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Old Age Fractures - How To Avoid Them?

Old Age Fractures - How To Avoid Them?
As you get older, you are more prone to old-age fractures. This is because of the weakening of your bones and enhanced likeliness towards falling. In case you have osteoporosis, you need to be even more careful to avoid fractures of any kind. Here are some must-read tips for prevention of fractures, which are likely because of old age.

Exercise for improving balance and strength: Exercise directly impacts the strength of the bones. Keeping fit physically helps the reflexes to stay sharp and the muscles to stay strong. This will, in turn, result in lowering the risk of falling. When you are fit, you are less prone to falls. Bones do not stay fit unless you regularly work out. You should undertake exercises such as walking, weight lifting and also practice flexibility and balance exercises such as yoga and tai chi.
Tread carefully: The selection of shoes is very important for preventing old-age fractures. You should wear shoes, which are low heeled, have rubber soles and provide proper support. Avoid leather soles. You should avoid sneakers having deep treads, which increase your risk of tripping and falling. Shoes must be worn inside the house as well. You also need to take several precautions while walking outside. In case you have arthritis, you require an assistive device to aid you with walking such as a walker or a cane.
Certain medicines to be avoided, if possible: There are several medicines which increase your risk of falling by causing dizziness and lack of coordination. These medicines must be avoided. They include the following:
Sleeping pills or sedatives
Medicines which lower your blood pressure, thereby resulting in hypotension or extreme low pressure
Antidepressant medicines
Anticonvulsants which are used for treating epilepsy
Muscle relaxants used for back pain and other issues
Lighten up your surroundings: Because of old age, your vision is likely to degrade, making you prone to cataracts and other disorders. The lack of proper vision can make you fall and cause fractures. For solving this problem, you should install several lights all over your residence or workplace. Use overhead lamps, night lights for bathrooms and for your bedroom and always keep the staircases lit. It is also good to keep a flashlight beside you when you sleep.
Fall proof your home: You should make your home safe and fall-proof. The rooms should be clutter-free without piles of clothes and boxes. A carpet should be put over polished floors and rugs. Electric cords and phone lines should be away from the floor.
As you get older, you are likely to develop several health conditions, which may increase the chances of falls and fractures. Hence, all health conditions you experience should be properly treated to prevent falls and fractures.

Fractures - Know More About Them!

Fractures - Know More About Them!
A broken bone is medically known as a fracture. Age plays a major role in determining the risk and extent of your fracture. In children, broken bones are common place. Children s fractures are generally less complicated and easier to treat than those in adults. Brittle bones due to calcium weaning away is more pronounced in adults. Bones, in general, become weaker as you age as decalcification occurs as the bones start undergoing resorption.

Till the time a child turns 18, the bone density keeps increasing if sufficient calcium intake continues. On the other hand, when you turn into an adult, the density can t increase despite sufficient calcium intake. On the other hand, calcium ions get slowly released into the blood stream if there is inadequate consumption of calcium-containing foods.

The main categories of fractures based on damage to the surrounding tissues are non-displaced, displaced, open and closed. Non-displaced and displaced fractures refer to the manner in which the bone has broken. The bone breaks into more than one component in displaced fractures and both ends move in such a way that they are not in proper alignment. In a comminuted fracture, the bone breaks into many pieces.

Non-displaced fractures involve the cracking of a bone in its entirety or a part of it, but there isn t much movement and it maintains proper alignment. A bone breaks in a closed fracture but there isn t any open wound relating to the skin. The bone breaks past the skin in an open fracture. It might then recede back into the trauma and not be seen through the skin. There is a risk of a deep bone infection in an open fracture and this is an important difference from a closed fracture.

Some fractures based on how and the extent of the breakage include:

Greenstick: It is a partial or incomplete fracture in which the bone bends. This is most often seen in children.
Transverse fracture: It is a fracture in which the broken piece of bone is at right angles to the bone's axis.
Oblique fracture: Such a fracture involves a curved or sloped pattern in the breaking point.
Comminuted fracture: The bone gets broken into several pieces.
Buckled fracture: It is also known as an impacted fracture. The ends are driven into each other. This is very common in arm fractures in children.
Pathologic fracture: It is caused by any disease that can weaken the bones.
Hairline Fracture: Also known as stress fracture, it is seen on an x ray as a thin line.

Pelvic Acetabulum Fracture Fixation - Know About It!

Pelvic Acetabulum Fracture Fixation - Know About It!
Fractures in the pelvis or acetabulum are serious issues, especially when the patient has met with an accident. It is the most complex type of orthopedic surgery and requires immediate medical attention. The fractures are more common in old ages as older patients have a weak hip bone. Although, all ages are prone to pelvic or acetabulum fractures. To understand the fractures and treatment, you must understand the anatomy of the pelvis. The acetabulum is the part of the pelvis and the hip joint is the largest joint in the body. These parts are connected with a ball and socket method. Acetabulum forms the socket in the structure, and the ball is the femoral head which connects the thigh bone and acetabulum. The pelvis supports most of the lower part of the body, including major blood vessels, nerves, abdominal system, bladder, and reproductive organs. A pelvic or acetabulum fracture may happen due to vehicle accident or fall. But the severity of the fracture is determined by the number of fractures, fracture in the socket or ball of the joint.

