Dr Howard Luks is an Orthopedic Surgeon and Sports Medicine Specialist. On KZread Dr Luks will provide you with easy to understand, straight talk about your Orthopedic and Sports injuries.
Dr. Luks specializes in the treatment of shoulder, elbow and knee, ankle injuries. Dr Luks is a regional expert in complex meniscus repairs, cartilage regeneration, Patella dislocations, ACL surgery, ACL revision surgery and shoulder surgery. We enjoy producing these videos to help you improve your understanding of your injury. Please reach out to us if you have suggestions for future sports injury videos.
Dr Luks runs one of the most active single physician orthopedic and sports medicine websites in the world. See more at www.HowardLuksMD.com
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🟢 Hello Doctor, I have undergone ACL ligament surgery and had a complex median meniscus tear from which a piece was removed. Can I continue to play sports, and can I run? Thank you!
This is one of the best informative video I saw. One explains why the percentage of dislocation drops when the years progresses.. thanks a million for the info.
9:10
Can I play football again with a grade 2 acl and meniscus injury that I've suffered on 21st December 2023? How many months does it need?
Often bad side effects. Be aware.
61, and trying to figure out what it is. My shoulder feels like it’s coming out of joint, told it’s stuff shoulder but I think it’s not.
I had almost full tear 2cm x 2cm and resection on collar bone. i had very little physio the first six weeks, just passive, finally got physio on 7th week, but listening to you, i am so worried i have been overdoing it on the new exercises. It gets so painful it keeps me up at night. it feels cold inside the joint, but the pain i presume its from the resection as it feels like it in that area. the supraspinatus muscle is tender to the touch. this is my 7 week post op
didnt know Max Scherzer did ortho surgery?? Haha JK,.. excellent info, in week 5, full tear repair...my ortho doesnt want to start PT for another week..pendulums only right now.
I dont get it. My shoulder popping from bodybuilding originally came with pain in the shoulder and I had an MRI. The ortho suspected bicep tendonisis considering id feel cramping in my inner bicep and down the arm sometimes with vigorous activities. The MRI came back showing a partial full thickness tear in my superspanitus, but didnt mention see anything else. I opted to get stem cell therapy and my pain has gone completely away. But the popping and what feels like catching of the shoulder is still there at times or with certain movements. Im just wondering if this too will go away with time.
I’m a Retired Surgical Technologist, and 14 years ago when I was Scrubbing Sports Med at UCONN, I learned the down side of these injections during a procedure the Surgeons don’t inform you about. The Surgeon I was scrubbing with explained the recommendation is a limit of 3 within a calendar year at max. Anything more will accelerate the degeneration of the joint . On the flip side, even if less but continued over a period of time its the same result. The solution accumulates in the joint and builds up like a past of Ajax and wears away the meniscus and articular cartilage, initiating or exasperating DJD leading to eventually leading to Total Joint Replacement or Spinal Fusion. They help temporarily with 1-2 for inflammation but do NOT receive and more than that PERIOD.
How many times does only one or two shots work though? I have a doctor that wants to give me shots in both my hands, my feet. I am also having issues in my shoulders , my neck and my knees. So is she going to want to give it to me in all of those areas too? Like will that be safe for me and how long will the results last is what I am worried about. There has to be something safer for me to be taking for my body than these shots.
@@2lorishep It only helps bring down the inflammation of the joint for a few months depending on how progressive the degeneration is. If its within the early stage and the cartilage isn’t damaged yet, you may be good with only one, but if there is instability due to ligament damage it will accelerate the problem.
thank you got arthritis osteo really hurts going to get shots hope it helps
Had scoliosis surgery in 2019 now my left shoulder pops and grinds and hurts so bad.
Just say it were screwed
What about Lyme arthritis?
Is a repair needed if the labrum is torn from 11:00 to 1:00 and then back to 12:00 to 7:30? AND if distal clavicle excision/acromioplasty is done first without PT, will this make the tear worse? (head forward and winged scapula IS PRESENT)
In 2015 I was riding my bike got hit by a car went to the hospital did x-rays told me I have a grade 3 shoulder seperation put me in a sling for 6 weeks then told me to do physiotherapy it's now 2024 shoulder is still separated and weight lifting and sometimes hear clicks in the front of my shoulder when I lift weights shoulder height or above
Thanks ❤❤❤
Thanks ❤
My X-ray doesn’t say it’s grade 1. I think it’s that. How do I confirm?
