FAQ - synovitis
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How can i loose weight?

I'm 5'10 and I way 182 pounds. I play soccer on my High School Soccer team, but im currently injured with synovitis. So i cant do much right now. Im really interested in flattening my stomach. Any good ideas or have any of you done anything that help you?

P.S. My mom is a lawyer, and dosen't trust her credit card on anything from like internet sites or off tv commercials.

I'm looking for things i could at home.

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Had an MRI on left knee after falling, what does the report mean in layman terms?

Tricompartmental osteoarthritis, greater at the patellofemoral compartment where there is lateral patellar tilt, subluxation and an 8mm oblique high grade chondral fissure at the patellar apex with underlying marrow edema, further intermdediate grade chondromalacia, spurring, a joint effusion and synovitis/debris in the lateral parapatellar recess.

You have osteoarthritis (degenerative joint disease) in three areas -it is most severe in the knee cap area. The knee cap is off center and does not track properlly. You have some erosion (fissure) the the top of the knee cap which is exposing some of the marrow. you have some medium grade chondromalacia (thining of the bone). You have a build of or joint fluid and debris (probably from the back of your knee cap -

I am not a doctor, but I have studied medical terminology and your knee sounds like mine. Do they "crunch" when you bend them or walk up/down stairs? That is the debris that is causing that. It is from the lining on the back of your knee cap scruffing off.  (+ info)

can i work w degenerative arthrosis on both my knees & feet & CRPS or is it dangerous &should I be dissabled ?

I was recently diagnosed by several doctors w. degenerative arthrosis on both my knees & feet & also with an unresolved fracture(unhealed fracture)from a foot fracture that i had back in 2001 & with CRPS.I was disgnosed with degenerative changes on my feet & ankle joints as well as on both my knees & with periostitis attributed to enthesopathy.All this was recently diagnosed via some tests including an MRI & a bonescan.Ive being off work since may 2006 because the severe pain caused by my conditions.Last year I was also diagnosed with chronic tendinitis & Synovitis.My doctor dont want to put me as disable because he say even thou Im in a chronic & severe condition Im too young & that he dont want to put his name on the line just cause Im only 29,another doctor told me the same that Im too young to be disabled,but that if I was 50-55 w the exact same conditions that it would be different & they wouldnt have any problem on disableling me.I feel discriminated by my age.Im on pain allday.

If you do not feel like you can work then a some type of disability may be required since you are in too much pain to work. If you feel like a light job or some small job you could handle then disability is probably not what you would like to do. I would talk to your doctor and ask them what they would suggest since you are in so much pain. Good luck!  (+ info)

How long will this take to heal?

I had an ankle arthroscopy on thursday. My surgeon told me I had reactive synovitis and that he removed the membrane covering my joint since it was really inflammed. About how long will it take since he had to remove my membrane? how long will it take for the pain to go away? Thank you!!

you should telephone the surgeon and ask these questions. Only the person who did the surgery can really give you a truthful answer.  (+ info)

Hello.I am Hemophilic 19 years old. I am suffering from an ankle pain (left leg) from last three months and I?

Hello.I am Hemophilic 19 years old. I am suffering from an ankle pain (left leg) from last three months and I also have a knee problem for that same leg from last 5 years I met some doctors and they told there is possibilities of synovitis. Now I having a disconfortness in walking, so a i searching for permanent cure for this problem. If you have a treatment for this kindly mail to following address. MAIL:[email protected]

Ask the Dr about synovitis (check the spelling?), they should have given you more info. Please do not be shy. Call the office and ask.

Do some detective work think and try and remember if you had any injury to the ankle in the past, do not worry lots of time people have injury but at the time they do not suffer the pain so they are not able to remember it , but a slight imbalance rigger a pain and they then suffer from that time on.

Here is the General treatment in case of some injuries and pain:

In your case neck and back pain.

1). Rest. (do not play sports and lift any thing heavy, go to a pharmacy or medical supply and ask for an ankle support, in your case get it and use it all the time ).
2). Cold and Hot compressions, alternately(ice the swelling in your case).
3). Pain killers such as Aspirin/Tylenol.
4). Vitamin B6 it help rejuvenate the tissues.
5). Apply pain killer ointment and massage it lightly.

