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Doctor insights on: Met Stress Fx

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ORIF for met stress fx nonunion. 4 mths post op- swells, can still it, but more painful in last week. Not healed xray. Chances of nonunion again?

ORIF for met stress fx nonunion. 4 mths post op- swells, can still it, but more painful in last week. Not healed xray. Chances of nonunion again?

Potentially: I am sorry you are going through it, I think I have seen several posts from you; could potentially be delayed or nonunion. Make sure you are not smoking or using NSAID, consider using bone stimulator, growth factor, or bmp if does not heal. ...Read more

Dr. Heidi Fowler
3,144 Doctors shared insights

Stress (Definition)

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


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3rd met stress fx nonunion at 6 mths, ORIF 4 mths ago, not healed, sore, swells. NWB for 8 mths, should I still be NWB because not healed? Frustrated!

3rd met stress fx nonunion at 6 mths, ORIF 4 mths ago, not healed, sore, swells. NWB for 8 mths, should I still be NWB because not healed? Frustrated!

Talk to orthopedics: It is advised to talk specifically to your orthopedic surgeon that did your ORIF to determine your recommended activity level. I am sorry you have been dealing with frustrating healing process. ...Read more

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Slow healing (9 mths) met stress fx- ORIF 4 mths ago, not healed. Swelling pitting- mean still injured? Xray- callus- does that mean still injured?

Slow healing (9 mths) met stress fx- ORIF 4 mths ago, not healed. Swelling pitting- mean still injured? Xray- callus- does that mean still injured?

Healibg: You are healing just slowly. So be careful to not te injure. I am sure your doctor has follow up visits for you so keep them ...Read more

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Previous nonunion met. Stress fx- ORIF 6 mths ago. Still some pain and swelling, Recent xrays, scans say fracture margins still apparent. Not healed?

Previous nonunion met. Stress fx- ORIF 6 mths ago. Still some pain and swelling, Recent xrays, scans say fracture margins still apparent. Not healed?

Stop delaying..: More of a possibly delayed union in the making, but hard to tell. The pain and swelling are signs of some residual instability of the reduced site. These hard to heal fractures can be real stinkers at times. Consult with surgeon for his opinion. If not convinced, or if you have concerns, then get a second opinion. There is absolutely nothing wrong doing that. ...Read more

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Ongoing problems with met. Stress fx and CRPS. Walking uncomfortable, shoes restrictive. Moon boot less annoying to foot (softer) than work shoes- oka?

Ongoing problems with met. Stress fx and CRPS. Walking uncomfortable, shoes restrictive. Moon boot less annoying to foot (softer) than work shoes- oka?

Man in the Moon...: CRPS can be very frustrating, for both the patient and the doctor, to treat. Physical therapy and ambulation are necessary components in the treatment. Stress fractures can also involve ongoing protection to resolve.
If wearing a moon boot offers you relief from both of these conditions, then bully for you. Continue to wear it. Thank you for using Healthtap. ...Read more

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Is swelling 6 months after ORIF surgery (almost 1 year after initial met. Stress fx) normal? Fracture margins remain slightly apparent on xray.

Is swelling 6 months after ORIF surgery (almost 1 year after initial met. Stress fx) normal? Fracture margins remain slightly apparent on xray.

Unstable.....?: Swelling in this case can be a sign of instability. Six months and still swollen is concerning. More critical is whether or no there is any pain associated with it. Ask your surgeon for an explanation. If the surgeon's answer seems reasonable or not, it might be time for another opinion. Hey, it's your foot. You won't be satisfied until you know. Now go out and put another shrimp on the Bar-B. ...Read more

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Met. Stress fx- non-union, ORIF 6 mths ago. Pain, swelling, stiffness, redness, sensitivity. Fracture still not healed but dr says CRPS. Treatment?

Met. Stress fx- non-union, ORIF 6 mths ago. Pain, swelling, stiffness, redness, sensitivity. Fracture still not healed but dr says CRPS. Treatment?

