Doctors
Mr. Thomas Harrison
Doctors
Prof. Paul Lee
Specialties
General MSK/Sports/Ortho
Treatments
Cartilage Regeneration
Treatments
lower back pain
Treatments
OpenMRI
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MRI Scan Safety: Risks, Precautions, and Patient TipsMRI Scan Safety: Risks, Precautions, and Patient Tips
How Safe Are MRI Scans? MRI scans are considered very safe and non-invasive, as they do not use ionising radiation like X-rays or CT scans. Instead, they rely on strong magnetic fields and radio waves, making them the imaging method of choice for many conditions. Most people experience no sideHow Safe Are MRI Scans? MRI scans are considered very safe and non-invasive, as they do not use ionising radiation like X-rays or CT scans. Instead, they rely on strong magnetic fields and radio waves, making them the imaging method of choice for many conditions. Most people experience no side effects at all during or after an MRI. However, it is important to be aware of specific safety concerns and to follow the recommendations provided by your healthcare team. Letting your doctor know about any medical devices or implants, pregnancy, and recent surgeries ensures your MRI scan is performed with your safety as the top priority. Metal Implants, Devices, and MRI Compatibility The powerful magnets in MRI scanners can affect or be affected by metal inside the body. Common items of concern include pacemakers, certain cochlear implants, metal aneurysm clips, or joint replacements. Always inform your healthcare provider about any implants before your appointment. Modern devices are often MRI-...
Managing Stress: A Key to Alleviating Lower Back PainManaging Stress: A Key to Alleviating Lower Back Pain
Stress significantly influences lower back pain by triggering muscle tension and spasms, which exacerbate discomfort and prolong recovery. Chronic stress activates the body's fight-or-flight response, leading to muscle stiffness, particularly in the lower back. Addressing stress through mindfulness meditation, yoga, regular exercise, and adequate sleep can reduce muscle tension andStress significantly influences lower back pain by triggering muscle tension and spasms, which exacerbate discomfort and prolong recovery. Chronic stress activates the body's fight-or-flight response, leading to muscle stiffness, particularly in the lower back. Addressing stress through mindfulness meditation, yoga, regular exercise, and adequate sleep can reduce muscle tension and alleviate pain. Mental health support, including cognitive-behavioral therapy, helps break the cycle of stress and pain by developing coping mechanisms. Integrating stress management with lifestyle changes improves both physical and mental well-being, offering a comprehensive approach to lower back pain relief. Seeking professional help is advised if pain persists despite self-care. Understanding and managing the stress-back pain connection is crucial for effective, holistic treatment and improved quality of life.
Microfracture Doom to FailMicrofracture Doom to Fail
Microfracture surgery, commonly used to repair damaged knee cartilage, is often questioned for its long-term success. This article explores why microfracture surgery fails and discusses alternatives for cartilage repair such as autologous chondrocyte implantation (ACI), mosaicplasty, and mesenchymal stromal cells. The limitations of microfracture surgery include the body's struggle toMicrofracture surgery, commonly used to repair damaged knee cartilage, is often questioned for its long-term success. This article explores why microfracture surgery fails and discusses alternatives for cartilage repair such as autologous chondrocyte implantation (ACI), mosaicplasty, and mesenchymal stromal cells. The limitations of microfracture surgery include the body's struggle to balance between durable healing and repeated injury, resulting in the breakdown of repair tissue over time. Additionally, the articular cartilage's limited capacity to heal leads to pain recurrence and post-traumatic arthritis. Long-term outcomes vary, with a risk of osteoarthritis progression in older patients. Alternatives like ACI and mosaicplasty show promise, although ACI has a high reoperation rate. Mesenchymal stromal cells are also being considered for enhancing cartilage repair.
