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About Joe A Shaw PA-C
(Top Expert on this page)

Expertise
Most general questions that have to do with orthopedic and /or occupational medicine or ergonomics. With a focus on upper extremity disorders such as carpal tunnel syndrome. After many years of treating and diagnosing carpal tunnel syndrome I have developed a detailed website about carpal tunnel syndrome at
Carpal-Tunnel-Symptoms.com

Experience
I have been a board certified Physician Assistant for 17 years, in the fields of occupational and orthopedic medicine.

Organizations
American Academy of Physician Assistants, State Academy of Physician Assistants.

Education/Credentials
Physician Assistant degree from the University of Florida College of Medicine PA program. Bachelor of Health and Science degree. Board Certified Physician Assistant, Ergonomic certification, University of Michigan ergonomics certification. Associate Science degree in Emergency Medical Technology. Former Paramedic, EMT and Firefighter.

Awards and Honors
Current certifications in Advanced Cardiac Life support, and Basic life support, and CPR certification. University of Michigan Ergonomic training and certification.

   

You are here:  Experts > Health/Fitness > Orthopedics > Orthopedics

Questions Answered By Expert  Joe A Shaw PA-C 
In Category  Orthopedics

SubjectDate Asked

Injured ring finger.. something wrong with bone?9/2/2009
  Q: A week ago I injured my right ring finger. It was hit hard by a tough ball. The injured area is the ...
  A: Sierra, Without seeing xrays it is difficult to say....but just a week out, it will still be sore ...
Right Ankle Injury8/8/2009
  Q: Dr. Shaw, I really need help. I am a 48 yo female who has been a runner for 30 years. I injured ...
  A: Ruby, Sounds like a non-union fracture which can be painful and unstable. Unusual to get a fracture ...
shoulder problems8/7/2009
  Q: Shaw, I am male (33 years old) and my question is: I started to have shoulder problems (pain and ...
  A: Bruce, I would get with a good rheumatologist and rule out things like rheumatoid ...
Achilles heel???7/21/2009
  Q: About 3 to 4 weeks ago a friend and I were working in my backyard and in a pretend wrestling bout- I ...
  A: yes those are good exercises to do..wouldn't do others until firm diagnosis is made. Yes when the ...
Achilles heel???7/20/2009
  Q: About 3 to 4 weeks ago a friend and I were working in my backyard and in a pretend wrestling bout- I ...
  A: Monte, Yeah you tore your AT..I doubt you ruptured it completely though..as you would see a ball of ...
Rotator Cuff tear?7/1/2009
  Q: Joe, First of thank you for taking the time to read and answer these questions. OK here it goes, 4 ...
  A: Adam, Without doing an exam etc it is impossible for me to say...but you probably need an MRI if you ...
determining height6/30/2009
  Q: I just noticed yesterday (as my son and husband were sitting on the grass next to each other) that ...
  A: Betsy, You don't mention his age (sons) but Probably..the long bones like in the legs and( ...
Torn Wrist Ligaments6/29/2009
  Q: I had a MRI on right wrist that revealed a full thickness tear at the ulnar attachment of riangular ...
  A: Diane, Arthritis will or can put you at risk for further injury as well as age and any trauma you ...
Joints Cracking?6/27/2009
  Q: I noticed (the past 2-3 weeks) that I get more "cracking" noises coming from my wrists and ankles ...
  A: Eva, Nope not at whole lot you can do..some people's joint crack and pop more than others...some of ...
calf injury and pain6/25/2009
  Q: I am a fencer and I fence 2-4 times a week. About 8 weeks ago, I lunged in one of my fencing bouts, ...
  A: Carrie, Based on what you are describing right now, it's probably nothing more than a gastroc muscle ...
Left hip and Low Back pain6/2/2009
  Q: on March 24, 2009 I was in labor and having my daughter 6 weeks early, I had an epidural since 5 pm ...
  A: Melissa, It's not really my speciality and I was going to send question back but I really feel for ...
I had a shot in my wrist 6 months ago5/26/2009
  Q: I had a knot in my wrist after the shot (for tendonitis) for a few days but it went away. Now I ...
  A: Patsy, It sounds like you have a ganglion cyst (bible bump)..it is a hard bump that usually ...
Calf muscle tear5/25/2009
  Q: Ok! On June 5, 2008, I was playing basketball at a camp! I was on my second game of the day when I ...
  A: Morgan, Calf muscle or gastroc. muscle tears take a long time to heal, and you may have problems w ...
Elbow rehabilitation5/23/2009
  Q: I am an 18 year old male from India. It has been 4 months exactly since i fractured my left ...
  A: Adithya, This would best be answered by a Physical therapist who can be with you in person. You will ...
inflammed joints5/6/2009
  Q: i recently started to develop pain in my wrist and hips (hip flexor).....(started drumming a year ...
  A: David, I would start with the most obvious and work from there..sitting drumming etc..may be ...
torn ankle ligaments5/2/2009
  Q: Two months ago I completely tore one ligament in my ankle and partially two after I fell down the ...
  A: Ronaldo, Ankle sprains may take 6-12 mos. to heal to the sports level. You need to wear a good ...
need your advice4/30/2009
  Q: This is Babak Ganji (PhD in Electrical Engineering). I really need your advice about my problem. ...
  A: Babak, Please clarify :There is a small hole on right feet (10 cm upper knee) Your MRI report is ...
Torn ligament4/29/2009
  Q: Hey there, I just went to the doctor today about a wrist problem; about a year ago I landed on it ...
  A: Stephanie, You should have an MRI done and/or probably an arthrogram (where they inject dye into ...
broken femur4/28/2009
  Q: i suffered a spiral fracture in my femur 7 weeks ago. i had the surgery that put a rod through my ...
  A: Kimberlee, Spiral fractures indicate rather severe trauma, so it will take many months 6-12 mos to ...
scaphoid fracture, avascular necrosis3/24/2009
  Q: OK, so I fractured the scaphiod in Jan of 08, casted until May. Had several MRI's, CT's and X-rays. ...
  A: Gloria, Unfortunately, this sometimes occurs with scaphoid or navicular fractures..even if the ...
