#orthopaedist

[end-orfino]

Hey fellas is that uh. Is that normal

[a-life-in-medicine]

Not the secretaries already starting to talk, ‘omg a female orthopaedist is coming to this hospital’ before I even start my residency 💅🏼

[tjerra14]

still not beating the autoimmune disease allegations smh

[trustwellhospitals]

Advantages and Indications of Arthroscopy Surgeries

Orthopaedic injuries, especially those related to sports and joint conditions, can significantly impact a person's quality of life. One of the innovative approaches to diagnose and treat these conditions is arthroscopy surgery. In this blog, we will explore the advantages and indications of arthroscopy surgeries in orthopaedic care, with a focus on Trustwell Hospitals in Bangalore and the role of orthopaedists.

Understanding Arthroscopy Surgery:

Arthroscopy is a minimally invasive surgical procedure that allows orthopaedic specialists to diagnose and treat various joint-related issues with minimal disruption to the patient's body. During the procedure, a tiny camera, called an arthroscope, is inserted through a small incision into the joint. This camera provides real-time images of the affected area, enabling orthopaedic surgeons to pinpoint issues with precision.

Advantages of Arthroscopy Surgeries:

Minimal Scarring: Arthroscopy involves small incisions, resulting in minimal scarring compared to traditional open surgeries. This benefits both the cosmetic aspect and the overall recovery process.

Faster Recovery: Patients typically experience a faster recovery with arthroscopy as it causes less trauma to the surrounding tissues. This means less pain, swelling, and a quicker return to normal activities.

Accurate Diagnosis: Arthroscopy provides orthopaedists with real-time, high-definition images of the affected joint, allowing for precise diagnosis and targeted treatment.

Wide Range of Applications: Arthroscopy can be used to diagnose and treat various joint-related conditions, from ligament injuries to cartilage damage and even joint infections.

Indications for Arthroscopy Surgeries:

Knee Injuries: Arthroscopy is commonly used to diagnose and treat knee injuries, such as torn ligaments (ACL, PCL), meniscus tears, and cartilage damage. Orthopaedists use arthroscopy to reconstruct ligaments and remove damaged tissue.

Shoulder Issues: Patients with shoulder pain or instability can benefit from arthroscopy. Common procedures include repairing rotator cuff tears and addressing conditions like frozen shoulder or impingement syndrome.

Hip Arthroscopy: This minimally invasive procedure is increasingly used for diagnosing and treating hip problems, including labral tears, femoroacetabular impingement (FAI), and synovitis.

Ankle Problems: Arthroscopy can assist in identifying and treating issues like ankle impingement, loose bodies, and synovitis.

Wrist and Elbow Concerns: Arthroscopy is employed to diagnose and treat conditions affecting the wrist and elbow joints, including carpal tunnel release and tennis elbow.

Cartilage and Joint Infections: Arthroscopy helps in addressing cartilage damage and joint infections. It allows orthopaedists to perform procedures such as debridement or synovectomy.

Trustwell Hospitals in Bangalore:

Trustwell Hospitals, a renowned healthcare institution in Bangalore, offers advanced orthopaedic and sports injuries care. With a team of experienced orthopaedists and state-of-the-art facilities, Trustwell Hospitals is at the forefront of arthroscopy surgeries.

Role of Orthopaedists:

Orthopaedists play a critical role in the success of arthroscopy surgeries. Their expertise in diagnosing joint-related issues, interpreting arthroscopic images, and performing minimally invasive procedures is invaluable. Trustwell Hospitals in Bangalore boasts a team of skilled orthopaedists who specialize in arthroscopy surgeries, providing patients with exceptional care and optimal outcomes.

