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Bone Fracture Tips

Stress Fracture - How To Avert It?

Dr. Sunil Kumar Dash 88% (70 ratings)
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.

5462 people found this helpful

Running Injuries - Know Forms Of Them!

Dr. Rakesh Kumar 91% (144 ratings)
MS - Orthopaedics, MBBS
Orthopedic Doctor, Delhi
Running Injuries - Know Forms Of Them!

Too much of something is never a good idea. Running is a great way to exercise, but if you don't run in moderation and do not take care of yourself, you could foresee more than one health problem. If you push yourself too hard as a runner, you could face one or more of these running problems.

  1. Runner's knee: If the bones in your knee shift out of alignment, the condition is called runner's knee. This is one of the most common overuse injuries. At first, you may not realize it, but with time, this can cause the cartilage in the knee to wear out. This can create excruciating pain. A few simple ways of making yourself more comfortable are:
    • Squatting
    • Walking up and down stairs
    • Bending your knee while sitting
  2. Stress fracture: A stress fracture is a small crack in the shin bone or one of the bones in your foot. This can happen if you suddenly over exert without giving your body time to get used to running. Since it is only a crack, a doctor will not normally out your leg or foot in a cast. The only way to let your bones heal in such a condition is to rest it.
  3. Shin splint: Flat-footed people are most susceptible to shin splints. Shin splints can be caused by stress fractures and overused or weakened muscles. To treat a shin splint, give your leg plenty of rest and gently stretch it. Give yourself a few weeks to recover before you start running again.
  4. Achilles tendinitis: Inflammation of the Achilles tendon is known as Achilles tendinitis. The Achilles tendon attaches the calf muscle to the heel. Suddenly increasing the distance you run in a day is the most common cause of Achilles tendinitis. The most common symptom of this condition is pain and stiffness around the ankle. Ice the area to deal with the immediate pain and discomfort. Your ankle will also need plenty of rest to properly heal. Stretching the calf muscles can also prove to be beneficial.
  5. Muscle pulls: Almost every runner suffers from a muscle pull at some point or the other. A muscle pull can be defined as a small tear in the muscle. Muscle pulls usually affect the hamstrings, quadriceps, calf and groin. To treat a muscle tear, keep your leg elevated; give it plenty of rest and use an ice pack or compression pack on the area.

Apart from these, a few other injuries that runners often suffer from include ankle sprains, blisters, IT band syndrome and plantar fasciitis.

1466 people found this helpful

Reverse Shoulder Replacement - When Is It Required?

Dr. Rohit Chakor 90% (10 ratings)
MBBS, DNB - Orthopedics/Orthopedic Surgery, Fellowship in Minimally Invasive Knee and Hip Replacement, Fellowship in Joint Replacement & Arthroscopy
Orthopedic Doctor, Pune
Reverse Shoulder Replacement - When Is It Required?

Every year thousands of people suffer from different kinds of fractures and broken bones in different parts of their body. It can happen due to numerous reasons. One of the most common areas which get affected with a fracture is the shoulder. A shoulder fracture can be really painful and will not allow you to carry on with your daily activities.

So, if the doctor you visited has suggested you to undergo a reverse shoulder replacement, here are all the details that you should know about it.

What is Reverse Shoulder Replacement?

A reverse shoulder replacement is very much similar to the general anatomy of the shoulder. In the normal shoulder anatomy a cup is fitted into the shoulder glenoid and along with it, a metal ball is joined to the top of the upper arm bone. But it is exactly the opposite in a reverse shoulder replacement. The metal ball and the socket are switched. The metal ball is attached to the socket and the plastic cup on the upper end of the humerus. The reverse shoulder replacement works in a much better way for the people who have cuff tear arthropathy since it relies on different muscles to make the arm move.

So this is the main aspect of this kind of replacement. Now we will discuss the different reasons because of which the people undergo this process of the shoulder replacement.

When To Undergo Reverse Shoulder Replacement?

Here are some situations during which a person needs to undergo a reverse shoulder replacement.

When there is a completely torn rotator cuff that cannot be repaired by any means.

Patients who have underwent an unsuccessful shoulder replacement.

Chronic shoulder pain and due to difficulty lifting your arm away from your side or over your head.

When a person suffering from a complex fracture of the shoulder joint.

A chronic shoulder dislocation also leads to this replacement.

Shoulder replacement is also required when there is a tumor of the shoulder joint.

