CONTACTS
0201 - Doctor Gloria Tucker
020101 - Dr. Gloria Tucker
020103 - Medical Offices
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 21 0000. ref SDS 20 0000.
040502 -
040503 -
040504 -
040506 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Received letter from Doctor Tucker saying...
040902 -
040903 - 1. Subject: Re: Post-Procedure Day +3
040904 - Date: 2017-08-19 11:23
040908 - ..
040909 - 2. Hello
040910 -
040911 - I am very happy to hear your news.
040913 - ..
040914 - For most people, after PRP, the symptoms that brought them in
040915 - return after the inflammation settles down which is about 3-5
040916 - days.
040918 - ..
040919 - Does this apply to regeneration therapy with PRP generally, or to
040920 - plantar plate specifically?
040921 -
040922 -
040924 - ..
040925 - For example, left knee symptoms of severe osteoarthritis stemming from
040926 - falling 40' into pump station in 1973, and then having knee surgery
040927 - that cut away portions of miniscus cartelage, thus causing continual
040928 - degeneration the past 40 years, causing the condition on 170726...
040929 -
040930 - MENISCI:
040932 - ..
040933 - Medial meniscus with degenerative tearing involving its
040934 - entirety.
040936 - ..
040937 - Lateral meniscus with degenerative tearing involving
040938 - the posterior root and horn, extrusion of the body with
040939 - intrasubstance degeneration, and diminutive/degenerated
040940 - appearance of the anterior horn.
040941 -
040943 - ..
040944 - CRUCIATE LIGAMENTS:
040946 - ..
040947 - Anterior cruciate ligament with complete tear.
040948 -
040949 - ...reported in findings of MRI at VAMCSF on 160805 0800. ref SDS 7
040950 - PSWR
040952 - ..
040953 - In this case, within a few days after PRP treatment (thanks to Doctor
040954 - Tucker's kindness reported on 170726 1600. ref SDS 13 4Y8K) these
040955 - severe deficits in the left knee seem to have completely resolved, in
040956 - that there has been pain level 0 in the left knee, despite not taking
040957 - Glucosamine Chondroitin, previously taken the past 13 years, and
040958 - despite vigorous hiking.
040960 - ..
040961 - Somehow, pain went away, and has not returned, contrary to Doctor
040962 - Tucker's letter today, indicating prior symptoms typically return 3 -
040963 - 5 days after PRP treatment, per above. ref SDS 0 C29Q
040965 - ..
040966 - Similarly, metatarsalgia pain in both feet also resolved within a few
040967 - days getting PRP treatment on 170726 (thanks again to Doctor Tucker's
040968 - kindness), and has not returned.
040970 - ..
040971 - It may be that immediate favorable response to treatment for left knee
040972 - and both feet metatarsalgia only reflects lubricating effects that
040973 - last longer in these locations than injections into plantar plate. As
040974 - lubricating effects decline, regeneration effects rise providing
040975 - continuous pain relief.
040977 - ..
040978 - However, treatment trajectory of plantar plate seems closely aligned
040979 - with the Doctor's explanation, in that symptoms seemed fully resolved
040980 - with pain level 0 on vigorous hikes for a week, reported for hike on
040981 - 170807, shown in case study, 160101 0700, ref SDS 5 5B4I; but later
040982 - symptoms recurred next day on 170809, ref SDS 5 SYYR, leading to
040983 - request for a 2nd treatment on 170809 1739. ref SDS 18 0W5I
040985 - ..
040986 - Doctor Tucker's letter continues...
040987 -
040988 - 3. The body works internally to repair and remodel the ligaments.
040989 - This takes 4-6 weeks, my website reviews this. So usually it
040990 - is about 4-6 weeks before the problem improves significantly.
040992 - ..
040993 - This standard of practice seems to indicate 4 - 6 weeks after
040994 - treatment on 170726, ref SDS 13 0001, pain symptoms should resolve in
040995 - right foot plantar plate, beginning OA 180223. What effect does 2nd
040996 - treatment on 170816, have on this target date for regenration to
040997 - manifest resolution of pain during hiking?
040999 - ..
041000 - Intuitively, it would seem feet that carrying full body weight, would
041001 - respond equally to knees that also carry full body weight in walking
041002 - and running. Is there an orthopedic theory on why in this case the
041003 - left knee responded immediately, and the right foot experienced
041004 - delayed response to PRP injections on 170726?
041006 - ..
041007 - Doctor Dang in Sports Medicine Specialist in Orthopedics at UCSF and
041008 - VAMCSF, said nobody knows why the left knee much more severely injured
041009 - than the right knee, responded well to Glucosamine Chondroitin
041010 - (hyaluranic acid), for 13 years, while the right knee much less
041011 - severely injured, did not, reported on 161212 1632. ref SDS 8 OP65
041012 -
041014 - ..
041015 - Doctor Tucker's letter continues...
041016 -
041017 - 4. I know that you are on a schedule to make your goal of hiking
041018 - half dome. and so I understand your desire to keep hiking and
041019 - hike vigorously. But I really can't comment on your quick
041020 - improvement. I applaud your desire to move forward but I would
041021 - do it sytematically and cautiously. I have to say that there
041022 - are some patients who improve rapidly soon after the
041023 - injections, I wish I understood why.
041025 - ..
041026 - 5. I have had a number of patients report profound fatigue for a
041027 - few days after prolotherapy, On the surface it doesn't look
041028 - like much happened but we did some deep work in your foot
041030 - ..
041031 - 6. I would absolutely wait 6 weeks (if you are painfree) before
041032 - looking at an MRI to evaluate your plantar plate. There is no
041033 - point before that
041035 - ..
041036 - So 6 weeks after 170726 will be...
041037 -
041038 - 170906
041040 - ..
041041 - If we achieve pain free condition in right foot plantar plate, will
041042 - definitely, ask Doctor Thuillier for another MRI to compare with
041043 - study on 170412.
041045 - ..
041046 - Equally, will request MRI on left knee to evaluate why pain has
041047 - resolved in a knee found on 160805, to have severe deficits.
041049 - ..
041050 - Doctor Tucker's letter continues...
041051 -
041052 - 7. Also, I am not a specialist in the foot. I am a specialist in
041053 - Proliferative Medicine. And we are trained by foot specialists.
041055 - ..
041056 - 8. So have fun today, but build up slowly
041058 - ..
041059 - Gloria Tucker MD
041060 -
041061 -
041062 -
041063 -
041064 -
0411 -
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