http://www.arthritisusa.net The Center for Regenerative Medicine in Miami Beach. Wednesday, 21 Feb 2008 3:49:01 GMT en-us http://blogs.law.harvard.edu/tech/rss http://www.arthritisusa.net/cases/osteo-arthritis-and-age.asp http://www.arthritisusa.net/cases/osteo-arthritis-and-age.asp A 27 year old male comes to the center for consultation and evaluation of his left knee. Wednesday, 18 Aug 2010 10:27:31 GMT Aug 18, 2010 From The Doctor's Journal http://www.arthritisusa.net/cases/Aging_in_the_XXI_Century.asp http://www.arthritisusa.net/cases/Aging_in_the_XXI_Century.asp 88 year old Californian male and veteran of WWII presents to the center with bilateral knee pain. Tue, 27 Jul 2010 9:35:45 GMT July 27, 2010 From The Doctor's Journal http://www.arthritisusa.net/cases/female_soccer_players.asp http://www.arthritisusa.net/cases/female_soccer_players.asp Recent study done on female soccer players from the University of North Carolina at Chapel Hill suggests that these athletes flex and recruit the muscles around their knees differently from males! Wednesday, 16 Jun 2010 11:14:05 GMT Jun 16, 2010 From The Doctor's Journal http://www.arthritisusa.net/cases/bp.asp http://www.arthritisusa.net/cases/bp.asp 60 year old male from Ecuador presenting with chronic back pain for over 40 years, most recently the back pain has worsened. He describes shooting pain down both legs all the way down to posterior calf area, right worse than left, tingling (pins and needles ) mostly on the right side. Most lately at times patient can not even walk less than half of a block before stopping. He has difficulty falling sleep because of pain, And then when he wakes up in the morning the pain is still there, not as bad but always there. Pain gets worse with stress. Past medical history except for back surgery in 1990 otherwise is unremarkable, Medications; Patient says “nothing works, nothing touches the pain.” Despite the pain patient has remained active and have been working, denying disability. Patient describes himself as type B and Definitely not a perfectionist. But a real good hearted person. A type of person who can’t say no and at times bends backward and goes out of his way to accommodate others. Thursday, 20 May 2010 20:50:02 GMT May 20, 2010 From The Doctor's Journal http://www.arthritisusa.net/cases/ro.asp http://www.arthritisusa.net/cases/ro.asp Patient is a generally healthy 61 year old male. Patient presents in physical distress as a result of a chronic low back pain . The pain limits most activities that require bending and prolong weight bearing. Patient reports history of low back surgery performed in the early 1980’s. Patient is able to ambulate independently with a stooping posture. Thursday, 29 April 2010 20:50:02 GMT Apr 29, 2010 From The Doctor's Journal http://www.arthritisusa.net/cases/low_back_pain.asp http://www.arthritisusa.net/cases/low_back_pain.asp Patient states as soon as she sits down within minutes she gets a horrible back pain and buttocks pain forcing her to stand up and walk around. Mon, 22 Mar 2010 19:00:00 GMT Mar 22, 2010 From The Doctor's Journal http://www.arthritisusa.net/cases/pert.asp http://www.arthritisusa.net/cases/pert.asp Patient is an 83 year old male from Amish country. Patient complains of hip pain, states the whole hip has been hurting him now for almost 1 year. Patient has a history of decompression surgery of his lower back two years ago. Otherwise his past medical history is unremarkable , he does not take medication and he still works full time in his farm. He does not smoke and does not drink Alcohol. Patient describes the pain over the anterior and posterior aspects of the right hip. Patient is reporting primary pain during prolong weight bearing activities. His X-ray studies are negative for osteoarthritis of the Right Hip. Monday, 4 Jan 2010 20:50:02 GMT Jan 4, 2010 From The Doctor's Journal http://www.arthritisusa.net/cases/Fibromyalgia.asp http://www.arthritisusa.net/cases/Fibromyalgia.asp video provided Tuesday, 29 September 2009 12:45:00 GMT Sep 29, 2009 From The Doctor's Journal http://www.arthritisusa.net/cases/Spinal-Stenosis.asp http://www.arthritisusa.net/cases/Spinal-Stenosis.asp video provided Tuesday, 25 August 2009 12:45:00 GMT Aug 25, 2009 From The Doctor's Journal http://www.arthritisusa.net/cases/Carpal-Tunnel-Syndrome.asp http://www.arthritisusa.net/cases/Carpal-Tunnel-Syndrome.asp video provided Wensday, 23 July 2009 12:45:00 GMT July 23, 2009 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_023.asp http://www.arthritisusa.net/cases/the_knee_diaries_023.asp video provided Moday, 22 June 2009 12:45:00 GMT June 22, 2009 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_022.asp http://www.arthritisusa.net/cases/the_knee_diaries_022.asp video provided Wensday, 20 May 2009 12:45:00 GMT May 20, 2009 From The Doctor's Journal http://www.arthritisusa.net/cases/Chi-Ga-Trailer.asp http://www.arthritisusa.net/cases/Chi-Ga-Trailer.asp video provided Monday, 27 April 2009 12:45:00 GMT Apr 27, 2009 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_021.asp http://www.arthritisusa.net/cases/the_knee_diaries_021.asp video provided Tuesday, 24 March 2009 12:45:00 GMT Mar 24, 2009 From The Doctor's Journal http://www.arthritisusa.net/cases/Achilles-Tendonitis.asp http://www.arthritisusa.net/cases/Achilles-Tendonitis.asp video provided Wensday, 25 February 2009 10:45:00 GMT Feb 25, 2009 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_020.asp http://www.arthritisusa.net/cases/the_knee_diaries_020.asp video provided Friday, 23 January 2009 12:45:00 