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When the pain of arthritis doesn't go away, replacing the problem joint may be an option. For the knee, the procedure to implant a new joint is called total knee arthroplasty (TKA). For most patients, TKA gives pain-free motion and return of function. For a small number of patients, the result isn't good. Painful swelling and loss of function can make them wish they'd never had the procedure. These patients can be helped. The doctor must make a careful search to find the cause of the problem before correcting it. There are many possible causes for a painful TKA. Problems from inside the knee may be the cause of painful symptoms. Recent changes in the design of the joint implant have helped solve some of these problems. Infection and bleeding are the first two things the doctor looks for. This can be assessed using laboratory test results. Scar tissue and pinching of the joint lining can cause a painful, stiff knee. This can be found using an arthroscope. The scope is a slender device wit...
What causes needle-like stabs all over my head after a migraine? In some cases these have become worse over the course of the day and become a migraine. Is it the remnants of the same migraine that was never completely treated or is it a new migraine coming on? How can I distinguish the difference? Lortab does not help them. Amy.
I would not expect Lortab to help these symptoms. I can’t intelligently tell you what causes needle-like stabs, but many Migraineurs describe them. It sounds like the stabbing can precede a Migraine, which is also not unusual. My suggestion would be to seek out a Migraine and headache specialist and discuss this with them regarding treatment options. If you need help finding a specialist, there's a link below.
Good luck, John Claude Krusz and Teri Robert
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Pain and snapping along the outside border of the knee can be caused by a variety of problems. It could be iliotibial friction syndrome, meniscus tear, degenerative joint disease, or even a loose fragment in the joint. In this report, the case of a 21-year-old female with a painful snapping of the left knee is presented. She had the symptoms for seven years. Evaluation and treatment by a variety of doctors and physical therapists were not helpful. She had to give up all sports and recreational activities. Any activity involving knee flexion or extension seemed to set it off. Even walking became a painful process. Her goal to return to running seemed impossible. She was seen by the authors of this case report (an orthopedic surgeon and a physical therapist). After a thorough examination, it was determined she should try another round of physical therapy treatment. The therapist used a trial of manual therapy, taping, icing, and a knee immobilizer. Conservative (nonoperative) care was uns...
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