Post CMC Arthroplasty Tendon Problems3/22/2009
  Q: I am 40yr old female. Pre-Op Diagnosis: CMC arthritis thumb & right de Quervain's. In March I ...
  A: Jayne, See if you can copy/paste this link: ...
Carpal Tunnel3/21/2009
  Q: At age 18 (8 years ago) I had carpal tunnel surgery on both hands. I am now facing the same issues I ...
  A: Diana, It is fairly uncommon especially in the USA to have to have carpal tunnel surgery at such a ...
Shoulder Pain3/9/2009
  Q: I am a 32 year old female with an extensive medical history including endometriosis, Pseudotumor ...
  A: Sara, I would see an ortho. and probably seek an MRI if pain is not improving to make sure there are ...
Upcoming Knee Surgery3/8/2009
  Q: On 3/25 I will be having the first of 2 knee surgeries. After a year of PT with 2 different ...
  A: Amanda, In very severe cases of chondromalacia patellar or in cases that don't respond to ...
fracture3/7/2009
  Q: I see your expertise is upper extremeties but hopefully you can still help me. I had been having ...
  A: Michelle, Yes occult means kind of hidden..so there is probably some evidence a little linear line ...
elbow pain3/6/2009
  Q: I was diagnosed with epiclonditis in both elbows almost a year ago. I have had numerous injections, ...
  A: Lynn, You don't say medial or lateral but you have been through it all..even PLT injections..you ...
chest/abdomen pain3/5/2009
  Q: I have very severe pain 9 or 10 inches to the right of the bottom of my sternum, near the bottom of ...
  A: Jeremy, You probably need to rule out any liver/gallbladder disorders as they also reside in this ...
10 YR OLD W/KNEE INJURY3/4/2009
  Q: I HAVE A 10 YR OLD DAUGHTER WITH PAIN BEHIND HER LEFT KNEE SHE HAD AN MRI WITH THE DX AS MYXOID ...
  A: Degeneration IS typically associated with age..(there are other factors)but really that is just ...
10 YR OLD W/KNEE INJURY3/3/2009
  Q: I HAVE A 10 YR OLD DAUGHTER WITH PAIN BEHIND HER LEFT KNEE SHE HAD AN MRI WITH THE DX AS MYXOID ...
  A: Melanie, It's not common in someone that young..does she dance, play sports,gymnast etc..? The ...
MRI of the Wrist3/2/2009
  Q: I injured my wrist approx. 5 months ago, I had negative x-rays soon after the injury and did not ...
  A: Nicole, Some times bone bruises can take a long time to "heal", especially if they are being ...
shoulder2/10/2009
  Q: I hurt my shoulder in the fall season of softball, i play college ball and am a catcher. The ...
  A: I would still get an MRI, you can still have pretty good ROM etc with a rotator cuff tear or SLAP ...
ankle sprain injury2/9/2009
  Q: I got a ankle sprain while playing tennis, with swelling and bruising symptoms a month before, & as ...
  A: You should get an MRI at this point to rule out any muscle/tendon or ligament tears..I have never ...
shoulder2/8/2009
  Q: I hurt my shoulder in the fall season of softball, i play college ball and am a catcher. The ...
  A: Jessica, You do need an MRI..could be a torn "rotator cuff" which is actually 4 muscles. The ...
broken bones2/6/2009
  Q: true or false? a broken bone wil heal stronger than it was before the break. thank you for taking ...
  A: Harry, Thats really difficult to answer because there are many different types of fractures..there ...
think i cut my pinky tendon.2/5/2009
  Q: i was wideling with a knife and i stabbed myself pretty deep. i cleaned it and put a band-aid on it. ...
  A: William, Yes it sounds like you might have severed your flexor tendon. I would go to the ER for a ...
wrist2/4/2009
  Q: i have had surgery for carpel tunnel in july 2008 since then i have had pain the doctor sent me for ...
  A: Lorraine, Typically it is from some type of inury or trauma to the bone.(you don't say what bone) ...
Shoulder pain 10weeks post-op arthroscope1/13/2009
  Q: How long after surgery should I start filling better I.e. No pain at night, when working, and ...
  A: No specific tests really ..it is usually a diagnosis of exclusion and history. (ie exclude other ...
Back Pain1/12/2009
  Q: I'm not sure if you can give me advice but it's worth a try. My daughter is a competitive gymnast ...
  A: Lauren..Well there are 33 vert's. in our spine..I'm guessing you are talking about lowback? L3-L5 ...
Shoulder pain 10weeks post-op arthroscope1/11/2009
  Q: How long after surgery should I start filling better I.e. No pain at night, when working, and ...
  A: Janice..Wow that is a lot of stuff!!and a dog attack by a Rot!! You may need to ask for a 2nd ...
Post CMC Arthroplasty Tendon Problems12/19/2008
  Q: I am 40yr old female. Pre-Op Diagnosis: CMC arthritis thumb & right de Quervain's. In March I ...
  A: Jayne, The flexor carpi radialis is located on the upper half of the forearm. It originates at the ...
tib/fib fx12/9/2008
  Q: Tib/fib fracture 5+ months ago, required surgical repair w/ hardware, etc. everything progressed ...
  A: Gael, You had a bad break for sure and as you probably know by now these can heal very slowly and ...
triangular_fibrocartilage_complex11/6/2008
  Q: FINDINGS: There is excellent opacification of the joint noted with contrast extending down into the ...
  A: ysn, I would definetly get a second opinion from a board certified hand surgeon. Up to 45-50% of ...
MRI on Left Wrist10/22/2008
  Q: The description below is a summary of the results of an MRI on my left wrist. I am 47. Will this ...
  A: Dave, You have a ganglion cyst..fairly common. In the old days they would whack them w a bible to ...
Shoulder/upper arm injuries10/20/2008
  Q: I keep injuring my arms. I can't get a doctor to correctly diagnose this problem. I will give you ...
  A: Melody, I'm not sure I understand, if you could take photos or something or look at shoulder range ...
wrist surgery10/18/2008
  Q: I was hurt on the job and now have torn ligaments and tendons in my wrist. How do I determine ...
