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Chest pains post treatment for compression fracture, osteoporosis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   Hello doctor
Doctor :   hello
User :   I had a chat with the online doctor yesterday morning regarding the condition of my mother who is an osteoporosis patient
Doctor :   ok
User :   Was it you? Then I can restart from where i left yesterday. Else I'll explain the situation again
Doctor :   your mother had shooting pains in the chest?
Doctor :   right
User :   Yes ! So it was you
Doctor :   following fracture vertebra?
Doctor :   no but we have the chat history
User :   it was a compression fracture
Doctor :   please go on
Doctor :   ok
User :   Okay... Wow
Doctor :   so how can i help you now?
User :   So now I have the result of the Bone Density Test
User :   She is severely osteoporotic on the L1-L4
Doctor :   ok
User :   Could that have caused the shooting pains?
Doctor :   are the pains in the chest or the lower limbs?
User :   Its the chest... the lower region
Doctor :   ok
Doctor :   it coul be due to the fall
User :   almost under th breast
Doctor :   the general trauma
User :   I am really scared.. as my ortho doctor says - to get checked by a physician
Doctor :   where is the fracture?
Doctor :   which level?
Doctor :   ok
User :   It is on the L1-L4 region
Doctor :   the fracture or the osteoporosis?
User :   Ok.. I will have to confirm that
User :   I do not have the X-ray report yet
Doctor :   if the fracture is at that level
User :   yes?
Doctor :   the pain is not due to the fracture
Doctor :   but considering her age
Doctor :   it is always better to get an ecg done
Doctor :   as soon as possible
User :   where should the fracture be, in order for the pains to be in the chest
Doctor :   as it could be a possible heart complaint
Doctor :   at the level of the thoracic vertebrae
Doctor :   also its better to get an ecg done
User :   Is that referred to as T level?
Doctor :   tes
Doctor :   T or D
Doctor :   yes
User :   I see... I just hope there is no problem with the heart
User :   She did have high cholesterol at one point
Doctor :   there might not be
Doctor :   but you hsould never neglect
Doctor :   as we never know
Doctor :   ok
User :   I am really going through a trauma myself
Doctor :   yes
Doctor :   that happens
Doctor :   i suggest that you go to a physician and get an ecg done
Doctor :   for your mother
User :   I will. Doctor, we have been advised to get a Forteo injection for 6 months
Doctor :   ok
User :   Its an expensive treatment
Doctor :   ok
User :   But is it really the winning formula
Doctor :   ok
User :   Will this really change the condition of osteoporosis of my mother
User :   What do you think?
Doctor :   she needs prolonged calcium supplements and care
Doctor :   she needs to take care now
Doctor :   as even mild trauma will cause a fracture
Doctor :   in her
User :   calcium tablets like shellcal?
Doctor :   yes
User :   Hmmm... I guess she should not travel
User :   Is that correct?
Doctor :   there are other supplements as well but they are prescripton based
Doctor :   ask her to exercise
Doctor :   like walking
Doctor :   as it strngthens the bones
User :   even the back ?
Doctor :   and ligaments
Doctor :   is she able to move around now?
Doctor :   are you there?
User :   Yes
Doctor :   ok
User :   She is able to move
Doctor :   so she is ambulatory now?
Doctor :   ok
User :   She finds it difficult to turn from one side to the other when sleeping
User :   or even while walking
User :   But she can walk and cook
Doctor :   due to pain?
Doctor :   that will slowly resolve
Doctor :   but i suggest that you get the ecg done for her own safety
Doctor :   Please fill the feedback form say done when done
Doctor :   are you there Devyani?
User :   Yes Doctor
User :   I just filled the form
User :   I will have the ECG done
Doctor :   ok
User :   But after 2 weeks
Doctor :   i also suggest that she take some physiotherapy
Doctor :   and after 2-3 weeks start walking
User :   okay
Doctor :   or any other exercise
Doctor :   also to avoid any trauma
User :   I was hoping our ortho would suggest Physio.. but that did not happen
User :   I will check again
Doctor :   you can ask that
User :   I will surely ask her to keep walking though
Doctor :   if required he will prescribe
Doctor :   but only after the pain subsides
Doctor :   after she's stable
Doctor :   otherwise
User :   Ok... Let me summarise (1) Take care and see that there is no trauma;
Doctor :   ok
User :   (2) Keep walking
User :   (3) Get an ECG
Doctor :   after stabilisation
Doctor :   thats asap
User :   (4) Ask if she needs physio
Doctor :   yes
Doctor :   Is there any thing else that I could help you with?
User :   NO doctor, thank you very very much
Doctor :   you are welcome
User :   I compliment you and the healthcare on this noble initiative of providing health advice
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
User :   Bye \
User :   I surely will
Doctor :   ok bye
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