Doctors Lounge - Orthopedics Answers
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Forum Name: Bone trauma and fractures
|patient12007 - Sun May 11, 2008 9:34 am||
Gender : Female
On december 15 2007 I fell off and fractured my left foot's 5th metatarsal bone.
X-ray report confirmed proper fracture. I had a cast up to my knee on my left leg. After one month cast was removed. My second X-ray was still showing fracture and no healing. I went for my bone Profile test,Dr recommended vitamen D3 injections along with Oscal(Calscium and vitamen D3 supplement) and One-Alpha tablets(alfacalcidol----1 alpha hydroxy vitamen D3).
First injection was taken on March 12 2008 , while the 2nd one was taken on March 27 2008. I am still on my oral medicine. It is the end of 5th month, I still have swelling and pain in my left foot. My Orthopedic Doctor told an X-ray cannot show that bone is joined back.
Please give me advice. What should I do to recover my bone?
|John Kenyon, CNA - Tue Jul 15, 2008 9:36 pm||
There are several points which should be addressed here. First, while it is generally true that an x-ray cannot disclose whether or not a fracture has knitted (unless it was a displaced fracture to start with), a sharp-eyed orthopedist usually would be able to tell using serial x-rays over time, because there normally would be some changes visible. Clearly the doctor wanted to treat for possible osteoporosis as well. This latter could be causing a very slow healing process, but there also needs to be ruled out the possibility of osteomyelitis subsequent to the initial injury. While this would no doubt have caused some swelling, discoloration, local heat or even a fever and feeling of generalized illness, these don't always happen.
While osteoporosis is the likely culprit, you are doing everything reasonable to move the healing process along. If there is no improvement soon, you might consider getting a second opinion.
Please let us know how things go.
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