Arthritis :: Fibrocystic Change In The Greater Tuberosity?
May 15, 2016
Findings: -
AC Joint: There is mild AC joint arthrosis present.
Osseous Structures and Articular Surfaces: The glenohumeral cartilage is normal. There is fibrocystic change in the greater tuberosity. There is normal signal in the glenoid.
Rotator Cuff: The supraspinatus, infraspinatus, subscapularis, and teres minor are intact. There is no retraction or atrophy. No fluid in the subacromial/subdeltoid bursa.
Labral-ligamentous Complex: The biceps anchor is intact. No definite labral tear present.
Additional Findings: No mass lesion in the quadrilateral space or suprascapular notch.
I was in a bad car wreck Feb 15th , luckily i didn't get hurt to bad, just banged up pretty good with alot of bruising , i really didn't have pain in my shoulder until 2-3 days later i started feeling a sharp stabbing pain in my collar bone, i kinda ignored it and went about my business thinking ok its just from being banged up. I then went to work on a saturday and noticed that the pain started to get worse and noticed a bulge in between my collarbone and shoulder , i proceeded to put ice on it and just kept working, then i went into work sunday and still same thing but i started to feel very weak and ill . so i told them sorry i am unable to come back to work the next day and made a doctors apt . he scheduled an MRI i got it done and that was in march 9th , he said they didn't see any tears or broken bones, but i do have Mild ac joint Arthrosis , he sent me to an Orthopedic surg. and i have been doing physical therapy since then and he did give me some shot in the shoulder. the pain in my shoulder is a deep ache pain with a burning sensation in my upper arm, then i lift my arm or turn it it pops, clicks , crackles and crunches, the pain stays mostly at a lvl 3 and some days can go to a 5 . If this ac joint is causing all this my god i just want it to go away . I already have degeneration in my spine with herniated and bulging discs in my lower back . Mild bone spurring in my middle back and neck . he wanted me to do 4 more weeks of therapy but so far its not helping the burning sensation seems to be getting worse I also feel like i have a tennis ball in my shoulder (scapula) area when i sit in my car or lean back in my chair . the areas are very tender to touch . I am taking diclofenac for the inflammation . i am supposed to be going back to my DR. may 24th to possibly have him clean and scope my shoulder to see what is causing all this !
also what does this mean ? The glenohumeral cartilage is normal. There is fibrocystic change in the greater tuberosity. There is normal signal in the glenoid.
" There is fibrocystic change in the greater tuberosity." ?
I am just wondering if anyone else has had the same problem with there ac joint doing that ?
bc i am to a point lifting anything real heavy, sweeping and mopping my floors, drying or combing my hair , mixing or stirring anything with that arm ( left ) side .. just makes it worse ! i've heat it iced it , but it gives a very short relief
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After my 2nd THR {4 weeks post op to be exact} I was doing an NHS exercise when there was a crack and my leg gave way. The long and the short of it........Emergency consultant I saw said it would heal but would take a long time.......About a couple of months later I saw the consultant that has done both THR's and he said it would never heal. I would be on 2 crutches or possibly one for the rest of my life.
OK 20 months later I'm still on crutches but the main problem is that the pain has got so much worse. I'm in agony with it especially the first 3 hours or so in the morning. I've got other conditions but can cope with the pain from those....this!!! cant find anything to ease it.
I'm normally a person who is glass half full......but recently I've been very "down" I'm seeing the consultant again on Friday 2nd October....can't come quick enough. Anyone any ideas/ suggestions/or questions for the consultant. I get on well with him but this time I'm going to have to really lay it on thick if that makes sense.
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I cannot find any doctor to help me. It started in November .. I thought I was having some back pain and went to the DR and found out I had a UTI. I was optimistic I would take the antibiotic and all would be fine. Well after I completed the Cipro the UTI was still there. They switched me to Macrobid and it cleared up. I continued having the pain in my back, hip and near my ischial tuberosity (sit bone). The sit bone felt very tender upon palpation and when i would press on it, it would also then initiate an anal reflex. (I think a sphincter is somewhere around there). I have gone to orthopedic doctors, and I have an appointment today with a Urologist as the UTI has come back twice since then. It all seems interconnected. I also have these shooting pain up and down my labia ... to my hip as well. It is all on my right side as well.
