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Hi Sir, Pain in my biceps I saw to a doctor he say that you have ligament broken in bicep area he suggested me tendocare forte and hifenac tablet. Please suggest it is curable or what type of precaution.

Dr. Pavan Singhal 92% (18 ratings)
Physiotherapist, Jaipur
Continue with same treatment and apply ice for 15 to 20 minute and start biceps isometric exercise. It will be all right shortly.
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Fractures - Diagnosis And Treatment!

MBBS, DNB - Orthopedics, Mch Orthopedics
Orthopedist, Hyderabad
Fractures - Diagnosis And Treatment!

Fractures are simply a break in a bone. They can be caused due to injury, (traumatic fractures) or a pre-existing condition like osteoporosis that causes weakening of bones (pathologic fractures). There are many ways to classify fractures. All fractures fall into the major categories of simple and compound fractures. Simple fractures are fractures where bones remain inside the skin and don’t jut out. They are also called closed fractures.

Compound fractures, also called open fractures, are broken bones that penetrate through the skin. These types expose the bone and deep tissues to the environment. Compound fractures are more serious of the two. The healing here may be affected due to deep infections for which antibiotics need to be used. There are many different sub types of fractures and we’re only going to skim through them here.

  1. Comminuted fractures: Severe fractures in which a bone breaks into several smaller pieces.
  2. Avulsion fractures: A small piece of bone is completely torn off from the main bone due to fierce pulling off a part of the body.

Other types of fractures are characterised by the many different angles the bone breaks into like transverse, oblique and spiral fractures.

When a bone is broken there are symptoms like swelling that doesn’t subside on its own and pain. In such a case it’s imperative that one goes to a doctor for a diagnosis. Doctors can usually recognise most fractures by examining the injury and taking an X-ray. The X-ray also provides a clear idea about the type of fracture and the degree of displacement of the bone. And, it’s important that the patient doesn’t wait too long before approaching a doctor. This is because bones begin to heal very quickly after a fracture and the bone tissue will heal using any tissue available. This can lead to a misalignment of broken pieces of bone and cause disability and loss of function.

There are cases when X-ray may not show a fracture. This is especially common in fractures in the hip and wrist in older people. For diagnosing these, doctors will get some other tests done such as a computed tomography (CT) scan, magnetic resonance imaging (MRI), or a bone scan.

Fractures have to be treated by doctors. The doctors set the fractured bones in their proper place and hold them there so that they can heal. Setting a bone is called "reduction." Reduction without surgery is called "closed reduction." But if the fracture is serious, it’s going to require surgery with bone repositioning, called open reduction.

In extreme cases, pins, plates, screws, rods, or glue are used to hold the fractured bones in place, inside the body. Once the bone abutment has been treated, the bone is immobilised to allow the broken pieces to heal. In most cases, the fractured part is set in a rigid cast. The fractured ends of the bone can be fixed into place using metal pins connected to an external frame. This is removed after the bone has healed. In case you have a concern or query you can always consult an expert & get answers to your questions!

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I am 35 years old. On April 2018, due to road accident my rib (rib no 5) has been fractured. First 1 month I was under total bed rest and took hifenac-P and Gemcal (for 2 months). But still after I feel pain or discomfort in injured area. Please let me know is ribs fractured is curable? How many months it will take to heal totally? For official purpose I use bike, is it create any problem. Can I lead normal life. Please guide.

Dr. S. Gomathi 90% (456 ratings)
Physiotherapist, Bangalore
It would heal completely if it's no dispacement in fracture site, get it treated for pain and rest and vehicle can be avoided until it heals completely, start taking calcium rich food and calcium suppliments to support bone density. It would take 45 to 60 days to heal completely.
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Osteoporotic Vertebral Fracture - What Causes It?

MBBS, MS - Orthopaedics, Clinical Fellowship In Adult & Peadiatric Spine Surgery
Orthopedist, Kanpur
Osteoporotic Vertebral Fracture - What Causes It?

Osteoporotic vertebral fracture, also known as compression fracture, is a condition of the spine. The simplest way to detect the issue is by visiting a doctor when you feel pain in the back. Usually this pain is limited to the lower back, but with time, the discomfort may spread upward. Here is a look at some of the things you should know about the condition, if you have been diagnosed with the same.

Causes of Osteoporotic Vertebral Fracture
Several things may cause the condition. For instance, osteoporosis is a major contributing factor for such a fracture. Other causes for the disease include underlying conditions that can affect proper development of the bone. Furthermore, accidents are often responsible for such fractures. With age, men and women begin to lose bone density and end up with osteoporosis. At this stage of the condition, the bones become hollow and thus, they have a greater chance of fracture than a healthy bone.

Since it is a spinal fracture, affliction with such a condition will mean that much of your mobility and ability to do work diminishes. Here are some common symptoms of osteoporotic vertebral fracture aside from back pain-

  1. Pain increases when you walk or stand
  2. Such a fracture may decrease your height
  3. Trouble having to bend down and twist the body.
  4. Shoulders may stoop.
  5. Strain on the spine will increase the pain experienced and even lifting relatively lightweight objects may become difficult
  6. Lifting heavy items can be difficult and the pain may become too much to bear.

Treatment depends on the cause of the condition. For instance, if the compression fracture results from osteoporosis, doctors will prescribe medication for the pain and the underlying osteoporosis as well. The pain can last for anywhere between a few weeks to a month or even longer. Certain medications are used to provide relief from some of the pain.

Apart from the medication, doctors may also advice certain lifestyle changes. For instance, bed rest is recommended to patients during such a fracture. However, osteoporosis patients should ensure not to stay in this inactive state for a long period, as their condition may worsen.

In acute cases of compression fractures in the spine, patients may need to undergo a surgical procedure in order to find relief from the discomfort and pain. Vertebroplasty, spinal fusion surgery and kyphoplasty, are the three common surgeries used to rectify the compression fracture. While Kyphoplasty and Vertebroplasty are minimally invasive procedures, spinal fusion surgery is a complicated treatment, which is usually the last resort.

My MRI results shown as "unicortical crack fracture of right femur neck at the base and with adjacent marrow edema and with minimal hemarthrosis" so how serious is this .(.I'm a daily runner and do some sprinting.)

Dr. Avneet Singh Shishodia 87% (26 ratings)
DNB - Orthopaedics, MBBS
Orthopedist, Ghaziabad
My MRI results shown as "unicortical crack fracture of right femur neck at the base and with adjacent marrow edema an...
You seem to be suffering from Stress fracture. Avoid running and other strenuous activities and visit an Orthopaedician for proper treatment.
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My mother aged 80 has a pseudo fracture in her femur bone on both her legs. Her bone has become angular over a period of time. One doctor has given the solution to fix a flexi rod to support the fracture. On second opinion with another doctor, we got a different solution. The second doctor said the bone has become so angular that flexi rod cannot be fitted there. He has suggested that we can break the bone and the join the bones with the rod supporting them. We are in. A dilemma. Please advice.

Dr. Anil Pratap Tanwar 90% (105 ratings)
Bachelor of physiotherapy
Physiotherapist, Gurgaon
In this age you need to be avoid any of procedure of operation. Because in this age bones become weak, and increase the risk pf operation. So you prefer some exercises for strength and endurance. And with them You should be use Calcium complex caps, polytos caps, q 10 caps, and rise onn syrup twice a day. If any of question feel free to contact.
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Hipbone Fracture In Elders - How To Prevent It?

Dr. Vinod Nair 86% (19 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, DNB - Orthopedics/Orthopedic Surgery
Orthopedist, Pune
Hipbone Fracture In Elders - How To Prevent It?

Any mild fracture in the hip can give a tough time to people. A hipbone fracture or broken hip is mostly common in the elderly people, especially in women. Mostly, the reason is underlying thinning of bones. In addition, in any hospital hip fracture is considered to be the most common bone treatment in the orthopaedic department. 
A hipbone fracture can be intracapsular (within the joint capsule), or it can be extracapsular (outside the joint capsule). 

What causes the hipbone fracture?

As discussed before, the leading cause of hipbone fracture is thinning of bones. So if you develop osteoporosis, you end up getting a fracture in your hip, mostly when you fall. Osteoporosis generally means your bone density has decreased, and your bones have become honeycombed. This makes the bone more fragile. 

Generally, if you have a fracture in your hip, then you will feel pain around the injured portion, you will face difficulty in walking or moving. These are the most common symptoms that can be felt during a broken hip. Mostly the intensity of the fracture is determined clinically via different tests like X-ray, MRI, CT scan etc. The treatment may vary and depends upon the intensity of the injury. Now if we talk about the treatment of hipbone fracture, it's mostly surgery

Well, it will be smart enough to take prevention regarding the hipbone fracture. There are various kinds of guidelines, which can help elders to prevent a hipbone fracture. 

How to prevent hipbone fracture?

  1. First and foremost, it is advised to adopt a healthy lifestyle in young age in order to build a healthy bone, which decreases the chance of bone fractures in older age. 
  2. Always remember to maintain a healthy bone. 
  3. Calcium and vitamin D both are very important for healthy bones. Health experts advise, when you attain the age of 50 or above, you should daily intake 1,200 milligrams of calcium per day and 600 international units of vitamin D per day. 
  4. Exercise can help you to maintain peak bone density for longer periods, and it also increases the strength of your body and bones. Balance training also plays a pivotal role since it reduces the chance of falling. 
  5. Avoid consuming of tobacco and alcohols as it can reduce bone density. 
  6. Get your eyes checked every year so that you do not face any problem while seeing. This is because poor view increases the chance of falling.
  7. Keep an eye on every medicine you are taking. As dizziness or weakness can be side effects of many medicines, these can lead you to fall often. So it is advised to discuss your medication with doctors. 
  8. As you get older, the chance of high or low blood pressure doubles up. So you should be extra careful while standing up.

If you don't feel steady enough, then to avoid falling, it is safe to use a walker or walking stick in the old age.

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