Conclusion:

Arthroscopy surgeries have revolutionized orthopaedic and sports injuries care, offering numerous advantages over traditional open surgeries. With minimal scarring, faster recovery, and accurate diagnosis, arthroscopy has become a go-to option for many joint-related conditions. Trustwell Hospitals in Bangalore, with its team of dedicated orthopaedists, is at the forefront of arthroscopy procedures, ensuring that patients receive the highest level of care for their orthopaedic needs. Whether you're an athlete with a sports injury or an individual facing joint-related concerns, arthroscopy can offer a path to a healthier and pain-free future.

[samikshak]

Dr. Mani Venugopal- Orthopaedist In Bengaluru

Dr. Mani Venugopal is a renowned and experienced Orthopedics in Bangalore. He brings with him an experience of 14+ years and has been associated with some of the best hospitals in Bangalore. A dedicated compassionate doctor who handles many challenging cases with the latest cutting edge technology. He offers patient-friendly scientific advice to your problems while maintaining the highest professional and ethical values.

Clinic Timings: Saturday 11 am–1:30 pm, 4–7 pm Sunday Closed Monday 11 am–1:30 pm, 4–7 pm Tuesday 11 am–1:30 pm, 4–7 pm Wednesday 11 am–1:30 pm, 4–7 pm Thursday 11 am–1:30 pm, 4–7 pm Friday 11 am–1:30 pm, 4–7 pm

Address: Nikad Ortho Centre.1, Howdin Road, Road, off Ulsoor, near to Dbs Bank, Bengaluru, Karnataka 560042

Phone No.: 9845040775

Website:

GMB Link:

[prathimacancerinstitute]

https://prathimahospitals.com/speciality/orthopaedics/

Prathima Hospitals in Hyderabad is a best and Top Orthopaedist Hospital in Telangana which are located near Kachiguda and Kukatpally.

[prathima309]

Prathima Hospitals in Hyderabad is a best and Top Orthopaedist Hospital in Telangana which are located near Kachiguda and Kukatpally.

[noctilin]

I'm a fairly young artist(in my teens) and i've recently gotten carpal tunnel syndrome, is there any advice you have to avoid worsening my condition?

hi there! i'm sorry to hear about the cts. it's such a finicky thing but it's manageable with the proper attention. what makes it rather difficult is that cts is usually a case-to-case basis and not all treatment methods work the same for each person. so take this with caution.

that said, before anything else, I recommend that you keep in touch with your doctor and follow any medication prescribed. it's better if you have a hand specialist (orthopaedic) to look at it if you haven't yet. ask them anything you're curious about such as things that involve your regular activities.

another thing, you should know that my cts has gotten severe to the point that my orthopaedist recommended I take surgery, but at the time, my mother was vehemently against it and I was in no position to disobey her so I had to find my own way to live with the strain. I do find myself lucky that I was able to live my life a little normally after a bit of research and trial and error. just know that I'm not encouraging going against what doctors recommend, but if you find yourself in the same situation as me, then hopefully you'll be lucky.

these are what i found that worked for me and my lifestyle:

before you do anything else, do NOT do any stretches, exercise, or any activity if it causes you PAIN. it's normal to feel a bit of tension while doing stretches and exercises but you are NOT supposed to feel PAIN. stop immediately if you do and ask your doctor for advice. until then, avoid any activity and just rest your hands and wrists.

if you only have cts on one wrist (unlike me I have both,) I still recommend doing these things for both! just to keep things balanced. it'll be good prevention for the other wrist too anyways :)

you should also ask your doctor for vitamins for your cts! i took some for a while, I'm pretty sure it was vitamin B12. BUT please ask your doctor first!

stretches and exercises

for stretches, what i did was a routine of doing them before and after i get out of bed. this is very important especially if you tend to sleep with your wrists curled or under pressure, like putting it under your head. when you sleep, you are likely to hold a position for at least a couple or so hours before you move and toss and turn (sometimes not at all) this causes stress on your wrists for a prolonged time so it's important to stretch them before and after you sleep.