GMT Jan 23, 2009 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_019.asp http://www.arthritisusa.net/cases/the_knee_diaries_019.asp video provided Friday, 19 December 2008 12:45:00 GMT Dec 19, 2008 From The Doctor's Journal http://www.arthritisusa.net/cases/Costochondritis.asp http://www.arthritisusa.net/cases/Costochondritis.asp video provided Friday, 21 November 2008 12:45:00 GMT Nov 21, 2008 From The Doctor's Journal http://www.arthritisusa.net/cases/Pitchers_Elbow.asp http://www.arthritisusa.net/cases/Pitchers_Elbow.asp video provided Thursday, 30 October 2008 12:45:00 GMT Oct 30, 2008 From The Doctor's Journal http://www.arthritisusa.net/cases/Neck_Pain.asp http://www.arthritisusa.net/cases/Neck_Pain.asp video provided Tuesday, 30 September 2008 12:45:00 GMT Sep 30, 2008 From The Doctor's Journal http://www.arthritisusa.net/cases/Rotator_Cuff_B.asp http://www.arthritisusa.net/cases/Rotator_Cuff_B.asp video provided Thursday, 18 September 2008 12:35:00 GMT Sep 18, 2008 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_018.asp http://www.arthritisusa.net/cases/the_knee_diaries_018.asp video provided Wensday, 20 August 2008 12:35:00 GMT Aug 20, 2008 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_017.asp http://www.arthritisusa.net/cases/the_knee_diaries_017.asp video provided Monday, 14 July 2008 12:35:00 GMT July 14, 2008 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_016.asp http://www.arthritisusa.net/cases/the_knee_diaries_016.asp video provided Tuesday, 10 June 2008 12:35:00 GMT June 10, 2008 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_015.asp http://www.arthritisusa.net/cases/the_knee_diaries_015.asp video provided Sunday, 11 May 2008 12:35:00 GMT May 11, 2008 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_014.asp http://www.arthritisusa.net/cases/the_knee_diaries_014.asp video provided Thursday, 10 April 2008 12:35:00 GMT April 10, 2008 From The Doctor's Journal http://www.arthritisusa.net/cases/Acute_and_Chronic_Back_pain.asp http://www.arthritisusa.net/cases/Acute_and_Chronic_Back_pain.asp video provided Wensday, 4 Mar 2008 12:35:00 GMT Mar 4, 2008 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_013.asp http://www.arthritisusa.net/cases/the_knee_diaries_013.asp video provided Thursday, 14 Feb 2008 12:35:00 GMT Feb 14, 2008 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_012.asp http://www.arthritisusa.net/cases/the_knee_diaries_012.asp video provided Thursday, 27 Dec 2007 12:35:00 GMT Dec 27, 2007 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_011.asp http://www.arthritisusa.net/cases/the_knee_diaries_011.asp video provided Monday, 17 Dec 2007 12:35:00 GMT Dec 17, 2007 From The Doctor's Journal http://www.arthritisusa.net/cases/plica_syndrome.asp http://www.arthritisusa.net/cases/plica_syndrome.asp A patient with  with no history of knee problem in the past presents to the center with the complaint of knee pain for the past two weeks. Monday, 19 Nov 2007 12:35:00 GMT Nov 19, 2007 From The Doctor's Journal http://www.arthritisusa.net/cases/fb.asp http://www.arthritisusa.net/cases/fb.asp College Football player came in last week with chief complaint of weakness in the left knee. Patient had an injury during a game about 2 years ago which was followed by arthroscopy, in which part of his cartilage was removed. He has no pain unless he plays hard in his football matches. His past medical history is unremarkable and he is very healthy. He is concerned since he is a good candidate to be signed up next year in NFL (National Football League). Thursday, 18 Oct 2007 20:50:02 GMT Oct 18, 2007 From The Doctor's Journal http://www.arthritisusa.net/cases/hemorrhage_in_the_knee.asp http://www.arthritisusa.net/cases/hemorrhage_in_the_knee.asp 81 year old female with no history of knee problem or pain in the past came in today complaining of sudden onset of knee swelling. Wed, 19 Sep 2007 18:12:23 GMT Sep 19, 2007 From The Doctor's Journal http://www.arthritisusa.net/cases/acl.asp http://www.arthritisusa.net/cases/acl.asp 36 year old male came in today for evaluation of his left knee. Patient is concerned about preventive care and avoiding future arthritis. He states about 3 years ago while skiing he had a fall. At that time it was very painful and he needed emergency personnel to bring him down the slopes using stretcher. He had an MRI initially that showed partial tear of his ACL (Anterior Cruciate Ligament). Patient had some physical therapy and he was able to get some self healing subsequently. At this point he says he can not run (knee feels unstable), and at times if he swims a lot he gets some discomfort. He is otherwise healthy and does not take any medications. Friday, 17 Aug 2007 20:50:02 GMT Aug 17, 2007 From The Doctor's Journal http://www.arthritisusa.net/cases/pt.asp http://www.arthritisusa.net/cases/pt.asp A professional Basketball player came in for evaluation today; complaining of knee pain mostly below the level of knee cap. Patient has been experiencing the pain now for sometimes mostly during playing the game specifically while jumping. He is otherwise very healthy and strong, does not smoke or drink alcohol. He takes Glucosamine daily. Friday, 20 July 2007 20:50:02 GMT Jul 20, 2007 From The Doctor's Journal http://www.arthritisusa.net/cases/cp07.asp http://www.arthritisusa.net/cases/cp07.asp A 50 year old woman presents to the office with history of knee pain in the left knee for several years, patient states swelling her knee swells up at times for no reason at all. The knee was aspirated and positive for Calcium