  A: Steph, Your ortho dr should make the call as to IF you need surgery. You are not the medical ...
left arm pain10/17/2008
  Q: I am writing this letter in much desperation. I am a 54 year old woman that has been suffering with ...
  A: Mary ann, You have really been through the wringer for sure! I also think it could be linked to the ...
Clavicle fracture10/13/2008
  Q: It's been 2 weeks since I broke my clavicle when I fell from the bike. I've been to the emergency ...
  A: Tudor, 1. How will it be in the end? Will I be able to move my hand like before? Clavicle fx ...
burning pain on inner elbow10/12/2008
  Q: Im a 41yr woman, i have had several operations on my elbow due to broken radius when i was 12! My ...
  A: Samantha, It could have something to do with the op. You may have adhesion formation from the ...
ganglion10/11/2008
  Q: Shaw My name is Dr. Radenka Maric. I am originally trained as a MD, completed my PhD in ...
  A: Dr. Maric, Yes I think it is generally accepted in the U.S anyways that wrist trauma such as ...
joint repacement surgery10/10/2008
  Q: I had CMC partial arthroplasty in Dec.07 w/ tendon grafting in rt. hand. I just under went a total ...
  A: Karen, I have not heard of that happening. The body can reabsorb things such as fat injections, ...
5th metacarpal base10/9/2008
  Q: I punched a door in anger a week ago and fractured my right hand. The radiograph showed an ...
  A: The boxers fracture is a common fracture with punching. It is not uncommon to have a visual ...
pain in wrist and left shoulderblade10/8/2008
  Q: i am 14 years old currently, at the age of 12 through the early start of 13, i have had a tingling ...
  A: Angus, Regarding your wrist and upper back You need to see either and orthopedic pediatrician or ...
legs aching9/28/2008
  Q: I sit at a desk all day 3 days a week. A couple of months ago, my legs started aching so bad during ...
  A: Sherry, Yes, I would ck with an internal med Dr. Ck for beginings of CHF congestive heart failure ...
fracture of radial head9/26/2008
  Q: I got a fracture of radial head on my right elbow on 17.08.08 and was treated with a cast for three ...
  A: Rahela, There are actually 4 diff kinds of radial head fx's. Most non-displaced/minimally displaced ...
injury to hamstring...followup info9/23/2008
  Q: On 08/15/08, I asked you the information posted below. Of all the doctors, the neurologist they sent ...
  A: Vicki, Yes the MRI can show acute injuries but also chronic injuries and or scar tissue. The ...
Foot pain after standing9/22/2008
  Q: I started a job about a year which requires me to be on my feet for long periods of time. After ...
  A: Well first off I wouldn't go in with expectation that in one visit you will find out the ...
Foot pain after standing9/20/2008
  Q: I started a job about a year which requires me to be on my feet for long periods of time. After ...
  A: Stuart, Yes you need an eval either by your Dr an ortho, or DPM. You need xrays to Rule out any bone ...
shoilder injures9/19/2008
  Q: Greetings: I recently had arthroscopic surgical repair for a dominant shoulder injury. The ...
  A: Chris, Just based on info, and not actual exam etc..that is a fairly large SLAP tear, and socket ...
Post CMC Arthroplasty Tendon Problems9/17/2008
  Q: I am 40yr old female. Pre-Op Diagnosis: CMC arthritis thumb & right de Quervain's. In March I ...
  A: Jayne, There are several different procedures for this type of thing. It can be a hard thing to make ...
fused heels9/16/2008
  Q: Good day to you Mr Shaw. Just like to ask your advice. I fractured my calcanium on both feet Nov 07 ...
  A: Pauly, Are you talking about fusing the joint above the heel bone (subtalar joint) this joint allows ...
Thumb joint pain9/15/2008
  Q: In the past 2-3 weeks, I have developed pain in the basil joint (or below) of my left thumb (I am ...
  A: Joan, This is not that uncommon..esp as we get older. The CMC joint carpometacarpal or basal ...
Foot Injury9/13/2008
  Q: May 17, I received force trauma injury to my right foot as the result of an attack. A 160 lb or so ...
  A: Yes on exercises turn inward hold for a few secs outward hold etc..x 5-10x then bend foot up like ...
Post surgical medial epicondyle release9/12/2008
  Q: I had a medial epicondyle release with nerve transposition on my left elbow on 8/7 it got infected ...
  A: Theresa, You need to keep a close watch on it keep area clean and make your f/u appts. That is a ...
Foot Injury9/11/2008
  Q: May 17, I received force trauma injury to my right foot as the result of an attack. A 160 lb or so ...
  A: Amanda, You need to be eval by an ortho or a physiatrist(Fizz-i-ah-trist)..preferably one who ...
complications due to swelling at cast removal9/9/2008
  Q: facts: 1.52 yr old active adult 2.fell ice skating-broke wrist 3.immediate ice application, ...
  A: You have young looking hands for 52 :) At least the swelling makes it look like a teenagers ...
complications due to swelling at cast removal9/7/2008
  Q: facts: 1.52 yr old active adult 2.fell ice skating-broke wrist 3.immediate ice application, ...
  A: Rose, As per my bio I don't answer on wknds. This is a fairly common finding after this sort of ...
flip flops and normal gait9/5/2008
  Q: I have noticed a change in my gate since wearing flip flops and sandles alot I have heard this can ...
  A: Kim, That's an interesting question and I guess I never have really heard that. If you think about ...
buckle fracture left foot 16 monyh old9/3/2008
  Q: My granddaughter and I feel down some steps 4 weeks ago. She had a mild buckle fracture of the left ...
  A: Brenda, It will take some time, there's not much you will be able to explain to a 16 month old. ...
Heel Pain9/2/2008
  Q: I have been experiencing on and off heel pain, which comes without any warning and is quite painful. ...
  A: Janie, Probably either a heel spur..(bone spur that grows on the bottom of the heel)puts pressure on ...
MRI SCAN OF THE LEFT KNEE.8/28/2008
  Q: WHAT IS THE DEFINITION OF THIS REPORT BELOW? MY DOCTOR AND THE SPECIALIST GAVE ME DIFFERENT ANSWERS ...
  A: The 5-6mm finding has nothing to do with the ACL. That defect is on the outside/back part of your ...
