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Doctor insights on: Weight Bearing Exercises For Non Ambulatory Patients To Increase Bone Strength

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Bone (Definition)

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


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What happens to your bones if you don't do weight-bearing activities?

What happens to your bones if you don't do weight-bearing activities?

Varies: Most everyone dies at least some weight bearing exercises, walking is a weight bearing exercise for example. But the implication is that placing a stress across the bones in the body can make them strong and not doing it can make them weak. Bed ridden patients can pretty rapidly get what is known as disuse osteoporosis, a weakening of the bones due to inactivity. ...Read more

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I have heard that "standing frames" - devices that move paraplegics to a standing position - help maintain bone density due to the weight-bearing aspect. Have any of you had actual experience with these? Any thoughts would be appreciated. Thanks!

I have heard that "standing frames" - devices that move paraplegics to a standing position - help maintain bone density due to the weight-bearing aspect.  Have any of you had actual experience with these?  Any thoughts would be appreciated.
Thanks!

Bone: I have been involved in "bone" since 1974 and have published about 130 articles. I will need to know what problems you have with your legs - . can you stand on them?. can you get in and out of a bath or shower? There are many more potential issues, the most important being your ability to stand and walk. Please send me more information! ...Read more

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What to do if i broke my left ankle mind communication in talus bone .I m on non weight bearing on foot for 7 weeks cast?

What to do if i broke my left ankle mind communication in talus bone .I m on non weight bearing on foot for 7 weeks cast?

Comminuted fracture: Unfortunately, bone healing takes a minimum of 4-6 weeks. Staying compliant with non-weightbearing orders until then and eating a healthy diet, not smoking and (my preference) not taking NSAIDs (as there is evidence that they inhibit healing) are all important. If your injury looks anything like the attached photo, your healing time could be much longer (12+ weeks) minimum to a year. ...Read more

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I had an open tib/fib fracture 7 years ago my dr didn't set my fib because it is a non weight bearing bone. Still have leg pain is it because fib?

I had an open tib/fib fracture 7 years ago   my dr didn't set my fib because it is a non weight bearing bone. Still have leg pain  is it because fib?

Unlikely: It is fairly unlikely, but not impossible, by now the fracture is likely healed. It is more likely that in the same injury you also injured some soft tissues in the area such as a ligament or tendon. Consider requesting an MRI if you are having trouble with it. ...Read more

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I fractured my left ankle mind communication in talus bone .I m on non weight bearing on foot for 7 weeks cast?

I fractured my left ankle mind communication in talus bone .I m on non weight bearing on foot for 7 weeks cast?

Yes...: Injuries to the talus may take a long time to heal and may need extended periods of immobilization. ...Read more

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After 6 weeks non weight bearing from surgery on malleolus fracture, when can I go on the HCG weight loss protocol without affecting the bone regrowth?

After 6 weeks non weight bearing from surgery on malleolus fracture, when can I go on the HCG weight loss protocol without affecting the bone regrowth?

Any time is a good. : ...time. Fractures R likely 2 heal no mater what. Even malnourished people can heal their fractures. The bone healing process is given preferential treatment by the body it steals what it needs from wherever it resides in Ur body. B sure U get enough calcium & protein. Starting on an exercise program needs the ok from Ur ortho surgeon. ...Read more

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Is there usually a period of non-weight bearing after ankle arthroscopy if bone spurs are removed from leg bones? No-microfracture of talus.

As comfort dictates: There is no specific reason that you can not put weight after arthroscopic spur removal. Weight bearing a tolerated usually is your status. Keep the ankle elevated higher than your heart for first few days to decrease swelling. It will hurt to walk on it initially so walkonit if you like to suffer, . As usual it is best to follow the protocol of your surgeon who did it, theyknow the situation best. ...Read more

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If Ana is negative do I need Ana profile hve joint pain on weight bearing rheumatologist hve noanswer tsh nuclear bone scan normal no swelling in join?

If Ana is negative do I need Ana profile hve joint pain on weight bearing rheumatologist hve noanswer tsh nuclear bone scan normal no swelling in join?

Use of test: The ANA has very limited use as a screening test. Nuclear scans are helpful in distinguishing inflammatory conditions (lupus, rheumatoid arthritis, myositis, etc.) versus non-inflammatory conditions. Pain with weight bearing and the lack of swelling suggest a mechanical cause. X-rays, MRI, and other tests may be more helpful than blood tests. ...Read more

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Sprained ankle 2 weeks ago on crutches for a week and in an air brace swelling not going down at all not weight bearing bone hurting out in side?

Are you elevating: The ankle above your heart for at least 30 minutes ever 2 hours? Are you able to ice it? Have you had pain and swelling higher up in the leg than you would expect considering the location of the injury? And lastly have you been evaluated by an orthopedist? One concern I have is the development of a deep vein clot due to trauma and decreased movement due to injury. I think you should be rexamined. ...Read more

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Fell with impact outside left ankle. Swelling no better with RICE. pain with weight bearing. Age 50 female with sjogrens disease. If bone is cracked?

Fell with impact outside left ankle. Swelling no better with RICE. pain with weight bearing. Age 50 female with sjogrens disease. If bone is cracked?

See your doctor: Have you tried an air cast? There may be a fracture. The only way to know is to have your doctor order appropriate radiographic tests. He/she can also treat your pain. It sounds like you need to make a trip to your doctor or to an orthopedic specialist. ...Read more

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2nd nonunion after failed ORIF- 3rd met. Now CRPS. Hard to walk, esp in shoes- podiatrist says weight-bearing helps bone. Sore- fx, CRPS. What to do?

TREAT THE CRPS: The CRPS has priority; it can be life changing. You should be in some type of pain clinic with multiple specialists well versed in CRPS tx. You may need another surgery for the non-union, but there is controversy if surgery should be done with active CRPS. Maybe a bone stimulator would help. I don't think WB right now is a good idea. Good luck! ...Read more

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Incurred an ankle fracture (bone chips) & torn ligaments 25 yrs ago. Daily pain with any weight bearing activity. How might surgery help?

Incurred an ankle fracture (bone chips) & torn ligaments 25 yrs ago. Daily pain with any weight bearing activity. How might surgery help?

Maybe: It depends on what your physical exam and xrays show. There are several procedures that may be considered aNd you could consider evaluation with your pmd and or orthopedic surgeon to discuss ...Read more

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Is it unusual for 57 yr man to still be only light touch weight bearing 4 weeks post op femur fracture with rods +screw. Possibility of bone graft?

Is it unusual for 57 yr man to still be only light touch weight bearing 4 weeks post op femur fracture with rods +screw.  Possibility of bone graft?

Dentistry and Hips: In dentistry, we always defer to the orthopedic surgeon. We cover all these patients with antibiotics prior to any dentistry. Your question should be answered by your surgeon. Dentistry always defers to the orthopedic surgeon. ...Read more