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Suggest Treatment For Third Degree Abrasions And Fractures In Left Foot And Ankle

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Posted on Thu, 6 Aug 2015
Question: Some 20 years ago I was involved in a vehicle accident where my legs were pinned.
The medical results were third degree abrasions to my left foot, multiple fractures to my left foot and ankle as well as right knee fracture.
Over the years I have always walked placing my left foot flat as any pressure on the ball of the foot causes my left ankle to collapse.
I walk with a gait and have as described chronic mechanical lumbar pain in my right thigh.
There has been a number of x rays and MRI done over time, the most recent MRI done in the past year.
Besides the obvious osteoarthritis in my left foot, ankle and right knee I was told of developing arthritis in my right hip and bursitis in my right thigh.
My medical question is whether the lumbar pain is a result of the condition and limitations caused by the accident.
Sincerely,
XXXX
doctor
Answered by Dr. Dr. Praveen Tayal (22 minutes later)
Brief Answer:
More likely to be age related degenerative changes.

Detailed Answer:
Hello,
Thanks for posting your query.
The lumbar pain that you are having can be a mechanical pain due to the gait or due to gradual degenerative changes in the spine- spondylottic changes. If the pain has gradually increased recently then spondylottic changes of spine are more likely.
After an injury, the arthritic changes or spondylottic changes do progress comparatively faster as compared to a healthy spine. To retard the further progression of the problem, you need to take oral muscle relaxants and start with a regular physiotherapy to strengthen the spinal muscles.
An MRI scan of the spine can detect the spondylottic changes.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (5 hours later)
My left leg has been measured ( by x ray) to be 1 inch shorter than my right leg.
Is it possible that my limitations and damage have contributed to this condition and how. As it has been verified prior to my accident that there was no leg inequality.
I would appreciate your comments.

Sincerely, XXXXXXX XXXXXXX
doctor
Answered by Dr. Dr. Praveen Tayal (8 hours later)
Brief Answer:
Yes. The accident damage can contribute to these degenerative changes.

Detailed Answer:
Hello.
Thanks for writing again.
The shortening of the leg and particular gait would have contributed to arthritic changes and the spondylottic changes in the spine. The abnormal posture causes more pressure on one side of the vertebral column as compared to the other side thus causing more wear and tear on that side. This hastens the age related changes in the spine.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Suggest Treatment For Third Degree Abrasions And Fractures In Left Foot And Ankle

Brief Answer: More likely to be age related degenerative changes. Detailed Answer: Hello, Thanks for posting your query. The lumbar pain that you are having can be a mechanical pain due to the gait or due to gradual degenerative changes in the spine- spondylottic changes. If the pain has gradually increased recently then spondylottic changes of spine are more likely. After an injury, the arthritic changes or spondylottic changes do progress comparatively faster as compared to a healthy spine. To retard the further progression of the problem, you need to take oral muscle relaxants and start with a regular physiotherapy to strengthen the spinal muscles. An MRI scan of the spine can detect the spondylottic changes. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal