Question 1

My 95-year-old grandfather has had severe knee pain for 15 years, and sometimes his joints lock up so badly he can't stand. Surgery isn't an option at his age are there any other treatments that could help ease his pain?

Accepted Answer

For a 95-year-old with severe knee pain and locking, focusing on pain management and improving function is crucial. Options include:
 
  Pain Management:
  Medications: Over-the-counter pain relievers (like acetaminophen or ibuprofen) and, if necessary, stronger pain medications under a doctor's supervision can help manage pain. 
 
 Topical treatments: Creams or gels containing NSAIDs can provide targeted pain relief. 
 Cold and Heat Therapy: Applying ice for short periods (15-20 minutes) can reduce inflammation and pain, while heat can help relax muscles. 
 Injections: Corticosteroid injections into the knee joint can temporarily reduce inflammation and pain.

Question 2

I have 2 dental implants and might need 2 more soon, but my doctor also recommended an MRI scan for recurring shoulder dislocations. Will the implants or any screws and plates from past ortho surgeries cause issues during the MRI because of the strong magnetic fields? I'm a bit worried about how safe it is.

Accepted Answer

Generally, dental implants and most orthopedic hardware are considered safe for MRI scans. Modern dental implants, typically made of titanium or zirconia, are not ferromagnetic and won't interfere with the MRI's magnetic field. Similarly, many orthopedic implants like screws and plates, especially those made of titanium, are also MRI-safe. However, it's crucial to inform your radiologist or doctor about all implants and hardware you have before the MRI, as some older or specific types of metal might cause issues.

Question 3

Does using a plate and screw for a bone fracture help prevent needing another surgery later if the bone breaks again

Accepted Answer

Using plates and screws (internal fixation) for a bone fracture can help prevent the need for another surgery if the bone breaks again, but it's not a guarantee. Internal fixation provides stability, which can reduce the risk of further fractures and malunion (bone healing incorrectly). However, factors like the severity of the original fracture, the individual's healing process, and other medical conditions can still influence the likelihood of a re-fracture and the need for additional surgery.

I had a revision knee replacement back in 2009 but now I'm dealing with stiffness in my knee and really bad pain there plus some pain around my waist line too any idea what could be causing this or what I should do about it

we can then consider surgical options.

More Orthopaedics Health Queries

My 95-year-old grandfather has had severe knee pain for 15 years, and sometimes his joints lock up so badly he can't stand. Surgery isn't an option at his age are there any other treatments that could help ease his pain?

Does using a plate and screw for a bone fracture help prevent needing another surgery later if the bone breaks again

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