Can You Have a Fracture and Not Know It

Five myths most broken bones

Broken bone image (Credit: Alamy)

Screaming, stabbing hurting? Non e'er. Y'all tin move information technology, so it's non broken? Not all the time. Hither, Claudia Hammond answers some of the myths most bone breaks.

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If you tin movement it, it non's cleaved

It'south the outset affair someone commonly says when yous're writhing in agony after stubbing your toe really, really hard and are wondering if it might exist broken.  "Can yous move it? In that case, you oasis't broken it."

In fact, you can sometimes motion a broken bone, so this is not ane of the primary signs to await for when deciding whether you lot have a fracture.  The top iii symptoms of a broken bone are pain, swelling and deformity. If a bone is sticking out at ninety degrees or poking through the skin, non surprisingly, that's non a good sign and information technology might well be broken. Some other sign is if you heard a snap when the blow happened…

If it'south broken you lot're inevitably in agony

Not necessarily. Plenty of people have tales to tell of tripping up, then spending the residuum of the day skiing, walking or even dancing, without realising they had a fracture. More often than not, broken bones practice hurt, a lot, only if a interruption is pocket-size you might not notice information technology. Once yous do discover a os is broken information technology's important to get professional assist to ensure the bones are properly lined up and held in identify while they heal, to avert infection or permanent deformity.

Once you dicover a bone is broken, it's important to get treatment to make sure it heals properly (Credit: Alamy)

Once you lot dicover a bone is broken, it's important to get treatment to make sure information technology heals properly (Credit: Alamy)

But there is a peculiarity when information technology comes to bone fractures and pain. It might not injure at the fourth dimension, but in 2015, using information from the UK Biobank of half a million adults, researchers at Southampton Academy found that people who had fractured their arm, leg, spine or hip in the past were more likely than other people to take widespread pain in the body decades later. Luckily this kind of hurting is uncommon.

Older white women should worry virtually cleaved bones due to osteoporosis

Permit's start with age. It'southward true that older women are more likely than younger women to suffer broken basic. The hormonal changes of the menopause tin can lead to rapid bone loss and the frequent fractures seen in osteoporosis.

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When information technology comes to ethnicity, in the U.s.a. there are more than than twice as many hip fractures in white women than blackness women. A number of factors have been suggested to account for the increased bone strength in black women, including college bone mass during childhood and a lower rate of bone turnover, which might lead to a slower decline in bone mineral density with age.

Having said that, black women tin can even so suffer from osteoporosis. It's just that fewer of them do. Just 5% of black women above the historic period of 50 are thought to have osteoporosis, which has led for calls for symptoms in black women to be taken more seriously. In the US, for example, African American women are less likely to be referred for screening for osteoporosis than Caucasian women, and if they practise receive a diagnosis they are less likely to exist prescribed treatment.

At that place'due south no point in a seeing a doctor for broken toes because they tin can't practice anything

It's true that you might non end up in plaster, simply a cleaved toe still needs to exist checked out. Medical staff demand to establish the nature of the fracture to avoid long term pain or deformities, which might make shoes uncomfortable in the futurity or atomic number 82 to arthritis later in life if a fracture hasn't healed smoothly. If the toe is at a weird bending after a intermission more complex treatment and fifty-fifty surgery might be needed.

Most broken toes can exist taped to the toes either side and held steady in a special rigid shoe. Healing usually takes 4 to six weeks. Breaks in big toes are more serious and some people volition need a bandage up as high equally the calf for two or three weeks, followed by taping to the second toe. Luckily big toes are one-half equally likely to break as the other toes.

Most broken toes can be taped to the toes either side and held steady in a special rigid shoe (Credit: Alamy)

About broken toes can be taped to the toes either side and held steady in a special rigid shoe (Credit: Alamy)

If it's the metatarsal – the next bone up from the toe – that's cleaved, fractures tin can still often heal without any kind of plaster equally long every bit the pes is rested. This is because the basic on either side tend to hold each other straight, interim as a natural splint and in eighty% of cases the bones remain in the right place fifty-fifty when cleaved. Merely if there are wounds indicating an open up fracture, or the bone won't go into rightful position, it might demand treatment. This is more than likely in the bone below the big toe because it doesn't have the support of the other bones property it in place. Likewise, fractures of the os below the little toe on the outside of the foot tin can sometimes require surgery or a cast.

Fifty-fifty if you don't demand a cast, it's still worth getting cleaved toes treated. Once again serious fractures have been ruled out, staff can splint broken toes for y'all and dress them with soft padding. And they'll know whether yous might benefit from crutches for a week or two until you tin put your weight on information technology comfortably.

Afterwards a broken bone has healed, it's stronger than it was before

This sounds too good to be true and, in the long-term, it is too skillful to be true. Just at that place is some truth to information technology in the brusque term. While healing, a gage or draconian of extra-strong new bone forms around the fracture to protect it. Then, information technology is true that a few weeks into healing process, the bone at the interruption is stronger than a normal bone. But eventually this gage diminishes, and a few years subsequently yous're left with a os that might exist as good as new, merely is no stronger than the equivalent basic nearby.

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Source: https://www.bbc.com/future/article/20181005-five-myths-about-broken-bones

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