EXPERT
Dr. Richard E. Grant
Orthopedist
Dr. Richard E. Grant is a top Orthopedist in Philadelphia, . With a passion for the field and an unwavering commitment to their specialty, Dr. Richard E. Grant is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Richard E. Grant is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Richard E. Grant is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Philadelphia, Pennsylvania, Dr. Richard E. Grant is a true asset to their field and dedicated to the profession of medicine.
Dr. Richard E. Grant
- Philadelphia, Pennsylvania
- Howard University
- Accepting new patients
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My recent MRI?
An Orthopaedic evaluation is needed with new films/xrays and possible advanced imaging
Severe knee pain?
She needs an orthopedic evaluation. Weight-bearing X-rays of both knees after a history and physical exam. Plus or minus an MRI. Start use of a cane on the side opposite. Precautions READ MORE
She needs an orthopedic evaluation. Weight-bearing X-rays of both knees after a history and physical exam. Plus or minus an MRI. Start use of a cane on the side opposite. Precautions at home to prevent falls.
REG
REG
Right shoulder pain?
Orthopedic office from exam, X-ray, and probable shoulder MRI.
I may have a meniscus injury, do I need to go in to the office?
Yes. Primary care first for eval and X-rays. Referral to orthopedic specialist for knee MRI.
I have shin pain after ankle fusion surgery?
Consider an in-depth orthopedic evaluation of your tibia on the ankle fusion side to rule out a fatigue fracture. Triple phase bone scan may be helpful with working through the READ MORE
Consider an in-depth orthopedic evaluation of your tibia on the ankle fusion side to rule out a fatigue fracture. Triple phase bone scan may be helpful with working through the differential diagnosis.
REG
REG
Do I continue steroid injections before my knee replacement?
Do your best to discuss this topic in depth with your Orthopaedic surgeon who is taking on your joint arthroplasty case. Safe to avoid any knee injections months before surgery. READ MORE
Do your best to discuss this topic in depth with your Orthopaedic surgeon who is taking on your joint arthroplasty case. Safe to avoid any knee injections months before surgery. Always consider the possibility of infection since the injection enters the synovial space. Caution is the key.
I have lower pain on my lower right side?
Consideration needs to be made for pelvic or lumbar spine issues such as a herniated disc or an unstable spine. An Orthopedic consult is in order to include a careful history and READ MORE
Consideration needs to be made for pelvic or lumbar spine issues such as a herniated disc or an unstable spine. An Orthopedic consult is in order to include a careful history and physical exam. Should be followed by plain X-rays of the areas of discomfort. Any abnormalities discovered by this process should be further evaluated with more detailed imaging studies such as an MRI and a bone scan if deemed necessary. Your primary care physician should create the subspecialty referral.
What to do about my collarbone non union?
Make appointment with an Orthopedic surgeon who specializes in shoulder surgery to include clavicle fractures and clavicle maluions. The issue can be addressed by a seasoned shoulder READ MORE
Make appointment with an Orthopedic surgeon who specializes in shoulder surgery to include clavicle fractures and clavicle maluions. The issue can be addressed by a seasoned shoulder subspecialty or Orthopedic traumatologist.
Don’t know what this means?
At this point, you would need an evaluation by a board certified Neurologist. Should include a detailed history and physical followed by EMGs and nerve conduction velocity studies. READ MORE
At this point, you would need an evaluation by a board certified Neurologist. Should include a detailed history and physical followed by EMGs and nerve conduction velocity studies. X-rays of the fracture site would help. Employing these diagnostic measures, you should able most if not all of your inquiry and concerns.
CT scan appointment?
Always a wise idea and action to seek a second opinion from another ABOS certified Orthopedic Surgeon.
Is it bad to stop using an immobilizer for my dislocated kneecap just 3 days after dislocating?
Yes, it is a dangerous move that invites repetition.The retinaculum attached to the side of your kneecap (patella) needs immobility to repair and heal. That may require about 6 READ MORE
Yes, it is a dangerous move that invites repetition.The retinaculum attached to the side of your kneecap (patella) needs immobility to repair and heal. That may require about 6 weeks of knee immobilization. Knee immobilization allows time for advanced imaging studies such as an MRI. Why? Need to see the extent of the tear. There is a new way to examine closely the relationship between the back of the knee cap and the distal femoral intercondylar notch. Shallow notches at the end of the thigh bone (femur) the knee cap tends to partially (subluxation) or completely slide out of its groove and then slide back in place. Of course, there are instances where the knee cap gets stuck out of place. Such extremes may require reduction in the operation room and surgical repair of the retinaculum that holds the knee cap in place during knee flexion and extension.