I wonder if muscle strength and development around the clavicular would help pre and post breaks? Yes I broke mine in Feb and actually had an upper arm DVT within 48 hours. I think it was the figure of 8 strap that caused it. I am a 51 year fit slim non smoking male with no existing health issues.
Hello Dr. Luks. I am a 50-year old physician. I have had moderately severe shoulder pain for 2+ weeks associated with very reduced ROM affecting all ADLs. No acute trauma, but have had mild reduced ROM w/o pain for a year. My recent shoulder MRI showed a posterior superior labral tear from 9-12 o'clock and an anterior inferior labral tear from 8-9 o'clock. Also noted was thickening and edema of the inferior glenohumeral ligament and coracohumeral ligament with partial effacement of the rotator interval fat concerning for adhesive capsulitis, and very mild supraspinatous tendinosis. No other pathology noted. What is your assessment of this? If this doesn't suggest need for surgery, what types of treatment modalities would you suggest I consider?
I had two injections and my osteoarthritis and fibromyalgia pain went out of control and I'm not sure if I'll ever get back in remission. I inject bee venom for pain and it's antiinflammatory effects are amazing and has no side effects! pay attention to natural holistic ways!!!
I’m 34 years old and I feel like I need surgery in both knees
I had a meniscus tear 8 years ago. Torn 90% of it's length. I declined surgery to understand wisdom about such tears and options. I never got the surgery. What I found immediately was this: eating after sundown OR too close to sundown (depending on the food) CAUSES inflammation ALL THROUGH THE NIGHT. See the youtube video interviews of the Salk Inst.'s Dr. Satchin Panda by Dr. Rhonda Patrick about 7 years ago. Panda said the following in response to a hypothetical by Patrick. "Sadly it is BETTER to eat an UNHEALTHY meal during the day, because eating LATER in the evening turns even nutritious food into Junk" He explained that excess circulating glucose (ECG) in the blood around sundown is not removed from the blood because as the sun sets, the pancreas stops releasing insulin. Makes sense - the body is saying "We're going to sleep". That inflammation is first to the one-cell-THIN endothelial lining of all blood vessels. But it can spread to surrounding tissues depending on several factors (how much ECG, when did the sun set, etc.). Within a few months a severe frostbite sore on my hand, that had NOT healed for over 10 years, HEALED beautifully. No indication of a scar. NOTE that inflamed one-cell thin endothelial lining is impaired so I believe that inflammation impedes healing. In my 70's I play golf regularly and in the past 2 years have "shot my age" (extremely rare) 10 times from the standard (not SENIOR) tees. I am also running but not really training much and I have on multiple occasions run faster than the National Masters Standard of Excellence times, for my age, in the 5K and the 10K and those standards are for FLAT tracks. IN 2022 I ran in a nationally very popular 10K - lots of hills - and beat the 10K standard for my age by 6 minutes (not a typo). Both of my 5K times IN THAT 10K were also faster than for a 5K alone - on a flat track. BUT NOTE I was hardly training at all. I averaged only 1.5 miles PER WEEK (basically a 5K every two weeks) which is virtually nothing. How can this be? I was once asked by an elite amateur senior runner. Well if the endothelial lining is not inflamed/impaired, then the flow of oxygen from lungs into the blood stream and then to muscles is not impaired. And in return, the flow of carbon dioxide and lactic acid from the muscles to the blood and to the exit point (lungs, lymph, ?) is not impaired. I told this elite senior amateur runner who has qualified before for the National Senior meets/road races. The next day he decided to try this and stopped eating at 4PM "to be sure". The next morning, we both ran in a certified 10K, that has quite a few nontrivial hills. Afterwards he told me that as he started running, it felt "effortless. Too easy. I was afraid i was going too slow and wouldn't qualify." On this course there are no mile markers except one at the 5K mark. When he reached that point, his time would have qualified him for the National 5K meet. He kept running and easily qualified for the 10K. So in a span of 2+ days he had FIRST qualified for the Nat'l 5K in a separate race but only by 10 seconds THEN he qualified for the 10k, 2 days later, and his time, at the halfway 5K, on this certified course would have qualified him again - and he was running on "tired legs". That is how important not eating after sundown is. Note also that meat takes about 6 hours to fully digest and contributes glucose into the blood stream. So one must time meat consumption well before sundown - preferably at breakfast and ~noon lunch. Then switch to tasty broths that can have well cooked vegetables but not high in sugar such as carrots, beets, potatoes. In a document from 1780, the British military reported that the indigenous Indians STOPPED eating at least 24 hours before going into battle and "would sustain that fast for several more days." WHAT? No Carbo loading. We don't know what normal is. The Indians did. The historian Josephus wrote that "people in the 1st CE AD Roman culture ate one meal a day around noon." Hippocrates wrote 400 years before that "If YOU are sick and still eating, YOU are feeding your illness. Stop eating and YOU will heal.' Experiential wisdom from 2000+ years ago. To your health. Give it a try. It costs nothing and in fact can save money.
