A fracture in the bone is a break in the continuity of the bone. There are different types of bone fractures. It includes stable fracture, open (compound) fracture, transverse fracture, oblique fracture, comminuted fracture. The symptoms include pain, swelling, inability to hold weight, bleeding, etc.
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How to manage a piece of bone that has protruded through the gums?
Query: Hi doctor, I had a tooth extraction after having Zoledronic infusions. A few weeks back, a small piece of bone protruded through my gums. It caused ulcers on my tongue. I took two courses of Amoxicillin. My dentist tried to pull the bone before realizing that it was fused with my bone. I was told... Read Full »
Answer: Hi,Welcome to icliniq.com.Please mention whether you have Paget's disease or osteoporosis. It is not a good sign to have bone exposure or protrusion. You did not mention the exact site. I assume that it is present on the lower tooth. Please mention whether the protruded bone came out through the soc... Read Full »
My left wrist is swollen after a bike accident. Can you please help?
Query: Hello doctor, I met with a bike accident three days ago and had swelling in my left wrist. I have got an X-ray (AP, oblique) of the left wrist. Currently, I am on Combiflam and Rantac medications. Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern, and I hope you are not in much discomfort. I have reviewed your X-ray images (attachment removed to protect the patient’s identity) and found a mild cortical irregularity in the area between the waist and distal pole of the scaphoid bone... Read Full »
I sprained my ankle very badly and got cast for one week. When will I be able to walk normally?
Query: Hi doctor, Last week I sprained my ankle very badly, and it was swollen. I thought it popped out, but luckily it was not. I got an X-ray, and nothing was broken. I got a cast, and yesterday it was removed and replaced with a bandage. I still walk using walking sticks, and it is still swollen. I have... Read Full »
Answer: Hi, Welcome to icliniq.com. Ankle joint injuries without any evidence of bony injury in the X-rays are mostly soft tissue or ligamentous injuries. MRI (magnetic resonance imaging) of the ankle and foot would be the best investigation for knowing the exact location of tendons or soft tissues. Swel... Read Full »
I have a fracture in the fifth metatarsal bone of my left foot. Should I get a plaster done?
Query: Hello doctor, My fifth metatarsal bone of the left foot is fractured. I do not have any pain, but there is slight swelling. Can I have a plaster? Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your attached X-ray (attachment removed to protect the patient's identity), and you have got a fracture of the distal shaft of the fifth metatarsal bone. It seems to be at its place and not displaced greatly. These fractures usually do not require surg... Read Full »
Please suggest some treatment for shoulder pain due to fall?
Query: Hello doctor, I fell on my shoulder from a higher surface to a hard floor last night, about 15 hours ago, and I have been having constant pain, and pain gets worse when I move it. Please help. Read Full »
Answer: Hello. Welcome to icliniq.com. I have read your query and will definitely help you out. Since you had a fall, the first thing I want to rule out is any fracture of your shoulder since you have severe pain and decreased movement. It can be ruled out with one X-ray of the shoulder. If there is any f... Read Full »
Why does my arm feel still and tender after an accident?
Query: Hi doctor, I recently had a car accident. I was passenger. How can my arm feel very still and tender? The doctor at the urgent care gave me Naproxen but my muscle is still tender and I have not been able to sleep at all. The doctor gave me Hydroxyzine which did not work. Read Full »
Dr. Hafiz Muhammad Hassan Shoukat
Answer: Hi, Welcome to icliniq.com. If it is just a bruise, then you just need to give it time and pain control with some NSAID like Naproxen, and need no intervention but only if your swelling start getting worse. But in any accident we should consider ruling out underlying bone fracture as bone fracture... Read Full »
My hypertensive sister-in-law has suffered a hand fracture. Kindly suggest what needs to be done by evaluating her x-ray.
Query: Hello doctor, I am attaching the X-ray reports of my sister-in-law, whose hand has been fractured. She has HTN. Kindly suggest the protocol she needs to follow step by step. Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen (attachment removed to protect the patient's identity) the X-ray reports. She has a fracture of the lower end of the radius just above the wrist, which is displaced with a tilt. I suggest a closed reduction and a below elbow plaster slab for one week. Repe... Read Full »
My left knee has extreme pain after I fell on a hard ceramic floor. Could it be a fracture?
Query: Hi doctor,About three weeks ago, I fell on a very hard ceramic floor. Even though it does not hurt while walking, I have excruciating pain when I touch my left knee. I even get a burning sensation. Every time I kneel, it is extremely painful. The spot that hurts is on the front of my left knee, a fe... Read Full »
Answer: Hi, Welcome to icliniq.com. It looks like there are two possibilities. 1) Undisplaced fracture. 2) Haematoma under the periosteal sheath, and it can be very tender too. If this is a fracture, then soreness will remain for over a week, and you will have more pain during weight bearing. Ice the s... Read Full »
My child has knee pain after falling from the trampoline and cannot straighten his knees. What should I do?
Query: Hello doctor, My six-year-old child has knee and shin pain. While jumping on the trampoline, he fell, screaming and holding his knee. He cannot put any weight on it and cannot straighten the knee. He has been pushing my hand away with his foot when I try to look at the knee. Kindly advise. Read Full »
Answer: Hello, Welcome to icliniq.com. I suggest you consult a specialist and start the following medication with their consent. Start the child on syrup Ibugesic Plus (Ibuprofen and Paracetamol) 6 milliliters twice a day for three days for the pain and swelling. Ice pack application may also help along w... Read Full »
My ankle got twisted after I fell from the skateboard. Do I have swelling on the outer side of my foot due to a broken ankle joint?
Query: Hello doctor,I fell off a skateboard 2.5 hours ago and landed on my ankle, which got twisted by 90 degrees. It is slightly swollen, and the swelling is about one and a half inches in diameter on the outer side of my foot. It pains when I press the swelling and the edge of the malleolar and midfoot. ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern, and I feel sorry for such acute discomfort you are having. Therefore, I will guide you regarding your problem. Thank you. Read Full »