Jacque Bradbury
I had arthoscopic surgery on both my knees. On one knee he had to do it twice 10 weeks from the 1st surgery. 8 weeks later the other knee. I was told I have alot of arthritis. The knee that was done twice is still very very sore and stiff. The shin bone right at the top hurts to the touch. When I told the doctor he just said "oh great" and nothing else about it. This surgery that was twice done on my right knee was back in July. should it be this hard to get around. should my knees hurt and be so stiff? And what about the shin bone and why that hurts to the slightest touch. thank you

Mary Ann E. Keenan, MD
knee pain can have several causes. It would be necessary to examine your knee to determine why it still hurts and what treatments might be effective for you. Perhaps you'd like another opinion. You could call 1-800- 789-PENN.

Sue Dennie
I'm writing for my mother who had a stroke 7 years ago. She has a problem with her left foot turning in and some times it hits her right heel. She was wondering if there was anything that can be done for it.

Mary Ann E. Keenan, MD
Hi Sue; These foot problems are extremely common after stroke. Yes there are a few relatively simple procedures that can be done to straighten the foot after a stroke. Please feel free to call me to arrange an appointment. The call center is open now to take your message at 1-800-789-PENN. Thank you.

Mark Steelman
I recently had knee surgery, I am a marathon runner who recently ran the Boston marathon, I was told that I have a hole in the cartlidge under my knee cap. I am having trouble accepting that my running career is in jeopardy. Two surgery's in 14 months I feel that I have to leave the south jersey area and pursue medical advice elsewhere

Richard D. Lackman, MD
Penn Orthopaedics has specialists who perform cartilage transplantation. This is a new, innovative technique which may be applicable to your situation. I would suggest you contact Brian Sennett, MD our sports medicine specialist for a consultation. You can reach him at 1-800-789-PENN.

Mark Steelman
Thank you for the info that you provided .i will call dr. Lackmman and look forward to discussing the problem that I have

Moderator
Karen Coutts
I am 35 years old and was hospitalized with pnemonia....Miss Coutts, we will refer your question to a pulmonologist specialist at Penn, and we will post a response to your post on PENNHEALTH.com next week.

Daisy
I had an MRI done on my left knee a few months ago. It said I have signs of hematopoietic bone marrow. Can you tell me what that is?

Mary Ann E. Keenan, MD
Hi Daisy: Hematopoietic bone marrow refers to the type of bone marrow that makes new blood cells. Normally this type of marrow is not seen around the knee. This is something you might want to consult with Dr. Lackman about. To reach him you can call 1-800-789-PENN

Karen Coutts
Thank you so much..can you please tell me how I go about looking for the repsonse on your website..take care!!!

Sue Dennie
I gave her your message and she reminded me that she felt because her foot was turning in, it's causing her to walk on the left side of her foot which is causing her pain from the bone. Is that also something that can be corrected? Thank you

Mary Ann E. Keenan, MD
Sue: Without examining your mother I cannot tell you exactly what she needs. Based on your description,this turning in of the foot is called equinovarus. It is the most common foot deformity after a stroke. This problem is very successfully treated with tendon transfer surgery. The surgery is relatively simple and can be done in less than one hour.

Moderator
Karen, you can find the information by clicking: http://www.pennhealth.com/feature/archive.html

rose
dr keenan---i just wanted to thank you for all you do for people and especially your wonderful bedside manner treating patients...i bought a patient to see you (karen) and you treated her like you would your own daughter...thank you for your kindness and ability to help better the lives of many

Mary Ann E. Keenan, MD
Rose: Thank you for your very kind comments. I really love the work I do and I am always very grateful to have the opportunity to work with people like Karen and Beth Fisher.

Terrie Stagliano
Hi Dr. Lackman! You saved my daughter Andrea Farnsworth's life 3 years ago after she was dxed w/ Ewing's Sarcoma! Today is her 26th birthday, and I thank you with all of my heart that you kept my daughter alive to see this day! We love you!She is now an RN at St. Chris' in the NICU.
What is new in the pelvis limb saving surgeries, for sarcomas such as Ewings? Again, I thank you with all my heart!

