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Jacque Bradbury
I had arthoscopic surgery on both my knees. On
one knee he had to do it twice 10 weeks from the
1st surgery. 8 weeks later the other knee. I was
told I have alot of arthritis. The knee that was
done twice is still very very sore and stiff.
The shin bone right at the top hurts to the touch.
When I told the doctor he just said "oh great"
and nothing else about it. This surgery that was
twice done on my right knee was back in July.
should it be this hard to get around. should my
knees hurt and be so stiff? And what about the
shin bone and why that hurts to the slightest
touch. thank you |
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Mary Ann E. Keenan, MD
knee pain can have several causes. It would be
necessary to examine your knee to determine why
it still hurts and what treatments might be effective
for you. Perhaps you'd like another opinion. You
could call 1-800- 789-PENN. |
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Sue Dennie
I'm writing for my mother who had a stroke 7 years
ago. She has a problem with her left foot turning
in and some times it hits her right heel. She
was wondering if there was anything that can be
done for it. |
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Mary Ann E. Keenan, MD
Hi Sue; These foot problems are extremely common
after stroke. Yes there are a few relatively simple
procedures that can be done to straighten the
foot after a stroke. Please feel free to call
me to arrange an appointment. The call center
is open now to take your message at 1-800-789-PENN.
Thank you. |
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Mark Steelman
I recently had knee surgery, I am a marathon runner
who recently ran the Boston marathon, I was told
that I have a hole in the cartlidge under my knee
cap. I am having trouble accepting that my running
career is in jeopardy. Two surgery's in 14 months
I feel that I have to leave the south jersey area
and pursue medical advice elsewhere |
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Richard D. Lackman, MD
Penn Orthopaedics has specialists who perform
cartilage transplantation. This is a new, innovative
technique which may be applicable to your situation.
I would suggest you contact Brian Sennett, MD
our sports medicine specialist for a consultation.
You can reach him at 1-800-789-PENN. |
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Mark Steelman
Thank you for the info that you provided .i will
call dr. Lackmman and look forward to discussing
the problem that I have |
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Moderator
Karen Coutts
I am 35 years old and was hospitalized with pnemonia....Miss
Coutts, we will refer your question to a pulmonologist
specialist at Penn, and we will post a response
to your post on PENNHEALTH.com next week. |
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Daisy
I had an MRI done on my left knee a few months
ago. It said I have signs of hematopoietic bone
marrow. Can you tell me what that is? |
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Mary Ann E. Keenan, MD
Hi Daisy: Hematopoietic bone marrow refers to
the type of bone marrow that makes new blood cells.
Normally this type of marrow is not seen around
the knee. This is something you might want to
consult with Dr. Lackman about. To reach him you
can call 1-800-789-PENN |
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Karen Coutts
Thank you so much..can you please tell me how
I go about looking for the repsonse on your website..take
care!!! |
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Sue Dennie
I gave her your message and she reminded me that
she felt because her foot was turning in, it's
causing her to walk on the left side of her foot
which is causing her pain from the bone. Is that
also something that can be corrected? Thank you
|
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Mary Ann E. Keenan, MD
Sue: Without examining your mother I cannot tell
you exactly what she needs. Based on your description,this
turning in of the foot is called equinovarus.
It is the most common foot deformity after a stroke.
This problem is very successfully treated with
tendon transfer surgery. The surgery is relatively
simple and can be done in less than one hour.
|
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Moderator
Karen, you can find the information by clicking:
http://www.pennhealth.com/feature/archive.html
|
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rose
dr keenan---i just wanted to thank you for all
you do for people and especially your wonderful
bedside manner treating patients...i bought a
patient to see you (karen) and you treated her
like you would your own daughter...thank you for
your kindness and ability to help better the lives
of many |
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Mary Ann E. Keenan, MD
Rose: Thank you for your very kind comments. I
really love the work I do and I am always very
grateful to have the opportunity to work with
people like Karen and Beth Fisher. |
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Terrie Stagliano
Hi Dr. Lackman! You saved my daughter Andrea Farnsworth's
life 3 years ago after she was dxed w/ Ewing's
Sarcoma! Today is her 26th birthday, and I thank
you with all of my heart that you kept my daughter
alive to see this day! We love you!She is now
an RN at St. Chris' in the NICU.
