Question 1

I had ACL reconstruction with a hamstring autograft where they used a bioabsorbable screw on the tibial side and an endobutton on the femoral side I read that endobuttons are made of titanium and some studies say titanium might weaken the immune system or even cause cancer Is it possible to remove the endobutton later and is it really safe to keep it in long-term

Accepted Answer

ACL RECONSTRUCTION WITH REPAIR POST ROOT OF LATERAL MENISCUS IF UNSTABLE ON PROBING

Question 2

I'm dealing with an ACL tear in my left knee, and the MRI report mentions something about an interstitial tear. Could you explain what that means and how it can be treated? Also, I'm wondering how many therapy sessions might be needed. I have the MRI scan if you need more details.

Accepted Answer

Thyroid Treatment and Safety During Breastfeeding

*Treatment Evaluation*

1. *Thyronorm 50 mcg*: A suitable starting dose for hypothyroidism treatment.
2. *TSH level*: Your high TSH level (89.90) indicates severe hypothyroidism, requiring prompt treatment.

*Breastfeeding Safety*

1. *Levothyroxine safety*: Thyronorm contains levothyroxine, which is generally safe for breastfeeding mothers and their babies.
2. *Monitoring*: Regularly monitor your baby's thyroid levels and overall health to ensure the medication is not affecting them.

*Adjusting Treatment*

1. *Regular TSH checks*: Schedule regular TSH tests (every 6-8 weeks) to adjust the dosage and ensure optimal treatment.
2. *Dose adjustment*: Be prepared to adjust the dosage based on your TSH levels to achieve optimal thyroid hormone levels.

*Seriousness of Condition*

1. *Untreated hypothyroidism risks*: If left untreated, severe hypothyroidism can lead to heart problems, infertility, and cognitive impairment.
2. *Proper treatment*: With proper treatment and monitoring, you can effectively manage your hypothyroidism and minimize risks.

*Recommendations*

1. *Consult an endocrinologist*: Seek a second opinion from an endocrinologist to confirm the diagnosis and treatment plan.

Question 3

I have kyphosis and lordosis which causes forward head posture and it's really uncomfortable especially when sitting sometimes I have to lie down but can't when I'm outside would surgery be a bad option at my age and what exercises can help with this

Accepted Answer

Postural kyphosis/lordosis can improve with core strength,postural exercises,and pilates.Surgery is rare and usually for structural issues not correctable by exercise.

I have a slight ACL tear and some knee swelling do I need surgery for this or can it heal with physiotherapy alone? What would you recommend for recovery?

While some ACL tears may heal without surgery through rehabilitation and bracing, others require surgical intervention for complete recovery. The best approach depends on the individual's condition and lifestyle.

More Orthopaedics Health Queries

I'm dealing with an ACL tear in my left knee, and the MRI report mentions something about an interstitial tear. Could you explain what that means and how it can be treated? Also, I'm wondering how many therapy sessions might be needed. I have the MRI scan if you need more details.

I have kyphosis and lordosis which causes forward head posture and it's really uncomfortable especially when sitting sometimes I have to lie down but can't when I'm outside would surgery be a bad option at my age and what exercises can help with this

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