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Is Complete Spinal Cord Recovery Possible While Treating Trochanteric Fracture Near Right Femur?
Question: My Father's name is XXXXXXX XXXXXXX Mandal. He is has heart right bundle branch block for nearabout 10 years and asthma for 20 years. He is taking Calaptin 40 thrice, Cloptab75, Atorvastatin Caat 40 and seroflo 250 inhaler and asthalin sos. He also has spondylytis at lower back near cocksis.
Recently about 6 mnth ago he suffered accident and got trochanteric fracture near right femur. He undergone Femur fixation by zimmer company STILL plate . On 5th NOV< 2015 he has last check-up by orthopaedic surgeon and told that he can sleep by giving pressure on right side also. But as he started once giving pressyre on Rhs during sleep he started to suffer from pain at spinal cord thoracic region and lower back. Local doc adviced blood test- found RA factor +ve(40) and x-ray showing OK AT fixation but showing thoracic spinal cord two disc degenerative scoliosis.
He was suggested folitrax, sazo 500, folvite. Now after 4 days his pain has got reduced and can walk keeping spinal cord straight.
Now my questions are-
1) Can he walk , do work normally? will the spinal cord return to normal shape?
2) how long the medicine will continue?
3) with ZIMMER STILL PLATE IS THERE ANY RISK IN DOING MRI SCAN
Recently about 6 mnth ago he suffered accident and got trochanteric fracture near right femur. He undergone Femur fixation by zimmer company STILL plate . On 5th NOV< 2015 he has last check-up by orthopaedic surgeon and told that he can sleep by giving pressure on right side also. But as he started once giving pressyre on Rhs during sleep he started to suffer from pain at spinal cord thoracic region and lower back. Local doc adviced blood test- found RA factor +ve(40) and x-ray showing OK AT fixation but showing thoracic spinal cord two disc degenerative scoliosis.
He was suggested folitrax, sazo 500, folvite. Now after 4 days his pain has got reduced and can walk keeping spinal cord straight.
Now my questions are-
1) Can he walk , do work normally? will the spinal cord return to normal shape?
2) how long the medicine will continue?
3) with ZIMMER STILL PLATE IS THERE ANY RISK IN DOING MRI SCAN
Brief Answer:
These are degenerative changes in the disc.
Detailed Answer:
Hello,
Thanks for posting your query.
1. The degenerative changes in the disc are age related changes. The medicines he has been prescribed are to reduce pain. Regular physiotherapy exercises will help in reducing the further progress of the problem. He can do his normal day to day activities.
2. The medicines need to be continued till he starts with regular physiotherapy exercises to keep his spine flexible.
3. MRI scan is not done with an implant inside. Only a CT scan can be done for an accurate diagnosis.
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
These are degenerative changes in the disc.
Detailed Answer:
Hello,
Thanks for posting your query.
1. The degenerative changes in the disc are age related changes. The medicines he has been prescribed are to reduce pain. Regular physiotherapy exercises will help in reducing the further progress of the problem. He can do his normal day to day activities.
2. The medicines need to be continued till he starts with regular physiotherapy exercises to keep his spine flexible.
3. MRI scan is not done with an implant inside. Only a CT scan can be done for an accurate diagnosis.
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. Sonia Raina
1) is there any need to surgical process to get back original shape of spinal
2) why MRi is not done does it harm the plate
2) why MRi is not done does it harm the plate
Brief Answer:
Details below.
Detailed Answer:
Hello.
Thanks for writing again.
1. Surgery is the last resort when all the medicines and conservative treatment, physiotherapy and traction fail to provide adequate relief. Right now it is too early to think about a surgery.
2. No. The MRI report is affected by the plate. The reporting and images are not accurate. The magnetism of the plate alters the signals. There is no harm to the plate.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Details below.
Detailed Answer:
Hello.
Thanks for writing again.
1. Surgery is the last resort when all the medicines and conservative treatment, physiotherapy and traction fail to provide adequate relief. Right now it is too early to think about a surgery.
2. No. The MRI report is affected by the plate. The reporting and images are not accurate. The magnetism of the plate alters the signals. There is no harm to the plate.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
does during MRI the magnetic force pulls screw and plate and harms that. is there any chance of looseness
Brief Answer:
Does not affect plate or screws.
Detailed Answer:
MRI radiation does not harm the plate or screws or change its position.
Does not affect plate or screws.
Detailed Answer:
MRI radiation does not harm the plate or screws or change its position.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
which plate is better 1) ZIMMER STILL PLATE OR 2) TITUNIUM PLATE.
iN CASE OF MY FATHER STILL PLATE INSTALLED. SOMEWHERE I HEAR THAT TITUNIUM DENSITY IS NEAR BONE DENSITY
iN CASE OF MY FATHER STILL PLATE INSTALLED. SOMEWHERE I HEAR THAT TITUNIUM DENSITY IS NEAR BONE DENSITY
Brief Answer:
Titanium plate is better.
Detailed Answer:
Titanium plate is better as it is lighter in weight and is stronger as compared to steel plate. There are lesser chances of infection also.
Regards.
Titanium plate is better.
Detailed Answer:
Titanium plate is better as it is lighter in weight and is stronger as compared to steel plate. There are lesser chances of infection also.
Regards.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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