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Limb Length Discrepancy - Making Uneven Legs Even!

MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Arthroplasty, Advanced Life trauma Support, Diploma In Sports Injuries
Orthopedist, Delhi
Limb Length Discrepancy - Making Uneven Legs Even!
With the advancement in the medical field, we are blessed to have doctors who specialize in various fields. We have cardiologists who specialize in the treatment of the heart, orthopedics who specialize in treating disorders that are related to the development and growth of muscles, skeleton, and joints in children and neurologists that determine treatment for the brain. Spine and limb deformities mainly occur in children as their bodies are still growing and they react differently to disorders, infections and injuries. Some of the deformities of the limb and spine that are treated by orthopedics include clubfoot, scoliosis, and limb length discrepancy.

Limb Length Discrepancy
Limb length discrepancy is referred to as a deformity when the legs and arms differ in their length. The difference in the length of legs and arms in several cases does not cause any change in the quality of life or in its functioning. However, in certain cases when there is an extreme difference in the length of the legs and the arms, the health of the patient is affected to a great extent. Limb length discrepancy is also caused due to injury to the leg, bone disease or due to bone infections that occur during growth. Depending on the severity of the injury or bone disease it becomes very difficult for the individual to even walk. In certain cases, when the condition is not very severe, then to help the patient to walk comfortably a shoe lift is suggested. It is only in extreme conditions that orthopedics suggest limb length surgery mainly to correct the discrepancy.

Limb Lengthening Surgery
Future proof and innovative solutions are provided these days to the patients for bone reconstruction. The surgery for limb lengthening is performed in many countries all over the world and by professional orthopedics. The patient is at first put under anesthesia after which a large slit is made in the legs, all the way through. The leg bone is sawed, after which a supporting bracket is placed which the patient needs to wear for nearly a year or till the completion of the procedure.

The area of the bone that is fractured is widened every week by the patient by inserting a key into the bracket and by turning it a little. Healing of the bone happens over time and two inches can be added to the height of the patient in six months. The bracket used during the surgery for the legs are very bulky and it is very important that the patient does not put more pressure on them. Immense pain is caused during this time as the limbs are bound to crutches. Hence, proper care should be taken to avoid more stress on the limbs.

What Can be the Reasons Behind Dislocation?

MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Arthroplasty, Advanced Life trauma Support, Diploma In Sports Injuries
Orthopedist, Delhi
What Can be the Reasons Behind Dislocation?
Dislocation refers to an injury, which causes the bones to abnormally separate from each other in the joint, which is the meeting place of the bones. Dislocation causes intense pain and is most common in the fingers, shoulders and the elbows. Although a timely diagnosis can make your pain go away, any future injury in the tendons or the ligaments might bring back the injury.

What can cause a dislocation?
The causes of dislocation are as follows:

A body joint can get dislocated if you have suffered a fall.
If you are into any form of sports that requires strenuous physical activity and intense exertion on certain body parts like gymnastics, football or volleyball you have a chance of suffering from dislocated body joints.
Automobile accidents can also cause dislocation of joints.
Some People who are with a loose ligament and are more likely to get a dislocated joint than other people. This may happen without the influence of a major physical trauma or stress.

Understanding the signs and symptoms
In the majority of the cases, a dislocation of the joint is easily detectable as it induces inflammation along with redness and deformation of the affected area. Some of the other symptoms that might occur as a result of the dislocation of the body joints could be:

You might experience severe pain while moving the dislocated joint.
There will be a lack of sensation near the dislocated portion.
There might be a stinging sensation in the dislocated area.
In certain areas you may not be able to move the joint at all
If you have a dislocated joint, the doctors can easily relocate them. Depending on the amount of swelling and pain you are experiencing, the doctor might administer local anesthesia during the process. If the joint dislocation is too severe or has multiple instances of dislocation, then you may have to undergo surgery. Surgery may also be suggested if the adjoined ligaments or tendons are severely affected along with the joints.

Recovering From A Fracture - 5 Quick Tips That Can Help!

MBBS, MS - Orthopaedics, Fellowship Joint Replacement Surgery
Orthopedist, Faridabad
Recovering From A Fracture - 5 Quick Tips That Can Help!
Even though we have 206 bones in our bodies, breaking just one is enough to bring our daily lives to a standstill. A partial or complete break in a bone is termed as a fracture. While minor fractures can heal in as little as 6 weeks major fractures can take 3-4 months to heal properly. In cases of complex fractures, you may need physical therapy even after this time period to get back complete mobility. Hence patience is essential when a fracture is healing, but here are a few tips on how to speed up the process.

Increase your protein intake: Proteins are essential for the healing and repairing of damage to bones and tissues. Proteins also give the bone structure its strength, Hence, depriving the body of adequate protein will result in the formation of soft bones rather than hard, strong bones. This prevents a bone from fracturing in the same place again.
Have a diet rich in antioxidants: Inflammation is one of the first symptoms of a fracture. This inflammation can continue for many days after the incident and until the inflammation reduces, healing cannot take place properly. Antioxidants help rid toxins from the body and help reduce inflammation thereby initiating the healing process. Antioxidants can also help relieve pain.
Exercise: While you must take care not to apply too much pressure on the affected area it is essential to move the limb as much as possible. Being active promotes blood flow and in this way speeds up the healing process.
Avoid alcohol and caffeine: In most cases, a doctor will prescribe pain relievers to deal with the pain of a fracture. Under no circumstances should you consume alcohol when taking these medications. Even after the antibiotic course is over it is a good idea to abstain from alcohol as this can increase inflammation. Similarly, caffeine and all caffeinated products should also be avoided as they contain compounds that can prevent calcium from being absorbed.
Have an alkaline diet: Having an alkaline diet with lots of fruits and vegetables helps stabilise the pH levels of the body and conserves minerals and proteins needed to build strong bones. In this way, it creates the optimal environment for healing. An alkaline diet also increases the production of growth hormones and other growth factors like IGF insulin in the body. These are crucial to speeding up the healing process and aid in new bone formation.