Complications of Reverse Shoulder Replacement:

Any kind of surgery comes with a set of complications. Since this surgery is highly technical, there can be different risks related to it. The different complications include bleeding, nerve damage or even postoperative infections. Other than that there are certain complications related to reverse shoulder replacement after it has been operated. This includes - wear, loosening or even dislocations of the different components used to operate the replacement.

Final Verdict - Before you undergo a reverse shoulder replacement, make sure share all your medical and health details with the doctor so that no serious damage is faced.

2962 people found this helpful

Prevention From Hip Joint Fracture In Older Age!

Dr. Abhishek Kumar Mishra 90% (14 ratings)
MS - Orthopaedics, MCH, Membership of the Royal College of Surgeons (MRCS), MBBS Bachelor of Medicine and Bachelor of Surgery, FJR
Orthopedic Doctor, Delhi
Prevention From Hip Joint Fracture In Older Age!

Any mild fracture in the hip can give a tough time to people. A hipbone fracture or broken hip is most common in elderly people, especially in women. Mostly, the reason is the underlying thinning of bones. In addition, in any hospital hip fracture is considered to be the most common bone treatment in the orthopedic 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? 

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. 

  • Always remember to maintain a healthy bone. 
  • 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. 
  • 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. 
  • Avoid consuming of tobacco and alcohols as it can reduce bone density. 
  • 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.
  • 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. 
  • 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.
2006 people found this helpful

Fracture - Know All About It!

Dr. G Manjunath Reddy 87% (13 ratings)
MBBS, DNB (Orthopedics), Diploma in Orthopaedics, MCH- Orthopedics
Orthopedic Doctor, Hyderabad
Fracture - Know All About It!

Fracture refers to a partial or a complete break in the bone. Whenever, any kind of fracture happens, it gets classified as either open or closed. Open fractures refer to such situations when the bone tends to poke through the skin and could be seen with the naked eye. The same situation arises when a deep cut tends to expose the bone from the skin. Closed fracture is a condition when even after the bone break, the skin remains intact.

What are the symptoms of a fracture?

There are definite ways through which one could easily make out that he or she has suffered a fracture. Some of the most common symptoms include:

  • Swelling of a particular region in the body
  • Painful feeling all of a sudden
  • Having difficulty in using the injured area and also facing trouble while using it.
  • You have a warm feeling over the affected area with a tinge of redness in it.
  • It is always preferable to see a doctor for proper diagnosis.
  • Now we would go through the details on how to diagnose a fracture.

Diagnosis of a fracture

Generally, a doctor would initially ask for the medical history, collecting all the details about how the injury took place, gauge it’s seriousness, examine it physically and then ask the patient to go for certain tests. The tests would generally undertake to include the following:

  • X-ray: X-ray is the first thing, a doctor would ask a person to get it done, so that through the report, he could get a clear picture about the extent of the fracture. It is a diagnostic test, conducted by using invisible electromagnetic energy beams to ensure pictures of internal tissues, bones appear on film
  • MRI: Magnetic Resonance Imaging or MRI is an imaging test conducted by using large magnets, radiofrequencies and a computer, to get detailed pictures of fracture within the affected area.
  • CT scan: This is also an imaging test conducted using X-rays and a computer to get the images of the affected area minutely. The scan helps to reveal the details of the bones, muscles and other organs.

How to treat a fracture?

The main aim of the treatment is to ensure that the broken pieces of the bone are put back in place, give patient relief from the pain. Different modes of treatment include:Traction: Traction refers to the use of a pulling action in a steady manner to stretch the muscles and tendon located around the broken area, hence allow the bones to align and heal

  • Splint: Splint tends to make the affected area immobile so that the bones are kept in alignment.
  • Medicine: Medicine is given so that the pain remains under control
  • Surgery: A doctor can go for surgery if he feels that the above treatment methods are not getting things back into shape.

So we have talked about the fracture, the symptoms related to it, how can it get diagnosed and finally the different modes of treatment.

1360 people found this helpful

Fracture Pain - Know How To Minimise It!

Dr. Anusha 90% (34 ratings)
MBBS, Post Graduate in Anaesthesiology, DA DNB Anaesthesiology (Gold Medalist)
Pain Management Specialist, Hyderabad
Fracture Pain - Know How To Minimise It!

