I had a finger PIP joint injury on my middle finger around 6 years ago.. since then my PIP joint has been thickened and swollen and the swelling actually had never gone down completely.. there is also some low grade instability in my PIP joint.. but i do not have any movement restrictions and pain.. is it actually normal, that the swelling around my joint is not going down anymore?
Normal is not the right word. Typical? Yes. We use our hands so much that the joint may never fully heal, especially if it's your dominant hand. If it has been this long, there has probably been a thickening in the capsule, which is what you actually are seeing, rather than swelling. As long as you don't have disability, I would say learn to love the finger as it is!
@@danimoffit9825 thanks for your comment!.. as youve mentioned earlier that i should "learn to love the finger as it is" is quite a complicated statement for me.. i might not have any restrictions on using my hand, but i just cant accept the fact that my finger is thickened and has a different form then my any other fingers.. my body might have accepted and adapted to my fingers situation, but my brain didnt.. its really hard to accept the fact that i have to live like this.. i think i have a lack of acception for difficult situations.. since i dont accept my fingers form, it is something that like my brain is always telling me sonsense stuff that i should fix my finger, so that it comes to the old state and is always manipulating me.. although, lots of doctors had told me that its normal that my finger is thicker then normal and will stay like this forever.. there is nothing they can do.. but my brain always tries to look for ways to fix my finger again.. i think my brain is playing with me, since i cant accept the situation of my finger.. i think i have some mental health problems..
I sustained this injury at 12 years old and went through hip fusion surgery. I'm 36 years old today. I stayed very active, becoming a competitive swimmer and go into weight lifting. Anyone else living with a fused hip?
Hi thank you for your video, i recently fell off a bike 5 days ago and the urgent care said i have Nondisplaced fracture of neck of left radius Nondisplaced fracture of left ulna styloid process. He put me on a splint. I am unable to see the orthopedic in the next month. When can i remove the splint and start doing my motion? Im no longer in pain!
Because both bones have fractures, you do not want to hurry the healing process. You can start with wrist flexion and extension exercises, but pronation and supination (rotating palm up/palm down) may put too much stress on the bones. You can start some flexion and extension of the elbow. It may feel "stuck" when you're trying to straighten your elbow, so you can work on that using gravity to help you (lay on your stomach on your bed or couch and allow the arm to straighten as much as possible). Again, stay away from pronation/supination until you see your orthopedic provider. Good luck!
@@danimoffit9825 thank you! So do you think it’s safe to remove the arm splint? And just focus on putting my arm on a sling? Because Im afraid that if i wait longer my arm would be too stiff
@@AnhNguyen-gd6cw If you're out in public, wear the sling. That way people will know to be careful around you. When you're home or not doing a lot, you can probably be ok without the sling.
My mother just suffered a comminuted spiral fracture of her left humerus and is in tremendous pain. The ER only gave her xray…left the sling on her arm the EMS placed(losely) and gave her 1 Norco then sent her home with an orthopedic referral. Her appointment is in 3 days. She’s barely gotten through 24 hours and she can’t bear for me to try and put a new sling on and can barely handle a stabilizing strap. Any suggestions? She’s older and has heart problems so I’m not sure what to do. Can’t move without pain. Not even sitting down…trying to walk…even laying down she’s crying. Of course no one in the ER explained what the fracture actually was…si thank you for this video
I am so sorry to hear about your mother! It sounds like patient-centered care was NOT included in the visit! The humerus is a major bone; I'm quite frankly shocked there wasn't an orthopedic consult in the ER. However, that is past so right now, my suggestions are these: 1. Heat or ice may help with the pain. Heat will probably be more comfortable, so if you have a heating pad, use it. 2. Alternate taking over-the-counter painkillers. You can use both Tylenol and Ibuprofen to help with pain. Space them out so every 2-4 hours she's taking one or the other. 3. Try placing a pillow or cushion under the arm to help support it. If she's on her back, having that will help prevent extra stress that would occur if there's not something in-line with her body. It may help when being seated, as well. 4. The sling is to protect the arm, but if she's not moving, it's not required. Often, the sling is to show OTHER people there's something wrong and to avoid it. I hope one of these suggestions will work for her. Again, I'm sorry she is going through this. I really hope the orthopedic appointment is positive for her.
Hi I have a patella subluxation but I'm a boxer however my PT said uts nothing serious and I can continue boxing but I'm scared it will dislocate somehow Any help
If you're nervous about it happening again, you can always use a brace with a lateral stay to help prevent future subluxations/dislocations. Strengthening the VMO can also help future injuries.
I'm a healthy slim 58 yr old male, fell hard and fractured greater trochanter, fixed with dynamic hip screw 12 hours later. All was going well, discharged from hospital 72 hours later, but 48 hours later my whole leg swelled up, lots of bruising, fluid, knee and foot throbbing, feeling very tight, so went back to A and E wondering if clots, it wasn't but they x rayed hip and found a new greater trochanter avulsion fracture. I was advised to minimize weight bearing on right foot for 5 weeks, that physiotherapy would be delayed and return for more x rays in 5 weeks. Those showed original fracture doing well, no change to avulsion fracture. I'm told that will probably heal itself in time, but there's a chance it may not so more x rays again in 5 weeks. I've now been given an appointment for first physio session and told I can weight bear as much as comfortable. But my knee, esp behind it and calf is still incredibly stiff, tight, I can only bend about 40-50% compared to my left leg, (they said I would normally be able to bend more at this stage) and the foot still sometimes throbs/burns a bit, especially evenings. Could this be a result of the avulsion fracture, and from your experience are you able to give any likelihood of the avulsion healing itself, or needing surgery? Obviously difficult to say without knowing specifics I realize.
Sir, I'm sorry you're going through this! You would hope that the screw would have been enough! The majority of avulsion fractures I have seen have been on adolescents, so I can only comment on that . . . They are young and have incredible healing capacities; the older we are, the more time it takes. To answer your question, though, I have never had a person need surgery for an avulsion fracture. All have healed on their own. Depending where the avulsion is, non-weight-bearing was important to the healing process at the beginning, with increases in weight-bearing throughout the process. An avulsion is a fracture; you are still at a minimum of 6 weeks, and longer depending on the severity. Throbbing/burning indicates that nerves are working! They may have been damaged (which is normal) during the initial surgery and they're trying to heal. The nerves in your leg come from your spinal cord and travel down the leg, branching as they go, which is why you may be having the symptoms lower in your leg. Trust the process. Your age (sorry, I'm there to) will slow things down a bit, but with time, you should make a recovery. Good luck with everything!
My MRI shows mild tenosynovitis of the biceps tendon (left arm). I've been doing physio therapy, saw kinesiologist, got massages, saw chiros. It's been 7 months and I made some progress but it's incredibly slow, I can only curl a 5 pound weight with my left arm without pain. Any suggestions to speed up recovery would be incredibly appreciated.
I'm sorry to hear you're having a rough go of it. Have you had an injection? It has been 7 months and you're not improving, so I wonder if that might be the next step? I would suggest follow-up with your physician (orthopedic, if possible) and see if that might be something that would help. It really has been enough time that you should be seeing better results. It's difficult for me to give you great advice from afar, but I would look toward the next step by speaking to a physician.
At this point? Probably. But you've lived with it this long and doctors may not want to surgically repair it. Make sure you see an orthopedic surgeon for a consult.
@@danimoffit9825 I wouldn’t say lived, but definitely existed. It still greatly effects my work and How i play with my children. Would you be able to send me some videos that would show me the surgery
In 2018 when I was 10 years old, I was trying to get up a concrete plateform. I hit my knee aginst the platform edge very hard. In my right knee, above the patella, I got hit. Since then, it has happened 6 times that while running, my patella displaces slightly, I lose balance and fall down. It is very painful. I can hear its sound while falling. I think I damaged my medial retinaculum or vastus medialis.
It's more likely to be the retinaculum than the muscle. This many years later, your muscle would have healed. Unfortunately, the retinaculum can get damaged and it doesn't repair itself. If your patella is continuing to sublux, I would suggest you fine a rehabilitation specialist (e.g., PT, athletic trainer) to teach you exercises to help prevent it from happening. You can also get a brace with patellar stability, but make sure someone can help you find the correct one. Find a good specialist to help you!