pyrophosphate deposits. Patient describes the pain deep in joint, .Pain does not exacerbate by any environmental factors, such as diet, exercise, weather...pain responds well to Mobic. She is not a smoker and she does not drink . Wen, 13 June 2007 11:25:01 GMT June 13, 2007 From The Doctor's Journal http://www.arthritisusa.net/cases/basketballer07.asp http://www.arthritisusa.net/cases/basketballer07.asp Professional basketball player, came in today for evaluation and treatment. Patient states that two years ago while playing in a game he injured himself by twisting his right knee, since then his performance is not quite the same. He really has no pain when he walks; discomfort is only during playing especially the jumping affects his game. His past medical history is unremarkable; he is very healthy and athletic. Hardly takes any anti-inflammatory, never smokes and does not drink. Patient still has several more years on his contract, and he is concerned about preventing arthritis in future. On physical exam twisting of the knee produces pain in the lateral region; he is also tender at the level of Lateral (medical lingo: the ligament is on the outside of the knee) collateral ligament. Monday, 21 May 2007 20:50:02 GMT May 21, 2007 From The Doctor's Journal http://www.arthritisusa.net/cases/advanced_osteoarthritis.asp http://www.arthritisusa.net/cases/advanced_osteoarthritis.asp PL is a 49 year old male who initially damaged his right knee playing Football in his youth. Patient initially was seen in our office on February of 2003. Thu, 19 Apr 2007 04:50:02 GMT April 19, 2007 From The Doctor's Journal http://www.arthritisusa.net/cases/dk07.asp http://www.arthritisusa.net/cases/dk07.asp 71 year old obese female with history of knee pain presents to the office for evaluation and treatment. Patient states she has no pain as long as she is sitting, going downstairs hurts her much more than going up. Knees are always swelled up. Knees get real stiff after sitting for about 30 minutes. She has to use a pillow between her knees when she sleeps. She can not walk more than a few steps before stopping. Her past medical history is negative for Rheumatoid or any other connective tissue diseases. Tylenol helps some times. She says "I have tried everything including acupuncture , synvisc injections, cortisone injections and anti-inflammatory medication with no improvement." Patient is 5 feet tall and weights over 280 pounds. Tuesday, 20 March 2007 18:50:02 GMT March 20, 2007 From The Doctor's Journal http://www.arthritisusa.net/cases/knot.asp http://www.arthritisusa.net/cases/knot.asp 58 year old female from Venezuela presenting with advanced osteoarthritis of right knee. Patient complaints of pain mostly upon walking. Pain at times wakes the patient up. Pain is also localized to Posterior lateral aspect (Outer back) of the right knee. Her past medical history is positive for obesity, and hysterectomy. She gets some relief with Motrin as well as Glucosamine. Wed, 21 Feb 2007 11:21:01 GMT Feb 21, 2007 From The Doctor's Journal http://www.arthritisusa.net/cases/us2.asp http://www.arthritisusa.net/cases/us2.asp 60 year old female with history of arthritis of left knee presents to the office with complaint of pain specially in the back of her knee, the posterior knee pain is localized to an area of 1 to two inches in diameter of swelling which feels like a water-filled balloon. The pain gets worse when the swelling is more and when she fully extend her knee or when she walks a lot. Her past medical history except for osteoarthritis of her knee otherwise is non-contributory. Advil definitely helps hers swelling as well as the pain. She does not smoke but she does drink socially. There is history of arthritis in the family. Monday, 23 Jan 2007 20:50:02 GMT Jan 23, 2007 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_009.asp http://www.arthritisusa.net/cases/the_knee_diaries_009.asp 50 year old male who was having pain off and on in the right knee for the past 3 years is presenting with chief complaint constant sever pain the last 2 months. Patient states he had pain off and on in the knee in the past however for the last two months it has been continuous and interfering with his life style. He describes pain all the time, worse when he is walking or putting weight on it. He says the pain is still there if he is sitting but not as bad. He is other wise healthy and only takes anti-inflammatory medicine for his discomfort. He never had any sports injuries in the past but he describes he has been running on treadmill despite of his pain in order to stay in shape. After reviewing his symptoms and a current MRI diagnosis of Osteoarthritis was confirmed. Friday, 22 December 2006 1:49:01 GMT Dec 22, 2006 From The Doctor's Journal http://www.arthritisusa.net/cases/What-is-Crepitus.asp http://www.arthritisusa.net/cases/What-is-Crepitus.asp 67 year old female previously active and playing Tennis on competitive bases came in for consultation complaining of pain and Crepitus of right knee. Her past medical history is otherwise unremarkable, she takes Ibuprofen foe her pain .She does not smoke but drinks alcohol occasionally. She says she does not like all the sounds that the knee makes. Discussion: The term Crepitus which is a medical term to describe the grating, crackling or popping sounds and sensations experienced under the skin and joints. The sound can be created when two rough surfaces in the joints come into contact , Crepitus can be heard in early cases of Osteoarthritis of the knee where the cartilage and meniscus is