Doctor insights on:
Non Surgical Treatment For Hip Fracture
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
My grandfather made an accident, mild hip fracture, after his proper surgery and treatments now he has a numbness in his left little finger for 20d!!?
Pinched ulnar nerve:
Is probably the cause. Click this --> http://orthoinfo. Aaos. Org/topic. Cfm? Topic=a00025
If you want to discuss this shoot me an e-mail click this --> https://www. Healthtap. Com/experts/12714048-dr-vahe-yetimyan ...Read more
No: Most of the time it is advised but it depends on the individual clinical setting. ...Read more
Depends: This depends on many factors including the pre/postoperatve health of the patient, the type of fracture, and the type of fixation. Often healthy patients with stable fixation can go home with outpatient pt a few days a week. More deconditioned patients or those with more difficult fractures may even require inpatient rehab for a while. ...Read more
Functional status?: One needs to look at the whole person and weigh the risks and benefits for a procedure. If the perosn has been funcitonal and healthy, then there should be no reason to deny a procedure that will add quality to their life. However if the person is limitted functionally and cogntively, the recivery and potential benefit may not be worth the risk. ...Read more
7 METS: There is no set limit for heart function reserve, but we generally like patients to have no active heart disease within the last 6 months and be able to exert themselves to a level of 7 metabolic equivalents. If you cannot or haven't done exercise to this level then additional testing may be necessary. Before surgery you will have a comprehensive eval to make sure that you are a good candidate. ...Read more
This depeds on the: Age and underlying medical health as well as physical condition of the patient as well as how well the surgery went in terms of any complications and adequacy of reduction of the fracture with good fixation in bone that is not soft or osteoporotic but one can expect 3 months on average. ...Read more
Besides hip dislocation and hip fracture, what are other side effects of hip replacement surgery?
80 y.o. female had hip fracture surgery month and half ago, on morphine and rehab since. Now intermittent slurring of speech and mild memory loss?
My mother got hip fracture dr. Admited her in icu say surgery not possible as BP is low & chest function is 40 so what I do?
My mother had hip fracture surgery recently. And she has parkinson also. Will she be able to walk or not?
My mother is 65 years old. She has some respiratory problem, parkinson, hip fracture surgery 3 month ago and choleithiasis. Is drink milk good for her?
Have torn hamstring from physical therapy after broken hip. I'm recovering well from hip fracture but afraid to go back to same physical therapy.
Hip strengthening: Depending on when the fracture occurred and whether its completely healed or not, you would still benefit from some hip and pelvic girdle strengthening. If you are not comfortable with the current PT, you can do home exercises and find another therapist. But it will be imperative that the muscles around the hip joint (flexors, extensors, and abductors) are strengthened. ...Read more
Depends: The first thing to determine is whether this fracture requires surgical correction. If it doesn't, then the bone will heal on its own, and pt will benefit you by increasing your strength around the joint. ...Read more
Broken hip: The hip joint is a ball and socket joint where your femur meets the pelvis. Most hip fractures occur with falls in the elderly or motor vehicle accidents. The most common would be fractures of the top part of the femur bone and the femoral neck or intertroch region. Less common fractures are socket or acetabular fractures. Avulsion of muscle attachments can also occur. ...Read more
Pain, can't walk: Femoral neck fractures are extremely debilitating. Elders get these fractures commonly and may have the affected leg shorter than the other and/or rotated. The patient will not bear weight on this side. Sometimes these fractures are less obvious, requiring advanced imaging studies (like mri) to detect. In this case, if you give a tap on the heel, sometimes the patient will feel it up in the hip. ...Read more
Usually not: Very rear to find organ damage with hip fractures. ...Read more
See below: The first doctor is usually an orthopedist. After that physical therapists, occupational therapists, brace makers may also be involved. If the fracture requires extensive rehabilitation, sometimes a physiatrist (a doctor of rehabilitation medicine) may also be involved. ...Read more
Gait traning: You will probably get you out of bed and moving on the first day after surgery. Physical therapy will initially focus on range of motion and strengthening exercises. Depending on the type of surgery you had and whether you have assistance at home, you may need to go from the hospital to an extended care facility. ...Read more
What is optimal BP to balance risks of a second ischemic stroke or a second hip fracture in a senior?
The answer is not definable from your information. Too little blood pressure reduces brain blood flow & may contribute to loss of balance, leading to hip fracture. The patient has unique features making a specific number impossible to give. How high is too high?
The pressure should be high enough to maintain brain blood flow but not so high to cause heart strain. ...Read more
Regarding caregiving: how physically demanding is the job of caring for a frail elder with hip fracture?
How can I transfer a 80 yr old post-op patient for hip fracture back to bed from chair, any consideration?
See pt's doc: Best advice is to speak with the patients doc and have home health come out and show you how to do this. ...Read more
Hip groin pain: Hip symptoms are felt in the groin. But a fracture can occur in a variety of areas in the hip and can be felt in general in different areas. A lot of people complain of pain along the outer pelvis. This is usually not where you feel hip pain and more often bursitis of the hip. ...Read more
See your doctor: This is one of those problems where a visit to your doctor is necessary to figure out what's going on. Only after a thorough evaluation, including examination and possibly labs and other tests, can your doctor correctly diagnose you and treat you effectively. ...Read more
Safe: Fosamax (alendronate) and other diphosphonates are helpful in maintaining bone density in older patients w/ bone osteopenia; usually documented w/ bone densitometry. Atypical proximal femur and hip fractures have been seen in patients on diphosphonates for long periods of time, but these are relatively rare. See your pcp or an endocrinologist for evaluation if you have questions about treatment alternatives. Gl! ...Read more
Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more
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