Hlo mam my 3rd metacarpal has fracture and i don't feel pain but suddenly i was x ray seen my fracture was allready show in xray obligue am remove pop (plaster of Paris)
Hi Ma'am. I've punched a wall out of anger six months ago and my right wrist hasnt completely healed yet. I've don only an XRAY to see if theres a fracture, and the attending physician said that I dont have a broken bone or any fracture. I've decided to not go to the doctor anymore thinking that it'll heal quite fast but up to this day, I can't do a "flexion" on my wrist and significantly affected with my training as an amateur boxer, any advice will be really helpful. Thanks!
also, the sprain is on my dominant hand. My coach said it can be fix by simply massaging it and believing that its only a "nerve" that is stuck between the bones of my wrist
@@wyric278 I would suggest you find an athletic trainer or physical therapist to help you. You may need something as simple as some joint mobs to help get motion back. That being said, I haven't evaluated it, so don't take that as a recommendation! There may be more appropriate treatments. Please find a rehabilitation specialist who can look at it and provide care. Good luck . . . Don't punch walls anymore!
This just happened to me for the first time at 29, with an sprained ankle, already went to the hospital and on meds, i am really scared it can happen again since i'm seeing comments of people that have been through this several times
If you are active, it can happen again. But you can also do some strengthening to help prevent it from happening again! Find yourself an athletic trainer and/or physical therapy who can teach you the exercises you need to strengthen the muscles and work on any biomechanical issues that may be contributing to the first subluxation. You can also wear a knee brace to support it, but try some rehabilitation first. You're young enough that you can fix this!
I think I have this; it isn’t painful or anything. It does feel kinda strange when I try to straighten it, that’s it. I don’t recall ever injuring my finger either. I’ve had this for a while, but I didn’t realise it was a deformity. I thought it was just a weird quirk my finger had, nothing more. So what do you think, doc; should I try to do anything about it or just wait to see if it’s actually a problem, i.e. it starts hurting? Btw, thanks for the videos; they're useful.
If it doesn't hurt, don't fix it! This is a condition you may sometimes see with arthritis, as well, so there may be some underlying pathology. Regardless . . . If you're not having any issues with it, don't fix something that is already working!
Mam I outstreched my hand 2 months ago I have pain from that time so now when I rotate my wrist there in pain in centre normal pain without rotating tell me now what I have to do what it should be??? Facture or ligament tear or sprain I am scared now because it going to two months tell me how much time it cam take to heal if it is a sprain muscle mass of the wrist is also decresed as compared to another wrist
It's difficult for me to tell you what to do without looking at it. Is it your dominant hand? If you use it a lot, it may take longer to heal. If you haven't had it evaluated by a physician, you may want to do that. You may also want to get a wrist brace to provide support so it can heal. You want to make sure you don't have a fracture or a dislocation that is causing problems. When you can rule that out, then the soft tissue can be looked at. The only way to be certain is to have someone look at it. I'm sorry I can't help you more.
I feel like I sprained my wrist but I honest don’t even know…. I just started a job and I picked up something a little too heavy with my right hand (I’m right handed) so it’s been almost a week for this pain… I don’t remember the day honestly… all the days seem to feel the same…. I can’t bend or twist my wrist a certain way like I can with my left wrist which is annoying…. I can’t open a water bottle… I get massive sharp pain when gripping something small… and with work (I work with a trash company) and I have to throw trash into a dumpster and I’m tryna use my left hand but it’s difficult… and I carried a bag again a little too heavy last night and I cursed (my bad for that one.) it just hurt a lot… which was a lot of sharp pain. Cause I mean when I move my wrist it feels uncomfortable and tight like a painful kind… but if I lift something too heavy like a gallon of milk it hurts so badly… and I’m just tryna do the best I can right now with a hand brace which kinda works I guess but I’m always still in so much pain. I’m just very clumsy so I always seem to get myself hurt without knowing apparently…. I even ran into my wall a few days ago and my left arm is still hurting ( yea two different parts of my arms) I apparently don’t know how to avoid walls lol. Any advice is appreciated please. I just wanna be able to help my coworkers a lot faster cause I’m hella slow right now.
Depending on where it hurts, it can be more than a sprained wrist. I suggest (if possible) that you see a physician, preferable one that has a background in orthopedics. I can't imagine you would have fractured anything, just from the mechanism of injury. An emergency room trip is going to lead to x-rays and a referral unless you are lucky enough to have an orthopedic doc on call. If you can see someone who knows bones and/or the wrist will be your best bet. IF you know an athletic trainer, you might want to ask them to take a look at it too. A wrist brace that can be purchased at a drug store may help with the pain while you're doing your work. You can have a soft-sided one, or one that has a hard cast-like stay. That is up to your comfort. Good luck . . . I hope you can get it looked at!
Hello doctor. I have 3rd Metacarpal fracture. Slightly displaced. No bents. I don't feel pain from bone fracture area anymore. Also swelling is also almost gone. My ortho doctor just said I don't need pinning. The fracture is medically safe to heal without involving surgery. I'm on 32 day with cast btw. I'm getting it off on 42 day (6 weeks). I'm curious. How long will it take for my hand to be used for keyboard typing? I'm a programmer and this 32 day with one hand coding is difficult.
Hello! I'm sorry for the injury; not very helpful for work! At 6 weeks you should be fine for keyboard typing. Technically, it will not be 100% for potentially 2 years . . . But that will not effect typing. The only issue you may encounter is your hand being tired because of 6-weeks of disuse. However, it's a small appendage and you should bounce back quickly.
I'd like to add something because I've been watching videos concerning this topic because I'd like to understand this type of fracture more and not once have I heard a doctor mention arm wrestling as a cause for a spiral fracture. Just thought I'd throw this in there as I am an arm wrestler by night and mechanic by day. Competitive arm wrestling can put you in a perfect position for this to occur as well as alignments on cars, especially when the damn things are seized up.
i’m watching this video just because i’m recovering from my spiral fracture to the humerus right now, and i got mine from a car accident. no idea how though
I have Mildly displaced fracture at tip of the distal phalanx of right index finger I am wearing a finger splint mallet. Can you tell how much time will it take to heal.
Im positive for the stutter test and Hugston. I’ve been diagnosed with something called lateral patella compression. What are the chances do you think that I have developed a plica or that the compression is causing this?
Plica is something you are born with, it can't be developed. Did you have an MRI to confirm? I ask only because I have had patients who the MDs thought were meniscal tears and in surgery realized it was plica. Lateral patella compression is a tilt of the patella, which can be relieved with taping techniques and rehabilitation/strengthening. Were you referred for either? It may be worth your time to look into seeing an athletic trainer or physical therapist to help with that. It may or may not be plica, but try to get some help first, before jumping to that diagnosis.
@@danimoffit9825 thank you for your response. I really like your videos you’re very informative. yes I have had this pain for 2 years.. it has gotten better through strength exercises. I have made a lot of progress. But in the last 6 months I have developed a weird sensation.. When I stand up or extend my knee to 0 degrees after sitting for a long period of time I get this “squishing” type of pain it subsides shortly after.. My knees used to never feel hot, now the more I exercise or walk I get this burning/hot sensation. I have one knee that’s worse than the other. when I bend my knees and contract my quads my VMO on the bad knee doesn’t want to contract but the rest of the quad does. weirdly enough if my other VMO fires perfectly and makes an abrupt upward motion as a good response. I have no pain with stairs, have no pain running for short periods. My pain is worse in the first 40-60 degrees knee flexion, the deeper I go the better I feel. Around that 40-60 degree mark my kneecap or something under this cracks or slips.. the more I make this slipping popping sensation my knee starts to burn up. I’m thinking I have some sort of tissue impingement that is causing this to occur, maybe it’s stuck under my kneecap. The symptoms just don’t perfectly match up to PFPS or lateral patella pain. I had an xray that saw my kneecap has became tilted and subluxes on the sunrise view in I think what is taken at 30 degree knee flexion, got an mri 1 week ago and I have got the results from a radiologist it says everything looks perfect except “mild joint fluid buildup” the mri was taken with knee fully extended and it said the dynamic stabilizers lateral/medial are in perfect shape, the kneecap is in perfect position. I think what has happened recently is there is something on the medial side underneath my kneecap or the fat pad has impinged and lodged itself under my kneecap subsequently causing inhibition of the vmo, creating this excessive pressure but only during knee flexion.