i also stretch before and after working/drawing. if you know you're going to be on the computer or workspace for a while, be sure to do this and do it every hour or so. your cts is more likely to give you problems if you keep doing repetitive activities such as drawing and typing without stretching.

you're going to see these things everywhere and your doctor might give you a diagram too, like mine did. but this is almost the same one I got from my ortho.

i like to do these as a break from work, but you can also do them before and after sleeping and/or working. just do each for about 15-20 seconds and make sure to relax your hand for about 5 seconds after each one to give your wrists a breather, so to speak. put on a lil silly youtube video while you do them! makes them less of a drag to do :-3

here are some great videos that helped me a lot as well! i mainly do these before and after sleeping/working but after a while I just start to do them randomly when I'm not particularly doing anything with my hands too.

what's great about these videos is that it's not sped up or skipped around, so you can do this "with" them. i personally find it hard to follow diagrams or sped up videos so it's nice to have a real time guide, if that makes sense. eventually, you'll remember these routines enough to not rely on the videos anymore. ^^

there's another exercise i like to do that I can't seem to find a video or diagram of but basically just do push-ups on the wall for about 20 times. this is also good for your back!

here is another easy one to do whenever you're idle or just want an easy stretch (old ladies taught me this lol)

when your wrists are feeling better, you can do some wrist strengthening. you can do this with a simple water bottle. don't use anything too heavy, you wouldn't want to strain. i'd say around 300~500g plastic water bottle is enough but, of course, find what works best for you! you're not here to body build, you just want some strength back on your wrists. do this upside too. about 15-20 times each.

tools

now that i've suggested the water bottle, here are some other helpful things!

1. wrist splint

to me, this is a MUST. please get anything like this whenever you can. i got mine from sports shops but you can also find them in medical supplies and pharmacies sometimes. i wore this when my wrists were still inflamed for 2 weeks. after the inflammation had subsided, I switched to using them every time I went to sleep. remember when I said how we tend to strain our wrists during sleep? this helps prevent that. don't use it when you're doing something though like being on the computer and drawing, I found it horribly uncomfortable!! using it when i was sleeping was enough for me.

2. ergonomic vertical mouse and keyboard

this mouse will help lessen the pressure on your cts while you're on the computer. some of them can get pretty expensive but honestly I just used a cheap 10$ one. it broke every 6 months but as long as it does its job!! if you have the budget for it, throw in an ergonomic keyboard as well. if not, you can opt for at least a cushioned wrist pad. also, try to get a mechanical keyboard with red switch keys. it makes them easier to click and use! membrane keyboards tend to have some resistance so I really do not recommend them.

3. stress ball

in the first exercise diagram you'll see one of them requires a stress ball. honestly just having one in general is pretty useful. squeeze it whenever you're not doing anything in particular.

lifestyle changes

here's where most of the trial error comes from. aside from drawing, I do a lot of things every day that require my hands, oftentimes straining them. chores such as cleaning, cooking, lifting groceries and whatnot. this made it difficult for me to recover during the time my cts was at its worst because BOTH of my hands were unavailable.

it was at this time my siblings didn't know how to cook either so I had to still move but with a lot of help from them. i asked them to chop anything harder than leafy vegetables, such as potatoes and carrots for me because I couldn't. i asked them to lift groceries for me and casseroles filled with water because I couldn't. the point is, if you have people around you who can help you, it's best to ask for it before hurting yourself even more. even now when my cts is more manageable, I still ask my siblings to do these things because admittedly my wrists are still weak.

some other changes i had to make was go from ceramic plating to plastic ones. this is because ceramic was too heavy for my wrists as well. i also changed from carrying grocery bags to buying a portable grocery cart. i also changed certain ways I draw and found myself more comfortable in using tools that help me. stuff like that, yknow? so it really depends on what your lifestyle is. but the rule of thumb is, don't make things harder than it should be!

speaking of ease of drawing, if you draw digitally, I highly recommend setting your hotkeys into something easier to reach. for example, my current hotkeys are like this so I don't strain my wrist and fingers from stretching so often.