Moderator
Thank you for your message, Doctor Lackman has left the chat but we will forward your question to him and post the response on PENNHEALTH.com next week

Sue Dennie
Thank you for the information and I will pass it on to my mother.

ken W
I have had knee surgery one left knee. Both pads are gone on both knees. My doctor wants me to wait to have knees replaced until I'm 60. I'm 57 now. He wants me to have a three step treatment but I've heard it is only good for 6 months. Is it considered an effective treatment? What happens to the material that is injected? I justneed to more more active with much less pain. Please help me with some advice. Ken

ken W
Dear monitor> please see if someone can give me some feedback on my question about cynavisc (not sure of spelling) Is it an effective treatment or should I go for totalknee replacement

Mary Ann E. Keenan, MD
Ken: Without examining you I can not give you direct information about yourself. Based on your description, the problem seems to be osteoarthritis. There are two similar medications, Synvisc and Hyalgen, which are sometimes injected into the knee for moderately severe arthritis. If the arthritis is not too advanced this can be an effective treatment. For advanced arthritis, knee replacements are very effective.

Terry Stagliano
Thank you. And anyone who is reluctant to see any of the Docs at Penn Orthopeadics, I can tell you that these Drs., Lackman, Sennett, etc. are fantastic. Do yourself the favor and make the appointment. You will be glad you did.

Mary Ann E. Keenan, MD
Hi Terry: Thank you for you comments. Penn Orthopaedics is a very special place to work.

Tom Zavorski
Hello. I had the limb salvage surgery at the Univ of Penn back in 95. I had a osteogenic sarcoma in my right leg. I thought it was a great show tonight. I have never met anyone who had the same surgery I had undergone. Is there a way I can help someone directly who went through the same experiences that I had gone through?

Mary Ann E. Keenan, MD
Tom: Not having seen you or your xrays, I will need to discuss this topic in general terms. The patient you saw tonight had a chondrosarcoma. This is different from an enchondroma. Usually enchondromas do not become cancerous. If you are having pain though, this should certainly be examined further. You can call 1-800-789-PENN tonight if you whish to make an appointment to see Dr. Lackman.

Moderator
Tom, It’s wonderful to hear that you are looking to support others with a similar condition. We are glad to hear that you are doing well. We will forward your question to Dr. Lackman and post the answer on pennhealth.com next week.

vickie biggerstaff
My husband told me there was a report on Friday about someone treated at HUP for an echondroma in his femur. I have so much pain in my l knee (I'm 41) and had an MRI and X-ray last week that said i have a 6 x 2 echondroma l femur and my dr said "your results are nothing significant, keep taking the naprosyn" I think my husband said the man in the story said the echondroma had turned cancerous. Is that possible?

ken W
Dr Keenan: I do have osteoarthritis . I justwondered how much the three stpe treatment will help if it is only good for 6 months. Do you go back in for a new treatment every 6 months? How long does this go on before you have to go to the next step

Mary Ann E. Keenan, MD
Ken: The Synvisc or Hyalgen injections are always given in a series of three. The response to the injections varies with each person and is related to how advanced their arthritis is. The decision of whether or not to repeat a series of injections is based on your own individual examination.

Toby Cutner
My husband has had two hip replacements on the same hip [the left] ,the first diagnosed as AVN, the second as a result of an automobile accident. He has had weakness in his operated leg since the second operation which did not respond to therapy. About two months ago he devloped pain in his left groin, knee and hip and subsequently could not walk and was in excruciating pain. This was diagnosed as a blood clot in the elioposoas musscle pressing on his femoral nerve. A tear in in his glut was also noted. After two months and hospitalizations including rehab hospitalization and outpatient rehab he is still experiencing chronic and great pain, does not walk properly and is being fitted for a knee brace because his left knee is at a 5% angle away from his body. He has been told that his femoral nerve only has 20-30% functioning. He is being seen by a neurologist and a rehab doctor. The orthopedic people say this is not an orthopedic problem. Can anything be done to help someone
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Mary Ann E. Keenan, MD
Toby: I am basing my response on your description of the problem and not an examination. Therefore this information is somewhat general. When there has been an injury to the femoral nerve, it causes weakness in the quadriceps muscle. Quadriceps weakness makes it difficult to walk without falling. There are very effective braces to support the knee for this problem. If you wold like an evaluation and reommendations about the best bracing, you can schedule an appointment with me by calling 1-800-789-PENN.

