NetWellness Sports Medicine

Use of Knee Wraps/Patella Straps

Brian Bowyer MD — Mon, 31 Oct 2011 14:10:00 EST

Question: Hello! My doctor said I have Chondromalacia Patella in both knees. I have a difficult time walking without pain, so I purchased a pair of patella straps that really take away the pain in my knees when I go for my walks early in the morning or after work. I also like to wear a knee sleeve for warmth . . .

Answer:

If knee pain symptoms are minimized at the same time that function is maximized, the use of knee straps or knee sleeves would serve as a "means to these ends." However, despite such significant benefit, the cause for your knee symptoms would ideally be identified and addressed . . .

Ask an Expert: Brian Bowyer MD, Sports Medicine

Sprain/tear(?) in Shoulder

Kendra McCamey MD — Thu, 20 Oct 2011 16:10:00 EST

Question: Hi,

Two months ago I fell and slid on loose rock. When trying to prevent further sliding I tore something in my right shoulder. I heard it, being close to the ear. The shoulder did not dislocate but the event had me in severe pain for several minutes. Once the pain resided I continued slowly on . . .

Answer: It has been long enough now that you should she a doctor for this.

Ask an Expert: Kendra McCamey MD, Sports Medicine

understanding an ankle MRI

Kendra McCamey MD — Mon, 03 Oct 2011 19:10:00 EST

Question: Question: I just got the results of an MRI of my right ankle:

Findings: Focal high-grade chondromalacia measuring approximately 7 x 5 mm along the lateral aspect of the talus with underlying subchondral bone marrow changes and cortical irregularity, series 2 image 7 series 4 im . . .

Answer: If you were told by your orthopedic physician to wear the boot, then you should wear it at all times, even if you are not having pain. I would not do any spinning or other activity unless your physician specifically told you that you could.

Since your appointment with the specialist . . .

Ask an Expert: Kendra McCamey MD, Sports Medicine

Stress Fracture or Bone Bruise?

Brian Bowyer MD — Sun, 25 Sep 2011 02:09:00 EST

Question: About four weeks ago during our football game i caught the ball and got hit up high and right after i planted my left leg, trying to stay up as the kid held on to me, he lost his grip on me and sat on the outside of my leg and i felt the pain immediately. I kept playing through the game, of course, . . .

Answer: From your description, it sounds like your leg pain has resulted from this player sitting on your outer leg - rather than injury resulting from the hit itself.

The fact you were able to continue playing afterwards would make a significant "internal derangement" (ACL injury, fracture) of y . . .

Ask an Expert: Brian Bowyer MD, Sports Medicine

Bruised Bone in Knee

Brian Bowyer MD — Thu, 15 Sep 2011 21:09:00 EST

Question: I previously have had two knee surgeries. One was an ACL reconstruction and to fix a bucket tare in the meniscus. Then another meniscus bucket tare repaired about 5 year later. Both surgeries were on my left knee. Was recently tripped while running. Dr was very concerned and ordered and MRI and was . . .

Answer:

Optimal treatment recommendations specific to your situation need to come from your physician, who would certainly be the appropriate person to whom you should direct these questions.

In general, joint pain should . . .

Ask an Expert: Brian Bowyer MD, Sports Medicine

MRI Report, but Couldn`t Understand the Terms

Brian Bowyer MD — Wed, 14 Sep 2011 05:09:00 EST

Question: Dear,

This is a translated version (from Google translate) of the MRI report that I got after the MRI was taken. But I struggle to understand the terminology, thus I need someone who understand this to tell me what is happening with my meniscus. The report follows:

Made knee MRI examin . . .

Answer: Thank you for visiting NetWellness. Questions similar to yours have been previously addressed. The links below will connect you to the two most recent questions and their answers:

http://www.netwellness.org/question.cfm/8325 . . .

Ask an Expert: Brian Bowyer MD, Sports Medicine

Pinky Pain

Brian Bowyer MD — Wed, 14 Sep 2011 01:09:00 EST

Question: A month ago I was playing football on the beach and someone threw me the ball. As I bobbled the ball my fully extended pinky hit my thigh and it started to hurt. It has been a month and it still hurts especially when i wear a baseball glove or extend it. It has never swollen up, never turned colors . . .

Answer:

You may have jammed or "stoved" your small finger ("pinky") causing joint inflammation, stretched ligaments (sprain injury), tore a tendon, and/or sustained a bony injury/fracture . . .

Ask an Expert: Brian Bowyer MD, Sports Medicine

Right Scapula Pain

Kendra McCamey MD — Wed, 07 Sep 2011 16:09:00 EST

Question: I am a 56yo male with r/scapula pain. I have had numerous xrays & mri`s that show that the shoulder is perfectly fine. When the pain starts it feels like a MMA fighter has me in an arm bar & is pulling my shoulder out of the joint. Last year I discovered that if I stay hydrated, the pain is . . .

Answer: Unfortunately, this could be many things and without being able to examine you, it is hard to say exactly what it could be. I recommend that you follow-up with a sports medicine or orthopedic specialist for further evaluation and treatment.

Ask an Expert: Kendra McCamey MD, Sports Medicine

Prolotherapy for Shoulder (Labrum) Pain/Tear.

Brian Bowyer MD — Wed, 31 Aug 2011 21:08:00 EST

Question: Hello,

I know Prolotherapy is a fairly newer treatment option for many potential conditions, but am hoping to elicit some further opinion(s) via this site. I apparently (according to a non-contrast MRI) have a labrum (SLAP Type II) tear with attending tendonosis of the biceps tendon in my shoul . . .

Answer: The findings on your shoulder MRI scan may - or may not - be the cause for your symptoms. The relevance of those results to your situation needs to be determined by your physician based on your history and physical examination findings.

Prior to undergoing shoulder surgery, it is us . . .

Ask an Expert: Brian Bowyer MD, Sports Medicine

What is Blunting of the Meniscus?

Brian Bowyer MD — Tue, 30 Aug 2011 14:08:00 EST

Question: what exactly is blunting of the meniscus and what will need to be done

Answer: "Blunting of the meniscus" is a radiologic description of how the edge of a meniscus may appear when a knee MRI scan has been performed. Normally, the edge of a meniscus appears "sharp." One possible cause for "blunting" is post-surgical changes.

This finding may or m . . .

Ask an Expert: Brian Bowyer MD, Sports Medicine