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Bone Disease Health Feed

My finger tip of index finger in big in size then rest other fingers and my nail in curved downward what is this?

Dr.Julie Mercy J David 89% (37670ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Clubbing of the fingers, also described as hypertrophic osteoarthropathy (hoa), is an enlargement of the ends of the fingers accompanied by a downward sloping of the nails. You can have primary hoa, which is simply a clubbed appearance of your fingers that is not associated with any health problems. Or you can develop secondary clubbing, which is caused by health problems such as lung cancer and heart disease. 1 clubbing of fingers desherinka / wikimedia commons / cc by-sa 4.0 the clubbing itself is not harmful, but since it can be a sign of disease, it is important that your medical team identifies the cause and that you are treated for your underlying condition. Also known as clubbing is also referred to as clubbed fingers, digital clubbing, watch-glass nails, drumstick fingers, hippocratic fingers, hippocratic nails. Clubbing symptoms verywell/jessica olah symptoms clubbing can involve your fingers and/or toes. It is typically bilateral (affecting both hands and/or feet) and it should be equal in terms of its extent on both sides. If you or your child has primary hoa, then your fingers or toes may naturally appear large, bulging, and rounded. This will be noticeable during childhood or during the teenage years, and it will not change much over time. With primary hoa, other family members are also likely to have finger and/or toe clubbing. 1 secondary clubbing happens gradually, and it causes a change in the appearance of your fingers and/or toes. With secondary clubbing, which is caused by disease, you would also have other features that are not seen in primary clubbing. Features of secondary clubbing include: softening of the nails nail beds that soften and feel spongy nails that seem to "float" instead of being firmly attached to your fingers disappearing of the angle between your nails and cuticle enlargement or bulging of the distal portion of your finger (where your finger meets your nail) warm, red nail beds nails that curve downward and look like the bottom of the round part of a spoon eventually, the nail and skin around the nail may become shiny, and the nail develops ridging. 1 causes primary clubbing is hereditary, and it is passed down via genes. Hereditary clubbing is simply a physical feature, like the color of your eyes or your height. Several genes have been associated with primary clubbing, including the hpgd gene and the slco2a1 gene. 2 secondary clubbing occurs as one of the effects of chronic lung and heart disease. Lung cancer is the most common cause of clubbing. This sign is also associated with a number of other chronic illnesses, including conditions that involve the thyroid gland or the digestive system. 1 there are a number of health risk factors associated with secondary clubbing, including: 3 lung cancer interstitial pulmonary fibrosis lung abscess pulmonary tuberculosis pulmonary lymphoma congestive heart failure infective endocarditis cyanotic congenital heart disease bronchiectasis cystic fibrosis other types of cancer, including liver, gastrointestinal or hodgkin lymphoma inflammatory bowel disease liver cirrhosis gastrointestinal neoplasms celiac disease dysentery graves' disease an overactive thyroid gland how disease affects nail beds the medical conditions that can cause clubbing are generally associated with decreased oxygen levels. Experts suggest that clubbing occurs as your body undergoes changes in response to low oxygen. Several processes affect the nail beds in secondary clubbing. The nail enlargement occurs due to the growth of excess soft tissue beneath the nail beds. The enlargement is associated with inflammation and a proliferation of small blood vessels in the nail beds. 1 a protein called vascular endothelial growth factor stimulates the growth of blood vessels, and this protein is considered a major factor in the physical changes that occur in clubbing. 4 common complications of copd diagnosis clubbing can be subtle, so it may be difficult for you and your medical team to verify this change in your digits. There are a few objective criteria that are used to assess clubbing, and they can help in determining whether you have developed this physical change: lovibond's profile sign: normally, there is a sharp angle between the nail bed and the cuticle. When you have clubbing, the natural angle is lost as the nail angles down instead of up. Distal/interphalangeal depth ratio: the phalanges of your finger are the sections between each bending joint. Your distal phalange, the one that includes your nail, is normally shorter depth-wise than the neighboring phalange. Clubbing is indicated when the opposite is true. Schamroth's sign: the sharp angle between your nail bed and cuticle forms a tiny diamond-shaped hole when you place your hands together with the top of your nails facing each other. When this gap disappears, it is described as schamroth's sign. 4 assessing underlying conditions often, clubbing develops due to a chronic medical condition that was diagnosed years before the clubbing developed. When you start to have clubbing of your digits, your medical team will evaluate you to identify any underlying disease that could be causing it. Even if you have an established lung or heart condition, your medical team will assess your condition to identify any progression that could require an adjustment of your treatment. Tests that you may need in the evaluation of clubbing include: 1 a physical examination to assess for signs such as weight loss, difficulty breathing, skin changes, alterations in your pulse, or altered blood pressure a pulse oximeter to measure your blood oxygen level pulmonary function tests (pfts) arterial blood gas test chest imaging tests, such as chest x-ray or chest computerized tomography (ct) blood tests, including complete blood count (cbc), electrolyte levels, liver function tests (lfts), and/or thyroid tests an electrocardiogram (ekg) or echocardiogram to assess your heart function abdominal imaging tests such as ct or ultrasound a biopsy if there is a concerning lesion noted on an imaging test how lung cancer is diagnosed treatment usually, the abnormal shape and size of the digits do not cause health problems, but any underlying disease that causes clubbing needs to be medically and/or surgically managed, as appropriate. Treatments may prevent your clubbing from worsening and, in rare cases, can reverse some or all of the physical features of clubbing. 1 there are a variety of approaches used to treat the underlying cause of clubbing. Your treatment will depend on your situation. You may need management of respiratory disease, treatment of heart disease, or interventional therapy for cancer. Treatments may include: anti-inflammatory treatment for inflammatory conditions, including some pulmonary and gastrointestinal diseases hormone replacement pacemaker implantation to improve heart function a word from verywell if you notice that your fingers are clubbing, be sure to discuss this with your healthcare provider. Clubbing can be diagnosed in your healthcare provider's office. Although clubbing itself is harmless and doesn't require treatment, it is often as.
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I have bone grafting and plate in my hand, my weight also increasing, my local homeopath give me phytolacca berry and focus vesicular is it safe for me regarding bone issue. Kindly advice.