starting to wear out, and the femur and tibia grind against one another. Wensday, 22 November 2006 3:49:01 GMT Nov 22, 2006 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_008.asp http://www.arthritisusa.net/cases/the_knee_diaries_008.asp MN is a 52 year old male with history of knee pain for 15 years who visited us initially in November 2005, came in today for a consultation with me regarding his right knee. His initial complaint at that point was a severe limp. Patient past medical history is significant for the history of Arthroscopy of right knee , he is other wise healthy. Patient is looking for a possible alternative to knee replacement and further surgery at that point. On physical exam substantial tenderness mostly at the medial aspect of the right knee was noted. An Xray on the left showed massive osteoarthritis. A follow up Xray in October (on the right) limping is caused by asymmetric abnormality of the gait. Limping may be caused by pain full walking, uneven leg lengths experiencing ,muscle weakness and atrophy, disorders of proprioception, and stiff and edematous knees. Common terms for painful walking used in medicine are known as antalgic limp, or trendelenburg. Monday, 23 October 2006 3:49:01 GMT Oct 23, 2006 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_007.asp http://www.arthritisusa.net/cases/the_knee_diaries_007.asp A 65 year old male with chief complaint of knee pain in left knee, presenting with bone on bone osteoarthritis of left knee was referred to us by his physician to us for prevention of total knee replacement. Patient past history is positive for a Basketball injury in 1980, which was followed by an arthroscopy. He is otherwise healthy, does not smoke and drinks only on social bases. There is family history of osteoarthritis. His symptoms are specific to pain, stairs specially bothers him. He experiences stiffness after sitting more than 10 minutes. On the exam the knee is extremely bowlegged. Monday, 25 September 2006 12:18:01 GMT Sep 25, 2006 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_006.asp http://www.arthritisusa.net/cases/the_knee_diaries_006.asp a 60 year old male with chief complaint of knee pain who visited The Center For Regenerative Medicine over a year ago, he was diagnosed with bone on bone osteoarthritis of left knee, causing much pain and discomfort, at that point he was told only a total knee replacement can help him. Friday, 18 August 2006 12:18:01 GMT Aug 18, 2006 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_005.asp http://www.arthritisusa.net/cases/the_knee_diaries_005.asp 59 year old female from Massachusetts came in with complaint of recurrent dislocation and instability of right knee for past several years. Patient has been plagued with knee problem since a Ski accident 10 years ago. A year later she had surgery on the knee which she describes as metal plate being screwed to the knee, that was followed with another surgery a year later called Osteochondral Allograft which is very similar to doing a transplant. After the surgery she had to be on crutches for close to a year which caused her to develop Osteoporosis in the right lower extremity. After all that hard work her body rejected the transplant. Despite the unsuccessful procedure to avoid total knee replacement the surgeons attempted a second Osteochondral allograft which was followed by more non weight bearing which consequently produced more osteoporosis. She is otherwise healthy, She takes Fosomax for her Osteoprosis , and she takes Anti-inflammatory medications if she has discomfort. Her family history is non-contributory and she is well educated with a PHD in Physical therapy. Friday, 7 July 2006 12:21:01 GMT July 7, 2006 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_004.asp http://www.arthritisusa.net/cases/the_knee_diaries_004.asp Dr. Alimorad Farshchian from The Center for Regenerative Medicine and developer of Genorthix, discusses Sport injuries in young athletes in this issue of From the Doctor's Journal. Mon, 27 June 2006 12:21:01 GMT June 27, 2006 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_003.asp http://www.arthritisusa.net/cases/the_knee_diaries_003.asp A 77 year old male from NJ presents with chief complaint of right knee pain. Mon, 5 June 2006 11:21:01 GMT June 5, 2006 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_002.asp http://www.arthritisusa.net/cases/the_knee_diaries_002.asp World War II injury discussed by Dr. Farshchian. Fri, 5 May 2006 10:15:01 GMT May 5, 2006 From The Doctor's Journal http://www.arthritisusa.net/cases/the_knee_diaries_001.asp http://www.arthritisusa.net/cases/the_knee_diaries_001.asp Skiing knee injury discussed by Dr. Farshchian. Fri, 28 Apr 2006 10:15:01 GMT Apr. 28, 2006 From The Doctor's Journal http://www.arthritisusa.net/cases/knee_pain.asp http://www.arthritisusa.net/cases/knee_pain.asp Knee pain is the most common condition seen at The Center for Regenerative Medicine. Fri, 14 Apr 2006 10:15:01 GMT Apr. 14, 2006 From The Doctor's Journal http://www.arthritisusa.net/cases/knee_osteoarthritis.asp http://www.arthritisusa.net/cases/knee_osteoarthritis.asp Lower-extremity strength training may help to slow down progression of knee osteoarthritis symptoms. Wed, 15 March 2006 11:25:01 GMT Mar 15, 2006 From The Doctor's Journal http://www.arthritisusa.net/cases/recent_study_glucosamine.asp http://www.arthritisusa.net/cases/recent_study_glucosamine.asp A study done by the NIH (National Institute of Health) opens new insight in to arthritis and knee pain Wed, 1 March 2006 10:05:45 GMT Mar 1, 