Bone is connective tissue. Any break in the connectivity of the bone is known as a fracture. It may be due to bone pathologies like cancer, osteogenesis imperfecta, osteoporosis, etc. In such cases, it is referred to as pathological fractures. It can also be due to trauma and road accidents. Fractures cause pain, swelling, bruise, inability to move the affected region, discoloration over the skin of the fractured site, and bleeding in case of open fractures. Immobilization is the primary treatment principle. Based on the site and intensity, plaster casts, screws, rods, plates, and external fixators approximate the fractured ends in their original shape and immobilized.

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Can you please suggest me treatment for a PIP joint fracture?

Query: Hi doctor, I am a 21-year-old female. Last week, I was playing basketball and ended up jamming my finger. The next day, I went to the ER, and they took X-rays and said I had a possible PIP joint fracture around my volar plate. They said I had to go back in 10 days for more X-rays. Since then, the sw...  Read Full »

Dr. Atul Prakash

Answer: Hi, Welcome to If the fracture (assuming it was there) was not seen on the first X-ray, then it is likely to be very small. Also, it indirectly means that there was no dislocation. I do not think in this circumstance that there will be any surgery indicated unless the joint is highly u...  Read Full »

I suffered an orbital blowout fracture. Should I get surgery or wait?

Query: Hello doctor, I am looking to inquire about an orbital blowout fracture that occurred three months ago. Two surgeons suggested surgery. One said to wait and see. I am demonstrating 1.5 millimeters enophthalmos (non-noticeable), no diplopia, and no other issues.  Read Full »

Dr. Vaibhev Mittal

Answer: Hello, Welcome to In medical science, it is common to have a different opinion about a medical issue, and in most cases, both opinions are fine. In your case, trauma occurred around three months back, and now there is no diplopia, no abnormal head posture, and no significant issue bot...  Read Full »

I had an accident few months ago and I have not treated my fractured jaw. Is it too late for treatment?

Query: Hi doctor, I had an accident, and I fell from my scooter two months ago. After first aid, the doctor prescribed painkillers and antibiotics. A few days later, I also met an ENT surgeon, and he concluded after an X-ray that there was no fracture to be seen. Later after 20 days, I had pain in my uppe...  Read Full »

Dr. Mohammad Emranul Islam

Answer: Hello, Welcome to I read your query, and I can understand your concern. The OPG (orthopantomogram) reveals a fracture on the right angle region involving the impacted wisdom tooth. The clinical picture shows that you have an improper and abnormal bite (attachments removed to prot...  Read Full »

My mother is suffering from acute leg pain. Filaria & femur fracture in right leg. Any suggestions for relief?

Query: Hello doctor, My mother aged 80 years is suffering from acute leg pain. She is a patient of filariasis in right leg and also femur fracture in the same leg. Reports of all recently done tests are normal. Please advice.  Read Full »

Dr. Pankush Arora

Answer: Hi, Welcome to What the patient needs to do is: Keep the affected leg elevated over two pillows. Take tablet Orthal forte thrice a day for three days. Take tablet Carnitor 500 mg twice a day for three days. Revert back with the x-rays and reports to an orthopaedician a...  Read Full »

How to cure my thoracic vertebra compression fracture?

Query: Hi doctor, I am a 72-year-old female. Recently I had a thoracic vertebra fracture (compression fracture) for bone number 12. I can hardly stand up and raise my hand. I was in bed for about a week. When I lay flat, I did not feel any pain. I am taking Calcitriol and Vitamin D3 supplements. I have lu...  Read Full »

Dr. Sachin Ranvir

Answer: Hello, Welcome back to I have gone through your MRI (magnetic resonance imaging) and x-rays (attachment removed to protect the patient's identity). I can see that there is a compressive fracture of the T12 Vertebra, which is stable. Currently, the best treatment is bracing, includ...  Read Full »

Why is my fractured finger swollen and bent?

Query: Hello doctor, I broke the top joint of my right pinky finger, two and a half months ago, late the night, before I was leaving for a two-month trip abroad. I tried to splint it, but it did not work, and it bent down by about 45 degrees, and now the joint is swollen. After getting an X-ray, now that ...  Read Full »

Dr. Sumit Chawla

Answer: Hello, Welcome to Two and a half months is a very long time for a phalanx fracture to heal. There is no role of splint after two months. So, I would not recommend wearing the splint for six weeks on a trial basis. To decide whether there will be any movement at the joint or not, I need...  Read Full »

Can a calcaneus fracture be treated with casting alone?

Query: Hi doctor, My 72 years old dad slipped while getting down from the top berth of a train, and he hurt his foot. We took him to a hospital and got an x-ray done. He was diagnosed with calcaneus fracture. The doctor has put him in a temporary cast, and he has advised reviewing after five days. Will thi...  Read Full »

Dr. Atul Prakash

Answer: Hello, Welcome to The x-rays (attachment removed to protect patient identity) shows a non-displaced fracture of the calcaneum, and it can be treated in a plaster slab till the swelling goes down. Then a cast for four weeks. He can bear weight on that foot as pain allows, after three w...  Read Full »

I broke the tip of the fibula during an ankle sprain. Will it get healed?

Query: Hello doctor, I broke the tip of the fibula during an ankle sprain. The broken part is bean shaped. Will it heal properly? Will it cause any problem to me? I am on bed rest since ten days with a plaster on my ankle joint.  Read Full »

Dr. Atul Prakash

Answer: Hello, Welcome to I have seen the x-ray (attachment removed to protect patient identity). Yes, this is an avulsion fracture. This actually looks like an old fracture, as the margins are well rounded. But no doubt that you have a small fracture in the fibula, and that bean shaped bone an...  Read Full »

How long does pain last after toe fracture?

Query: Hi doctor, I got injured three months ago. After the injury, I am experiencing pain in my fifth toe. I got a fracture of the middle phalanx of the fifth toe. A back slab was applied as a primary line of treatment, and then after a month, an ankle boot was placed as management. Even after two mont...  Read Full »

Dr. Atul Prakash

Answer: Hello, Welcome to You had a fracture in the proximal phalanx of the fifth toe, and it is undisplaced. You then spent two months splinted and slabbed. The most likely cause of pain at this stage can be 1) Stiffness which gets worse with splinting for a more extended period. I wou...  Read Full »

My son is having severe pain after punching the wall with his fist. Is it a fracture?

Query: Hi doctor, My 14 year old son punched a wall with his fist, and it resulted in an immediate swelling of a knuckle. I applied an ice pack immediately for 20 minutes, which decreased the swelling to some extent. The color of the skin has also slightly changed. He is complaining of severe throbbing pa...  Read Full »

Dr. Jeremy David O' Kennedy

Answer: Hi, Welcome to Sorry to hear about your son's injury. The clinical photograph that you provided (attachment removed to protect patient identity) shows some evidence of soft tissue injury and a small hematoma (a small collection of blood beneath the dermis) in the soft tissue overlying ...  Read Full »

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