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I Am Trying To Find Out What My MRI Says
Question: I am trying to find out what my MRI says and what I am looking at.......
"There are prominent subcortical cystlike changes in the central tibia, as well as the medial femoral condyle, which are likely degenerative.
The articular cartilage in the patellofemoral compartment demonstrates moderate-to-marked thinning with surface irregularity and small full-thickness defects at the lateral trochlea. The articular cartilage in the medial compartment demonstrate moderate thinning and surface irregularity with small full-thickness fissures. The articular cartilage in the lateral compartment demonstrates heterogeneity and thinning with small full-thickness fissures.
There is a mildly complex horizontal tear of the posterior horn of the medial meniscus. The lateral meniscus also demonstrates a small horizontal tear posteriorly."
"There are prominent subcortical cystlike changes in the central tibia, as well as the medial femoral condyle, which are likely degenerative.
The articular cartilage in the patellofemoral compartment demonstrates moderate-to-marked thinning with surface irregularity and small full-thickness defects at the lateral trochlea. The articular cartilage in the medial compartment demonstrate moderate thinning and surface irregularity with small full-thickness fissures. The articular cartilage in the lateral compartment demonstrates heterogeneity and thinning with small full-thickness fissures.
There is a mildly complex horizontal tear of the posterior horn of the medial meniscus. The lateral meniscus also demonstrates a small horizontal tear posteriorly."
Brief Answer:
Degenerative osteoarthritic changes of the knee.
Detailed Answer:
Hello,
Thanks for posting your query.
I have seen the attached MRI report. The scan suggests age related degenerative changes in the knee joint due to wear and tear. There is loss of cartilage thickness with surface irregularity suggestive of osteoarthritic changes.
The small tears in the menisci are also related to the degeneration and wear and tear. The subcortical cysts are also suggestive of degeneration of the bone cortex. All these can improve with medicines and some physiotherapy. IN case the pain is severe and uncontrollable with medicines and regular physiotherapy then joint replacement can be considered.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Degenerative osteoarthritic changes of the knee.
Detailed Answer:
Hello,
Thanks for posting your query.
I have seen the attached MRI report. The scan suggests age related degenerative changes in the knee joint due to wear and tear. There is loss of cartilage thickness with surface irregularity suggestive of osteoarthritic changes.
The small tears in the menisci are also related to the degeneration and wear and tear. The subcortical cysts are also suggestive of degeneration of the bone cortex. All these can improve with medicines and some physiotherapy. IN case the pain is severe and uncontrollable with medicines and regular physiotherapy then joint replacement can be considered.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Do you think I will have to have surgery? I had a cortisone shot on July 3rd, on an anti-inflammatory since beginning of July. Still have pain.
I have been wearing a knee brace since July 4th. Knee hurts when wearing the brace but not as much as not wearing the brace.
Right now, I don't know anything more than I already knew when I asked.
Right now, I don't know anything more than I already knew when I asked.
Brief Answer:
Joint lubricant supplements will help.
Detailed Answer:
Hello.
Thanks for writing again.
Surgery is the last option if all the other treatment options fail. Using knee brace will help in providing an extra support. You can remove the brace while resting or use an elastic knee brace for a better flexibility.
In addition to the anti inflammatory medicines you need to have joint lubricant supplements to decrease the pain.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Joint lubricant supplements will help.
Detailed Answer:
Hello.
Thanks for writing again.
Surgery is the last option if all the other treatment options fail. Using knee brace will help in providing an extra support. You can remove the brace while resting or use an elastic knee brace for a better flexibility.
In addition to the anti inflammatory medicines you need to have joint lubricant supplements to decrease the pain.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
What about my meniscus tears? They will repair themselves???
Brief Answer:
The tears can heal with rest.
Detailed Answer:
The tear in menisci is related to weakness of the menisci. It is not a healthy meniscus. Even if it is repaired surgically, it will be difficult to heal as the cartilage is also thin. It is better to let it heal on its own gradually. In case there is a persistent intense pain then it is better to consider replacement.
Regards.
The tears can heal with rest.
Detailed Answer:
The tear in menisci is related to weakness of the menisci. It is not a healthy meniscus. Even if it is repaired surgically, it will be difficult to heal as the cartilage is also thin. It is better to let it heal on its own gradually. In case there is a persistent intense pain then it is better to consider replacement.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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