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CT Scan - Bony Pelvis With Contrast Health Feed

My kids are 12 and 9. Since schools in mumbai have no space. They are mostly indoors. Am so worried about their bone growth because of no vit d from sunlight. Giving arachitol 60,000 syrup from few weeks. What should I do? Will their bone health be ok, can we strengthen their bones still?

M.S. Orthopaedics, DNB Orthopaedic Surgery, MRCS, FELLOWSHIP OF JOINT REPLACEMENT & ARTHROSCOPY, Shoulder Replacement & Shoulder Arthroscopy Fellowship, Fellowship in Arthroscopy & Arthroplasty Hip & Knee
Orthopedic Doctor, Delhi
My kids are 12 and 9. Since schools in mumbai have no space. They are mostly indoors. Am so worried about their bone ...
Hi lybrate-user from the information you have provided I could only understand that you are worried for your kids' health and have started vit d syrup. However you have not mentioned any vit d testing been done or your kids having any symptoms. Please review back with vit d reports and your kids' symptoms.
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Dr. I have arthritis pain on my left hand and it's increase in shoulder also please tell me any home management now.

BHMS
Homeopathy Doctor, Noida
Dr. I have arthritis pain on my left hand and it's increase in shoulder also please tell me any home management now.
Are you diabetic or having cervical spondylosis. If so is it under control. If you don’t know then get blood sugar fasting n x-ray of cervical spine (both ap n lateral) done from some lab. If you are experiencing shoulder pain, try these exercises to help relieve your pain 1.Arm-across-chest stretch – hold your right hand out in front of you, keeping it near your waist. Reach your left hand behind your elbow, pulling your right arm to the left and across your chest. If you feel pain in your shoulder, lower your arm until the pain subsides. The goal is to be able to pull your right arm across your chest without feeling any pain. Hold for 30-60 seconds then relax and repeat with your left arm. Repeat 3-5 times. 2. Neck release – sit up straight then slowly bring your chin toward your chest until you feel the stretch in the back of your neck. Try leaning your head to the left to stretch your right shoulder or leaning your head to the right to stretch your left shoulder. Hold the stretches up to one minute in each direction, breathing deeply as you concentrate on relaxing. Repeat 3-5 times. To progress the stretch, elevate your arm as you pull it across your chest until it is the height of your shoulder. 3. Chest expansion – put an exercise band, rope, strap, or even a tie behind your back and grasp it with both hands. While holding the strap, draw your shoulder blades toward each other and gently lift your chin toward the ceiling. Breathe deeply for 10 to 15 seconds and release. Repeat 3-5 times. To progress the stretch, move your hands closer together on the strap. 4. Seated twist – sit straight up in a chair with your knees together. Twist your torso to the right, placing your left hand on the outside of your right thigh. Relax your shoulders as you look towards your right, gentling pushing on your right thigh. Breathe deeply for 10 to 15 seconds and release. Repeat with your left side. Repeat both sides 3-5 times. 5. The 90, 90 shoulder stretch – stand in a doorway, holding your arms up so your elbow is at a 90 degree angle and your arm forms a 90 degree angle to your body at the shoulder. Place each hand on one of the sides of the door frame, placing one foot forward as you stand up straight aligning your neck with your spine. Lean forward as you brace yourself against the door frame. Hold the stretch for 20-30 seconds. Repeat 2-3 times. For this homeopathic treatment is very effective for more details you can consult me.
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I need consultation for my 80 years old father in law who fell down1 month ago with fracture neck of femur .he is in extreme pain .hasn't slept since then due to pain although he is having medicine & pain injections .his condition is getting worse due to pain, not sleeping for a month, and not eating almost anything. The doctor has advised operation in which some rings are to be inserted. Hb level was 4.4 for which 2 point blood was transfused 2 days ago. My concern is that is it safe to go through surgery (incl anesthesia) with low hb & very weak physical condition. At his age? Pls advise.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Surgery is the preferred treatment for fracture because it provides stable fixation, facilitating full weight bearing and decreasing the risk of complications. Surgery is also associated with a shorter stay in the hospital and improved rehabilitation and recovery. But we have to look into the details of the problem. Let's have a detailed discussion for better advice and healthy lifestyle.
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I am 25 year's old male 4 months later one accident my left hand forum broken so I find one surgery but bone joint to late why.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
I am 25 year's old male 4 months later one accident my left hand forum broken so I find one surgery but bone joint to...
A wide variety of factors can slow down the healing process. These include: movement of the bone fragments; weight bearing too soon. Smoking, which constricts the blood vessels and decreases circulation. Let's have a detailed discussion for better advice and medication plan.
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Dr. Meri frnd h uski age 23 years old h or usko arthritis h abi lockdown ki vjh se usko treat nhi mil pa rha kya aap mujhe bta skte h uss k liye medicine jisse uski swelling aur pain me relief mil ske.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Dr. Meri frnd h uski age 23 years old h or usko arthritis h abi lockdown ki vjh se usko treat nhi mil pa rha kya aap ...
As arthritis is very common that you get generally bilaterally. Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. You can take ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages alon g with shortwave diathermy which would help to improve the blood circulation. You can take ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. It looks like you are anaemic. That's the reason the knee goes for genu recurvatum which is nothing but backward bowing of legs. This can be prevented by wearing knee brace to support the knee from going backwards while you walk or climb stairs. Check with your haemoglobin levels and also with your calcium & vitamin levels in your body by consulting a general physician.
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My foot and two figure of foot were broken on 6th jan 2020. After 2 month plaster was removed. Due to lighten I wasn't able to visit doctor. It has been already 4 months but still my foot was aching so much. Due to no servant I have to do all household work. After that my foot and the broken finger area get swollen and severe pain. Is it normal or the bone hasn't set properly. How many months it will take to complete recover.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Broken bones in the foot cause pain and swelling. Usually (but not always) the pain is so bad, that you are not able to walk. Broken bones in the toes cause less pain, and you may be able to walk with a broken toe. Let's have a detailed discussion to ensure a proper treatment plan.
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Stress Fracture - How To Avert It?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopedics, Fellowship, Depuy Joint Replacement
Orthopedic Doctor, Bhubaneswar
Stress Fracture - How To Avert It?
One of the most common injuries in sports is a stress fracture. Overcoming an injury like a stress fracture can be difficult, but it can be done.