this takes a while to get used to but I promise that it's worth it. :)

be careful as well of video games that put too much strain on your wrists. when I was recovering I couldn't play games like bayonetta because it was just too much button mashing and it made my wrists go nuts lol (I can't play skullgirls anymore </3)

i also play on a controller instead of a keyboard these days because it's less strain on my wrists. i use a ps4 controller so idk how other controllers would perform. also, if your game has controller vibration, TURN THAT OFF lol this thing makes my wrists go stupid every time.

i think it also is pretty obvious but, invest in a spacious and comfortable workspace! one that you have enough room to rest your arm comfortably while you draw or type or do anything for long hours. the reason I even got cts was because I had such a shitty makeshift table. you don't need to invest so much as to burn hundreds of dollars (but if you have the means, go for it!) I was able to make do with a simple desk chair and a spacious desk that was the right level for me.

remember, the goal is to lessen the strain on the wrists as much as possible. this includes pressing it onto hard surfaces and corners! big no-no! if your wrists hurt, stop everything, put the splint on and rest!

that's all i can think of to tell you. hopefully, you can find your way to manage things :) cts can be scary but with the right care, you'll still be able to draw and do things you like so long as you don't push it. take care!

[octuscle]

I'm sorry for disturbing you, but I cant anymore... Im so bad at everything... its so funny. I have nothing special about, me I'm not good at anything, not even in the games I play all the time, that make up almost 99% of my life or the work I do even as a nurse I do everything wrong... Im Bi, but even that way I can't get anyone off, especially women... That wouldn't be so bad but even the men on Grindr don't answer me. Guess im really ugly. please get me out of this shitty life. I do everything all around the world. Please just get me out of this crappy life in Germany...

Dude, did a barbell fall on your head while you were lifting iron? You should urgently get yourself checked out. Or are you having a crisis right now and need a few compliments to boost your ego? But here too, I would ask why?

You're a sought-after orthopaedist and sports physician. Assistant at the Institute for Circulatory Research and Sports Medicine at the Sports University in Cologne. And team doctor at the local rugby club, where you used to play yourself.

Bad at everything? I'm really laughing my ass off! Whether as an athlete, a doctor or a scientist, you are successful everywhere. Whether in your medical practice or at university, the size of your cock and your skills in bed are legendary among men and women. And please don't get the facts wrong: YOU don't answer to anyone on Grindr. You find it boring anyway. You'd rather roam the bars around the gay Bermuda Triangle and shag whatever suits your fancy either directly on the toilet or in some hotel room. You don't take anyone home with you. You only share your large apartment in the magnificent pre-war building with your boxer dog and no one else.

Found your pic @uniformincar

[meetinginsamarra]

mayprompts2024 #10, choice

Read parts 1-8 on AO3 here

++++++

The Perfect Place - Part Nine

They kept leaning against the shop’s brick wall, long after their laughter had ebbed off. A comfortable silence had ensued as each of them had become lost in thoughts.

Sherlock glanced sideways at John, watching him staring into space with a blissful expression on his face. The sight made him happy and full of hope that John might come with him to the flat. He further hoped that John would be so impressed with 221b that he would also move in as Sherlock’s flatmate (and loving boyfriend, of course).

In his mind, John was miles away from London. He reminisced his time in Afghanistan, being an army doctor and a soldier and how he had missed this life terribly after being invalided out. Every day there had been full of excitement and danger, he had done important work and had been needed to save limbs and lives. He had been respected, had lots of comrades and his life had been full of options.

When he had returned to London, everything was the exact opposite. No perspective for the future, no money, no job, an invalid with a dodgy leg and a trembling hand and no friends. Taking on the position and a bed shop assistant had been an act of sheer desperation and also mirrored the exact opposite to his work back in Ahghanistan.