2006 From The Doctor's Journal http://www.arthritisusa.net/cases/Lack_of_activity.asp http://www.arthritisusa.net/cases/Lack_of_activity.asp Most U.S. adults did not engage in the minimum recommended level of physical activity in 2003. Wed, 15 Feb 2006 10:05:45 GMT Feb 15, 2006 From The Doctor's Journal http://www.arthritisusa.net/cases/ACL_reconstruction.asp http://www.arthritisusa.net/cases/ACL_reconstruction.asp 30 year old Texan male came in for a consultation. Patient complains of left knee pain . His past medical history is remarkable for multiple knee surgeries including an ACL (Anterior Cruciate Ligament) reconstruction, he describes about several years ago while playing soccer he twisted his knee causing a complete tear of ACL and requiring him to have ACL reconstruction. Tue, 10 Jan 2006 10:05:45 GMT Jan 10, 2006 From The Doctor's Journal http://www.arthritisusa.net/cases/amish.asp http://www.arthritisusa.net/cases/amish.asp A 13 year old Amish male from Arkansas presented to the office today with complaint of pain and swelling in both knees for almost six months. Wed, 14 Dec 2005 7:25:10 GMT Dec 14, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/fasting_and_diet.asp http://www.arthritisusa.net/cases/fasting_and_diet.asp A large study targeted for Rheumatoid Arthritis patients showed significant benefits from a 7-day fasting program among inpatients with various chronic pain conditions Mon, 12 Dec 2005 9:15:31 GMT Dec 12, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/glucosamine.asp http://www.arthritisusa.net/cases/glucosamine.asp Karel Pavelka, M.D., reported on his last 5 year follow up research study suggesting some merits with use of glucosamine. Fri, 9 Dec 2005 11:05:11 GMT Dec 9, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/bowel_motility.asp http://www.arthritisusa.net/cases/bowel_motility.asp At the annual meeting of North American Spine society in Philadelphia Sergio A. Mendoza-Lattes, M.D. suggested that Patients with low back pain have a significantly greater prevalence of bowel motility disorders. Fri, 2 Dec 2005 10:21:32 GMT Dec 2, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/chronic_exertional_compartment_syndrome.asp http://www.arthritisusa.net/cases/chronic_exertional_compartment_syndrome.asp Chronic exertional compartment syndrome may prove a challenge to detect. Fri, 11 Nov 2005 10:27:10 GMT Nov 11, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/hip_pain.asp http://www.arthritisusa.net/cases/hip_pain.asp Hip pain - How to identify severe hip damage without an X-ray Wed, 09 Nov 2005 11:07:01 GMT Nov 09, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/world-stem-cell-hub.asp http://www.arthritisusa.net/cases/world-stem-cell-hub.asp The Seoul-based research center opened Oct. 19th 2005 with the goal of providing scientists around the world with embryonic stem cells. Fri, 04 Nov 2005 12:17:25 GMT Nov 04, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/tibialis_posterior_dysfunction.asp http://www.arthritisusa.net/cases/tibialis_posterior_dysfunction.asp 62 year old female presents to the center complaining of ankle pain. Tue, 01 Nov 2005 14:17:25 GMT Nov 01, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/medications.asp http://www.arthritisusa.net/cases/medications.asp Doctors now are thinking twice about writing a prescription for the three cyclooxygenase-2 inhibitors (Vioxx, Celebrex and Bextra) because of concerns over their cardiovascular side effects. The COX-2 inhibitors were developed for patients at high risk for Gastrointestinal or stomach acidity and ulcers as well as other side effects associated with chronic treatment with traditional NSAIDs (Non steroid Anti inflammatory drugs such as Motrin, Naprosyn, Volteran, Lodine, Mobic, Relafen). Just about a year ago when Vioxx was popular (more than 60,000 death attributed to it, more than all the American lives lost in Vietnam) doctors were enthusiastic about them. And no thanks to an aggressive marketing plan by Merck it was hyped and perceived that Vioxx is more effective pain reliever than traditional NSAIDs, although this was never shown in clinical trials and was never studied. Thu, 20 Oct 2005 11:14:05 GMT Oct 20, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/osteochondritis_dissecans.asp http://www.arthritisusa.net/cases/osteochondritis_dissecans.asp A 17 year old Arkansas male presents complaining of knee pain since the age of 14. Patient states initially diagnosed with growing pains, subsequently an MRI confirmed diagnosis of OND or Osteochondritis Dissecans. Tue, 4 Oct 2005 11:24:00 GMT Oct 04, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/stem_cell_research_part_II.asp http://www.arthritisusa.net/cases/stem_cell_research_part_II.asp California Gov. Arnold Schwarzenegger encourages passage of legislation to promote stem cell research. Tue, 13 Sep 2005 15:21:00 GMT Sep 13, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/stem_cell_research.asp http://www.arthritisusa.net/cases/stem_cell_research.asp California Gov. Arnold Schwarzenegger encourages passage of legislation to promote stem cell research, he is being supported by U.S. Sen. Dianne Feinstein. Tue, 6 Sep 2005 15:21:00 GMT Sep 06, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/rotator_cuff.asp http://www.arthritisusa.net/cases/rotator_cuff.asp 18 year old Tennis player flew in from Guatemala today, presents with complaint of shoulder pain. Mon, 25 Aug 2005 15:3:07 GMT Aug 25, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/cloned_dog.asp http://www.arthritisusa.net/cases/cloned_dog.asp