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.

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Dr Chandra P

General Practitioner

MBBS
5+ Yrs

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Thyroid Treatment and Safety During Breastfeeding

Treatment Evaluation

Thyronorm 50 mcg: A suitable starting dose for hypothyroidism treatment.

TSH level: Your high TSH level (89.90) indicates severe hypothyroidism, requiring prompt treatment.

Breastfeeding Safety

Levothyroxine safety: Thyronorm contains levothyroxine, which is generally safe for breastfeeding mothers and their babies.

Monitoring: Regularly monitor your baby's thyroid levels and overall health to ensure the medication is not affecting them.

Adjusting Treatment

Regular TSH checks: Schedule regular TSH tests (every 6-8 weeks) to adjust the dosage and ensure optimal treatment.

Dose adjustment: Be prepared to adjust the dosage based on your TSH levels to achieve optimal thyroid hormone levels.

Seriousness of Condition

Untreated hypothyroidism risks: If left untreated, severe hypothyroidism can lead to heart problems, infertility, and cognitive impairment.

Proper treatment: With proper treatment and monitoring, you can effectively manage your hypothyroidism and minimize risks.

Recommendations

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

Dr. Chandra Suggests...

Consult a Orthopaedician

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Answered 04/07/2025

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Got an MRI report showing a complete tear of the medial patellar retinaculum with fluid buildup and swelling, plus a sprain in the ACL and MCL. There's also some bone marrow edema in the lateral femoral condyle and mild knee effusion. Really worried about surgery is there any way to heal this with meds or other treatments instead?

kindly share report

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I have scoliosis in my lower back and my x-ray shows it's C-shaped near the base of my spine. Is there any way to fix this without surgery? Are there specific exercises that might help correct it over time? I'm really worried about whether this can improve without going under the knife.

Mild scoliosis can improve with core strengthening, physiotherapy, and posture correction; regular follow-up is key, surgery only if worsening.

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Can an MRI show if a tendon is completely torn or just damaged and is it possible to heal a damaged tendon without surgery

Yes, an MRI can differentiate between a completely torn (ruptured) tendon and a partially torn or damaged tendon. It can also help determine the extent of the tear and assess any associated injuries, like avulsion fractures. Many damaged tendons can heal without surgery, especially partial tears, through conservative treatment options like rest, bracing, physical therapy, and potentially injections

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