@@danimoffit9825 and I am reviewing the mri with my orthopedic on Friday who was wanting to do a Fulkerson Osteonomy because he thought I was wearing down cartilage based off mri, and I really don’t want to do this now after seeing the mri results. I’m sure he will agree… I’m wanting him to arthroscope the knee to possibly remove any impingement or bad buildup, and so diagnostically watch how the kneecap is tracking through different ranges of motion. What do you think about all of this Ik it’s a lot to read lol Thanks!
When I stand I can easily move my patella to the left and right with my hand. The other leg that feels normal the patella doesn't move at all. Also when I do the splits my kneecap tracks inward, Is this a possible subluxation?
You shouldn't be able to move your patella when the leg is extended. It may not be a full subluxation, but the laxity is not good. If it continues, you have a much greater chance of dislocating it. It may be worth having it seen by an orthopedic physician. It could be due to muscle weakness, but you may have damaged the other tissues that should keep it in place. You may be able to strengthen it with rehabilitation.
@@danimoffit9825 thank you for reply...i have taken corticosteroid...its been 3 months..still i have pain..and can't do overhead throw movements... which exercises would you suggest? ...and also should I ice pack shoulder or hear pack? And for how much time in a day? Frequency in a day?
dani. on 4th jan i got boxers fracture 5th metacarpal neck 31 degrees. i got a cast via emergency. 8th jan i met an orthopedian and did x-ray again. orthopedian never removed my cast for checkup, he just looked at x-rays. he said that i dont need surgery because im under 50 degrees and that i need to use cast 4 weeks. but im worried because i dont want it to heal in unnatural position. is it possible to push it back to original position without surgery? im scared. guide me please. my x-ray is similar to wikipedias picture. en.wikipedia.org/wiki/Boxer%27s_fracture
The degrees sound like a lot, but in reality, aren't. When the hard callous forms while healing, it will help it maintain the "normal" look of the bone. You should be fine.
I got radial head fracture type 1..i get cast for 3 weeks... After 3 weeks i take xray ..in that impression ##Old_healed_fracture_noted...Now what should i do sir. please reply me
Start working on strength. Get a ball you can squeeze in your hand and start ball squeezes. You can also begin range of motion exercises, palm down, palm up, and elbow straightening and bending. Don't make it hurt. Just do it to start get movement. Use heat if it feels good.
Hello Doctor, I am a 20-year-old young man. I have a deformity in one hand more than the other. I went to a rheumatologist and he told me that I do not suffer from any autoimmune disease or rheumatism. What is the cause of the deformity in your opinion? Note that I do not remember if I had a deformity when I was young. I noticed it a while ago and used splints and some vitamins, but I did not improve. Please note that I do not suffer from any pain in the fingers. It is just a deformity.
Honestly, it's hard to tell. You may have injured it without being aware, which led to the deformity over time. There is usually some type of tissue damage or joint condition that leads to it. As long as it isn't painful for you, I wouldn't worry about it. If it does start getting painful, then you may need to consider a second opinion.
I’ve had hip impingement surgery and hip avulsion fracture surgery back in 2021, I did some physical therapy but my rectus femoris still seems to be weak. I’ve tried laser therapy, cupping and scrapping but it only gives me a temporary relief. It hurts when I sprint and squat. Left leg feels 100% and my right leg feels 70%.
I'm sorry to hear you're not completely healed. If the avulsion was the rectus attachment, there will be a delay in the healing. In reality, the bone could take up to 2 years to heal . . . Which it sounds like you have now reached. My suggestion is to do exercises not only for strength, but also for endurance. When you are doing exercises, do both high weights with low reps (e.g., 3 x 5-8, slow) and low weights with high reps (e.g., 3 x 15, fast but controlled). Additionally, you need to be doing both knee and hip exercises. The hip is often neglected in favor of knee extension exercises. Make sure you're including things like dead lifts, which focus on hip flexion. Take advantage of the internet. Look for hip flexion and knee extension exercises and make sure you're doing both. Good luck!
Hey yesterday at football i got hit in the hand with a powerfull shot when i wasnt paying attention and i feel alot of pain in ny wrist, i can use my fingers , i cant pronate full i feel pain on the radius bone, my hand doesnt look destroyed How can i see if its sprained or broken ? pleasee
Since a common wrist bone to fracture is the scaphoid, which is just distal to your radius, I would suggest you get it evaluated. If the scaphoid is fractured and you don't get it treated correctly, it can lead to life-long complications.
@@danimoffit9825 What if i will wait few days the hit was 2 days ago but i feel the recovery and i do rehab exercieses and now i am rotating my wrist without pain or problem, I think that i more likely sprained it, i feel how slowly my mobility comes back and gripping!
Hello Doctor, I broke my 1 metacarpal shaft Which is oblique 3rd MC Slightly displaced not fully broken If i view the oblique angle its look like non broken But in AP view its oblige fracture Now what to do? Casting will help or pinning As it is 3rd MC rt. Hand Do i go for pinning
If you were my patient, I would refer you to an orthopedic physician. You may not need pinning, but you don't want it to remain at an angle. Chances are, surgery may be an option. Do it sooner than later. You don't want it to heal incorrectly. Good luck!
Hi! I just got a Mason 1 radial head fracture falling from bike. The doctor told me to use a spling for a week but removing it at home not to lose mobilization of the elbow. Is it possible that i just need a spling like ‘some hours’ per day? I have no severe pain but swelling and weakness when holding something (i am in day 4 after the fall) Thanks!!
I'm guessing you were told to wear it out and about to keep you safe. If people see you in a splint, they tend to be careful with you. Also, at this time of year (depending where you live) it can keep you safe in case you slip and fall. That being said, if you're not doing anything where you'll interact with a crowd, you'll probably be okay without it on. I hope that helps!
@@danimoffit9825 Thank you so much for your answer. The doctor also advised me to start kinesis therapy as soon as I can. Does this early motion damage the fracture or is it ok to move it even if it’s only 9 days after the trauma? Again thank you!
@@tommasomaruccia5645 Moving the arm into extreme end range of motions is not advised for a few weeks, but you can do some range of motion. Additionally, you can do some strengthening by squeezing a stress ball, 1/2 of a tennis ball, dog toy . . . whatever you have available. It will prevent the muscles from atrophy.
Hi i'm more so here just out of pure curiosity as it was a question that popped randomly in my head but it is somewhat normal to be able to slide your kneecaps right? I can't exactly do it to the same extent as the guy in the video but if i'm standing i can shift it from side to side Thats normal right? Just wanted to hear it from someone
It is normal. You'll be able to move it more when you are seated with your legs stretched in front of you because there isn't muscle contractions holding it in place. If your patella didn't move, you'd end up with a lot of arthritic issues!
Because of rainy slippery i fell on my wrist after that my swollen healed but not the pain. The question is wrist pain 50% healed in one week but not healing 100% it's been 3 weeks.
Did you get an xray to make sure it isn't broken? Normally, a fracture (if that's the case) take 6 weeks to heal, but that's with immobilization. You may want to have it looked at to make sure it's not broken. If that's not possible, give it at least another 3 weeks.
With all due respect, I don’t have a channel myself for the 17 years I’ve been in medicine but these slides and complex language clinically don’t attract common ppl which is an audience for a UA-cam channel. Dumb down the content and material and maybe show your face and body describing the injury and information. This is like a boring lecture we all had to attend for school or annual credits. It’s giving me a headache.
I've realized I'm in the wrong place but if you happen to check comments and can assist I'd love to hear your thoughts. Sometimes I have knee pain for several days or weeks. Might be letting my work boots lose tread and forging on. (I noticed less pain with new boots) Though I also would sit in a w shape with my knees out in front of me through out school. I found it more comfortable than criss cross. Later I noticed I walk with my toes outward when others don't and mostly corrected it on my own. I also try not to sit in the "w" shape now. Not sure if I should spend the money to get these quirks checked out as I don't have health insurance
@@shangster42 I know I need new shoes when I have pain to a specific place in my lower extremity, so you may be on to something there with your work boots. You have definitely describe some biomechanical issues that can lead to knee issues. It sounds like you would benefit from Patellafemoral Syndrome exercises. (www.massgeneral.org/assets/mgh/pdf/orthopaedics/sports-medicine/physical-therapy/rehabilitation-protocol-for-patellofemoral-pain-syndrome.pdf). This document has a lot, but I wanted to make sure you could see the name of exercises that would be helpful. Focus on the Intervention section, specifically the mobility, strengthening, and balance/proprioception. If you don't know how to do those exercises, watch a video on UA-cam. I encourage people to start off with 1x10 of each exercise, working up to 2x15. As soon as you're not doing the exercise correctly, stop. You'll work your way up. IF, after doing these exercises, you're stilling having problems, I would encourage you to see a professional, such as an athletic trainer or orthopedic physician. But try this first! Good luck!