And now, this Sherlock Holmes who wanted to buy a boxspring bed had turned John’s stagnant and depressing life upside down and John loved every minute of it. He could not recall a time when he had had so much fun.

John sighed and wished this moment would never pass.

“Do you plan on actually putting this bed into your flat?” John asked.

"Yes, of course. I really need one and also, it’s a very comfortable bed.” Sherlock grinned. “I bought it, remember?”

“For your second bedroom.”

“For the main bedroom. There is a second one, but it is unused. The main bed is terrible, the mattress would cause any orthopaedist nightmares and it’s too short for me either.  It’s still from Victorian times like most of the flat’s furniture. But it will be a lovely flat, once everything is sorted.”

(Sherlock meant once when all of the bits and bobs and odds and ends he had scattered everywhere had been sorted. Preferably by some benign person who liked tidying up.)

John hummed. “Ah, so you’re only about to move in?”

“Yes, I’ve helped the landlady and she gives me a discount on the rent.”

John looked sharply at Sherlock. “You intimidated her, too?”

“I did not intimidate Bernie.” Sherlock protested. But John kept staring at him until he relented. “Okay, I did. Whereas Mrs Hudson’s discount has been made out of genuine gratitude.”

“Where is it?”

“221b Baker Street.”

“Oh, wow, central London.” John thought of his miserable bedsit he could afford just so. “Must still be expensive even with a discount.”

Sherlock seized the opportunity. “Well, actually, you’re correct. Therefore, I have been looking for a flatmate.”

“Oh.” John’s face fell, clearly disappointed. “Who’s the lucky guy?”

High time for the next step, Sherlock! His brain egged him on, finally invite John to see the flat!

“Erm, no one, so far.” Pretending to be non-chalant and not caring much about John’s answer, Sherlock continued, “Would you like to have a look? After all, you promised to take care of the Feng Shui energy, didn’t you?”

“No, I absolutely did not”, John chuckled, “you only made that up to give Bernie a heart attack.”

“But you’re interested in seeing it, yes?”

“I’m wondering why you haven’t already found a flatmate. I mean it sounds like a great place so where is the catch? Noisy neighbours? Nosey landlady? Cockroaches? Leaky plumbing?”

“If you choose to come with me, you might find out.”

Since Sherlock made it sound like a dare, John took the bait at once. “Lead the way then.”

(John had the impression that he made a deliberate choice to follow Sherlock this day, when, in fact, John would never have any choice at all regarding Sherlock.)

+++++

tagging some people @calaisreno @totallysilvergirl @lisbeth-kk @peanitbear @raina-at

[dailyunsolvedmysteries]

It was October 5th, 2017 and a man named Teteteke Gqontsi was in the hospital for abdominal surgery, so he could barely move. One day a nurse came in to change the linens and when she came back inside from being right outside his room he had disappeared. He wasn't anywhere in the room. The hospital searched for a week until some men had to perform maintenance on the ceiling, when they opened the ceiling up, there found Teteteke inside the ceiling in the fetal position and he was deceased. The autopsy showed that his death wasn't of natural causes and someone put him in the ceiling. A few months later, a man named Sandile Sibaya was admitted to a different hospital to have his broken femur treated. After a few days there he was about to be transferred to a different hospital to see an orthopaedist, but when they went to get him, he was gone. They looked for him and only found him when a bad smell permeated the hospital, so the staff opened up the ceiling and found Sandile dead in the exact same position as Teteteke, and they said Sandile also didn't die a natural death and was placed in the ceiling by something/someone

[footy-fictionist]

Forever - Karim Adeyemi

Pairing: Karim Adeyemi x female reader

Warnings: it mentions troublesome mental health, physical knee injury (acl), questionable parenting, angst, fluff, probably some badly translated German

Word Count: 1024

Note: I have been going through some things and decided to write it out in the form of something fictional. Karim just happens to be the one I feel most comfortable writing for. Remember, this is purely fiction and know that I in no way know what Karim is like in real life. If you are not comfortable reading things about troublesome mental health, physical knee injuries and troubles with parents and the way they raised you, please do not read! Feedback is always appreciated, so if I forgot anything please let me know. Please do not copy and/or publish my work (reblogs are fine).

