Recently Answered Questions
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Please suggest treatment for arm fracture and rib injury.
Query: Hi doctor, My friend is a 40-year-old female. She met with an accident before 10 days. Her arms and shoulders got fractured. Her ribs too got injured. She is having chest pain, breathing problem and clot in blood vein. I have attached all her CT scan and X-ray reports with this. Please advise what... Read Full »
Answer: Hi,Welcome to icliniq.com.As per the reports (attachment removed to protect patient's identity) submitted, I understand that it was a major accident. She has multiple injuries to various parts. Usually, with such injuries, it is difficult to isolate each problem and provide a solution without seeing... Read Full »
Query: Hello doctor, It has been three weeks after falling from a height on a straightened dorsally bent palm. Considerable swelling and hematoma appeared near the anatomical snuffbox and on the elbow. The doctor diagnosed a scaphoid fracture and suspects damage to TFCC, ligaments LT, and SL. I am in a cas... Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. Based on your reports (attachments removed to protect the patient's identity), there is no fracture of the scaphoid bone. There is soft tissue contusion in the lateral part of the wrist and is extending to the pal... Read Full »
Query: Hello doctor, I am a 48-year-old female. While coming out of the bathroom I fell and broke my left upper arm middle third shaft and the humerus got displaced in the last month. I went to the hospital there doctor did an X-ray and gave first aid. The doctor gave two choices one is ORIF surgery ano... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the reports attached (attachment removed to protect the patient's identity). There is a midshaft humerus fracture and alignment seems to be fine. The doctor told you the right thing. It can be managed surgically and conservatively too. My principle in my ... Read Full »
Can hard lump on my forearm mean a fracture?
Query: Hello doctor, I hit my forearm yesterday and there is a hard lump now where it was hit. It does not hurt to move my arm or pick things up but does hurt if any pressure is put near the lump. It does not sound like a fracture, does it? I do not want to go to the doctor's office as everyone is sick and... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the attachments (attachment removed to protect patient identity). It does not seem like a fracture. I would like to know few things for clarity. Do you find any difficulty in moving your hand or anything else? Is there any kind of color... Read Full »
The doctor changed my wife's seizure medications. Is it safe?
Query: Hello doctor, My wife aged 43 years had fits (seizures) five years back. At that time, the blood reports, MRI, and EEG were normal and the doctor advised Epilex Chrono 300 mg twice a day. She used it for three years and then there was no episode of seizures during the last three years. So, on doctor... Read Full »
Answer: Hello, Welcome to icliniq.com. She had a recurrence of seizures after stopping the medications. Usually, it is continued for five years after the second episode. If the previous MRI was normal and if it was a 3T MRI, then there is no need for any further investigations. If it was a 1.5T (Tesl... Read Full »
Query: Hi doctor, My 8-year-old son had a hairline fracture in his right elbow. Fourteen days after fracture, since the pain was not reducing, the orthopedic applied synthetic plaster. It was kept on for 22 days. After opening plaster, his entire arm is swollen, with extreme pain in the wrist, fingers, el... Read Full »
Answer: Hello, Welcome to icliniq.com. Could you please send the picture of his arm? This will help me to guide you better. Thank you. Read Full »
I got injured in my fractured arm. What to do?
Query: Hi doctor, I have a plate in my right ulna from a previous injury. I have had one plate snap on me and had to have it replaced last month. It was a hard heal. As there was a 3 mm gap between both sides of the ulna, they decided to put synthetic bone graft around it. Tonight, I accidentally had a hit... Read Full »
Answer: Hello, Welcome to icliniq.com. There is no doubt that x-rays of the affected forearm should be done in both AP (anteroposterior) and lateral views to rule out any bony crack especially at the plate ends as these are potential areas of stresses. Until that time, my advice will be to start with ice pa... Read Full »
What is the best treatment for an 81-year-old woman?
Query: Hi doctor, My mother is 81 years old. She had undergone one left shoulder surgery due to a fracture in the neck of the humerus four years ago. She also had experienced a cerebral stroke resulting partial paralysis of the left hand and the left leg. Now, due to a sudden fall on the ground, she also ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your history as well as the images attached to it (attachment removed to protect patient identity). Your mother has fractured her right humerus and she also has osteoarthritis in right shoulder and osteoporosis. She had a cerebrovascular accident ca... Read Full »
Is there any recommendations to fix arm pain after titanium reconstruction for multiple fracture?
Query: Hello doctor, I have had a compound fracture of both the radial and ulnar forearm bones that resulted in two bones sticking out of my arm, torn ligaments and muscle, and nerve damage. I had the arm reconstructed with titanium and it has been two years since then. To this day, I still have nerve pai... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your complaint and seen your pictures. (attachment removed to protect patient identity). I feel sad that you had to undergo such a procedure and pain. Since you have chronic pain I would suggest you to use opioid analgesics like Oxycontin (Oxycodon... Read Full »
What is the treatment for malaligned fractured humerus bone?
Query: Hello doctor, Three and a half months ago, I fractured my humerus in a car accident. When I went to the hospital I had my arm put into a sling. Since then I have been going back to the hospital every three to four weeks for x-rays, what concerns me is that my doctors seem extremely unsure what to ... Read Full »
Answer: Hello doctor, Sorry to hear about your accident. From what I see on the Xrays attached, you sustained a humeral shaft fracture. (attachment removed to protect patient identity). These fractures tend to be very forgiving, that is, they do well in spite of a great deal of malalignment. Humerus has ... Read Full »