Strange situation, by chiro adjusted my lumbar and pelvis too much, causing APT and knee hyper extension. I did all activities with this knee hyper extension for 5 months before i diagnosed and fixed my posture to stop knee hyperextension. The hyper extension and hinging on the ligaments left me with loose knees. Highly likely that the LCL is stretched via multiple microtares in the last 5 months. as i have lateral knee instability in that direction, when i have my knee bent (lcl is more loose with more knee flexion). Less likely the MCL as that is thicker and stronger. PCL and ACL are most likely fine. Do you think i could try prolotherapy injection to LCL?
You're right, strange situation! Prolotherapy may be a good choice, but you might also consider a PRP (platelet rich plasma) treatment. The LCL is not usually injured, so the treatment could help the ligament; the hamstring may also be strengthened by it. If you're really loose, hamstring strengthening (specifically the biceps femoris) should be focused on. Good luck!
@@danimoffit9825 Hi Dani thanks for the reply. I shall be looking into an MRI scan of the knee aswel to rule out further damage. And I have been working on half squats and some hamstring excersizes meanwhile, to keep the knee joint strong with the help of mucsles. Until my knee ligaments heal. I will keep PRP in mind, i thought it was very similar to prolotherapy
@@High.Vibe.Living It sounds like you're on your way. The MRI scan is probably a good idea. PRP is similar; it really depends on the physician and what they want to use. Good luck with everything!
Ci sono 3 cose da provare: Trattare il disturbo sottostante che causa la deformità, come l'artrite reumatoide o il trauma; utilizzare stecche per le dita, come stecche ad anello d'argento, che supportano le articolazioni e impediscono ulteriori piegamenti; o sottoporsi a un intervento chirurgico per correggere l'allineamento dei tendini, dei legamenti e delle ossa del dito. Un medico dovrebbe prendere questa decisione per te.
Hi, I am 16 and throughout my life I have had occurrences where I have bent my right knee and it feels like it suddenly seizes up and hurts, I then have to straighten it out to hear it pop back in place and the pain goes away. I would say I’ve had it happen about 4-6 times throughout my life since I was about 11 maybe. It happens very infrequently. However, the instant pain of it has always made me extremely apprehensive when bending my right knee or kneeling and stuff like that. I have never worried too much about it and it hadn’t happened for awhile but it did today. Since it hadn’t happened in awhile I haven’t been apprehensive much of bending my right knee, but now it’s going to be in the back of my mind for quite awhile. It’s always so random and the fear of it happening/ the fear of the pain is quite strong. I went to crouch to get something from a low shelf while I was at work when I felt the sudden seize in my knee as I bent it, and being familiar with this I quickly stood up even if it hurt so it could pop back in place, since I was at work I had to react quickly because I didn’t want any issues and just had a bit of a limp for a couple minutes but it wasn’t too bad. Just felt a little pressure/ pain at the knee occasionally when bending/ moving it but barely. I’ve never had much issues with the aftermath, usually just letting my leg rest and it feels fine within a day or two. However it concerns me that this is still happening to my knee after so many years and I was thinking I should probably get it looked at, after some research I was thinking maybe I had patella subluxation, or something similar. I also noted that literally yesterday I had been using my knee a lot, doing a lot of crouching and kneeling when I was cleaning for hours yesterday which I don’t normally do, which, with the timing, makes me suspect it may be why my knee did that when it hadn’t for at least a year or two. I am just looking for another opinion, but I probably will go see a doctor about it soon anyway. Thanks :)
Hello. It sounds like you have really thought about this. This nice thing is if this is what is truly happening, it hasn't progressed to something more serious. However, if you don't take care of what is happening, you can end up with life-long issues. Your patella is not supposed to move like that and the abnormal tracking will destroy the articular cartilage, leading to osteoarthritis. My point is, please get it looked at. If you have an athletic trainer at your school, they may be able to show you some exercises that will help decrease your problem. If that's not possible, please go to an orthopedic physician who can help you in various ways, including referring you to rehabilitation. It may not seem like a big deal, but 40 years down the road, you don't want to have to have a knee replacement because it didn't get taken care of now. Good luck with this!
You don't talk about the surgical techniques to treat SH. What type of surgeries are there to treat the condition? Is TAPP laparoscopy with mesh a possibility?
My responsibility is to refer for the surgical decisions. There are different types of repair and it is often based on what the surgeon chooses to do. Yes, the surgery you mentioned can be a possibility, but I am not the best expert to discuss the various surgical options.
I can't tell you if it's a fracture; only an x-ray can do that. The symptoms could last for several weeks depending on the severity, your age, how much you use the wrist, etc.
What are the chances of a 2 year old girl having it? My daughter went down a slide 5 days ago and is in terrible pain and hasn't been able to walk since. She always has her leg to the side. A physio is worried she has this but the hospital has checked for everything else but this. They say she isn't the right age.
It would definitely be unusual, but because it's a growth plate injury, it could definitely be a concern. Did she get a hip x-ray? It may have been visible there. Did they rule out a hip dislocation? That may also be the problem and is more common for that age. If I were her parent, I would pursue it. It's better to be wrong than have it be ignored!
I only feel pain if I twist my wrist all the way to the left but if I do it as a stretch back and forth the pain temporarily goes away Why is that? I slid on it playing baseball it’s been 2 months still hasn’t healed 😢
If I were you, I would have someone look at it and make sure you didn't break a bone. Try to see an athletic trainer or an orthopedic physician. If you fractured that bone (which would explain the pain with twisting, especially if it's the right hand), you don't want to ignore it!
I had a finger PIP joint injury on my middle finger around 6 years ago.. since then my PIP joint has been thickened and swollen and the swelling actually had never gone down completely.. there is also some low grade instability in my PIP joint.. but i do not have any movement restrictions and pain.. is it actually normal, that the swelling around my joint is not going down anymore?
Normal is not the right word. Typical? Yes. We use our hands so much that the joint may never fully heal, especially if it's your dominant hand. If it has been this long, there has probably been a thickening in the capsule, which is what you actually are seeing, rather than swelling. As long as you don't have disability, I would say learn to love the finger as it is!
@@danimoffit9825 thanks for your comment!.. as youve mentioned earlier that i should "learn to love the finger as it is" is quite a complicated statement for me.. i might not have any restrictions on using my hand, but i just cant accept the fact that my finger is thickened and has a different form then my any other fingers.. my body might have accepted and adapted to my fingers situation, but my brain didnt.. its really hard to accept the fact that i have to live like this.. i think i have a lack of acception for difficult situations.. since i dont accept my fingers form, it is something that like my brain is always telling me sonsense stuff that i should fix my finger, so that it comes to the old state and is always manipulating me.. although, lots of doctors had told me that its normal that my finger is thicker then normal and will stay like this forever.. there is nothing they can do.. but my brain always tries to look for ways to fix my finger again.. i think my brain is playing with me, since i cant accept the situation of my finger.. i think i have some mental health problems..
I sustained this injury at 12 years old and went through hip fusion surgery. I'm 36 years old today. I stayed very active, becoming a competitive swimmer and go into weight lifting. Anyone else living with a fused hip?
Hi thank you for your video, i recently fell off a bike 5 days ago and the urgent care said i have Nondisplaced fracture of neck of left radius Nondisplaced fracture of left ulna styloid process. He put me on a splint. I am unable to see the orthopedic in the next month. When can i remove the splint and start doing my motion? Im no longer in pain!
