Can I take calcium tablets for a fracture?

Written by Li Jie
Orthopedics
Updated on September 18, 2024
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After a fracture, there are generally several stages a person will go through. These can typically be divided into the following stages: hematoma organization stage, fibrous connection stage, initial callus stage, mature callus stage, and then the remodeling stage. During these periods, the area of the bone is undergoing a metabolic process involving both osteoclasts and osteoblasts. During this metabolic process, calcium is required, and a deficiency in calcium can affect the healing of the fracture. Therefore, it is advised that patients with fractures should take calcium supplements. Along with calcium, it is also recommended to supplement with vitamin D, which can enhance bone absorption and calcium absorption, aiding in the healing of fractures. Thus, the conclusion is that fracture patients can indeed take calcium tablets.

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How long should one stay in bed with a rib fracture?

Rib fractures are mostly caused by trauma, such as direct or indirect force. Radiographic examination can basically confirm the diagnosis. A single rib fracture generally requires no intervention or special treatment, just immobilization is sufficient. However, strict bed rest is necessary. Typically, immobilization for about four weeks is needed until callus formation occurs. During this period, you should avoid deep breathing, heavy breathing, or coughing, and stay away from cooking fumes and smokers. Such irritative coughing might cause pain. A rib fracture will likely also result in intercostal neuralgia, which can be very troublesome and prolong the pain. However, fractures generally fully heal within eight to ten months. They can gradually heal without issues, but it is best to rest in bed for a month.

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How to care for a rib fracture

For a rib fracture, first, the patient should pay attention to rest. Local effective and secure external fixation should be done. You can tie a chest band or a rib fixation band on the affected area to stabilize the fracture, which can effectively relieve pain and is beneficial for the healing and growth of the fracture. Then, in terms of diet, it is important to consume high-protein, high-energy, high-nutrient, low-fat, and easily digestible food, such as fish, milk, eggs, lean meat, shrimp shells, and some fresh vegetables. These foods are rich in nutrients and also contain a lot of calcium, which helps the healing of fractures. This is the method of recuperation for a rib fracture.

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How painful is a rib fracture?

How painful is a rib fracture? Personally, I have never experienced a fracture, but I have treated many patients with rib fractures. I can say that most rib fractures are very painful, especially those where the fracture site stimulates the nerve, causing severe pain, even unbearable enough to make one cry out. Generally speaking, with rib fractures, most people are in so much pain that they dare not cough or even take deep breaths. Some patients can barely get up once lying down, as any movement during the process can cause intense pain. There are also cases where patients have difficulty lying back down after getting up, experiencing significant pain in the process. Essentially, any activity that involves moving the fractured area is avoided due to the pain, which highlights how painful rib fractures can be.

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Orthopedics
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How is a fracture treated?

The treatment of fractures involves three main principles: reduction, fixation, and functional exercise. First and foremost, a perfect reduction is required after a fracture. If the alignment of the fracture is not satisfactory, the fracture may require either closed or open reduction. After a successful closed reduction, if the fracture position is stable, fixation should be considered. Generally, following a successful closed reduction, a local application of a cast or splint can be done for external fixation. If the results of closed reduction are not satisfactory, surgical open reduction may be needed. In such cases, internal fixation, possibly with steel plates, steel pins, or intramedullary nails among other methods, is necessary. These first two points cover the need for reduction and effective fixation—including both external and internal fixation. After proper fixation, the fracture can gradually heal. During the healing process, active functional exercises are needed to prevent muscle atrophy and joint adhesion. To avoid disuse of the limb, muscle atrophy after removing the cast, whether it be a leg or an arm, functional exercises are imperative. Thus, the three principles of fracture treatment are reduction, fixation, and functional exercise, requiring professional care by medical experts in accredited hospitals.

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Does a rib fracture hurt?

The rib area is rich in nerves, and the human body has a total of 24 ribs, so there are more than 20 intercostal nerves. Therefore, the local pain is very obvious after a rib fracture. The pain may become apparent with breathing and movements of the thoracic cage. Sometimes, especially when changing body positions, the pain can be very significant. Occasionally, coughing, sneezing, or performing other actions that increase abdominal pressure can cause marked pain. Thus, the pain from a rib fracture is quite pronounced and very severe.