Causes

Acetabulum fractures are caused due to the force in the hip joints, femur head, or the sockets on the joints. The force can be from the knee or sides. The direction of the force can result in the dislocation of the hips. This force can dislocate the femur balls from the sockets, which can be very painful. Severe acetabulum fracture can be due to a high impact force like high fall or vehicle accidents. These cases are taken immediately to the surgery and need immediate medical attention. Apart from this, weak bones or joint in the old age is the most common reason for acetabulum fractures. Hip joints take the weight of the entire body and hence gets weak with age. Even a simple fall from walking or standing can result in a pelvic fracture.

Symptoms

A fractured pelvis or acetabulum causes severe pain for the patient. If the injury is caused due to a high impact force, it can also result in bleeding. The numbness in the legs and nerve damage can leave tingling sensation which can be part of the fracture. The patient is required to be operated at soonest and needs complete rest for months. Treatment Doctors suggest various treatment to the patient with acetabulum fracture. Sometimes nonsurgical treatment is offered to the patient whose fractures are stable and may heal naturally. In such cases, the doctor recommends walking aids like crutches to help them walk. However, most acetabulum fracture needs surgery. If the damage is in the joint and it is impossible for the patient to move, then doctors recommend surgery.

Take Away

Pelvis fracture is an extremely painful damage to the most essential joint in the body. Though there are surgery available for correcting the fracture, it is always advisable to consult a doctor before going for any treatment option.

Nonunion Fractures - What Should You Know?

Nonunion Fractures - What Should You Know?
Both young and old are vulnerable to fractures. While the former gets them during intense physical activities, the latter experience fractures due to less bone density. Thus, quite common, they are, however, if you experience a persistent pain in the fracture spot even after undergoing treatment, you must visit your doctor without delay as it might be a case of nonunion.

Despite modern treatment methods that heal most fractures, sometimes new bone tissue doesn't begin to form and repair the broken pieces. This hindrance to the healing of bones is known as nonunion.' Patients suffering from nonunion of fractures usually feel pain in the fractured area even after the fracture disappears and can last for months or years. In some cases, these pains may get triggered, if pressure is applied to the fractured area.

Why does nonunion occur?
The three most important aspects of bone healing include stability, blood supply, and nutrition. If the broken bones that have been put together are moved out of place before they fully heal, it can lead to complications. Cases, where surgical fixation is involved, can be disrupted due to various reasons, including ineffective surgery which can happen due to unforeseen complications and can cause nonunion.

Limited blood supply to the fracture site can be caused due to a lack of or disruption of the body's healing cells. Blood supply to the injured area usually returns to normal during the healing period, but there might be medical complications that prevent fractured bones from healing.
Nutrition is the third biggest factor that can cause nonunion of fractures if the patient does not have a well-balanced diet and lacks essential vitamins, calcium, and proteins in the body. Dietary guidelines need to be followed to allow proper healing.
Other situational risk factors that may contribute to nonunion include age, diabetes, infections, anemia or use of tobacco and other forms of nicotine.
Treatment of A Nonunion

Depending on the situation, treatment is possible using both surgical and non-surgical methods. A bone stimulator may be used to treat a nonunion non-surgically. This small device helps send ultrasonic waves to stimulate healing, and through repeated usage of the device, it can help patients start healing.
Surgical treatment involves the usage of a bone graft that can help new bone (or bones) to grow in the affected area. Bone grafts are surgically planted, and they provide fresh bone cells and necessary chemicals that the body needs for healing. Surgeons make an incision and remove pieces of bone from different areas of the patient and transplant them into the affected area. Bone harvesting can be a painful process, but it does not affect bodily functions or cause any cosmetic problems in any way to the patient.
In many cases, bone harvesting can be avoided by using allografts (bone grafts from cadavers) or other substitutes (known as osteobiologics) made of chemicals that can be fixated both internally and externally.
These methods kickstart the healing process and allow the fractured bones to heal and return the area to its normal and undamaged state.

Spinal Fractures - Is Osteoporosis A Reason Behind Weak Bone?

Spinal Fractures - Is Osteoporosis A Reason Behind Weak Bone?
Osteoporosis is a condition wherein the bones become brittle and weak; so much so that even mildly stressful activities such as coughing, bending over or even a slight fall (such as the one from a high rise chair) can result in fractures. Osteoporosis-related fractures commonly occur in the spine, hip or the wrist. The human body has a continuous mechanism of bone absorption and removal. In the case of osteoporosis, the creation of new bones doesn t happen in accordance with the removal of old bones.

