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Suggest Treatment For Facet Arthropathy Of Spine
Question: i have facet joint hypertrophy with no ankylosis and no lytic lesion. back my lower is excrutiating pain at times, 1severe medial and mild patellofemoral/lateral compartment osteoarthritis with joint effussion2medial menicus body moderate truncated tear (left knee)right knee1 and 2 medial menicus body vague degenterative tear my hands and feet not xrayed but feel bones are broke and hurt constantly i am two years out of liver transplant on prograff, 2.5 mg,voltaren, lidoderm patches aand pain meds my neck and shoulders are tight and painful platlets 72 low what now?
Brief Answer:
Facet arthropathy of spine can be treated well.
Detailed Answer:
Hello,
I have studied your case and reports with diligence.
Facet arthropathy of spine can be treated well with local steroid shot under C arm guidance. You can consult your treating doctor for that
At age of 61 with hysterectomy and liver transplant there can be degenerative wear of bones, muscles, ligament and facet joint arthritis, due to deficiency of calcium, vitamin D, VIT B12.so supplements of these nutrients can relieve pain.
Osteoporosis may be associated leading to diffuse pain in back.
Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis,
And also check your vit B12 and vit D3 level.
You can reduce flare up by doing regular exercises and medication.
You need to start supplement of calcium with vitamin D, vit B12.
I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies.
You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case you need to take diet rich in calcium and vitamin D.
If not relieved you can take epidural injection.
Painful Knee Meniscus injury can be managed by arthroscopic repair.
As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion.
Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health.
Take care
Facet arthropathy of spine can be treated well.
Detailed Answer:
Hello,
I have studied your case and reports with diligence.
Facet arthropathy of spine can be treated well with local steroid shot under C arm guidance. You can consult your treating doctor for that
At age of 61 with hysterectomy and liver transplant there can be degenerative wear of bones, muscles, ligament and facet joint arthritis, due to deficiency of calcium, vitamin D, VIT B12.so supplements of these nutrients can relieve pain.
Osteoporosis may be associated leading to diffuse pain in back.
Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis,
And also check your vit B12 and vit D3 level.
You can reduce flare up by doing regular exercises and medication.
You need to start supplement of calcium with vitamin D, vit B12.
I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies.
You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case you need to take diet rich in calcium and vitamin D.
If not relieved you can take epidural injection.
Painful Knee Meniscus injury can be managed by arthroscopic repair.
As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion.
Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health.
Take care
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
taking vit D and cacium,50,ooo vitamin D weekly ,no surgery. platlets to low or steroid injections. will not do surgery after transplant concern, mineral bone analyis done and xray show lost about 4% bone decrease last checkup march 14, about eight months ago spontaneos bleed eye surgery,no nasaids stage 2 reoccurence hep c, elavated liver emymes and platlet decrease,tens, the last two didnt help,physiotherapy to far away from civilization in the country and two tired, thanks alot,you did help, just as i thought lay down and rest suffer thru it,i don;t know what i expect you to say,somethings dont have an answer,did i mention how tiring pain is, help someone else look up two drugs Sofobuvir and Simepreur that will probally be next step maybe that can help someone in your magiccare goodbye
Brief Answer:
epidural with platelet transfusion...
Detailed Answer:
Hi,
I apologize if my previous answers were not helpful. I understand the pain and suffering. In this context, I shall list the following options which you can discuss with your doctors.
1. I understand epidural shots are not feasible with low platelets. But this option can be tried after correcting low platelets. Single donor platelet transfusion where blood (platelet) cells can be transfused to improve the count and the shots will become an option as the counts cross 100 thousand cells/cumm. I am not sure if you received platelet transfusions earlier. If you haven't discuss with your hepatologist.
2. Since the benefits of physiotherapy are very significant, you can learn a few techniques after a couple of sessions. Off course, you might need to travel for few days; but I feel that would be worthwhile. You may also consider some physio-equipments (if they are cost effective) which you can use after training at home.
3. Besides these, yoga pranayama and XXXXXXX XXXXXXX are few wholistic techniques that have been helpful in many of my patients.
These are 3 options, I would try along with calcium and vitamin D supplements. You can discuss about those with your orthopedic and hepatologist doctors.
Regards
Take care
epidural with platelet transfusion...
Detailed Answer:
Hi,
I apologize if my previous answers were not helpful. I understand the pain and suffering. In this context, I shall list the following options which you can discuss with your doctors.
1. I understand epidural shots are not feasible with low platelets. But this option can be tried after correcting low platelets. Single donor platelet transfusion where blood (platelet) cells can be transfused to improve the count and the shots will become an option as the counts cross 100 thousand cells/cumm. I am not sure if you received platelet transfusions earlier. If you haven't discuss with your hepatologist.
2. Since the benefits of physiotherapy are very significant, you can learn a few techniques after a couple of sessions. Off course, you might need to travel for few days; but I feel that would be worthwhile. You may also consider some physio-equipments (if they are cost effective) which you can use after training at home.
3. Besides these, yoga pranayama and XXXXXXX XXXXXXX are few wholistic techniques that have been helpful in many of my patients.
These are 3 options, I would try along with calcium and vitamin D supplements. You can discuss about those with your orthopedic and hepatologist doctors.
Regards
Take care
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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