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| Q&A: Dr David Hartman on Head Injuries (824 Posts)
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broken elbows...tricky blighters
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On 5/3/2003 Rich
wrote in from
(196.2.nnn.nnn)
Hi DocD
I broke my elbow about 2 and a half months ago, i snapped off the top part of the radius(radial whatever). I have regained all mobility in it except for a bit of pain when turned to the "extreme." But thats not my problem...even while wearing full leathers during races and elbow guards on cruise around sessions. A descent knock to the elbow causes the ligament or tendon to swell up to about 5 times its normal size, resulting in loss of mobility and a bit of pain. Are there any exercises i could do to help strengthen the joint?
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The Doc
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On 4/29/2003 ICE
wrote in from
(165.121.nnn.nnn)
Thanks!!
Your quicker than my heath care provider.
U DA MAN !!!!!
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Ice Ice Baby
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On 4/29/2003
Dr. Dave
wrote in from
(12.207.nnn.nnn)
Popped your shoulder, Ice? That's gotta hurt. The following is from the University of Michigan Sports Medicine Advisor http://www.med.umich.edu/1libr/sma/sma_shlddis_crs.htm
DrD
Your health care provider will place your shoulder and arm in a type of sling called a shoulder immobilizer. It will aid healing by keeping your arm next to your body and stopping you from moving your shoulder. You may begin shoulder rehabilitation exercises during this time or after you are no longer wearing the immobilizer.
Your provider may prescribe an anti-inflammatory medication or other pain medicine. You should continue to place ice packs on your shoulder for 20 to 30 minutes every 3 to 4 hours until the pain and swelling are gone.
In some cases, surgery may be needed to get the shoulder repositioned correctly or if it continues to dislocate. If your shoulder joint becomes weak because of repeated dislocations, your health care provider may recommend an operation to tighten the ligaments that hold the joint together.
How long will the effects of shoulder dislocation last?
The healing process may take 4 to 12 weeks, depending on the extent of your injury. With proper healing, you should regain full movement of your shoulder.
How can I take care of myself?
Follow your health care provider's instructions when you begin to use your arm and shoulder again, or you may reinjure it. Do the rehabilitation exercises that are given to you by your provider or therapist. Avoid participation in sports until the shoulder has had time to heal.
When can I return to my sport or activity?
The goal of rehabilitation is to return you to your sport or activity as soon as is safely possible. If you return too soon you may worsen your injury, which could lead to permanent damage. Everyone recovers from injury at a different rate. Return to your sport will be determined by how soon your shoulder recovers, not by how many days or weeks it has been since your injury occurred.
You may safely return to your sport or activity when:
Your injured shoulder has full range of motion without pain.
Your injured shoulder has regained normal strength compared to the uninjured shoulder.
In throwing sports, you must gradually build your tolerance to throwing. This should be done under the guidance and supervision of a trainer or therapist.
If you feel your arm popping out of the shoulder joint, contact your health care provider.
What can be done to help prevent a dislocated shoulder?
Avoid situations in which you could suffer another dislocation.
Wear layers of clothing or padding to help cushion any fall that may be likely.
Do not return to sports until you have full recovery of motion and strength in the arm.
Ask your provider which shoulder positions are most likely to cause another dislocation.
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dislocated shoulder
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On 4/29/2003
ICE
wrote in from
(165.121.nnn.nnn)
Not a head injury. For the crash check the other board. So yea...
I dislocated my shoulder for the first, time poped out of the back side and was able to get it back in within 10 minuts of coming out. It happened two days ago I've been iceing it and streaching. Any sugestions? It's been sore and stiff thats about it.
Thanks for any advice.
ICE
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Helmets
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On 4/21/2003 R.ene
wrote in from
(156.40.nnn.nnn)
Fatt Matt--
DOT and SNELL refer to motorcycle helmets, although some cycle helmets do meet them. The minimum standard for skateboard helmets is... none. You can sell helmets that are non-certified. The base certification is CPSC for skate and bicycle, but it's not mandatory. I think there is one more certification that is less than CPSC, but I don't remember what the acronym is.
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Low Platelet Count
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On 4/20/2003
Dr. Dave
wrote in from
(12.207.nnn.nnn)
Scott,
If his platelets are normal, your son shouldn't have an elevated risk for bleeding, but the real question is why his platelet count dropped in the first place. There are some fairly serious reasons for that kind of problem, which I'm assuming his doc is addressing. You might want to make sure that there's nothing chronic or progressive going on and that his platelets remain stable and high for a while before he enters any head-bumping contests. Best of luck and let us know how it goes.