Andrea
My 5 year old son had a bone biopsy to rule out Ewings sarcoma almost 10 months ago. After the final pathology report came back,he was found to have chronic osteomyelitis. Could that chronic inflammation make him more prone to a sarcoma in the future. He is extremely tall for his age

Moderator
Andrea, Thank you for your question. Unfortunately, Dr. Lackman had to leave the chat early but we will forward your response to him and post the response on pennhealth.com next week.

Barbara
I have an app. w/ Dr. Lakeman in July. I have been diagnosed w/myositis ossificans, a calcification pressing in my muscle, I'm taking anti-inflam. drugs, but is still painful. What can be done about this and does it ever go away. thank you

Moderator
Barbara, Unfortunately, Dr. Lackman had to leave the chat early. We will forward your response to him and post the response on pennhealth.com next week

JACKIE
I JUST SEEN WHAT I WAS DOING WRONG MY QUESTION MY RIGHT FOOT AROUND MY BIG TOE HAS BECOME NUM AND I THINK THAT IT IS MAKING MY WHOLE RIGHT LEG FEEL AS IF THE CIRCLATION IS BAD IN IT HAVING BAD CIRCLATION WILL MAKE YOUR TOE NUM IN YOUR FOOT?

Mary Ann E. Keenan, MD
Jackie: Numbness and circulation problems in the leg can come from many different causes. It would be best for you to consult with a doctor of internal medicine for this problem. You can schedule an appointment by calling 1-800-789-PENN.

Lynne Parra
hi, i had a chondrosarsoma 12 years ago in my pelvis and hip bone and Dr. Lackman did the surgery..i had to have a hemipelvectomy

Lynne Parra
i went to Sloan Kettering cancer center in N. Y for a 2nd opion.and they told me to get my affairs in order...i am still here 12 years later thanks to Dr. Lackman.....I LOVE HIM!!!

Sharon Gauger
I am 38 yrs old & have been having right hip pain off & on for about a year. It has been painful more often the past several months. The pain wakes me up at night sometimes unless I put a pillow between my legs & on March 8th my lower back (tailbone area) began to hurt so bad I could barely stand up straight. I had xrays that showed "punctate pelvic calcification" and secondary xrays 2 wks ago that showed "sclerotic lesion, likely benign, may represent bone infarct". I was then sent for a bone scan last week. I was told only that my primary care physician would call me on Monday, but they could tell me that the bone scan showed "increased density, likely benign enchondroma or bone infarct". Everything I read online says that enchondroma is usually asymptomatic and if pain is present, to watch/check for malignancy. How can they tell for sure with bone scan and xrays that it looks benign. I am very worried and have to suffer the weekend to hear on Monday that I need to see an Ortho S
SORRY: length exceeded

Mary Ann E. Keenan, MD
Sharon: Sometimes a diagnosis can be made from studies like x-ryas and bone scans. Other times it requires a biopsy to make a definite diagnosis of a bone condition. You are best served by seeing an orthopaedic surgeon who specializes in bone tumors. You can make an appointment with Dr. Lackman by calling 1-800-789-Penn.

Barbara Jean
What are the signs and symptoms of bone cancer?? Does surgery for stomach cancer make you more suseptible??

Moderator
Barbara Jean, Unfortunately, Dr. Lackman had to leave the chat early. We will forward your question to him and post the response on pennhealth.com next week.

vickie biggerstaff
I e-mailed Dr. Frederick Kaplan today for an appointment. Does Dr. Lackman specialize moreso in this type of thing?

Mary Ann E. Keenan, MD
Vickie:
Dr. Lackman would be the more appropriate doctor to see for an enchondroma. In reference to your other question regarding the online article, Dr. Lackman will be able to direct you to appropriate material to read more about your problem.

Barbara
Dr. Lakeman, I have been diagnosed w/myositis ossificans, a calcification presssing into my muscle.It is very painful, I am on anti-inflam. drugs. what can be done about it, and does it ever go away.

Mary Ann E. Keenan, MD
Barbara: Mysositis ossificans is the growth of bone within a muscle. This usually results from an injury to the muscle. In the early stages, anti-inflammatory mediations are very helpful. When the bone has stopped growing, if it restricts the movement of the limb, it can be removed surgically. This is a condition that I see and treat frequently. If you would like to schedule an appointment, you can call 1-800-789-PENN.