A fracture is a complete or incomplete crack, which appears on a bone due to the application of intense pressure or force. A fracture results in extreme pain, and the bone becomes immobile. Any kind of movement boosts the pain. Fracture pain occurs in three distinct stages. Acute pain is felt immediately after a fracture while subacute pain occurs over the weeks that follow after a fracture. The third stage or chronic pain occurs when the fracture and soft tissues around it have healed.

Fracture pain is quite intense in nature and proper precautions should be taken while dealing with them:

  1. Development of fracture pain: When a bone undergoes a fracture, the ligaments and tendons are also damaged. While the bone slowly heals, ligaments and tendons fail to heal equally well or completely. Post fracture pain also develops when the outside of the bone does not heal completely. This usually does not appear in an X-ray.
  2. Treatment of fracture pain: Modern medications can be utilized to treat fracture pain. Steroid injections and prescribed anti-inflammatory medicines help in treating fracture pain. However, these remedies cause side effects, which are harmful to the body. Cortisone shots are utilized for the same purpose as well.
  3. ProlotherapyProlotherapy is an approach where ligament and tendon strengthening is stimulated along with repairing. This technique ensures complete treatment of the fracture, and the risk of long-term complications like arthritis is absent. In cases of fracture pain, which occurs due to the incomplete healing of the outer part of the bone, Prolotherapy helps in strengthening the fibro-osseous junction at the source of the pain. This will stop the nerve endings from firing. Prolotherapy provides speedy recovery and accounts for making the injured bone stronger than before. This process is often undergone by athletes. The procedure is undertaken only after thorough examinations for detection of the root cause of the pain. Prolotherapy is considered to be the best treatment for repairing tendons and ligaments, which commonly cause fracture pain. The body is simply stimulated and the painful areas are repaired. This is done by the introduction of a mild inflammatory reaction to the area of the weak tendons and cartilages. The results obtained after Prolotherapy are permanent and the fracture pain is unlikely to reoccur.

Other measures:

  • Splints are utilized to stop the movement of fractured bone and braces can be used to support the bone. Plaster cast also supports and immobilizes the fractured bone. Traction and surgical implants are other treatment measures.
  • Fracture pain occurs not only because of the broken bone but also because of the weakened ligaments and tendons around the bone. Fracture pain should be handled very carefully, and proper control measures should be applied.
1763 people found this helpful

Fracture - How To Detect It?

MBBS, MS - Orthopaedics
Orthopedic Doctor, Mohali
Fracture - How To Detect It?

A broken bone is medically termed as a fracture. Fractures are linked with age as bones tend to become weak as one ages, so, the chances of a fracture occurring also increases. Fractures are usually classified into four types-

1. Closed fracture - In this type of fracture, the breaking of the bone does not result in an open wound
2. Open fracture- The opposite of closed fracture, the bone breaks through the skin. This may result in infections
3. Non-displaced fracture - in this type of fracture, the bone cracks but is not shifted out of its regular position.
4. Displaced fracture - A displaced fracture occurs when the affected bone is shifted out of its natural position.

Causes

Fractures can be caused by a number of factors, they are

1. Road accidents
2. When someone falls from a height
3. When the bone is directly exposed to a strong blow
4. When the bone is exposed to a repetitive force from activities such as sprinting
5. Osteoporosis, which is a condition where the bones become weak
6. The bones in the body tend to weaken with age, so at this time they become highly susceptible to fractures

Symptoms

1. Swelling in the area accompanied by pain
2. Limited movement of the affected joint
3. Muscle spasms
4. The affected area may also become numb

Diagnosis

The first step to diagnose a fracture is knowing about the medical history of the patient and conducting a physical exam. The diagnosis is further confirmed by using imaging tests such as -

1. Magnetic resonance imaging (MRI) - In this procedure, images of internal body parts are taken with the help of a magnetic field and pulses of radio energy. MRIs can pick up signs of fractures very quickly, that is within the first week of injury. It is also easier to distinguish fractures from other related injuries in case of MRI.
2. X-rays -X-rays are a procedure that involves sending x-ray particles through an area to detect a fracture. Signs of a fracture may take several weeks to show up in x-rays.
3. Bone scan - In bone scans, some radioactive material is put inside the body through intravenous methods. These material tend to accumulate in the fractured area which then shows up in the images as a bright spot.

1350 people found this helpful

How To Treat Hip Fractures!

