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Friday, December 28, 2012

Ortho Problems, patient questions asked and answers given

Please find some of the questions asked regarding the problems affecting the bones and joints [Ortho Problems]

 I will share few questions in each blog and i will be pleased to answer any if you have queries.


Disclaimer: This sharing is only to educate the public and not taken as an advice to your or someone else's present problem

Question # 1
Sir,
My sister’s daughter met with right leg thigh bone fracture. She is 1 year 8 months old. She tried to climb  over 25 inch TV which is kept at approx. . 2 ft height. TV fell down and top edge of TV heavily hit her thigh. Immediately she was rescued , but moment we don’t what impact on her ( no blood injury) suddenly when we touched her thigh she started  reacting. Rushed to hospital and did POP in OT. After one month last week we took Xray . X ray shows similar position of Broked bone . Doctor told that will join in due course . Some more extracts from report:
 X-Ray right femur fracture mid shaft of right femur with mala lignment of fragnents .Opinion :  acceptable position It is ok please clarify.
Answer:
Fracture Femur in this age is usually treated in plaster. The position of the fragments does not matter much at this age. This is due to the fact that the bone will remodel with growth. Be guided by the Ortho Surgeon by discussing your concerns and do not worry by just looking at the x ray.

Question # 2
Dear Sir,
                    I have a heals  problem when I am going home after Office work it start pain and when I get up in morning again it pain. Pl’s give some remedy
Thanks & Regards
Answer:
This is called Plantar Fascitis and in lay man’s term Policeman’s heel. Please refer to this web site for better understanding and the exercises you need to do.
Wear MCR Cheppals or normal slippers at home. Apply ointment such as one which contains diclofenac. Make sure you do these exercises in the morning before starting walking

Question # 3
Dear Sir,
My queries are regarding orthopedics...
I got operated in my left forearm in November 2009 because I had an accident. Now everything is good with my hand but there are some queries regarding the issue. In winter and monsoon the bone in forearm and scaphoid bone start paining slowly and pain lasts for 5 to 6 days. At this time I keep my hand in salted hot water for some time and pain decreases in 5-6 days. What should I do so that this pain don’t come in winter and monsoon.

1.       During operation a plate was inserted in my forearm to properly align the broken bones. The plate is still in the hand.  Is the plate can be the reason for any pain after 30-40 years? Should I get operated again and get this plate out or I should continue with this plate for whole life? Please suggest.

2.        There is a scar of 4’’ In my forearm. How can I make this mark very-very light? Please suggest some homemade solution.

3.       What are the precautions I should take in my normal day to day life to keep my hand free from any type of pain?

Answer:
1. Aching pain after plate insertion in winter is fairly common problem. If it bothers you significantly, you can consult the Ortho Surgeon who may advise you to have the plate and screws removed. In other words, you do not have to put up with the discomfort, though in most patients I advise the plate and screws to be left alone.

2. The scar if prominent can be revised by a plastic surgeon to give you a neat scar, I am not aware of any home made solution.

3. Most patients with the plate and screws after the fracture healing will not have any discomfort or pain

Question # 4
Dear Sir
I, aged around 30 years, used to be very active physically2-3 years ago. I used to play cricket / table tennis / jogging on regular basis then. After 2-3 years gap, I have started again these type of physical activities. But now it creates problems to me in terms of joint pain in my hand / legs / feets. Even after 2-3 weeks of regular play, the problem not diminished. Though, now pain is lesser.
Pls suggest
Regards
Answer:
Generally the joints and the muscles become tighter as we grow older with out exercises. Hence follow some flexibility exercises for a week before returning to sports. But please do those exercises every time prior to sports.
The link for the flexibility exercises is


Question # 5
Dear Sir,

My Mother, 44 years old, has been diagnosed with Spondylitis on her neck. The doctor said that its in the early initial stage. Can you advise me what needs to be done so that it can be cured in the initial stage itself?

Regards,

 Answer:
Spondylitis is a condition of the joints of the spine. It occurs in the neck or the lower back. To prevent the condition progress, she needs to keep the joints as flexible as possible by following the simple neck exercises.