MRI SCAN OF THE LEFT KNEE.8/27/2008
  Q: WHAT IS THE DEFINITION OF THIS REPORT BELOW? MY DOCTOR AND THE SPECIALIST GAVE ME DIFFERENT ANSWERS ...
  A: Frank, Looks like you have an old ACL tear..not rupture and a small bone/cartilage defect on the ...
Ultrasound Diagnosis8/26/2008
  Q: I'm wondering if ultrasounds have the ability to diagnose soft tissue injuries and conditions ...
  A: K, I suppose US could be used if the person doing it was exp w ganglion cysts. I have never ordered ...
help8/25/2008
  Q: I am 32yrs old woman, married with a 4 yrs old kid..I have been suffering form severe back pain ...
  A: Sonia, I'm not sure what you mean "Now my orthopaedic is saying dont go thru the reports and i will ...
excrutiating back pain8/19/2008
  Q: im desperately in need of answers. i have always had a large chest a 38 DD but never any back ...
  A: I never heard of BP meds causing this. I wouldn't call them "attacks" from a medical standpoint but ...
excrutiating back pain8/18/2008
  Q: im desperately in need of answers. i have always had a large chest a 38 DD but never any back ...
  A: Britt, It does kind of sound like the type of pain women get with a large chest. Sometimes it is ...
TFCC tears8/17/2008
  Q: I have been dealing with wrist problems since a fall back in 9/2005. It was treated as a sprain and ...
  A: Vickie, I think you will need the surgery, but it just depends on how much pain and decreased ...
injury to hamstring8/16/2008
  Q: I am a very active person. Most every day, I will get in 2 to 4 hours of physical activity. It will ...
  A: Vicki, I'm glad it helped. No I am in TN. You did a good job of describing what is going on and it ...
injury to hamstring8/15/2008
  Q: I am a very active person. Most every day, I will get in 2 to 4 hours of physical activity. It will ...
  A: Vicki, Hamstring injuries are one of the most frustrating injuries to get over. I get tired just ...
Rib cage abnormality8/13/2008
  Q: My 13 year old son has developed a pronounced difference between the left and right side of his ...
  A: D, It is probably just pectus carinatum or "pigeon Chest". It is more common in boys and happens ...
Post-Fracture healing persistent pain 5th Metatarsal8/12/2008
  Q: My wife had a fracture in her 5th metatarsal in Dec 2006. The doctor recommended a cast for her, ...
  A: Karthik, This is a Jones fracture and are classified by 3 types I, II, III..I'm assuming she had ...
Partial Thickness Tear of Scapholunate Ligament8/8/2008
  Q: The MRI Report Findings are the following. I am 28 and would appreciate assitance on your thoughts ...
  A: Prarthit, You are looking at surgical repair. You have torn the ligament between to bones in your ...
Wrist and thumb pain8/6/2008
  Q: I have extreme pain and swelling at the thumb base and wrist. I grasp alot(7 1/2 hrs a day,5 days a ...
  A: Lynne, I guess you don't have to see the surgeon..they should have explained that you are seeing a ...
my knee8/5/2008
  Q: im not sure if u can help me but i hope u can after hurting my foot/ankle snowboarding i felt ...
  A: Scoped means sugery..endoscope through small holes using cameras. If you get it repaired there ...
possible (probable?) herniated disk8/4/2008
  Q: While running a month ago (I had just started a serious running exercise routine), I felt a "twinge" ...
  A: Nick, Xrays are okay..but won't tell you a whole lot in this case esp since you are 28..you really ...
my knee8/3/2008
  Q: im not sure if u can help me but i hope u can after hurting my foot/ankle snowboarding i felt ...
  A: Stella, You will most likely need to have that knee scoped and repaired. It has been several mos ...
wrist cracking7/31/2008
  Q: I've been playing guitar about 20 years. About 10 years ago I noticed that my left forearm/wrist ...
  A: Mike, I play acoustic and electric guitar some..so I know the awkward position of the wrist and ...
My son's ankle7/30/2008
  Q: All of a sudden my son can't move his ankle upwards. If he puts his heel on the ground, he can ...
  A: Dawn, I would take him in to be evaluated since there was no known trauma and it is painless. It may ...
scapula muscle pain7/27/2008
  Q: I have had pain for about 13 months in my scapula muscle. I am 20 years old and a very active ...
  A: Matt, You have done about all you can do..it sounds like?..I guess I would go back to shoulder ...
Biceps pain - I have my answer...and a few questions7/26/2008
  Q: I got my rather unfortunate answer from MRI yesterday and have just a few questions regarding that. ...
  A: Yes I think I remember..the "pristine" bicep tendon?? 1)If I've not gotten better (and really I've ...
wrist pain/overuse7/25/2008
  Q: My 10 year old daughter does competitive gymnastics (10 hrs/week) and has been suffering from wrist ...
  A: Leslie, Yes, I think your ortho is correct. You probably mean that she has pain with hyperextending ...
Is it internal injury?7/21/2008
  Q: Last friday, i was pushed and hit hard on a table on my upper chest where the pendant of my necklace ...
  A: cmy you didn't say your age?, but it would be unlikely if you are in your 20-40s that it would brake ...
shoulder pain7/20/2008
  Q: Ihurt my shoulder at work when arm was pulled into grinding machine after bone scan dr said a ...
  A: Mary , That does sound a little odd. Usually an MRI would be ordered not a bone scan? You have 7 ...
If Ice and pain reliever doesn't work?7/18/2008
  Q: If Ice and pain reliever doesn'twork for the pulled muscles? Would it be a good time too see my ...
  A: Robert, You would have to be more specific as to what muscle, how, when you injured it what have you ...
What is the best treatment for muscle pull in the different part of the body?7/17/2008
  Q: What is the best method to treat muscle pull in all my body?Is paraffin good for muscle pull?
  A: Robert, The tried and true method to treat a pulled or strained muscle is RICE. Rest the body part ...
Biceps pain returning after surgery7/14/2008
  Q: In a nutshell, I had subacromial decompression on 3/3, and at that time I was concerned that my ...
