J David. Abraham, MD
Specialty: Orthopedic Surgery
Location and Office HoursOrthopedics NY
121 Everett Rd
Albany, NY 12205
- Albany Memorial Hospital
- Seton Health St Mary's Hospital
- St Peter's Hospital
Are kitten heels a good alternative to high heels?
While high heels can cause foot problems, even modest kitten heels should come with a warning and may not be a good alternative. Anything with a heel is a high heel. Even a small one-inch heel places more stress on the front of the foot. Of course, the higher the heel, the greater the problem.
How can immobility after a fracture harm joints?
Michael Roizen, MD, Internal Medicine, answered
Immobility can lead to joint stiffness, weakness and an undernourished cartilage, so you need small movement to increase blood flow and promote healing. This is called biomechanical stimulation. The tradeoff for this activity or stimulation is that the little bit of pain you may feel in the short run will give you optimal flexibility and strength in the long run. That's why many walking boots and braces these days allow you to have some range of motion (casts not so much). This, of course, is an example of a biological trade-off, like breaking an addiction or dieting: The short-term pain is small compared to the long-term gain, which can be huge.
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Why is it hard to diagnose knee problems?
Scott Martin, MD, Orthopedic Surgery, answeredDiagnosing knee problems can be complicated, in part because of the large number of possible causes of knee pain. Patients are not always able to pinpoint the exact location of their pain, and injuries may not be clearly visible on imaging tests. In some situations, a physical examination and the information you provide are sufficient. But most diagnoses require at least an x-ray, and in some cases the doctor may recommend more advanced imaging and laboratory tests to determine the cause and extent of damage. But be aware that even expensive tests such as magnetic resonance imaging (MRI) may not be conclusive or even useful. While MRI may reveal an abnormality, it may not be the source of the pain. Studies show that MRI can be too sensitive and often reveals abnormalities in patients who have no pain.
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