• Older individuals are more prone to falls and fractures. The incidence of ankle fractures in older patients is high and severe in some cases. The treatment is difficult and complicated in nature due to presence of comorbidities such as diabetes, obesity, hypertension and poor bone quality.
• Treatment goals include: Stability of the joint, ability of the patient to perform daily activities independently and minimizing complications associated with fracture and other comorbid conditions.

RICE is a part of the Non-operative management of ankle fracture in older patients which includes:

R: The importance of rest cannot be overstated. In order for the fracture to heal faster limit yourself from further pressure on the foot. 

A cast will most likely be worn to keep the foot and ankle immobile.  In case of severe soft tissue swelling, a cast may be required for the first three to five days. The brace must be worn for six weeks in order to allow the fracture to heal. Cast fixation with off-loading is advised for poor bone quality depending on the radiography report.  

Ice: For reducing the swelling and inflammation, apply ice to the region for 20 minutes at a time.

 And continue further for every 40 minutes.

Compression: Wrapping the area in a bandage helps to reduce swelling.

Elevation: To assist reduce inflammation, lift your foot and ankle slightly above the level of your heart.

For severe pain in your left arm, it's essential to seek medical attention promptly. Pain in the left arm can be caused by muscle strain, injury, nerve compression, or even heart related issues. Consult a doctor for proper evaluation.

Colchicine is the best drug for those who are taking warfarin

You might have twisted your knee again while playing badminton. Aching dull pain when you try to straighten or tighten your knee could mean the ligament has been pulled too hard. It’s great that you can still walk and go upstairs. To let it get better, you should rest as much as possible, put your leg up from time to time, and avoid doing anything too hard for a while. 

The symptoms of numbness and sleepiness are concerning. These symptoms may be due to a problem with your nerves or spine. You must see a doctor as soon as possible for a proper evaluation. The drugs you have listed are good for the relief of pain, but if we want to know the exact reason for your symptoms, we must treat the underlying cause. Please seek medical attention promptly to address your concerns.

Your mom's knees and back might hurt because­ her body lacks calcium. Calcium deficiency can cause­ bone and muscle aches. It brings we­akness, knee/back pain, and bone­s that break easily. Eat dairy products like milk and che­ese which contain calcium. Also, leafy gre­en veggies have­ lots of calcium. Supplements provide e­xtra calcium too.

Pain and swelling after ACL surgery are there for initial few months only. If it’s is persistent after 8 months of ACL reconstruction surgery, it’s always better for consult knee specialist orthopedic surgeon. 

Tips: use ice compression and regular Rehabilitation 
Not to do: Heat or gel application on ACL operated knee

Now, your brother can begin with light exercises such as walking and stationary cycling. He should refrain from high-impact activities such as running, jumping or twisting until he finishes his rehabilitation program. It would be wise to ask his orthopedic surgeon or a physical therapist for more information on the recovery process and advice about activities that he can engage in without risk.