Edgar Ramirez Md Dabapm
Dr. Ramirez co-founded B3 Medical with a specific agenda to create a new and innovative approach to treating patients who suffer from intense and chronic pain.
Recognized as a leader in the practice of Interventional Pain Management and frustrated by the current system that relies on opioids and prescription medications to mask a patientâs pain, Dr. Ramirez decided to create a new regimen of safe and effective minimally invasive, non-surgical procedures that get to the source of the pain.
Dr. Ramirez is Board Certified by the American Board of Anesthesiology, with a Pain Medicine sub-certification from the University of Florida. As the Medical Director at B3 Medical, Dr. Ramirez is a leader in all aspects of Interventional Pain Management, including Nerve Blocks, Radiofrequency Ablation , Percutaneous Decompression, and Spinal Cord Stimulation.
A family man, Dr. Ramirez is a Tampa Bay Lightning and Florida Gator fan and an avid boater. He was born and raised in Ft. Bragg, NC, and loves living and practicing medicine in Florida.
Have A Conversation With Your Doctor
Before you make up your mind about having your knee replaced, talk with your doctor about the possible risks of surgery. These can include infection, loosening of the knee replacement parts, and movement limitations. Also, talk about any health conditions you might have that could make the operation and your recovery more difficult.;
Its also important to have realistic expectations for how quickly you will recover from the surgery. It can take several weeks to several months to feel back to normal after a knee replacement. Youll also need to commit to physical therapy and exercise. Your doctor can talk through the factors that can speed up or slow down recovery, and help you decide if the timing is right.;
Under the right circumstances, a knee replacement can significantly boost your quality of life. More than 90% of people who get new knees are able to resume their normal activities shortly afterward and are happy with the results, according to the American Academy of Orthopaedic Surgeons. And pinpointing a good time to have a knee replacement is a key part of having success with the procedure.
What Is The Average Mcl Sprain Rehab Time
There is a difference between MCL recovery time and MCL sprain rehab time.
The time it takes to recover from an MCL injury is listed above, and as we mentioned, it is a murky diagnosis, but one that you are best able to evaluate using the guidance above.
MCL rehab time is a bit different. MCL rehab time refers to the time it takes for a person to complete a full MCL rehabilitation program.
An average MCL rehab program is going to vary depending on the type of sprain.
Grade 1 Rehab: MCL rehab can begin immediately following the injury and should be focused on proper mobility and recovering full range of motion in about a 2-4 weeks window.
Grade 2 Rehab: MCL rehab should begin after any initial swelling and intense pain has subsided after the injury. The program should center around improving the quality of body mechanics and range of motion in the knee and hip. The program should last approximately 6-8 weeks.
Grade 3 Rehab: MCL rehab for a complete tear can be divided into two categories. Pre-hab before a medical intervention and rehab afterward.Prehab for a grade 3 sprain should focus on strengthening the quadriceps and hamstrings prior to the surgery. This will improve MCL recovery time after the surgery and prevent significant atrophy.Rehab for a grade 3 MCL tear should focus on all the same things as a grade 2 sprain does; except the process will be much slower moving; as it will begin immediately following surgery.
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Q&a My Knee Hurts When Should I See A Doctor
Posted on: by Our Team
The knee is a hinge joint made of the thigh bone, the shin bone, and the knee cap. The bones are covered with cartilage to absorb shock and protect the knee. The knee joint is held together with ligaments, the Anterior Cruciate Ligament , the Posterior Cruciate Ligament , and the medial and lateral collateral ligaments. Additionally, the knee bones are held together by muscles and tendons. The two groups of muscles that allow a wide range of knee movement are the quadriceps and the hamstrings that are attached to the bone by tendons. If any one or more of these structures are damaged, knee pain can result. Knee pain can be caused by normal daily wear and tear, repetitive use, aging and injury.
Dr. Jorge Chahla is a renowned orthopedic surgeon and sports medicine expert in Chicago whose focus is on complex injuries of the knee, hip and shoulder. Below, he answers your questions about knee pain and when to see a doctor.
How To Make Knees Stronger
The large muscles of the leg all support the knee. Symmetric and good strength in these groups provide our knees adequate support as we walk, climb and move. Exercising as we age is essential in keeping our knees healthy and strong. Here are a few simple exercises you can do to reduce the effects of aging on the knee.
You Felt Or Heard A Pop
Sometimes, a popping sound after a movement can indicate something is out of place.
Oftentimes this type of sound upon injury is indicative of a ligamentous injury, says Schwabe. Not all ligamentous injuries are full tears, though, and not all require surgery.
However, if you also experience excessive swelling and instability, get it checked out by an M.D. If you only have a mild sprain then you will be able to rehab it with physical therapy, he says.