After healing, do light stretching and slowly get in to usual routing step by step.

Hope you have seen a Dr. and had a X' Rayed taken, or had MRI done (preferably both). Make an appointment for a Dr. and if need be cancel it later in time to avoid visit fees, if you get batter in time.

Treat the scratches with antibacterial. Like Bactine(it does not sting) or Equal, keep it covered and clean  (+ info)

Rotator cuff injury and Brufen - Anyone know the best cure for a shoulder injury? Any Drs/physios there?

8-9 months ago I injured my (R) shoulder - u/s shows "bicipital synovitis with medial subluxation & flattening of the long head of biceps tendon. There is minor tearing of the upper subscapularis insertion". (rotator cuff) I am getting different opinions from Drs and physios about treatment. Most physios advise to do exercises (muscle strengthening) and stretching. My Dr says I need to take Nurofen (weaker than Brufen) to reduce inflammation and REST so it can heal. I am fairly active so my muscles around the shoulder are stretched to a moderate degree anyway. Has anyone experienced a shoulder injury and has some very wise advice???

Hi Marceau
It's hard to be certain what's going on without examining your shoulder but if you have ongoing symptoms after nearly nine months then I think it really probably needs further investigation. Ultrasound is one way of imaging the shoulder but it sometimes only tells a part of the story.
If you have ongoing pain then an MRI scan would be the next logical step in working out exactly what is going on. It could be that you have a more significant rotator cuff tear than the ultrasound suggested - or it might be that the problem lies in the joint or in the labrum around the joint.

I would see your doc again and ask to be referred to a shoulder specialist

Hope that helps  (+ info)

My grandfather's legs HURT under somewhat heavy blankets. What's up?

He has a history of knee and leg problems. He also has synovitis (major knee problem).
He is 77 years old. Is this age or something different? He doesn't exactly have the right symptoms for restless legs syndrome.

Remember, I'm choosing a best answer!

This could be his arthritis flaring up, it could be gout, it could be leg cramping due to low potassium or sodium levels in the body, it could be from edema - there are so many causes of leg pain in the elderly. His doctor should know about this and then give him the correct recommendations for what his diagnosis might be. Taking some tylenol regularly for the pain will help under any circumstances, no matter what the cause. Unless his legs move constantly, especially at night, this is not restless leg syndrome.  (+ info)

I am suffering from wrist pain of left hand, when I bend the wrist down get pain continuously.,?

Allopath advised the disease as Tandem synovitis , I am under medication with homeopathy but no improvement in the last 15 days

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Medical Mystery: Long-term Undiagnosed Knee Swelling?

I am an 18 year old male with no serious health problems. Last summer i had fluid in my right knee pretty severely, which lasted for about 6 months. I had an MRI and x-ray done, both showing it to be fine, i had it drained twice and a cortisone shot, but every time the fluid came back. i was also treated for lyme disease, although the titers were negtive After 6 months of no running, the fluid just went away. Over the next 6 month period my knee was completely normal, but the eventually the fluid came back, this time less severe. I had arthroscopic surgery which revealed my knee to be mechancally fine once again. I have never had a traumatic injury, but i have had a history of contact sports. While my right knee continues to be swollen, my left knee is completely fine. The "diagnosis" is chronic idopathic arthritis/synovitis, which basically means they(excellent rheumatologists) dont know what's causing the swelling. Any comments will help, i have never been more frustrated.

You may have Gout. What Is Gout?

Gout is a painful condition that occurs when the bodily waste product uric acid is deposited as needle-like crystals in the joints and/or soft tissues. In the joints, these uric acid crystals cause inflammatory arthritis, which in turn leads to intermittent swelling, redness, heat, pain, and stiffness in the joints.

In many people, gout initially affects the joints of the big toe (a condition called podagra). But many other joints and areas around the joints can be affected in addition to or instead of the big toe. These include the insteps, ankles, heels, knees, wrists, fingers, and elbows. Chalky deposits of uric acid, also known as tophi, can appear as lumps under the skin that surrounds the joints and covers the rim of the ear. Uric acid crystals can also collect in the kidneys and cause kidney stones.

What Is Uric Acid?

Uric acid is a substance that results from the breakdown of purines. A normal part of all human tissue, purines are found in many foods. Normally, uric acid is dissolved in the blood and passed through the kidneys into the urine, where it is eliminated.