Dr.Julie Mercy J David 89% (37670ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Your recovery may require two weeks to 3 months but the bone graft itself will require three months to heal. However, you will be advised not to indulge in extensive exercises for at least six months and to keep the area of the bone graft clean and dry.
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Is symbrachydactyly genetic? If a mother's hand fingers (2 on left and 2 on right) are not grown properly. Will this issue continue in her children?

Dr.Julie Mercy J David 89% (37670ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
It it is anatomically incorrect then we can check genetically otherwise there is no issue, growth can be due to growth hormone, ie. Pituitary hormones not really due to genetic.
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I have cubitus valgus about 20 degree. Can it be corrected by physical exercise or needs surgery and how long will it take to recover?

Dr.Julie Mercy J David 89% (37670ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Consult a physiotherapist to check with your range of motion of elbow. So that you can check with the elbow angle for better clarification, to confirm we can go for an xray. Physical exercise needs to be done for better improvement to the weak muscles of the elbow. Sand bag exercises can be tried to improve the angle.
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Hello doctor in my left hand there is little cubitus varus as it make almost o° angle as I want to join armed forces what are the way to correct it or it's a medical rejection in army? I'm 20 year old.

Dr.Prakhar Singh 94% (8310ratings)
MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
I am sorry to hear about your concern but will be happy to assist you. Cubitus varus deformity may occur because of growth disturbances, but it probably results from malreduction of the supracondylar fracture with medial displacement of the distal fragments. Cubitus varus deformity, also known as bow-elbow is unsightly in appearance and does not cause functional disability. 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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Does cubitus valgus been treated by exercise? My airforce medical is just 3 months after at june should you please inform me this?

Dr.Julie Mercy J David 89% (37670ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Yes it can be treated by exercise to certain extent. It will strengthen the weak muscles there by it will have good impact.
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Do you use splints to treat cubitus valgus? If not what all is involved in the treatment process, I would like to know about the treatment process.

Dr.Julie Mercy J David 89% (37670ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Consult a physiotherapist tp check with your range of motion of elbow. So that you can check with the elbow angle for better clarification. You can wear elbow brace to correct the cubitus valgus and you need to do elbow muscle strengthening exercises which will help you to feel better. Let us know we can arrange for a elbow splint.
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My wife, 70 years, suffers from valgus deformity in the left leg for 10-12 years. Please suggest a treatment.

Dr.Rahul Rai 92% (3927ratings)
MSPT (Master of Physical Therapy), Bachelor of physiotherapy
Physiotherapist, Gorakhpur
Counslt to physiotherspist. Use knee brace for valgus deformity. Avoid knee bending, ground sitting, stair climb. Apply hot pack n anlgesic gel. Counslt to physiotherpist.
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I have a growth on my ankle. It's not paining of anything but im afraid if is something serious.

Dr.Julie Mercy J David 89% (37670ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Do you have pain if you have pain keep ice and you can wear mcr chappals which will help you to distribute the body weight evenly.
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I am having cubitus valgus bilateral left hand 20 degree right hand 18 degree will it get fixed without surgery and how many days it will take to get fixed.

Dr.Julie Mercy J David 89% (37670ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Avoid movements aggravating the pain. Friction, massage,localizied ust. Local injection of long acting steroid. Cold compresses can help reduce swelling in the area. Cooling also helps to numb sharp pain. Apply an ice pack for up to 20 minutes, up to five times a day. Use a frozen gel pack, ice cubes in a plastic bag, or a bag of frozen peas. Wrap the cold pack in a soft towel. Do not apply a cold pack directly to skin. Heat therapyheat helps to relax tense muscles and soothe a stiff area. It can help with muscle pain and arthritis in the shoulder. Use a heated gel pack, heating pad or a hot water bottle.
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