Medicolegal Implications of Microfracture Surgery in Cartilage Repair: An In-depth Q&A
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Prof. Paul Lee
30/12/2023
Medicolegal Implications of Microfracture Surgery in Cartilage Repair: An In-depth Q&A
Microfracture surgery is a minimally invasive procedure used to treat knee cartilage damage. However, its long-term efficacy and outcomes have sparked controversy. Compared to newer techniques like autologous chondrocyte implantation, microfracture may produce less durable repair tissue. Surgeons need to consider the patient's specific cartilage damage, potential for success, andMicrofracture surgery is a minimally invasive procedure used to treat knee cartilage damage. However, its long-term efficacy and outcomes have sparked controversy. Compared to newer techniques like autologous chondrocyte implantation, microfracture may produce less durable repair tissue. Surgeons need to consider the patient's specific cartilage damage, potential for success, and limitations of the procedure before performing it. Medicolegally, it is important to fully inform patients about the procedure and document thorough consent. It is crucial for patients to have a realistic understanding of what the surgery can and cannot achieve. Microfracture may be more suitable for younger patients with smaller, well-contained cartilage lesions. The future of cartilage repair surgery lies in techniques that regenerate hyaline cartilage more effectively. Insurance providers are increasingly scrutinizing the evidence behind various surgical techniques, potentially impacting coverage decisions
Unveiling the Truth About Microfracture Surgery: Your Questions Answered
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Prof. Paul Lee
29/12/2023
Unveiling the Truth About Microfracture Surgery: Your Questions Answered
Is microfracture surgery still a viable option for cartilage repair in modern orthopedics? This article addresses common questions about microfracture surgery, including its limitations, long-term outcomes, and suitability for different patients. It explores more advanced alternatives such as ACI and MACI, and discusses how cartilage repair has evolved beyond microfractureIs microfracture surgery still a viable option for cartilage repair in modern orthopedics? This article addresses common questions about microfracture surgery, including its limitations, long-term outcomes, and suitability for different patients. It explores more advanced alternatives such as ACI and MACI, and discusses how cartilage repair has evolved beyond microfracture surgery with regenerative medicine innovations. The article also questions the logic and effectiveness of relying on a bone healing response to repair cartilage. It concludes by emphasizing the importance of understanding microfracture surgery's limitations and considering patient-specific factors when choosing the most suitable treatment approach.
Rethinking Microfracture Surgery in Modern Orthopaedics: Perspectives for Cartilage Repair
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Prof. Paul Lee
28/12/2023
Rethinking Microfracture Surgery in Modern Orthopaedics: Perspectives for Cartilage Repair
Discover the ongoing debate surrounding microfracture surgery as a technique for cartilage repair in orthopaedic medicine. As advanced methodologies emerge, such as Autologous Chondrocyte Implantation (ACI) and Matrix-Induced Autologous Chondrocyte Implantation (MACI), the relevance of microfracture comes under scrutiny. Although it may still be appropriate for patients with small cartilageDiscover the ongoing debate surrounding microfracture surgery as a technique for cartilage repair in orthopaedic medicine. As advanced methodologies emerge, such as Autologous Chondrocyte Implantation (ACI) and Matrix-Induced Autologous Chondrocyte Implantation (MACI), the relevance of microfracture comes under scrutiny. Although it may still be appropriate for patients with small cartilage defects, concerns over long-term efficacy and durability limit its applicability. With rapid advancements in regenerative medicine, stem cell therapies and scaffold-based approaches offer promising alternatives. Ultimately, patient-specific factors should guide the decision-making process, and ongoing research is necessary to define microfracture's role in modern orthopaedic surgery.
Microfracture in Cartilage Repair: Efficacy, Adverse Outcomes, and Clinical Controversies
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Prof. Paul Lee
27/12/2023
Microfracture in Cartilage Repair: Efficacy, Adverse Outcomes, and Clinical Controversies
Microfracture Technique: Limitations and Concerns. This article discusses the limitations and potential adverse outcomes associated with the microfracture technique used for cartilage repair. Concerns include subchondral bone overgrowth, formation of less durable fibrocartilage instead of hyaline cartilage, and the lack of long-term durability. Other limitations include the technique's suitability forMicrofracture Technique: Limitations and Concerns. This article discusses the limitations and potential adverse outcomes associated with the microfracture technique used for cartilage repair. Concerns include subchondral bone overgrowth, formation of less durable fibrocartilage instead of hyaline cartilage, and the lack of long-term durability. Other limitations include the technique's suitability for large lesions, the formation of granulation tissue and subchondral cysts, and the need for extended rehabilitation. These factors raise concerns about the efficacy and long-term outcomes of microfracture as a sole treatment for cartilage defects.
Top Tips Before Your MRI ScanTop Tips Before Your MRI Scan
Prepare adequately for your MRI scan with these top tips. MRI scans are a crucial diagnostic tool in modern medicine, especially for musculoskeletal issues. They use magnets and radio waves to create detailed images of internal structures without using radiation. Wear loose, metal-free clothing and inform your doctor of anyPrepare adequately for your MRI scan with these top tips. MRI scans are a crucial diagnostic tool in modern medicine, especially for musculoskeletal issues. They use magnets and radio waves to create detailed images of internal structures without using radiation. Wear loose, metal-free clothing and inform your doctor of any medical conditions, implants, or pregnancy to ensure safety and image quality. Follow any instructions given by your healthcare provider, such as refraining from eating or drinking before the scan. If you're anxious or claustrophobic, discuss potential solutions with your doctor, such as sedatives or an open MRI machine. Being prepared can help alleviate stress during the scan. Contact MSKDoctors.com for musculoskeletal diagnostic solutions.
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