Fractured Humerus Physical Therapy - Pieces Of Bone Moving Feeling
I sustained a spiral fracture of the distal third of my humerus approximately 3 and a half weeks ago. Im currently in a hard functional brace and able to let my arm hang freely at my side. I began PT earlier this week and have a few questions regarding the process. While most of the exercises are focused on maintaining range of motion and are relatively pain free, some do put small amounts of stress on the fracture site and cause discomfort. Every once in awhile I can feel the pieces of bone moving during the exercises. My arm has also swollen up a bit more (specifically my lower arm) since beginning PT. I assume this is normal. I'm more concerned with the movement of the bone. Is this cause for concern? and will excess movement hinder the bone healing process?
View 1 RepliesBone On Bone - Partial Knee Replacement After Microfracture Surgery?
I am a 47 year old female. I had Microfracture Knee surgery on January 12, 2016 and it was not a success. My doctor said that I am still bone on bone and will need a partial knee replacement. He uses the Oxford Partial Knee and says it is the best one to go with. I was able to get a Synvisc injection on May 12, 2016. My doctor and I are both hopeful that this will give me some time to make this big decision. I have had a really hard time recovering from the microfracture surgery. I was on crutches for five weeks and my knee got stuck in a bent position. I was in therapy for three months and I still cannot walk with a straight knee. The thought of undergoing another surgery is so scary. I just want to be normal again and do all the things that I used to do before.
View 11 RepliesBig Toe - Fusion Of Bone OR Replacement Of Joint?
Saw an orthopaedic consultant yesterday who confirmed, after an xray, that the osteoarthritis in the big toe joint is getting worse. He suggested two different types of surgery: a fusion of the bone or a replacement of the joint. I am leaning towards the latter although I don't know much about it and the consultant admitted the success rate isn't great! Has anyone had it done or know more about it?
View 8 RepliesHip Replacement :: Reduced / Missing Joint Cartilage And Bone Spurs
I have been in pain off and on for about 5 years now and xrays show that i have greatly reduced and/or missing joint cartilage and bone spurs including bone cysts that seem to come and go. The Ortho surgeon said from the x rays alone, I needed a full replacement. Most days its painful to walk for too long or bend, twist etc which does interfere a lot with my life and i often find it hard to sleep or reach a deep sleep. Id love to travel but but can never tell when my hip will feel okish and when it will be agony! Every day can be different! I have been told pain like this comes and goes and is all part of the slow deterioration of the joint. As my surgery date looms in the next week i am starting to feel maybe i don't need it ( hip is feeling okish today!) or am i just getting cold feet? Im mid 50s and pretty healthy and active but this hip has certainly held me back especially in the last year. I've never had a big Op but some websites say sooner is better than later. Any ideas or thoughts?.
View 61 RepliesArthritis :: Fibrocystic Change In The Greater Tuberosity?
Findings: -
AC Joint: There is mild AC joint arthrosis present.
Osseous Structures and Articular Surfaces: The glenohumeral cartilage is normal. There is fibrocystic change in the greater tuberosity. There is normal signal in the glenoid.
Rotator Cuff: The supraspinatus, infraspinatus, subscapularis, and teres minor are intact. There is no retraction or atrophy. No fluid in the subacromial/subdeltoid bursa.
Labral-ligamentous Complex: The biceps anchor is intact. No definite labral tear present.
Additional Findings: No mass lesion in the quadrilateral space or suprascapular notch.
I was in a bad car wreck Feb 15th , luckily i didn't get hurt to bad, just banged up pretty good with alot of bruising , i really didn't have pain in my shoulder until 2-3 days later i started feeling a sharp stabbing pain in my collar bone, i kinda ignored it and went about my business thinking ok its just from being banged up. I then went to work on a saturday and noticed that the pain started to get worse and noticed a bulge in between my collarbone and shoulder , i proceeded to put ice on it and just kept working, then i went into work sunday and still same thing but i started to feel very weak and ill . so i told them sorry i am unable to come back to work the next day and made a doctors apt . he scheduled an MRI i got it done and that was in march 9th , he said they didn't see any tears or broken bones, but i do have Mild ac joint Arthrosis , he sent me to an Orthopedic surg. and i have been doing physical therapy since then and he did give me some shot in the shoulder. the pain in my shoulder is a deep ache pain with a burning sensation in my upper arm, then i lift my arm or turn it it pops, clicks , crackles and crunches, the pain stays mostly at a lvl 3 and some days can go to a 5 . If this ac joint is causing all this my god i just want it to go away . I already have degeneration in my spine with herniated and bulging discs in my lower back . Mild bone spurring in my middle back and neck . he wanted me to do 4 more weeks of therapy but so far its not helping the burning sensation seems to be getting worse I also feel like i have a tennis ball in my shoulder (scapula) area when i sit in my car or lean back in my chair . the areas are very tender to touch . I am taking diclofenac for the inflammation . i am supposed to be going back to my DR. may 24th to possibly have him clean and scope my shoulder to see what is causing all this !