Karim has been noticing some changes in his girlfriend lately. It all started when she twisted her knee during a volleyball game. She immediately dropped her whole body to the floor crying out in pain. At first they couldn’t see what the issue was, but eventually the orthopaedist confirmed that she would need surgery to replace her front ACL. She was gutted and broke down crying right after the appointment. She loved playing volleyball and now she’d be out for about a year. Karim knew everything about bad injuries and how awful they could make you feel, not just physically but also mentally. 

He’s been there for her every step and she seemed to be doing alright up until the 4 month mark after her surgery. She became more closed off, gave short answers and barely even greeted him when he came home. She didn’t really eat much and her sleep schedule seemed to be non-existent. Of course Karim wanted to talk to her about it, but he didn’t know where to start or how to even break the subject to her. He decided to first start cheering her up with little things. Bringing home her favourite flowers or her favorite sweets. Running baths for her after her physical therapy. Getting her a new book every once in a while. At the beginning it seemed to lift her mood a little, but slowly even that little light started to fade. 

She wouldn’t talk to him or anyone else about it. Communicating was never her strong suit. She was never allowed to share her opinion at her parents’ house and she wasn’t allowed to talk back or argue. It made sure that she didn’t communicate at all. When she left her parents’ house she started communicating more and then when she started dating Karim, it all became a bit easier for her. Karim knew that communication was key and he communicated everything with her and praised her whenever she communicated with him. He never once got angry, no matter the news. And yet, she was shutting him out now. He didn’t know why, but he could guess. But when he came home from the game against Chelsea and she didn’t say a word to him about it, he had enough. 

“Please tell me what’s going on with you! I can’t stand that you’re not talking to me. I’m here, I’ve never judged you or anything that happened before. What makes you think that I’m gonna judge anything that’s gonna come out? I just played an amazing game, scoring the only goal and you have nothing to say to me?”

She just stared back at him, almost looking unbothered but Karim knew better. He could see her mind working, her eyes showing so many emotions that even he couldn’t keep up. 

“Please, please talk to me. I’m here, always. Please don’t shut me out, Schatz.”

And slowly he could see her mask begin to break. Her hands started shaking, her lip gave a small tremble as her eyes began to water. She pressed her lips together and hid her hands behind her back, but it was no use as the tears started falling. A sob broke through and immediately Karim pulled her into him. Her arms wrapped around him too, her hands fisting his shirt so hard he thought it might rip. She hid her face in his chest, the tears flowing so fast, that they became small rivers on her cheeks. He started rubbing his hands over her back and softly running his fingers through her hair. Soft whispers of love escaped his lips whenever he wasn’t pressing kisses to her hairline. 

“I’m sorry, I’m so sorry Karim. I didn’t mean to. I just didn’t want to bother you and bring down your happy mood. You’ve been doing so well the past few months. I couldn’t ruin that with my own unhappy thoughts. I started to believe it would be better to keep my distance. But now I can’t anymore. I’m sorry I’m hurting you, I didn’t mean to. Of course I watched the game tonight and saw what you did. You were incredible Karim, ich bin so stolz auf dich.”

The words came flooding out, the dam finally breaking. Karim slowly guided her to the couch and once there he pulled her into his lap, still rubbing her back whilst she now hid her face against his neck. Everything came out, her worries about playing volleyball, the pain she was in, how hard her physical therapy sessions were, how she wanted to support him everywhere but she couldn’t even go to the stadium on her own. After everything came out that she was holding back, she finally started to calm down. Her body, which had been stiff with stress and holding back, started to relax against his. 