  A: Sue, Yeah the shoulder surgery pain should be much better by now..so it seems like there is ...
scapula injury?7/12/2008
  Q: I have been having chronic shoulder pain for the last three years. I was on a heavy weightlifting ...
  A: Mike, You should see an ortho shoulder specialist...and You will need to get an MRI (sorry)..I mean ...
heel injury7/11/2008
  Q: ..three days back i was standing on a small chair trying to fix curtain and i slipped and fell down. ...
  A: Zara, Sounds like you need one of those retractable dog leashes to keep up with the kids, because ...
hip I think?6/30/2008
  Q: I work in an office setting and whenever I'm sitting down for an extended period of time and then ...
  A: Emad, You should certainly see your Dr for a proper exam, xrays and diagnosis..it could be something ...
popping?6/28/2008
  Q: I dont know if you can help me with this but I've had this problem for a few years. Probably longer ...
  A: Shay, yep it's most likely your joints rubbing against each other as they move...there's not a whole ...
Shoulder pain6/25/2008
  Q: I have a weird shoulder pain that is killing me, last night I went to bed at 10:30pm with a minor ...
  A: Evan, Yes that is a little strange sounding since there was no injury or repetitive shoulder use ...
Thumb IP Joint Dislocation6/24/2008
  Q: I dislocated the IP joint of my thumb, which caused severe deformation and swelling. In the ER, the ...
  A: Jerry, IP thumb dislocations are fairly uncommon, they usually dislocate dorsally (i.e. not palm ...
Severe shoulder pain when throwing.6/23/2008
  Q: 41 year old male, athletic and muscular. Lifted weights all my life as well as participated in ...
  A: Ray , You need to have a diagnosis..sounds like a rotator cuff tear to me. The MRI should reveal ...
Wrist Injury/ Surgery6/20/2008
  Q: I fell on my right wrist in 9/2007. It was initially treated as a sprain and I was put in a splint ...
  A: Elizabeth, We have referred a couple over the yrs for this type of surgery. You probably do need the ...
total knee arthroplasty vascular damage6/18/2008
  Q: My mother had a total knee replacement. Right after the surgery, the surgeon noted that he coudn't ...
  A: Alex, I doubt there was malpractice just based on the history you gave. You have to remember there ...
knee pain6/17/2008
  Q: Over 20 years ago I had my torn cartilage removed (knee locked). Very active, in good shape. Very ...
  A: Larry, Just on the surface..And with NO history of trauma, you have described a classic case of ...
Broken right humerus6/13/2008
  Q: Shaw. About 3 weeks ago (25 May 2008) I was involved in a car accident and fractured my right ...
  A: Dewald, Yes, assumming no infections,complications etc..you have a ways to go..I think you are ...
hand pain6/12/2008
  Q: Dr. Shaw, Thank you for your time. Since I was about 10 years old I have had a coming and going ...
  A: Tanya, That is something I havent run across...21 yr history of undiagnosed wrist pain. Of course ...
knee injury6/11/2008
  Q: ok well i was outside playin and i reached down to pick up a football and i think someone dove and ...
  A: Shaun, You are right you can't be sure there is no meniscus (cartilage)or ligament damage w/o an MRI ...
ANKLE RECOVERY5/29/2008
  Q: i broke and dislocated my ankle 7wks ago.I had a plate wit prox 4 screws,im going to have a screw ...
  A: Seamus, You will probably be instructed to bear wt as tolerated and then gradually go from there. ...
hernia disk in my neck5/22/2008
  Q: I have been told I have a herniaded disk in my neck, c-3 c-5 (I believe) I am having tinging in my ...
  A: Tammy, I would keep investigating..C3-C5 should really not have any effects on fingers per se...as ...
Left arm numbness5/17/2008
  Q: For about a year, I've noticed every two to three months (maybe less frequently) my left arm gets ...
  A: Theresa, It does sound like some kind of neck or disc problem. You may have DDD degenerative disc ...
Chondromalacia Surgery5/15/2008
  Q: I had chondromalacia surgery 9 weeks ago and the surgeon told me it was quite bad so he had a good ...
  A: Susan, This is really something only your ortho can answer . It depends on shape and condition of ...
Knee injury5/14/2008
  Q: I was reaching across a bed a couple of nights ago, and I was standing to where my knee was in the ...
  A: Yes you can try what you are doing ..don't wear the brace too much for fear of clots..if you are ...
Knee Problems.....5/13/2008
  Q: When I stand up my knee bows backwards extremely far almost 15-20 degrees. I've been told this is ...
  A: I am fairly certain you have hypermobility joint syndrome..or "floppy joint syndrome"...This article ...
Exercise Induced5/11/2008
  Q: I have a 28yo brother who is about 6'6" and around 320lbs. I have noticed at the gym when we are ...
  A: Sara, No I don't know for sure what that could be..he might have ruptured a vessel or muscle..and ...
Knee Pain5/9/2008
  Q: Whenever I go up or down stairs, my right knee "grates", its getting louder by the minute and is now ...
  A: yes mine R >L has been doing this for about 15 yrs..sounds like popcorn when I go up stairs..but I ...
Knee Pain5/8/2008
  Q: Whenever I go up or down stairs, my right knee "grates", its getting louder by the minute and is now ...
  A: Lynda, It sounds like chondromalacia patellar..basically the backside of you knee cap is grating ...
Tender Thumb, some pain5/7/2008
  Q: The other day, I was sorting some papers, keeping my hand and thumb in pretty much the same form for ...
  A: Cassie, Sounds like a ligament sprain of the thumb...also if your tendon was in a fixed position ...
shoulder problems....from scapula?5/6/2008
  Q: i have a interesting case going on.. at least for my self.. i think.. I am a baseball player.. ...
  A: Mike, You have just about done everything you can do sounds like... I would try and find a sports ...
foot fracture5/3/2008
  Q: i had fractured my my third metatarsle last summer during camp. i was running and all of a sudden i ...
  A: You need to see a orthopedist office for xrays. Depending on what bone is broken and how it is ...
elbow pain4/19/2008
  Q: I hurt my elbow. At the time i did it, it hurt quite a bit but i thought I just bruised it bad. Now ...
  A: DJ, Sounds like you need a xray...you could go to one of those Doc in a box places as long as they ...
