Top Questions on Managing Bone Disorder

Dr. Danish DeshmukhPhysiotherapist

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No. It can only be corrected by surgery because it is a problem of extra bone outgrowth most probably. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Consult a physiotherapist tp check with your range of motion of elbow. So that you can check with the elbow angle for better clarification, to confirm we can go for an xray and then decide whether you are eligible for army or not. Yes it can be treated by exercise to certain extent. It will strengthen the weak muscles there by it will have good impact. Oh ok it looks like your immunity levels are going down please take more vitamin c to boost your energy and metabolism so that your immunity levels will go high. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Ulnar nerve palsy is progressive, in that it usually gets worse over time. You may experience a loss of sensation in your fingers, especially your ring and little finger, as well as loss of coordination, tingling and burning, pain, and weakness. There are a number of treatments for the symptoms of ulnar nerve palsy, including over-the-counter medications and physiotherapy. Corrective stretching and strengthening of weak muscle and joint mobilization exercise are helpful to some extent with the help of elbow splint. Physiotherapy treatment hot fermentation can be used to ease joint stiffness and pain. Gentle soft tissue release can be done in arm and forearm musculature. Gentle active and active-assisted exercises using a wand and be taught in pain- free limit- frequently in a day. Isometric exercises for arm and forearm musculature can be addressed. Avoid weight lifting. Corrective splint. 

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Dr. Karuna ChawlaBHMSHomeopathy Doctor