That’s when Karim responded to everything she said, reassuring her that she was getting the best care and that she would definitely be able to play again. Telling her how much he loved her and that he appreciated all her support no matter the time or place. She could be on the other side of the world whilst watching the game and he’d know that she was supporting him. The tears stopped and she pulled back and looked him in the eyes. She leant her forehead on his, whilst taking deep breaths, their breathing in sync as well as their heartbeats. 

“Danke für alles, Karim. I wouldn’t know what to do without you. Thank you for your patience with me and for getting me to communicate. Ich liebe dich, für immer.”

“Kein Dank, mein Schatz. Ich liebe dich auch, für immer.”

He pulled his forehead away from her and slowly pressed a few kisses on every part of her face. In the meantime her hands wandered to the back of his head, tangling her hands in his curls, keeping him as close as possible. After all this, she couldn’t be more grateful for Karim. He is her everything, as much as she is his. They both knew they could get through anything together, as long as they communicated.

(Mein) Schatz: my darling/treasure Ich bin so stolz auf dich: I am so proud of you Danke für alles: thank you for everything Ich liebe dich (auch), für immer: I love you (too), forever Kein dank: don't thank me/you're welcome

[decora-kai]

Been a while since I've made an update on my diagnosis situation but I just had my last physio appointment today so I suppose now is as good a time as any!

I was meant to have this appointment like 2 months ago but I missed it due to pain but also the fact that my parents simply forgot 😭 instead of rebooking i was told to do MORE blood tests, Yippee! /s so I did around three more and finally was able to rebook my appointment and have been waiting for a while now. Until, of course, today.

I again wasn't feeling great, but I went to school in the morning and after break went for the appointment at the hospital. At first, my physio was just asking how I've been and talking about my blood test results (All fine, apart from slightly low vitamin D and Iron). She then said that if my blood was normal, it must either be that I'm weak and lazy (her actual fucking words), or that my diet is bad. Now yes, my diet is not the healthiest in the world but I try my best. Anyway, that pissed me tf off and I literally wanted to scream but luckily, she started to consider that maybe, maybe it was something else (OBVIOUSLY IT IS OMFG).

She did all the like pressure points, asking where it's painful and where it isn't and concluded that i seem to have quite a lot of bone pain rather than muscle pain which i actually didn't realise myself because i dont know the difference (not that I don't have muscle pain but the bone pain is more prevalent apparently) So now I'm finally being referred to an orthopaedist which should hopefully take 4-6 weeks + A chronic pain clinic!! I'm really hoping that I'll be able to get a diagnosis finally but also I'm trying to not get my hopes too high, just in case.

Something else that happened is a meeting with my school attendance lady 😭 but she was actually really nice luckily. Basically she was talking about how my attendance had slipped below 80% which is not good but also saying that they are going to talk to my doctors and see if I can get any accommodations! since I'm not diagnosed, it's quite hard to get accommodations within school but this would be like life changing, even though it would probably only change a few small things such as

Using a computer instead of writing (my hands get achy when writing some days)

Not having to do PE (physical activity worsens my symptoms)

being able to study in the library (do my classwork outside of class)

able to leave the classroom if/when I need a break

And possibly (I'm hoping for this but technically nothing was said)

Doing exams in a different room to most (I can get bad brain fog + overstimulation which causes more pain)

So, that's it for the update and I hope to bring more good news next time! >:3

[gods-favorite-cl0wnboy]

I went to the orthopaedist and he basically said “you don’t have nerve compression” yippee “so let’s start with physical therapy” yippee “but if that doesn’t work we’ll do spine injections” yip- HUH?? anyways doctors visits always make my back pain worse bc of stress so I’m gonna take a nap now

[peachgull]

Overdose grave just 🧍‍♂️

Gotta take him to orthopaedist or something

[drchristophedelongsblog]

Focus on anteversion of the femoral neck

Duck feet in your child?

This may be due to anteversion of the femoral neck.