If there is an increase in the production of uric acid or if the kidneys do not eliminate enough uric acid from the body, levels of it build up in the blood (a condition called hyperuricemia). Hyperuricemia also may result when a person eats too many high-purine foods, such as liver, dried beans and peas, anchovies, and gravies. Hyperuricemia is not a disease, and by itself it is not dangerous. However, if excess uric acid crystals form as a result of hyperuricemia, gout can develop. The crystals form and accumulate in the joint, causing inflammation.

What Are the Four Stages of Gout?

Literally translated, arthritis means “joint inflammation.” It refers to more than 100 different diseases that affect the joints. Gout accounts for approximately 5 percent of all cases of arthritis. The disease can progress through four stages:

Asymptomatic (without symptoms) hyperuricemia – In this stage, a person has elevated levels of uric acid in the blood (hyperuricemia), but no other symptoms. Treatment is usually not required.

Acute gout, or acute gouty arthritis – In this stage, hyperuricemia has caused the deposit of uric acid crystals in joint spaces. This leads to a sudden onset of intense pain and swelling in the joints, which also may be warm and very tender. An acute attack commonly occurs at night and can be triggered by stressful events, alcohol or drugs, or the presence of another illness. Attacks usually subside within 3 to 10 days, even without treatment, and the next attack may not occur for months or even years. Over time, however, attacks can last longer and occur more frequently.

Interval or intercritical gout – This is the period between acute attacks. In this stage, a person does not have any symptoms.

Chronic tophaceous gout – This is the most disabling stage of gout. It usually develops over a long period, such as 10 years. In this stage, the disease may have caused permanent damage to the affected joints and sometimes to the kidneys. With proper treatment, most people with gout do not progress to this advanced stage.

When It’s Not Gout, It May Be Pseudogout

Gout is sometimes confused with other forms of arthritis because the symptoms – acute and episodic attacks of joint warmth, pain, swelling, and stiffness – can be similar. One form of arthritis often confused with gout is called pseudogout. The pain, swelling, and redness of pseudogout can also come on suddenly and may be severe, closely resembling the symptoms of gout. However, the crystals that irritate the joint are calcium phosphate crystals, not uric acid. Therefore, pseudogout is treated somewhat differently and is not reviewed in this booklet.

What Causes Gout?

A number of risk factors are associated with hyperuricemia and gout. They include:

genetics. Twenty percent of people with gout have a family history of the disease.

gender and age. It is more common in men than in women and more common in adults than in children.

weight. Being overweight increases the risk of developing hyperuricemia and gout because there is more tissue available for turnover or breakdown, which leads to excess uric acid production.

alcohol consumption. Drinking too much alcohol can lead to hyperuricemia, because alcohol interferes with the removal of uric acid from the body.

diet. Eating too many foods that are rich in purines can cause or aggravate gout in some people.

lead exposure. In some cases, exposure to lead in the environment can cause gout.

other health problems. Renal insufficiency, or the inability of the kidneys to eliminate waste products, is a common cause of gout in older people. Other medical problems that contribute to high blood levels of uric acid include:

high blood pressure

hypothyroidism (underactive thyroid gland)

conditions that cause an excessively rapid turnover of cells, such as psoriasis, hemolytic anemia, or some cancers

Kelley-Seegmiller syndrome or Lesch-Nyhan syndrome, two rare conditions in which the enzyme that helps control uric acid levels either is not present or is found in insufficient quantities.

medications. A number of medications may put people at risk for developing hyperuricemia and gout. They include:

diuretics, such as furosemide (Lasix*), hydrochlorothiazide (Esidrix, Hydro-chlor), and metolazone (Diulo, Zaroxolyn), which are taken to eliminate excess fluid from the body in conditions like hypertension, edema, and heart disease, and which decrease the amount of uric acid passed in the urine

salicylate-containing drugs, such as aspirin

niacin, a vitamin also known as nicotinic acid

cyclosporine (Sandimmune, Neoral), a medication that suppresses the body’s immune system (the system that protects the body from infection and disease). This medication is used in the treatment of some autoimmune diseases, and to prevent the body’s rejection of transplanted organs.

levodopa (Larodopa), a medicine used to support communication along nerve pathways in the treatment of Parkinson’s disease.