Cool video but why are you judging me with that raised eyebrow all the time 💀
I’m a,most 24 weeks out and almost have that ROM back. The stiffness in my shoulder was a bitch up to 20 weeks and since it’s better. PT twice a week and that manual manipulation of the arm to respect that shoulder…good stuff. It’s a bitch but I’m starting to believe the juice is going to be worth the squeeze ….real character building experience as the old man would’ve said….
I brike nine a few days ago, in so much pain 😢 its broke about 1 inch from the shoulder so just keeps sticking out tenting the skin.. how is it gking to heal? As the bone just wont stay in place 😢
thanks for this video
I'm 32, have had pain in my left shoulder for 9 years, I haven't been able to fall asleep on my left side for years and years. I can't remember any specific injury. Only that I moved in 2015 and carried some heavy things. These days, some days are good days and I hardly feel it while I'm at work, other days it's so sore just holding my phone with my left hand hurts. I've had an X-ray and the doctor said there was no nerve impingement... so what is going on? Can anyone advise? I'm not old and don't want to face 50 years of this getting worse than it already is.
This one of the best videos I’ve seen on KZread about Labral tears- focusing on people above 40 years old with labrum teara. thanks Doctor for breaking it down-this is really great.
This is sooooo true. Being a nurse, I saw that flexibility is also important
Massage… massage… massage …… 💡
I have a mild tear but I also have bone spurs. So I was told I needed to have my spurs shaved because it’s affecting the tears in the achilles. I have this in both of my feet. Do you recommend I have this surgery?
Hi Howard, any chance that u could share that article here? thanks, David
im from ethiopia help me
I found out that hard way that one of the potential side effects doctors don't tell you about or even admit is leg cramping. I had a injection in my knee a month ago and ever since I've gotten multiple leg cramps at night - up to double digits. I've had leg cramps before, but never more than one per night and infrequently, usually when I'm dehydrated. I called the doctor's office to report the problem and to see what I could do about it and they wouldn't even talk to me. All they did was have the nurse lie and tell the receptionist that the cramps weren't related to the cortisone shot. The cramps started right after the shot and no other variable has changed. I asked the receptionist to have the nurse call me back and she never did.
Running down hill did it for me.
Hey doc I see this was two years ago would love to ask you a question if possible
A week ago, I fell on my head and shoulder during basketball, and dislocated my right collarbone. When I got up, my collarbone was sticking out almost comically, so I would say that was clearly a grade 5. However, later that evening I managed to position my body in a way that made the bone settle down, and look more like a 3, and it has been like that since. Does it make sense for an AC separation to "downgrade" from a 5 to a 3 by itself, or am I still looking at a 5 that "mimics" to be a 3? I know the doctor can't answer medical questions like that here, so perhaps other commenters have thoughts on this. In any event, I've been considering surgery, but if it is indeed more of a grade 3, I think I'll let it heal by itself and hope that works out the best. Narcosis and the (small) chance of complications are not things I'm willing to accept unless necessary.
Definitely why I’m watching 😭😭😭😂🤦🏾♂️😂
Your right on the age thing as the MRIs showed left shoulder labrum torn with multiple cysts all across and bicep is torn, and right labrum tear and right hip is labrum tear.. Bowling and drumming is off the table for awhile..