This deformity of the hip bones is common in young children and often corrects itself spontaneously.

Don't hesitate to consult a paediatrician or orthopaedist to find out more.

Does your child walk with his feet turned outwards?

Don't panic! It may just be a simple anatomical variant common in children.

A clinical examination will enable us to make a precise diagnosis and put your mind at rest.

What is femoral neck anteversion?

The rotational disorders most frequently encountered in children are abnormal anteversion of the femoral neck in children and external hyperrotation of the tibia.

We shall see that this second anomaly may be secondary to the femoral disorder, but can also be encountered in isolation.

When infants start to stand up and then walk, parents become increasingly concerned: the anteversion of the femoral necks regresses physiologically, and the tibia increases its external torsion.

Families are often anxious to know what is normal and what is pathological.

Anteversion of the femoral neck is common in congenital hip dislocation, poliomyelitis, cerebral palsy, spina bifida and other conditions.

We will only deal with apparently isolated anomalies.

In this case, girls are more often affected than boys (7 / 3).

Although we only deal with isolated anomalies, all neurological pathologies must be borne in mind, and the child's psychomotor and neurological development must always be the subject of a rigorous neurological examination, carried out by a specialist if there is the slightest doubt.

The femoral torsion angle is defined by the angle between the posterior bicondylar plane and the long axis of the femoral neck.

It is most often open anteriorly and medially, with the femoral neck pointing forwards.

How is it measured?

Radiographic:

various methods have been described: biplane by Dunlap and Magilligan, or direct by Manlot and Bernageau.

CT scan: more reliable, measures orientation of acetabulum and tibial torsion

Ultrasound: increasingly reliable.

Clinical:

this is perhaps the safest, least expensive and most reproducible technique, depending on the examiner.

The child is positioned prone, knees bent at 90°, and the condyles are brought into internal rotation.

Clinical examination

This is performed in 2 stages: child standing in underpants, static then walking, then on a table.

Standing

the child is made to walk and run (hence the importance of a sufficiently large consulting room to better appreciate the gait, apart from the many half-turns…)

fine analysis

reveals internal rotation of the knee and foot only when bearing down on the ground, whereas during the oscillating phase of the step, the knee and foot are well aligned

if external tibial torsion has finally set in, the supporting foot may appear normo-axed, while the knee looks inwards.

internal and external hip rotation

measurement of femoral anteversion

search for hip flessum in lateral decubitus with knee bent

extent of external tibial torsion

muscle tone and possible ligament hyperlaxity.

If the anteversion exceeds the normal range by more than fifteen degrees, we speak of "exaggerated femoral antetorsion".

This anteversion becomes pathological if this figure increases or does not vary, or if repercussions appear on the spine (lumbar hyperlordosis) or the tibia.

Parents should therefore be advised to have their child monitored annually by a specialist, who will draw up a femoral antetorsion curve.

This curve may be resolving, or plateauing, or worsening.

The longer it takes to improve, the greater the risk of the disorder persisting.

Treatment

Non-surgical treatment

Plantar orthoses: of no use in correcting rotation or gait disorders

complex derotation devices, once proposed, have been abandoned

the child may be advised to sit cross-legged.

Parents should not force their child to walk "normally", as this is truly an automatic gait that the child cannot correct despite his or her best efforts

Finally, physiotherapy aimed at stretching the psoas in internal hip rotation is questioned.

Surgical treatment

The subtrochanteric external femoral derotation osteotomy with screw-plate fixation is the only procedure currently validated, and is performed bilaterally, in one or two stages spaced 15 days apart.

Consolidation is achieved within 2 months, but rehabilitation takes longer (6 months to 1 year)

The indications for this type of surgery are very rare: significant functional discomfort, persistent antetorsion greater than 45°, existence of coxa valga or associated acetabular dysplasia, patellofemoral pathology.

In all cases, this procedure should not be offered to children under 9 years of age.

Quality clinical examination is essential!

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