Female | 78

when to start bisphosphonates?

When to start bisphosphonates?

Orthopedic

1 Answer

Dr. Anu Daber

Rheumatologist

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Answered on 23rd May '24

FDA-approved indications for bisphosphonates include treatment of osteoporosis in postmenopausal women, osteoporosis in men, glucocorticoid-induced osteoporosis, hypercalcemia of malignancy, Paget disease of the bone, and malignancies with metastasis to the bone.But a personalised approach needs to be adopted for each patient after consultation with the rheumatologist

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Questions & Answers on "Orthopedic" (1189)

I am 34 years old,myself and my partner was kn a car crash last year march. We have physio (thunk it was 8 or 10 sessions) I had stiffness in my neck but after the physio it was fine. Last month my left arm from my shoulder to my elbow really hurts,I struggle to lift my left arm up and sometimes I have to use my right arm to move my left arm as its really painful.

Female | 34

You may have adhesive capsulitis, which is also referred to as a frozen shoulder. This usually occurs after an injury in the shoulder has taken place such as a car accident for example. Pain and stiffness are common symptoms of this condition thereby making it difficult for one to move the affected arm or arms. To alleviate these signs try gentle stretching exercises coupled with warm compresses applied to the painful area.

Answered on 10th June '24

Dr. Pramod Bhor

I have joined pain. When I wake up my legs and hand are paining My fasting blood sugar level 135 and pp blood sugar level 107 I will take sugar medicine

Male | 40

It sounds like you're experiencing discomfort in your legs and hands, especially after waking up. This can be caused by various factors such as blood sugar fluctuations, dehydration, or even stress. Elevated blood sugar levels may contribute to these symptoms. To help alleviate discomfort, ensure you stay hydrated, maintain a balanced diet, and adhere to your medication schedule. Regular exercise can also be beneficial. However, it's essential to consult an orthopedist for personalized advice and to rule out any underlying issues. Your well-being is important, and a doctor can provide the best guidance for your situation.

Answered on 15th Jan '25

Dr. Pramod Bhor

I have swelling in one finger and not sleep well last one month what is the reason

Female | 31

Hello,

Any injury on that particular finger ?

acupressure and acupuncture will help in treatment of swelling

Take care

Answered on 23rd May '24

Dr. Hanisha Ramchandani

Hey I’m getting a weird feeling in my right foot it comes a goes but it feels like a pulse movement it feels weird I’m not sure what it is

Female | 24

You might be feeling a throbbing sensation in your right foot. The constriction of blood vessels or the poor circulation of that area can be the cause. In rare instances, stress, anxiety, or the overconsumption of caffeine, may lead to the same feeling. Walk around and try to keep your foot upright for a while. Talking to an orthopedist is advisable if the feeling persists or gets worse.

Answered on 18th June '24

Dr. Pramod Bhor

I have knee issues and when I want to sleep I don't want to get up is it a good idea to wear diapers to bed

Male | 31

Wearing diapers at night can cause you knee pain, so it's better to avoid it. When you are experiencing knee pain, your mobility is restricted which makes it hard for you to sleep. However, wearing diapers will not help. Knee issues arise either because of injury, arthritis, or muscle strain. To help, use pillows to support your knees while sleeping and also do gentle doctor-recommended exercises to strengthen your knee. Instead of only treating the pain, you should focus on the cause of the knee problem.

Answered on 7th Oct '24

Dr. Pramod Bhor

Age-36, height 5"3, weight 62 k.g. I am having pain in my knees and legs from last couple of months. Whenever i ben my knees, there is tickling sound and it pains when i stand after bending down. I never had such pains or injury of any sort. What could be the reasons, shall i do some test.

Male | 36

You might be facing a condition called osteoarthritis. It is the case when the cartilage in your knees wears down which is a common problem. This may lead to pain that can be aggravated by bending or standing up. It is important to be active, keep your weight in check, and prevent injury to your joints. The use of heat or cold packs, mild exercises, and the intake of non-prescription pain meds may be useful. Should the pain continue, visiting a physical therapist or orthopedic specialist might be necessary for further assessment.

Answered on 8th Oct '24

Dr. Pramod Bhor

I have a swollen finger which is really painful and it has been about 6days now it's yellow and purple what wrong with it ?

Female | 16

Hello,

Thanks for your query

"As" per your clinical history is concerned please take these medications for pain and swelling -

a)Almox 500mg twice a day for 7 days,

b)Combiflam 650mg twice a day for 3 days,

c)Pan 40mg once a day for 7 days

Tests -CBC with differential

Hope that helps,

Regards,

Dr sahoo -(9937393521)

Answered on 23rd May '24

Dr. Uday Nath Sahoo

Pain in spinal cord from 7 years

Male | 51

Experiencing spinal cord pain for 7 years requires urgent medical evaluation. Consult a spine specialist or orthopedic doctor to diagnose the cause. They can recommend treatments, and pain management strategies, and monitor your progress.