The pop is what you hear as a result of a ligament tear, a meniscus tear, strained tendons, or a dislocated kneecap. Usually what happens is youll simultaneously hear and feel the pop.
If youre not familiar with the meniscus, its the cartilage in the knee that functions as a shock absorber. Each knee has two menisci, and theyre shaped like horseshoes. The medial meniscus is on the inside of the knee, and the lateral meniscus is on the outside.
The popping sensation can be difficult to explain, but youll certainly know it when it happens to you. Though the sound originates in the knee, youll hear it as though it was directly in your ear. Its as if the sensation travels up your body, and when it gets to your brain, it becomes audible.
If the pain is severe, youll want to visit a doctor as soon as possible. Surgery is often the recommended course of action, but physical therapy and other non-invasive remedies may be prescribed as alternatives.
You Cant Straighten Your Knee Or Leg
If you have trouble straightening your leg or it hurts to do so, you probably have a serious knee injury.
To test this, start in a seated position and try to lift your lower leg using your own leg muscles. You may still be able to bear weight and walk slowly and carefully without assistance, but will probably require assistance to lift your lower leg and fully extend your injured knee, says Dr. Brown.
Patella fractures, quadriceps tendon tears, and patellar tendon tears all tend to be associated with an inability to straighten the leg.
Use a knee immobilizer to hold the knee in a straight position and help with pain relief. This also makes it easier to move about until your appointment with an orthopedic surgeon, he adds.
Another test is to lie down and try to straighten your leg. The goal is to get your knee to lie flat. This might be difficult or impossible to do due to the pain, but what you should watch out for is a total inability to straighten your knee.
Some of the problems that could cause a locked knee include meniscus tears or a torn ACL. The key is to determine whether you cant straighten your knee due to sheer pain or physical blockage. If you feel blocked, then we recommend getting in touch with a doctor sooner rather than later.
On the flip side, you might have trouble bending your knee. If your knee feels stuck in any way, and the feeling doesnt go away within a few hours, you could be experiencing something more severe.
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Common Reasons For A Swollen Knee
So often in physical therapy, patients ask us “what does it mean if my knee is swollen?”
- Osteoarthritis This is the most common cause of a swollen knee. ;Osteoarthritis is caused by the cartilage in the joint wearing down resulting in a bone-on-bone joint. ;This also causes a chemical change in the knee and can create a hostile environment causing pain and fluid to build up in the joint.;
- Injury or Trauma Any injury to the bones, ligaments, meniscus, tendons, bursae, or cartilage in the knee can cause pain and swelling. Some serious trauma and injuries can even lead to blood in the joint. ;With a vast amount of blood in the joint, significant knee swelling is expected as well as some stiffness and bruising.;
- Bursitis Bursa, the small fluid-filled sacs that protect joints, can become inflamed and fill with fluid causing the swelling in the knee. ;The joint can become painful and will often feel squishy to the affected. Sometimes the bursa can get infected and fill with pus which will also increase swelling in the knee. ;This can cause redness and an increase in temperature in the joint. Infrapatellar bursitis can often occur when you bump your knee and cause an extreme amount of pain when kneeling.
- If you would like to learn more about the anatomy of the knee, please watch this;video.
How Is Knee Aspiration Performed
Using aseptic precautions, the swollen knee joint is examined and appropriate site is chosen. The area is cleaned with an antiseptic and a local anesthetic is used to make the site numb. The needle is inserted into the joint space and the synovial fluid is drained out. Medications may be injected into the space if required and the needle is taken out.
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Mcl Recovery Time Grade 1
A grade one MCL sprain can be one of the easiest ones to diagnose. If after the initial injury you feel progress day-to-day, you are probably looking at a grade 1 type of sprain. As mentioned above, there arent just three degrees of injury to an MCL. There is a spectrum.
If on that spectrum of MCL injuries you find that your injury seems to be mending relatively quickly , you likely have what would be classified as a grade 1 sprain.
A grade 1 MCL sprain recovery time is typically anywhere from 1 week to 3 weeks.
Injury To Knee After Tkr
I had TKR on my left knee a year and a half ago. After surgery and rehab, I have done very well and been very pleased with the results. However, today I tripped and fell on concrete directly on my left knee. I have swelling and tightness, but mostly pain when I bend my knee on the under side of it. Has anyone had this to happen and if so, was there damage to your new knee?
1 like, 10 replies
Posted 6 years ago
What are you waiting for ! Go and see your GP or go to the emergency department. You need a thorough exam and probably an x-ray.;
Do not wait around but get it looked at promptly. It may well only be bruised or have a sprain of the ligaments but if you have a fracture it needs intervention
Posted 6 years ago
Going to ice and elevate, along with ibuprofen and, if it’s not better by Monday, then off to the Ortho I go! I’m like you though: better safe than sorry. Thanks
Posted 6 years ago
I agree fully with Sheila. One person could fall and nothing happen and another could fall and have a serious injury. This is only something your doctor can figure out and only then will you have peace of mind…at least that’s the only time I would. And hopefully, it’s nothing serious. But you won’t know until you have it checked out.