ULNAR NERVE4/18/2008
  Q: I AM 17 YEARS OLD. MALE. MY RIGHT ELBOW CLICKS AT AROUND 90 DEGREES TOWARDS THE MEDIAL SIDE. IT BEEN ...
  A: Well first of all you need to have a diagnosis by an ortho who specializes in elbow and upper exts ...
ULNAR NERVE4/17/2008
  Q: I AM 17 YEARS OLD. MALE. MY RIGHT ELBOW CLICKS AT AROUND 90 DEGREES TOWARDS THE MEDIAL SIDE. IT BEEN ...
  A: RJ' I would agree w your parents based on the info your provided. You are not having pain, you have ...
clicking hip4/16/2008
  Q: I'm an 18 year old female and I have just started doing pilates. I noticed that both my hips click ...
  A: Clicking or snapping hip syndrome is more common in young females and associated with activity ...
Finger won't bend on its own.4/15/2008
  Q: I recently had an accident at work in which I sliced three of my fingers on a meat slicer. I drove ...
  A: S, It is really difficult to give a accurate answer on something like this w/o exam. But it is ...
Boxers Fracture that healed incorrectly4/9/2008
  Q: My 17 yo son got into a fight three weeks ago, one punch was thrown. His hand swelled up, but never ...
  A: V, The most important thing they will look at is the angulation and if it is causing rotation of the ...
shoulder problem post wrist surgery4/4/2008
  Q: I'm 56 yrs old and had CMC Arthroplasty last December. I wore a cast and splint for 5 weeks. During ...
  A: Bonnie, Yes I do think that is what it's from. I do see it from time to time. The arm is being ...
your opinion about management4/2/2008
  Q: i would like to know your opinion about my daughter condition management: she is 11 years old, free ...
  A: Salma, That reminds me of watching the weatherman for the wknd...where he puts a picture up of some ...
Srained wrists3/31/2008
  Q: I'm a 58 years old woman in good health. In January, I had to empty large bookcases and carry ...
  A: Yolande, It doesn't sound like carpal tunnel syndrome...you don't mention numbness or tingling in ...
Shoulder injury?3/27/2008
  Q: I have been on a weightlifting routine which has me nearly "maxing out" during each workout. A ...
  A: Josh, I would try advil/Motrin per label ice and heat to the area (2-3 x day) of soreness and no wt ...
torn ligm in arm3/27/2008
  Q: Good morning. Almost a year ago I was hit by a car. I was lucky to walk away from it. I did however ...
  A: Juli, Sounds frustrating for sure, but you will need to find a ortho, one who specializes in upper ...
upper leg pain3/26/2008
  Q: Several weeks ago I was sitting in our porch swing when it just fell. My left leg was turned and ...
  A: Yes it sounds like you pulled a muscle or ligament where your quadriceps and hip joint attaches..if ...
Shoulder problem after surgery3/25/2008
  Q: bags of dog food - I felt deep pain in shoulder and down my bicep. I continued to have ...
  A: Yes..it could be..also the labrum tears can "clunk"..but ortho said labrum was okay?...again the BT ...
Shoulder problem after surgery3/24/2008
  Q: bags of dog food - I felt deep pain in shoulder and down my bicep. I continued to have ...
  A: Sue, You give a great summary and it looks like the ortho covered all the regular kind of things. ...
jones fracture3/23/2008
  Q: I am 19 years old, I have a non-displaced Jones fractured on my left foot that happened Dec 13, 2007 ...
  A: Raul, There is really nothing you or your Dr did wrong..these fx's that are treated with "closed" ...
Shoulder Injury3/22/2008
  Q: Shaw. I looked through the topics and yours was the closest to my problem that I could find on this ...
  A: KR, You may have a rotator cuff tear or hopefully just a bicepital groove tendon strain. You will ...
chronic left wrist pain3/21/2008
  Q: am 35 yr old male, and have had chronic left wrist pain for over 15 years. have had other injuires ...
  A: Ryan, You need to research a TFCC tear..sounds like what it could be or at least needs to be ruled ...
Lower body injury3/20/2008
  Q: I experienced an injury to my right knee last summer whilst playing ice hockey. I got checked into ...
  A: Janne, You need to have an MRI they are about 95% accurate in diagnosing meniscus tears etc..A lot ...
shoulder3/18/2008
  Q: im 16 years old and i play softball which is basically my life. i am the main pitcher for 2 ...
  A: Becca, I don't know the particulars of your case, but your AT should. It wouldn't hurt to get a ...
shoulder3/16/2008
  Q: im 16 years old and i play softball which is basically my life. i am the main pitcher for 2 ...
  A: Yes..It is where the shoulder almost dislocates..if it happens over and over the muscles can be come ...
Twisted Knee3/15/2008
  Q: I'm 27, male, and lift weights three times a week so I'm in pretty good health. I played soccer ...
  A: Jon, Well since you don't have insurance, I hope you didn't do anything to it too bad...obviously it ...
short head bicep tear3/14/2008
  Q: Recently I had an intense pain in my armpit for no apparent reason, the next morning I woke to find ...
  A: matt, What is bizzare to me is that you just woke up with it? I have never heard of that...it takes ...
Bone graphing3/13/2008
  Q: I was in an auto accident in 2004. I sustained a tib/fib fx. They placed a rod and three screws to ...
  A: Kati, I think your ortho is looking at everything and that is good. You do want to make sure its not ...
leg pain3/11/2008
  Q: I have searched the internet for any clue of what may have happened but have not been able to come ...
  A: Jill, It sounds like what we call "New job strain"...usually seen in people who have to do a new job ...
Impingement of iliopsoas muscle3/11/2008
  Q: I am a 44 female who had hip dysplasia as a child. I had two surgeries to correct this. When I was ...
  A: Sorry Deb, This is outside my area of expertise...but I did want to help you since you are having ...
Shoulder Blade Tingling3/10/2008
  Q: Shaw, Over the past month or two I have had a tingling sensation around my left shoulder blade. ...
  A: Kevin, As my bio says I am a PA, but I do think you will now need further work up. The xray is ...
knee joint3/8/2008
  Q: i am a 55yr old female. last may i broke my tib/fib and was out of work for 7 months. i am still ...
