingling traveling down the outer hip READ MORE
It’s a bit unusual for this to be affecting BOTH hips, but if there is no pain, I am confident that this is benign. The most common cause of tingling traveling down the outer hip and thigh is a common condition called meralgia paresthetica, basically a pinched nerve in the skin at the pelvic bone, lateral waistline. Sometimes tight clothes or a belt can cause this.

Dr. Mudano

Why do my fingers hurt when I try to make a fist?

All of the joints in the body have articular cartilage that allows for the joints to do their thing - which is move. There are no blood vessels in the cartilage, so the only way READ MORE
All of the joints in the body have articular cartilage that allows for the joints to do their thing - which is move. There are no blood vessels in the cartilage, so the only way the cartilage surfaces get their nutrients is from the joint fluid, which is only produced when we move the joints. Hence why you have trouble upon awaking in the morning. All joints get stiff and sometimes painful if they are not moved enough. The human body was designed for movement.

Dr. Mudano

Can I start playing tennis six months after my knee replacement surgery?

What does your surgeon say? Most people that undergo Total Knee Replacement surgery cannot play tennis, period. How often were you playing before your surgery? I think it’s probably READ MORE
What does your surgeon say?
Most people that undergo Total Knee Replacement surgery cannot play tennis, period. How often were you playing before your surgery?
I think it’s probably okay to play if you warm up properly; but, here’s the thing: if you were playing a lot of tennis prior to the TKR surgery, not really knowing your history, I’d have to say that you would NOT be a candidate for such surgery in the first place.

Is osteoporosis hereditary?

Osteoporosis is not necessarily a disease, but rather a condition that can affect all women passed menopause; the best defense against acquiring this decreased bone density is READ MORE
Osteoporosis is not necessarily a disease, but rather a condition that can affect all women passed menopause; the best defense against acquiring this decreased bone density is to start in your 30,s with regular bouts of simple wgt-bearing exercise and especially resistance training (weights/machines/push-up s etc); if you are in the 25-50 age range and eat a diet with lots of dairy , you really don’t need calcium supplements. Still very good idea to start taking a good women’s multivitamin in your 30’s and continue indefinitely. If you remain ACTIVE and put yourself thru regular periods of exercise where you are lifting or pushing or pulling and you need no more than 30 mins of heavy breathing sessions, and you have no other chronic diseases, your worries of osteoporosis can and should be minimal

How long does a knee dislocation take to heal?

A true “knee” dislocation is a serious and rare injury that often compromises the vascular and nerve supply to the lower leg; your husband most likely has sustained a patellar READ MORE
A true “knee” dislocation is a serious and rare injury that often compromises the vascular and nerve supply to the lower leg; your husband most likely has sustained a patellar dislocation, which is more common and poses no threat to the leg. The kneecap (patella) acts as a sort of pulley over the top of the knee and has articulate cartilage on the back side since it forms the front of the knee joint. This cartilage gets scraped during a patella dislocation and can cause problems down the road if the cartilage is damaged enough. The usual healing time for a dislocation is 6-8 weeks. Depending on his age and other factors, the knee is likely to be stiff for quite a while and so, if he can begin ROM exercises sooner rather than later (cycling on stationary bike is best), the long-term stiffness becomes less likely.

Dr. Mudano

For my knee pain should I use hot treatment or cold?

Never use heat on the joint if there is pain from inflammation; always Use ice and ice packs can be applied for up to 60 minutes or longer directly on the skin. The old 20 minutes READ MORE
Never use heat on the joint if there is pain from inflammation; always Use ice and ice packs can be applied for up to 60 minutes or longer directly on the skin. The old 20 minutes max for icing body parts was a wives tale for people that were not smart enough to know if they were getting frostbite.