Doctor insights on:
Chipped Bone Treatment
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
Fell on knee 2 months ago. Bad bruise healed but still painful to kneel. No swelling. Bursitis? Chipped bone? See a doctor? Wait for healing? Treatment?
Ortho evaluation: Symptoms persisting for two months require expert evaluation with radiographic and perhaps mr exams. History and physical exam by orthopedic doctor necessary to determine problem and course of therapy ...Read more
Iam 16.5 years boy and my height is 5'4. If my bone plates are not fused then can my height grow with treatment?
Some: Correct that you may grow some more if growth plates not fused, and if receive treatment. But also check family heights--if they are all about 5'4", then don't expect to become a basketball player. Might gain a few inches with treatment. ...Read more
Multiple: N-telopeptide in urine is an older one. It is measured on the second voided urine specimen of the day and so is a little complicated to get. C-telopeptide is a newer one that is measured in blood-can be collected anytime so is used more often. If treatment is good, these markers will be low (they are measures of bone turnover). Your 25 hydroxy vitamin d level should also be above 30. ...Read more
Protection: Protection against falls, eliminating (if possible) contributing medications, optimize calcium intake, use a bone protective agent (actonel or miacalcitonin) and assure adequate vitamin d. ...Read more
It depends on many factors / what the pt is taking and esp the general condition of the pt as well as of course genetics
most osteoporosis rx is directed to lowering the bine loss rate as opposed to building it up
the only one that has sig "build up " potential is Forteo also need to optimize vit d level and use calcium supplement the best would be calcium citrate at ~ 600 mg 2 x/ day. Also exerc. ...Read more
What happens to the bones after bisophanate or other treatment comes to its end? Would the bones revert back to original losses?
Doctors say that I should get injection in my back bone, iz this a right way for treatment? I cannot sit and bend.? Plz tell me solution.?
Many Possibilities: Depending on how long it's been going on, I would consider an evaluation by a spine specialist. Sometimes it could be a muscle imbalance, early onset arthritis or scoliosis. Also could be a pinched nerve/herniated disc. Either way it might be good to figure it out and get appropriate treatment. Depending on why your back hurts can determine which injection maybe helpful. ...Read more
Depends: Treatment is directed at what is the cause of the spur. Is it biomechanical: orthotics would be helpful. Is it due to a tight shoe: change shoes. Is it due to a deformity of some kind. Then this should be addressed. Palliative treatment, including injections can be done. Surgery to remove spur can be performed if indicated. ...Read more
Surgery: Prob surg to remove the bone spur it is causing enough trouble. ...Read more
Depends: This may require a lengthy course of antibiotics, possibly intravenously and may need to be combined with surgery. It will depend on which bone is involved, what the organism causing the infection is, what the status of your immune system is, and other factors. May need consultation with an infectious diseases doctor and an orthopedist. ...Read more
Arch supports: Heel pain, often described as heel spurs or heel spur syndrome is rarely the result of the spur, but instead mechanical overloading and inflammation of the attachment of the plantar fascia to the heel bone. This usually responds well to arch supports, antiinflammatories, injections and stretching. Also frequently due to worn shoes so go ahead and replace with good quality supportive athletic shoes. ...Read more
Dose it bother you: If it dose and not improve by medications, go and see neuro- surgeon he will tell out if you an operation to take it out. ...Read more
Surgical: If painful the only treatment is surgical removal, usually done on an outpatient basis. ...Read more
Except if it is very large and in a vulnerable area like the neck of the femur which coild result in a fracture through the cyst
treated successfully by injecting the cyst with cortisone or other bone forming substances
rarely needs a bone graft. ...Read more
Bone growth stim.-: -R usually not painful. The pain may B related to the fractured bone. Go in & B re-evaluated. ...Read more
Repair, regeneration: Repair is a condition where there is no regeneration of the bone loss but only heal and prevent the further bone loss. Intraorally, the procedures that leads to repair would be flap surgery and debridement. Regeneration is the result from the guided tissue regeneration procedures where new bone and new attachments achieved. ...Read more
Yes: Hi. Bisphosphates, of which pamidronate is an IV example, are effective treatments for osteoporosis. The fact that pamidronate does not have FDA approval for osteoporosis does not speak to the mechanism or the science. It is effective, but insurance may not cover it for osteoporosis since it is not FDA approved for that use. At age 39, I hope someone has done a thorough eval. For poor bone strengt ...Read more
Does benign bone tumors called enchdromas cause any complications? What is best treatment for it?
Asymptomatic: Enchondromas are beingn cartilaginous tumors of bone found in the medullary portion of bone they are almost always asymptoma especially when solitary and usually remain quiescent for the most part In rare instances malignant transformation has been reported. ...Read more
What is a prominent navicular tubercle at the medial aspect of the navicular bone? What is the treatment?
Navicular is a bone: In the midfoot, if it is prominent it sticks out a bit. Treatment may include smart shoe selection so there is no rubbing, padding the area, or shaving the prominence in the operating room. (The latter done by the doctor, not by you of course) ...Read more
I have a bone spur in my heal, medication nor home treatment does not work. Would surgery be the best solution?
Plantar Fasciitis: "Bone Spurs" or "Heel Spurs" are old ways of expressing one of the most common problems I see in practice: Plantar Fasciitis. The pain does not come from a spur, but actually comes from tension and inflammation across this ligament. I DO NOT recommend surgery for this problem. I am able to get rid of the problem 99% of the time in my patients conservatively. See a Podiatrist. ...Read more
I read that certain benign bone tumors use chemotherapy. Which benign bone tumors use chemotherapy as a treatment?
What is the name of the condition that the bone marrow stops producing platlets? Is it a disease? How does one get it? Cures? Treatment?
Several causes: Bone marrow may fail to make platelets, however, there are reasons for low platelets other than bone marrow failure. A health evaluation will show whether the bone marrow is failing, or if there is another cause. Bone marrow failure states include myelodysplasia, myelofibrosis, leukemia, lymphoma, aplastic anemia, cancer. Some are curable. Certain medications can also lead to low platelets. ...Read more