  A: Deborah, You may have sustained damage to your knee when you got your fx. It is not uncommon for ...
unset colles fracture3/6/2008
  Q: A couple of years ago I fell and had a very bad Colles fracture. The ER doc put the bones back in ...
  A: Pat, By it being an ORIF open reduction internal fixation procedure, that tells me it was a pretty ...
Pain in left buttock3/3/2008
  Q: When I walk it is very painful and it feels like my knee is popping out of place. What could this ...
  A: Gina, That can be a pretty classical sign for sciatica..this is a large nerve that runs from your ...
Scapholunate Tear3/3/2008
  Q: I am desperately seeking advice for my next move on what seems to be a damaged Scapholunate ...
  A: James, Unfortunately you have one of those conditions in where you if you talk to 3 diff orthos you ...
Pain2/28/2008
  Q: I am 53 years of age.I also got a THR due to AVN more than an year ago. My X-RAY, Bone scan etc are ...
  A: It's possible...again, when we find something on MRI or xrays we tend to say that is the cause ...
Pain2/27/2008
  Q: I am 53 years of age.I also got a THR due to AVN more than an year ago. My X-RAY, Bone scan etc are ...
  A: Subhash, You have gotten all the things ckd you are suppose to. There is an uncommon condition ...
arm/shoulder injury2/26/2008
  Q: About 8 weeks ago I fell off of the stoop(about 2 feet high) of my back steps landing on my left ...
  A: The only problem is you don't know what you got..so to speak. If it is a strain/sprain then possibly ...
arm/shoulder injury2/25/2008
  Q: About 8 weeks ago I fell off of the stoop(about 2 feet high) of my back steps landing on my left ...
  A: Kit, Yes you should see an ortho, I think you need an MRI. Xrays are of little value (unless you are ...
Shoulder Dislocation2/25/2008
  Q: First Time my Left Shoulder got Dislocated was 13yrs back and since then frequently it happens,(once ...
  A: UJ This is a great article I have found for you. Some of the surgeons around here have use a ...
leg, foot injury2/21/2008
  Q: I am 21 years old and 6 months ago I wiped out on my mountain bike and I broke my left tib and fib ...
  A: Clayton, Wow...that was a bad break...as I was reading it I thought they were going to recommend ...
broken wrist2/18/2008
  Q: Two weeks ago, I broke my wrist (Radius). First they splinted it, now it is in a cast. My "pad" of ...
  A: O, I am assuming you had a Colle's wrist fracture (fx) this is the most common...It still is a ...
posible knee overuse injury2/17/2008
  Q: I am a dancer. I dance 5 or 6 days a week for at total of about 17 hours a week. About 4 years ago I ...
  A: Mel, If you were my sister I would have you evaluated by a orthopedic provider..preferably one who ...
Tibia Fracture2/16/2008
  Q: my name is Sam and I'm an 18 year old female gymnast. This is where most of Orthopedic Sergeons roll ...
  A: Sam, Sounds like your bones have been through a lot for just being 18! In some respects the bone ...
Not sure if you can help me.....2/15/2008
  Q: I have been having a neck ache/shoulder ache, some numbness in my arm and hand, I have fibro, so ...
  A: M, My main question is, are Chiropractors trained to know what a "bump/lump" is? Well, that would ...
Thanks for your reply....2/15/2008
  Q: I am a little confused about what my husband's orthopedic doctor said about his injury. He went to ...
  A: 1.With these scaphoid injuries that are (?)questionable..you are better served to "over-read" and ...
"Questionable" scaphoid fracture???2/14/2008
  Q: I am a little confused about what my husband's orthopedic doctor said about his injury. He went to ...
  A: Debi, You're husband is being treated appropriately. Unless there is a clear or obvious fracture(fx) ...
Foot & Ankle Pain2/14/2008
  Q: My husband fell and injured his left foot-ankle about 2 years ago he went to the doctor's, she gave ...
  A: Cheryl, He may have RSD (reflex sympathetic dystrophy) or the newer term is complex regional pain ...
back of knee clicking2/13/2008
  Q: first of all, thanks for any help. I recently have started having a weird clicking sensation in the ...
  A: Ben, You could be describing crepitus, which pts have a grinding,clicking,crackling feeling and or ...
knee2/13/2008
  Q: I am 24 years old. My right knee makes a crackling sound when I bend it. I get a sharp pain once ...
  A: Brandy, You probably have a cond. called chondromalacia patellar...basically the cartilage surface ...
Sciatica2/12/2008
  Q: I am male 25yrs old. I am suffering from sciatica. I have been taking pain relief pills for the past ...
  A: "when I lean on my back"...do you mean lay?..If the nerve is inflamed then when you straighten out ...
ITB2/11/2008
  Q: I am running the LA Marathon Mar 2. I was supposed to run 22 miles last weekend as my last long run ...
  A: Sarah, Iliotibial band syndrome (ITB) is one of the more common running injuries. It is an ...
Broken finger2/8/2008
  Q: My name is john, i am a boxer and i recently broke my bone just above right hand little finger ...
  A: John, He probably did right by you, but impossible to tell for sure over net of course. I would get ...
Weak Bones in the Hand, Boxers Fracture2/7/2008
  Q: Around 8 years ago I had an altercation with a very solid and inanimate object, receiving what is ...
  A: Jason, Unfortunately your hand's fate was decided when the fractures occurred, especially what ...
toes2/6/2008
  Q: Sometimes my daughter walks on the top side of her toes,toes curled under,nails against floor. is ...
  A: I don't know if it is called anything officially...but yes you need to correct it. A pt of ours had ...
osteoarthritis and ulnar nerve entrapment2/5/2008
  Q: i'm a 40 yr old lady with arthritis, myositis ossificans and recently diagnosed ulnar nerve ...
  A: Samantha, I have not ever heard of those conditions causing itching in the palm and little finger. ...
rebuilding cartilage2/5/2008
  Q: Are there any supplements that show any promise in rebuilding cartilage or at least slowing down ...