Because both bones have fractures, you do not want to hurry the healing process. You can start with wrist flexion and extension exercises, but pronation and supination (rotating palm up/palm down) may put too much stress on the bones. You can start some flexion and extension of the elbow. It may feel "stuck" when you're trying to straighten your elbow, so you can work on that using gravity to help you (lay on your stomach on your bed or couch and allow the arm to straighten as much as possible). Again, stay away from pronation/supination until you see your orthopedic provider. Good luck!
@@danimoffit9825 thank you! So do you think it’s safe to remove the arm splint? And just focus on putting my arm on a sling? Because Im afraid that if i wait longer my arm would be too stiff
@@AnhNguyen-gd6cw If you're out in public, wear the sling. That way people will know to be careful around you. When you're home or not doing a lot, you can probably be ok without the sling.
My mother just suffered a comminuted spiral fracture of her left humerus and is in tremendous pain. The ER only gave her xray…left the sling on her arm the EMS placed(losely) and gave her 1 Norco then sent her home with an orthopedic referral. Her appointment is in 3 days. She’s barely gotten through 24 hours and she can’t bear for me to try and put a new sling on and can barely handle a stabilizing strap. Any suggestions? She’s older and has heart problems so I’m not sure what to do. Can’t move without pain. Not even sitting down…trying to walk…even laying down she’s crying. Of course no one in the ER explained what the fracture actually was…si thank you for this video
I am so sorry to hear about your mother! It sounds like patient-centered care was NOT included in the visit! The humerus is a major bone; I'm quite frankly shocked there wasn't an orthopedic consult in the ER. However, that is past so right now, my suggestions are these: 1. Heat or ice may help with the pain. Heat will probably be more comfortable, so if you have a heating pad, use it. 2. Alternate taking over-the-counter painkillers. You can use both Tylenol and Ibuprofen to help with pain. Space them out so every 2-4 hours she's taking one or the other. 3. Try placing a pillow or cushion under the arm to help support it. If she's on her back, having that will help prevent extra stress that would occur if there's not something in-line with her body. It may help when being seated, as well. 4. The sling is to protect the arm, but if she's not moving, it's not required. Often, the sling is to show OTHER people there's something wrong and to avoid it. I hope one of these suggestions will work for her. Again, I'm sorry she is going through this. I really hope the orthopedic appointment is positive for her.
Hi I have a patella subluxation but I'm a boxer however my PT said uts nothing serious and I can continue boxing but I'm scared it will dislocate somehow Any help
If you're nervous about it happening again, you can always use a brace with a lateral stay to help prevent future subluxations/dislocations. Strengthening the VMO can also help future injuries.
@@danimoffit9825 Well my PT says I only should wear a brace at boxing
@@danimoffit9825 So if I use a brace at boxing it won't happen again?
@@omeromer3473 I can't guarantee anything, but it can help protect it. I really think you need to also consider VMO strengthening to help.
@@danimoffit9825 Yes mam I am already strengthening my VMO
I'm a healthy slim 58 yr old male, fell hard and fractured greater trochanter, fixed with dynamic hip screw 12 hours later. All was going well, discharged from hospital 72 hours later, but 48 hours later my whole leg swelled up, lots of bruising, fluid, knee and foot throbbing, feeling very tight, so went back to A and E wondering if clots, it wasn't but they x rayed hip and found a new greater trochanter avulsion fracture. I was advised to minimize weight bearing on right foot for 5 weeks, that physiotherapy would be delayed and return for more x rays in 5 weeks. Those showed original fracture doing well, no change to avulsion fracture. I'm told that will probably heal itself in time, but there's a chance it may not so more x rays again in 5 weeks. I've now been given an appointment for first physio session and told I can weight bear as much as comfortable. But my knee, esp behind it and calf is still incredibly stiff, tight, I can only bend about 40-50% compared to my left leg, (they said I would normally be able to bend more at this stage) and the foot still sometimes throbs/burns a bit, especially evenings. Could this be a result of the avulsion fracture, and from your experience are you able to give any likelihood of the avulsion healing itself, or needing surgery? Obviously difficult to say without knowing specifics I realize.
Sir, I'm sorry you're going through this! You would hope that the screw would have been enough! The majority of avulsion fractures I have seen have been on adolescents, so I can only comment on that . . . They are young and have incredible healing capacities; the older we are, the more time it takes. To answer your question, though, I have never had a person need surgery for an avulsion fracture. All have healed on their own. Depending where the avulsion is, non-weight-bearing was important to the healing process at the beginning, with increases in weight-bearing throughout the process. An avulsion is a fracture; you are still at a minimum of 6 weeks, and longer depending on the severity. Throbbing/burning indicates that nerves are working! They may have been damaged (which is normal) during the initial surgery and they're trying to heal. The nerves in your leg come from your spinal cord and travel down the leg, branching as they go, which is why you may be having the symptoms lower in your leg. Trust the process. Your age (sorry, I'm there to) will slow things down a bit, but with time, you should make a recovery. Good luck with everything!
Thanks so much for your full reply and expertise, much appreciated and very encouraging too!
@@goldennuggets75 You're welcome!
My MRI shows mild tenosynovitis of the biceps tendon (left arm). I've been doing physio therapy, saw kinesiologist, got massages, saw chiros. It's been 7 months and I made some progress but it's incredibly slow, I can only curl a 5 pound weight with my left arm without pain. Any suggestions to speed up recovery would be incredibly appreciated.
I'm sorry to hear you're having a rough go of it. Have you had an injection? It has been 7 months and you're not improving, so I wonder if that might be the next step? I would suggest follow-up with your physician (orthopedic, if possible) and see if that might be something that would help. It really has been enough time that you should be seeing better results. It's difficult for me to give you great advice from afar, but I would look toward the next step by speaking to a physician.
PowerPoint!!!
I’ve had this for 20 years. Massive knot on my knee that hurts when thumped. Is the only way to repair this with surgery?
At this point? Probably. But you've lived with it this long and doctors may not want to surgically repair it. Make sure you see an orthopedic surgeon for a consult.
@@danimoffit9825 I wouldn’t say lived, but definitely existed. It still greatly effects my work and How i play with my children. Would you be able to send me some videos that would show me the surgery
pwd po ako mag Tanong saan pwd po ako lomapit may dislocated ako sa elbow Hindi ko kasi alam saan ako lomapit
In 2018 when I was 10 years old, I was trying to get up a concrete plateform. I hit my knee aginst the platform edge very hard. In my right knee, above the patella, I got hit. Since then, it has happened 6 times that while running, my patella displaces slightly, I lose balance and fall down. It is very painful. I can hear its sound while falling. I think I damaged my medial retinaculum or vastus medialis.
It's more likely to be the retinaculum than the muscle. This many years later, your muscle would have healed. Unfortunately, the retinaculum can get damaged and it doesn't repair itself. If your patella is continuing to sublux, I would suggest you fine a rehabilitation specialist (e.g., PT, athletic trainer) to teach you exercises to help prevent it from happening. You can also get a brace with patellar stability, but make sure someone can help you find the correct one. Find a good specialist to help you!
Hlo mam my 3rd metacarpal has fracture and i don't feel pain but suddenly i was x ray seen my fracture was allready show in xray obligue am remove pop (plaster of Paris)
Keep it stabilized for at least 6 weeks. You don't want it to shift during the healing process.
@@danimoffit9825 I have removed the lime plaster, should we re-apply it
@@sudanshumishra889 If it hasn't been 6 weeks then yes!
So I will re apply so lime plaster yaha any else please mam suggest
@@danimoffit9825 4 week is completed
Hi Ma'am. I've punched a wall out of anger six months ago and my right wrist hasnt completely healed yet. I've don only an XRAY to see if theres a fracture, and the attending physician said that I dont have a broken bone or any fracture. I've decided to not go to the doctor anymore thinking that it'll heal quite fast but up to this day, I can't do a "flexion" on my wrist and significantly affected with my training as an amateur boxer, any advice will be really helpful. Thanks!
also, the sprain is on my dominant hand. My coach said it can be fix by simply massaging it and believing that its only a "nerve" that is stuck between the bones of my wrist
@@wyric278 I would suggest you find an athletic trainer or physical therapist to help you. You may need something as simple as some joint mobs to help get motion back. That being said, I haven't evaluated it, so don't take that as a recommendation! There may be more appropriate treatments. Please find a rehabilitation specialist who can look at it and provide care. Good luck . . . Don't punch walls anymore!
