Doctor insights on:
Foot Sprain Vs Stress Fracture
Avulsion fracture of cuboid left foot. Sprain of calcaneofibular ligament
in tibial walker boot, triathlete. Time to return to training??
It takes about 6-8: weeks for bone to heal. If your a triathlete then I would not recommend you returning until this time elapses to ensure complete healing. Obviously you need to work closely to the doc you are seeing who will evaluate you clinically and radiographically. ...Read moreSee 2 more doctor answers
Stress affects most people in some way. Acute (sudden, short-term) stress leads to rapid changes throughout the body. Almost all body systems (the heart and blood vessels, immune system, lungs, digestive system, sensory organs, and brain) gear up to meet perceived danger. These stress responses could prove beneficial in a critical, life-or-death situation. Over time, however, repeated stressful situations put a strain on the body that may contribute to physical and psychological problems. Chronic (long-term) stress can have real health consequences and should be addressed like any other health concern. Fortunately, research is showing that lifestyle changes and stress-reduction techniques can help people learn ...Read more
Need X-ray: You need to get your foot/ankle checked and x-rays taken in order to determine if a fracture is present. If this is a recent injury, the tightness can be from swelling from both conditions. However, it is important to diagnose the correct condition so proper treatment can be rendered. ...Read moreSee 2 more doctor answers
I think if : You investigate closely you will find a high proportion of these patients to have vitamin d deficiency. I examined chart records of the last 50 patients diagnosed with stress fractures. 49 of 50 all had vit d deficiency or insufficiency ( less than 30 mg/dl). ...Read moreSee 2 more doctor answers
PTT kinesiology:: Posterior tibial tendinitis could result from an anterior ankle injury when there is excessive demand placed on the tibialis posterior muscle due to anterior ankle laxity. When one part of a joint becomes weak another part becomes overworked to compensate. This is one reason that ankle injuries need thorough evaluation, diagnosis, and treatment by a qualified doctor. ...Read more
Absolutely: The plantar fascia ligament plays an important part of the foot arch structure as do the bones. If you fracture a bone considered part of the arch then it could place more stress on the plantar fascia ligament for support. See a podiatrist for evaluation and treatment if you have this issue. ...Read moreSee 2 more doctor answers
I have a comminuted intra articular fracture of the 2nd metatarsal,oblique 3&4,medial cuneiform all nondisplaced lisfranc injury. Cast or surgery?
X-ray or MRI: A stress fracture in the foot may not initially show up on x-ray. If the area still hurts 1-2 months later then a second x-ray may show some signs of new bone growth indicative of a stress fracture. Or you can get an MRI scan that is more detailed and may show the stress fracture site via swelling internally or on the surface of the bone. ...Read moreSee 1 more doctor answer
Immobilization: ?Usually the treatment is no weight bearing, followed by a walking boot to protect the foot. As pain improves, activity can be accelerated this process can take 6-12 weeks. ...Read more
Where exactly on ankle is a "posteromedial fracture fragment" and a "posterolateral fracture fragment" requiring screws? (Trimalleolar fx).
Trimalleolar fractur: A trimalleolar ankle fracture by definition is an unstable ankle fracture that requires operative fixation. It includes the the distal fibula( lateral maleolous ), the medial distal end of the tibia( medial maleolous ), and the lower end of the tibia in the back of the ankle ( posterior maleolous ). The medial and lateral maleolous typically need fixation. Posterior maleolous only if >25% of joint ...Read more
Clinically: By palpation an astute clinician appreciates the difference in anatomical location which can be subtle as the proximity of the two is obvious, diagnostic testing such as MRI would differentiate. But, kep in mind treatment can be similiar, so if you go into a cam walker boot you should heal either and don't really have to know which it is. Tendonitis is the more common of the two. ...Read more
No: Avulsion fractures are when a section of bone is torn away from the main body of bone and still connected to the tendon. ...Read more
PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req?
Yes, it should if-: -U expect 2 have a functioning knee 4 the rest of Ur life. It can only separate more, & a simple reduction & fixation will do what U want it 2 do, reunite the fragment 2 the tibia. The image is a tear & requires a major reconstruction if not fixed. U risk the fragment becoming a nonunion. ...Read more
Many problems: The fact that 3 muscles attach to the fifth metatarsal ( the peroneals) and that the fracture is displaced can cause an imbalance in these muscles and a non-healing fracture of that metatarsal. The peroneus longus passes under the cuboid- this muscle stabilizes the inner foot in gait and this crush fracture can cause problems with walking-- you should see your podiatrist for reconstruction. ...Read moreSee 2 more doctor answers
-R used interchangeably. They refer 2 injuries 2 mucles & ligaments. 3 degrees: 1=tweaked or hurts but no harm no foul, 2=damage 2 the structure with some bleeding & prolonged pain,but with ice, time , rest,& activity modification they heal over a few weeks,3=a complete disruption such as an ACL tear. If this happens in a muscle body, there's no repair available, painful, ...Read more
A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more
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