What is new in the pelvis limb saving surgeries,
for sarcomas such as Ewings? Again, I thank you
with all my heart! |
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Moderator
Thank you for your message, Doctor Lackman has
left the chat but we will forward your question
to him and post the response on PENNHEALTH.com
next week |
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Sue Dennie
Thank you for the information and I will pass
it on to my mother. |
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ken W
I have had knee surgery one left knee. Both pads
are gone on both knees. My doctor wants me to
wait to have knees replaced until I'm 60. I'm
57 now. He wants me to have a three step treatment
but I've heard it is only good for 6 months. Is
it considered an effective treatment? What happens
to the material that is injected? I justneed to
more more active with much less pain. Please help
me with some advice. Ken |
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ken W
Dear monitor> please see if someone can give
me some feedback on my question about cynavisc
(not sure of spelling) Is it an effective treatment
or should I go for totalknee replacement |
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Mary Ann E. Keenan, MD
Ken: Without examining you I can not give you
direct information about yourself. Based on your
description, the problem seems to be osteoarthritis.
There are two similar medications, Synvisc and
Hyalgen, which are sometimes injected into the
knee for moderately severe arthritis. If the arthritis
is not too advanced this can be an effective treatment.
For advanced arthritis, knee replacements are
very effective. |
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Terry Stagliano
Thank you. And anyone who is reluctant to see
any of the Docs at Penn Orthopeadics, I can tell
you that these Drs., Lackman, Sennett, etc. are
fantastic. Do yourself the favor and make the
appointment. You will be glad you did. |
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Mary Ann E. Keenan, MD
Hi Terry: Thank you for you comments. Penn Orthopaedics
is a very special place to work. |
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Tom Zavorski
Hello. I had the limb salvage surgery at the Univ
of Penn back in 95. I had a osteogenic sarcoma
in my right leg. I thought it was a great show
tonight. I have never met anyone who had the same
surgery I had undergone. Is there a way I can
help someone directly who went through the same
experiences that I had gone through? |
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Mary Ann E. Keenan, MD
Tom: Not having seen you or your xrays, I will
need to discuss this topic in general terms. The
patient you saw tonight had a chondrosarcoma.
This is different from an enchondroma. Usually
enchondromas do not become cancerous. If you are
having pain though, this should certainly be examined
further. You can call 1-800-789-PENN tonight if
you whish to make an appointment to see Dr. Lackman. |
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Moderator
Tom, It’s wonderful to hear that you are
looking to support others with a similar condition.
We are glad to hear that you are doing well. We
will forward your question to Dr. Lackman and
post the answer on pennhealth.com next week. |
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vickie biggerstaff
My husband told me there was a report on Friday
about someone treated at HUP for an echondroma
in his femur. I have so much pain in my l knee
(I'm 41) and had an MRI and X-ray last week that
said i have a 6 x 2 echondroma l femur and my
dr said "your results are nothing significant,
keep taking the naprosyn" I think my husband
said the man in the story said the echondroma
had turned cancerous. Is that possible? |
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ken W
Dr Keenan: I do have osteoarthritis . I justwondered
how much the three stpe treatment will help if
it is only good for 6 months. Do you go back in
for a new treatment every 6 months? How long does
this go on before you have to go to the next step
|
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Mary Ann E. Keenan, MD
Ken: The Synvisc or Hyalgen injections are always
given in a series of three. The response to the
injections varies with each person and is related
to how advanced their arthritis is. The decision
of whether or not to repeat a series of injections
is based on your own individual examination. |
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Toby Cutner
My husband has had two hip replacements on the
same hip [the left] ,the first diagnosed as AVN,
the second as a result of an automobile accident.
He has had weakness in his operated leg since
the second operation which did not respond to
therapy. About two months ago he devloped pain
in his left groin, knee and hip and subsequently
could not walk and was in excruciating pain. This
was diagnosed as a blood clot in the elioposoas
musscle pressing on his femoral nerve. A tear
in in his glut was also noted. After two months
and hospitalizations including rehab hospitalization
and outpatient rehab he is still experiencing
chronic and great pain, does not walk properly
and is being fitted for a knee brace because his
left knee is at a 5% angle away from his body.
He has been told that his femoral nerve only has
20-30% functioning. He is being seen by a neurologist
and a rehab doctor. The orthopedic people say
this is not an orthopedic problem. Can anything
be done to help someone
SORRY: length exceeded |
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Mary Ann E. Keenan, MD
Toby: I am basing my response on your description
of the problem and not an examination. Therefore
this information is somewhat general. When there
has been an injury to the femoral nerve, it causes
weakness in the quadriceps muscle. Quadriceps
weakness makes it difficult to walk without falling.