This just happened to me for the first time at 29, with an sprained ankle, already went to the hospital and on meds, i am really scared it can happen again since i'm seeing comments of people that have been through this several times
If you are active, it can happen again. But you can also do some strengthening to help prevent it from happening again! Find yourself an athletic trainer and/or physical therapy who can teach you the exercises you need to strengthen the muscles and work on any biomechanical issues that may be contributing to the first subluxation. You can also wear a knee brace to support it, but try some rehabilitation first. You're young enough that you can fix this!
@@danimoffit9825 Thank you, i will do that
I think I have this; it isn’t painful or anything. It does feel kinda strange when I try to straighten it, that’s it. I don’t recall ever injuring my finger either. I’ve had this for a while, but I didn’t realise it was a deformity. I thought it was just a weird quirk my finger had, nothing more. So what do you think, doc; should I try to do anything about it or just wait to see if it’s actually a problem, i.e. it starts hurting? Btw, thanks for the videos; they're useful.
If it doesn't hurt, don't fix it! This is a condition you may sometimes see with arthritis, as well, so there may be some underlying pathology. Regardless . . . If you're not having any issues with it, don't fix something that is already working!
@@danimoffit9825Okay, thank you!
Mam I outstreched my hand 2 months ago I have pain from that time so now when I rotate my wrist there in pain in centre normal pain without rotating tell me now what I have to do what it should be??? Facture or ligament tear or sprain I am scared now because it going to two months tell me how much time it cam take to heal if it is a sprain muscle mass of the wrist is also decresed as compared to another wrist
It's difficult for me to tell you what to do without looking at it. Is it your dominant hand? If you use it a lot, it may take longer to heal. If you haven't had it evaluated by a physician, you may want to do that. You may also want to get a wrist brace to provide support so it can heal. You want to make sure you don't have a fracture or a dislocation that is causing problems. When you can rule that out, then the soft tissue can be looked at. The only way to be certain is to have someone look at it. I'm sorry I can't help you more.
@@danimoffit9825 yes this problem is in my dominant hand
I feel like I sprained my wrist but I honest don’t even know…. I just started a job and I picked up something a little too heavy with my right hand (I’m right handed) so it’s been almost a week for this pain… I don’t remember the day honestly… all the days seem to feel the same…. I can’t bend or twist my wrist a certain way like I can with my left wrist which is annoying…. I can’t open a water bottle… I get massive sharp pain when gripping something small… and with work (I work with a trash company) and I have to throw trash into a dumpster and I’m tryna use my left hand but it’s difficult… and I carried a bag again a little too heavy last night and I cursed (my bad for that one.) it just hurt a lot… which was a lot of sharp pain. Cause I mean when I move my wrist it feels uncomfortable and tight like a painful kind… but if I lift something too heavy like a gallon of milk it hurts so badly… and I’m just tryna do the best I can right now with a hand brace which kinda works I guess but I’m always still in so much pain. I’m just very clumsy so I always seem to get myself hurt without knowing apparently…. I even ran into my wall a few days ago and my left arm is still hurting ( yea two different parts of my arms) I apparently don’t know how to avoid walls lol. Any advice is appreciated please. I just wanna be able to help my coworkers a lot faster cause I’m hella slow right now.
Depending on where it hurts, it can be more than a sprained wrist. I suggest (if possible) that you see a physician, preferable one that has a background in orthopedics. I can't imagine you would have fractured anything, just from the mechanism of injury. An emergency room trip is going to lead to x-rays and a referral unless you are lucky enough to have an orthopedic doc on call. If you can see someone who knows bones and/or the wrist will be your best bet. IF you know an athletic trainer, you might want to ask them to take a look at it too. A wrist brace that can be purchased at a drug store may help with the pain while you're doing your work. You can have a soft-sided one, or one that has a hard cast-like stay. That is up to your comfort. Good luck . . . I hope you can get it looked at!
Hello doctor. I have 3rd Metacarpal fracture. Slightly displaced. No bents. I don't feel pain from bone fracture area anymore. Also swelling is also almost gone. My ortho doctor just said I don't need pinning. The fracture is medically safe to heal without involving surgery. I'm on 32 day with cast btw. I'm getting it off on 42 day (6 weeks). I'm curious. How long will it take for my hand to be used for keyboard typing? I'm a programmer and this 32 day with one hand coding is difficult.
Hello! I'm sorry for the injury; not very helpful for work! At 6 weeks you should be fine for keyboard typing. Technically, it will not be 100% for potentially 2 years . . . But that will not effect typing. The only issue you may encounter is your hand being tired because of 6-weeks of disuse. However, it's a small appendage and you should bounce back quickly.
I'd like to add something because I've been watching videos concerning this topic because I'd like to understand this type of fracture more and not once have I heard a doctor mention arm wrestling as a cause for a spiral fracture. Just thought I'd throw this in there as I am an arm wrestler by night and mechanic by day. Competitive arm wrestling can put you in a perfect position for this to occur as well as alignments on cars, especially when the damn things are seized up.
Definitely not a sport that I would have thought about but it makes complete sense. Thanks for sharing!
i’m watching this video just because i’m recovering from my spiral fracture to the humerus right now, and i got mine from a car accident. no idea how though
@@aurelliaingles8241 Crazy things happen! I hope you heal quickly!
@@danimoffit9825 Thank you, very slowly but surely getting range of motion back!
@@aurelliaingles8241 I'm so happy to hear that! Slow but sure!
Does plica show in mri? Because mine didn't.
Not always. I know of patients who have shown up for menisicus surgery and when they get started, they realize it was actually plica.
You can also get it in your thigh I have it right now after I broke my femur
Absolutely! That is a common associated problem with a femur fracture. There is also a possibility of getting it in the gluteals or even the forearms.
I have Mildly displaced fracture at tip of the distal phalanx of right index finger I am wearing a finger splint mallet. Can you tell how much time will it take to heal.
Bones take 6-8 weeks to heal. The 6-week mark is when you usually can remove ethe splint, but the next 2 weeks will be critical for continued healing.
Im positive for the stutter test and Hugston. I’ve been diagnosed with something called lateral patella compression. What are the chances do you think that I have developed a plica or that the compression is causing this?
Plica is something you are born with, it can't be developed. Did you have an MRI to confirm? I ask only because I have had patients who the MDs thought were meniscal tears and in surgery realized it was plica. Lateral patella compression is a tilt of the patella, which can be relieved with taping techniques and rehabilitation/strengthening. Were you referred for either? It may be worth your time to look into seeing an athletic trainer or physical therapist to help with that. It may or may not be plica, but try to get some help first, before jumping to that diagnosis.
@@danimoffit9825 thank you for your response. I really like your videos you’re very informative. yes I have had this pain for 2 years.. it has gotten better through strength exercises. I have made a lot of progress. But in the last 6 months I have developed a weird sensation.. When I stand up or extend my knee to 0 degrees after sitting for a long period of time I get this “squishing” type of pain it subsides shortly after.. My knees used to never feel hot, now the more I exercise or walk I get this burning/hot sensation. I have one knee that’s worse than the other. when I bend my knees and contract my quads my VMO on the bad knee doesn’t want to contract but the rest of the quad does. weirdly enough if my other VMO fires perfectly and makes an abrupt upward motion as a good response. I have no pain with stairs, have no pain running for short periods. My pain is worse in the first 40-60 degrees knee flexion, the deeper I go the better I feel. Around that 40-60 degree mark my kneecap or something under this cracks or slips.. the more I make this slipping popping sensation my knee starts to burn up. I’m thinking I have some sort of tissue impingement that is causing this to occur, maybe it’s stuck under my kneecap. The symptoms just don’t perfectly match up to PFPS or lateral patella pain. I had an xray that saw my kneecap has became tilted and subluxes on the sunrise view in I think what is taken at 30 degree knee flexion, got an mri 1 week ago and I have got the results from a radiologist it says everything looks perfect except “mild joint fluid buildup” the mri was taken with knee fully extended and it said the dynamic stabilizers lateral/medial are in perfect shape, the kneecap is in perfect position. I think what has happened recently is there is something on the medial side underneath my kneecap or the fat pad has impinged and lodged itself under my kneecap subsequently causing inhibition of the vmo, creating this excessive pressure but only during knee flexion.