I have had femur fracture (fracture it with subtroch extension left femur) operation two month back. Operation done with crif with pfn and encirclage wiring. Please advice how much it takes to heal or union. I can walk thru walker only.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
You should walk with the help of a pair of crutches or a walker. Wait for union of fracture as seen on x ray film.
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Sir, when I am lifting my left hand am getting pain inside. I do not know whether it is heart pain or lung pain. May I know what is the problem. Please send me solution for it. Note: I have smoking habit.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haridwar
Sir, when I am lifting my left hand am getting pain inside. I do not know whether it is heart pain or lung pain. May ...
Dear Lybrate User, Leave smoke do yoga many time it's macular pain any check up please provide details and history then take medicines.
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My right hand 5th metacarpal bone got fractured on may 10th got visited doctor orthopedic doctor after 10 days he applied ball bandage +given medicine for 20 days. After 20 days doctor removed ball bandage, and said healed the fracture. Recommended to visit after 15 days with medication Even after healing my hand still deformed. When I visit doctor examined my hand said it was not properly applied ball bandage due to this it was not healed correctly. Bone healed cross. If to correct this to be carried to be surgery. I want to get it correct what to do. Is it right to get it correct by surgery or not?

MBBS, Membership of The Royal College of Surgeons (MRCS), FRCS (Orth.) - UK, MCh (Ortho)
Orthopedist, Bhopal
Lybrate-user ji. It will difficult to comment on this without seeing X-rays. Also decision of surgery will based on if you have any pain and functional deficit (ie How much your hand is bothering you in day to day activities). Metacarpal fractures even if they unite with some angulation usually do not give functional problems.
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I have a metal plate (Titanium plate) as per the 'the then surgeon is inside my Rt. Humerus bone with 6 screws to fix my hand well six year back from today. Now my new surgeon is suggesting 'MRI LS spine 1.5/3T' for my recent (2 months back) hip pain ,what is the risk of the said MRI especially where there is a old metal plate is present inside of my Rt. Hand?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Back Pain:This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain. •Standing hamstring stretch: Place the heel of your injured leg on a stool about 15 inches high. Keep your knee straight. Lean forward, bending at the hips until you feel a mild stretch in the back of your thigh. Make sure you do not roll your shoulders and bend at the waist when doing this or you will stretch your lower back instead of your leg. Hold the stretch for 15 to 30 seconds. Repeat 3 times. •Cat and camel: Get down on your hands and knees. Let your stomach sag, allowing your back to curve downward. Hold this position for 5 seconds. Then arch your back and hold for 5 seconds. Do 3 sets of 10. •Quadruped arm/leg raise: Get down on your hands and knees. Tighten your abdominal muscles to stiffen your spine. While keeping your abdominals tight, raise one arm and the opposite leg away from you. Hold this position for 5 seconds. Lower your arm and leg slowly and alternate sides. Do this 10 times on each side.•Pelvic tilt: Lie on your back with your knees bent and your feet flat on the floor. Tighten your abdominal muscles and push your lower back into the floor. Hold this position for 5 seconds, then relax. Do 3 sets of 10. •Partial curl: Lie on your back with your knees bent and your feet flat on the floor. Tighten your stomach muscles. Tuck your chin to your chest. With your hands stretched out in front of you, curl your upper body forward until your shoulders clear the floor. Hold this position for 3 seconds. Don't hold your breath. It helps to breathe out as you lift your shoulders up. Relax. Repeat 10 times. Build to 3 sets of 10. To challenge yourself, clasp your hands behind your head and keep your elbows out to the side. •Gluteal stretch: Lying on your back with both knees bent, rest the ankle of one leg over the knee of your other leg. Grasp the thigh of the bottom leg and pull that knee toward your chest. You will feel a stretch along the buttocks and possibly along the outside of your hip on the top leg. Hold this for 15 to 30 seconds. Repeat 3 times. •Extension exercise: Lie face down on the floor for 5 minutes. If this hurts too much, lie face down with a pillow under your stomach. This should relieve your leg or back pain. When you can lie on your stomach for 5 minutes without a pillow, then you can continue with the rest of this exercise.
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I have pains in joints of hand fingers & thumb since last 2 months. I am 72-year-old and did not have any gout or arthritis problem earlier.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have pains in joints of hand fingers & thumb since last 2 months. I am 72-year-old and did not have any gout or art...
ball exercise and hot fermentation if it work then ok otherwise physiotherapy treatment for few days
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I am suffering from joint pain in finger & hand. Now taking homeopathy treatment.

BPTh/BPT
Physiotherapist, Ghaziabad
I am suffering from joint pain in finger & hand.
Now taking homeopathy treatment.
Check for vitamin d, thyroid n uric acid, n rheumatoid arthritis also, if all are normal then you can go for Physiotherapy treatment to help relievve in pain.
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