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Hi my father is having paralysis from 2 years complete left hand and left leg and he had surgery of brain also had removed blood clot. And he was covering slowly. Before 2 days he felt down and left leg got fractured. He is having pain too. Is surgery is necessary for him for his fracture or with physiotherapy. Please help me with this. His age is 59.

Most fractures in this elderly age are significant enough to require surgery. Surgery alone will help him get out of bed early, which is important to prevent complications arising from prolonged bed rest that is required for conservative management. Plus it avoids shortening and malrotation of the leg.
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Stress Fracture - Know The Causes And Symptoms Of It!

Stress Fracture - Know The Causes And Symptoms Of It!
Stress fractures are small cracks that may appear in a bone. It occurs due to repetitive application of force in the same area. It is very common among various sports such as running, tennis and football. It may also occur due to osteoporosisas this disorder weakens the bones and allows stress fractures to occur easily.

The majority of stress fractures occur due to overuse of a specific muscle. The bones and the muscles used in a specific movement do not get time to recover, thus leading to stress fracture.

Causes: The major cause of stress fracture is change in physical activity, such as a sudden increase in exercise. The other factors that may lead to stress fracture are -

Poor conditioning: If you are starting an exercise regimen without proper preparation, then it may cause stress on the muscles. It is important that you condition your body before doing any intense activity to prevent injuries.
Bone insufficiency: Various disorders such as osteoporosis reduces bone strength and increases the likelihood of a stress fracture. If you have low bone density then you are at a higher risk of having stress fractures.
Change in surface: Change in surface like shifting from running on grass to road tends to cause more stress on the legs, thus increasing the likelihood of a fracture.
Improper form: Performing any exercise with improper form may lead to a number of injuries. It is recommended to learn the correct technique before exercising, so you may use a spotter or a trainer to guide you.
The symptoms of a stress fracture are:

Pain: You may experience dull to severe pain if you have stress fractures. The severity of pain will depend on the severity of the fracture.
Swelling: Pain may be accompanied by swelling on the sides and the top of the foot.
Tenderness: Stress fractures may cause tenderness in the muscles around the affected area.

Patella fracture operation ke baad kitna dino taak thik ho sakta he or kon kon se chijo ka sewan karna chahiye. Or kya kya nhi karna he. Uske baad mujhe kitne dino tak kis tra chalna chahiye ya nhi chalna chahiye .so please mujhe bta de.

Dear lybrate-user it needs vigorous quadriceps exercises regularly for long time. Keep your weight light. Olive oil massage of knee joint vit d3 calcium symphytum more you discuss on line.
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Hand Fracture - Exercise That Can Be Beneficial Post It!

Hand Fracture - Exercise That Can Be Beneficial Post It!
A hand fracture is a condition characterized by discontinuity in the alignment of bones of the hand. The bones in the hand include the bones that are present in the wrist, palm and fingers. A fracture of the hand tends to occur commonly due to a fall on the outstretched hand. It may also be caused by injuries related to sports and falls.


Swelling and pain are the most common symptoms of fracture. The range of motion for the affected hand will be reduced as well. The knuckle bone may appear to have been sunken in due to swelling in case of fracture in the palm bones (metacarpal bones). Most obviously, it will be difficult in carrying out regular tasks like squeezing or gripping which need the hands.


The initial treatment for a hand fracture will be focused on reducing the pain. Pain relieving medications such as ibuprofen will be administered which provides relief from the pain. The next step will be to keep the affected hand immobilized to enhance the healing process. Once stability is restored, therapeutically relevant exercises are prescribed to help normalize the regular hand movements and hand functions.

The following exercises are relevant in case of a hand fracture:

1. Wringing a towel: This is an exercise wherein you wring a towel to improve flexibility and strength in the hand. Simply grab a towel and twist it in both directions; imagine wringing water from the towel.

2. Rolls of the wrist: Wrist rolls aim to increase the ROM (range of motion) in your wrists and the hands. Hold the hand steady and rotate your wrists both clockwise and anticlockwise. You can also hold a lightweight in your hand to make it more challenging.

3. Prayer stretch: A prayer stretch is another exercise that can help boost your wrist flexibility. You start by positioning the palms together like in prayer, then hold up the elbows while pushing the hands against each other. You should feel a stretch in your wrists and hands.

4. Grasping: This is a technique wherein you grasp objects to improve your grip strength. Try gripping objects such as a tennis ball or stress balls to get your gripping ability up to normal levels.

Caution: If pain or swelling appears, stop the exercises immediately. Consult a physiotherapist for advice specific to your condition.

Ewing's Sarcoma - What Causes It?

Ewing's Sarcoma - What Causes It?
Collectively grouped under the Ewing sarcoma family of tumors, Ewing's sarcoma is the second most common primary bone cancer occurring predominantly in children and in adolescents. Very rarely is it experienced in adults above the age of 30.

Typically forming in the bones of the chest, pelvis, head, back or trunk and in the long bones of the arms and legs, Ewing's sarcoma is believed to originate in certain kinds of primitive cells. When it begins to affect similar kind of cells found outside the bone, it is usually called an extraosseous Ewing's sarcoma.


1. Similar to all types of Ewing tumors, Ewing's sarcoma is generally caused by an alteration in a certain cell compelling a gene named EWS found on chromosome no. 22 to move over to a DNA section on any one of the surrounding chromosomes resulting in the activation of the EWS gene.
2. While it is not a hereditary condition, it usually occurs after childbirth, but no substantial evidence has been found as to why it happens so.