also what does this mean ? The glenohumeral cartilage is normal. There is fibrocystic change in the greater tuberosity. There is normal signal in the glenoid.
" There is fibrocystic change in the greater tuberosity." ?
I am just wondering if anyone else has had the same problem with there ac joint doing that ?
bc i am to a point lifting anything real heavy, sweeping and mopping my floors, drying or combing my hair , mixing or stirring anything with that arm ( left ) side .. just makes it worse ! i've heat it iced it , but it gives a very short relief
Vaginal Health :: Small Ridge Of Bone On Entrance, Pubic Bone?
My vagina opening is wide enough to fit a tampon, which i've done on many occasions however, anything larger than this and it doesn't seem to stretch anymore. The actual skin can stretch fine and does but at the opening is a small ridge of bone. Once you reach past this bit of bone, inside the vagina it can stretch fine, it's just that one ridge, i can put my finger round it and hook it but I can't actually move the bone (obviously)So my problem is just that when I come to having sex, nothing will fit. I think this bone is the pubic bone which is just sunk down too far. I can also feel it right behind my clitoris and urethra opening like everything has been squashed down into one small area. It doesnt come very far up on my front 'mound' but comes too far down underneath in my vaginal area.Is this normal? Has anyone experienced this? What should I do?
View 13 RepliesBone / Joint :: Pain After Bone Spur/arthritis Surgery On Shoulder
I had surgery on June 14, 2011 to remove a bone spur on my left clavicle and to remove arthritis near (but not in) my shoulder joint. It was the worse experience of my life. I was in constant agonizing pain for 2.5 months. Just for the record, I've had two ulnar nerve surgeries on my left AND right elbows and never even needed pain medication. This shoulder surgery apparently did not relieve any of my pain. I still have a dull aching pain through out the day starting in my neck (left side) to my shoulder, and down my bicep to my elbow. I still can not sleep at night, and through out the day while working my shoulder/arm/ neck is killing me. I continue to take an Naproxin and continue to rotate heat and ice. I did physical therapy for the first two months after surgery. My concern is that had arthroscopic surgery, and there was NO rotator damage so why is my shoulder still in pain? My shoulder pops when I do try to rotate it.. and often when I simply reach outward for something..I'm in excruciating pain. I'm a baker, so I am constantly lifting a 34-50lb metal mixing bowl and have to reach many times through out the day. There really is no way to not do my job duties and still retain my job. Any ideas why I'm still having this problem?
View 14 RepliesOsteoporosis And Osteopenia :: Bone Density Vs. Bone Quality
I found a paper recently that contained some insights that might be worth thinking about." Studies of Osteoporosis (OP) and drug treatments have challenged the concept that denser bone means stronger bone. Bone strength, or resistance to fracture, is not easily measured by routine DXA as it is a function of both density and quality".
(Cleveland Clinic, Angelo Licata 2009).
Accidents / Injuries :: Fractured Ribs Now Bleeding From Below?
On Friday I fractured 2 maybe 3 ribs in a skiing accident. I had a chest X-ray and an ultrasound. I also had a brain scan due to being knocked unconscious. Nothing came up on any of the scans other than the rib fractures. Today I've started bleeding lightly from below, like the end of a period. I haven't had a period for over a year due to being on the injection and I never get any bleeding at all. I've had a bit of stomach pain and feeling sick but that's it. Should I be concerned? Could it be related?
