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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Avulval Fracturebon

Hello, I have recently had a bone scan and an MRI completed on my neck. I have had a diagnosis done by an orthopaedic surgeon who informed me that I have an avulval fracture and that it would heal of its own accord. So far its been about 8 weeks and it still feels just as painful as the beginning. I was wondering if I could get a second opinion. I have a copy of the scan if you would like me to send it to you. Regards Wilhelmina Turner
Thu, 5 May 2016
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Physical Therapist or Physiotherapist 's  Response
hi,

thank you for providing the brief history of you.

A thorough neuromuscular assessment is advised.

As the MRI confirms the avulsion fracture in the cervical region, we should check for the clinical signs like, pain, radiation, numbness, tingling etc. ,if the avulsion fracture is only giving pain in the neck region then stabilization of the neck is a must by using a hard collar. Also, travelling should be avoided as it may lead to worsen the symptoms.

As the avulsion fracture if very minor will heal on its own, nothing to be worried as such, but taking a proper care is important. In majority of the cases surgery is not planned until the clinical signs and symptoms are big.

Post the 8weeks of collar, simple physical therapy will be needed to regain the strength and mobility in the spine.

Regards
Jay Indravadan Patel
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Suggest Treatment For Avulval Fracturebon

hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As the MRI confirms the avulsion fracture in the cervical region, we should check for the clinical signs like, pain, radiation, numbness, tingling etc. ,if the avulsion fracture is only giving pain in the neck region then stabilization of the neck is a must by using a hard collar. Also, travelling should be avoided as it may lead to worsen the symptoms. As the avulsion fracture if very minor will heal on its own, nothing to be worried as such, but taking a proper care is important. In majority of the cases surgery is not planned until the clinical signs and symptoms are big. Post the 8weeks of collar, simple physical therapy will be needed to regain the strength and mobility in the spine. Regards Jay Indravadan Patel