Dr. Chirag V. Thakkar 92% (109 ratings)
MBBS, MS - Orthopaedics, F. KUMC, Fellowship in Joint Replacement, Fellowship in Arthroscopy, Cadaveric workshop in Knee and Shoulder Arthroscopy, Cadaveric Workshop in Knee Arthroscopy
Orthopedic Doctor, Vadodara

Common causes of hip fractures in older population:
1 senile brain degenerative disease causing imbalance
2 overall weakness in body
3 fall in bathroom
4 fall from stairs

How to avoid/prevent such fractures? tips are given below:
1 maintain general health and well being by daily exercise
2 avoid walking on wet floor
3 maintain strength in hands for proper grip on rails
4 avoid outing in dark
5 always use a stick if you aren't confident in walking
6 avoid smoking and alcohol; they cause weak bones 

Treatment of such fractures: 
Fractures of hip in elderly patients can be treated by either fixing fracture (hip screw/hip nail) or replacing the head of femur bone (partial hip replacement). Partial hip replacement makes patients walk immediately after surgery and has always stood as the best treatment for hip fractures in elderly patients.
 

1 person found this helpful

Fracture Healing - Tips You Must Follow!

Dr. Nihit Jain 90% (24 ratings)
MS - Orthopaedics, MBBS
Orthopedic Doctor, Ghaziabad

1. Avoid taking too much pain killers in case of a fracture

2. For the initial few days after injury, follow price protocol-protection, rest, ice, compression, the elevation of the affected area

3. Take a normal diet including milk, paneer, soybean, in good quantities

4. Consult your doctor regularly even if you feel improvement as there are some technical aspects to a fracture that only a doctor can diagnose

5. Avoid quacks and home remedies, as they sometimes worsen and delay fracture healing

6. Smoking and alcohol delays fracture healing

7. Never massage a fractured area

8. Exercise during and after fracture healing is as important as medicines for full functional recovery

9. Taking supplements like calcium and vitamins help in optimum healing

10. Always ask questions, don't hesitate.

Spine Fracture - What Causes It?

Dr. Sunil Kumar Dash 88% (70 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopedics, Fellowship, Depuy Joint Replacement
Orthopedic Doctor, Bhubaneswar
Spine Fracture - What Causes It?

Spinal fractures occur as a result of an injury or dislocation of the bony vertebra. This causes the bone fragments to pinch and damage the spinal cord. Fractures can occur anywhere along the spine but the most common site of fracture is the lower back.

What causes spinal fractures?

Spinal fractures are often a result of the following-

• A sudden traumatic injury
• A high-velocity accident
• Falling from a height
Sports injuries
• Spinal instability
• A whiplash

Types of spinal fractures:

Spinal fractures are classified into three categories, such as the following-

• Compression fracture - If you exert excessive pressure on the vertebra, it will break. This type of fracture occurs when the bones in the spine become fragile or weak to the extent that they easily crumble. People living with osteoporosis, certain types of cancer or tumours are prone to a compression fracture.

• Dislocation - When the discs and/or ligaments linking the vertebrae is torn or stretched, the bones may dislocate or come out of alignment.

• Fracture-dislocation - Torn ligament and broken bone lead to this condition. A fracture-dislocation is a debilitating condition and often requires surgical intervention.

Symptoms of spine fractures:

Following an accident or an injury, you can tell if you have ended up fracturing your spinal column by identifying these symptoms-

• Excruciating pain
Tingling sensation
Numbness
Muscle spasm
• Swelling of the muscle
• Sudden onset of back pain
• Restricted spinal mobility
• The pain worsens if you walk or stand for long
• Deformity or disability of the spine

How are spinal fractures treated?

Spinal fracture treatment begins with administering pain-management drugs and medications to ease the symptoms, and stabilization methods to prevent injury. Depending on the nature of the fracture, your doctor may follow these lines of treatment-

• Fusion and instrumentation - These are surgical procedures to cure unstable fractures. Fusion refers to the joining of the vertebrae using a bone graft along with hardware such as hooks, rods, plates, or pedicle screws. The bone graft joins the vertebrae below and above to form a solid piece of bone.

• Kyphoplasty and vertebroplasty - These are minimally invasive procedures, wherein the surgeon injects bone cement into the fractured body through a needle. During kyphoplasty, the surgeon first inserts and inflates a balloon to expand the compressed vertebrae and then fills it with bone cement.

Spinal fractures are an extremely uncomfortable and painful condition to live with. It can hinder your day-to-day activities and affect your quality of life. It is imperative that you seek immediate treatment if you end up with fractures or dislocation of the spine.

4358 people found this helpful
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