@@danimoffit9825 and I am reviewing the mri with my orthopedic on Friday who was wanting to do a Fulkerson Osteonomy because he thought I was wearing down cartilage based off mri, and I really don’t want to do this now after seeing the mri results. I’m sure he will agree… I’m wanting him to arthroscope the knee to possibly remove any impingement or bad buildup, and so diagnostically watch how the kneecap is tracking through different ranges of motion. What do you think about all of this Ik it’s a lot to read lol Thanks!
@@danimoffit9825 my bad the xray made it look like I was wearing down cartilage but then the mri said everything is good
When I stand I can easily move my patella to the left and right with my hand. The other leg that feels normal the patella doesn't move at all. Also when I do the splits my kneecap tracks inward, Is this a possible subluxation?
You shouldn't be able to move your patella when the leg is extended. It may not be a full subluxation, but the laxity is not good. If it continues, you have a much greater chance of dislocating it. It may be worth having it seen by an orthopedic physician. It could be due to muscle weakness, but you may have damaged the other tissues that should keep it in place. You may be able to strengthen it with rehabilitation.
I'll make sure to see a specialist and thanks for the feedback @@danimoffit9825
Can rehab exercises cure it? And how to avoid in future?
Can physiotherapy cure it?
Absolutely and I would suggest starting with that before doing any type of injection from a physician.
@@danimoffit9825 thank you for reply...i have taken corticosteroid...its been 3 months..still i have pain..and can't do overhead throw movements... which exercises would you suggest? ...and also should I ice pack shoulder or hear pack? And for how much time in a day? Frequency in a day?
dani. on 4th jan i got boxers fracture 5th metacarpal neck 31 degrees. i got a cast via emergency. 8th jan i met an orthopedian and did x-ray again. orthopedian never removed my cast for checkup, he just looked at x-rays. he said that i dont need surgery because im under 50 degrees and that i need to use cast 4 weeks. but im worried because i dont want it to heal in unnatural position. is it possible to push it back to original position without surgery? im scared. guide me please. my x-ray is similar to wikipedias picture. en.wikipedia.org/wiki/Boxer%27s_fracture
The degrees sound like a lot, but in reality, aren't. When the hard callous forms while healing, it will help it maintain the "normal" look of the bone. You should be fine.
@@danimoffit9825 thank u so much. what about closed reduction? i never got that. when u align the bones.
@@microsoft1665 If the physician didn't do it, it's because it was probably close enough in alignment for healing. The body is pretty fantastic!
My x-ray is very similar to wikipedias picture. What do u think about that alignment? en.m.wikipedia.org/wiki/Boxer%27s_fracture
@@microsoft1665 If it is truly that bad, I would consider a second opinion. I normally trust orthopedists, but a second opinion wouldn't hurt!
I got radial head fracture type 1..i get cast for 3 weeks... After 3 weeks i take xray ..in that impression ##Old_healed_fracture_noted...Now what should i do sir. please reply me
Start working on strength. Get a ball you can squeeze in your hand and start ball squeezes. You can also begin range of motion exercises, palm down, palm up, and elbow straightening and bending. Don't make it hurt. Just do it to start get movement. Use heat if it feels good.
@@danimoffit9825 thanks you mam...Can i do supination puronation moment???
Hello Doctor, I am a 20-year-old young man. I have a deformity in one hand more than the other. I went to a rheumatologist and he told me that I do not suffer from any autoimmune disease or rheumatism. What is the cause of the deformity in your opinion? Note that I do not remember if I had a deformity when I was young. I noticed it a while ago and used splints and some vitamins, but I did not improve. Please note that I do not suffer from any pain in the fingers. It is just a deformity.
Honestly, it's hard to tell. You may have injured it without being aware, which led to the deformity over time. There is usually some type of tissue damage or joint condition that leads to it. As long as it isn't painful for you, I wouldn't worry about it. If it does start getting painful, then you may need to consider a second opinion.
Tried to do handstand on a pull up bar without any wormup
That sounds amazing . . . too bad it didn't have a positive outcome!
well this is gonna suck :(
I hope not!
I’ve had hip impingement surgery and hip avulsion fracture surgery back in 2021, I did some physical therapy but my rectus femoris still seems to be weak. I’ve tried laser therapy, cupping and scrapping but it only gives me a temporary relief. It hurts when I sprint and squat. Left leg feels 100% and my right leg feels 70%.
I'm sorry to hear you're not completely healed. If the avulsion was the rectus attachment, there will be a delay in the healing. In reality, the bone could take up to 2 years to heal . . . Which it sounds like you have now reached. My suggestion is to do exercises not only for strength, but also for endurance. When you are doing exercises, do both high weights with low reps (e.g., 3 x 5-8, slow) and low weights with high reps (e.g., 3 x 15, fast but controlled). Additionally, you need to be doing both knee and hip exercises. The hip is often neglected in favor of knee extension exercises. Make sure you're including things like dead lifts, which focus on hip flexion. Take advantage of the internet. Look for hip flexion and knee extension exercises and make sure you're doing both. Good luck!
Hey yesterday at football i got hit in the hand with a powerfull shot when i wasnt paying attention and i feel alot of pain in ny wrist, i can use my fingers , i cant pronate full i feel pain on the radius bone, my hand doesnt look destroyed How can i see if its sprained or broken ? pleasee
Since a common wrist bone to fracture is the scaphoid, which is just distal to your radius, I would suggest you get it evaluated. If the scaphoid is fractured and you don't get it treated correctly, it can lead to life-long complications.
@@danimoffit9825 What if i will wait few days the hit was 2 days ago but i feel the recovery and i do rehab exercieses and now i am rotating my wrist without pain or problem, I think that i more likely sprained it, i feel how slowly my mobility comes back and gripping!
Nonsense
Hello Doctor, I broke my 1 metacarpal shaft Which is oblique 3rd MC Slightly displaced not fully broken If i view the oblique angle its look like non broken But in AP view its oblige fracture Now what to do? Casting will help or pinning As it is 3rd MC rt. Hand Do i go for pinning
If you were my patient, I would refer you to an orthopedic physician. You may not need pinning, but you don't want it to remain at an angle. Chances are, surgery may be an option. Do it sooner than later. You don't want it to heal incorrectly. Good luck!
Hello, how is your bone now? I have same case.
As a sufferer of a dislocated ac joint, the "smell my finger" test raised some real concerns
Hi! I just got a Mason 1 radial head fracture falling from bike. The doctor told me to use a spling for a week but removing it at home not to lose mobilization of the elbow. Is it possible that i just need a spling like ‘some hours’ per day? I have no severe pain but swelling and weakness when holding something (i am in day 4 after the fall) Thanks!!
I'm guessing you were told to wear it out and about to keep you safe. If people see you in a splint, they tend to be careful with you. Also, at this time of year (depending where you live) it can keep you safe in case you slip and fall. That being said, if you're not doing anything where you'll interact with a crowd, you'll probably be okay without it on. I hope that helps!
@@danimoffit9825 Thank you so much for your answer. The doctor also advised me to start kinesis therapy as soon as I can. Does this early motion damage the fracture or is it ok to move it even if it’s only 9 days after the trauma? Again thank you!
@@tommasomaruccia5645 Moving the arm into extreme end range of motions is not advised for a few weeks, but you can do some range of motion. Additionally, you can do some strengthening by squeezing a stress ball, 1/2 of a tennis ball, dog toy . . . whatever you have available. It will prevent the muscles from atrophy.
Hi i'm more so here just out of pure curiosity as it was a question that popped randomly in my head but it is somewhat normal to be able to slide your kneecaps right? I can't exactly do it to the same extent as the guy in the video but if i'm standing i can shift it from side to side Thats normal right? Just wanted to hear it from someone
It is normal. You'll be able to move it more when you are seated with your legs stretched in front of you because there isn't muscle contractions holding it in place. If your patella didn't move, you'd end up with a lot of arthritic issues!
@danimoffit9825 ah yes that would make sense thank you for the clarification, its very appreciated 😸
@@ryphish4924 You're welcome!
This lady had dry mouth when she made this or something cause god damn mf
Because of rainy slippery i fell on my wrist after that my swollen healed but not the pain. The question is wrist pain 50% healed in one week but not healing 100% it's been 3 weeks.
