Age: 40 YRS PLUS, Male, Presenting Problem Since: SINCE 2ND JUNE,2011, Symptom Behaviour: SLIGHTLY BETTER, Symptoms Worse (24hr Behaviour): NOT APPLICABLE, Aggravating Factors:: ULNAR NV. WEAKNESS, Easing Factors:: A GOOD SLEEP, Investigations: PRE AND POST REDUCTION XRAY DONE.GOOD ALIGNMENT ACHIEVED AFTER CLOSED REDUCTION., No Diabetes, High Blood Pressure: NOW 130/90 WITH TELMISARTAN-40 PLUS HT-12.5., Medications: FORMOTEROL AND BUDESONIDE INHALER 2PUFF BD FOR ASTHMA,ATORVASTATIN AND FENOFIBRATE FOR DYSLIPIDEMIA,ALLOPURINOL-200 FOR HYPERURICEMIA.CALCIUM AND METHYLCOBALAMIN BY ORTHOPAEDIC SURGEON FOR PRESENT CONDITION., No Osteoporosis, No Hx of Cancer, No Unexplained Weight Loss, No Bowel/Bladder issues, Other Info: SOMETIMES I TAKE SUCRALFATE FOR ACID PEPTIC DISORDER
SIR,WHAT KIND OF PHYSIOTHERAPY WOULD YOU SUGGEST AFTER REMOVAL OF CAST?I AM WORRIED AS IT IS MY RT HAND.HOW MANY DAYS MAY REQUIRE FOR ULNAR WEAKNESS TO GET CURED?
I AM AN ENT SURGEON,RT HANDED MALE OF 40 YRS.ON 2ND JUNE,2011 I SUFFERED FROM RT REVERSE COLLE'S FRACTURE,INTRAARTICULAR WITH DISPLACEMENT.CLOSED REDUCTION WAS DONE ON THAT DAY MY ORTHOPAEDIC COLLEAGUE WITHIN AN HOUR.LATER I STARTED TO SUFFER FROM COMPARTMENT SYNDROME.PLASTER WAS CUT AT PLACES ON 6TH JUNE.REPLASTERING DONE ON 13TH JUNE WHEN OEDEMA SUBSIDED.CHECK X-RAY WAS DONE.AT THAT TIME,IT WAS DISCOVERED THAT ULNAR NEUROPRAXIA DEVELOPED.NOW I AM CONTINUING GENTLE FINGER MOVEMENT EXERCISES ALL THE TIME.ELBOW AND SHOULDER JT MOVEMENTS ALSO BEING PRACTISED BY ME.POP CAST WILL BE REMOVED ON 15TH JULY.ULNAR NEUROPRAXIA IMPROVED BUT STILL PERSISTS.
FROM, DR.SAUMYAJIT DATTA
ALIPURDUAR,WEST BENGAL
INDIA[email protected]
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sir,
now ur POP is removed, u must concentrate on exercises only...
e.g wrist moblity,sup & inf radioulnar jt mobility along with strengthenig exs under physio's observation.
after 1 month if u find ur problem is not solved, u can start matrix rhythmus therapy, u ll get the result
this therapy available in pune- 9860143257