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Bone Fracture Health Feed

Hello doctor, I am 5'6" and weigh 62 kgs. I have been physically quite active. While standing with my feet joined, I had some gap between my knees. A few years back I was told that I had varus deformity but I had no symptoms except the visible gap between my knees. However, since the last 1.5 years I have developed discomfort in my left knee which seems to be progressing with time. It aggravates while standing/weight bearing & improves at rest. This has led to reduced activity. I was advised an x-ray sonogram in november 2019 and in the report the overall impression was "bilateral genu varus deformity is seen. Bony structures are intact. Articular surfaces are preserved. Joint spaces are normal. The angulation between the long axis of femur and tibia is 4.4° on right side and 2.3° on left side. Other angle measurements (first reading in degree: right leg, second reading in degree: left leg) were as follows: (aldfa: 88.1, 87.2)(afta: 186.7, 184.7)(ampta: 83.9, 84.8)(aldta: 85.2, 84.9)(mldfa: 89.6, 89.7)(mmpta: 93.0, 91.6)(mldta: 92.1, 91.8). Currently I am taking calcirol sachet once every week & tab calcip 500 mg per day since last two months. I would like to know the severity of my varus deformity and the treatment options available such as medicine, exercise or surgery? As per the sonogram report, the curve in my right leg is more than the left leg but surprisingly I have developed pain in my left leg. Can the condition be managed through medicine and exercise alone or is it likely to get worse with time? How can I regain my prior level of physical activity like running, jogging etc. Thank you.

Dr.Prashant Parate 91% (2648ratings)
Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedic Doctor, Nagpur
Hello doctor, I am 5'6" and weigh 62 kgs. I have been physically quite active. While standing with my feet joined, I ...
Asymptomatic varus deformity is best neglected till it is symptomatic. In your case, you have developed symptoms. I would like to see x ray and scannogram images. In addition, it is helpful to get mri with cartilage mapping. That helps in understanding cartilage status, meniscus conditions. In varus deformity, medial side pain correlates with the problem. Generalized pain does not correlate. So clinical examination is helpful in decision making. More pain on less deformed leg can be because of meniscus injury. Get mri done and visit knee specialist who is expert in joint preservation.
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I had a hairline fracture in 2017, not it is healed but still my whole leg pains a lot. After consultation with an orthopedic doctor, he told me that the bone is healed in a wrong manner. I am on medication but no relief. What to do.

Dr.Wajid Mohammed 93% (651ratings)
D.P.T, BPTh/BPT
Physiotherapist, Hyderabad
Hi lybrate-user. The bone should be aligned in a proper manner in order to get rid of the pain, if not you will continuosly feel pain and also sometimes severe and can you tell me where the exact position of the fracture in the leg like pelvic or knee or ankle? So that I can suggest you exercises and treatment plan. Waiting to hear soon from you.
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Dear sir aaj evening 5 pm pr mree bike se girne ki vajhaa se mree left shoulder m internal chouth lagi jisme abhi 8 pm tk koi sujan nhi aai h but mraa haath kuch uper niche to movement ho jaata h and isme vsee pain nhi hota h but jb shoulder ko aage piche krne ki koshish krta hu to nhi hota h or drd hota h. Can it is fractured.

Dr.Prakhar Singh 96% (4843ratings)
MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Dear sir aaj evening 5 pm pr mree bike se girne ki vajhaa se mree left shoulder m internal chouth lagi jisme abhi 8 p...
Shoulder fracture is another word for a broken shoulder. The shoulder is a complex joint that connects the arm to the body. It has many different parts, including the humerus. Let's have a detailed discussion for better advice and healthy lifestyle.
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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.

Dr.Prakhar Singh 96% (4843ratings)
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.

Dr.Prakhar Singh 96% (4843ratings)
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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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.

Dr.Prakhar Singh 96% (4843ratings)
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?

Dr.Sunil Kumar Dash 93% (70ratings)
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.

Dr.Abhishek Sharma 88% (74ratings)
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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