A stress fracture is an overuse injury. It occurs when muscles become fatigued and are unable to absorb added shock. Eventually, the fatigued muscle transfers the overload of stress to the bone causing a tiny crack called a stress fracture.

Causes :

Stress fractures often are the result of increasing the amount or intensity of an activity too rapidly. They also can be caused by the impact of an unfamiliar surface (a tennis player who has switched surfaces from a soft clay court to a hard court); improper equipment (a runner using worn or less flexible shoes); and increased physical stress (a basketball player who has had a substantial increase in playing time).

Common sites:

Most stress fractures occur in the weight-bearing bones of the lower leg and the foot. More than 50 percent of all stress fractures occur in the lower leg. The repetitive stress of the foot striking the ground can cause trauma. Without sufficient rest between workouts or competitions, an athlete is at risk for developing a stress fracture.

Stress fractures affect people of all ages who participate in repetitive sporting activities, like running. Medical studies have shown that female athletes seem to experience more stress fractures than their male counterparts. Many orthopaedic surgeons attribute this to a condition referred to as "the female athlete triad", eating disorders (bulimia or anorexia), amenorrhea (infrequent menstrual cycle), and osteoporosis. As a female's bone mass decreases, her chances of getting a stress fracture increases.

Presenting complaints:

Pain with activity is the most common complaint with a stress fracture. This pain subsides with rest.

Diagnosis:

X-rays are commonly used to determine stress fracture. Sometimes, the stress fracture cannot be seen on regular x-rays or will not show up for several weeks after the pain starts. Occasionally, a computed tomography (CT) scan or magnetic resonance imaging (MRI) will be necessary.

Treatment:

The most important treatment is rest. Individuals need to rest from the activity that caused the stress fracture, and engage in a pain-free activity during the six to eight weeks it takes most stress fractures to heal.If the activity that caused the stress fracture is resumed too quickly, larger, harder-to-heal stress fractures can develop. Re-injury also could lead to chronic problems where the stress fracture might never heal properly.In addition to rest, shoe inserts or braces may be used to help these injuries heal.

Prevention:

1. When participating in any new sports activity, set incremental goals. For example, do not immediately set out to run five miles a day; instead, gradually increase distance.

2. Cross-training - Alternating activities that accomplish the same fitness goals -- can help to prevent injuries like stress fractures. Instead of running every day to meet cardiovascular goals, run on even days and bike on odd days. Add some strength training and flexibility exercises to the mix for the most benefit.

3. Maintain a healthy diet. Make sure you incorporate calcium- and Vitamin D-rich foods in your meals.

4. Use the proper equipment. Do not wear old or worn running shoes.

5. If pain or swelling occurs, immediately stop the activity and rest for a few days. If continued pain persists, see an orthopaedic surgeon.

6. It is important to remember that if you recognize the symptoms early and treat them appropriately, you can return to sports at your normal playing level.
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Hello sir/mam while playing arm wrestling my left hand humerus bone got fracture .most Dr. suggest me surgery and one doctor suggest me plaster so I applied plaster as I am doing bodybuilding so thought to avoid surgery .plz tell me will it be cure through plaster fully or I should go for surgery I am totally confused .i have pics of x-rays also. Please help me I am in pain.

MPT (Sports Medicine)
Physiotherapist, Delhi
Actually the main topic of discussion is not surgery or plaster, it is whether your bone will be rejoined back as before properly or not which can be inferred by inspecting the x-ray. If plaster can heal and help in joining the bone properly then no issue. But you have to be on physiotherapy rehab program for few days.
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Have an issue in occtipixation of atlas vertebra seen. surgical pain and some of crack in bone of c1-c3.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Have an issue in occtipixation of atlas vertebra seen.
surgical pain and some of crack in bone of c1-c3.
I am sorry to hear about your concern, but I will be happy to assist you. The atlas and axis vertebrae are the two most superior bones in the vertebral column, and they are part of the seven cervical vertebrae. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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