How long does it take to walk after spinal surgery?
Walking will start the day of surgery. Early mobilization helps to prevent blood clots and promotes healing. Most post op stays have been reduced to one to 2 days post op. It is READ MORE
Walking will start the day of surgery. Early mobilization helps to prevent blood clots and promotes healing. Most post op stays have been reduced to one to 2 days post op. It is essential that a post op patient can walk before discharge. Think of it as the key of freedom to be discharged to your own home. Walk first... Discharge to home second. Additional therapy will come to your home by a visiting therapist.
What are the symptoms of hip arthritis?
Recurrent pain and stiffness in the middle of one's groin. Pain is often associated with a load of motion in living hip movement. It becomes apparent with bending low, ascending READ MORE
Recurrent pain and stiffness in the middle of one's groin. Pain is often associated with a load of motion in living hip movement. It becomes apparent with bending low, ascending steps, or turning the entire lower extremity in internal rotation. Chronicity can lead to one limb shortening as compared to the opposite side. Anti-inflammatory meds may be helpful. However, as the hip arthritis progresses, the involved hip joint loses more cartilage and now becomes sensitive to changes in the weather and rapid barometric shifts. Intra articular injections of steroids under fluoroscopic control can provide temporary relief of pain. With progressive disability and change in gait, surgery in the form of total hip arthroplasty becomes a logical option.
Why does my knee feel suddenly weak and buckle?
Possible problem with communication between the sensory nerves supporting the knee and the reception in the cerebral cortex .Such transient issues may indicate a disruption of READ MORE
Possible problem with communication between the sensory nerves supporting the knee and the reception in the cerebral cortex .Such transient issues may indicate a disruption of signal or defective reception .Such conditions are associated with ligamentous sprains strains or disruptions. Or similar changes within the knee such as a meniscal tear or by a displaced meniscus. Orthopaedic examination would be imperative..A positive physical exam confirming knee instability or diminished coordination may merit clinical decision for advanced imaging studies such as an MRI or CT arthrogram .Patients with cardiac pace makers would be advised to proceed with a CT arthrogram.
Why was my son sent home with fractured ribs?
Surgery is not indicated for non displaced rib fractures. Take a peak at Creed Ii
Is there a cure for bursitis?
The bursa is the body's built-in shock absorber. One is located near every major joint in the body. Think of the bursa as a balloon of tissue that is usually empty until irritate. READ MORE
The bursa is the body's built-in shock absorber. One is located near every major joint in the body. Think of the bursa as a balloon of tissue that is usually empty until irritate. Take the knee for instance. A knee contusion might wake up the bursa in and around the knee. The bursa tissue becomes inflamed and that triggers the secretion of fluid into the bursa. Begin to resemble a water balloon. Inflamed bursae can be painful. In the acute phase, the bursa can be drained and then injected with a small does of anti inflammatory medicine such as an injectable steroid along with lidocaine. Anti-inflammatory meds may follow. If the bursa is beneath a tight band of tissue, as in the hip's greater trochanteric bursa, physical therapy may be in order for stretching, ultrasound, and, in some cases, iontophoreisis. In rare cases with chronic intractable pain, the bursa may have to be removed. The court of last resorts, of course.
Richard E. Grant, MD
Richard E. Grant, MD
The bone in wrist hurts so badly. Can this be treated?
The differential diagnosis of the painful wrist is very broad. A careful history and physical exam is in order. Would advise baseline xrays of the hand and wrist and an evaluation READ MORE
The differential diagnosis of the painful wrist is very broad. A careful history and physical exam is in order. Would advise baseline xrays of the hand and wrist and an evaluation by ABOS certified Orthopedic surgeon who specializes in hand and upper extremity issues. Metabolic disease should be considered along with auto immune issues. From the Orthopedic standpoint infection and or inflammation due to joint instability and or carpal tunnel syndrome. Any history of direct or indirect trauma to the hand and or wrist should raise the differential diagnosis of and occult fracture or wrist sprain
I have some pain in my knees while walking. How can this be treated?
Make the diagnosis first. See your primary care physician to obtain an exam and the weight bearing stays of your knees. If pain persist seek a referral to a board certified Orthopaedic READ MORE
Make the diagnosis first. See your primary care physician to obtain an exam and the weight bearing stays of your knees. If pain persist seek a referral to a board certified Orthopaedic surgeon for re exam and perhaps advanced imaging studies. Your Orthopaedic surgeon may order an MRI of your knees to rule out cartilage loss or a meniscal tear. Subsequent treatment will be determined based upon the MRI findings.
What is the best way to manage osteoarthritis?
High tibial osteotomies are very complex and require a very skilled and seasoned surgeon.