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I have been suffering from pain on the gluteal region (it worsens when sitting), sitz bones (ischial tuberosity), upper thighs, lumbar region and feet (calcaneum) for almost 2 years now. I'm 26, have always been healthy, but I have to say this condition is affecting my quality of life SEVERELY.
I have researched a lot about my ailment, read many scientific articles, have been to almost 50 doctors and still I haven't received a proper diagnose. I have already done many exams to investigate the source of my pain, namely: MRIs, CT scans, electroneuromyography of the perineum/legs, dozens of urine and blood exams, etc.
I (together with some physicians and physiotherapists) have come up with some diseases which are compatible to the symptoms (burning pain on the pelvis, ischial tuberosity, perineum, pubic bones, upper thighs, calcaneum), such as:
1. Pudendal nerve entrapment (negative result after an ANGiography)
2. Ischial Bursitis (negative after a MRI scan, no bursas inflamed)
3. Hamstring Tendinosis/Tendinopathy (negative on MRIs)
4. Prostatitis (no bacteria detected whatsoever, although I have taken antibiotics - PSA normal)
5. Autoimmune diseases (Reactive Arthritis, Ankylosing Spondylitis - negative)
6. Lyme Disease (inconclusive, took doxycycline for 3 weeks though)
7. Irritable Bowel Syndrome
8. Sciatica/Piriformis Syndrome (hypothesis ruled out after intense physical therapy, pilates for over 11 months)
The only exam that showed something not normal was a discreet enthesitis on both heels (calcaneum). That's why rheumatologists thought it could be some autoimmune disorder. Apart from that, everything seems pretty normal. My vitamin D levels are low too, but I have started taking vitamin supplements and my vitamin levels (not only D) are almost close to normal.
I was wondering if someone with similar symptoms have already received a light on that. I have visited a lot of forums on the internet with ppl complaining about the same things, but never read/learned about someone who received an ultimate/precise diagnose., nor did I found anybody who actually recovered from that.
Medication taken to date: Lyrica, Prednisone, Cymbalta, Ciprofloxacin, Doxycycline, Arcoxia, Sulphasalazine, Fluoxetine, Naproxen, Cyclobenzaprine
I have recently started a new treatment called Prolotherapy. I've read it is a helpful technique for chronic tendinopathy.
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I've had this nasty problem for almost 5 years now. I was in a severe vehicle collision where I fractured my L1 vertebrae, and then about 6 months later, I started getting this nagging pain in my left sit bone and down my leg.
I was misdiagnosed for the first 3 years of it. At first they thought I had piriformis syndrome ( which is most doctor's first diagnosis since it sends pain down the sciatic nerve. I did 6 months of rigorous physio/chiro/needling to attempt to fix the pain, but nothing helped.
Then they thought it was a bulging disc radiating pain down my back from the injury.
All the while, my pain was getting worse and worse. Taking more and more pain medication. Getting heavy into the opiates. Then after losing my career in the military, and after a year of wasting time. I finally got in to see a spinal specialist. one who teaches around the world and after 5 minutes of asking questions and a couple of manipulations, he diagnosed my with Ischial Tuberosity bursitis.
While I was happy to finally KNOW what it was. It hasn't been fixed. I get cortisone injections every six months, and unfortunately the relief is is not the best. I am taking a Fentanyl patch for consistent pain relief.
It sucks that a pain in my butt is a constant in my daily life. It's depressing and it makes it so i can't live like a normal person....doing normal things....movies, dinners, socializing, driving... etc.
All I do, is try to keep on moving......moving....trying to stay flexible...doing my stretches....trying to keep in decent shape and health.
If anyone wants to chat about their issues with Ischial Bursitis, I'd be glad to. Or if anyone wants to know about treatments etc....ask away.