Best, drD
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brain trauma
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On 4/20/2003
Scott Yano
wrote in from
(202.95.nnn.nnn)
Hi,
Recently my son suffered a drastic decrease in his platelet count (down to 8000--supposed to be be between 150,000 and 300,000(not sure what units per what units)), was hospitalized, given five days worth of gamaglobulin and after ten days had risen to 230,000.
My question has to do with the risk of head injury. During the time his platelets were down, he was under obvious risk of internal bleeding in his head if his head were to receive any sort of impact. He was confined to bed to prevent this (he's only four and really active). He is out of the hospital now, and I bought him a new helmet for when he does anything outside remotely wheel oriented. I know the helmet will protect against impact, but is he under greater risk from the twisting sort of brain trauma you experience inside your skull from head impact?
Is the helmet enough or should I just keep him away from the possibility of wacking his head (with a four year old--yeah, right)?
Thanks,
Scott
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Inexpensive safety
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On 4/15/2003
Fatt Matt
wrote in from
(216.36.nnn.nnn)
Check out this info on helmets.
DOT is the minimum standard. Snell is an added standard. Snell testing is extra security and has to be paid for by the helmet company. Snell is non profit and accepts no funding from manufactures.
Genuine accessories has Snell M2000 (most recent cert) and dot DOT helmets with windshieds. Check out the closeout section and the other brand section.
Regards,
Fatt Matt
helmet info links:
www.genuineaccessories.com
http://www.off-road.com/dirtbike/tech/2002snell/
this link explains ratings a bit.
http://www.smf.org/index.shtml
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Helmet's Doing Their Thing
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On 4/4/2003
Dr. Dave
wrote in from
(12.207.nnn.nnn)
Guys,
The best thing that a helmet can do is take the crash and absorb it. A shattered helmet is great! That means that instead of your skull shattering, a piece of plastic and foam gave up the ghost for you. Best helmets are Snell tested, CPSC tested are good too. If you are doing high speed slalom, look into motorcycle helmets.
Good advice: George G. on sending Dave Hegstrom to the ER. Better safe than very very sorry. Besides the pupil thing, look for impaired balance, slurred speech, poor judgment (more than it takes to slalom 30 mph!) change in emotion, weakness on one side, visual blurring, and so on. The big knot alone is a ticket for an exam. Glad Dave came through OK. I'm glad we are not talking about him in the past tense, which would have been a real possibility without that helmet.
drDH
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Elsinore crash
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On 4/2/2003 george g.
wrote in from
(159.87.nnn.nnn)
i was about 10 feet away and the first person to reach Dave and try and keep him still. he is a big guy and wanted to sit up immediately. he did smack the back of his head, and rebounded and hit again. the first hit broke the flyaway i believe as i heard it smack. he was full extended backwards. his head went up about a foot or more and hit again. it wasn't a gash in the helmet, it was cracked/ shattered (i was told as intended). this event has caused me to look for a new helmet. i do not believe my plastic protec could take that kind of hit. i know enough to tell him to go to the ER and have himself looked at. all i know is to check for odd pupil dialation (real bad!), swelling (he had a golf ball size knot) errant behavior, and he was able to walk it off but that doesn't mean much with a head injury as i understand.
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Best Helmets
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On 4/1/2003
Stevie
wrote in from
(67.120.nnn.nnn)
Dr. Dave - I don't know if you've been following the slalom forum, but last weekend at Elsinore Dave Hegstrom took a nasty fall and apparently cracked his skull. He was wearing a Flyaway helmet. Fortunteley it looks like he's going to be just fine, but I'm left wondering what helmet would have protected his (or any one's) head better? From the sound of it he went down on his back from high-siding a toeside turn, so he slammed the back of his head. That was a fast hill so he was probably going 25 or 30 mph at the time.
Besides my own noggin, I'm thinking about protecting my kids' heads. We all wear pro-tec helmets, mostly because I like the padding better. My kids are the standard issue, very thickly and fairly softly padded. Mine has a denser padding, somewhat harder.
Any thoughts on the best helmets?
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bionic knees
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On 3/30/2003
richard marnhout
wrote in from
(198.81.nnn.nnn)
okay folks,(and the good doc), here goes......
according to my father(an m.d.)