The 4 month old puppy Snuppy has been named as the first dog to be cloned by scientists in South Korea. Mon, 22 Aug 2005 14:31:27 GMT Aug 22, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/Subacromion_Bursitis.asp http://www.arthritisusa.net/cases/Subacromion_Bursitis.asp 32 year old NBA veteran presented to the office complaining of bilateral (medical ling: both sides) shoulder pain, developing mostly after the last season. Mon, 18 Aug 2005 20:45:07 GMT Aug 18, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/boxers_fracture.asp http://www.arthritisusa.net/cases/boxers_fracture.asp 21 year old professional motorcycle racer presenting to the office with complaint of pain of the right hand, patient had a bad fall while doing a motorcycle jump, falling on his right hand. Mon, 08 Aug 2005 12:50:02 GMT Aug 08, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/MTP_joint.asp http://www.arthritisusa.net/cases/MTP_joint.asp 30 year old dancer presents with complaint of not being able to flex or extend the big toe of the left foot. She also experiences pain and stiffness after walking or standing. Patient was involved in a head-on car collision about 2 years ago causing a fracture of her foot, ankle as well as her metatarsals. Mon, 01 Aug 2005 20:50:02 GMT Aug 01, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/Achilles_Tendonitis.asp http://www.arthritisusa.net/cases/Achilles_Tendonitis.asp 35 year old WNBA player complaining of ankle pain. Pain is mostly in the posterior ankle (medical lingo: back). Pain and discomfort is worse when she extends or flexes the ankle. Pain interferes with her game especially when she jumps. Patient states her problem developed after switching to a different type of sneakers, mandated by the club that she was recently traded to. Her past medical history is unremarkable and she takes no medications to cope with pain. On exam the Achilles tendon is very tender, even the slightest touch or palpation makes her uncomfortable. Fri, 22 Jul 2005 20:50:02 GMT Jul 22, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/gout_knee.asp http://www.arthritisusa.net/cases/gout_knee.asp 72 year old male from Texas with history of Gout for 2 years in his right knee presents with complaint of pain and swelling. Patient states prior to onset of gout he was fine without any discomfort. Past medical history is unremarkable. Patient takes no medications and has no allergies. He has tried conventional treatments with some relief. He is currently active and working everyday in construction business. Fri, 18 Jul 2005 20:50:02 GMT Jul 18, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/as.asp http://www.arthritisusa.net/cases/as.asp 39 year old male came in today with chief complaint of not being able to move his neck. Patient was diagnosed with Ankylosing spondylitis in his 20s. Up to a year ago, although his range of motion was compromised but still he was able to move the neck somewhat , however since then his range of motion has been getting worse, at this point he can not move the neck at all; cervical range of motion=0 degree in all axis. He is other wise a healthy male. He takes no medications and he receives regular chiropractic treatments. He is working and is productive, and he has noted eating vegetables helps his condition. Friday, 1 Jul 2005 20:50:02 GMT Jul 1, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/lab.asp http://www.arthritisusa.net/cases/lab.asp 31 year old male presents with one month of ache and pain in the right hip after a soccer injury, he states while raising his knee to kick a ball his ankle was pushed down by another player. Pain is constant and aggravates when he elevates the knee. He has no pain in lying position and he can lay on the affected hip without discomfort. His past medical history is negative and he is healthy male, takes Glucosamine daily. Patient is bringing with him an MRI with contrast which is positive for Labrum tear. Thursday, 30 June 2005 20:50:02 GMT Jun 30, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/ankle.asp http://www.arthritisusa.net/cases/ankle.asp Patient presents to the clinic with a history of ligament tear grade 3 in both ankles. Patient tore both anterior talofibular ligaments in 1978. Patient is opting for surgically repair of the left tear. At this time patient is presenting in generally good health. Currently patient complains of pain and instability in the right ankle. Patient is unable to navigate on uneven terrain without pain and the fear of twisting the ankle. Wen, 29 June 2005 20:50:02 GMT Jun 29, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/stan.asp http://www.arthritisusa.net/cases/stan.asp 70 year old male from Ohio is presenting with advanced osteoarthritis of both knees. Patient's pain is more pronounced mostly upon walking. Stairs are very difficult, going down is a more of a big task. He has no pain sitting he says: "but I can not sit all the time". His past medical history is positive for Hypertension, he takes Diltiazam and Vitamins. Wen, 22 June 2005 20:50:02 GMT Jun 22, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/fi.asp http://www.arthritisusa.net/cases/fi.asp 65 year old male from England presents to the office with pain and swelling of his fingers. Pain interferes with usual tasks such as holding a cup or a knife. His past medical history is essentially unremarkable. He takes Glucosamine and amino acids, with some relief. At a younger age patient was active in competitive fencing. Friday, 10 June 2005 20:50:02 GMT Jun 10, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/sa.asp http://www.arthritisusa.net/cases/sa.asp 56 year old male from Michigan presenting with chief complaint of "frozen shoulder". Patient does not have much pain however doing daily tasks such as washing hair is getting more difficult due to loss of range of motion. His past medical history is positive for fracture of left shoulder as a younger man. On the exam patient shows some atrophy of left shoulder muscles. Thursday, 9 June 2005 20:50:02 GMT Jun 9, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/hb.asp http://www.arthritisusa.net/cases/hb.asp 63 year old male from Mexico flew in today for evaluation and treatment of left hip, patient states 6 months ago he fell down, since then he has pain in the hip 24 hours a day. Pain interferes with his activities specially his golf game. Pain gets worse when he walks too much or lies down or roll over on the hip, the aching pain sometimes radiate down the outside of the thigh as far as the knee. Climbing the stairs, has been so painful that patient had to build an elevator for his house. Patient’s past medical history is otherwise complicated by Open heart surgery and aortic valve replacement, for which patient needs to be on Coumadin for life. His pain responds to Advil somewhat. On exam his range of motion is normal however he has excruciating pain and tenderness upon palpation of the hip, tenderness is mostly focused on the outside of the upper thigh, just over the point of the hip. Sunday, 31 May 2005 18:10:02 GMT May 31, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/snip.asp http://www.arthritisusa.net/cases/snip.asp 34 year old sniper unit specialist presents to office for evaluation, complaining of left hip discomfort for almost 5 years. Patient has been diagnosed with osteoarthritis of the hip. Patient essentially has not much pain but his range of motion is compromised. His past medical history is other wise non contributory. He is in excellent shape and despite his hip problem he runs about 5 miles twice a week at times. He does not smoke. He takes Glucosamine and Amino acids. Patient is a Martial Arts Expert. Saturday, 30 May 2005 18:10:02 GMT May 30, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/stem.asp http://www.arthritisusa.net/cases/stem.asp This photograph was initially published on May 19, 2005 by the Center for Life in Newcastle, England, It depicts the begining of life as eight cells cluster that will form embryo. The picture was taken 3 days after the initial nuclear transfer. The British scientists are among the first group of frontiers in the field. Saturday, 30 May 2005 20:50:02 GMT May 30, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/sh.asp http://www.arthritisusa.net/cases/sh.asp Some serious NBA action on TV today, while cheering for my home team Miami Heat, which is an NBA title contender thanks to the efforts of Miami center Mr. Shaquille O'Neal. The All-Star sports icon had to rest for several weeks in the playoffs, no thanks to a bruised thigh, did not get to practice or play since Game 2 of the second round of playoffs against Washington Wizards, he returned back to the court only last week after much speculation whether he will start in game one of Eastern conference finals against Detroit Pistons( The former world champions). The contusion (medical lingo: Bruised) has troubled Mr. O'neal for over a month. Monday, 29 May 2005 10:15:01 GMT May 29, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/hs.asp http://www.arthritisusa.net/cases/hs.asp 32 year old movie star flew in from L.A for evaluation of her knees. Patient states since age 18 her knees have been troubling her. The pain is mostly at the level of the knee cap. The pain is worse when she goes downstairs or works out.The knees feel weak at times.She does not recall any injuries.She has tried Physical therapy as well as chiropractice with no improvement. She is otherwise healthy does not smoke and does not drink.There is no family history of arthritis. Friday, 20 May 2005 20:50:02 GMT May 20, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/edema.asp http://www.arthritisusa.net/cases/edema.asp 45 years old male from Scotland flew in today for treatment. Patient is complaining of pain and swelling in the right knee. Edema (medical lingo: swelling) gets worse when patient goes dancing or playing Golf. His past medical history is significant for compound fracture of right knee in 1978 requiring surgical repair at the level of Tibia and Fibula, otherwise he is generally healthy. Patient smokes 20-30 cigarettes per day and he drinks Alcohol occasionally. Thursday, 19 May 2005 20:50:02 GMT May 19, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/sho.asp http://www.arthritisusa.net/cases/sho.asp Patient is an affable 47 year old male from Michigan. Patient reports to clinic with a history of exostosis in the right glenohumeral joint now hoping to prevent shoulder replacement till later in his life time, looking for alternative treatment . Patient complains of pain in the right shoulder during activities requiring over-head motions. Patient also reports substantial difficulty performing and maintaining over-head positions. Patient denies pain at rest. His past medical history is negative for diabetes or high blood pressure. He had a shoulder repair in 1983.And his problems started with an injury during a Football game. He takes otc medicine for his discomfort. There is no history of arthritis in the family. Wensday, 18 May 2005 20:50:02 GMT May 18, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/pitcher.asp