Answered on 23rd May '24

Dr. Pramod Bhor

Hi there This is Najad here Iam having heavy lower backpain.I experienced this a year back now all of a sudden it got worse since last week I was having lower back pain but yesterday all of sudden it got worse I cant move properly.When change posture sitting standing its catching and hurts badly. Iam Indian expact living in UAE

Male | 35

It appears you are really in pain and it is sharp in your lower back, not only when moving and changing your posture. Back pain can come from several reasons, such as muscle strain, bad posture, or serious diseases like herniated discs. One way to reduce discomfort is by using hot/cold therapy or pilates and yoga. Maintain good posture and do not carry a heavy load. However, given the acute flare-up and the intolerance to physical activity, you should see an orthopedist who will give you a proper treatment plan.

Answered on 23rd Dec '24

Dr. Pramod Bhor

I have pain in my hip or buttack and calf are pain

Male | 27

It is clear that you are suffering from pain in your hip or buttock and the calf comes along with pain. This may be because of a situation called sciatica, where the sciatic nerve gets irritated. Symptoms include shooting or burning pain. It is important to rest and not put pressure on the injured area, and the gentle stretching of the muscles to the point of pain is among the most likely options. Preventing activities that cause pain is also a good idea and consulting an orthopedic specialist for more suggestions is obligatory.

Answered on 19th June '24

Dr. Deep Chakraborty

My foot and hands are hurting so much at night and my neck has swll.

Female | 25

It may happen due to poor sleeping positions, repetitive strain injuries, or maybe arthritis. To get a proper diagnosis and advice, you need to consult a medical professional. Meanwhile, try to maintain a comfortable sleeping position and consider using ice packs for swelling.

Answered on 23rd May '24

Dr. Pramod Bhor

Hi I had a Talus fracture , here is the below CT SCAN report. Please let me know if I can walk normally without pain like before. CT SCAN REPORT IMPRESSIONS :"age indeterminate undisplaced fracture of the dome of the talus with intra-articular extension to talotibial joint space"

Male | 40

What treatment is taken for the fracture

pl detail

Answered on 23rd May '24

Dr. Hanisha Ramchandani

What do metatarsal pads do?

Female | 67

it helps to keep toes properly positioned and avoid more pressure on the foot ball

Answered on 23rd May '24

Dr. Hanisha Ramchandani

I am having pain in my left ankle from at least one year every time when it's pain I use pain relief gel or take medicine and then pain stop for 5-6 days but it's again start paining after some days

Male | 14

It will not do you any good to stick pain relief gel/medication to the ankle for persistent pain. A qualified orthopedic specialist should diagnose and treat you adequately.

Answered on 23rd May '24

Dr. Deep Chakraborty

I need to do knee replacement and I want to know whether I can run after my knee replacement surgery

Male | 35

Yes, Once the surgical wound is healed. You can run as before.If you face any issues you can consult an orthopedic doctor near you.

Answered on 23rd May '24

Dr. Amol Raut

I think i have pectus excavatum i have a 2.6-2.7 cm concave chest i do not have problem in breathing but i think it might cause problem in future

Male | 17

Pectus excavatum is when your chest sinks inward. It happens because of how your ribs and breastbone develop. Although breathing troubles can happen, you said you're okay there, which is good. To keep an eye on things, talking to an orthopedist is wise. They can suggest the best approach for managing your condition.

Answered on 6th Aug '24

Dr. Pramod Bhor

I have knee pain from four days

Male | K SADAK VALI

Knee pain can come from several materials, for example, injury, overuse, or arthritis. Signs of such can be swelling, stiffness, or hard-to-move knee. To ease the pain, lying down, putting on ice packs, and raising the leg are some of the things you should do. If the pain does not go away, get it evaluated by an orthopedist.

Answered on 22nd Nov '24

Dr. Pramod Bhor

Hi, I have bursitis, but there is no pain, what to do to solve this problem?

Male | 40

Is bursitis without pain possible? Yes, it is but it can bother you a lot. Bursitis occurs due to the inflammation of bursae, a small, fluid-filled sac located at joints. It doesn't necessarily mean that you will feel pain. But if there is swelling or stiffness, you might feel like you have swollen a joint by doing a wrong workout. Swelling can be resolved by resting and applying ice packs. The best and most effective course is to avoid participating in things that enhance the swelled part. There is a possibility that it could not go away, and the advice of an orthopedist could be sought in this case!

Answered on 23rd May '24

Dr. Deep Chakraborty

Hi, I fell over and hurt my ankle 3 weeks ago. It is still swollen. I can walk on it without pain but have pain after when I sit down just wondering if I should seek medical attention h have been ice rest elevation and compression it

Female | 20

Caring for your ankle by icing, resting, elevating, and compressing is wise. However, swelling lasting 3 weeks raises concern. Walking pain-free is positive, yet sitting discomfort hints at lingering issues. Consult an orthopedist to rule out serious problems. Meanwhile, continue icing, resting and elevating.

Answered on 6th Aug '24

Dr. Deep Chakraborty

Why allopurinol is contraindicated in acute gout

Female | 46

Allopurinol cause urate lowering resulting in urate crystals being shed from articular cartilage into the joint space, resulting in acute inflammation ,hence it should not be used.

Answered on 23rd May '24

Dr. Jyoti Prakash

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When to start bisphosphonates?

when to start bisphosphonates?