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I've been having pain sitting, standing, & walking very far (at all) for over a year now. I had a spinal fusion done at the L -5/S -1 level back in 2002, & my docs keep close tabs on my back. I've had a tiny tear in the L-4 for many years, but most the docs feel my current problem has absolutely nothing to do with my spine - I agree. I have been diagnosed with a hip labral tear in my right hip socket about 4 months ago, but not bothered enough to do the drastic surgery. Doc injected left hip socket due to pain, but again, not my main problem.
I've had physical therapy (which aggravated the left socket), steroid injections into the ischial tuberosity bursa (both sides) - due to the doc thinking probable ischial tuberosity bursitis, which it is not, & am scheduled for an EMG down both sides of my lumbar spine (I hate those tests - they really hurt!). Meanwhile, I've been working with my chiropractor who does adjustments, percussion massage, iontophoresis, & cold laser treatment on me twice a week.
NO ONE knows what this is, WHERE to send me, or how to FIX it!
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After MRI my diagnosis was "Lots of mileage left, another 10 years, at least!" (I am 75)! Good to hear but still have to be careful going DOWN stairs! Not too bad going up! Some pain now and again. BUT I sometimes get a strange feeling on upper left thigh, (the worst knee), as if it is wet but when I touch the skin it is totally dry! Happens after I have been standing for a couple of hours.Also, sometimes the skin feels sore, but there is no evidence to show. Has anyone had similar feelings?.
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I often find I am changing up to 8 times a day not because the bag is full but because my skin sweating causes the adhesive to break down and the leaks begin. This is worse in hot countries and when travelling as I will need to change to make sure I have an empty bag before queuing up for aircraft etc. I also need to change before driving any distance as the seat belt position can cause leaks. Is there anyone out there with a similar problem
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So now I feel like a complete hypochondriac. Ladybud (who is fabulous, btw) has helped me tremendously. I am wondering if any of you have had your ANA patterns change. I am having muscle aches, dx with small fiber neuropathy and Raynaud’s, my RBCs and C-reactive protein have been low throughout the last 3 years. I now have been dx with a reactivation of the Epstein Barr virus and alopecia due to “granulomatous Dermatitis” (getting 2nd opinion later this month).
These are my titers and patterns over the years:
10/2011 ANA Titer: 1:320 Pattern: Homogeneous
11/2011 ANA Titer: 1:320 Pattern: Homogeneous
10/2013 ANA Titer: 1:320 Pattern: Homogeneous
5/2014 ANA Titer: 1:160 Pattern: Homogeneous
AND NOW:
6/2014 (AVISE SLE 2.0 TESTING (1st time with this test) ANA Titer: 1:80 Pattern: Diffuse fine speckled
Negative on all markers. I am HLA-B27 Positive, but negative for ankylosing spondylitis (AS).
Now my rheumatologist stated all my blood work appears to be normal and I have ZERO autoimmune positivity.
Huh? I feel like such a hypochondriac.
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almost two weeks ago I was diagnosed with PCOS and the doctor gave me Glucophage and I started it right away
she said that my hormones are normal .. but she tested me the last day of my period (the 8th day)
right after I took Glucophage .. I noticed changes in my personality
I'm not intense as I used to be ... I take things more freely
I also feel sorry for everybody .. not really sorry but mercy? I don't know but I feel I want to help everybody
my sex drive also is up
and some other changes too
and I don't feel like myself .. it feels weird
it feels like there is a difference
I'm wondering can it cause these changes?
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I get anxiety when people or things change.... even people I do not know. Today at work I heard that a child who is two years old is on her last days due to numerous problems. I felt anxiety shoot through my body even though I do not know this child. I know we all feel sad when we hear something like this but I cannot understand my body reaction to this. Another example is that there is a house behind me which is now sold and I feel anxiety that they are leaving even though I have never met them and I dont even know their names. What is this....I don't understand my feelings.
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I was virtually deaf in one ear and very little hearing in the other ear, have worn hearing aids for 25 years. Recently (all happened so quickly, within 6 weeks) got diagnosed with Otosclerosis in both ears. 6 weeks after seeing doctor, i had the op. I had a stapedectomy/stapedotomy on 04/01/2016. Noticed a faint improvement in hearing when lying on the ward after the op, could faintly hear trolleys being moved about. But nothing drastic...... I've had dizziness, (not room spinning dizziness) which now only remains if i read, do jigsaws, scan shop shelves from side to side etc, weird! I've been through the heart pulsating, creaking, the rain dripping onto a metal plate sound etc.
I've had no real explanation of what to expect, i didn't really ask the surgeon any questions as i wasn't sure what would happen after and was unaware i'd have so many unanswered questions come up.
I assumed, and read some on the internet, and was told by a friend who'd had it done, that once the packing was removed, i'd be able to hear. Had packing removed 6 days ago, i'd built myself up SO much, that i stood and sobbed when i still couldn't hear! Surgeon looked a bit puzzled, but he said he wasn't worried at this point and to see him again in 6 weeks and that it'd be fluid behind my ear. He said i need to have some popping before i'll hear.
So, here i am now, with no change in my hearing for the last 6 days. I'm sure when i swallow, i sound as if fluid is in there? I also get like a thunder noise mainly in the morning when i wake up and my throat moves. But what's worrying me most after reading up on the internet again, is when i put headphones on, i can hear the music, (have to have it on loud to hear it), but the loud thumps/beats in the music make my ear crackle like a loose wire on a radio. I read last night that this is because the op hasn't worked and the prosthesis needs tightening/shortening/revising. But then on the other hand i've read that this may be normal?
If i go to do a burp movement when i have music in the headphones, i get a millisecond of a loud noise, but then it goes again as my throat can't seem to hold the noise open if you get what i mean. I have soooo many questions but don't want to bore you with them, maybe later. So, should i be hearing by now, is the crackling loose wire sound normal, and if you have any other advice that might stop me worrying please. I'm just sitting waiting day by day thinking today might be the day that i hear.
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So I went to get an eye test today and when the optician viewed the image of the back of my eyes she said there was a small change in the pigment of the macular. She said it can lead to vision loss. She looked at my eyes, did the vision tests and my vision seems okay, apart from being short sighted. She said not to worry, it may have been there all the time but due to my age (35) they don't really look for it but I am to go back for an eye test in a year rather than two.
Well I did the worst possible thing and googled it which of course came back with macular degeneration and loss of central vision, although all I can find is age related macular degeneration but I'm freaking out. Has anyone else had experience of this, is pigment change something that can always have been there without any degeneration? I suppose if it was serious she would have referred me but I'm wondering if I should make an appointment with the GP?
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The doctor said the lung tissue is possible (mild) pneumonia. I'm less concerned about that, and I'm being treated with antibiotics. However, I have no idea what "degenerative change is present in the thoracic spine" means. He said nothing about that, but he's an allergy/asthma specialist, so it's not really his field...
Here's what the whole thing says:
"Minimal linear infiltrate is present in the left base. The lungs are otherwise clear. The cardiomediastinal silhouette is normal size and configuration. No pneumothorax or pleural effusion is identified. The pulmonary vascularity is normal. Minimal degenerative change is present in the thoracic spine."
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I spent two weeks in hospital over Christmas and new year 2013-2014 My symptoms were numbness in my feet, legs, stomach and hands and I am type 2 diabetic. Neurologist diagnosed vitamin B12 deficiency and nerve damage. Waiting for results of colonoscopy due to stomach problems.having b12 injections but no real change,trouble walking and balance affected.
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is it normal for your menstrual cycle to change. my period is usual at the middle of every month but now it came early but it's not the same as my other periods its heavier, less pain and the normal signs that i use to get to tell me that my period was coming i did not get them this time around. is it normal or is there something wrong with me.
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Clinical Notes: Radiculopathy.