🙏73 YO MAKE : SPINAL SURJURY DENIED? DIABETIC NEROPATHY 15 Y, FELL DOWN 6 STAIRS TO CONCRETE SIDEWALK/ FENCE / DOOR STEP : PAIN~~ " RICE " REST - ICE - COMPRESSION-ELEVATION 7 DAYS : CANT LIFT RAM UP FORWARD, SIDE OR REAR : without help or other aemrm! Problem : PCP primary care physician & care team taken over by health corporations that utilize :" THE corporate practice of medicine doctrines to over charge insurance, Medicare & control doctors= into private practice : NO MEDICARE , INSURANCE CASH + BILL & YOU'RE ON YOUR OWN TO GET :"REIMBURSEMENT FRO ' your' INSURANCE. MEDICARE, CASH, CHARITY! HOSPITAL ALSO MERGED & BLACKBALLED ALL PATIENTS & DOCTORS = MINIMAL ER & RELEASE TO--- ON YOUR OWN! ( Former marine & first responder : same brick wall with VA & PD? (TO OLD TO FIGHT & " too young to die @ 73?) ✝️🛐☮️ any suggestions besides lawyers = so much front $$$ & time to result!😵💫😭💪🦾 would only want drugs & disability while the wait for me ( and others) to die or go away?) PCP 32 YEARS & AN ANGEL BUT HE WANTS TO RETIRE & HELP FAMILY/ SELF WITHOUT 7,000 EXTRA PATIENTS :" ASSIGNED TO HIM & TEAM BY CORPORATE MEGA ORG. : I LOVED HIM, TRUSTED HIM WITH LIFE, WIFE & CHILDREN: BUT HE FOUGHT TOO LONG FOR SO LITTLE ~ DESTROYED A BRILLIANT DOCTER & TEAM & RELATIONSHIPS WITH 14 GOSPITALS? I PRAY 1🙏🙏🙏✝️🛐☮️ God will stop the greed fotlr money, sadistic pleasures & more 💸💸💸💸💸💸💸💸💸💸💸💸💸💸💸 ~ pain, suffering, disability & death? Too much SS, PENSION, SAVINGS,IRA TO QUALIFY FOR MEDICARE & :" MEDICARE ADVANTAGE DOING " HEAVY LIFTING FIR MEDICARE" MORE CHARGES = MORE PROFIT & GOOD CARE DELAYED & DENIED! I DON'T WANT TO BURDON YOU : BUT PERHAPS WITH ALL I'VE TOLD SOMEONE WILL SHARE OR KNOW WHO & WHAT TO DO! THANKS & MAY GOD BLESS FIR YOUR TIME & ANY MIRACLES THAT MAY COME? ❤🙏
I had rotator cuff and a bicep tendon reattach. I went to physical therapy the next day. I thought it was too soon. What's your opinion?
I broke my collarbone playing soccer when I was 15 years old. Doctor said I didn’t need surgery and it would fuse on its own and he was right. It healed and I continued playing soccer through high school with no issues. However, after high school I got into weightlifting and noticed within a year or so into that journey that my collarbone was definitely affecting me a bit. It fused just a little bit crooked and has caused some weakness and muscle atrophy in my left shoulder and pec. I’m 29 now and am still big into weightlifting/bodybuilding but have continued to deal with that issue. In hindsight, I do wish I had gotten it surgically fixed when I was 15 but there’s no way I could have known I would get so addicted to the gym and ironically that’s about the only pursuit it would have an affect on. Just something for you young guys to think about.
Can i take steroids injection once a week for 12 weeks
So if theres clicking and popping then i need surgery
the week before Christmas I had a small slip on some ice. after a day It started to hurt and swelled up after 3 days I could not walk and had to buy crutches for 3 months of soreness and ice we are finally getting the knee fucken ultrasound and x-ray, and will know the results February 22 2024. they better have it fixed for golf season. Thanks, Doc.
Im a 42 year old thats very active and had a complete tear playing basketball. My tendon went all the way into my calf muscle. I elected surgery and its been great for me thankfully. Took about 9 to 12 months for a complete recovery. Im surprised to see people going non surgery but doing weight bearing and walking after a month. It took at least 3 months bf i able to put weight on da foot. To me, the best thing that contributed to my healing is taking physical therapy serious and doing exactly what they say do.
Just had mine. Day 5. Stiff and very sore.
This is where u can find honest opinion since hes not selling you a cirgury just knowledge and experience What happens if you have a normal slap tear that was not the cause of pain and you the tenodisis cirgury will that type of cirgury usually causes pain after?