Symptoms of Ewing's sarcoma may include:

1. Swelling and pain especially in the arms, legs, back, chest or pelvis
2. Swelling accompanied by joint immobility
3. A bone breaks having no apparent cause
4. Swelling which may or may not be accompanied by a warm, tingling sensation
5. Fever resulting from unknown causes
6. Lumps or bumps which do not subside over time
7. Abnormal weight loss
8. High levels of fatigue
9. Tumors which have spread over to the lungs may cause shortness of breath
10.Tumors spread over to the spine may cause weakness or even paralysis.

Because the symptoms of Ewing's sarcoma can hardly be distinguished from symptoms caused by other infections or injuries, an early diagnosis is absolutely necessary for a successive treatment.
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Fractures - Know Diet That Can Help!

Fractures - Know Diet That Can Help!
A fall or an injury is among the most common causes of a fracture. For a fracture to heal; the bones must be set in the correct position and a cast may need to be worn so as to hold them in place. This allows the bones to grow new tissue and bridge the break. The food you eat can help you speed up this process. Some of the best foods to build strong bones and help a fracture heal are:

Milk: Milk is one of the richest sources of calcium and vitamin D. It is also rich in proteins. These three elements are crucial to building strong bones. Proteins help the body release amino acids which in turn come together and create new tissue for the bones. Calcium is, of course, the building block of our bones. However, it is vitamin D that enables the body to absorb this calcium and utilize it. If you do not like the taste of milk, you could substitute it with yoghurt. This dairy product is considered equally rich in proteins, calcium and vitamin D. In addition, it also contains amino acids such as glutamine and lysine that helps the bones absorb calcium.
Kale: Kale is known as a superfood. One of the reasons for this is the amount of calcium it contains. Kale is one of the few vegetables that are rich in this mineral. Thus, lactose intolerant people can get their required calcium from this vegetable. Kale can be eaten raw or cooked. Kale can also be juiced. However, to benefit fully from the vitamins and minerals in this vegetable, it is best to eat it raw.
Spinach: Spinach is another green leafy vegetable that is rich in calcium. It also contains zinc. Zinc helps stimulate the chemical reactions needed to bind calcium and other minerals together to create new bones. In addition, spinach is also a rich source of vitamin K. While this vitamin does not play a direct role in healing bones, it helps speed up the healing process.
Broccoli: Broccoli is a cruciferous vegetable that is rich in vitamin K1. This is very beneficial to your overall health and bone health. Vitamin K1 aids in the mineralization process of fusing broken bones together and building new bone tissue. Thus, it helps the bones set correctly.
Citrus Fruits: Fruits such as oranges are chock-full of vitamin C. This nutrient helps build a strong immune system and aids in the fracture healing process. Vitamin C also helps the body create collagen that surrounds the broken bones and allows it to heal faster.
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Bone Fracture - What Are The Types & Causes Of It?

Bone Fracture - What Are The Types & Causes Of It?
Broken bone is commonly known as bone fracture a d it occurs when an exorbitant amount of force is applied causing the bone to split or shatter. While some minor fractures lead to cracks and crannies, others may lead to complete breakage of the bones. Despite being hard, bones are formed in such a way that they can absorb pressure to only a certain extent, beyond which they break. Statistically, the incidence of broken bones are most common in children and in old age people.

Causes of Bone Fracture:

Bone fracture can be caused due to a number of reasons; both intentional and accidental. Some of them include:

1. Accidents and injuries: Sports injuries, being hit by a car and tripping and falling are some of the typical episodes.
2. Old age: Diseases such as osteoporosis and brittle bone disease are common in aged people. As bones tend to become more fragile among the aged, they are at a greater chance of bone fractures.

Type of bone fractures:

Primarily bone fractures are of four types, based on the way the bone splits. They are:

Complete fracture: This type of fracture refers to a complete breakage of the bone wherein the fracture may occur at various parts of the bone.
Incomplete fracture: In this type of fracture, the bone partially breaks instead of splitting entirely.
Compound fractures: This is a type of a fracture wherein the bone breaks past the skin. It is also known as an open fracture.
Simple fracture: In this type of a fracture, the bone breaks without causing an open wound on the skin.
Treatment of bone fractures

In case of a broken bone, the immediate course of action would be to reach for the first aid box. This can be done to stabilize the bone prior to hospitalization. Icing the injury, elevating the injured area to prevent further swelling and covering the wound with bandages are common measures. In many cases, people also make household splints (made of newspapers) to keep the bone stabilized. Hospitalization and especially surgery, can be also opted for in case of severe fractures.

Knee Arthritis

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The knee acts as hinge joint and allows flexion (bending) and extension (straightening). The knee is formed by the tibiofemoral joints, where the end of the femur (thigh bone) glides over the top of the tibia (shin bone) and the patellofemoral joint where the kneecap glides over the end part of the femur. The gliding surfaces of the knee are covered with articular cartilage which helps the joint to glide smoothly.
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Hi. I am 23 yrs. Already told that I fell from ladder. And got hairline fracture in heel. By an inch bone is moved. So hav kept crepe. Jus wanna kno is it okay to jus move my leg .coz now am being really impatient. Like while keeping my leg on pillow I jus keeping moving. I do not keep much support on my heal. So its okay rite. But I have not put my leg down at all. Hav avoided weigh bearing on the injured leg. I jus hop and go to room or so. And is it necessary to take xray after 4 weeks to check.

If the bone has moved by an inch, it is a displaced fracture and not a "hair line" one. In a young patient it is always desirable to restore the bone position by surgery, because the ankle is a weight bearing joint, and malunion predisposes to early and painful arthritis later. Please attach x rays if possible. Union takes 4-6 weeks and any attempt to bear weight prematurely can lead to further bone collapse and deformity. And yes, x-rays are essential to check progress of union.
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