myositis ossificans

[stalinphysio]

nothing 2 worry it , if u have any bandage r pop pls remove it as quick as possible and continue u r activ ex and if u have any pain , go 4 wax and apply mets and joint mobilzation ex and conti 4 week we con ge improvement . from this we can avoid the ossi replay after the week

[drarunpt]

Dear

I have a patient 8 year old boy had fall and supra condylar #. He was treated by traditional bone setters (!!!!!). He presents with elbow stiffness ROM is 95 degree Flexion (Prom) and 30 degree ext (PROM). When I give little pressure at the end of flexion he feels pain in the palm.

His X ray shows myositis both Ant and posterior aspect of the elbow joint.
I am continuing with active exercises and hold relax at the end of flexion range. I have started weight bearing exercise thro elbow.

Extension limited due to biceps contracture. so I am continuing the passive stretching.

can anybody say am I going in the right way or.....? needs advice

[mageshanand]

Hi Arun,

you must be knowing that, passive stretching is a strict NO NO in myositis ossificans, though you have been doing hold relax which is a alright thing to do... you also mentioned about doing passive stretching which according to me you have to STOP immediately.... its going to worsen the condition.... i would suggest you to start IONTOPHORESIS, if i am right i think you should try with acetic acid ! try to refer to some literature about the dosage... otherwise continue with active movements only but no massage or stretching .... cheers

[drarunpt]

Hi Magesh Anand
Thank you for your reply. Any more thing other than IONTOPHORESIS? because the place where I am working doesn't have much facility to give IONTOPHORESIS. Any how thanks lot

[atarunpt]

Hi Magesh Anand and every one

I want to do the iontophorosis with acetic acid for my patient. To be honest I haven't done it so far in my career . Can any body explain me the procedure and the way to prepare 2 % acetic acid solution. Preparing the treatment area and dosage too. I have only the theory knowledge .

I read in some article that pulsed Ultra sound also helpful, But any body come across any evidence please let me know.

Thank you all in advance.
Arun