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An osteoma is a benign (not cancerous) bony growth which can appear as a hard, fixed knot or bump. U need to do an x-ray or mri or ct scan to diagnose. Homeopathy is a very effective for this problem n has very encouraging results. And homeopathic medicines are safe and do not have any side effects at all. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Ice. Use an ice pack or cold compress on your foot for 10 to 15 minutes at a time. This is especially beneficial at the end of a long day or when you’ve spent a lot of time on your feet. Or, roll a frozen water bottle under your foot. This method incorporates a bit of massage, relieving tightness in the bottom of your foot. Massage. Massaging the arch of your foot helps to relieve pain and promote mobility. Use your fingers and knuckles to deeply massage your foot for 1 to 5 minutes at a time. One technique is to place both thumbs at the center line of your arch and move them to the outer edges of your feet. Inserts. Use cushion inserts in your shoes for additional support and cushioning. Inexpensive options can be purchased off the shelf. Wear supportive shoes with thicker soles and extra cushioning for additional support that can help to reduce tension in the plantar fascia. Kinesiology tape can be used to improve arch and heel support. Night splints. Many people find quick and effective results by using night splints. They can be worn while sleeping to stretch the plantar fascia. They help to keep the plantar fascia relaxed and prevent you from pointing your feet down. Exercisefoot flexuse your hand to pull your toes back toward your shin. Hold this position for about 30 seconds.Do each side two to three times.Toe towel grab place a small towel under your foot. Curl your toes to grip the towel. Raise the front of your foot off the floor. Hold this position for a few seconds. Release the towel as you lift up your toes and spread them as far apart as possible. Heel and calf stretch to do this stretch: 1.Stand facing a wall. 2.Place your hands on the wall and move one foot back as far as you can comfortably. Toes on both feet should be facing forward, heels flat, with a slight bend in your knees. 3.Lean into the stretch and hold for 30 seconds. You should feel the stretch in your back leg. 4.Change legs and repeat. 5.Do this stretch twice for both legs. Golf ball roll roll a golf baell under your right foot. Continue for up to 1 minute. Do each foot two to three times. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Clubbing of the fingers, also described as hypertrophic osteoarthropathy (hoa), is an enlargement of the ends of the fingers accompanied by a downward sloping of the nails. You can have primary hoa, which is simply a clubbed appearance of your fingers that is not associated with any health problems. Or you can develop secondary clubbing, which is caused by health problems such as lung cancer and heart disease. 1 clubbing of fingers desherinka / wikimedia commons / cc by-sa 4.0 the clubbing itself is not harmful, but since it can be a sign of disease, it is important that your medical team identifies the cause and that you are treated for your underlying condition. Also known as clubbing is also referred to as clubbed fingers, digital clubbing, watch-glass nails, drumstick fingers, hippocratic fingers, hippocratic nails. Clubbing symptoms verywell/jessica olah symptoms clubbing can involve your fingers and/or toes. It is typically bilateral (affecting both hands and/or feet) and it should be equal in terms of its extent on both sides. If you or your child has primary hoa, then your fingers or toes may naturally appear large, bulging, and rounded. This will be noticeable during childhood or during the teenage years, and it will not change much over time. With primary hoa, other family members are also likely to have finger and/or toe clubbing. 1 secondary clubbing happens gradually, and it causes a change in the appearance of your fingers and/or toes. With secondary clubbing, which is caused by disease, you would also have other features that are not seen in primary clubbing. Features of secondary clubbing include: softening of the nails nail beds that soften and feel spongy nails that seem to "float" instead of being firmly attached to your fingers disappearing of the angle between your nails and cuticle enlargement or bulging of the distal portion of your finger (where your finger meets your nail) warm, red nail beds nails that curve downward and look like the bottom of the round part of a spoon eventually, the nail and skin around the nail may become shiny, and the nail develops ridging. 1 causes primary clubbing is hereditary, and it is passed down via genes. Hereditary clubbing is simply a physical feature, like the color of your eyes or your height. Several genes have been associated with primary clubbing, including the hpgd gene and the slco2a1 gene. 2 secondary clubbing occurs as one of the effects of chronic lung and heart disease. Lung cancer is the most common cause of clubbing. This sign is also associated with a number of other chronic illnesses, including conditions that involve the thyroid gland or the digestive system. 1 there are a number of health risk factors associated with secondary clubbing, including: 3 lung cancer interstitial pulmonary fibrosis lung abscess pulmonary tuberculosis pulmonary lymphoma congestive heart failure infective endocarditis cyanotic congenital heart disease bronchiectasis cystic fibrosis other types of cancer, including liver, gastrointestinal or hodgkin lymphoma inflammatory bowel disease liver cirrhosis gastrointestinal neoplasms celiac disease dysentery graves' disease an overactive thyroid gland how disease affects nail beds the medical conditions that can cause clubbing are generally associated with decreased oxygen levels. Experts suggest that clubbing occurs as your body undergoes changes in response to low oxygen. Several processes affect the nail beds in secondary clubbing. The nail enlargement occurs due to the growth of excess soft tissue beneath the nail beds. The enlargement is associated with inflammation and a proliferation of small blood vessels in the nail beds. 1 a protein called vascular endothelial growth factor stimulates the growth of blood vessels, and this protein is considered a major factor in the physical changes that occur in clubbing. 4 common complications of copd diagnosis clubbing can be subtle, so it may be difficult for you and your medical team to verify this change in your digits. There are a few objective criteria that are used to assess clubbing, and they can help in determining whether you have developed this physical change: lovibond's profile sign: normally, there is a sharp angle between the nail bed and the cuticle. When you have clubbing, the natural angle is lost as the nail angles down instead of up. Distal/interphalangeal depth ratio: the phalanges of your finger are the sections between each bending joint. Your distal phalange, the one that includes your nail, is normally shorter depth-wise than the neighboring phalange. Clubbing is indicated when the opposite is true. Schamroth's sign: the sharp angle between your nail bed and cuticle forms a tiny diamond-shaped hole when you place your hands together with the top of your nails facing each other. When this gap disappears, it is described as schamroth's sign. 4 assessing underlying conditions often, clubbing develops due to a chronic medical condition that was diagnosed years before the clubbing developed. When you start to have clubbing of your digits, your medical team will evaluate you to identify any underlying disease that could be causing it. Even if you have an established lung or heart condition, your medical team will assess your condition to identify any progression that could require an adjustment of your treatment. Tests that you may need in the evaluation of clubbing include: 1 a physical examination to assess for signs such as weight loss, difficulty breathing, skin changes, alterations in your pulse, or altered blood pressure a pulse oximeter to measure your blood oxygen level pulmonary function tests (pfts) arterial blood gas test chest imaging tests, such as chest x-ray or chest computerized tomography (ct) blood tests, including complete blood count (cbc), electrolyte levels, liver function tests (lfts), and/or thyroid tests an electrocardiogram (ekg) or echocardiogram to assess your heart function abdominal imaging tests such as ct or ultrasound a biopsy if there is a concerning lesion noted on an imaging test how lung cancer is diagnosed treatment usually, the abnormal shape and size of the digits do not cause health problems, but any underlying disease that causes clubbing needs to be medically and/or surgically managed, as appropriate. Treatments may prevent your clubbing from worsening and, in rare cases, can reverse some or all of the physical features of clubbing. 1 there are a variety of approaches used to treat the underlying cause of clubbing. Your treatment will depend on your situation. You may need management of respiratory disease, treatment of heart disease, or interventional therapy for cancer. Treatments may include: anti-inflammatory treatment for inflammatory conditions, including some pulmonary and gastrointestinal diseases hormone replacement pacemaker implantation to improve heart function a word from verywell if you notice that your fingers are clubbing, be sure to discuss this with your healthcare provider. Clubbing can be diagnosed in your healthcare provider's office. Although clubbing itself is harmless and doesn't require treatment, it is often as. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Your recovery may require two weeks to 3 months but the bone graft itself will require three months to heal. However, you will be advised not to indulge in extensive exercises for at least six months and to keep the area of the bone graft clean and dry. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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It it is anatomically incorrect then we can check genetically otherwise there is no issue, growth can be due to growth hormone, ie. Pituitary hormones not really due to genetic. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Consult a physiotherapist to check with your range of motion of elbow. So that you can check with the elbow angle for better clarification, to confirm we can go for an xray. Physical exercise needs to be done for better improvement to the weak muscles of the elbow. Sand bag exercises can be tried to improve the angle. 

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Dr. Prakhar SinghMBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)General Physician

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I am sorry to hear about your concern but will be happy to assist you. Cubitus varus deformity may occur because of growth disturbances, but it probably results from malreduction of the supracondylar fracture with medial displacement of the distal fragments. Cubitus varus deformity, also known as bow-elbow is unsightly in appearance and does not cause functional disability. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you. 

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