Bone issues
If a fracture has not healed for over six months, can I rely solely on bone-strengthening and yang-tonifying medications?
five two, 30~39 year old female. Ask Date: 2015/11/20
Dr. Yan Sumei reply Traditional Chinese Medicine
Dear online friend 525,
I am glad to receive your letter! Factors affecting fracture healing include age, individual health status, the location and type of fracture, the extent of soft tissue injury, and local blood circulation.
In Traditional Chinese Medicine (TCM), the initial treatment for fractures may involve herbal remedies that invigorate blood circulation and resolve blood stasis, as well as promote bone healing.
In the intermediate and later stages, the principles focus on nourishing the kidneys, replenishing essence, and strengthening bones and tendons.
When treating delayed fracture healing, emphasis is placed on strengthening the spleen and benefiting qi, as well as nourishing the kidneys to strengthen bones and tendons.
Key herbs for strengthening the spleen and benefiting qi include Astragalus, Codonopsis, Chinese yam, Poria, and Atractylodes, which help to replenish postnatal energy.
For nourishing the kidneys and strengthening bones and tendons, herbs such as Rehmannia, Cornus, Dipsacus, Eucommia, and Ligusticum are used to support congenital vitality.
However, these are general principles.
A TCM practitioner will further adjust the herbal prescriptions based on individual conditions of cold-heat, deficiency-excess, and different constitutions, so it cannot be generalized.
This is my response to you.
Wishing you health and safety!
Sincerely,
Yen Su-Mei
Department of Traditional Chinese Medicine, Nantou Hospital
Reply Date: 2015/11/20
More Info
Healing a fracture is a complex biological process that typically requires more than just dietary supplements, even if they are specifically designed to support bone health. After a fracture, the body goes through several stages of healing, including inflammation, bone production, and bone remodeling. This process can take several weeks to months, depending on various factors such as the type of fracture, the location, the patient's age, overall health, and adherence to rehabilitation protocols.
In your case, if a fracture has not healed after six months, it is essential to consult with a healthcare professional for a thorough evaluation. There could be several reasons for delayed healing, including inadequate blood supply to the area, infection, improper alignment of the fracture, or underlying health conditions such as osteoporosis or metabolic bone diseases.
Bone supplements, such as calcium and vitamin D, can play a supportive role in bone health. Calcium is crucial for bone formation, while vitamin D helps the body absorb calcium effectively. Other supplements, like magnesium, zinc, and vitamin K2, also contribute to bone health. However, relying solely on these supplements without addressing the underlying issues or following a proper treatment plan is unlikely to result in healing.
In cases of non-union or delayed union of fractures, medical interventions may be necessary. These could include:
1. Imaging Studies: X-rays or CT scans may be needed to assess the healing process and determine if there are any complications.
2. Surgical Intervention: If a fracture has not healed properly, surgical options may include internal fixation (using plates, screws, or rods) or bone grafting (using either autograft from the patient or allograft from a donor) to stimulate healing.
3. Physical Therapy: Engaging in a structured rehabilitation program can help improve mobility, strength, and function in the affected area, which is crucial for recovery.
4. Lifestyle Modifications: Ensuring a balanced diet rich in nutrients that support bone health, maintaining a healthy weight, and avoiding smoking and excessive alcohol consumption can also aid in the healing process.
5. Addressing Underlying Conditions: If there are any underlying health issues contributing to delayed healing, such as hormonal imbalances or nutritional deficiencies, these should be addressed with the help of a healthcare provider.
In summary, while bone supplements can be beneficial as part of a comprehensive approach to bone health, they are not a standalone solution for healing a fracture. If you are experiencing delayed healing, it is crucial to seek medical advice to explore appropriate treatment options and ensure optimal recovery. Regular follow-ups with your healthcare provider will help monitor the healing process and make necessary adjustments to your treatment plan.
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