Problemas de Pie en Español

• Artritis Reumatoide en el Pie y Tobillo
• Biopsia de Tejida Blando
• Buniones (Juanete)
• Coalición Tarsal
• Complicaciones Diabéticas y Prevención de Amputaciones
• Curación de Los Huesos
• Dedo Cruzado
• Dedo en Martillo
• Deformidad de Haglund
• Diabeticas: Estatisticas Alarmantes
• Disfunción de Tendón Tibial Posterior
• Dolor de Talón
• Dolor de Talón Infantil
• Ejercicios de Elongación
• El Dolor Crónico de Tobillo Lateral
• Enfermedad Vascular Periferica (PAD)
• Equinismo
• Esguince de Tobillo
• Fibroma Plantar
• Fractura de Estrés
• Fracturas de Los Dedos Del Pie
• Fracturas de Tobillo
• Fracturas del Calcáneo (Fracturas del Hueso del Talón)
• Fracturas del Quinto Metatarsiano
• Gota
• Hallux Rigidus
• Heridas Por Punción
• Inestabilidad Crónica de Tobillo
• Inicio de Drenaje Siguiendo Los Pasos de Absceso Infectado
• Inflamación Aguda
• Instrucciones par el Cuidado de Heridas
• Instrucciones Para Muletas
• Juanetes de Sastre
• Lesión del Domo Talar
• Lesiones de Lisfranc
• Lesiones del Tendón Peroneo
• Lesiones en un Hueso Sesamoideo del Pie
• Melanoma Maligno del Pie
• Necesito un Examen Para PAD?
• Neuroma de Morton
• Neuropatía Diabética Periférica
• Osteoartritis del Pie y el Tobillo
• Pie Cavo (Pie de Arco Alto)
• Pie de Atleta
• Pie de Charcot
• Pie Diabético
• Pie Plano Flexible
• Pie Plano Pediátrico
• Que Usted Espera con el Tratamiento de Acido par Alas Verrugas
• Que Usted Espera Por Las Inyecciones de Esteriodes
• Quiste de Ganglio
• Ruptura del Tendón de Aquiles
• Síndrome del Hueso Trigono
• Síndrome del Navicular Accesorio
• Síndrome del Túnel Tarsiano
• Tendinitis de Aquiles
• Terapia con Onda de Choque Extracorporea (ESWT)
• Trastornos Comunes del Tendón de Aquiles
• Trombosis Venosa Profunda
• Uña Encarnada del Dedo del Pie
• Uña Infectada Por Hongos
• Verruga Plantar (Verruca Plantaris)

Bone Heal

How Does a Bone Heal?

All broken bones go through the same healing process. This is true whether a bone has been cut as part of a surgical procedure or fractured through an injury. The bone healing process has three overlapping stages: inflammation, bone production, and bone remodeling.

• Inflammation starts immediately after the bone is fractured and lasts for several days. When the bone is fractured there is bleeding into the area, leading to inflammation and clotting of blood at the fracture site. This provides the initial structural stability and framework for producing new bone.
  
  
• Bone production begins when the clotted blood formed by inflammation is replaced with fibrous tissue and cartilage (known as "soft callus"). As healing progresses, the soft callus is replaced with hard bone (known as "hard callus"), which is visible on x-rays several weeks after the fracture.
  
  
• Bone remodeling, the final phase of bone healing, goes on for several months. In remodeling, bone continues to form and becomes compact, returning to its original shape. In addition, blood circulation in the area improves. Once adequate bone healing has occurred, weight-bearing (such as standing or walking) encourages bone remodeling.
  
  

How Long Does Bone Healing Take?

Bone healing is a complex process. Speed and success differ among individuals. The time required for bone healing can be affected by many factors, including the type of fracture and the patient's age, underlying medical conditions, and nutritional status. Bone generally takes 6 to 8 weeks to heal to a significant degree. In general, children's bones heal faster than those of adults. Dr. Neuhaus will determine when the patient is ready to bear weight on the area. This will depend on the location and severity of the fracture, the type of surgical procedure performed, and other considerations.

What Helps Promote Bone Healing?

If a bone will be cut during a planned surgical procedure, some steps can be taken pre-and postoperatively to help optimize healing. Dr. Neuhaus may offer advice on diet and nutritional supplements that are essential to bone growth. Smoking cessations, and adequate control of blood sugar levels in diabetics, are important. Smoking and high glucose levels interfere with bone healing. For all patients with fractured bones, immobilization is a critical part of treatment, because any movement of bone fragments slows down the initial healing process.

Depending on the type of fracture or surgical procedure, Dr. Neuhaus may use some form of fixation (such as screws, plates, or wires) on the fractured bone and/or a cast to keep the bone from moving.

During the immobilization period, weight-bearing is restricted as instructed by Dr. Neuhaus. Once the bone is adequately healed, physical therapy often plays a key role in rehabilitation. An exercise program designed for the patient can help in regaining strength and balance and assist in returning to normal activities.

What Can Hinder Bone Healing?

A wide variety of factors can slow down the healing process. These include:

• Movement of the bone fragments; weight-bearing too soon
• Smoking, which constricts the blood vessels and decreases circulation
• Medical conditions, such as diabetes, hormone-related problems, or vascular disease
• Some medications, such as corticosteroids and other immunosuppressants
• Fractures that are severe, complicated, or become infected
• Advanced age
• Poor nutrition or impaired metabolism
  
  

How Can Slow Healing be Treated?

If the bone is not healing as well as expected or fails to heal, Dr. Neuhaus can choose from a variety of treatment options to enhance the growth of bone, such as continued immobilization for a longer period, bone stimulation, or surgery with bone grafting or use of bone growth proteins