  A: John, I guess that depends on who you ask and on how many people you ask! The cashier behind the GNC ...
glucosamine/chondroitin2/3/2008
  Q: My husband suffered a fractured patella over 3months ago and is still in extreme pain with swelling. ...
  A: Laura, Patellar fractures are very painful so maybe your ortho feels your husbands pain is "normal" ...
foot and ankle swelling2/3/2008
  Q: Dr. I am 46 yr male. Three days ago I awoke to find both the tops of my feet and ankles swollen. ...
  A: Steve, I don't think this is an orthopedic problem based on what you have told me. You need to check ...
Degenerative Changes at 26??2/2/2008
  Q: I am pretty desperate right now for some information or impressions as it seems it will be quite a ...
  A: Yes they may elect not to surgically repair your MCL, which is appropriate..thats why I said ...
pitchers elbow in 13 year old2/1/2008
  Q: My son was having a chronic pain in his right elbow last baseball season. At the time he was 12. ...
  A: Andrea, Yes you should be a little concerned. Little leaguers elbow/Pitchers elbow can become ...
Degenerative Changes at 26??2/1/2008
  Q: I am pretty desperate right now for some information or impressions as it seems it will be quite a ...
  A: Christina, For a MCL tear,all those MRI findings are to be expected. You have a tear of a ligament ...
ankles getting bigger1/31/2008
  Q: I am a 21 years old dancer and I've never had my ankles twisted, sprained or any other injuries. ...
  A: Shahirah, That does sound a little odd. If you were in your 60's and a smoker overweight, weak heart ...
Crink in neck and more1/31/2008
  Q: I have fibromylagia, so muscle pain is not knew to me, however I was hoping you could give me some ...
  A: Ralley, I know how you feel, I had similar thing happen to me several yrs ago..it took about 3 wks ...
stress fracture?1/30/2008
  Q: I have just started running. I am a very new beginner, and started out just walking, and progressed ...
  A: Julie, You can treat this as a stress fracture, however, if it continues another 4 wks I would get ...
mrsa in knee1/29/2008
  Q: I obtained mrsa in my left knee approximately 1 year ago.Now my knee has to be constantly in a knee ...
  A: Okay, you may be in a little better situation...but if what you are saying that it is "constantly ...
mrsa in knee1/29/2008
  Q: I obtained mrsa in my left knee approximately 1 year ago.Now my knee has to be constantly in a knee ...
  A: Jeannine, You don't list your age, but if your 45-50 or older, and have appropriate height and ...
pain in hip joint1/27/2008
  Q: I´ve been suffering for some months with mild numbness on the skin surface aound the hip area, and a ...
  A: Teri, There is an uncommon condition known as meralgia paresthetica which presents with pain, ...
wrist fracture1/25/2008
  Q: My husband was in a car wreck on 12/15.A sixteen year old boy crossed the center line and hit hhim ...
  A: Leah, I think everything is going about as well as expected. It has only been about 6 wks since ...
MRSA1/24/2008
  Q: Dr, My wife was diagnosed with MRSA and has also total knee replacement on both knees. The knees are ...
  A: Albert, I'm sorry you and your wife are having to go through this. There is hope that she can beat ...
Knee Joint query1/23/2008
  Q: Joe, Would you be kind enough to answer a query relating to a sore knee joint that seems to be ...
  A: Vidya, It sounds like you may have crepitus (crackling/crunching sound with joint movement)which can ...
Pain on left side of body after a sneeze1/23/2008
  Q: After a sudden and somewhat intense sneeze, I felt a great muscular pain on left side of chest and ...
  A: Yes you are probably re-injuring it/re-straining it when you cough or sneeze. The fact is even if it ...
regarding tablets1/22/2008
  Q: Sir, I am Shalini from India. Sir, one of the doctors advised my father to take "GLUCOSAMINE HCL ...
  A: I don't use it nor do I recommend my family to use it, but I know a lot of people try it and use it. ...
Plantar Fasciitis1/22/2008
  Q: I am a 42 yo runner who runs about 60 miles per week and who has had Achilles Tendonitis about 5 ...
  A: I would say that you will be more prone, as we age this also works against us. If you have not been ...
Pain on left side of body after a sneeze1/22/2008
  Q: After a sudden and somewhat intense sneeze, I felt a great muscular pain on left side of chest and ...
  A: Neil, Yes most likely you strained your intercostal rib muscles, the ones inbetween your ribs. If ...
Plantar Fasciitis1/21/2008
  Q: I am a 42 yo runner who runs about 60 miles per week and who has had Achilles Tendonitis about 5 ...
  A: Don, First off thank-you for serving our country! 60 miles a wk?? that's a lot,that's over 3,120 ...
HIP Pain1/19/2008
  Q: My name is Irshad Ali,my age is 22 and i live in Pakistan.1st of All i m really glad to find this ...
  A: You are very young to have a hip replacement thats for sure, you don't mention your weight, ...
Pain1/18/2008
  Q: Good Evening, I have developed over a week now and is not getting better a pain back into my left ...
  A: Chad, It sounds like a parascapular strain or a strain of your rhomboid muscle(a muscle around your ...
knee surgery1/18/2008
  Q: had knee scope,2-weeks later pain and swelling.doctor gone for 5 weeks.went to emergency would not ...
  A: David, I don't know if anyone can say for sure why this happened. As you may know patients with ...
Developmental disabilities and orthopedics1/17/2008
  Q: My son has the developmental disability of PDD-Nos. His neurologist noted that the posture of his ...
  A: I would suggest an orthopedic pediatric referral, most likely from a teaching hospital if that is ...
wrist cracking1/12/2008
  Q: ok im a 15 year old male and for a while now ive been cracking my left wrist allot i also crack ...
  A: Is this a question? Some younger people do seem to like to crack and pop their joints, but grow out ...
Extreme heel pain12/31/2007
  Q: I had an ankle injury that kept me in a cast and then a boot with no weight bearing. The ankle ...
  A: Dan, That does sound odd, It looks like you are getting good treatment though and you are ...
Chronic Sprained Ankle12/30/2007
  Q: I sprained my right ankle two years ago and it never healed properly. I was practicing soccer and ...
  A: I'm not sure if you reinjured ankle jumping over fence? At any rate If you had an xray plus an MRI ...

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