View 1 RepliesBroken Bones :: Healing Of A Fractured Tibia
I have a spiral fracture of the Tibia. It has been fixed with a plate however the surgeon left a gap in the bones. (This gap was not present in the original x-ray prior to surgery). After 12 weeks there is no sign of the bone healing. I sort a 2nd opinion & was advised that the bone is unlikely to heal because of the gap & further surgery was recommended to join up the gap & possible a bone graft.
What is the conventional thinking on this? Should bones be fixed touching to heal?
Orthopedics :: Femer Neck Got Fractured, Shortening Of Leg
I had met with an accident and my femur neck got fractured and 3 screws have been put for support. After 3 months of surgery we observed that there is a shortening of leg of 3 cm. (the reason is the hip angle gone up ie Coxa Vara). Is there any solution/remedy for this other than hip replacement?
View 1 RepliesSpinal Surgery :: Fractured Facet Joint
8 months after my L1 compression fracture, another doctor (fired the first one) found out that one of the T12 facet joints is fractured (broken off in 2 pieces). I should have been operated on after the fall, but it's too late now.
Could someone tell me what this could cause (what kind of pain)? I have local pain, and severe pain in the iliac area, after being active for a while, or after sitting for a while.
I can sleep at night, but after 5-6hrs, I wake up because of the pain, can't continue to lay down. Very painful.
also, I still can't lay down on my back on a hard surface.
I'm scheduled for a nerve ablation T12-L1, both sides this Friday and Monday. I'm scared because of all what I read...
Orthopedics :: Radial Head Was Fractured But Not Displaced
I got into an accident and my radial head was fractured but not displaced. After 3 weeks of back-slab I did X ray again and it was partially healed. I did some exercises for a few days but I can't move the arm freely and make it straight. However I have no pain but little bit swelling.
View 2 RepliesRadial Nerve Palsy Following Fractured Humerus
I suffered radial nerve palsy following surgery for broken humerus 9 weeks ago. The break area has recovered well but im still completely numb around parts of my elbow,thumb and top of my hand. I have only a slight grip and my elbow bends only at a 90 degree angle-Ive heard some numbing never recovers so could this be part of the reason i cant grip or bend?I know it takes 6-12 months for full recovery but im finding the physio very hard and should i be pushing these areas so much?Both areas are as swollen as they were 9 weeks ago which is another concern. Has anyone been through anything similar?
View 1 RepliesBroken Bones :: Closed Fractured Tibia Fibula IM Nailing
Background: I suffered a closed spiral fractured tibia and fibula about 1/3 up the leg in a skiing accident exactly 6 weeks ago. The fibula has a bone fragment at the break and looks as though two points of the fibula are touching with the fragment rotated 65 degrees in place. After IM nailing the tibia and leaving the fibula as is, I was put in a walking boot and given crutches, I ditched the crutches after the first 2 weeks and have been in the walking in the boot around my campus slowly but surely as instructed. I'm 21 years old and was fairly active (gym, basketball, skiing regularly and some occasional running). At 4 weeks, I started physical therapy for mostly range of motion of the ankle and some small exercises for thigh muscle. My first X-ray will be this week and the Orthopedic Surgeon ideally wants to take my boot off at the 7 week mark. I have been doing everything I'm told my Surgeon and in my PT. My goal is to be able to sprint/run/jump as soon as possible and at least by next year. My ankle is still swollen (not bruised but swollen), I would say I have maybe 30%-45% range of motion and my knee gets tight if not active for awhile, but no pain usually unless I walk A LOT during the day, which feels like having very bad growing pains with soreness.
Questions:
1) Generally is this the speed a usual Tib-Fib fracture progresses in terms of recovery?
2) My Surgeon tells me that fibulas will "heal on their own" and that "They are not that important anyway" even with the fragment, but if my fibula doesn't show signs of recovery should my boot still come off? Or should I seek a second opinion/surgery?
3) Could my early ankle ROM exercises have impaired my fibula healing process?
4) How important is a second opinion if it eventually looks like the fibula is not healing? (I believe my surgeon would tell me to take boot off and walk or just wait for healing to start)
5) Generally how long is it before someone like me is able to do leg curls, swats, leg lifting, and distance running again?
Thanks for reading! Lmk if you have any questions or comments!