Did you get an xray to make sure it isn't broken? Normally, a fracture (if that's the case) take 6 weeks to heal, but that's with immobilization. You may want to have it looked at to make sure it's not broken. If that's not possible, give it at least another 3 weeks.
With all due respect, I don’t have a channel myself for the 17 years I’ve been in medicine but these slides and complex language clinically don’t attract common ppl which is an audience for a UA-cam channel. Dumb down the content and material and maybe show your face and body describing the injury and information. This is like a boring lecture we all had to attend for school or annual credits. It’s giving me a headache.
With all due respect, it's made for students. If you don't like it, you don't need to watch it. Have a great day.
I broke my index metacarpal but I didn’t even know until 10 days later I got surgery a few days ago
Make sure you take care of it! Good luck with your recovery.
I've realized I'm in the wrong place but if you happen to check comments and can assist I'd love to hear your thoughts. Sometimes I have knee pain for several days or weeks. Might be letting my work boots lose tread and forging on. (I noticed less pain with new boots) Though I also would sit in a w shape with my knees out in front of me through out school. I found it more comfortable than criss cross. Later I noticed I walk with my toes outward when others don't and mostly corrected it on my own. I also try not to sit in the "w" shape now. Not sure if I should spend the money to get these quirks checked out as I don't have health insurance
I should add the pain comes and goes. Usually I'm alright but I do see a correlation to high levels of activity
@@shangster42 I know I need new shoes when I have pain to a specific place in my lower extremity, so you may be on to something there with your work boots. You have definitely describe some biomechanical issues that can lead to knee issues. It sounds like you would benefit from Patellafemoral Syndrome exercises. (www.massgeneral.org/assets/mgh/pdf/orthopaedics/sports-medicine/physical-therapy/rehabilitation-protocol-for-patellofemoral-pain-syndrome.pdf). This document has a lot, but I wanted to make sure you could see the name of exercises that would be helpful. Focus on the Intervention section, specifically the mobility, strengthening, and balance/proprioception. If you don't know how to do those exercises, watch a video on UA-cam. I encourage people to start off with 1x10 of each exercise, working up to 2x15. As soon as you're not doing the exercise correctly, stop. You'll work your way up. IF, after doing these exercises, you're stilling having problems, I would encourage you to see a professional, such as an athletic trainer or orthopedic physician. But try this first! Good luck!
Strange situation, by chiro adjusted my lumbar and pelvis too much, causing APT and knee hyper extension. I did all activities with this knee hyper extension for 5 months before i diagnosed and fixed my posture to stop knee hyperextension. The hyper extension and hinging on the ligaments left me with loose knees. Highly likely that the LCL is stretched via multiple microtares in the last 5 months. as i have lateral knee instability in that direction, when i have my knee bent (lcl is more loose with more knee flexion). Less likely the MCL as that is thicker and stronger. PCL and ACL are most likely fine. Do you think i could try prolotherapy injection to LCL?
You're right, strange situation! Prolotherapy may be a good choice, but you might also consider a PRP (platelet rich plasma) treatment. The LCL is not usually injured, so the treatment could help the ligament; the hamstring may also be strengthened by it. If you're really loose, hamstring strengthening (specifically the biceps femoris) should be focused on. Good luck!
@@danimoffit9825 Hi Dani thanks for the reply. I shall be looking into an MRI scan of the knee aswel to rule out further damage. And I have been working on half squats and some hamstring excersizes meanwhile, to keep the knee joint strong with the help of mucsles. Until my knee ligaments heal. I will keep PRP in mind, i thought it was very similar to prolotherapy
@@High.Vibe.Living It sounds like you're on your way. The MRI scan is probably a good idea. PRP is similar; it really depends on the physician and what they want to use. Good luck with everything!
Salve dottore, vorrei dapere in dettaglio come si esegue la.correzione secondo il dottore zancolli per il dito a collo di cigno. Grazie
Ci sono 3 cose da provare: Trattare il disturbo sottostante che causa la deformità, come l'artrite reumatoide o il trauma; utilizzare stecche per le dita, come stecche ad anello d'argento, che supportano le articolazioni e impediscono ulteriori piegamenti; o sottoporsi a un intervento chirurgico per correggere l'allineamento dei tendini, dei legamenti e delle ossa del dito. Un medico dovrebbe prendere questa decisione per te.
Hi, I am 16 and throughout my life I have had occurrences where I have bent my right knee and it feels like it suddenly seizes up and hurts, I then have to straighten it out to hear it pop back in place and the pain goes away. I would say I’ve had it happen about 4-6 times throughout my life since I was about 11 maybe. It happens very infrequently. However, the instant pain of it has always made me extremely apprehensive when bending my right knee or kneeling and stuff like that. I have never worried too much about it and it hadn’t happened for awhile but it did today. Since it hadn’t happened in awhile I haven’t been apprehensive much of bending my right knee, but now it’s going to be in the back of my mind for quite awhile. It’s always so random and the fear of it happening/ the fear of the pain is quite strong. I went to crouch to get something from a low shelf while I was at work when I felt the sudden seize in my knee as I bent it, and being familiar with this I quickly stood up even if it hurt so it could pop back in place, since I was at work I had to react quickly because I didn’t want any issues and just had a bit of a limp for a couple minutes but it wasn’t too bad. Just felt a little pressure/ pain at the knee occasionally when bending/ moving it but barely. I’ve never had much issues with the aftermath, usually just letting my leg rest and it feels fine within a day or two. However it concerns me that this is still happening to my knee after so many years and I was thinking I should probably get it looked at, after some research I was thinking maybe I had patella subluxation, or something similar. I also noted that literally yesterday I had been using my knee a lot, doing a lot of crouching and kneeling when I was cleaning for hours yesterday which I don’t normally do, which, with the timing, makes me suspect it may be why my knee did that when it hadn’t for at least a year or two. I am just looking for another opinion, but I probably will go see a doctor about it soon anyway. Thanks :)
Hello. It sounds like you have really thought about this. This nice thing is if this is what is truly happening, it hasn't progressed to something more serious. However, if you don't take care of what is happening, you can end up with life-long issues. Your patella is not supposed to move like that and the abnormal tracking will destroy the articular cartilage, leading to osteoarthritis. My point is, please get it looked at. If you have an athletic trainer at your school, they may be able to show you some exercises that will help decrease your problem. If that's not possible, please go to an orthopedic physician who can help you in various ways, including referring you to rehabilitation. It may not seem like a big deal, but 40 years down the road, you don't want to have to have a knee replacement because it didn't get taken care of now. Good luck with this!
You don't talk about the surgical techniques to treat SH. What type of surgeries are there to treat the condition? Is TAPP laparoscopy with mesh a possibility?
My responsibility is to refer for the surgical decisions. There are different types of repair and it is often based on what the surgeon chooses to do. Yes, the surgery you mentioned can be a possibility, but I am not the best expert to discuss the various surgical options.
How long till symptoms go? It’s been 5 days and symptoms have decreased in pain etc but am curious if it’s a fracture or no
I can't tell you if it's a fracture; only an x-ray can do that. The symptoms could last for several weeks depending on the severity, your age, how much you use the wrist, etc.
Bro how is your wrist now?
What are the chances of a 2 year old girl having it? My daughter went down a slide 5 days ago and is in terrible pain and hasn't been able to walk since. She always has her leg to the side. A physio is worried she has this but the hospital has checked for everything else but this. They say she isn't the right age.
It would definitely be unusual, but because it's a growth plate injury, it could definitely be a concern. Did she get a hip x-ray? It may have been visible there. Did they rule out a hip dislocation? That may also be the problem and is more common for that age. If I were her parent, I would pursue it. It's better to be wrong than have it be ignored!
@danimoffit9825 they did an x-ray looking for breaks but said there was nothing. Thank you, I'll keep trying.
I only feel pain if I twist my wrist all the way to the left but if I do it as a stretch back and forth the pain temporarily goes away Why is that? I slid on it playing baseball it’s been 2 months still hasn’t healed 😢
If I were you, I would have someone look at it and make sure you didn't break a bone. Try to see an athletic trainer or an orthopedic physician. If you fractured that bone (which would explain the pain with twisting, especially if it's the right hand), you don't want to ignore it!