Findings: Reversal of the cervical lordosis associated with a 2mm grade 1 degenerative anterolisthesis at C3/4. Multilevel disc desiccation, loss of disc height and degenerative anterior marginal end plate osteophytic spurring. Multilevel facet joint degenerative arthropathy. No suspicious bone marrow signal abnormality. No paravertebral soft tissue abnormality. The cervicomedullary junction is normally sited with the spinal cord of normal signal and volume down to the most visualised level at D4/5.
C2/3: Moderate left facet joint degenerative arthropathy with mild left foraminal narrowing.
C3/4: Anterolisthesis, a small superiorly pointing central disc extrusion, moderate bilateral uncovertebral and marked left plus mild right facet joint degenerative arthropathy, the latter associated with effusions bilaterally. Moderate canal stenosis with mild cord flattening. Severe left and moderate to severe right foraminal narrowing with impingement at both exciting C4 nerve roots.
C4/5: Broadbased disc bar, moderate right and mild left uncovertebral plus moderate canal stenosis with mild cord flattening on the right. Severe right and mild left foraminal narrowing with impingement of the exiting right C5 nerve root.
C5/6: Small broad based disc bar and moderate left uncovertebral joint degenerative arthropathy. Mild to moderate canal stenosis with mild cord flattening on the left. Severe left foraminal narrowing with impingement of the exiting left C6 nerve root.
C6/7: Small broad based disc bar and moderate bilateral uncovertebral joint degenerative arthropathy. Mild central canal stenosis. Severe bilateral foraminal narrowing with impingement at both exciting C7 nerve roots.
C7/T1 to T2/3: Posterior disc contour is normal.
T3/4 and T4/5: Moderate right facet joint degenerative arthropathy with moderate right foraminal narrowing and impingement of the exiting right T3 and T4 nerve roots.
Conclusion: Multilevel degenerative spondylotic change as described. Spinal canal stenosis associated with mild cord flattening between C4/5 and C6/7. Compressive foraminal narrowing seen bilaterally at C3/4, right at C4/5, left at C5/6, bilaterally at C6/7 and on the right at T3/4 and T4/5.
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CT c-spine Findings: There is postoperative change related to previous c5 c6 interiors fusion spacer with anterior retention hardware placement. There is no evidence of hardware fracture or loosening, alignment of the cervical spine is maintained. There is no findings of acute fracture or subluxation. Craniocervical junction is intact. C1-C2, C2-C3,C3-C4 no disc bulge or disc protrusion. No central canal stenosis or neural forAmina narrowing, within limitations of ct. C4-C5 small posterior disc osteophyte complex partially effaces the thecal sac without significant central canal or neural foraminal. C5-C6,C6-C7,C7-T1 no disc bulge or protrusion.
Impression, postoperative change at c5,c6 fusion. No evidence of hardware failure or acute fracture or subluxation of the cervical spine.
MRI findings: There is susceptibility artifact at C5-C6 related to intermediate fusion and cervical retention hardware placement.
C2-C3, C3-C4 , No disc bulge or disc protrusion. No canal stenosis or neural foraminal narrowing.
C4-C5 there is a 3 mm central disc protrusion with superimposed posterior endpapers osteophyte which partially enfaces the thecal sac. AP diameter the central canal measures 1.0cm. There is no significant central canal or neural foraminal narrowing.
C5-C6,C6-C7,C7-T1 no disc bulge or disc protrusion. No central stenosis or neural foraminal.
Impression: mild discogenic degenerative change at c4-c5. No significant central canal or neural foraminal seen at any level. Postoperative change c5-c6 anterior fusion.
I thought I was doing better from the first surgery. Pain, tingling, and numbness subsided, as well as migraines. Few months thst ago I get excruciating pain in my neck and shoulder with headaches again. I've seen my neurologist, but he says to go back to ortho. I go next thursday. I was hoping to get English what this means. My first mri and ct before surgery was quite obvious, and my pcp gave me the basics. The pain meds now im on aren't helping, in fact not even touching tje pain. Oxycodone 10/325 every 4-6 hours for breakthrough pain.
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