Accidents / Injuries :: After 16 Months Fractured Wrist Hasn't Healed
I fractured my right wrist 16.5 months ago, and it still hasn't healed. I'm a fifteen year old male without any other disorders, but my hand does not seem to get better..it hurts when i lift something heavy or when i turn it too much.
View 3 RepliesOrthopedics :: Fractured Humerus (midshaft), Elbow And Radial Nerve Damage
I had a fall on june 17th 2014. Fell about 20 feet onto a concrete floor. I fractured the humerus, fairly simple fracture straight across the midshaft, no surgery. fracture to the elbow, and got radial nerve damage.
It is now week 14 and although the nerves are back and my wrist is fully functional, both fractures are yet to heal, the humerus fracture is fairly straight, and some callous is appearing, but there is still movement in the fracture site. And the elbow still shows a fracture.
I now have an electromagnetic device to help with the healing, 30 mins a day i can use it for.
Just wanted to know if anyones had success with one?
Also seeing as i broke the elbow the arm has been held in a sling this whole time, without straightening of the arm, so the inside of my elbow is getting very inflamed, but not painful yet, anything i can do to help it?
Partial Knee Replacement After Total Hip Replacement
I've had a thr April 2015 and was recovering well then both knees went and I was back in Crutches again. I had an arthroscopy and it was found I need the knee caps have to be repaired as i'm bone on bone. Has anyone had this procedure? Im also lined up for the other hip to be replaced as well. Im 53 and a bit worried.
View 8 RepliesOsteomyelitis In Right Arm Bone (Humerus)
In early January of this year (2008) I was working out at the gym one day with weights. I heard a "pop" in my upper right arm. Did not think much of it. Continued working out with weights for another 3 days. One night a terrible throbbing pain started in my upper right arm. It was bad. I knew it was not a "normal" pain. I went to my family doctor and had xrays. Everything came back normal. The pain continued. It was terrible. I went back to my family doctor the next week. By this time, I had terrible pain in my arm, and lost some range of motion in my shoulder. My doctor sent me for an ultrasound. It showed that I had a Shoulder Impingement/Frozen Shoulder. I thought, at the time, that this was the most terrible thing in the world. Boy, was I wrong. I began physio on my arm, took anti-inflammatories and painkillers. My ROOM came back, shoulder got better. I was still having terrible pain in my arm. That same "throbbing, pulsating" pain. I was not sleeping at this point. I went to see a few sports and rehabilitation doctors. I got a cortizone shot in my shoulder for the pain. Did not work. I requested another ultrasound from my doctor. It showed that I had a partial bicep tear. I thought that that was the cause of all my problems in the first place. So I began treating that. I had another cortisone shot in my bicep. It made things worse. I was a terrible mess. On painkillers, NSAIDS, anti-depressants, etc. I was at my "witts-end". On another last ditch attempt visit with my family doctor, he prescribed me antibiotics because he believed that I had an infection. My arm was swollen, sore to the touch, very painful, I had a fever, etc. The antibiotics worked. My swelling went down, the pain started to go away, I started to feel like myself again. I thought I was cured. In the meanwhile I had a bone scan. It came back "not normal". My pain doctor who made me have the bone scan told me to go to the hospital right away because he thought that I had cancer in my bone. At this point I was feeling better after being on antibiotics for only a few days. I was devastated. I could barely even believe it - in fact - I did not believe it. I was admitted to the hospital where I had numerous testing done. MRI, CT Scans, Xrays, bloodwork, etc. I was being treated for a bone infection and was on intravenous meds for 4 days. On my fifth day in the hospital, my doctor changed her diagnosis and told me out of the blue that she believed that I had cancer in my arm bone. Either Lymphoma or Sarcoma. Needless to say - I was in a state of shock. I was sent for a biopsy of my arm bone. I had to wait approximately 3 weeks from the date I was told that I had cancer until the day I received the results from the biopsy. I was told that I did not have cancer and had chronic Osteomyelitis. I was so happy to hear this news. I just went to go see an infectious disease doctor today. She told me that the damage to my humerus was bad and that it would not be "the same"anymore. I can't do any weightlifting anymore. I am on oral antibiotics for at least three months. I have a Staph bacteria that somehow nested in my arm bone. I am just thankful that it is not cancer. I do hope though that my infection goes away and NEVER comes back and that the damage to my humerus does not affect my every day to day life.
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