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Should I Go To The Emergency Room For Knee Pain
A knee injury can either be a severe problem or nothing to worry about, but knowing the difference can be a challenge.;If youve ever bumped your knee on the edge of the coffee table, you know its a painful experiencebut its probably not;a;medical emergency;or a reason to visit the emergency room.;
Other knee injuries can require surgery and rehabilitation for a full recovery.;Knee injuries are common and;can happen to anyone at any time. In the U.S., there are between 100,000 and 200,000;ACL ruptures; every year.;
Should you go to the emergency room for knee pain? Keep reading to learn when a visit to the emergency room for knee pain is urgent versus when rest and an ice pack might be all you need.
Tim Bain Dc Faaim Ccsp Emhl
When the Tampa Bay Lightning players need a doctor they can trust, they turn to Dr. Tim Bain. He is the doctor in the Lightning locker room, keeping players healthy on and off the ice.
But caring for the Lightning and other top professional and elite athletes is just one of Dr. Bainâs passions.
A leading innovator in healthcare, Dr. Bain is passionate about reforming healthcare to be less focused on medication and surgeries when people are sick and more focused on optimizing health and keeping people well. Thatâs why he brought together a team of innovative specialists and formed B3 Medical.
A former research scientist at the National Institutes of Health, Dr. Bain is a graduate of the Executive Master of Healthcare Leadership Program at Brown University, where he won the Inaugural Healthcare Leadership Award for Innovation in Healthcare. He also holds a Doctorate in Chiropractic from Life University and a B.S. in biology, focusing on Psychology from Manhattan College.
Dr. Bainâs greatest passion is family, his wife, and two children, and somehow he also finds time to coach dozens of children, including his son, in Minor Hockey.
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Your Knee Feels Unstable Or You Felt A Pop
Most ACL tears and patella dislocations occur from a twisting, non-contact injury.; A typical story is that you were turning or twisting hard, and you felt a pop.; As I mentioned earlier, most patella dislocations will reduce or go back into their usual place on their own.; But if your patella remains dislocated the knee will look strange.;
If you felt or heard a loud pop as you twisted or turned to avoid another player, then you may have torn your ACL. Other causes of popping include a patella or kneecap dislocation.;;If you felt or heard a loud pop in your knee, then there is a strong chance that you have a severe knee injury. ;Most ACL injuries and patella dislocations are non-contact injuries. ;A running back turning to head upfield. ; A striker moving laterally to avoid the defense. ;These are familiar stories when we see high school and college athletes who have torn their ACL. ;
This post dives further into the immediate management of suspected ACL injuries.
After The First Visit
You’ll start to work on making your leg muscles stronger, which takes some of the stress off your knee and cut your pain. Your therapist will give you exercises to do at home and show you how to practice them safely.
Strength training exercises are a key part of the PT workout. For instance, you may need to do some of these moves:
- Hamstring curls
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What Is Knee Pain
Pain is a common knee problem that can originate in any of the bony structures compromising the knee joint , the kneecap , or the ligaments, tendons, and cartilage of the knee. Knee pain can be aggravated by physical activity, as well as obesity, affected by the surrounding muscles and their movements, and be triggered by other problems . Knee pain can affect people of all ages, and home remedies can be helpful unless it becomes severe.
When Should I See A Knee Doctor To Treat My Pain
Knee pain is very common and can have different causes. Whether young or mature, you can experience knee pain. When knee pain is experienced by a young person, its usually a result of an injury. Older adults and the elderly experiencing knee pain may be due to wear and tear or arthritis.
Knee pain that does not get better warrants a visit to a doctor. Pain is your bodys way of alerting you that something is wrong. Here are a few signs that its time to see a doctor for knee pain.
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What Are The Most Common Causes Of Knee Pain
One of the most common causes of knee pain is osteoarthritis of the knee. Osteoarthritis is a degenerative and inflammatory process where the cartilage in the joint progressively wears away. It can happen with aging but also after an injury to the knee. Meniscus tears are also really common, although most of the times are not symptomatic .
Additionally, sprained or strained knee ligaments and/or muscles are a common knee injury. A sprained or strained knee ligament or muscle is usually caused by a blow to the knee or a sudden twist of the knee, although they can also occur with direct trauma such as a tackle or a car accident. Finally, inflammation of the tendons may result from overuse of a tendon during certain activities such as running, jumping, or cycling. Tendonitis of the patellar tendon is called jumpers knee. This often occurs with sports, such as basketball, where the force of hitting the ground after a jump strains the tendon.