Oh CRPS....: First obtain a second opinion, if you haven't already. Crps can be confusing to evaluate and even more to treat. Another opinion is always helpful, more so, if the opinion is from some one who treats the condition. There are no set rules but rehab therapy, psychotherapy, medications and nerve blocks are the most common starting treatments. I hope this helps. Healthtap is here for further help. ...Read more

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H ow accurate is a stress echo if you do 10 or more Mets and reach 90 percent of maximum predicted hr?

H ow accurate is a stress echo if you do 10 or more Mets and reach 90 percent of maximum predicted hr?

Extremely Accurate: The negative predictive value of a stress echo at such a high workload is excellent. Over all populations, the chances of a cardiac event are less than 0.5% per year. In your age group and given the fact that you exercised to 10 METS, I imagine your risk is a lot lower than that.

FYI: one MET is the amount of energy the body uses at rest. You were able to push your body to produce 10 times that ...Read more

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Normal stress echo with no evidence of stress induced myocardial ischemia but abnormal exercise stress at 9.1 mets? Reached 94% of hr.

Normal stress echo with no evidence of stress induced myocardial ischemia but abnormal exercise stress at 9.1 mets? Reached 94% of hr.

Ur initial ST: Is more likely false positive. With ur young age and I presume with no risk factors like hypertension, diabetes, high lipids ; strong family history of heart disease, I won't worry about it. Follow up with ur pcp or cardiologist. Take care and mabuhay! Http://www. M.Webmd. Com/heart-disease/guide/stress-test-- (dupe). Tp://www. Heart. Org/heartorg/gettinghealthy/gettinghealthy_ucm_001078_subhomepage. Js. ...Read more

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What does no evidence of stress induced myocardial ischemia mean after stress echo but abnormal exercise stress at 9.1 mets? Reached 94% of hr.

What does no evidence of stress induced myocardial ischemia mean after stress echo but abnormal exercise stress at 9.1 mets? Reached 94% of hr.

Talk to your doc: The "stress" portion of your stress test appears to be normal, as you reached a reasonable stress (9 mets), reached target heart rate and no ischemia was demonstrated. However, there may be "resting" abnormalities on the echo, hence it was called abnormal. Discuss with the ordering physician. ...Read more

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Abnormal treadmill stress electrocardiogram at 9.1 METS, but not associated with significant echocardiographic changes. What does this mean?

Abnormal treadmill stress electrocardiogram at 9.1 METS, but not associated with significant echocardiographic changes. What does this mean?

Stress echo: When ECG changes are not associated with echo wall motion abnormalities, there is a good chance the ECG changes are not related to ischemia. ...Read more

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If I did 10 Mets on 3 different stress echo test, how accurate would the test be? Within a 5 year period. Could it miss CAD or anything else?

If I did 10 Mets on 3 different stress echo test, how accurate would the test be? Within a 5 year period. Could it miss CAD or anything else?

Unlikely: If you were able to do 10 METS on 3 different echo test you are probably healthier than most of my colleagues.

very unlikely you have significant CAD

Cheers
C ...Read more

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10:58 min sec achieving 86 % FAC, Peak heart rate was 181 BPM, The patient achieved 12.0 METS, how accurate is a stress echo with these stats? Negative

10:58 min sec achieving 86 % FAC, Peak heart rate was 181 BPM, The patient achieved 12.0 METS, how accurate is a stress echo with these stats? Negative

Valid stress echo: This would be considered a valid stress echocardiogram as the target heart rate was reached and if no wall motion abnormalities were present, the test was negative for obstructive coronary disease. ...Read more

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Is stress fracture bone mets if had bc in 2005, lower back pain is severe?

Is stress fracture bone mets if had bc in 2005, lower back pain is severe?

It should: Stress fracture in the spine should heal in about 6 month, if you still have a lot of pain to me this means.
1-there new problem.
2-there is complications from that fracture. Please check it out.
Good luck. ...Read more

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Is there a way to biologicaly measure stress levels? If so how? Samsung S Health seems to be able to but I don't know how?

Is there a way to biologicaly measure stress levels? If so how? Samsung S Health seems to be able to but I don't know how?