* Brand names included in this booklet are provided as examples only, and their inclusion does not mean that these products are endorsed by the National Institutes of Health or any other Government agency. Also, if a particular brand name is not mentioned, this does not mean or imply that the product is unsatisfactory.

Who Is Likely to Develop Gout?

Gout occurs in 8.4 of every 1,000 people. It is rare in children and young adults. Men, particularly those between the ages of 40 and 50, are more likely to develop gout than women, who rarely develop the disorder before menopause. People who have had an organ transplant are more susceptible to gout.

How Is Gout Diagnosed?

Gout may be difficult for doctors to diagnose because the symptoms can be vague, and gout often mimics other conditions. Although most people with gout have hyperuricemia at some time during the course of their disease, it may not be present during an acute attack. In addition, having hyperuricemia alone does not mean that a person will get gout. In fact, most people with hyperuricemia do not develop the disease.

To confirm a diagnosis of gout, a doctor may insert a needle into an inflamed joint and draw a sample of synovial fluid, the substance that lubricates a joint. The joint fluid is placed on a slide and examined under a microscope for uric acid crystals. Their absence, however, does not completely rule out the diagnosis.

The doctor also may find it helpful to look for uric acid crystals around joints to diagnose gout. Gout attacks may mimic joint infections, and a doctor who suspects a joint infection (rather than gout) may also culture the joint fluid to see whether bacteria are present.

Signs and Symptoms of Gout

presence of uric acid crystals in joint fluid
more than one attack of acute arthritis
arthritis that develops in a day, producing a swollen, red, and warm joint
attack of arthritis in only one joint, often the toe, ankle, or knee

How Is Gout Treated?

With proper treatment, most people who have gout are able to control their symptoms and live productive lives. Gout can be treated with one or a combination of therapies. The goals of treatment are to ease the pain associated with acute attacks, to prevent future attacks, and to avoid the formation of tophi and kidney stones. Successful treatment can reduce discomfort caused by the symptoms of gout, as well as long-term damage to the affected joints. Treatment will help to prevent disability due to gout.

The most common treatments for an acute attack of gout are nonsteroidal anti-inflammatory drugs (NSAIDs) taken orally (by mouth), or corticosteroids, which are taken orally or injected into the affected joint. NSAIDs reduce the inflammation caused by deposits of uric acid crystals, but have no effect on the amount of uric acid in the body. The NSAIDs most commonly prescribed for gout are indomethacin (Indocin) and naproxen (Anaprox, Naprosyn), which are taken orally every day. Corticosteroids are strong anti-inflammatory hormones. The most commonly prescribed corticosteroid is prednisone. Patients often begin to improve within a few hours of treatment with a corticosteroid, and the attack usually goes away completely within a week or so.

When NSAIDs or corticosteroids do not control symptoms, the doctor may consider using colchicine. This drug is most effective when taken within the first 12 hours of an acute attack. Doctors may ask patients to take oral colchicine as often as every hour until joint symptoms begin to improve or side effects such as nausea, vomiting, abdominal cramps, or diarrhea make it uncomfortable to continue the drug.

For some patients, the doctor may prescribe either NSAIDs or oral colchicine in small daily doses to prevent future attacks. The doctor also may consider prescribing medicine such as allopurinol (Zyloprim) or probenecid (Benemid) to treat hyperuricemia and reduce the frequency of sudden attacks and the development of tophi.

People who have other medical problems, such as high blood pressure or high blood triglycerides (fats), may find that the drugs they take for those conditions can also be useful for gout. Both losartan (Cozaar), a blood pressure medication, and fenofibrate (Tricor), a triglyceride-lowering drug, also help reduce blood levels of uric acid.

The doctor may also recommend losing weight, for those who are overweight; limiting alcohol consumption; and avoiding or limiting high-purine foods, which can increase uric acid levels.

What Can People With Gout Do to Stay Healthy?

Fortunately, gout can be controlled. People with gout can decrease the severity of attacks and reduce their risk of future attacks by taking their medications as prescribed. Acute gout is best controlled if medications are taken at the first sign of pain or inflammation. Other steps you can take to stay healthy and minimize gout’s effect on your life include the following:

Tell your doctor about all the medicines and vitamins you take. He or she can tell you if any of them increase your risk of hyperuricemia.