There are very effective braces to support the
knee for this problem. If you wold like an evaluation
and reommendations about the best bracing, you
can schedule an appointment with me by calling
1-800-789-PENN. |
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Andrea
My 5 year old son had a bone biopsy to rule out
Ewings sarcoma almost 10 months ago. After the
final pathology report came back,he was found
to have chronic osteomyelitis. Could that chronic
inflammation make him more prone to a sarcoma
in the future. He is extremely tall for his age
|
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Moderator
Andrea, Thank you for your question. Unfortunately,
Dr. Lackman had to leave the chat early but we
will forward your response to him and post the
response on pennhealth.com next week. |
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Barbara
I have an app. w/ Dr. Lakeman in July. I have
been diagnosed w/myositis ossificans, a calcification
pressing in my muscle, I'm taking anti-inflam.
drugs, but is still painful. What can be done
about this and does it ever go away. thank you |
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Moderator
Barbara, Unfortunately, Dr. Lackman had to leave
the chat early. We will forward your response
to him and post the response on pennhealth.com
next week |
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JACKIE
I JUST SEEN WHAT I WAS DOING WRONG MY QUESTION
MY RIGHT FOOT AROUND MY BIG TOE HAS BECOME NUM
AND I THINK THAT IT IS MAKING MY WHOLE RIGHT LEG
FEEL AS IF THE CIRCLATION IS BAD IN IT HAVING
BAD CIRCLATION WILL MAKE YOUR TOE NUM IN YOUR
FOOT? |
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Mary Ann E. Keenan, MD
Jackie: Numbness and circulation problems in the
leg can come from many different causes. It would
be best for you to consult with a doctor of internal
medicine for this problem. You can schedule an
appointment by calling 1-800-789-PENN. |
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Lynne Parra
hi, i had a chondrosarsoma 12 years ago in my
pelvis and hip bone and Dr. Lackman did the surgery..i
had to have a hemipelvectomy |
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Lynne Parra
i went to Sloan Kettering cancer center in N.
Y for a 2nd opion.and they told me to get my affairs
in order...i am still here 12 years later thanks
to Dr. Lackman.....I LOVE HIM!!! |
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Sharon Gauger
I am 38 yrs old & have been having right hip
pain off & on for about a year. It has been
painful more often the past several months. The
pain wakes me up at night sometimes unless I put
a pillow between my legs & on March 8th my
lower back (tailbone area) began to hurt so bad
I could barely stand up straight. I had xrays
that showed "punctate pelvic calcification"
and secondary xrays 2 wks ago that showed "sclerotic
lesion, likely benign, may represent bone infarct".
I was then sent for a bone scan last week. I was
told only that my primary care physician would
call me on Monday, but they could tell me that
the bone scan showed "increased density,
likely benign enchondroma or bone infarct".
Everything I read online says that enchondroma
is usually asymptomatic and if pain is present,
to watch/check for malignancy. How can they tell
for sure with bone scan and xrays that it looks
benign. I am very worried and have to suffer the
weekend to hear on Monday that I need to see an
Ortho S
SORRY: length exceeded |
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Mary Ann E. Keenan, MD
Sharon: Sometimes a diagnosis can be made from
studies like x-ryas and bone scans. Other times
it requires a biopsy to make a definite diagnosis
of a bone condition. You are best served by seeing
an orthopaedic surgeon who specializes in bone
tumors. You can make an appointment with Dr. Lackman
by calling 1-800-789-Penn. |
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Barbara Jean
What are the signs and symptoms of bone cancer??
Does surgery for stomach cancer make you more
suseptible?? |
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Moderator
Barbara Jean, Unfortunately, Dr. Lackman had to
leave the chat early. We will forward your question
to him and post the response on pennhealth.com
next week. |
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vickie biggerstaff
I e-mailed Dr. Frederick Kaplan today for an appointment.
Does Dr. Lackman specialize moreso in this type
of thing? |
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Mary Ann E. Keenan, MD
Vickie:
Dr. Lackman would be the more appropriate doctor
to see for an enchondroma. In reference to your
other question regarding the online article, Dr.
Lackman will be able to direct you to appropriate
material to read more about your problem. |
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Barbara
Dr. Lakeman, I have been diagnosed w/myositis
ossificans, a calcification presssing into my
muscle.It is very painful, I am on anti-inflam.
drugs. what can be done about it, and does it
ever go away. |
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Mary Ann E. Keenan, MD
Barbara: Mysositis ossificans is the growth of
bone within a muscle. This usually results from
an injury to the muscle. In the early stages,
anti-inflammatory mediations are very helpful.
When the bone has stopped growing, if it restricts
the movement of the limb, it can be removed surgically.
This is a condition that I see and treat frequently.
If you would like to schedule an appointment,
you can call 1-800-789-PENN. |