Unfortunately not: No lab or vital sign measurement (Samsung just measures your heart rate) can diagnose or measure psychological stress by itself. Heart rate varies quite a lot between individuals and within an individual during different activities, with temperature, with hydration...
Best way to diagnose stress is to discuss with a councilor or a physician. ...Read more

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What is the best way to deal with stress; when the stress comes from having s very i'll child and not knowing the reason he is sick?

What is the best way to deal with stress; when the stress comes from having s very i'll child and not knowing the reason he is sick?

Very painful: This is one of the most painful situations a parent can go through. Many deal with this by getting support from their church or spiritual group if they have one -- and also from extended family including friends close enough to feel like family. Prayer helps. Getting consistent rest helps. Giving and receiving affection helps. Educating yourself & talking with the doctors helps too. ...Read more

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How to de-stress?

How to de-stress?

Stay active: Exercise is a great way to relieve stress. Your body releases endorphins during exercise, which can help you feel calm. If you exercise 30 - 60 minutes a day, your stress levels can improve. When stressed, take 5 slow, deep breaths with your eyes closed, then roll your shoulders forward 5 times, then back 5 times. This will slow your heart rate and release tension in your neck and shoulders. ...Read more

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Is stress harmful?

Is stress harmful?

Yes and no: "too much" stress can be too much for the body to process, integrate, and adapt to -- in which case it can wreak havoc on the body. But stress that "challenges without overwhelming" can ultimately result in a strengthening of the body by "provoking" its innate capacity to self-heal. For example, "too much" exercise is bad; but "just the right amount" of exercise is good! :). ...Read more

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Can stress cause on?

Can stress cause on?

Incomplete question: Can stress cause what? Please resubmit your question with specifics. Then we can better provide an answer. ...Read more

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How to lower my stress?

How to lower my stress?

It depends: It depends on what is stressing you, what resources for renewal and support you have, and what your personal resilience is. Your note indicates you're in afghanistan, an extremely stressful location for many people right now. You'd need to access existing medical, social, or psychological resources for personal assistance there; hopefully family is together and you & they can help each other. ...Read more

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What causes stress sui?

What causes stress sui?

"SUI": Stress urinary incontinence (sui) is when physical movement like heavy lifting, coughing, or sneezing causes accidental leaks of urine. It happens when there is poor function in the pelvic muscles that support the bladder or control the release of urine. This can result from childbirth, pregnancy, or pelvic surgery. For more, see http://www. Mayoclinic. Com/health/stress-incontinence/ds00828. ...Read more

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How do you cure stress?

How do you cure stress?

Stress Relief: Try doing activities that will lower your stress levels. Try doing yoga or tai chi or some sort of activity that will keep you relaxed. It may also help to take a mild muscle relaxant to help keep you calm. Always take deep breaths and try not to panic or think to hard about your life. Drink plenty of water. ...Read more

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Can stress cause death?

Can stress cause death?

Very rare: By itself, stress (actually dis-tress, when a person cannot or will not solve a pressing problem) contributes to disease, but causes death by itself only in extreme situations (i.e., torture). There is a "pop" notion that in, say, a fatal fall from a high place that the heart stops before impact and the decedent feels nothing; it's not true but comforts survivors. ...Read more

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What can trigger stress?

Very subjective: There are many things that can trigger stress in individuals. It is not the incidents that happen, but the personal interpretation of what has happened that causes emotional distress for people. Look at what you are thinking about what happened, to see if you are "awfulizing" the incident, and work wtih a counselor to develop a more rational way of dealing with your normal stresses. ...Read more

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What is stress response?

What is stress response?

'fight or flight': Stress boosts activity in the sympathetic nervous system & stress hormones are released. Pulse, blood pressure, sweating, & breathing rate go up; skin temp. Decreases as blood shifts to the vital organs; there can be muscle tension or tremors, GI symptoms e.g. Nausea, stomach ache, diarrhea; pacing, hand-wringing, etc. The body is set for survival action, but suffers if this continues too long. ...Read more

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