Fracture |
- Emergency – Immediate intervention required
- Severe pain, swelling, deformity (if displaced)
- Inability to bear weight
- History of trauma or injury
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- X-ray (confirm fracture)
- CT or MRI in complex cases
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- Immobilization (casting, splinting)
- Surgical fixation if needed
- Pain management (analgesics)
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Osteoarthritis |
- Chronic joint pain and stiffness
- Reduced range of motion
- Crepitus, especially in weight-bearing joints
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- X-ray (joint space narrowing, osteophytes)
- MRI in early or unclear cases
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- NSAIDs, physical therapy
- Weight management, activity modification
- Joint replacement surgery in severe cases
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Avascular Necrosis (AVN) |
- Emergency – Immediate intervention required
- Groin or hip pain, worsens with activity
- Progressive limp
- Risk factors: steroids, alcohol, trauma
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- MRI (early detection)
- X-ray (later stages)
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- Rest, activity modification
- Core decompression or bone grafting
- Hip replacement in advanced cases
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Hip Bursitis |
- Lateral hip pain, worse with walking or lying on affected side
- Local tenderness over greater trochanter
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- Clinical diagnosis
- Ultrasound or MRI if needed
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- NSAIDs, physical therapy
- Corticosteroid injections
- Activity modification
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Lumbar Radiculopathy (Sciatica) |
- Shooting pain down the leg
- Weakness, numbness, or tingling in affected leg
- Often worsened by sitting or standing
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- MRI of lumbar spine
- Physical examination (positive straight leg raise)
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- NSAIDs, physical therapy
- Epidural steroid injections
- Surgical decompression if severe
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Hip Labral Tear |
- Hip or groin pain, clicking or locking sensation
- Difficulty with hip movement
|
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- Physical therapy
- Arthroscopic surgery
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Gout |
- Sudden onset of severe joint pain
- Swelling, redness, and warmth in the joint (often the big toe)
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- Joint aspiration (crystals in synovial fluid)
- Elevated serum uric acid
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- NSAIDs or colchicine for acute attack
- Allopurinol or febuxostat for prevention
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Peripheral Neuropathy |
- Numbness, tingling, or weakness in legs
- Unsteady gait, foot drop in severe cases
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- Nerve conduction studies (NCS)
- Blood tests (diabetes, vitamin deficiencies)
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- Treat underlying cause (e.g., diabetes)
- Physical therapy for gait training
- Orthotics for foot drop
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Spinal Stenosis |
- Pain, numbness, or weakness in legs
- Symptoms worsen with walking, relieved by sitting
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- MRI of lumbar spine
- Physical examination
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- NSAIDs, physical therapy
- Epidural steroid injections
- Surgery (laminectomy) in severe cases
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Septic Arthritis |
- Emergency – Immediate intervention required
- Acute onset of joint pain, swelling, redness
- Fever, systemic signs of infection
- Severe difficulty bearing weight
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- Joint aspiration (purulent fluid, positive cultures)
- Blood tests (elevated WBC, CRP, ESR)
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- Urgent IV antibiotics
- Surgical drainage if necessary
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