, and my sister (an r.n.),a person should NEVER CONSIDER SURGERY UNTIL ALL OPTIONS ARE EXPLORED!!!!!!so , that being said, i am now seeing a rheumatologist and will try drugs(vioxx and periodic cortisone shots), physical therapy to strengthen my quads, and yoga to increase my flexibility.
granted, my chance at ever being invited to the underground pool duel is uh.. TOAST, but then i never was good at frontside snaps on cope ANYWAY.
what i am trying to say here is that surgeons are 'cutters' and base their system on operating. this is neither good nor bad, but remember, don't cheat yourself out of a less drastic method if you can. if you suffer from osteoarthritis, then the damage is already DONE. what one is dealing with at that point is PAIN. and if, with other forms of therapy you can live and skate, then BY ALL MEANS do so!!!!
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Bionic Richard
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On 3/14/2003
Dr. Dave
wrote in from
(12.249.nnn.nnn)
Richard,
First, just a reminder that I'm a from-the-neck-up doc, and that you Absolutely Must consult a surgeon who specializes in repairing athletes, rather than senior citizens. He or she will be in the best position to give you advice tailored for your personal case.
That being said, here's some information from http://www.orthoassociates.com/JRC_current.htm. Even though it addresses total knee replacements, the advice is generally similar for partial knee operations: avoid twisting, bouncing and running-pounding.
You've got some specific issues to address with your sports surgeon, including impact injury issues from falls, and effects on the knee from pushing your board. Physiatrists seem to be far more liberal in their sports recommendations than the guy who bangs your titanium knee into place on the operating table. . . . Keep us posted about what you find out and how your recovery goes. The partial op seems to have a faster recovery and feels more natural, according to the information I've seen. Best of luck drD
Here's the quote:
28 surgeons responded to the single page questionnaire canvassed their recommendation about return to 28 common sports after recovery from total hip and knee replacement. Sports in which 75 per cent of surgeons would not allow participation were identified as "not recommended," whereas sports in which 75 per cent of surgeons would allow participation were labeled as "recommended."
Recommended sports included sailing, swimming, scuba diving, cycling, golfing, and bowling after hip and knee replacement and also cross-country skiing after knee arthroplasty. Sports not recommended after hip or knee arthroplasty were running, water-skiing, football, baseball, basketball, hockey, handball, karate, soccer, and racquetball. In general, participation in no-impact or low-impact sports can be encouraged, but participation in high-impact sports should be prohibited.
In an associated study entitled "Sports Participation after Hip and Knee Arthroplasty: Differences in Opinion between Physiatrists and Orthopaedic Surgeons", presented at the Mid-America Orthopaedic Society in 1996, and published in Orthopaedic Transactions, McGrory and co-authors Dr. Michael Stuart and Edward Laskowski address surgeon and non-surgeon opinion as to what type of sports activity is permissible after total joint arthroplasty.
Physiatrists at the Mayo Clinic were significantly less likely than orthopaedic surgeons to disallow return to sports following both hip and knee replacement surgery. After total hip arthroplasty nonsurgeons were significantly less likely to disallow return to running, doubles tennis, football, handball, and ballet after total knee arthroplasty. Physiatrists were significantly less likely to disallow return to running, hiking, backpacking, doubles tennis, football, and handball.
These studies examining return to recreational sports after joint replacement underscore the need for communication between orthopaedic surgeons and both patients and physiatrists regarding the expectations after joint replacement. The effect of impact sports on the longevity of hip and knee replacements has been shown to be deleterious, and this must be conveyed during preparation for modern joint replacement.
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a partial knee replacement or osteotomy?
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On 3/14/2003
richard marnhout
wrote in from
(198.81.nnn.nnn)
dr. dave, PLEASE help me out here. i have osteoarthritis in the medial comprtment of my left knee. it is post traumatic, and meniscal material was removed. additionally, my a.c.l. is long gone.
my orthopedic surgeon is recommending that i have either a minimally invasive partial knee replacement or an osteotomy.
oh yeah, i'm 46 and in good health(other than this).
dr., is it possible to continue skating after this? all of the web sites that i find are oriented towards senior citizens and there is virtually no data geared towards gravity sports.
thanks, richard marnhout
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Snoball and squatting females
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On 3/5/2003
Dr. Dave
wrote in from
(12.249.nnn.nnn)
Be careful before contemplating deep squats, especially with weights. They can tear up your knee. And if you are a pregnant female, consult your doc, since hormones are relaxing your ligaments, making things a little looser and more susceptible to injury.
drD
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female athletes and knee pain
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On 3/5/2003 snoball
wrote in from
(65.32.nnn.nnn)
Can I add a minor addition doc to helping prevent knee strains and such?
