Dr. Walker A. Wynkoop

It is only up to your surgeon. Why are you asking something so important like that on line? If you don=E2=80=99t remember receiving verbal and written instructions =

NSAID like Ibuprofen, I like 600 mg nightly or up to 4 times a day if needed.

Then if still needed, Velcro Wrist cock-up splints from the drug store worn at night to stop night time waking

If you are being awakened once a week or more, consider surgery. Find someone that does a mini incision technique and lets you go back to desk work in 3 to 6 days. Heavy work needs up to 6 or more weeks depending on type of work.

I assume your infection in your left Total Knee.I had a similar patient like you once and during a hospitalization wirer IV antibiotics weren't helping, I offered AKA, Above the knee amputation. Several days later after many talks with her daughter who was an RN, she reluctantly accepted. Within a few days she felt much better as the infection was ruining her overall health and the BKA removed all the infection. And she was thanking me.
Prosthetic technology has advanced so much that it is a good option if there is no Saving your leg. The Gun Smoke scene: Doc, Ya gotta save my leg no longer applies in every case.

Probable schapho-Lunate ligament full tear. Start by having your primary doc order a new wrist X-ray that includes a scaphoid view. Then go see an orthopedic hand surgeon with all your X-rays on a CD from the X-ray department.

Yes, certainly. Then take a shower. If the stitches are still in you should call your surgeon and ask if they need to come out. Let your skin breathe! Don't walk on it without the boot until your surgeon says it's okay.

Sounds like overuse rotator cuff problems. Probably a partial or full tear. You must see in orthopedic surgeon and get an MRI. Choose an orthopedic surgeon that does a lot of sports medicine. Even find one That has completed a sports-medicine fellowship

Thank you!
WAW

BPC 157 combined with TB 500 will only use your money and not help heal. Google peer-reviewed research on these and read it before you spend your money.

Yes, splinting with no movement will increase stiffness. YOU MUST FULLY MOVE THE BIG KNUCKLE AT THE BASE OF YOUR FINGER - THE METACARPAL PHALANGEAL JOINT. THEN, almost as important, move the small joint in the middle of your finger, the proximal interphalangeal joint. You can move these joints EVEN IF IT HURTS BECAUSE YOU ARE STRETCHING OUT SCAR and the 3rd repetition will hurt less because the scar is stretched a little! Take Ibuprofen 200 mg up to 3 tabs if your kidneys are good and no stomach/heart burn, etc. Plus Tylenol to help with the pain. Less important is the joint near your broken bone. Move that one as well, but more gently because you may slow down the fracture healing, which is not too much of a problem because that bone is small.

Nope. And that is an unusual reason for wrist pain. If you can use your wrist for everything you want to do as long as you can put up with a little pain, I recommend against any surgery for a spur AND see an orthopedic hand/wrist specialist before any final decisions.

You likely broke a bone or tore a ligament. Please see your doc and get an exam and an X-ray. IF A JOINT OR MUSCLE INJURY IS NOT MORE THAN HALF BETTER IN 7 DAYS,GO TO YOUR DOC! I had to do a SALVAGE procedure on an 18-year-old who had a wrist injury that was neglected. He will never be able to use his wrist fully again. How is your wrist function?

WAW

Yes!

STAND ON ONE FOOT! A simple and very effective exercise that is very helpful as it can be done "All Day Long!" Our normal ankle use is all day long, so an exercise you can do for 30 sec to 2+ minutes anytime you want is ideal.

The main thing is you're doing great so no reason to worry. The military will require an orthopedic consultation that clears you for active duty. I was a military doc and I also cleared enlistees after I got out.

If the Ortho consultant starts talking MRI or CT or an FCE (Functional Capacity Exam), politely ask why and can you just examine me and skip some or all of those tests? If not, Find another Orthopod that is willing to examine you and listen to your history of no dysfunction and no pain for 3 years. If the second gal says the same, then maybe you're stuck. You might try calling the Orthopods office first and asking if they are familiar with doing active duty clearance consultations and can they be done without an FCE or MRI? The radiologist that used the term "herniation/protrusion" was doing CYA, or CHA, covering her ass. The MRI you included do not usually show the disk changes you mentioned, Check the axial cuts for that. T or Thoracic disk herniations can almost never an issue.

Are you sure this is without a typo? "History of uncorrected nucleus pulposus associated with any treatment, symptoms, or activity limitations." It seems a term for herniated or displaced is missing.

Hope the helps.

Here is the rule I teach everyone:
Start with your primary care doc, but if the pain is not mostly better by 10 or 14 days, then seek out an Orthopedic Surgeon or an orthopedic nurse practitioner



Thank you!
WAW

Ankle and foot surgery is different. All surgeries have risks and benefits. Talk to your surgeon and your family doc about the risks. Some patient and surgery combinations are very risky, like an ankle replacement and a diabetic patient, or an ankle fusion and a smoker.

Yes, if you can find a bone doc that will see you. Start with a local ortho surgeon that has already seen you. If no luck, you can always go to the local emergency room and they will have the bone doc come in and see you OR will get you an appointment. Docs covering the emergency department have a responsibility to see patients that show up, even if they don't want to.

If it is dislocated, it will be very swollen, like 50% bigger, very painful like you cannot stand or walk on it. A sprain or small fracture is much more likely. If it's much better in 5-7 days, do nothing. If not, go see a doc or nurse.

That is up to you and your surgeon. Ask questions. Most people are sleepy and remember a little because they get a spinal anesthetic. Some want to be very awake like I did for my knee surgery.

I actually grew until I was 20 or 21. Female stop growing about two years after their period starts.


GOOD LUCK!

It is most likely greater trochanteric bursitis. Yes, sitting can make it happen. Look up stretching exercises for this. It will not make your hip "lock."

WAW

It depends on the type of surgery. A large surgery with a long recovery period is not usually offered to someone described like your father. Smaller surgeries are: total knee replacement, usually, no; knee arthroscopy (called a knee scope), usually, yes. Your dad's family doctor is in a good position to help answer this question, I suggest you attend a visit.