http://www.arthritisusa.net/cases/pitcher.asp 21 years old male Baseball pitcher for local university came in to be treated today. Patient says “last summer I was able to throw the ball at 95 miles per hour , now for the past 4 months I have dropped to 85 miles per hour and it is painful when I throw .” His past medical history is unremarkable and he is otherwise a very athletic male and very healthy. Essentially unless he plays the American past time , he has no discomfort, hence no need for medications. He is some what concerned since next year is time for drafting for MLB (Major League Baseball). He has brought with him the result of MRI which shows possible tear at the level of Ulnar- Collateral ligament. Friday, 13 May 2005 20:50:02 GMT May 13, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/phalentest.asp http://www.arthritisusa.net/cases/phalentest.asp 40 year old right handed female complains of waking up from sleep almost every night with numbness of hands which improves by shaking the hands. She also says, opening a jar of peanut butter is getting more difficult day by day secondary to weakness developing at the level of the wrist. Her past medical history is negative for any history of rheumatoid or thyroid problems. She takes Glucosamine since a friend recommended but sees no improvement yet. She does not smoke and otherwise is healthy. Patient is a data-entry personnel. Wensday, 11 May 2005 20:50:02 GMT May 11, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/dhkness.asp http://www.arthritisusa.net/cases/dhkness.asp 53 year old female visited the center initially on 5/2/5, writes to us from Tennessee: (Kitana's posting ). Patient is status post surgical repair of a patellar tendon using a synthetic tendon this was complicated by additional tear as well as infection. Her past medical history is significant for SLE (Systemic Lupus Erythematosus ) that she has it under control with prednisone. She does not smoke and otherwise is healthy. Patient has difficulty getting around and she has to use a walker to move around, she also states she has falls frequently due to instability of the knee. Monday, 9 May 2005 20:50:02 GMT May 9, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/me.asp http://www.arthritisusa.net/cases/me.asp 47 year old golfer flew in from Japan for evaluation of his right elbow today. Patient has been diagnosed with medial epicondylitis. Patient has tried anti-inflammatory, Chinese and Korean acupuncture, His orthopedic surgeon felt his case is more of a non-surgical case and advocated physical therapy. Patient describes pain as "a shooting sensation down the forearm while gripping objects." His past medical history is essentially unremarkable and he has been blessed with good health, he does not smoke and does not drink alcohol. Monday, 25 April 2005 20:50:02 GMT Apr. 25, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/os.asp http://www.arthritisusa.net/cases/os.asp KB is a 50 year old white male with history of knee pain since a teenager, came in today for a consultation with me regarding his right knee. Patient past medical history is significant for the history of Osgood-Schlatter disease, followed by a Football injury at the age of 20 , followed by 2 arthroscopy surgeries which both helped the patient significantly now is being scheduled for Partial Knee replacement, patient is looking for a possible alternative. His past medical history is positive for Diabetes typeII which is well controlled. Thursday, 14 April 2005 20:50:02 GMT Apr. 14, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/c7.asp http://www.arthritisusa.net/cases/c7.asp 55 year old male, with history of neck pain for 20 years presents to the office for treatment. Pain started a week after his car accident which caused a whiplash, Patient has a history of fusion at level of C4-C5 ( 4th and 5th Cervical Vertebrae ). Patient describes having pain almost every day, pain radiates to the right shoulder he feels numbness at and tingling in his right thumb as well as right index finger. looking up and to the sides make him hurt worse. Patient says he can not stand for long period of times and has pain when he walks a lot . Pain exaggerate when he is under stress (when he is quarreling with the wife) and subsides when he is having a good time (being intimate with his wife). Patient states "some days it feels like the whole world is on my shoulders". His past medical history is otherwise unremarkable. He is very healthy and athletic, He only takes otc Motrin for his pain, he does not smoke or drink alcohol. There is no family history of arthritis Sunday, 10 April 2005 20:50:02 GMT Apr. 10, 2005 From The Doctor's Journal http://www.arthritisusa.net/cases/avn.asp http://www.arthritisusa.net/cases/avn.asp PS is a 32 year old male with history of ankle pain for more than 5years, Patient is diagnosed with avascular necrosis of both ankles. The left much worse than the right. Describes severe pain at all the time, can not walk more than a few steps before having to stop. Pain is worse at night time, not allowing him to sleep, Patient has been confined to his home mostly. His past medical history is complicated by history of Pheochromocytoma and removal of his left Adrneal gland and onset of Osteoporosis at the age of 28. Patient takes no medications, does not smoke and does not drink Alcohol. There is no history of Pheochromocytoma or MEN IIa or MEN IIb in his family. Patient denies any history of trauma. Friday, 8 April 2005 20:50:02 GMT Apr. 8, 2005 From The Doctor's Journal