Us womens generally have wider pelvises, and alot of sports
doctors think that knee problems in athletic females are
due to not bending *enough*. Weird huh? Basically suggesting a deeper squat. So, if you're a female skater try not to straight leg it too much. And do weight training to strengthen your quads and hams. I guess guys could benefit from that too.
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Leo Can You Hear Me. . . .?
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On 2/20/2003 Dr. Dave
wrote in from
(12.249.nnn.nnn)
Leo,
The operative phrase to throw at your SCUBA-aware ENT doc is 'barotrauma' Check it out and let us know. drD
The following is from http://www.aafp.org/afp/20010601/2211.html Dr. Herbert Newton, Neurologic Complications of Scuba Diving, June 1 2001 American Family Physician.
During descent and ascent in the water, the diver is constantly exposed to alterations of ambient pressure. Barotrauma refers to tissue damage that occurs when a gas-filled body space (e.g., lungs, middle ear) fails to equalize its internal pressure to accommodate changes in ambient pressure.2-4 The behavior of gasses at depth is governed by Boyle's law: the volume of a gas varies inversely with pressure.6 During descent, as ambient pressure increases, the volume of gas-filled spaces decreases unless internal pressure is equalized. If the pressure is not equalized by a larger volume of gas, the space will be filled by tissue engorged with fluid and blood. This process underlies the common "squeezes" of descent that affect the middle ear, external auditory canal, mask, sinuses and teeth.
Otic and Sinus Barotrauma
Barotrauma to the middle or inner ear can occur during the descent or ascent phases of the dive and may cause vertigo and other neurologic symptoms.2-5,7 Middle ear barotrauma of descent is the most common type of diving injury and may involve hemorrhage and rupture of the tympanic membrane. Symptoms include the acute onset of pain, vertigo and conductive hearing loss that lateralizes to the affected side during the Weber's test. In severe cases (usually during ascent), increased pressure in the middle ear can cause reversible weakness of the facial nerve and Bell's palsy (facial baroparesis).8
Vertigo can also be induced if barotrauma differentially affects the two vestibular organs (alternobaric vertigo). The vertigo resolves after pressure equalization occurs. Treatment of middle ear barotrauma involves decongestants (e.g., intranasal oxymetazoline, oral pseudoephedrine), antihistamines, analgesics and antibiotics (amoxicillin-clavulanate [Augmentin] in a dosage of 500/125 mg three times per day or clindamycin [Cleocin] in a dosage of 300 mg three times per day for 10 to 14 days) in patients with otorrhea and perforation.2,4,7
Inner ear barotrauma also can develop in patients with middle ear barotrauma. A pressure gradient between the perilymph of the inner ear and the middle ear cavity can occur, causing rupture of the labyrinthine windows (round and oval) and leakage of perilymph into the middle ear (i.e., fistula). Symptoms include the acute onset of vertigo, sensorineural hearing loss, tinnitus, nausea and emesis. The Weber's test will lateralize to the unaffected side in this group of patients. Reducing intracranial and perilymphatic pressures through bed rest, head elevation and with stool softeners can help. Surgical exploration may be necessary for repair of the fistula if conservative treatment is ineffective within five to 10 days (i.e., the symptoms persist or worsen).
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Mongo Dan and his Hurting Heel
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On 2/20/2003
Dr Dave
wrote in from
(12.249.nnn.nnn)
Dan,
Here's what the podiatrists say about heel pain. If your heel pain occured after you really whacked it, you may have a bone bruise. Otherwise, see below. A sports podiatrist is the medic to see for this one. drDH
Heel Pain
Heel pain is generally the result of faulty biomechanics (walking gait abnormalities) that place too much stress on the heel bone and the soft tissues that attach to it. The stress may also result from injury, or a bruise incurred while walking, running, or jumping on hard surfaces; wearing poorly constructed footwear; or being overweight.
The heel bone is the largest of the 26 bones in the human foot, which also has 33 joints and a network of more than 100 tendons, muscles, and ligaments. Like all bones, it is subject to outside influences that can affect its integrity and its ability to keep us on our feet. Heel pain, sometimes disabling, can occur in the front, back, or bottom of the heel.