Plan followup visits with your doctor to evaluate your progress.

Drink plenty of nonalcoholic fluids, especially water. Nonalcoholic fluids help remove uric acid from the body. Alcohol, on the other hand, can raise the levels of uric acid in your blood.

Exercise regularly and maintain a healthy body weight. Lose weight if you are overweight, but avoid low-carbohydrate diets that are designed for quick weight loss. When carbohydrate intake is insufficient, your body can’t completely burn its own fat. As a consequence, substances called ketones form and are released into the bloodstream, resulting in a condition called ketosis. After a short time, ketosis can increase the level of uric acid in your blood.

Avoid foods that are high in purines.

High-Purine Foods

beef kidneys
dried beans and peas
game meats

What Research Is Being Conducted to Help People with Gout?

Because uric acid’s role in gout is well understood and medications to ease attacks and reduce the risk or severity of future attacks are widely available, gout is one of the most – if not the most – controllable forms of arthritis. But researchers continue to make advances that help people live with gout. Perhaps someday these advances will prevent this extremely painful disease.

Some current areas of gout research include the following:

refining current treatments. While many medications are available to treat gout, doctors are trying to determine which of the treatments are most effective and at which dosages. Recent studies have compared the effectiveness of different NSAIDs in treating the pain and inflammation of gout and have looked at the optimal dosages of colchicine and allopurinol (a uric-acid-lowering drug) to control and/or prevent painful attacks.

evaluating new therapies. A number of new therapies have shown promise in recent studies. They include infliximab (Remicade) and other biologic agents that block a chemical called tumor necrosis factor. This chemical is believed to play a role in the inflammation of gout. Another new drug therapy is febuoxostat, which works by blocking an enzyme involved in the production of uric acid.

discovering the role of foods. Gout is the one form of arthritis for which there is proof that specific foods worsen the symptoms. Now research is suggesting that certain foods may also prevent gout. In a study published in the New England Journal of Medicine, scientists found that a high intake of low-fat dairy products reduces the risk of gout in men by half. The reason for this protective effect is not yet known. Another study examining the effects of vitamin C on uric acid suggests that it may be beneficial in the prevention and management of gout and other diseases that are associated with uric acid production.

searching for new treatment approaches. Scientists are also studying the contributions of different types of cells that participate in both the acute and chronic joint manifestations of gout. The specific goals of this research are to better understand how urate crystals activate white blood cells called neutrophils, leading to acute gout attacks; how urate crystals affect the immune system, leading to chronic gout; and how urate crystals interact with bone cells in a way that causes debilitating bone lesions among people with chronic gout. The hope is that a better understanding of the various inflammatory reactions that occur in gout will provide innovative clues for treatment.

examining how genetics and environmental factors can affect hyperuricemia. Researchers are studying different populations in which gout is prevalent to determine how certain genes and environmental factors may affect blood levels of uric acid, which can leak out and crystallize in the joint, leading to gout.  (+ info)

I need help reading this MRI on my shoulder the Workman compansation DR. won't tell me anthing?

MRI report?
since I live in NJ and got hurt on the job my workmans compansation dr, won't tell me what is wrong with my shoulder He wouldn't even give me a copy of the MRI. Well I got a copy of the MRI today and I need to know what it means because this Dr. won't tell me anything.
what is a longitudinal tear of the superior labrum into the anterior and posterior labrum to the level of the equator compatable with a slap. There is also moderate tendonosis and intrasubstance split of the proximal intra-articular biceps.
there is also a mild synovitis and capsular thickening in the rotator interval and axillary recess compatable with adhesive capsulitis.
1 Moderate rotator cuff tendonosis
2 Slap tear extending into the proximal intra-articular beceps tendon
3 Adhesive capulitis.

Additional Details

52 minutes ago
It states no full thickness rotator cuff tear. All I know is the Dr. works for the insurance and not for me so I'm trying to get all the information I c

it means that you need a second opinion from a orthopedic surgeon ,he will probally recommend surgery, and also get a lawyer that specializes in work comp/ personal injury cases. you'll need one ., because your right . the work comp doctor, works for the insurance, and your employer ,not for you , GOOD LUCK!!!!!  (+ info)

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