Spinal Fractures:

The bones of the spine get extremely vulnerable to breakage and even cracking open. The fractures in the spine, also known as vertebral compression fractures can cause a sharp stinging pain in the back that may make sitting, standing, or even walking a very tardy task.

Risk Factors:

Increasing age

Abnormally less or high body weight

Smoking

Menopause or low levels of sex hormones

Gender: This disorder is more likely to affect women as compared to men. Also women, who are above 50 are more likely to suffer from this debilitating disorder.

The race is a significant risk factor of osteoporosis. If you are of Asian descent, you are more likely to be affected by it.

Having a family history of osteoporosis will put you at a greater risk of this disorder.

Symptoms:

Fractured or collapsed vertebra causing back pain

A stooped posture

A shrunken appearance (as if one has had a loss of height)

Very fragile bones, thus increasing risks of fractures

Severe and sudden pain in the back

Difficulty in twisting or bending the body

Lower spine fractures are way more troublesome as compared to fractures in the upper spine. Fracturing more than a bone in the spine also remains a huge possibility.

Diagnosis and Treatment:

Firstly, an X-ray or a computerized tomography (CT scan) will be done to have a closer look at the bones. A bone density test is another commonly used method of diagnosing osteoporosis.

Steroids and medications: Some medications may be used to prevent or combat osteoporosis. These include alendronate, ibandronate, risedronate and zoledronic acid.

Physical therapy: Just like muscles, bones get stronger too when you exercise. Weight-bearing and muscle- strengthening exercises are the most helpful in this regard and are considered best for the treatment of osteoporosis. Cardiovascular exercises such as walking, jogging or even swimming can prove to be immensely beneficial.

Diet: Make a diet chart that includes high-calcium food items, dairy products such as yogurt, cheese, and low-fat milk, tofu, green vegetables such as collard greens and broccoli, sea fish such as salmon and sardines.

Salt: Limit salt intake

Therapy: Hormone replacement therapy (treatment method consisting of estrogens to alleviate and treat symptoms of osteoporosis) is another method of treatment that can be recommended by the doctor.

I recently occurred a hand bone fracture soo what should I do too heal it as soon as possible please advice me what should I eat.

Recently you occurred hand one fracture ,if you have broken a bone, you may experience the following: you may hear or feel a snap or a grinding noise as the injury happens. There may be swelling, bruising or tenderness around the injured area. If only fracture then it can be treated soon but if broken bone then it will take time. Let’s have a detailed discussion over it, post that i’ll be able to figure out the exact reason of your problem and then we’ll be proceeding for the most effective treatment plan.
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I am 26 year. I got fractured in my elbows. I got her treated, Now not able to lift up my hand.

I am 26 year. I got fractured in my elbows. I got her treated, Now not able to lift up my hand.
Hi sir, due to immobilization of elbow leads to stiffness and it was unable to lift the hand. So once consult nearer to the physiotherapist.
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Hip Fracture - How To Avert It?

Hip Fracture - How To Avert It?
Old age or certain medical conditions may cause osteoporosis. In such conditions, one needs to be cautious as even the smallest of falls can cause fractures which may render the patient bed-ridden. Here are a few tips to how you can prevent hip fracture.

Read on to find out more about the prevention of hip fracture.

Preventing falls: People over the age of 65 have a higher risk of falling due to various causes. To reduce such risks one should take the help of walking aids such as a walking stick. Avoid walking on slippery surfaces or wear rubber sandals and shoes to ensure that you do not slip on such a surface. One should also exercise regularly to maintain strength in the bones. Flexibility and fitness increase with exercise and thus decrease the chances of falling.
Hip protectors: Hip protectors are used for lessening the impact of a fall. It is highly useful in case of older people for preventing hip fractures. Hip protectors are basically a device which uses padding and plastic material for shielding and absorbing impact and is attached to specially designed undergarments. The padding absorbs the shock and the plastic material diverts the shock away from vulnerable areas. Hip protectors in the past were sparsely used as they used to be highly uncomfortable and used to cause a major inconvenience. Modern hip protectors however have reduced the level of discomfort and also have newer features which provide ventilation, thus reducing sweating. Hip protectors are highly useful for old people who are admitted in care homes and who have a high risk of falling. It is of relatively less useful for people who are active.
Frax tool: The world health organization (WHO) has developed a fracture assessment tool which calculates the risk of fracture of a person whose age is between 40 to 90 years. This tool takes into account the bone mineral density (BMD) and other factors such as age and sex to determine the chances of fracture depending on the current physical condition of your body.

I got my right leg bone broken in an accident and I got operated from a doctor. He added a rod in my leg from 2 years. What should I do to heal my bone properly and also there is a pain in my back because of the injection in my backbone during operation.

Everyone who experiences a fractured bone will heal differently. The healing process will depend on the nature and extent of the injury, the stability of fracture fixation, and biological processes, so a proper healing process is crucial. No matter how severe a bone fracture is, a person should always look for right medical treatment to avoid future complications, such as abnormal healing, loss of function, or bone weaknesses.
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