Heel Spurs
A common cause of heel pain is the heel spur, a bony growth on the underside of the heel bone. The spur, visible by X ray, appears as a protrusion that can extend forward as much as half an inch. When there is no indication of bone enlargement, the condition is sometimes referred to as "heel spur syndrome."
Heel spurs result from strain on the muscles and ligaments of the foot, by stretching of the long band of tissue that connects the heel and the ball of the foot, and by repeated tearing away of the lining or membrane that covers the heel bone. These conditions may result from biomechanical imbalance, running or jogging, improperly fitted or excessively worn shoes, or obesity.
Plantar Fasciitis
Both heel pain and heel spurs are frequently associated with an inflammation of the band of fibrous connective tissue (fascia) running along the bottom (plantar surface) of the foot, from the heel to the ball of the foot. The inflammation is called plantar fasciitis. It is common among athletes who run and jump a lot, and can be quite painful.
The condition occurs when the plantar fascia is strained over time beyond its normal extension, causing the soft tissue fibers of the fascia to tear or stretch at points along its length; this leads to inflammation, pain, and possibly the growth of a bone spur where it attaches to the heel bone.
The inflammation may be aggravated by shoes that lack appropriate support, especially in the arch area, and by the chronic irritation that sometimes accompanies an athletic lifestyle.
Resting provides only temporary relief. When you resume walking, particularly after a night's sleep, you may experience a sudden elongation of the fascia band, which stretches and pulls on the heel. As you walk, the heel pain may lessen or even disappear, but that may be just a false sense of relief. The pain often returns after prolonged rest or extensive walking.
Excessive Pronation
Heel pain sometimes results from excessive pronation. Pronation is the normal flexible motion and flattening of the arch of the foot that allows it to adapt to ground surfaces and absorb shock in the normal walking pattern.
As you walk, the heel contacts the ground first; the weight shifts first to the outside of the foot, then moves toward the big toe. The arch rises, the foot generally rolls upward and outward, becoming rigid and stable in order to lift the body and move it forward. Excessive pronation—excessive inward motion—can create an abnormal amount of stretching and pulling on the ligaments and tendons attaching to the bottom back of the heel bone. Excessive pronation may also contribute to injury to the hip, knee, and lower back.
Disease and Heel Pain
Some general health conditions can also bring about heel pain.
Rheumatoid arthritis and other forms of arthritis, including gout, which usually manifests itself in the big toe joint, can cause heel discomfort in some cases.
Heel pain may also be the result of an inflamed bursa (bursitis), a small, irritated sack of fluid; a neuroma (a nerve growth); or other soft-tissue growth. Such heel pain may be associated with a heel spur, or may mimic the pain of a heel spur.
Haglund's deformity ("pump bump") is a bone enlargement at the back of the heel bone, in the area where the Achilles tendon attaches to the bone. This sometimes painful deformity generally is the result of bursitis caused by pressure against the shoe, and can be aggravated by the height or stitchng of a heel counter of a particular shoe.
Pain at the back of the heel is associated with inflammation of the achilles tendon as it runs behind the ankle and inserts on the back surface of the heel bone. The inflammation is called achilles tendonitis. It is common among people who run and walk a lot and have tight tendons. The condition occurs when the tendon is strained over time, causing the fibers to tear or stretch along its length, or at its insertion on to the heel bone. This leads to inflammation, pain, and the possible growth of a bone spur on the back of the heel bone. The inflammation is aggravated by the chronic irritation that sometimes accompanies an active lifestyle and certain activities that strain an already tight tendon.
Bone bruises are common heel injuries. A bone bruise or contusion is an inflammation of the tissues that cover the heel bone. A bone bruise is a sharply painful injury caused by the direct impact of a hard object or surface on the foot.
Stress fractures of the heel bone also can occur, but these are less frequent.
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laberinthitis (sp.?) ?
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On 2/20/2003
Leo
wrote in from
(146.18.nnn.nnn)
Hey Dr, i was scuba diving 2 weeks ago and since that when i go to/get up from/to bed i get dizzy, and i have to sit cause it makes me lose my balance.
somebody says that i may have laberintithis (or some like that) but i dont feel water in my ears or anything,
what would u think about it?
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Making me Mongo!
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On 2/20/2003
Dan Hughes
wrote in from
(209.191.nnn.nnn)
I have what I call "pushing heel".
On my rear foot (normal pushing foot) my heel kills me at times. The tendons or muscles that run around my heel, need to be healed. It seems that when I push, I'm straining those muscles or something. The only thing that seems to help is pushing mongo, which is something I'm philosophically opposed to doing.
What are some good things I can do to help my heel heal?
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Osgood Schlatter's Knee Pain
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On 2/8/2003
Dr Dave
wrote in from
(12.249.nnn.nnn)
If you have bone fragments, have you seen a knee surgeon? Are you getting cortisone or other anti-inflammatory meds? See a sports medicine orthopedist - someone who consults for sports teams. "there's nothing we can do" really means "I don't know what to do." Find another opinion.
For those who don't know and need a good website about knee pain, see (of course) www.kneepain.com Here's what they say about OSGOOD - SCHLATTER'S KNEE PAIN
This section covers Osgood-Schlatter's Knee Pain that occurs as a result of overuse ("too much activity, too soon"). In order to better understand Osgood-Schlatter's Knee Pain it is important to understand the anatomy and function of the knee and the patellar tendon. Please review the section on knee anatomy before reviewing this section.
The patellar tendon is a thick rope-like structure that connects the bottom of the kneecap (patella) to the top of the large shin bone (tibia). The powerful muscles on the front of the thigh, the quadriceps muscles, straighten the knee by pulling at the patellar tendon via the patella. OSKP is caused by inflammation (irritation) where the patellar tendon attaches to the tibia.
Osgood-Schlatter's Knee Pain (OSKP), also known as Osgood-Schlatter's disease, is common in rapidly growing, active young teenagers and pre-teenagers. Pain from OSKP is usually felt 2-3 finger widths below the bottom of the patella. There may be swelling in the area and it can be sensitive to touch. The pain can be mild or in some cases the pain can be so bad that it prevents athletes from playing their sport.
OSKP is usually occurs as a result of overdoing an activity and placing too much stress on growing bones. Activities that include a lot of running, jumping or stopping and starting can make OSKP worse. OSKP can be prevented by easing into these types of activities and by using good training techniques. Off-season strength training of the legs, particularly the quadriceps muscles, can also help.
Examination techniques that detect tenderness and swelling at the attachment site of the patellar tendon to the tibia are helpful in determining if someone has OSKP. X-rays are occasionally done to make sure that the patellar tendon does not have any calcium in it. Other tests such as diagnostic ultrasound or Magnetic Resonance Imaging (MRI) are rarely required to rule out more extensive damage to the patellar tendon.
The treatment of OSKP may include relative rest, icing, medications to reduce inflammation and pain, stretching and strengthening exercises. Rarely is complete rest or the use of a knee brace or cast necessary. Sometimes OSKP will even go away on it's own. Doctors and physiotherapists trained in treating this type of overuse injury can outline a treatment plan specific to each individual.
Please visit the links section for additional information on Osgood-Schlatter's Knee Pain. Links have been provided to other websites as well as online medical journals. Other knee injury topics can also be accessed.
THE CONTENTS OF THIS WEBSITE AND THE LINKS ARE FOR INFORMATION ONLY AND ARE NOT A SUBSTITUTE FOR MEDICAL ADVICE.
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Osgood Shlater & my date with a curb
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On 2/8/2003 Shaun
wrote in from
(64.69.nnn.nnn)
Here's my story: I've had Osgood Shlater in my knee since grade 7 (I am now 22). Two years ago I smoked a curb knee first doing about 15-20mph. My knee is still swollen, hurts to touch the bump where the bone fragment is (from OS), and it gets sore when I ride for extended periods. I have been to many doctors & one knee specialist & they all told me there was nothing abnormal & that it would go away. They also said that there is no real therapy or remedy for my situation & that I can feel free to board as much as i want.
I board quite a bit, but it is getting worse/definitely not getting better. Any recdommendations? Should I stop boarding? When I take a powerslide I notice a tremenduos amount of pressure on the knee but no real pain...should I not do this?
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knee chronicles
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On 2/4/2003
joseph
wrote in from
(211.28.nnn.nnn)
knee is not hot too touch swelling is going and the scabs lifting it's almost healed
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The knee chronicles
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On 2/4/2003
Dr. Dave
wrote in from
(12.249.nnn.nnn)
Joe, if your knee is infected, swollen and/or hot to the touch, go see a doc, especially if the antibiotic creme is not working. You may need some systemic meds. drD
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my knee
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On 2/3/2003 joseph
wrote in from
(211.28.nnn.nnn)
yeah it's not that bad the green is probably because i got fuzz, i guess cant think of what else to call it, from my pants. not too bad but i put antibacterial anti infection stuff on it a couple of times a day.
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